Optimum Use of Second Line Treatment Options for Erectile Dysfunction

Nov 21, 2017 by in UROLOGY Comments Off on 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…

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Tips to Puncture the Kidney Using Ultrasound

Nov 21, 2017 by in UROLOGY Comments Off on 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…

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Practical Functional Evaluation of Adrenal Mass

Nov 21, 2017 by in UROLOGY Comments Off on 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…

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Management of Bleeding During Laparoscopy

Nov 21, 2017 by in UROLOGY Comments Off on 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…

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How Do I Set Up a Stone Clinic?

Nov 21, 2017 by in UROLOGY Comments Off on 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…

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Tips for Open Renal Surgery

Nov 21, 2017 by in UROLOGY Comments Off on 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…

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Tips in Anesthesia for Robotic Surgery

Nov 21, 2017 by in UROLOGY Comments Off on 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…

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Nuances of Extraperitoneal Laparoscopy

Nov 21, 2017 by in UROLOGY Comments Off on Nuances of Extraperitoneal Laparoscopy

Figure 73.1 (a) The trocar placement for the performance of retroperitoneal partial nephrectomy. This is a left sided procedure. The iliac spine and coastal margin are marked. The camera trocar…

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Use of Laser in Urology

Nov 21, 2017 by in UROLOGY Comments Off on Use of Laser in Urology

Figure 48.1 Manifold settings for pulsed lasers at the same power Prostates Various lasers are used for the treatment of benign prostate enlargement (BPE). This is an interesting development, because…

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