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…
Optimum Use of Second Line Treatment Options for Erectile Dysfunction
Comorbidities: Diabetes Obesity Hyperlipidemia Cardiovascular disease Metabolic syndrome Inappropriate use: Low number of attempts (<6) Lack of sexual stimulation Inappropriate dosage Inadequate time between administration and sexual intercourse Intake of…
Tips to Puncture the Kidney Using Ultrasound
Figure 45.1 How ultrasound helps to easy identification of surrounding organs (lung, liver, spleen, intestine or liver) that are not visible in fluoroscopy. (a) Ultrasound image of a stone bearing…
Practical Functional Evaluation of Adrenal Mass
Etiology Prevalence (%) Adrenal cortical tumors Benign non functional adenoma 70–84 Subclinical Cushing syndrome 1–29 “Aldosteronoma” 1–3 Adrenocortical Carcinoma (ACC) 1–10 Adrenal medullary tumors Pheochromocytoma 1.5–10 Ganglioneuroma <1…
Management of Bleeding During Laparoscopy
Figure 60.1 Insertion of Veress needle with 45° angulation through the umbilicus Tip: In obese patients, the introduction angle of the Veress must be changed from 45 to 90°; this…
How Do I Set Up a Stone Clinic?
Figure 35.1 Laboratory testing is achieved by a combination of outpatient laboratory serum and urine studies. Comprehensive metabolic analysis requires at-home urine collections 2. High quality imaging capabilities with…
Tips and Tricks for Erectile Function Preservation During Robot Assisted Radical Prostatectomy
Figure 64.1 Schematic axial view of prostatic fascial anatomy NVB Dissection The dissection plane will be guided by preoperative data: percentage of total number and length of positive core, data…
Tips for Open Renal Surgery
Figure 30.1 Gentle traction applied to the tissue strips (colored in blue) that are hooked around each kidney pole may be helpful while incising the renal parenchyma and working through…
Tips in Anesthesia for Robotic Surgery
Figure 55.1 Patients should be protected from robotic arms and other injuries Figure 55.2 35–45° Trendelenburg position is given to patient Pressure-Controlled Ventilation and Positive end expiration pressure [PEEP (5…
