New in @wjurol: This systematic review (43 studies, n=22,058) highlights the substantial burden of double-J ureteral stents. ~1 in 3 patients experience complications, with LUTS (38.9%), pain (16.1%), hematuria (11.4%) and infection (11.1%) most common.
Hoy iniciamos la jornada en la Asociación Española junto a @g3escobar y @FedeLopezFe con los primeros casos en Uruguay utilizando el láser pulsado de #THULIO con excelentes resultados !!!
Enucleación de Próstata y Litotricia Vesical.
#pulsedThYAG#Dornier#AEEP#Urosme
HoLEP
✅Shorter operative time (49.48 min less)
✅Shorter hospital stay (1.5 days less)
✅Faster catheter removal (3.8 days faster)
✅75% reduction in transfusion
✅Lower overall complication rates
✅Reduced risk of UTI and retention
@ThiagoHotaUro@trwherrmann@JUrology
Stones in pregnancy:
- Low dose CT safe in 2nd and 3rd trimester
- No NSAIDs in 3rd trimester
- Tamsulosin is safe
- Contraindicated ESWL and PCNL
- Exchange stent / nephrostomy every 4-6 weeks
@MayoUrology#MayoUroHawaii24
Sometimes at the end of an uneventful #PCNL you dont feel very comfortable seeing this blood jet!! Don’t be worried .. close the skin and most of times this will self limit by tamponade… and if not, only our friends interventional Radiologists can fix it! In this case everything went well and today the lady has been discharged on postop day 2 with Hg loss of 2 points #ETCE
FINALLY - what I have been looking forward to prove for 20 years: the detection performance of DRE for PCa is so weak that we can forego this exam. Hope the guidelines take this evidence to stop recommending DRE for PCa screening/early detection.
https://t.co/fWNrI9ohCi
Agree that enucleation is enucleation is enucleation. “The study provides objective evidence that endoscopic enucleation of the prostate is a technique rather than energy dependent procedure”
#AEEP#BPH
🔥URS 🆚 mPCNL for 1-2 cm kidney stone
mPCNL:
🏆SFR higher (76 vs 46%)
🏆Residual stone lower (3.6 vs 1.4 mm)
⛔ Fluoroscopy time higher (273 vs 49 sec)
⛔ LOS higher (1 vs 0 day)
⚖️ No differences in surgical time, postop complications, secondary procedure & operating costs
One of the 2022 most downloaded video-articles: “MiLEP” #technique
Holmium #laser#enucleation of #prostate (#HoLEP) performed using an 18.5Ch (UltraSlim) endoscope!
Morcellator introduced via a 22Ch morcescope!
Below the link to the step-by-step #video by @FCAFigueiredo
Not exactly a major public health issue but heard a speaker at GU ASCO talking about cycling elevating PSA and got two emails today from friends who were told by PCP to stop cycling prior to repeat PSA
Bust the myth!!