@RomanCarvajal@amir_wagdi I would also prefer to do an
Urodynamics to rule out hypocontractile bladder! have often encountered such patients and I do find residuals go down, flow does improve !
@fgomsan@YouTube When I do anterior dissection I feel my scope mobility is not as smooth , and feel it strains the spinchter as it works as a fulcrum as we push the lobe down , often I end up doing midline incision of prostate , do you have any suggestions otherwise !
@fgomsan@YouTube I often find that the well maintained proximal bulbar mucosa during posterior and lateral is traumatized after anterior dissection, we do have narrow urethra and 26 Fr scope is often tight ! I remove scope and apply jelly which eases mobility!
@dr_khadgi I use laser to make holes in the stone and then use litho for faster disintegration, but laser can fragment all type stone only may take a little longer !