Very excited about this project. The RETROPERC technique has tremendously enhanced my PCNL practice. Never gets old seeing that needle pop out in just the right spot. #retroperc#ECIRS#clearpetra
@aurora_maria0 Absolutely. I’ve been using this approach for over four years. I’ve treated stones from 5 cm down to 1.5 cm. Staghorns to popcorns and everything in between.
I just completed two cases today before 12 noon using a completely new team who had never done the set up before.🤓
Bilateral mini ECIRS PCNL with retroperc precision renal access. 1.7cm right, 1.9cm left stones both > 1000HU. 105 minute case. Neph Tubeless. Same day discharge. Retroperc + mini scope + clear petra = maximum safety re: EBL, intrarenal pressure.
#retroperc#pcnl#ecirs
@SMMohagheghP@UVMUrology@MSLee_MD Thank you for moderating me! It was a lot of fun. I’m grateful for your excellent questions! Hope we cross paths again sometime soon.
Dr William Terry of Uro Assoc of Mobile, AL says @RetroPerc is Gamechanger for 200+ PCNL access. No organ injuries. Less fluoro. Consider if u want to gain your own access #WCET25 plenary @Endo_Society @AmerUrological
My last case as #urologist in the Endourology and Lithiasis group at the FMABC University. Left back pain due to a 2500mm3 upper calyx stone. #ECIRS in 55 min, SF, discharge in 24h, w/ stent. It was an honor to be part of team and to contribute to the training of new urologists.
@DingiulloA Fantastic case and video! Well done! Just made a similar video. Very, very similar to yours. exciting to see stone surgery evolve to benefit patient care and outcomes. Bravo.
@RenaMalikMD Amazing. Thank you for posting! More evidence supporting exercise is probably the most effective yet most underutilized antidepressant out there. The question remains… how to help our patients start this new behavior and sustain it!
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@amy_krambeck@AmirPatelMD@NM_Urology@EndourologyNm 👏🏻I’ve been using it for three years now. Absolute best thing since sliced bread. I hope that in a few years everyone’s using it so that patients don’t have to go multiple shockwaves and uteroscopy procedures for stones that could be completely treated in one setting.
Clear Petra has transformed mini PCNL into an effective, efficient treatment option for moderate to large renal calculi. A definite score! @AmirPatelMD@NM_Urology@EndourologyNm
@heypletz@RetroPerc The answer to this question is simple. 1. Detailed pre op CT analysis. 2. Proper patient positioning. 3. Intrarenal scope orientation verified by flouroscopy.
If these three simple steps are followed the risk of organ injury is less than 0.5% based on my own 200 case series.