Tips to Puncture the Kidney Using the Triangular Technique
Figure 43.1 Lower calyx puncture site is approximately 1 cm lower and 1 cm inwards from the 12th rib tip Under fluoroscopy guidance the puncture needle is placed on the…
Robotic Radical Cystectomy and Urinary Diversions: Step-by-Step Technique
Fig. 68.1 Ports configuration. (a) Classic 6 port approach (b) Trocars and Alexis wound retractor placed supraumbilically (c) Alexis Laparoscopic Cap allowing pneumo-peritoneum creation In case of extracorporeal urinary diversion…
Management of Recurrent Urethral Strictures
Initial management Recommended intervention Endoscopic Substitution urethroplasty with ventral BMG Excision and primary anastomosis No obliteration Significant obliteration Complete obliteration Substitution urethroplasty with BMG Modified “roof strip” urethroplasty Redo excision…
How to Perform a Good TURBT
Figure 52.1 (ii) Large papillary tumors are resected anterogradely in fractions from the superficial area up to the pedicle of the tumor. A better control of the resection area…
Use of Surgical Navigation During Urologic Surgery
Figure 72.1 Image guided prostate biopsy. MR segmented prostate (red) and tumor suspect region (blue) fused with live transrectal ultrasound. Biopsy needle inserted according to planed biopsy corridor (green/gray) Tablet…
What Is the Best Port Placement for Urologic Laparoscopy?
Figure 57.1 “Linear” port configuration for upper urinary tract laparoscopy The traditional flank position port placement or diamond-shaped configuration (Fig. 57.2) which consist in placing the camera port at the…
Tips for Education in Laparoscopy
Figure 54.1 Video-based theoretical session Figure 54.2 Training in the dry laboratory Figure 54.3 Third group trains in the wet laboratory where live-animal surgery is conducted on pigs Figure 54.4…
Transperineal Prostate Biopsy
Figure 29.1 Extended lithotomy position with buttocks taped above the scrotum to stretch the perineum Ultrasound After the introduction of lidocaine gel or lidocaine/prilocaine cream (EMLA®) into the rectum (to…
Management of Postoperative Complications Following TURP
Figure 51.1 Management of bladder neck bleeding. Balloon is blocked with 20 cc more than the resection weight in the bladder and put under traction to occlude venous bleeders (From…
How Do I Get a Perfect Cosmetic Result After Circumcision?
Figure 15.1 Ideal circumcision line should be close to the glans as possible as shown in the figure Figure 15.2 “Entrapped penis”. The circumcision line has moved distal to the…
