Eslam abdelwareth

Lecturer of urology and andrology sohag university Egypt

[Eslam abdelwareth @Eslam_wareth]

Please note that my previous account was compromised and is no longer active. This is my only official personal account on this platform moving forward. Thank you for your support! 🙏

[Eslam abdelwareth @Eslam_wareth]

In CKD patient with raised serum creatinine 2.5
You must do your job so quickly
Complete clearance
#pcnl
#stones
#endourology
#eau
#kidney

[Eslam abdelwareth @Eslam_wareth]

Tips and tricks 🎯

You should make diagnosis first before make a decision
When doing pcnl in duplex system
With ureteric catheter in the wrong side
Go back and get inside the true side with c.arm and contrast better
#pcnl
#stones
#urology
#surgery
#tips_tricks
#anomalies

[Eslam abdelwareth @Eslam_wareth]

Case of male pt 35 years old
With stone pelvis lt kidney
Post lt pcnl ecchymotic patch

Do you have diagnosis 🤔

#urology
#pcnl
#pnl
#stones
#complications
#eau

[Eslam abdelwareth @Eslam_wareth]

Tips and tricks 🎯

Make sure from the wire to be inside the pelvicalyceal system
Photo 1 you think it's inside
Photo 2 after dye injection it's outside
Don't do puncture untile be sure wire inside
#pcnl
#urology
#stones
#tips_tricks
#Urologist

[Eslam abdelwareth @Eslam_wareth]

What is you diagnosis ?
🤔
Female patient 20 years old
Presented with haematuria
Diagnostic cystoscopy show this mass
Complete TUR of the mass with histopathology
🎯Don't forget bilharziasis
It's never ended from the world 🌍
#urology #endourology
#surgery
#bilharziasis

[Eslam abdelwareth @Eslam_wareth]

Tips and tricks 🎯

You must secure your guide wire in the pelvicalyceal system
Photo no 1 secured wire
Photo no 2 unsafe wire with risk of slipping during dilatation
#urology
#pcnl
#stones
#surgery
#tips_tricks

[Eslam abdelwareth @Eslam_wareth]

You must choose the posterior calyx or any calyx can access you to the pelvis ?
Ideal calyx make easy access
#urology #pcnl #stones #surgery
#eau

[Eslam abdelwareth @Eslam_wareth]

Gyna and obstetric and it's relation to urology
Female patient 70 years
Post vaginal hysterectomy entrapment of the RT ureter in the sutures with closure of the intramural part diagnostic cystoscopy not visualised
PNC and antigrade contrast injection and wire not passed

[Eslam abdelwareth @Eslam_wareth]

Challenge of doin subinguinal microscopic varicoclectomy with Mimi incision not exceeding 1 cm
#urology #andrology #surgery #varicocele #fertility

[Eslam abdelwareth @Eslam_wareth]

Impacted stone upper ureter
When there is no way to reach it from the ureter
It's time to do a direct puncture and opacifaying the system then redo a good scientific puncture
#urology
#endourology
#tips_tricks
#stones

[Eslam abdelwareth @Eslam_wareth]

After doing cystoscopy and cystogram under fluoroscopy
Infra vesicle obstruction
Hypertrophied very you can't enter with instruments
So retrograde pyelogram
And PCNL
Followed by insertion of the guide wire from pPUJ
#urology
#endourology
#PCNL
#challenge

[Eslam abdelwareth @Eslam_wareth]

When you tell a story
Male patient 49 y with staghorn stone RT kidney
History of Bilateral direct reimplantation of both ureter and fixed suprapubic catheter 20 years 🤔
How to treat

[Eslam abdelwareth @Eslam_wareth]

Dose hardness is a matter in pcnl or only on Flexible 🤔
#endourology
#pcnl
#pnl
#stones

[Eslam abdelwareth @Eslam_wareth]

Challenging case of the day
Multiple enumerable stones in the bladder about 15 stone

Open
Or
Endoscopic
?
🤔

[Eslam abdelwareth @Eslam_wareth]

Pediatric mini pnl almost always challenging cases
Need meticulous equipments

Female child 2 years old with stone pelvis and lower calyx RT kidney