Avant Concierge Urology

At Avant Concierge Urology, the experience is focused entirely on you, the patient.

[Sijo Parekattil, M.D. @drparekattil]

CLEAR BPH: Catheter-Less EchoLaser Ablation with Reduced dose. Preserved. Restored. Clear.

Another successful office-based CLEAR BPH procedure with the RocaMed EchoLaser today.

Less than 20 minutes
Minimal side effects
Patient walked out immediately after treatment
NO Foley catheter

The future of enlarged prostate treatment is here—and it just keeps getting better.

#BPH #EchoLaser #CLEARBPH #OfficeBasedUrology #MinimallyInvasive #MensHealth #ProstateHealth #UrologyInnovation #AvantConciergeUrology #PreservedRestoredClear

[Sijo Parekattil, M.D. @drparekattil]

Teaching. Learning. Improving.

Honored to host Dr. Chase Cavayero and Dr. Adam Jenks for a day of sharing tips & tricks on Same Day Discharge Hydros Aquablation with the Strauss MCP technique.

150 GM prostate - 75 min
50 GM prostate - 26 min

When great minds come together, patients win.

Shoutout to the amazing teams at Advent Health Winter Garden, Procept BioRobotics & Strauss Surgical !

#HydrosAquablation #Aquablation #BPH #Urology #StraussMCP #SameDaySurgery #MensHealth #ProstateCare

[Sijo Parekattil, M.D. @drparekattil]

Flow Friday: 10 cases. Zero slowdowns.

A day full of teamwork, innovation, and life-changing care. Proud of this crew and grateful for every patient who trusts us.

Same day discharge Hydros Aquablation with the Strauss MCP:
100 GM prostate - 49 min
50 GM prostate - 35 min
30 GM prostate - 30 min
110 GM prostate - 59 min

10 down. On to the next.

Shoutout to the Advent Health Winter Garden team - thank you 🙏🏾

#FlowFriday #GameOn #Urology #Aquablation #TeamWork #MensHealth #BPH #innovation

[Sijo Parekattil, M.D. @drparekattil]

Great day with the University of Florida Jacksonville Urology team discussing the future of BPH surgery.

The combination of Hydros Aquablation + Strauss MCP is making true Same Day Discharge a reality for more men than ever before.

Honored to share, learn, and collaborate. #Aquablation #BPH #Urology #MensHealth #Innovation #SameDaySurgery

[Sijo Parekattil, M.D. @drparekattil]

FLOW FRIDAY

Another 100% Same-Day Discharge Flow Friday in the books.

Using the power of Hydros Robotic Aquablation® combined with the Strauss MCP technique, every patient was treated and headed home the very same day.

No overnight stay
No CBI
No Foley traction
No unnecessary delays
Just efficient, precise, minimally invasive BPH care focused on getting men back to their lives faster.

Case 1: 60 gm Prostate - 45 min
Case 2: 100 gm Prostate - 50 min
Case 3: 50 gm Prostate - 35 min
Case 4: 80 gm Prostate - 40 min

What excites me most isn’t just the technology—it’s seeing how innovation, teamwork, and refined surgical technique continue to raise the standard of care for men with BPH.

Preserved. Restored. Clear.

Honored to host two Executives today from Hamilton Medical Center, Dalton, Georgia:
Judean Guinn, Vice President & Chief Nursing Officer
Madison Mills, Director of Surgical Services

Shoutout to the amazing team at Advent Health Winter Garden (The “Ritz”) - you make it fun to come to work !! 👊🏽

#FlowFriday #Aquablation #HydrosAquablation #BPH #EnlargedProstate #MensHealth #Urology #RoboticSurgery #SameDaySurgery #InnovationInMedicine #ProstateHealth #StraussMCP #AvantConciergeUrology #WinterGarden #UrologistLife #PreservedRestoredClear

[Sijo Parekattil, M.D. @drparekattil]

First Office-Based eCoin Implant — Complete!

Today we successfully performed our first office-based eCoin implant for overactive bladder.

A tiny device. A minimally invasive procedure. A potentially life-changing impact for patients dealing with urgency, frequency, and leakage.

The future of bladder care is getting smaller, smarter, and more patient-friendly.

#eCoin #OAB #Urology #Innovation #OfficeBasedUrology #FutureOfMedicine #BladderHealth #AvantConciergeUrology

[Sijo Parekattil, M.D. @drparekattil]

Some days in medicine just hit differently. This Memorial Day was truly humbling.

Today was one of those days. While on our family vacation, got an urgent call to help a family in Tampa with an emergent fertility preservation case. In moments like these, it’s not just about surgery or technology — it’s about hope, timing, and being there when a family needs you most.

Grateful to do what I do as a male infertility urologist. Sometimes the most meaningful cases are the ones you never planned for.

Shoutout to Dr. Ahmed Ghoneim (Embryologist), Dr. Mark Trolice (The IVF Center) and Jose Luis Marron (Driver) for making this shot for hope a reality.

#MaleInfertility #FertilityPreservation #MensHealth #Urology #Microsurgery #FertilityJourney #Tampa #DoctorLife #MensHealthMatters #UrologistPOV #Hope #FamilyFirst

[Sijo Parekattil, M.D. @drparekattil]

Another 100% Same Day Discharge day at The Ritz aka AdventHealth Winter Garden.

5 Hydros Robotic Aquablation cases.
100% same day discharge.
No traction. No CBI.
Just precision, efficiency & next-level teamwork using the Hydros system + Strauss MCP technique.

Case 1: 123gm Prostate - 60 min
Case 2: 35gm Prostate - 19 min
Case 3: 50gm Prostate - 21 min
Case 4: 60gm Prostate - 43 min
Case 5: 60gm Prostate - 34 min

Grateful for an incredible OR team that keeps pushing what’s possible for men with BPH. The future of outpatient robotic prostate surgery is happening right now.

#FlowFriday #Aquablation #Hydros #RoboticSurgery #BPH #Urology #MensHealth #SameDayDischarge #StraussMCP #FutureOfSurgery #ProstateHealth #UrologistPOV

[Sijo Parekattil, M.D. @drparekattil]

Honored to speak at the Society of Benign Prostate Disease meeting during the American Urological Association this year.

Imagine a society of urologists dedicated solely to advancing the treatment of enlarged prostates (BPH). Innovation. Collaboration. Better outcomes for men everywhere.

Pretty priceless when you think about it.

#AUA2026 #SOBPD #BPH #Urology #Aquablation #MensHealth #Innovation #UrologistPOV #StraussMCP #samedaydischarge

[Sijo Parekattil, M.D. @drparekattil]

Sometimes you truly love what you do… and getting to share it with others is the icing on the cake.

Honored to speak at the PROCEPT BioRobotics hands-on Hydros Robotic Aquablation course and later at the dinner symposium.

One of the best parts of medicine is collaborating, teaching, learning from one another, and helping push innovation forward so more patients can benefit. Grateful for the opportunity to be part of this journey with such an amazing group of urologists and industry partners.

The future of BPH treatment is evolving fast… and it’s exciting to help shape it together.

#Urology #Aquablation #HydrosAquablation #ProceptBioRobotics #BPH #RoboticSurgery #MensHealth #Innovation #UrologistPOV #MedTech #PhysicianEducation #FutureOfUrology

[Sijo Parekattil, M.D. @drparekattil]

Honored to see our amazing UCF medical students presenting the research projects we’ve been working on together at the American Urological Association Annual Meeting.

Research matters. Mentorship matters. But most importantly, investing in people matters.

These students are the future of urology and healthcare — and the future looks incredibly bright.

#AUA2026 #Urology #FutureOfMedicine #MedicalStudents #Research #Innovation #Mentorship #UCFMed #AcademicMedicine #UrologistPOV #NextGeneration #HealthcareInnovation

[Sijo Parekattil, M.D. @drparekattil]

The Urologist POV: Friday at AUA 2026 in DC

Thousands of urologists. Endless innovation. New ideas. New technology. New friendships.

Grateful to be surrounded by so many brilliant minds pushing the field of urology forward. From robotics and AI to office-based innovation and collaboration, the future is happening right now.

DC vibes. Urology energy. Let’s go.

#AUA2026 #Urology #UrologistPOV #Innovation #Robotics #MensHealth #ProstateHealth #Aquablation #Echolaser #FutureOfMedicine #WashingtonDC #UrologyLife #MedicalInnovation

[Sijo Parekattil, M.D. @drparekattil]

Another “Flow Friday” at AdventHealth Winter Garden — aka The “Ritz”

Honored to host Dr. Ryan Chuang (New York) today as we pushed the limits of what modern BPH surgery can look like.

5 Hydros robotic AI-assisted Aquablation cases
2 OR rooms
2 synchronized teams
All completed in under 5 hours:

Case 1: 90gm Prostate - 35 min
Case 2: 110gm Prostate - 43 min
Case 3: 80gm Prostate - 35 min
Case 4: 60gm Prostate - 27 min
Case 5: 60gm Prostate - 29 min

And the best part?
Every patient went home less than an hour after surgery — with no Foley traction, no continuous bladder irrigation, and clear urine using the Strauss Surgical MCP technique with the “Ferrari” settings !!

This is where robotics, AI, workflow efficiency, and surgical teamwork all collide to create a better patient experience.

The future of BPH surgery isn’t coming… it’s already here.

A huge shoutout to the Advent Health Winter Garden OR, clinical & admin teams for making these incredible patient centered case days a reality !!

#FlowFriday #Aquablation #HydrosAquablation #BPH #Urology #RoboticSurgery #AIinMedicine #MensHealth #SameDaySurgery #ProstateHealth #UrologistPOV #SurgicalInnovation #StraussMCP #WinterGarden #TheRitz #FutureOfSurgery

[Elise J.B. De, MD @Dr_Elise_De]

Join Friday at AUA at 1:30 pm for 10 Must-Knows. @drparekattil @KennethMPeters1 @BrianInouyeMD #JenniferPollard and I give top 10 always do and never miss. https://t.co/FbXmGTddXA @drrachelrubin @sufuorg @AmerUrological @urotoday @urology @UrologyTimes

[Sijo Parekattil, M.D. @drparekattil]

Bladder Stone? Here’s the REAL fix

How do we treat a bladder stone?
Laser it. Break it. Remove it.

We use a scope through the urethra (no cuts) + a laser to fragment the stone into tiny pieces and clear it out. Minimally invasive. Efficient. Done.
But here’s what most people DON’T realize:
Bladder stones ≠ Kidney stones
🔹 Kidney stones → genetics + diet
🔹 Bladder stones → usually a plumbing problem
When the prostate is enlarged, it can block urine flow. Urine sits in the bladder, sediment builds,
and over time…a bladder stone forms and grows. So treatment isn’t just removing the stone:

The KEY is fixing the cause
Relieve the obstruction
Treat the enlarged prostate
Prevent a bladder stone from coming back.
Because if you don’t fix the blockage…
the stone is just coming back for round 2.

If you’re having symptoms like a slow stream, retention, or recurrent infections—don’t ignore it.
Talk to your urologist. Get ahead of it.

#BladderStone #KidneyStone #MensHealth #Urology #ProstateHealth #BPH #LaserSurgery #MinimallyInvasive #HealthEducation #DoctorLife #StayAhead #FixTheFlow @healthhub101

[Sijo Parekattil, M.D. @drparekattil]

Urologist POV: Bladder Instillation Game Changer

For years, bladder instillations meant one thing…a Foley catheter! But now — there’s a better way. Enter the UroDapter.

What’s the difference?

Traditional Foley Catheter:
▪️ May need a Balloon inflated inside the bladder
▪️ Can cause discomfort + irritation
▪️ More invasive
▪️ Not ideal for repeated treatments

UroDapter:
▪️ No balloon. No anchoring.
▪️ Designed for quick, targeted instillation
▪️ Less irritation → better patient tolerance
▪️ Perfect for repeat treatments

Why it matters

For patients with
• Interstitial Cystitis
• Bladder Cancer
…bladder instillations aren’t a one-time thing.
They’re a journey.

So the question is simple:
Why make it harder than it has to be?
Less discomfort. More efficiency. Better experience.
Sometimes innovation isn’t about doing more…
It’s about doing it smarter.

Shoutout to Dr. Béla Köves - a Urologst and the inventor of the UroDapter. For more info please contact: https://t.co/2c418aBowR

#Urology #BladderHealth #InnovationInMedicine #ICAwareness #BladderCancer #MedTech #UrologistPOV #PatientExperience #MinimallyInvasive #GameChanger

[Sijo Parekattil, M.D. @drparekattil]

Medicine moves forward when we move together.
The people. Honored to spend the day sharing technique and ideas with three outstanding urologists from Brazil — Dr. Jose Pontes, Dr. Andre Berger, and Dr. Rafael Baldissera.
Dr. Andre Berger and I were co-fellows at Cleveland Clinic Foundation over 20 years ago… and today, we’re still learning from each other. Full circle moments like this remind me that we’re all just a small part of something much bigger.
Growth happens when we connect. Progress happens when we share. Patients win when we care.
Today we performed 3 prostate cancer cases using the RocaMed Echolaser — all done in the office, ~20 minutes each. Every patient walked out. Two didn’t even need a catheter. That’s the technology.

#Urology #ProstateCancer #Echolaser #MedicalInnovation #PhysicianLife #Collaboration #GlobalMedicine #HealthcareInnovation #MensHealth #InnovationInMedicine #Gratitude

[Sijo Parekattil, M.D. @drparekattil]

Saturday AM BROSECTOMY

5 guys. 1 mission. This morning we pulled off our first ever “Brosectomy” session—a crew of guys showing up together to finally check vasectomy off the list.

Let’s be real… as men, we tend to think about it for years (I did too ). Sometimes all it takes is a little brotherly love to turn “I’ll do it someday” into DONE.

Today was about:
Stepping up
Taking control
Supporting each other

And the best part? Quick procedure, Minimal downtime and Back to life fast

I even went through it myself—and shared my own vasectomy journey (including a 3D recording) to help guys see exactly what it’s like and take the fear out of it. We do a few technique mods to help reduce the chance of chronic post-vasectomy pain. If you’ve been on the fence, maybe it’s time to grab your crew and make it happen.

Talk to your urologist about whether a vasectomy is right for you. Check out the links below to see the technique + real experience.

Dr.P’s own vasectomy recorded in 3D vision on YouTube:
https://t.co/1Ve24l9Xfc

Dr.P showing the vasectomy technique on Mr.Potato Head (less scary):
https://t.co/OHMmbBI6ZE

#Brosectomy #Vasectomy #MensHealth #Urology #RealTalk #TakeControl #NoExcuses #MensHealthAwareness #DoctorLife #SquadGoals #LevelUp #HealthDecisions #ModernMedicine #ConfidentChoices

[Sijo Parekattil, M.D. @drparekattil]

What is BPH—and why it matters

BPH (Benign Prostatic Hyperplasia) = an enlarged prostate. Sounds simple… but it can seriously impact quality of life: Weak stream, Frequent urination (day & night), Urgency, Incomplete emptying. Over time, it’s not just annoying—it can lead to bladder damage, infections, and even bladder stones.

Hydros Robotic Water Aquablation
This is where things get exciting: Uses a high-velocity waterjet (not heat), Guided by real-time imaging + robotic precision. Removes obstructing prostate tissue with millimeter accuracy. No guesswork. Just targeted, consistent treatment.

Why this is a game changer
Preserves key anatomy (precision matters), Reduced risk of sexual side effects, Works for small → very large prostates, Reproducible results with robotic planning. This is next-level BPH treatment.

What patients can expect
Procedure typically under an hour, Minimal pain,
Rapid recovery, Many patients heading home the same day. Getting back to normal life… fast

What excites me most
It’s the combination of: Technology + precision + better patient outcomes. We’re moving toward a future where: Treatments are faster, Side effects are lower, Recovery is smoother and most importantly, Patients get their quality of life back

If you’re dealing with BPH symptoms… you don’t have to just live with it. There are better options than ever before.

#BPH #MensHealth #Aquablation #RoboticSurgery #Urology #ProstateHealth #Innovation #MedTech #DoctorLife #FutureOfMedicine #QualityOfLife #GameChanger #healthhub101

[Sijo Parekattil, M.D. @drparekattil]

When time matters most… we show up.

Every once in a while, I get that call —
urgent fertility preservation.

Today was one of those days. Headed out to Halifax Health in Daytona to help a family when it mattered most. Moments like this remind me why we do what we do. 🙏🏾

#UrologistPOV #MaleInfertility #FertilityPreservation #MicroTESE #MensHealth #DoctorLife #OnCall #PurposeDriven #Grateful #MakingADifference