It's an old technique but once you don't have enough urethra to anastomose or augment, pedicled penile skin flap-tube might be the best option left. We also did hyperbaric oxygen therapy (HBOT), which probably helped a-lot. @abalajontoto#redourethroplasty#Pedicledskinflap
I guess this is my ‘Mom, Dad, I made it on TV’ moment. 😅 Paalala ko lang sa lahat, na ang hematuria o dugo sa ihi ay tila tahimik na pag-iyak ng ating katawan, isang pahiwatig na may nangyayaring hindi maganda at kailangan nating pakinggan. 🤌🏼
Just when you thought you’ve seen everything. Today we anastomosed a 3-4cm segment of the urethra that was transected four months ago during a varicocelectomy
New training session on En Bloc HoLEP @HillClinic in Sofia, with friends from Brasil, Serbia, Philippines, USA @andromedasurg and Spain…. Nice camaraderie and interesting discussions! @quanta_system
What's better than a cybertruck? Of course it's the ever reliable 10 seater strada! By the way, the enforcer on the left didn't even see them!😉 #onlyinthephilippines
Please do not check your temperature via your urethra. And if you do, don’t shove it so far that it goes into your bladder and you forget about it for 15 years.
One characteristic distinguishes urethral stricture from prostatitis: they respond poorly or not at all to tamsulosin or any alpha-blockers. I call this failure of the tamsulosin challenge. #urethralstricture#tamsulosinchallenge
Just to clarify, the pathology is a urethral stricture and not a narrowing of the prostate. Alpha-blockers won't relieve symptoms caused by a fibrosed/scarred urethra. #failedtamsulosinchallenge
What happens after 360° urethrovesical anastomosis distracts? Pt w/foley transglut drain x3mo post RARP. Foley balloon sat in prostate fossa keeping BN open (CT scan). Initially pt able to void/empty, now dribbling. Cysto 2 mo after foley removal (video). Plan: Robotic BN recon.