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

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mohamed elshazly

2,699 subscribers

99,223 次观看 • 1 年前 •via X (Twitter)

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mohamed elshazly 的头像
mohamed elshazly1 年前

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

Omar_AbdelAziz_A 的头像
Omar_AbdelAziz_A1 年前

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

Amy Krambeck 的头像
Amy Krambeck1 年前

I agree. This is my go to technique.

José Fabiano Dócusse 的头像
José Fabiano Dócusse1 年前

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

Wael Gamal 的头像
Wael Gamal1 年前

Good tips and tricks

mohamed elshazly 的头像
mohamed elshazly1 年前

Thanks dear brother 🙏🌹

V 的头像
V1 年前

@luluhgrajeda

PrElh-youness#urology 的头像
PrElh-youness#urology1 年前

Guyon seringue 😊

APIS KidneyStone Institute, TFL EndoUrology Center 的头像
APIS KidneyStone Institute, TFL EndoUrology Center1 年前

That's TRUE 👍.

Dr Viswas M R 的头像
Dr Viswas M R1 年前

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:
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