Christophe ALMERAS (@dr_almeras_uro) 's Twitter Profile
Christophe ALMERAS

@dr_almeras_uro

Urologist. UroSud Clinique la Croix du sud / Endourology, Robotic surgery / Lithiasis Committee French Urological Association (CLAFU)

ID: 3352203011

linkhttp://urologues-croixdusud.fr calendar_today30-06-2015 19:04:42

368 Tweet

563 Followers

226 Following

Christophe ALMERAS (@dr_almeras_uro) 's Twitter Profile Photo

#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)

#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 <a href="/EndoLuminalEndo/">Daron Smith</a> <a href="/AFUrologie/">Association Française d'Urologie - AFU</a> <a href="/Urologeman/">Urologeman (Nariman Gadzhiev)</a>
Christophe ALMERAS (@dr_almeras_uro) 's Twitter Profile Photo

#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

Christophe ALMERAS (@dr_almeras_uro) 's Twitter Profile Photo

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

APIS KidneyStone Institute, TFL EndoUrology Center (@tfl_uro_apis) 's Twitter Profile Photo

👍 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

Christophe ALMERAS (@dr_almeras_uro) 's Twitter Profile Photo

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

Christophe ALMERAS (@dr_almeras_uro) 's Twitter Profile Photo

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

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
<a href="/AFUrologie/">Association Française d'Urologie - AFU</a>
Christophe ALMERAS (@dr_almeras_uro) 's Twitter Profile Photo

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

UroToday.com (@urotoday) 's Twitter Profile Photo

🚨 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

Christophe ALMERAS (@dr_almeras_uro) 's Twitter Profile Photo

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

Christophe ALMERAS (@dr_almeras_uro) 's Twitter Profile Photo

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

Christophe ALMERAS (@dr_almeras_uro) 's Twitter Profile Photo

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

Christophe ALMERAS (@dr_almeras_uro) 's Twitter Profile Photo

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

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
Christophe ALMERAS (@dr_almeras_uro) 's Twitter Profile Photo

#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