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    Case 1 Case 3: Technology - Part 1

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    HardiTariqHamma
    1. The document discusses four cases involving different urology procedures and equipment. 2. Case 1 describes a silicone catheter, Case 2 compares different types of ureteric baskets, Case 3 explains shockwave lithotripsy, and Case 4 discusses holmium and green light lasers. 3. The document provides details on each case including what the equipment is, what it is used for, important specifications and properties.

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    Case 1 Case 3: Technology - Part 1

    Uploaded by

    HardiTariqHamma
    23 views2 pages
    1. The document discusses four cases involving different urology procedures and equipment. 2. Case 1 describes a silicone catheter, Case 2 compares different types of ureteric baskets, Case 3 explains shockwave lithotripsy, and Case 4 discusses holmium and green light lasers. 3. The document provides details on each case including what the equipment is, what it is used for, important specifications and properties.

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    uroso14-spot-test-new

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    1. The document discusses four cases involving different urology procedures and equipment. 2. Case 1 describes a silicone catheter, Case 2 compares different types of ureteric baskets, Case 3 explains shockwave lithotripsy, and Case 4 discusses holmium and green light lasers. 3. The document provides details on each case including what the equipment is, what it is used for, important specifications and properties.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    23 views2 pages

    Case 1 Case 3: Technology - Part 1

    Uploaded by

    HardiTariqHamma
    1. The document discusses four cases involving different urology procedures and equipment. 2. Case 1 describes a silicone catheter, Case 2 compares different types of ureteric baskets, Case 3 explains shockwave lithotripsy, and Case 4 discusses holmium and green light lasers. 3. The document provides details on each case including what the equipment is, what it is used for, important specifications and properties.

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    © All Rights Reserved
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    Download as pdf or txt
    of 2

    SPOT TEST

    Technology – Part 1

    Case 1 Case 3

    1. What is this and what material is it made from? 1. What treatment is this machine doing?
    2. What property of the catheter does the size refer to? 2. What effect does it produce on a stone?
    3. What is the relationship between French size and 3. What are the contra-indications?
    diameter? 4. What anatomical factors affect success rates for lower
    4. What is a biofilm? pole stones?
    5. How can you reduce catheter related infections?

    Case 2 Case 4
    1. What is this machine?
    2. What are the
    properties of a laser?
    3. What are the
    wavelengths of
    green light laser and
    holmium laser?

    A B

    1. What are these?


    2. What material are they made of and why?
    3. What do the reported basket sizes correspond to?

    urology news | SEPTEMBER/OCTOBER 2014| VOL 18 NO 6 | www.urologynews.uk.com


    SPOT TEST

    Technology – answers

    Case 1 Case 3
    1. Three-way 22Fr coudé tip silicone catheter. 1. Shock wave lithotripsy.
    2. French (or Charrière) size refers to the external diameter. 2. Spalling effect (leading edge shatters), compression /
    3. French size refers to three times the diameter in squeezing as shock waves pass through stone,
    millimetres, therefore 22Fr=7.3mm. cavitation due to micro bubbles and negative pressure.
    4. A biofilm is an adherent layer of microorganisms 3. Pregnancy, bleeding diatheses, uncontrolled urinary tract
    contained within a self-produced extracellular matrix, infections, severe skeletal malformations, severe obesity,
    which adheres to a surface. arterial aneurysm in the vicinity of the stone, anatomical
    5. Avoid catheters and reduce insertion time, regular obstruction distal to the stone.
    changes, good hygiene and keep a closed catheter 4 Infundibulum anatomy: angle <70°, length >3cm and
    system. width <5mm.

    Case 2 Case 4
    1. Ureteric baskets: (A) no tip basket and (B) a helical 1. Holmium laser machine.
    dormia basket. 2. Laser energy is: monochromatic, collimated and
    2. No tip basket is made of nitinol (nickel titanium alloy), coherent.
    which has both elasticity and shape memory aiding use 3. Green light laser: 532nm. Holmium laser: 2140nm.
    in flexible instruments. Helical dormia basket is made
    of stainless steel, offering strength but can potentially
    damage a flexible ureteroscope.
    3. The diameter of the wire sheath, not the basket itself.

    References
    Elbahnasy AM, et al. Lower-pole caliceal stone clearance after
    AUTHORS
    shockwave lithotripsy, percutaneous nephrolithotomy, and
    flexible ureteroscopy: impact of radiographic spatial anatomy.
    J Endourol 1998;12(2):113-19.
    Anna Wright,
    CT1 Urology;

    Acknowledgement Nick Rukin,


    The authors would like to thank Porges-Coloplast Consultant Urological Surgeon;
    for the supply of the basket images.
    New Cross Hospital,
    Wolverhampton, UK.

    urology news | SEPTEMBER/OCTOBER 2014| VOL 18 NO 6 | www.urologynews.uk.com

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