Step 10. Morcellation of the lobes P. Gilling

For morcellation, the inner sheath is replaced by the long nephroscope (Storz) and adapter. The 5 mm blade-set is passed down the instrument channel. Once the bladder is fully distended the suction is activated by the foot-pedal to grasp the fragment, and then morcellation commences. Care is taken to keep good tissue contact, and the bladder distension, to avoid mucosal injury. Small fragments which are resistant to further morcellation can be grasped using a grasping loop (Storz).

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