Dr. Cleybismar Begot

Father of 2 ladies. Ironman finisher. Urologist at Hospital Gaspar Vianna.
lieutenant colonel at Military Police of Pará State. MSc. in Collective Health

[Dr. Cleybismar Begot @BegotDr]

Sometimes urological trauma it’s much more than double J stents or indwelling catheters. 43 yo male victim of multiple gunshot wound submitted to laparotomy + segmental enterectomy w enteroanastomosis + rectoigmoidectomy w terminal colostomy + cistorraphy on 03/29/26.

[RADIOLOGISTS @DrAyubaD]

BANGER CASE 👌👌
Patient with sudden severe back pain + Bilateral lower limb weakness + Urinary retention.

What is the name of this syndrome?

[Dr. Cleybismar Begot @BegotDr]

@KirtishriM I had a few cases where I need to intervene and do open surgery rather than cystostomy tube. In general, when there is a too large gap and a great risk of urine extravasation to the pelvic floor, it may be a good approach to have an early treatment.

[Dr. Cleybismar Begot @BegotDr]

@fgomsan 😅

[Dr. Cleybismar Begot @BegotDr]

@RomanCarvajal @Mohamedendourol It was great presentation. Lots of tips and tricks in a step by step approach.

[Dr. Cleybismar Begot @BegotDr]

@PipeCabreraV @AmJSurgery @pferrada1 @SWexner @AmCollSurgeons @TomVargheseJr @CiruAndes2 There’s some problems for definitive closure as abdominal wall retraction, intense bowel scarring and sometimes enteroatmosferic fistulas

[Dr. Cleybismar Begot @BegotDr]

@PipeCabreraV @AmJSurgery @pferrada1 @SWexner @AmCollSurgeons @TomVargheseJr @CiruAndes2 I’ve seen so many lives saved by that approach. In critically ill patients that undergone damage control surgery or are in extremis, abdominal compartment syndrome is a real and ignored cause of death. Bogota or Borraes bag is a lifesaver procedure. But…

[Dr. Cleybismar Begot @BegotDr]

@GhanehF @grok summarize this video

[Dr. Cleybismar Begot @BegotDr]

@Sage_medics The anomaly is AI generated duplex ureteropyelic system. The two system communicate each other in a perfectly strange way

[Dr. Cleybismar Begot @BegotDr]

@TFL_URO_APIS @29Arundati32339 @BEkidneystone @sbinhamrii @wissamabokhalid @AmineLakmichi @LoyolaUrology @UABUrology @dravinashsingh @NEUS_Residents @EndoLuminalEndo @endouro @steffiyuen @AngeloTerrito @EndourologyT @RIRS_inDelhiNCR Great solution. Sometimes we should be minimal and trust in our guts.

[Dr. Cleybismar Begot @BegotDr]

@kjdelay1 I used it a lot in the first years of my solo career. It always was a good rescue guide. Sometimes Campbell’s urology can be quite long and tedious. Nowadays I use to illustrate some lessons for my students and residents. There are plenty of good surgical atlases.

[Dr. Cleybismar Begot @BegotDr]

@SudheerDevana @SocietyGURS Thanks for your reply. Is there any situation that could be impossible to accomplish the intended procedure or any other salvage procedure like transanal approach?

[Dr. Cleybismar Begot @BegotDr]

#NovaFotoDePerfil

[Dr. Cleybismar Begot @BegotDr]

@giulialmironmed Here in the Amazon we deal everyday w this terrible disease. In Belem we have at least 3 penectomies a week at one cancer hospital. Most patients are from remote and wilderness areas acessible only by boat. Most of them never return to follow up. It’s a sad reality.

[Dr. Cleybismar Begot @BegotDr]

@Mohamedendourol @LamideyNoury @uroksarica @StefaniaFerret @so_uro @Ahmed_M_Harraz @BEM_TOP_ @RomanCarvajal @fedefossati85 @iamdockarl @Endo_Sec_Eua Great ideia

[Dr. Cleybismar Begot @BegotDr]

@Mohamedendourol @UrowebESU @AmerUrological @Ahmed_M_Harraz @Uroweb @EAU_Uroonco @PCFnews @pcan_journal @ProstateUK @AmericanCancer @Endo_Society A million dollar question !

[Dr. Cleybismar Begot @BegotDr]

The inflammation progressed through most of the urethra forming a long stenosis and causing obstruction and vesicoureteral reflux .

[Dr. Cleybismar Begot @BegotDr]

Lichen sclerosus is an inflammatory skin condition that affects genital skin. Not only cosmetic it can cause urethral stricture. The skin is thick and whitish. This case evolved to kidney falilure.

[Dr. Cleybismar Begot @BegotDr]

#urology #health

[Dr. Cleybismar Begot @BegotDr]

Drain liquid lab 03/05: urea 906 creat 45. He evolved with a fistula through the abdominal and rectum drain that also goes to the buttocks.
What is the best approach to close that fistula in a bad nourished patient?

[Dr. Cleybismar Begot @BegotDr]

Sometimes urological trauma it’s much more than double J stents or indwelling catheters. 43 yo male victim of multiple gunshot wound submitted to laparotomy + segmental enterectomy w enteroanastomosis + rectoigmoidectomy w terminal colostomy + cistorraphy on 03/29/26.