Matheus H L Pupulin (@MHPupulin) header
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Urologia Hospital Universitário Evangelico Mackenzie - Endourology fellowship at European Training Center of Endourology - Ospedale San Raffaele Milano IT

Curitiba, Brazil
Joined May 2020
Photo by Matheus H L Pupulin (@MHPupulin)Photo by Matheus H L Pupulin (@MHPupulin)Photo by Matheus H L Pupulin (@MHPupulin)Photo by Matheus H L Pupulin (@MHPupulin)Photo by Matheus H L Pupulin (@MHPupulin)Photo by Matheus H L Pupulin (@MHPupulin)Photo by Matheus H L Pupulin (@MHPupulin)Photo by Matheus H L Pupulin (@MHPupulin)Photo by Matheus H L Pupulin (@MHPupulin)Photo by Matheus H L Pupulin (@MHPupulin)
Matheus H L Pupulin retweeted
Dr. @PabloNContreras, Scientific Secretary of #WCET26, shares updates: 1,000+ abstracts received and 12 live surgeries spanning laparoscopy, robotics, BPH, reconstructive surgery, and focal therapy. Buenos Aires, December 14–18. Register at wcetmeeting.com
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Matheus H L Pupulin retweeted
It’s a rule never over dilate in PCNL ! Under is always better .
Initial puncture showed free flow of urine, but the guidewire went out of the system. In such cases, under-dilatation is always preferred over over-dilatation. Here is a video demonstrating the technique.
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“How big is too big for Mini-PCNL?” 🤔🪨 3.5 cm stone Volume - 4.8 cm3 The real limit is not just stone size — it’s surgical expertise, proper case selection, and technique. Innovation in endourology means constantly redefining what’s possible. – at Campo Largo, Brasil
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Matheus H L Pupulin retweeted
I think #MiniECIRS #MiniPCNL should be the new gold standard to all sizes of renal stones, including staghorn ones. 1j 53 Hz, cleared in <1 hour, 16 Fr supine with spinal anesthesia, no nephrostomy tube, never. @RomanCarvajal @urobraulio @Endo_Society #UroSoMe #urology #renalstone
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Matheus H L Pupulin retweeted
🔵 Lower Medial Calyx Large Stone in Right Kidney 🔵 You Have only Scope 9 Clock WC 🌟Tips: 1. Just open the basket 2. Use Manual Pump to force Stone jumping in 3. Do it blindly - Take Your chances 🤾‍♂️Here we go @PETRAurogroup @so_uro
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Matheus H L Pupulin retweeted
Novel Biomarker for Urolithiasis! Could brushite crystals considered as biomarker? Great study by Yutaro Tanaka At the —> Urology Beyond Europe, #EAU & Japanese Urological Association Joint Session @Uroweb #EAU26
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Matheus H L Pupulin retweeted
Which is best laser for lithotripsy ? Loved this hilarious insight from our Tutorial citing @peepeeDoctor “Lasers are like cars in the family” 😂Thu:YAG heading to CBU like a party wagon, Ho:YAG the sturdy family SUV, and TFL the compact ride. #Urology #CBU2025 #Lithotripsy @peepeeDoctor @Endo_Society
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Yesterday at the CBU, I had the pleasure of performing a complex surgery with FANS in the pre-congress of Endourology. Thanks to all the knowledge that my mentors passed on to me, we performed an excellent surgery! #ETCE @GuidoGiusti @sproietti81 @2fabiosepulveda
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Matheus H L Pupulin retweeted
Conservative treatment for #UTUC Endoscopic biopsy and ablation with #Magneto 🧲 Ho:YAG laser in low-grade proximal ureter #UTUC I really 💙 this conservative approach Thanks to our fellow @LorenaBanda13 for the edition Published w/patient’s consent
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Why add suction? 💨 It keeps intrarenal pressure low 📉. LithoVue Elite shows safe pressures, better visibility 👀 & fragment clearance 🧹. #Urology #KidneyStoneSurgery @FelipePauchard @PabloNContreras @FullaJuan
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Matheus H L Pupulin retweeted
BN152: Amazing! THE STONE SENSE by IPG Medical. First time presented at AUA-2025-Don’t miss it:MONDAY 28th-1.00pm(Room505)«MP29-15: Pre-clinical Evaluation of Laser System with EmissionControl based on Stone vs Tissue Recognition».The first AI tool for Endourology&max.LaserSafety
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Matheus H L Pupulin retweeted
The Urowebinar “Ureteral stenosis & stones: the dog that chases is own tail”has ended. Great talks with several insights on how to avoid and solve this complication! Thanks to all the distinguished speakers & @UrowebESU @Uroweb for making this possible!
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After the arbitrary X blockage, today it's working for Brazilians again. Hope it stays this way!
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Matheus H L Pupulin retweeted
A stone is a 3D structure. It’s time to use Volume for everything: pre op, post op etc. it will likely help us predict future outcomes
AI and stone growth 1) VOLUME is key determinant for stone growth (not max diameter) Once outcome defined the next step is 2) PREDICTION of stone growth #WCET24 @Endo_Society @kvnkoo @emiliani_e @sproietti81 @jleow @kmoretry @DrDAgarwal @roger_sur @Joseph_HM_Wong
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Great to be among friends, and talk about endourology in Curitiba, Mission accomplished 💪🏼
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Matheus H L Pupulin retweeted
Finally published! Proud to be among Authors of this comprehensive textbook on ‘PERCUTANEOUS RENAL SURGERY’ #PCNL edited by @SpringerHealth Super grateful to the editors @DrJohnDenstedt & @evanliats for including me and my group in this milestone book and to Dr. JorgeGutierrez-Aceves and @MSGONZALEZURO for the great collaboration that generated our 2 collaborative chapters. #endourology #renalstones #urolithiasis #sharingknowledge #international #medicalbook – at Valtournenche, Aosta Valley
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Matheus H L Pupulin retweeted
Happy to know that my ex 🇧🇷 fellow @MHPupulin had a successful presentation at #CBU2023 in Salvador in front of many brasileiros friends presenting one of the flagships of #ETCE that is conservative treatment of #Utuc … well done Matteo👏🏻! So rewarding for me seeing my ex fellows shining of their own light once back home … but remember … once #ETCE, 4 ever #ETCE! – at Milan, Lombardy
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Matheus H L Pupulin retweeted
Excellent combination of Flex Aspirating UAS @ClearpetraL & p-Tm:Yag laser @DornierMedTech Look how much dust & fine fragments were aspirated. Really impressive! @GuidoGiusti Thanks @scaliaric 4 editing the video & all the #ETCE team 4 the endless support @urommoo @GisoneStefano
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Encrusted 2J stent for more than 3 years, May 2020, remnant of the Covid. Always perform Combined approach ECIRS, safe, procedure in less than 120 min, with minor bleeding 💪🏼 – at Curitiba, Brazil
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Any thoughts on how to treat a residual ureteral stone in a post PCNL patient with myelomeningocele, bladder enlargement and Mitrofanoff recontruction ? Did you go antegrade or try retrograde first ? – at Curitiba, Brazil
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