Joel Ramírez

Urologist | Uro-Oncology Fellowship HRAEB, México. 🇲🇽

[Carlos Gonzalez Gonzalez @DrCarlosGlezX2]

Do we really know the anatomy we navigate during ureteroscopy?

Most anatomy is taught from the outside in. But ureteroscopy is performed from the inside out.

In our new publication in World Journal of Urology, we redefine urinary tract anatomy from a retrograde, endoluminal perspective, from the urethral meatus to the renal papilla.

We translate anatomy into everyday surgical decisions:

🔹 Where and why resistance occurs
🔹 How calyceal orientation affects working channel and laser alignment
🔹 Why lower pole anatomy changes treatment strategy
🔹 How the bubble sign can restore spatial orientation
🔹 How irrigation, suction and instrument design interact with intrarenal pressure
🔹 How miniaturized scopes and FANS are changing, but not eliminating, the impact of anatomy
Technology expands what we can reach. Anatomy determines how safely and effectively we get there.
📄 Endoluminal anatomy in retrograde ureteroscopy: surgical landmarks and clinical implications

Link🔗: https://t.co/nJebugTeFv

@Pietro9609 @FZorzi @OTRAXER Frédéric Panthier
@wjurol

#Urology #Endourology #Ureteroscopy #KidneyStones #RIRS

[Carlos Gonzalez Gonzalez @DrCarlosGlezX2]

🚨 New publication in World Journal of Urology! 🚨
Proud to share our retrospective study on intraoperative urine cultures during flexible ureteroscopy (FURS) for renal stones.
Key finding: a positive pre-laser intraoperative culture (bladder &/or renal pelvis) was strongly associated with postoperative infectious complications, including sepsis (OR 6.1 for any infection, 8.9 for severe).
Preoperative bladder cultures alone fell short in flagging at-risk patients. Pre-laser sampling may be a valuable tool to guide targeted antibiotic therapy. 🔬
#Urology #Endourology #FURS #KidneyStones #Urolithiasis @Pietro9609 @FZorzi @OTRAXER @wjurol
🔗 https://t.co/pM7I5GKTE1

[Urólogo Patricio @endouropat]

@EtshShaher @mohamed92902484 @Mohamedendourol @Endo_Sec_Eua @endouroacademy @Endo_Society @young_endosoc @urobraulio

[Residentes SMU 🇲🇽 @Residentes_SMU]

Conoce a los semifinalistas del Concurso de #DebatesSMU2022 🥊

Equipo #UroHGO

👨🏻‍⚕️Participante: Dr. Joel Ramírez Rosales @joel_ramrez
🏥 Hospital General de Occidente (Zoquipan)
👨🏻‍⚕️Coach: Dr. Javier Antonio Herrera Muñoz @JavierantonioDr

#ResidentesSMU #TodosSomosSMU

[Alex Hermen @AlexHermen]

Estamos seguros que harán un gran trabajo y ya queremos verlos participar 👏🏻 @smumexico

Caso clínico 👩🏻‍⚕️🩻 @nattz_o

Cápsula 👨🏻‍⚕️🖥 @IsrauroR

Debates 🤜🏻🥊 @VctJu @joel_ramrez @RoManriquezB @HectorM06400009 @RigoPallares @NezahualcoyotlG @erenhu_gonzalez

#ResidentesSMU 🇲🇽🙌🏻

[Alejandro Macias @doctormacias]

Re-uso de mascarillas N95: Adquiera al menos 5, y rota sus días de uso, permitiéndoles secar en bolsa de papel el tiempo suficiente para que el virus muera (>72 hr). No se requiere esterilizar; que no se toquen entre ellos. Funcionan mientras sellen bien.
https://t.co/y100vccbtx

[Felipe Calderón 🇲🇽🇺🇦 @FelipeCalderon]

“Los llamados exámenes de admisión”. Ahora se podrá estudiar medicina sin conocimientos mínimos previos. Eso lleva a que se gradúen también sin conocimientos mínimos. Tendrán título, pero no podrán curar a un paciente. Quien decide esto, nunca se atenderá con uno d estos médicos

[Joel Ramírez @joel_ramrez]

@GabyAndreu Gaboo, como has estado?.

[Joel Ramírez @joel_ramrez]

@Sergiojrc. Invitame entonces

[Joel Ramírez @joel_ramrez]

@GabyAndreu Que te paso? Ánimo

[Joel Ramírez @joel_ramrez]

@GabyAndreu
Quedaste mal la semana pasada.....mala onda!!