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

99,216 Aufrufe • vor 1 Jahr •via X (Twitter)

10 Kommentare

Profilbild von mohamed elshazly
mohamed elshazlyvor 1 Jahr

@docmeetings @Uroweb @so_uro @SIU_urology @CheatUrology @Endo_Society @Talking_Urology @usioffice @urotoday @UrologyTweets @Uro_News @ESRUrology

Profilbild von Omar_AbdelAziz_A
Omar_AbdelAziz_Avor 1 Jahr

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

Profilbild von Amy Krambeck
Amy Krambeckvor 1 Jahr

I agree. This is my go to technique.

Profilbild von José Fabiano Dócusse
José Fabiano Dócussevor 1 Jahr

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

Profilbild von Wael Gamal
Wael Gamalvor 1 Jahr

Good tips and tricks

Profilbild von mohamed elshazly
mohamed elshazlyvor 1 Jahr

Thanks dear brother 🙏🌹

Profilbild von V
Vvor 1 Jahr

@luluhgrajeda

Profilbild von PrElh-youness#urology
PrElh-youness#urologyvor 1 Jahr

Guyon seringue 😊

Profilbild von APIS KidneyStone Institute, TFL EndoUrology Center
APIS KidneyStone Institute, TFL EndoUrology Centervor 1 Jahr

That's TRUE 👍.

Profilbild von Dr Viswas M R
Dr Viswas M Rvor 1 Jahr

Agreed sir, Toomey gives control in pressure too.

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Awakening "inner fire" to completely make gall bladder polyps disappear is the new rubbish "medinfluencer" Ayurveda practitioners are bringing to town. Do not for a second believe this nonsense. "Before" and "After" reports based on anecdotal, single patient "stories" are a common tactic by alternative medicine practitioners to mislead people into believing that their voodoo treatments work. In fact, I know of a Homeopathy practitioner, who famously "cured" patients with chronic hepatitis B virus infection by simply changing the positive report to a negative one using Adobe Photoshop. The same can be true here too. Please do not believe or opt for pseudoscientific alternative treatments for diseases that require realistic care based on "before and after" social media stories. The reports may be manipulated or it could be another patient's report - which is possible in this video too. Removal of gall bladder is a best option and curative treatment for certain gall bladder diseases. Removing the gall bladder does not increase pressure on the liver (trust me, I am a Liver Doctor) and does not make the liver "work hard!" Removing the gall bladder will anatomically change the storage of bile produced by the liver to the upper part of small intestine and nothing more. This does not affect the functioning of the liver in any way. All gall bladder polyps do not require surgical management. Here is what the science has to say on it. To oversimplify: Polyps even in the absence of symptoms, smaller than 10 mm do have the capacity to become cancerous and surgery is recommended when patient has one of more risk factors such as: age more than 60 years, history of primary sclerosing cholangitis (PSC), Asian ethnicity, sessile polypoid lesion (including focal gallbladder wall thickening > 4 mm). For polyps smaller than 10 mm without risk factors, a follow-up at 6 months, 1 year and 2 years with abdominal ultrasound seems to be appropriate. The indication for gall bladder removal should be discussed with the patient in the case of dynamic or unexpected polyp growth. Here is a very detailed and simple guideline on when to surgically manage gall bladder polyps (and no, it does not mention "inner fire or AGNI awakening.") Also please go and educate this Ayurvedic practitioner and reel poster on the real thing:

TheLiverDoc™

72,041 Aufrufe • vor 2 Jahren

This is Dr. Dimple Jangda. She makes us believe that she is an Ayurvedic practitioner. But the fact is that she is not a doctor. She is not even an Ayurvedic practitioner. She has no formal training in real medicine or pseudomedicine of Ayurveda. She was a television producer. Then an investment banker. Then a podcast host. And thereafter, a talk show host. She has a masters degree in business administration. She has a virtual online degree from National American University in (?)management which she claims is "honorary." She has a diploma in Yoga from Yoga Mumbai Institute. She has a virtual and unidentifiable degree in (?) business management from Thames International University, Paris. She has no formal training in any aspect of healthcare. She is a quack of quacks. A top of the line fearmongering "wellness fraud" - a bottom feeder in the ecosystem of healthcare business. She is a female version of Sadhguru. Lots of confidently sounding English words that takes shape of a word salad containing some of the biggest health-related misinformation and disinformation in Indian social media today. See this video for instance. She tells gullible people (who are already fearmongered about modern medicine and have distrust in doctors and medical science) not to opt for gall bladder removal surgery even if it gets complicated with stones disease or inflammation (called acute cholecystitis). A dangerous misinformation that can lead to loss of life. The physiology of gall bladder function and the change in function after gall bladder surgery that she provides is top-class garbage. Complicated gall stone disease require surgery for cure and to prevent further complications. If you remove the gall bladder, you do not develop more diseases like diabetes or obesity. The bile gets stored in the upper part of the small intestine in the absence of gall bladder and keeps helping in digestion. There is no food or diet shortcut that can dissolve gall stones. The story that this lady speaks about - from her own father's experience of using Ayurveda to remove gall stones is complete fabrication. It is an unverifiable, anecdotal bluff. There is no way, gall stones can just disappear in a month. There is only ONE method to diagnose and treat gall stones disease and it is the scientific method based consensus guidelines. See this from the European Association for Study of Liver - Clinical Practice Guidelines on the prevention, diagnosis and treatment of gallstones. It provides all information on 1. Prevention of gall stones 2. Diagnosis of gall bladder stones 3. Medical therapy of gall bladder stones 4. Surgical therapy of gall bladder stones 5. Diagnosis of bile duct stones 6. Endoscopic and surgical therapy of bile duct stones 7. Diagnosis and therapy of stones inside liver 8. Therapy of gall stones during pregnancy Peppermint tea, hibiscus tea, lemon water and such easy sounding kitchen-hacks are not the treatment for gall bladder disease or complicated gall stones. Gall bladder stones that are uncomplicated or incidentally detected do not require treatment. Do not worry about them unnecessarily. Gall stones that get stuck in the neck of the gall bladder or come down into the bile duct, causing bile duct obstruction, bile block and infection requires antibiotic therapy and after an interval, removal of gall bladder. Otherwise it could happen again and the second hit of infection could kill the person. It can also lead to gall stone pancreatitis that can lead to multiple organ failure. No amount of hibiscus tea and lemon water will save you when you are in septic shock due to cholangitis and a ruptured gall bladder, on the ventilator inside an ICU. High cholesterol, high blood pressure, obesity and fatty liver are not caused by removal of gall bladder, but are risk factors for development of the stones themselves - that is, metabolic diseases are associated with higher risk of developing gall stone disease and not the other way around. The lady had gotten it all topsy-turvy - why? Because she has no formal education in medicine and would probably have no clue on which side of the body the liver is. Increasing fruit and vegetable consumption in women aged 48-60 years prevented (a correlation) risk of complicated gall stone disease, and subsequent surgery, but is not in anyway same as not doing surgery for complicated gall stone disease. Once complicated, surgery is the best bet to prevent further complications. There is no evidence that drinking carrot and beetroot juice helps reduce complicated gall stone disease or dissolves gall stones. This is utter nonsense. You may be wondering why my post is so long and I had to keep going on and on to debunk small points made by Dimple Jangda. It is not so simple. Its because of this: The Bullshit Asymmetry Principle, also known as Brandolini’s Law, states that the amount of energy needed to refute bullshit is an order of magnitude bigger than that needed to produce it. PS: Please dont share any more of this quack's videos for me to debunk. I am getting too old for this.

TheLiverDoc™

314,131 Aufrufe • vor 3 Jahren