UROLOGY

Management of Recurrent Urethral Strictures

Nov 21, 2017 by in UROLOGY Comments Off on 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…

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How to Perform a Good TURBT

Nov 21, 2017 by in UROLOGY Comments Off on 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…

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Use of Surgical Navigation During Urologic Surgery

Nov 21, 2017 by in UROLOGY Comments Off on 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…

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What Is the Best Port Placement for Urologic Laparoscopy?

Nov 21, 2017 by in UROLOGY Comments Off on 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…

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Tips for Education in Laparoscopy

Nov 21, 2017 by in UROLOGY Comments Off on 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…

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Transperineal Prostate Biopsy

Nov 21, 2017 by in UROLOGY Comments Off on 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…

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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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