Daniel A. González-Padilla Profile picture
Nov 9, 2022 15 tweets 6 min read Read on X
🛠️Surgical instruments used in #Urology

Part 2.

🧵
Asepto syringe

🇪🇸Jeringa Asepto
Toomey syringe (either from plastic or crystal)

🇪🇸Jeringa de Toomey
Self-adherent warp (aja Coban, Flex-wrap)

🇪🇸 Venda auto-adherente, venda Coban

*Useful for penile surgery.
Vessel Loops
Rongeur forceps

*Used to cut ribs, useful in open nephrectomies (thankfully not used often in current times)
Castroviejo scissors and Castroviejo Needle-holder

🇪🇸 Tijeras de Castroviejo y Porta-agujas de Castroviejo

*used for microsurgery or in delicate tissue
Potts scissors (aka Potts-Smith)

🇪🇸 Tijeras de Potts

*Used for arteriotomy/venotomy in renal transplant
Crafoord clamp

🇪🇸 Pinza de Crafoord
Satisnky Clamp

🇪🇸Pinza de Satisnky

*Useful for vascular clamping
Langenbeck retractor

*With two N's!
Ellik Evacuator

🇪🇸Evacuador de Ellik

*Useful for specimen extraction after TURP or TURBT.
Cystoscope and its components

🇪🇸Cistoscopio y sus elementos (Puente, telecopio, pilar de Luz, etc)
Urethrotome (Sachse y Otis)

🇪🇸Uretrotomo de Sachse (visión directa) y Otis
Resectosope, Obturators and Loops

🇪🇸Resectoscopios, obturadores y asas

To be continued!...

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More from @Daniel_Urologia

Nov 9, 2022
🛠️Surgical instruments used in #Urology

It's important to know our instruments, most of them have eponymous names which pay tribute to surgical legends.

Here I will post pictures of instruments that every trainee should know (taken from different books):

@ResidentesAEU

1/🧵 Image
Backhaus or Towel clamp

🇪🇸 Backhaus - Piel y campo. Image
Foerster or Ring forceps

🇪🇸 Foerster o "Pinza de anillas" Image
Read 26 tweets
Nov 29, 2021
In this #UrologyJournalClub we discuss and summarize the Belzitufan Phase 2 trial for renal masses in patients with Von Hippel-Lindau (VHL) disease published @NEJM which led to the approval of Welireg.

🔗 pubmed.ncbi.nlm.nih.gov/34818478/

💾urologiabe.files.wordpress.com/2021/11/urolog…

1/

@VPrasadMDMPH ImageImageImage
📃 phase 2, single arm, open label
N=61

Pts with VHL and renal masses (assumed to be renal cell carcinoma, biopsy not required).

Most pts had other VHL-related tumors simultaneously but these were not considered for inclusion or exclusion criteria but measured either way.

2/ Image
This study found an objective response rate of 49% (quite impressive for a drug in an orphan disease), another 49% of patients showed stable disease and only 3 patients had progression.

3/ ImageImage
Read 12 tweets
May 7, 2020
💡A few thoughts about the recently published PROfound trial “Olaparib for Metastatic Castration-Resistant Prostate Cancer” @ NEJM.

I decided to give a shot at critical lecture.

The first thing that draw my attention was the inclusion criteria.

#UroSoMe @VPrasadMDMPH

1/8
"men with confirmed M1 castration-resistant prostate cancer (CRPC) whose disease had progressed during treatment with enza or abi, administered for M1 or M0 CRPC or M1 hormone-sensitive prostate cancer. Previous taxane chemotherapy was allowed.”

Now look at control arm 👀

2/8
So.. to be included u had to progress to the control arm, that way, chances of doing well, correct me if I’m wrong but are pretty low.

One may argue that you can give it either way, but to the best of my knowledge this is NOT standard of care.

3/8
Read 8 tweets

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