#Stone #volume is the key for 👉🏻Preoperative strategy Estimation of operating time & number of necessary sessions 👉🏻Reliable post operative evaluation of residual fragments & To compare different techniques And it is NOW!🫵🏻 @fpanthier Daron Smith Association Française d'Urologie - AFU Urologeman (Nariman Gadzhiev)

#Urolithiasis is definitely the most innovative field of #Urology!! ❤️ First use in France 🇫🇷 of the new single use #ureteroscope of SeeGen Medical 💥Great improvement 🔄 advanced torque 🫸🏼pushes the treatment limits / difficult #urinary #stones locations. UROSUD

Totally agree 👍🏻 Look up⬆️ Keep manual irrigation👊🏻 to maintain the suction efficiency Fans are a real game changer …definitely 🤗 DrG Urologeman (Nariman Gadzhiev)

And In real life , it works 👌🏻 DrG @fpanthier Saeed Bin Hamri Urologeman (Nariman Gadzhiev)

👍 good:beauty of FANS will b masked when we attempt: unnecessary steps:: like in this case it would b dust : then may b we can reposition fragments & do suction which is safer... Because of wrong technique sometime blame goes to beautiful FANS UroSoMe DrG

Once the sheath is in good position in the calyx, U can work in 2 complementary ways: -Keep the sheath in the first part of the calyx for suction and you will be able to work as usual with the furs - put the sheath against the stone and work in a suctionning tunnel DrG

Heureux d avoir participé à l enseignement / module #lithiase Collège National d’urologie tunisien Avec M Daudon, JP Haymann et A Hoznek 🙏🏻 au Dr Amine Mseddi et à l association Tunisienne #urologie Association Française d'Urologie - AFU

Which #endourological technology nowadays allows the extraction of this type of #infectious protein matrix (that remains a nightmare for an endourologist?) #stone #urinary #lithiasis #ureteroscopy Association Française d'Urologie - AFU Urologeman (Nariman Gadzhiev) UROSUD AFUF

🚨 Increased #BladderCancer risk after #ProstateCancer radiotherapy 🚨 A new study finds radiotherapy for prostate cancer raises bladder cancer risk 📈: 🔸 2.78x higher risk vs. untreated patients at 12 years 🔸 3.56x higher risk of requiring cystectomy 🔸 Radiation-induced

Management of #dusting powder in RIRS Observation of #Nature – 1 The powder always settles above the fragments and hides them. ➡️1st Reason for active suction to improve the SFR #stone #ureteroscopy #urolithiasis

Management of #dusting powder in RIRS Observation of #Nature – 2 Powder tends to amalgamate and consolidate in cases of stagnation and low flow rate ➡️2nd Reason for active suction to avoid a potential silting of a calyx or the ureter #stone #ureteroscopy #urolithiasis

Management of #dusting powder in RIRS Observation of #Nature – 3 Fragment extraction requires a constant, concentrated flow and sustained irrigation ➡️ The air inlet of #FANs must remain unobstructed to prevent cavity collapse during treatment #stone #ureteroscopy #urolithiasis

Management of #dusting powder in RIRS Observation of #Nature – 4 Geological example of lithified sand within a dune #Debabcha #Tunisie دبابشة في تونس ➡️ Risk of powder petrification after stone pulverization, favored by low diuresis #stone #ureteroscopy #urolithiasis

#FANS #FURS #stone #suction #ureteroscopy This is what occurs when active suction is initiated by occluding the air inlet within narrow cavities: the walls collapse and there is no flow, hence no extraction. ➡️avoid occluding air inlet ➡️maintain efficient continuous irrigation

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