Bpn Rai

@PratikMSGurung1 Will definitely plan to come there ! Just give me a buzz bro !

Satisfying to proctor a Gynaecological robotic surgery case! 💪👌👍☕️ #RadicalHysterectomy #EndometrialCancer #RoboticSurgery #CMC #Chitwan 🦏 #Nepal 🇳🇵

@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 !

Small prostate. Big problem. mpMRI: 17cc. Years on alpha-blockers. PVR >150cc. This isn’t BPH—it’s a rigid, high bladder neck that meds won’t fix. Time to stop guessing. More cystoscopy. Definitive intervention. #Urology #BladderOutletObstruction #ThinkBeyondBPH #BPH #MUGA

@fgomsan @YouTube Thank you for your videos! It has been immensely helpful! I do hope to visit your center sometime in near future though!

@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 !

I uploaded a new video: RL En Bloc HoLEP (115 cc): A great teaching case... sharing lots of tips... youtu.be/6zkOreJH9Zo?si… vía @YouTube a must-see for those interested in HoLEP

@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!

@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

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

@fgomsan @leye_ajayi @CookMedical Always love seeing your videos!

I uploaded a live surgical transmission video of an En-bloc HoLEP that I performed during the BAUS meeting in Manchester, masterfully moderated by @leye_ajayi and kindly sponsored by @CookMedical, to my YouTube channel youtu.be/TbAe7Z6cVB4

Must attend for all PCNL enthusiasts! All the best for a great conference!

@drjoshi_pankaj @SocietyGURS @ISORU1 👍 results for years of amazing work! Wonderful

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

@JoshMeeks Wow interesting

Wow. It looks like we are underusing cystectomy for NMIBC.

Speechless QOL better after cystectomy #AUA2025

@wissamabokhalid 2 n 1 or 2 with ECIRS for 1

Which calyx would you puncture? Vote in the following post

@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 !

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

@trwherrmann @TFL_URO_APIS @amy_krambeck @so_uro Not all urethra is as accommodating in our side of the world #experience #LOWEVIDENCE BUT I FULLY BELIEVE #MiLEP is the answer , I would definitely prefer it if given a choice! #ASAP @AsSmallAsPossible always anywhere #endourology

@TFL_URO_APIS @amy_krambeck @so_uro The size of the instrument in #BPO therapy so far is irrelevant - if we consider #GRADE for #EBM as far at is <= 26Ch.

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

@HyperNephroma_ @TFL_URO_APIS @endouroacademy @mohamed92902484 @Endo_Society @sbinhamrii @drkemalsarica @GRUrology 👍 yes

@RaiBpn @TFL_URO_APIS @endouroacademy @mohamed92902484 @Endo_Society @sbinhamrii @drkemalsarica @GRUrology आफै खसो? 😳

“ I told you I will not need surgery ” . 😲🤔😱@TFL_URO_APIS @endouroacademy @mohamed92902484 @Endo_Society @sbinhamrii @drkemalsarica @GRUrology #17 mm /15 mm !

@mohamed92902484 I do RIRS sitting down but never tried the pistol grip! Could be a great idea! Will try next time!

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

✅pre stented ➡️ good dilated ureter ❌ not always Pre and post ureteric evaluation is essential!! @Endo_Society @endouroacademy @TFL_URO_APIS @DrParimalGharia @sbinhamrii #RIRS #FANS @DocGauhar

@lfredosanchez @FCAFigueiredo @MSGONZALEZURO @LucaMartinel @RomanCarvajal @fgomsan @Mohamedendourol @Moser_DanielC @AustenSlade @amy_krambeck @ThiagoHotaUro HPE ?

Small prostates can generate a lot of bladder damage! Be very careful when dissecting the capsule, it is usually more fragile... @FCAFigueiredo @MSGONZALEZURO @LucaMartinel @RomanCarvajal @fgomsan @Mohamedendourol @Moser_DanielC @AustenSlade @amy_krambeck @ThiagoHotaUro @quanta_system @so_uro @GoumasUrologia @JorgeluisBarza @HugoLopezRamos @uroledezma @mario_sofer #BeQuanta

#SupineMPerc, #upperpole, #antegrade #decreasepuncture @endouroacademy @NAUS_NepUro @SKPal04031957 @EndourologyT @Endo_Society

@TFL_URO_APIS @6watts @OTRAXER @DocGauhar @DrVCMohan @AFUrologie @so_uro @AmyPearlman1 @drkemalsarica @DrKandarp_Uro @mohamed92902484 @Mohamedendourol Which scope do u use? Is it disposable?

130th Staghorn managed total endoluminal:: sheathless/wireless/FLUOROLESS::#RIRS #DISS #RIRSDISSzstechnique this one is hardest @6watts @OTRAXER @DocGauhar @DrVCMohan @AFUrologie @so_uro #UroSoMe @AmyPearlman1 @drkemalsarica @DrKandarp_Uro @mohamed92902484 @Mohamedendourol