This weekend it's so special 'cause i've finally achieved one of my greatest dreams
Certified Urologist by the @CONAMEU1 and my second home INCMNSZ
Thanks to each and everyone that stood by my side along this amazing journey. My family, friends and professors! This is for you
@daviesbj It’s not just urologic oncology. Interest in fellowship has shifted across urology.
@societyGURS went from 29 fellows in 2006 to ~300 across 45 states by 2026. Every subspecialty has had some version of this expansion.
Supply, demand, and a few things we do not say out loud. 🧵
https://t.co/s7iKbbNSVq
New in World J Urol (Cindolo et al.): a multicentre series of 10 high-grade Clavien-Dindo complications after Rezum. Septic shock, intraprostatic abscess, bowel injury, 3 deaths — all in patients with negative preop urine culture and standard antibiotic prophylaxis. https://t.co/UWKkkRS4GP
New review on genitourinary sarcomas - A good resource for anyone managing these patients.
Read more: https://t.co/mxaOCns4Dv
Thanks to the team for all their help and contributions to this work - @SpiessPhilippe@LiangChengMD@zcons@MehrazinMD@GTumors
En bloc cystectomy is proving to be a powerful approach in challenging cx> post-EV/P, bulky fibrotic disease and EV/P progressors ⬆️ R0 %, ⬇️ EBL and improved node # We keep expanding our robotic en bloc cystectomy experience with LN ctDNA measurement .. innovation in tx requires 🤖 innovation in approach . credit to @EirikKjo@CleClinicUro
when I want to relax, I view surgical technique videos. I can watch these moves by @WithAScalpel for hours. good practice for no touch technique of ureter recon
We can say it again - prostate MRI is highly informative when positive, but it is not very informative and often misleading when negative. MRI is simply NOT a reliable rule out test in most settings. Apply clinically with caution. Great talk by Wayne Brisbane. #AUA26
Very impressive John K. Lattimer Lecture: Transurethral Robotic en-bloc
TURBT- Challenging the Status
Quo by @jteoh_hk#bladdercancer surgeons must take note. #aua26
Post robotic radical cystectomy , creating stoma was extremely tedious in this patient.
Patient was extremely obese BMI -42.
Did a turnbull stoma and put a red rubber catheter through the mesentery to prevent retraction. As you would do for loop colostomy.
Open to suggestions!!
Breaking this paradigm.
Large bladder tumors can be safely removed with laser en bloc, followed by morcellation.
High quality pathology. Better outcomes.
Pathologists are happy and so are we.
@DrShariat@shaygo1@trwherrmann@jteoh_hk@scoffonecesare
“Solo ha subido un poco la creatinina”
💦La Cr no solo estima función renal.También orienta a Insuficiencia Renal Aguda o si se trata de más Enfermedad Renal Crónica…
📉 IRA → pequeños ↑ pueden implicar gran ↓ del FG
📉 ERC → grandes ↑ suelen asociar menor cambio relativo
In cisplatin-ineligible patients with muscle-invasive bladder cancer, enfortumab vedotin–pembrolizumab plus surgery led to better event-free survival (74.7%, vs. 39.4%) and overall survival (79.7%, vs. 63.1%) than surgery alone at 2 years. Full phase 3 KEYNOTE-905 trial results and Research Summary: https://t.co/bzVbmJXHMD
How to report prostate volume in HoLEP literature? Preoperative US, TRUS, MRI? Resected tissue weighted in the OR? Pathological report? Is the time for standardization!! @UrologyTLVMC @scoffonecesare @fgomsan @FCAFigueiredo
Piedras en vejiga + próstata grande: ¿cirugía combinada o por pasos? Nuevo estudio multicéntrico analiza decisiones clínicas y resultados.
https://t.co/YF2meTeneT
Proud moment and HUGE news from #EAU26: #PRIMARY2 shows PSMA PET/CT can safely halve prostate biopsies in men with equivocal MRI, avoiding biopsy in 49% without missing cancer. https://t.co/OOGooac59C
PRostate cancer guidelines 2026 update. Digital rectal exam NOW no more recommended for Asymptomatic men
SO NO MORE FOR Screening
Important for standing and for early diagnosis for SYMPTOMS only @Uroweb
PRIMARY2 trial
En hombres con sospecha de cáncer de próstata y mpMRI negativa o equívoca:•Sensibilidad:
mpMRI sola → ~83%
mpMRI + PSMA PET → ~94%
El PSMA PET detecta tumores clínicamente significativos no visibles en MRI y mejora la selección para biopsia.
#EAU2026#PSMAPET
The supine lateral extraperitoneal approach for RPLND is an alternative when transperitoneal surgery is non-friendly. Length of stay < 48 hours.
May Allah keep Kuwait, Egypt and all arabic countries safe and secure 🙏
#RPLND