Dr.Sudheer Kumar Devana
@SudheerDevana
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Additional Professor, Department of Urology, PGIMER, Chandigarh, India. Passionate in EndoUrology and Urethral reconstructive surgery. Views are mine.
Sector 12, Chandigarh,India.
Joined February 2017
Prone #PCNL basics for beginners via @YouTube Useful for #urology #residents and young urologists @usiboe @usioffice @endouroacademy
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@oangerri @koey_kana @Silvia_Gracia @paoloverri05 @FPuigvert Great. How do u titrate the dosing of urinary alkalinizer
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Follow up case of Muscle invasive #bladder cancer post radical cystectomy with orthotopic #neobladder reconstruction. Now at 3 years follow up CT scan showing neobladder looking almost exactly like a normal bladder . Patient doing well without any incontinence.#cancer @UroOnc
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@adityap_sharma @AmerUrological @dpgi_chandigarh @DrUttamMete @DrRavimohanSM Congratulations dear Dr.Aditya. Well deserved award to u. We are always proud of u đź‘Ť
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RT @adityap_sharma: The Department of Urology, PGIMER, Chandigarh is gearing up for 3rd Alumni meet and PGI Androcon. Looking forward to ho…
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@DrParimalGharia @OTRAXER @sbinhamrii @endouro @drkemalsarica @DocGauhar @niteshkuro @DrPKandarp @Urokhan73 @AmerUrological @Uroweb @Endo_Sec_Eua @usioffice @Endo_Society @endouroacademy With superior calyceal access we can do without injuring colon. I prefer 24 fr tract size which offers faster clearance without rise in pressure. Ultrasound guidance if needed for initial puncture. Ofcourse I don’t have experience with suction in RIRS
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@DrParimalGharia @OTRAXER @sbinhamrii @endouro @drkemalsarica @DocGauhar @niteshkuro @DrPKandarp @Urokhan73 @AmerUrological @Uroweb @Endo_Sec_Eua @usioffice @Endo_Society @endouroacademy I will not prefer RIRS over PCNL in patients with matrix stone considering the risk of urosepsis. I have converted to PCNL in such cases where I have seen matrix stone during RIRS.
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@GuidoGiusti We are also seeing lot of ureteric strictures and also ureteric avulsions at PUJ following endourologic management of upper ureteric stones. Even our guidelines consider old procedures like ureterolithotomy not a one of the primary option for large ureteric stones.
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Taking urethral sutures during orthotropic #neobladder reconstruction with #open approach is very challenging and a critical step #cystectomy #bladdercancer
#urooncology Apical dissection during open orthotropic neobladder reconstruction via @YouTube
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@dravinashsingh We also used to push back the stone in the urethra into bladder and do CLT. But in the given case the stone was impacted in pendular urethra and doing laser ablation in that location is generally difficult in such a large stone. Hence we opted this approach.
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Sometimes #stones get impacted in #urethra and better to offer open surgical removal. Endoscopic treatment might cause more injury and can lead to urethral stricture. @SocietyGURS #urethroplasty @sanjaybkulkarni @drjoshi_pankaj @Bhav_Tez @SKSingh2k2
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