Bpn Rai

803 posts

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Bpn Rai

Bpn Rai

@RaiBpn

Urologist@ktm,football enthusiast,Messi fan, @AEEP, #ThuFLEP, Endourology, Laparoscopy, OncoUrologi

Kathmandu,Nepal Katılım Nisan 2020
300 Takip Edilen182 Takipçiler
Bpn Rai
Bpn Rai@RaiBpn·
@PratikMSGurung1 Will definitely plan to come there ! Just give me a buzz bro !
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Bpn Rai
Bpn Rai@RaiBpn·
@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 !
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Bpn Rai
Bpn Rai@RaiBpn·
@fgomsan @YouTube Thank you for your videos! It has been immensely helpful! I do hope to visit your center sometime in near future though!
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Bpn Rai
Bpn Rai@RaiBpn·
@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 !
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Bpn Rai
Bpn Rai@RaiBpn·
@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!
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Bpn Rai
Bpn Rai@RaiBpn·
@DrVCMohan Change the direction of needle to a different direction to the angle of puncture and try till it goes or use of J tip or angle tip can help
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Dr Chandra Mohan Vaddi
Dr Chandra Mohan Vaddi@DrVCMohan·
Not every day yours Supine PCNL in a 2-year-old. Initial puncture was successful, but the guidewire tracked extrarenally. Tried twice, but couldn't confirm proper placement. Second attempt had the same issue. By that time, contrast extravasation was observed. The third puncture was successful — felt fortunate. Procedure was completed successfully. Sharing the video – suggestions welcome: 👉 youtu.be/lRb24N9-xLg
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YouTube
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Pankaj M Joshi
Pankaj M Joshi@drjoshi_pankaj·
I present to you my new self retaining Hypospadias retractor @SocietyGURS @ISORU1 *Clamp at base - hemostasis *Movable artery forceps- Glans stitch *Multiple side slits -holding stitches For the joy of surgery
Pankaj M Joshi tweet mediaPankaj M Joshi tweet media
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Joshua Meeks
Joshua Meeks@JoshMeeks·
Wow. It looks like we are underusing cystectomy for NMIBC.
Joshua Meeks tweet media
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Dr. Wissam Kamal
Dr. Wissam Kamal@wissamabokhalid·
Which calyx would you puncture? Vote in the following post
Dr. Wissam Kamal tweet media
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Bpn Rai
Bpn Rai@RaiBpn·
@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 !
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Dr Sanjay Khadgi
Dr Sanjay Khadgi@dr_khadgi·
Very hard renal stone, 40x40mm calcium oxalate monohydrate, 2000 HU,used pneumatic lithoclast for stone disintegration which took 2 hrs 30 mins. I wonder whether laser can be used for such stones???? I w
Dr Sanjay Khadgi tweet media
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Amy Krambeck
Amy Krambeck@amy_krambeck·
I am fairly certain these clips were contributing to the irritative voiding symptoms this patient with a 160 cc prostate was experiencing. This person needed the last surgery first —> #HoLEP
Amy Krambeck tweet media
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Bpn Rai
Bpn Rai@RaiBpn·
@mohamed92902484 I do RIRS sitting down but never tried the pistol grip! Could be a great idea! Will try next time!
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mohamed elshazly
mohamed elshazly@mohamed92902484·
I prefer to do RIRS in sitting position with the hand grip as in image A not the classic grip as in image B. I find it ergonomically much better
mohamed elshazly tweet mediamohamed elshazly tweet media
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