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