Dr. Julie Riley

if I truly believe that they have something that, you know, is really at risk. And that's going to be how I manage them preoperatively. Postoperatively, I really try to get them off of their antibiotics as much as possible because once they're stone free, really most of those risks should be gone.

if I truly believe that they have something that, you know, is really at risk. And that's going to be how I manage them preoperatively. Postoperatively, I really try to get them off of their antibiotics as much as possible because once they're stone free, really most of those risks should be gone.

You know, I actually don't really notice that there's a big difference whether it's in the ureter or it's in the kidney in terms of the infection risk. I think if they needed a stent beforehand, that risk exists because we've instrumented the stent is in. In terms of the location of the stone, not as much. The size of the stone I do think matters though.

You know, I actually don't really notice that there's a big difference whether it's in the ureter or it's in the kidney in terms of the infection risk. I think if they needed a stent beforehand, that risk exists because we've instrumented the stent is in. In terms of the location of the stone, not as much. The size of the stone I do think matters though.

You know, I actually don't really notice that there's a big difference whether it's in the ureter or it's in the kidney in terms of the infection risk. I think if they needed a stent beforehand, that risk exists because we've instrumented the stent is in. In terms of the location of the stone, not as much. The size of the stone I do think matters though.

So if it's up in the kidney and it's a two, three centimeter stone, I'm going to be there a long time. I think they do have a much higher risk of getting an infection from that.

So if it's up in the kidney and it's a two, three centimeter stone, I'm going to be there a long time. I think they do have a much higher risk of getting an infection from that.

So if it's up in the kidney and it's a two, three centimeter stone, I'm going to be there a long time. I think they do have a much higher risk of getting an infection from that.

Yeah, I use access sheaths very liberally. I like them. I also train residents. So I think that it's really very nice tool to have while you're training residents. It's just a lot less chance of pulling scopes in and out and losing access. But these really large stones, I worry a lot about the pressures that are building up within the kidney.

Yeah, I use access sheaths very liberally. I like them. I also train residents. So I think that it's really very nice tool to have while you're training residents. It's just a lot less chance of pulling scopes in and out and losing access. But these really large stones, I worry a lot about the pressures that are building up within the kidney.

Yeah, I use access sheaths very liberally. I like them. I also train residents. So I think that it's really very nice tool to have while you're training residents. It's just a lot less chance of pulling scopes in and out and losing access. But these really large stones, I worry a lot about the pressures that are building up within the kidney.

And I think that the access sheath allows the kidney to decompress a lot and not have as much of that pressure going on and also just flushes some of the pieces out while I'm dusting. I think also we generate a lot of temperature issues with our high power lasers so that sheath allows a lot more irrigation to go in with, again, these safer pressures.

And I think that the access sheath allows the kidney to decompress a lot and not have as much of that pressure going on and also just flushes some of the pieces out while I'm dusting. I think also we generate a lot of temperature issues with our high power lasers so that sheath allows a lot more irrigation to go in with, again, these safer pressures.

And I think that the access sheath allows the kidney to decompress a lot and not have as much of that pressure going on and also just flushes some of the pieces out while I'm dusting. I think also we generate a lot of temperature issues with our high power lasers so that sheath allows a lot more irrigation to go in with, again, these safer pressures.

So I do believe that those sheaths are really making a big difference.

So I do believe that those sheaths are really making a big difference.

So I do believe that those sheaths are really making a big difference.

Yeah, I think, I mean, gosh, every one of these smaller scopes, every one of these high power lasers, these are helping us to do more and more stones, giving less complications. But I think the big game changer that's come out that I'm really excited to start using and have had experience with is this new Lithovue Elite to be able to measure the pressures.

Yeah, I think, I mean, gosh, every one of these smaller scopes, every one of these high power lasers, these are helping us to do more and more stones, giving less complications. But I think the big game changer that's come out that I'm really excited to start using and have had experience with is this new Lithovue Elite to be able to measure the pressures.

Yeah, I think, I mean, gosh, every one of these smaller scopes, every one of these high power lasers, these are helping us to do more and more stones, giving less complications. But I think the big game changer that's come out that I'm really excited to start using and have had experience with is this new Lithovue Elite to be able to measure the pressures.