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.

I don’t know if me and my friends Ivan Arturo Velueta Paco Navarrete and PCNL challenges have a dirty mind but this stone looks familiar 🤔 #SaturdayNigthPerc 🤳🏻 by Paco Navarrete

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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

📈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

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

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

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

52YO 🚺 Bilateral lithiasis, BMI 36 PCNL double tract ☄️ one of them (inferior calix) usg guided and without nephrostomy... a second look will be needed 🤯. Urología HRAEPY Dr Juan Lascano Gallegos PCNL challenges (not available simple TC) #UroSoMe

Fellowship endourology

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

@DrUbaidUrRahma1 Urología HRAEPY

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.

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.

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.

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 .