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First HoLEP procedure in Canada 🇨🇦 utilizing a 22-F sheath and MOSES 2.0. Great visibility! An excellent addition to the HoLEP armamentarium Felipe Figueiredo HoLEP 🇧🇷 NOSM University | Université EMNO @tbrhsc_nwo Fadl Hamouche MD, FRCSC Mohannad Alharbi | د.مهند الحربي

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Hazem Elmansy

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15,097 görüntüleme • 2 yıl önce •via X (Twitter)

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Dr_KevinZorn profil fotoğrafı
Dr_KevinZorn2 yıl önce

@FCAFigueiredo @thenosm @TBRHSC_NWO @fadl_hamouche @dr_mohannad_ksa Congrats to you and the team. Moses 2 and the skilled slick hands of @hazemelmansy1 = guaranteed success!! Was the procedure faster? Same day discharge because of better hemostasis? Keep up the #BPH 🇨🇦 progress! Proud of you 👍

Hazem Elmansy profil fotoğrafı
Hazem Elmansy2 yıl önce

@FCAFigueiredo @thenosm @TBRHSC_NWO @fadl_hamouche @dr_mohannad_ksa Thank you for your support and encouragement @Dr_KevinZorn it means a lot coming from a great leader. So far I’ve done 60 MOSES 2.0 cases @bsc_urology and noticed a big difference in operative time and hemostasis that facilitates same-day TOV

Rob Anderson profil fotoğrafı
Rob Anderson2 yıl önce

@FCAFigueiredo @thenosm @TBRHSC_NWO @fadl_hamouche @dr_mohannad_ksa Amazing work! @thenosm is lucky to have you and your team innovating and improving care. Can’t wait to see what’s next. @ddsv3

Wes Kassouf profil fotoğrafı
Wes Kassouf2 yıl önce

@FCAFigueiredo @thenosm @TBRHSC_NWO @fadl_hamouche @dr_mohannad_ksa Nice !

Mohannad Alharbi | د.مهند الحربي profil fotoğrafı
Mohannad Alharbi | د.مهند الحربي2 yıl önce

@FCAFigueiredo @thenosm @TBRHSC_NWO @fadl_hamouche Excellent work my friend!

Jamie Thompson (she/her/elle) profil fotoğrafı
Jamie Thompson (she/her/elle)2 yıl önce

@FCAFigueiredo @thenosm @TBRHSC_NWO @fadl_hamouche @dr_mohannad_ksa Amazing!! 🙌

Nick Dean profil fotoğrafı
Nick Dean2 yıl önce

@fadl_hamouche That is great. Were you able to morcellate through the 22-Fr sheath? What was that experience like?

Hazem Elmansy profil fotoğrafı
Hazem Elmansy2 yıl önce

@fadl_hamouche The Drill cut Storz can fit through the Morcescope channel, there was no issues so far.

Ahmad Almarzouq profil fotoğrafı
Ahmad Almarzouq2 yıl önce

@FCAFigueiredo @thenosm @TBRHSC_NWO @fadl_hamouche @dr_mohannad_ksa 👏🏼👏🏼👏🏼. Any limitations with the 22Fr?

Hazem Elmansy profil fotoğrafı
Hazem Elmansy2 yıl önce

@FCAFigueiredo @thenosm @TBRHSC_NWO @fadl_hamouche @dr_mohannad_ksa I did one case only! I think I will need to do more. The real question would be what’s the size limit in a reasonable time

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An 80-year-old man with high-risk, locally advanced prostate cancer (PSA 89, GG4, MRI PI-RADS 5, PSMA PET/CT with bilateral seminal vesicle invasion and pelvic nodal disease) presented with urinary retention. After initiating androgen deprivation therapy, we performed HoLEP before definitive radiotherapy. Despite the advanced disease, the procedure was remarkably straightforward: minimal bleeding, excellent surgical planes, no technical challenges beyond standard HoLEP, and successful spontaneous voiding just 36 hours after catheter removal. This case highlights that HoLEP before radiotherapy is feasible, safe, and should not be avoided solely because of locally advanced prostate cancer. #HoLEP #ProstateCancer #Urology #Endourology #RadOnc

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•LAMINAR FLOW CONCEPT• You work all the time in 360° very close to the dissection plane so you can take advantage of the flow caused by irrigation when colliding with the adenoma. You do not open the mucosa until the end of the complete enucleation to prevent the passage of that flow into the bladder. You have better vision and better quality of hemostasis DR CARVAJAL Mariano Sebastian Gonzalez Amy Krambeck Felipe Figueiredo HoLEP 🇧🇷 Fernando GomezSancha Joel Funk MD FACS Austen Slade, MD, MBA Daniel Moser 🇧🇷 Jorge Luis Barzallo @GoumasUrologia Bruce Rubí HoLEP 🇲🇽 Javier Sánchez G Dr Thiago Hota MATTIA NICOLA SANGALLI
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•LAMINAR FLOW CONCEPT• You work all the time in 360° very close to the dissection plane so you can take advantage of the flow caused by irrigation when colliding with the adenoma. You do not open the mucosa until the end of the complete enucleation to prevent the passage of that flow into the bladder. You have better vision and better quality of hemostasis DR CARVAJAL Mariano Sebastian Gonzalez Amy Krambeck Felipe Figueiredo HoLEP 🇧🇷 Fernando GomezSancha Joel Funk MD FACS Austen Slade, MD, MBA Daniel Moser 🇧🇷 Jorge Luis Barzallo @GoumasUrologia Bruce Rubí HoLEP 🇲🇽 Javier Sánchez G Dr Thiago Hota MATTIA NICOLA SANGALLI

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Small prostates can cause significant bladder damage too—and when an unsuspected urethral stricture is added to the equation, #HoLEP with miniature instruments (#MiLEP) becomes an excellent solution. 💡 The technique is exactly the same: despite the increased fibrosis and limited glandular tissue, the dissection plane is usually easy to identify—you just have to trust it and follow it step by step without skipping any part of the procedure. The best part? In experienced hands, you can be done in about 20 minutes. 😎 #Urology #HoLEP #MiLEP #Endourology #ProstateEnucleation
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Small prostates can cause significant bladder damage too—and when an unsuspected urethral stricture is added to the equation, #HoLEP with miniature instruments (#MiLEP) becomes an excellent solution. 💡 The technique is exactly the same: despite the increased fibrosis and limited glandular tissue, the dissection plane is usually easy to identify—you just have to trust it and follow it step by step without skipping any part of the procedure. The best part? In experienced hands, you can be done in about 20 minutes. 😎 #Urology #HoLEP #MiLEP #Endourology #ProstateEnucleation

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Cistolitotricia láser + #HoLEP 🍊 La clave es aprender a mover las manos 👐 Hands On HoLEP para R4-R5, guíado paso a paso; 1 o 2 residentes por día para que valgan la pena la vuelta. No es observership. No tiene costo 💵 el único requisito es ganas de aprender. #HoLEP #vejiga #urologia #urology #próstata #SMU25 #UrologiaEnMovimiento #UroSoMe DR CARVAJAL Fernando GomezSancha felipe gonzalez Marco Vanzzini Guerrero SMU México
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Cistolitotricia láser + #HoLEP 🍊 La clave es aprender a mover las manos 👐 Hands On HoLEP para R4-R5, guíado paso a paso; 1 o 2 residentes por día para que valgan la pena la vuelta. No es observership. No tiene costo 💵 el único requisito es ganas de aprender. #HoLEP #vejiga #urologia #urology #próstata #SMU25 #UrologiaEnMovimiento #UroSoMe DR CARVAJAL Fernando GomezSancha felipe gonzalez Marco Vanzzini Guerrero SMU México

Elio Sánchez-Ali

174,842 görüntüleme • 1 yıl önce

las próstatas pequeñas tmb dañan vejigas, la medicina no es opción. #MiLEP es un excelente tratamiento, rápido (22'), seguro y eficaz, y a pesar del tamaño e inflamación, como dice mi amigo y mentor Felipe Figueiredo HoLEP 🇧🇷 siempre tienen plano 😀 Alfredo Sanchez Urólogo drglezb @roberto_rpal
1:54

las próstatas pequeñas tmb dañan vejigas, la medicina no es opción. #MiLEP es un excelente tratamiento, rápido (22'), seguro y eficaz, y a pesar del tamaño e inflamación, como dice mi amigo y mentor Felipe Figueiredo HoLEP 🇧🇷 siempre tienen plano 😀 Alfredo Sanchez Urólogo drglezb @roberto_rpal

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