Rodolfo Galeana

@RomanCarvajal Qué tal este otro twitter.com/negmezz/status…

🤩 hermoso

@urotelio Si piensas en una estenosis UP, mini ECIRS pudiera ser buena opción con la finalidad de hacer una endopielotomia con láser.

RIRS vs MiniPerc that is the question, I am more oriented towards MiniPerc although it has been with Double J for 1 month. @RodolfoGaleana2 cómo ve maestro. #UroSoMe 1 month ago Right RIRS plus Left ureter narrow, we do not advance beyond the upper third

@urotelio En el caso de endopielo

@urotelio Previa Angio-tac

@urotelio Qué onda Elio, de acuerdo con Miniperc sería más resolutivo, sobre todo si ya tiene un intento fallido previo con RIRS, no le veo mucho sentido otro intento.

@urotelio Si piensas en una estenosis UP, mini ECIRS pudiera ser buena opción con la finalidad de hacer una endopielotomia con láser.

@DongNguyeb @Urologeman @scoffonecesare @kmoretry @VicentiniUro Clamp the tube, put pressure on the wound for a few minutes waiting the clot formation and watch closely.

What is your exit strategy after PCNL when You see blood come out robustly in your Nephros tube? Clamp the tube? Change to bigger tube or open operation?#UroSoMe @Urologeman @scoffonecesare @kmoretry @VicentiniUro

@dravinashsingh @Urologeman @jteoh_hk @migokce @AndrewPortis @EndoLuminalEndo @MattBultitude fortunately the lesion was detected during the surgery, we left foley catheter in colon, double J in kidney, the patient evolved well after the controlled fistula and foley removal.

@dravinashsingh @Urologeman @jteoh_hk @migokce @AndrewPortis @EndoLuminalEndo @MattBultitude After 12 years of performing PCNL, I had one 3 weeks ago, a patient with previous open surgery; pre-surgical CT, prone position, 2 tracts, the first puncture directed with ultrasound and the second fluoroscopic puncture (triangulation),

How many of us have had or seen a colonic injury in real life ? Please share what puncture technique was used and if you had pre op CT done in that patient ? Was it recognised mmidiately or delayed ? @Urologeman @jteoh_hk @migokce @AndrewPortis @EndoLuminalEndo @MattBultitude

@jake_p76 @GalahadUro If with the cystoscope the guide does not pass easily, what works for me in cases of difficult access is to place the guide with a hydrophilic tip with a semi-rigid ureteroscope.

@GalahadUro Invert cystoscope! If that doesn’t work, angled catheter like BMC or Kumpe, +/- angled wire too. May need incision, but looks like should be feasible. Stent and come back for URS in 10-14 days.