In case of difficult access (guidewire not passing beyond the stone) ❤️ this #stepwisePCNL@KARLSTORZUro puncture➡️few cm Jtip guide in ➡️MIP-S 9F➡️lasertripsy➡️access 2 infundibulum➡️guide down in ureter➡️MIP-M (17.5F)➡️faster lasetripsy & frags evacuation #ETCE
@arkidenyproject@DrShakuriRad By the presence of the thrombus that reached the atrium. We believe that a multidisciplinary team in this case would be the safest for the patient
OLD DEBATE IS OVER: Is SUPINE PNL as good as PRONE for complex cases? The answer is YES, no impact in results. But SUPINE may be associated to fewer severe complications. Happy for sharing our last paper, published in the most renowned journal @JUrology https://t.co/XnSBzbZsrh