PCNL challenges @PCNL_challenges

Eduardo Cruz-Nuricumbo MD Professor endourology urologosmerida.com Mérida, Yucatán Joined January 2012

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PCNL challenges @PCNL_challenges

6 months ago

PCNL still alive !!, best option for complex staghorn and matrix stones . Right kidney in this case four access, two mini and two standard, total time surgery 6 hours in two events .

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PCNL challenges @PCNL_challenges

4 years ago

Choosing the best calix and the best position!! Some times the calix is parallel to spin and is inaccesible to Valdivia position. If you don’t have flexible instruments you have to do more than two tracts.

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PCNL challenges @PCNL_challenges

5 years ago

Sclerotherapy of renal cyst by percutaneous approach: 1 pyelography, 2 ultrasonography, 3 puncture and confirm with contrast, 4 drainage, 5 alcohol sclerotherapy 20% of the liquid obtained, leave 1 hour closing and go for 24 hrs later to reintroduce alcohol 20% again of liquid.

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PCNL challenges @PCNL_challenges

5 years ago

Infundibular stenosis caused by fibrosis of upper calyx, open by laser under renoscopy, tips: use low energy , high frequency, start opening in areas with scar, pale or mimic Randall plaque lesions, pass a guide. Leave catheter jj for one month and wait for re-epithelialization.

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Karen Mendoza Bravo @karenmbravo

6 years ago

@DrUbaidUrRahma1 @UroHRAEPY

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Karen Mendoza Bravo @karenmbravo

6 years ago

Inicia la preselección y convocatoria para Fellowship en endourologia ☄️💥⚡️@UroHRAEPY drive.google.com/open?id=1LZlyG…

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PCNL challenges @PCNL_challenges

6 years ago

Fellowship endourology

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Karen Mendoza Bravo @karenmbravo

6 years ago

52YO 🚺 Bilateral lithiasis, BMI 36 PCNL double tract ☄️ one of them (inferior calix) usg guided and without nephrostomy... a second look will be needed 🤯. @UroHRAEPY @juanjoselascano @PCNL_challenges (not available simple TC) #UroSoMe

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Mario Basulto-Martínez @mariobasulto

6 years ago

@PCNL_challenges propone que, en países subdesarrollados con poco acceso a TSFR/Trasplante, hacer #PCNL “de salvamento” en algunos casos con ERC avanzada para prolongar su evolución a ERCT. #CumbreGlobalLitiasis

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Mario Basulto-Martínez @mariobasulto

6 years ago

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Mario Basulto-Martínez @mariobasulto

6 years ago

¡No te lo puedes perder! #KidneyStonesGlobalSummit julio 19-20 en @UroHRAEPY -- Don't miss out! #KidneyStonesGlobalSummit July 19-20 at @UroHRAEPY

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T. Emre Sener @dremresener

7 years ago

Amazing 3D printed PCNL model. Congrats to Dr Ali from Moscow. “#EAU19

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Urologeman (Nariman Gadzhiev) @Urologeman

7 years ago

📈Learning curve of HoLEP 1⃣50 cases with careful case selection (no prostates>80cm3, cancer or post-radiotherapy cases, anticoagulated or catheterised patients) 2⃣25 cases in the presence of mentorship program and simulation training bit.ly/2BL3QqE #UroSoMe

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Ivan Arturo Velueta @ivelueta

7 years ago

Caso complejo de litiasis con catéter JJ calcificado. Lito renal de 3.5 cm, estenosis uréteral distal y esplenomegalia. Realizamos cirugía híbrida, movilización esplénica lap y punción auxiliada por USG y URS anterógrada. @uronavarrete @PCNL_challenges @Serchoven #UroSoMe

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Olivier Traxer @OTRAXER

7 years ago

T&T98: In case of ureteral irritation (oedema+++ at ureteral orifice UO).If JJ is in place,don’t remove it. You may have difficulties to see again UO. Place FIRST a GuideWire alongside the JJ &then remove JJ. Much Easier &Safer. Hydrophilic wire are great in this situation

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Endourological Society @Endo_Society

7 years ago

We are proud to announce the 4th edition of the Smith’s Textbook of Endourology is set to publish in March, 2019. You may pre-order your copy today! The book is considered the Bible of Endourology & issued every 4 yrs. bit.ly/2QqnQYM. #endourology #history #knowledge

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Mario Basulto-Martínez @mariobasulto

7 years ago

I don’t know if me and my friends @ivelueta @uronavarrete and @PCNL_challenges have a dirty mind but this stone looks familiar 🤔 #SaturdayNigthPerc 🤳🏻 by @uronavarrete

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PCNL challenges @PCNL_challenges

7 years ago

The ideal patient for Pcnl hybrid approach: Splenomegaly, liver disease, double j Fecal V; first act: cisto lithotripsy , uretherolithotripsy but only below u-p junction because of urether was stretch. Second act spleen mobilization by laparoscopy and Valdivia Pcnl.