‼️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

Today #RARP with large, bilobated, #medianlobe .

A small incision of the bladder mucosa was performed at the equator of the bulging of the median lobe, and the median lobe was bluntly #enucleated following its own anatomy.

No need for #bladderneck reconstruction.

Dr. Steven Kaplan #medianlobe i can see it. Direct flow from the urethra branch of the prostate artery. x.com/skgargmd/statu…

itoken そうですね。パッと見Kurasawaとよく似てますが、前ケイセツに溝があり、scutellumが明らか、背面は細毛がなくツルツルです。そしてmedianlobe先端が先細り背面に沿っているという特徴を実際に見てみると、Kurasawaとは確かに違うんだなと納得できました。

Felipe Figueiredo HoLEP 🇧🇷 Dr. Steven Kaplan Dr_KevinZorn BPDSociety Ricardo R Gonzalez MD Dean Elterman I did #medianlobe enucleation since 2015 or 2016. Originally in patients with #storage symptoms an urodynamically proven obstruction and #Parkinson . Came to know the side effect by patient reporting. Also proposed this 2016 at #TNT aside #extended #Ejaculatory #hood aka #omega