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4 operations in a single session (renal stones, BPH and bladder stone)

July 20, 2018

I performed Rt mini-ECIRS, Lt RIRS, cystolitholapaxy and HoLEP in a single session for bilateral renal stones, bladder stone and large prostate because I just worried about the risk of prolonged discontinuation of aspirin and plavix for this 72-year-old patient with cardiac 3 vessels disease. Actually 4 operarions in a single session are not my usual practice... Fortunately 170 min of operative time was tolerable to my patient's heart.


[Preoperative images]

- bilateral stones


- Enlarged prostate (43g) with urodynamically-proven bladder outlet obstruction 


 [Intraop images]

Rt mini-ECIRS, Lt RIRS


Rt mini-ECIRS, Lt RIRS


cystolitholapaxy and HoLEP


[Postoperative image-stone clear]











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