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Inside a complete HoLEP procedure: precise enucleation, minimal bleeding, and immediate relief for BPH patients. Surgical elegance in action. UroSoMe Quanta Surgery #holep #BPH

Alfredo Sanchez Urólogo

3,882 subscribers

12,128 次观看 • 4 个月前 •via X (Twitter)

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Formerly #HoLEP was considered a slower procedure than #TURP, but with higher enucleation rate in grams/min, with increased experience and pulse modulation, I guess HoLEP/ThuFLEP can be faster even in general terms. Time of enucleation: 14:30 min Time of morcelation: 3:30 min Time of hemostasis: 1:10 min This was a 50g prostate, my opinion, HoLEP can be faster and safer even in small prostates! (using CyberHo virtual Basket from Quanta Surgery ) Unedited video, just removed the moment of exchange for the morcescope Thiago Sato carloswoidello Fernando GomezSancha Felipe Figueiredo HoLEP 🇧🇷 Mariano Sebastian Gonzalez Dr. Juan Fulla; MD; MSc @uro_susy Austen Slade, MD, MBA #UroSoMe

Formerly #HoLEP was considered a slower procedure than #TURP, but with higher enucleation rate in grams/min, with increased experience and pulse modulation, I guess HoLEP/ThuFLEP can be faster even in general terms. Time of enucleation: 14:30 min Time of morcelation: 3:30 min Time of hemostasis: 1:10 min This was a 50g prostate, my opinion, HoLEP can be faster and safer even in small prostates! (using CyberHo virtual Basket from Quanta Surgery ) Unedited video, just removed the moment of exchange for the morcescope Thiago Sato carloswoidello Fernando GomezSancha Felipe Figueiredo HoLEP 🇧🇷 Mariano Sebastian Gonzalez Dr. Juan Fulla; MD; MSc @uro_susy Austen Slade, MD, MBA #UroSoMe

Thiago Hota

17,745 次观看 • 2 年前

Wonderful hands on HoLEP course live surgeries and phantoms to reduce the learning curve in HoLEP Mariano Sebastian Gonzalez DR CARVAJAL luca martinelli Pablo Contreras Luis Rico Amy Krambeck Austen Slade, MD, MBA Joel Funk MD FACS Felipe Figueiredo HoLEP 🇧🇷 Fernando GomezSancha Mohamed_omar Daniel Moser 🇧🇷 Thiago Hota Andres Diaz Hung Dr. Karian Trujillo Javier Sánchez G Javier Romero Otero scoffone cesare Mario Sofer Hugo Lopez Ramos Rodrigo Ledezma Paolo Todarello Quanta Surgery UroSoMe Elio Sánchez-Ali HoLEP in love 😍 Watch the whole video, the fabric of the fantoma is very real

Wonderful hands on HoLEP course live surgeries and phantoms to reduce the learning curve in HoLEP Mariano Sebastian Gonzalez DR CARVAJAL luca martinelli Pablo Contreras Luis Rico Amy Krambeck Austen Slade, MD, MBA Joel Funk MD FACS Felipe Figueiredo HoLEP 🇧🇷 Fernando GomezSancha Mohamed_omar Daniel Moser 🇧🇷 Thiago Hota Andres Diaz Hung Dr. Karian Trujillo Javier Sánchez G Javier Romero Otero scoffone cesare Mario Sofer Hugo Lopez Ramos Rodrigo Ledezma Paolo Todarello Quanta Surgery UroSoMe Elio Sánchez-Ali HoLEP in love 😍 Watch the whole video, the fabric of the fantoma is very real

Alfredo Sanchez Urólogo

170,945 次观看 • 1 年前

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

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

DR CARVAJAL

131,533 次观看 • 2 个月前

Should very low-risk prostate cancer on active surveillance be considered a contraindication to anatomical enucleation? This patient had a >100 cc prostate with severe LUTS and bladder outlet obstruction, and a clear desire to be free from his urinary symptoms and improve his quality of life. We proceeded with anatomical enucleation to prioritize symptom relief while preserving future oncologic options. Technical pearl: prior biopsies may create mild apical adhesions, but respecting the anatomical planes allows a standard enucleation. Don’t divide the bladder neck fibers until complete release and meticulous hemostasis are achieved. Would you operate, or continue surveillance alone? #HoLEP #BPH #ProstateCancer #ActiveSurveillance #Urology

Should very low-risk prostate cancer on active surveillance be considered a contraindication to anatomical enucleation? This patient had a >100 cc prostate with severe LUTS and bladder outlet obstruction, and a clear desire to be free from his urinary symptoms and improve his quality of life. We proceeded with anatomical enucleation to prioritize symptom relief while preserving future oncologic options. Technical pearl: prior biopsies may create mild apical adhesions, but respecting the anatomical planes allows a standard enucleation. Don’t divide the bladder neck fibers until complete release and meticulous hemostasis are achieved. Would you operate, or continue surveillance alone? #HoLEP #BPH #ProstateCancer #ActiveSurveillance #Urology

DR CARVAJAL

10,756 次观看 • 1 个月前

‼️ATTENTION‼️ Save this video in your smartphone! 📱 For the next time you have to explain to your patient the valve mechanism of the median lobe and the bladder damage.🥑 And why they can’t use alfa-bloq and 5-ARI in this situation…🙄 #BPH #MedianLobe #MiLEP #HoLEP #EEP

‼️ATTENTION‼️ Save this video in your smartphone! 📱 For the next time you have to explain to your patient the valve mechanism of the median lobe and the bladder damage.🥑 And why they can’t use alfa-bloq and 5-ARI in this situation…🙄 #BPH #MedianLobe #MiLEP #HoLEP #EEP

Felipe Figueiredo HoLEP 🇧🇷

51,693 次观看 • 2 年前

I'm sharing a #RARP after a #HOLEP. The patient I operated on two years ago was completely asymptomatic, however, he presented with an elevated PSA of 2.4 ng/ml, when he had previously managed below 1 ng/ml. I ordered an MRI and PET scan PSMA, followed the protocol, and performed the radical prostatectomy. The enucleation appears to have been perfect, and it's interesting to see the completely clear prostatic bed inside. Do you routinely follow up your Holep patients even if they are asymptomatic?

I'm sharing a #RARP after a #HOLEP. The patient I operated on two years ago was completely asymptomatic, however, he presented with an elevated PSA of 2.4 ng/ml, when he had previously managed below 1 ng/ml. I ordered an MRI and PET scan PSMA, followed the protocol, and performed the radical prostatectomy. The enucleation appears to have been perfect, and it's interesting to see the completely clear prostatic bed inside. Do you routinely follow up your Holep patients even if they are asymptomatic?

Bruce Rubí HoLEP 🇲🇽

13,520 次观看 • 9 个月前

I routinely use a 22Fr resectoscope and rarely exceed 24Fr. In my experience, a 26Fr instrument is often unnecessarily large for a standard urethra. This side-by-side comparison in the same urethra highlights the difference between 26Fr and 24Fr. The 24Fr offers easier passage while preserving excellent visualization and irrigation flow. Bigger isn’t always better. Sometimes, the optimal balance is achieved with a smaller caliber. What is your preferred sheath size and why? #HoLEP #BPH #Prostate

I routinely use a 22Fr resectoscope and rarely exceed 24Fr. In my experience, a 26Fr instrument is often unnecessarily large for a standard urethra. This side-by-side comparison in the same urethra highlights the difference between 26Fr and 24Fr. The 24Fr offers easier passage while preserving excellent visualization and irrigation flow. Bigger isn’t always better. Sometimes, the optimal balance is achieved with a smaller caliber. What is your preferred sheath size and why? #HoLEP #BPH #Prostate

DR CARVAJAL

11,466 次观看 • 2 个月前

Why do I almost always choose 22Fr for #MiLEP? Because you simply don’t need a larger caliber. Excellent visualization, smoother freedom of movement, and less urethral stress throughout the procedure. And if you unexpectedly encounter a urethral stricture, you can perform a direct-vision urethrotomy with the same equipment, adding virtually no operative time and avoiding unnecessary urethral trauma. Don’t fear morcellation with 22Fr. With meticulous hemostasis, visibility is excellent for safe, fast, and efficient morcellation. And for value and performance, the #Hawk morcellator continues to impress me. 22Fr. One setup. Less urethral stress. No compromise. #MiLEP #Endourology #BPH #Urology Ako Medical Support #HoLEP

Why do I almost always choose 22Fr for #MiLEP? Because you simply don’t need a larger caliber. Excellent visualization, smoother freedom of movement, and less urethral stress throughout the procedure. And if you unexpectedly encounter a urethral stricture, you can perform a direct-vision urethrotomy with the same equipment, adding virtually no operative time and avoiding unnecessary urethral trauma. Don’t fear morcellation with 22Fr. With meticulous hemostasis, visibility is excellent for safe, fast, and efficient morcellation. And for value and performance, the #Hawk morcellator continues to impress me. 22Fr. One setup. Less urethral stress. No compromise. #MiLEP #Endourology #BPH #Urology Ako Medical Support #HoLEP

DR CARVAJAL

25,191 次观看 • 22 天前

Poland and China have successfully operated on patients using breakthrough telesurgery with the assistance of advanced robotic systems. With the patient in Warsaw and the Polish surgeons in China, the revolutionary surgical procedures have set a new precedent for medical surgery.

Poland and China have successfully operated on patients using breakthrough telesurgery with the assistance of advanced robotic systems. With the patient in Warsaw and the Polish surgeons in China, the revolutionary surgical procedures have set a new precedent for medical surgery.

TVP World

52,111 次观看 • 5 个月前

Abuja hospital now offers LASER postrate treatment with no surgical cuts, patients go home same day Eleos Specialist Hospital, Abuja, has commenced Thulium Fiber Laser Enucleation of The Prostate (ThuFLEP) treatments/operations. The procedure involves using a special LASER technology which was recently introduced to completely remove the enlarged prostate without any surgical cuts to the body. With this new LASER, the enlarged prostate is completely removed no matter the size. It offers the advantage of no surgical cuts, little or no blood loss, with the patient going home either same day of the procedure or just a day after the procedure. Other advantage of the procedure includes the fact that the procedure is done with the patient awake and there is no loss of erections following the procedure. This new LASER technology has some modifications that have given it advantages over previous LASERS. It is also used for other medical purposes like the treatment of kidney stones, etc.

Abuja hospital now offers LASER postrate treatment with no surgical cuts, patients go home same day Eleos Specialist Hospital, Abuja, has commenced Thulium Fiber Laser Enucleation of The Prostate (ThuFLEP) treatments/operations. The procedure involves using a special LASER technology which was recently introduced to completely remove the enlarged prostate without any surgical cuts to the body. With this new LASER, the enlarged prostate is completely removed no matter the size. It offers the advantage of no surgical cuts, little or no blood loss, with the patient going home either same day of the procedure or just a day after the procedure. Other advantage of the procedure includes the fact that the procedure is done with the patient awake and there is no loss of erections following the procedure. This new LASER technology has some modifications that have given it advantages over previous LASERS. It is also used for other medical purposes like the treatment of kidney stones, etc.

Prime Reporters News

17,725 次观看 • 2 个月前

Joe Rogan had knee surgery → hooked up to a morphine pump. Relief on demand. No questions asked. Celebrities & elites will never be denied opioids when they need them. Meanwhile, chronic pain patients fight for 5mg Percocet after the same injury. And if the NOPAIN for Veterans Act passes, post-surgical vets will be incentivized into non-opioid alternatives, denied the same relief Rogan brags about. Two systems. One truth.

Joe Rogan had knee surgery → hooked up to a morphine pump. Relief on demand. No questions asked. Celebrities & elites will never be denied opioids when they need them. Meanwhile, chronic pain patients fight for 5mg Percocet after the same injury. And if the NOPAIN for Veterans Act passes, post-surgical vets will be incentivized into non-opioid alternatives, denied the same relief Rogan brags about. Two systems. One truth.

Sassy Devil Dog 🔥

12,628 次观看 • 1 年前

Let’s meet Daru Heaven Faanimo Isaia, a perioperative nurse at Tupua Tamasese Meaole Hospital in Samoa 🇼🇸. In the operating theatre, science guides every aspect of her work, from preparing patients for surgery and supporting the surgical team to monitoring recovery after the operation. As an ambassador of science, Heaven helps turn evidence into action, ensuring safer surgeries and better care for every patient. #TogetherForHealth #StandWithScience #WorldHealthDay

Let’s meet Daru Heaven Faanimo Isaia, a perioperative nurse at Tupua Tamasese Meaole Hospital in Samoa 🇼🇸. In the operating theatre, science guides every aspect of her work, from preparing patients for surgery and supporting the surgical team to monitoring recovery after the operation. As an ambassador of science, Heaven helps turn evidence into action, ensuring safer surgeries and better care for every patient. #TogetherForHealth #StandWithScience #WorldHealthDay

World Health Organization (WHO) Western Pacific

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Dr. Patrick Soon-Shiong shows stunning brain tumor remission with new treatment Patients who failed chemo, radiation, and surgery achieved complete responses—no chemo, no radiation. Before/after scans: Tumor shrinking dramatically in months. "Very impressive as a visual representation." Hope for those who've run out of options. 0:43 clip inside—powerful evidence.

Dr. Patrick Soon-Shiong shows stunning brain tumor remission with new treatment Patients who failed chemo, radiation, and surgery achieved complete responses—no chemo, no radiation. Before/after scans: Tumor shrinking dramatically in months. "Very impressive as a visual representation." Hope for those who've run out of options. 0:43 clip inside—powerful evidence.

Camus

112,621 次观看 • 8 个月前

AI copilots are coming for medicine. MedOS is basically ChatGPT + smart glasses + robotic hands for doctors. A physician can wear XR glasses, see a patient, and the system: • watches the procedure in real time • reasons with multi-agent AI models • suggests diagnoses or next steps • and can even assist physically with precise tasks like suturing. Think: “Cursor for surgery.”

AI copilots are coming for medicine. MedOS is basically ChatGPT + smart glasses + robotic hands for doctors. A physician can wear XR glasses, see a patient, and the system: • watches the procedure in real time • reasons with multi-agent AI models • suggests diagnoses or next steps • and can even assist physically with precise tasks like suturing. Think: “Cursor for surgery.”

AI Breakfast

14,447 次观看 • 6 个月前

This was my first HoLEP with an indurated or stony prostate (fixed to the rectum) due to Cancer Gleason 4+3 and PSA of 28. Patient in urinary retention with an indwelling catheter, to be honest, I was not sure that he had dissection planes, so we prepared the bipolar for TURP, to my pleasant surprise it was easier than expected, with some moments of small bleeding. This time only music, feel free to share it, the music is copyright-free. Esta fue mi primera HoLEP con una próstata indurada o pétrea (fija al recto) por Cáncer Gleason 4+3 y PSA de 28. Paciente en retención urinaria con sonda a permanencia, siendo honesto, no tenía la certeza de que tuviera planos de disección, así que preparamos el bipolar para RTUP, para mi grata sorpresa fue más fácil de lo esperado, con algunos momentos de pequeño sangrado. En esta ocasión solo música, siéntete libre de compartirlo, la música es libre de copyright. #UroSoMe #urology @GoumasUrologia Marco Vanzzini Guerrero drglezb DR CARVAJAL MD Braulio O. Manzo Fernando GomezSancha Boston Scientific Boston Scientific LATAM ADISAT SURGICAL FMBolioL SMU México Amer. Urol. Assn.

This was my first HoLEP with an indurated or stony prostate (fixed to the rectum) due to Cancer Gleason 4+3 and PSA of 28. Patient in urinary retention with an indwelling catheter, to be honest, I was not sure that he had dissection planes, so we prepared the bipolar for TURP, to my pleasant surprise it was easier than expected, with some moments of small bleeding. This time only music, feel free to share it, the music is copyright-free. Esta fue mi primera HoLEP con una próstata indurada o pétrea (fija al recto) por Cáncer Gleason 4+3 y PSA de 28. Paciente en retención urinaria con sonda a permanencia, siendo honesto, no tenía la certeza de que tuviera planos de disección, así que preparamos el bipolar para RTUP, para mi grata sorpresa fue más fácil de lo esperado, con algunos momentos de pequeño sangrado. En esta ocasión solo música, siéntete libre de compartirlo, la música es libre de copyright. #UroSoMe #urology @GoumasUrologia Marco Vanzzini Guerrero drglezb DR CARVAJAL MD Braulio O. Manzo Fernando GomezSancha Boston Scientific Boston Scientific LATAM ADISAT SURGICAL FMBolioL SMU México Amer. Urol. Assn.

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🚨 DOCTOR “BOOTY” FILMS HERSELF DANCING MID-SURGERY — WHILE PATIENTS LIE UNCONSCIOUS She went viral for turning Atlanta operating rooms into a stage. • Dancing. Singing. Gyrating mid-procedure • Filming content while patients were under anesthesia • Entire surgical team dancing around the table • Real surgeries… treated like entertainment This isn’t a skit. This is someone’s body on that table. And this is the footage that made her famous before she lost her license. Would you trust your life to a surgeon dancing over your unconscious body… or is this straight-up medical malpractice hiding in plain sight?

🚨 DOCTOR “BOOTY” FILMS HERSELF DANCING MID-SURGERY — WHILE PATIENTS LIE UNCONSCIOUS She went viral for turning Atlanta operating rooms into a stage. • Dancing. Singing. Gyrating mid-procedure • Filming content while patients were under anesthesia • Entire surgical team dancing around the table • Real surgeries… treated like entertainment This isn’t a skit. This is someone’s body on that table. And this is the footage that made her famous before she lost her license. Would you trust your life to a surgeon dancing over your unconscious body… or is this straight-up medical malpractice hiding in plain sight?

HustleBitch

32,563 次观看 • 5 个月前

Happy 65th birthday your excellency Mr. Peter Gregory Obi Wishing you a wonderful birthday filled with good health, wisdom, strength, and continued grace. A journey of hope begins. I and my team will be performing 65 free Adenotonsillectomy surgical procedure in Surulere 1 for children with breathing problems as a result of obstruction in their nasal and throat airway. This surgery is dedicated to acknowledge all your services to the health sector. For patient enrollment contact: 09123110102.

Happy 65th birthday your excellency Mr. Peter Gregory Obi Wishing you a wonderful birthday filled with good health, wisdom, strength, and continued grace. A journey of hope begins. I and my team will be performing 65 free Adenotonsillectomy surgical procedure in Surulere 1 for children with breathing problems as a result of obstruction in their nasal and throat airway. This surgery is dedicated to acknowledge all your services to the health sector. For patient enrollment contact: 09123110102.

Dr Folaseye (ENT/Head &Neck Surgeon)

27,313 次观看 • 1 个月前