Apostolos Kolitsidakis’ Post

⚠ Case of the week! Control examination 6 weeks after TVT placement. With routine pelvic floor sonography we are used to check: 1. 𝐓𝐚𝐩𝐞 𝐝𝐢𝐬𝐭𝐚𝐧𝐜𝐞 𝐟𝐫𝐨𝐦 𝐛𝐥𝐚𝐝𝐝𝐞𝐫 𝐧𝐞𝐜𝐤 (aim to be at 50-70% total urethral length), 2. 𝐓𝐚𝐩𝐞 𝐝𝐢𝐬𝐭𝐚𝐧𝐜𝐞 𝐟𝐫𝐨𝐦 𝐥𝐮𝐦𝐞𝐧 (aim to be about 3-5mm but even more may be acceptable in cases of hypermobile urethra) and 3. 𝐓𝐚𝐩𝐞 𝐟𝐨𝐫𝐦 (straight in relaxation and C during Valsalva). All of the above are typically done in B-mode. What about 𝐭𝐚𝐩𝐞 𝐢𝐧 3-𝐝𝐢𝐦𝐞𝐧𝐬𝐢𝐨𝐧𝐚𝐥 𝐬𝐩𝐚𝐜𝐞? Well, do have a look! PS: The patient is continent and very pleased. ✅ See you next week! #gynaecologia #urogynecology #urology #gynecology #ultrasound

⚠ Case of the week! There has been a lot of criticism against vaginal meshes (and with good reason). In this small clip, you see how an anterior mesh may hold the bladder back (no cystocele). However, this patient eventually came to see us, because she still has to deal with a serious enterocele and a small rectocele. In urogynecology we ought to see the pelvic floor as a whole. ✅ See you next week! #gynaecologia #urogynecology #gynecology #urology #ultrasound

#WellnessWednesday: Supporting men with intermittent self-dilatation (ISD) 🙏 ISD or urethral dilatation is a procedure that you'll be taught if you have a urethral stricture (a narrowing of your water pipe). Check out our handy guide > https://ow.ly/FhXi50SC2Np #Urology #ISD #UrethralStricture

Urodynamic studies (UDS) refer to a set of tests that check how well the parts of the lower urinary tract, such as the bladder, sphincters, and urethra, are working to store and release urine. Know more: https://bit.ly/3Ux7Q5u #urodynamictest #urodynamics #urodynamicstudy #UDS #Urodynamicstudyprocedure #urodynamicstudybenefits #urodynamictest #UDSTestprocess #urodynamictesttypes #urodynamicstudyindications #Urology #urologist #pacehopitals #hyderabad #india

[PCNL/ECIRS - Position 5 - Prone split leg position] After knowing the different positioning, can we actually perform prone ECIRS? Yes, indeed!   Back in 1993, Dr Michael Grasso (together with Dr Richard Nord and Dr Demetrius Bagley) described the prone split leg position for simultaneous antegrade and retrograde access to upper urinary tract. They also described the difficulty in performing ECIRS - two skilled endoscopists, dual light sources, various lithotrites, and several rigid and flexible endoscopes - that echoes the issues that hinder the development of ECIRS. (see [ECIRS - introduction 3]) References: Grasso et al. J Endourol. 1993;7(4):307-10. doi: 10.1089/end.1993.7.307. #Urology #Urolithiasis #PCNL #ECIRS #PronePCNL

Preparing for my next module - Pain. So excited as this of course is a very common complaint I meet. Pelvic pain, dyspareunia, back pain, etc. Pre-reading and pre-listening to prepare for before our first meeting next week. #mastersprogram #gynecology #obstetrics #urology #pelvichealth

A kidney cyst is a fluid-filled sac that develops in one or both of your kidneys. They are usually benign, meaning they are not cancerous. Simple kidney cysts are the most common type, and they rarely cause any symptoms or problems. Know more: https://bit.ly/4egpC5r #kidneycysts #renalcysts #cystickidneydisease #kidneycorticalcyst #renalcorticalcyst #kidneycyststypes #kidneycystssymptoms #kidneycystscomplications #kidneycystsdiagnosis #kidneycyststreatment #kidneycystsmanagement #kidneycystsdisease #chronickidneydisease #urologist #nephrologist #urology #pacehospitals #hyderabad #india

How do Male LUTS guide our management of Benign Prostatic Obstruction? Paul Abram's will present his State of the Art Lecture at ICS 2024, exploring terminology and urodynamic practice standards. His account also covers insights on how ICS can lead the way! https://lnkd.in/eb8nV7sq #ICSMeeting #ICS2024 #Urology #Continence #PelvicHealth #Urodynamics

Finished up doing a dry run for tonight's Laborie webinar about #urodynamics and #bph BPO. Here's the link: https://hubs.li/Q02lMsxr0 Excited to share thoughts and learn from fellow Defender of the Detrusor Dean S Elterman, MD, MSc, FRCSC . Together we can evolve forward our guidelines as we prioritize the Preservation of Bladder Health. Let's go ... Save More Bladders. #ManVsProstate #urology

🎓 EXPERT CORNER: Multi-Channel Advanced Urodynamics vs Penile Cuff Uroflowmetry - Would you like to find out more about the benefits of multi-channel advanced urodynamics? Check out our latest article where Dr. Scott MacDiarmid shares his thoughts and insights! 👉 Read the full article: https://lnkd.in/eDyWVQwf #Laborie #Urology #Urodynamics