Stapler circumcision uses an inner and outer bell device to efficiently remove the foreskin and close the incision with staples, providing good hemostasis. Recent studies comparing stapler to conventional circumcision with stitches found stapler circumcision resulted in less intra-operative blood loss, shorter operating time, lower mean pain scores after surgery, and faster wound healing times. The studies provide medical evidence that stapler circumcision has advantages over conventional circumcision.
Prostatitis and seminal vesiculitis that is intractable , ie no effect from 4-6 weeks quinolone, with chronic symptoms of perineal discomfort, hemospermia, frequency and urgency of urination, suprapubic pain, dysuria with urethral discharge, seen by doctors and told to have chronic pelvic pain syndrome should consider to consult urologist for indications of transurethral seminal vesiculoscopy.
Stapler circumcision uses an inner and outer bell device to efficiently remove the foreskin and close the incision with staples, providing good hemostasis. Recent studies comparing stapler to conventional circumcision with stitches found stapler circumcision resulted in less intra-operative blood loss, shorter operating time, lower mean pain scores after surgery, and faster wound healing times. The studies provide medical evidence that stapler circumcision has advantages over conventional circumcision.
Prostatitis and seminal vesiculitis that is intractable , ie no effect from 4-6 weeks quinolone, with chronic symptoms of perineal discomfort, hemospermia, frequency and urgency of urination, suprapubic pain, dysuria with urethral discharge, seen by doctors and told to have chronic pelvic pain syndrome should consider to consult urologist for indications of transurethral seminal vesiculoscopy.
This document discusses tools and techniques for holmium laser enucleation of the prostate (HoLEP). It provides tips for different laser settings for cutting and coagulation. It emphasizes the importance of hemostasis during morcellation and describes techniques for handling the prostate in lobes or en bloc. Potential complications like transient stress urinary incontinence are addressed. Experience levels for surgeons of different prostate sizes are noted, and the value of mentorship programs is highlighted.
Precision Oncology symposium Hong Kong Sanatorium & Hospital 崔 家倫
This document provides information about transperineal injection of a rectal spacer by a urologist. It begins with background on prostate cancer rates in Hong Kong and traditional use of transrectal biopsy. It then discusses the myths and disadvantages of transrectal biopsy, including risk of life-threatening sepsis. Transperineal biopsy and injection of a rectal spacer are presented as alternatives that avoid puncturing the rectal mucosa and can reduce infection risks. The document provides details of the urologist's experience performing over 600 transperineal biopsies with a rectal spacer, which had a very low infection rate. It suggests this technique may offer cost savings compared to transrectal biopsy due to
POCUS (Point Of Care UltraSound) should be taught in medical school and can replace the stethoscope. It provides useful information to help diagnosis at the point of care. For flank pain/renal colic, POCUS can help identify upper ureteric stones, distal ureteric stones, and assess hydronephrosis and cortical loss. Doppler ultrasound can differentiate between hydronephrosis and vasculature. POCUS is also useful for identifying renal cysts, perinephric haematomas, and assessing prostate enlargement.
Ultrasound can be used in clinic for a better diagnosis, esp in emergency circumstances. Urological surgeon can make better decision for patient care with the help of ultrasound imaging at the point of care.
This document discusses female urinary incontinence and the use of surgical mesh. It notes that several governments and regulatory agencies have placed restrictions on transvaginal mesh due to inadequate evidence of long-term safety and efficacy. Alternatives to mesh for treating incontinence mentioned include pelvic floor exercises, retropubic suspensions, and laparoscopic sacrocolpopexy. The document also discusses a non-surgical treatment called BTL Emsella that uses electromagnetic therapy to stimulate pelvic floor muscles. Pilot studies on Emsella show improvements in incontinence based on pad tests and questionnaires. An ongoing study is further evaluating its efficacy and safety.
This document summarizes the issues surrounding female urinary incontinence and the use of mesh. It notes that several governments and regulatory agencies have placed restrictions on transvaginal mesh due to inadequate evidence of long-term safety and efficacy and risk of harm. Studies show mesh can lead to complications like pain, infection, and erosion. Alternatives to mesh discussed include exercises, bulking agents, and new non-surgical therapies like BTL Emsella which uses electromagnetic stimulation of the pelvic floor muscles.
This document discusses tools and techniques for holmium laser enucleation of the prostate (HoLEP). It provides tips for different laser settings for cutting and coagulation. It emphasizes the importance of hemostasis during morcellation and describes techniques for handling the prostate in lobes or en bloc. Potential complications like transient stress urinary incontinence are addressed. Experience levels for surgeons of different prostate sizes are noted, and the value of mentorship programs is highlighted.
Precision Oncology symposium Hong Kong Sanatorium & Hospital 崔 家倫
This document provides information about transperineal injection of a rectal spacer by a urologist. It begins with background on prostate cancer rates in Hong Kong and traditional use of transrectal biopsy. It then discusses the myths and disadvantages of transrectal biopsy, including risk of life-threatening sepsis. Transperineal biopsy and injection of a rectal spacer are presented as alternatives that avoid puncturing the rectal mucosa and can reduce infection risks. The document provides details of the urologist's experience performing over 600 transperineal biopsies with a rectal spacer, which had a very low infection rate. It suggests this technique may offer cost savings compared to transrectal biopsy due to
POCUS (Point Of Care UltraSound) should be taught in medical school and can replace the stethoscope. It provides useful information to help diagnosis at the point of care. For flank pain/renal colic, POCUS can help identify upper ureteric stones, distal ureteric stones, and assess hydronephrosis and cortical loss. Doppler ultrasound can differentiate between hydronephrosis and vasculature. POCUS is also useful for identifying renal cysts, perinephric haematomas, and assessing prostate enlargement.
Ultrasound can be used in clinic for a better diagnosis, esp in emergency circumstances. Urological surgeon can make better decision for patient care with the help of ultrasound imaging at the point of care.
This document discusses female urinary incontinence and the use of surgical mesh. It notes that several governments and regulatory agencies have placed restrictions on transvaginal mesh due to inadequate evidence of long-term safety and efficacy. Alternatives to mesh for treating incontinence mentioned include pelvic floor exercises, retropubic suspensions, and laparoscopic sacrocolpopexy. The document also discusses a non-surgical treatment called BTL Emsella that uses electromagnetic therapy to stimulate pelvic floor muscles. Pilot studies on Emsella show improvements in incontinence based on pad tests and questionnaires. An ongoing study is further evaluating its efficacy and safety.
This document summarizes the issues surrounding female urinary incontinence and the use of mesh. It notes that several governments and regulatory agencies have placed restrictions on transvaginal mesh due to inadequate evidence of long-term safety and efficacy and risk of harm. Studies show mesh can lead to complications like pain, infection, and erosion. Alternatives to mesh discussed include exercises, bulking agents, and new non-surgical therapies like BTL Emsella which uses electromagnetic stimulation of the pelvic floor muscles.