Clot retention with bladder mass is best evacuated using toomey syringe. Avoid Ellik evacuator as it can cause bladder rupture.

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When the tomey’s syringe isn’t there I try to evacuate the bladder by creating a negative pressure from a 22F Nelaton catheter passed inside the outer sheath of the resectoscope avoiding any increase in the pressure inside the bladder It works like magic

I agree. This is my go to technique.

we used a disposable syringe with a fine tip, connected directly to the cystoscope jacket. Works well too

Good tips and tricks

Thanks dear brother 🙏🌹

@luluhgrajeda

Guyon seringue 😊

That's TRUE 👍.

Agreed sir, Toomey gives control in pressure too.