🔴 #FANS Story of 2.5 cm in 34 min
⚪️ Immediate Stone-Free
🔵 Close the chapter of #MIP for Medium Burden Stone
PETRA PEARLS

T&TV65: Duplicate Ureter with Ureterocele (upper ureter:inferior ureteral orifice) Guide Wires in both ureter& ThuliumFiber Laser incision of ureterocele: 1J-10Hz:10W. No need for medium or long pulse. Short pulse with 500W PeakPower is perfect for precise incision & no bleeding

BN120: In “BN113 tweet” of 03/11/2023, we explained that Laser companies were guilty by offering UNREALISTIC & DANGEROUS presets. Now, they recognize it (28 complaints reported between 2021 & 2023). But WHY DON'T THEY Recall all SYSTEMS to UPGRADE them with new SAFE presets🤔🤔🤔

👉 DISS 🆚 FANS
💡 Stop doing Imaging Post Procedure , Simply remove the stent
PETRA PEARLS

1⃣ Design
2⃣ Be Fast
3⃣ No touch technique
🔴 TFL for Bladder Tumors
PETRA

Thrilled to have Amelia Pietropaolo join us at PETRA in #Paris #EAU24

A hearty welcome to our family! 💐

🔴 #TFL Crafting
🔴 20 Min Op. Time - 12 Min Laser Time
🔴 5 Large Centimetric Bladder Stones
🔴 Fiber 365 - SP - 1.2 J - 30 Hertz
🔴 Barely Retropulsion
🔴 Mauermayer Stone Punch for History
PETRA PEARLS

Pic#11bis: &Before EndoSociety certification,14 Amazing Fellows completed 1-year fellowship or a mini-Fellowship for few months. What a Team!!! Starting January2024, the Stone program is also EBU certified & a 2-years Fellowship program(including Robotic &EndoUrology)is available

Pic#11: 10 years after the creation of the Endourology Fellowship Program at Sorbonne University/Tenon Hospital (accredited by Endourological Society). We are very proud of our 19 Fellows who came from all over the world to train in EndoUrology&Stone Disease. They are the future!

BN115: Temperature-Proteins-Laser & Safety (1/3). Never forget that Denaturation of Proteins starts around 41 degree Celsius and Coagulation around 60*C… TBC

BN116: Temperature-Proteins-Laser & Safety(2/3). Definition of Calorie : Old unit of measurement for the quantity of heat equivalent to 4.185 joules.(1calorie raises temperature of 1ml of water by 1°C at around 15°C & normal atmospheric pressure). So if kidney is 10-15-20 ml…

BN117: Temperature-Proteins-Laser & Safety(3/3). So in theory, using 0,6J-15Hz (9W) in a closed system (no outflow). The 40 degrees (denaturation) & 60 (coagulation) are reached in few minutes. Solution is: good irrigation with good outflow & limited settings (Low power-Low Freq)

💡 Suction #FANS works very well with any type of #LASER
💡 However, It prefers Low Peak Power
PETRA PEARLS

How many single use flexible URS do we have today on the market?
What are the differences? What features?
2016 seems so far, when #Lithovue Boston Scientific Urology changed the roles in flexible URScopy. 💡check it out ncbi.nlm.nih.gov/pmc/articles/P…
Vito Lorusso, MD PETRA PEARLS

🎯 Excellent Trick Mehmet
🎯 Enucleation is the easy part Mehmet / Morcellation is an Issue
✨ For the beginners Chasing Beach Ball should be in safe conditions: Secure irrigation - Modify Suction - Excellent Vision - Well Positioned - Be vigilant to everything around otherwise…

🔴 #FANS & #TFL in Impacted Ureteric Stone
🔴 Suction in a Style
🔴Basket & Anti-Retropulsive devices are History
PEARLS PETRA

⭕️ There are lots of feelings in #TFL 1-minute artwork
⭕️ Trimming JackStone Spikes with only with 9 Watts
UroSoMe PETRA

👉Flexible URS: ◾️Wireless ◾️Screen on the Tip
⚪️What do you think !
PETRA UroSoMe PEARLS

🔁 #FANS / #DISS Everywhere
✨Thoughts:
🔴Endoscopic Stone Free
🔴No Early Post Op. Imaging anymore
🔴Just remove the stent
PETRA PEARLS