Cleveland Clinic Men’s Health/infertility urologist. Mayo Clinic+CCF Urology trained. Dog lover. Foodie. ✈ from the 6ix to the 216. Tweets are my own. RT=/=E
Managing LUTS after prostate radiation requires extreme caution before offering surgery.
Many post-radiation urinary symptoms improve over time or with conservative management alone. Once you operate on irradiated tissue, complication rates can be significant: incontinence, strictures, calcifications, necrosis, fistula, and need for repeat procedures.
Some series report post-TURP incontinence rates approaching 20–30%, and even higher complication rates with implants in previously radiated patients.
The key is honest counseling and balancing quality of life vs complications. Just because we can operate doesn’t always mean we should.
And perhaps the most important lesson: treat symptomatic BPH before radiation whenever possible.
#AUA26
@CleClinicUro research superstar @jaymsiva presenting our work on ADHD meds in male fertility-effects appear mild + overall reassuring @AmerUrological So proud of his drive + rsch acumen, can’t wait to see what he accomplishes next at @cwru med !! @ScottLundyMDPhD@PBajicMD
Unbelievably proud mentor/dad/brother moment sharing the plenary stage today with @CleClinicUro research fellow extraordinaire and soon to be @AkronUro resident @MarceloMass96. The future of our field is extremely bright.
Next up, @_ferloyola, @giulialmironmed, lets go!!!
✨ Can AI recognize the emotional side of erectile dysfunction? ✨
I presented our project evaluating how AI chatbots respond to the psychological dimensions of erectile dysfunction.
Our findings suggest that AI chatbots may serve as supportive tools for patient education, reliable information, and emotional support in sexual health.
Excited to contribute to this conversation on AI, sexual medicine, and patient-centered care. #AUA2026
Fantastic job by incoming @CleClinicUro Men’s Health research Fellow @_ferloyola#AUA2026 presenting TG:HDL ratio predictor of early recurrence of NMIBC. Excellent work and we can’t wait to welcome him as he continues his ⭐️ research trajectory!! @AmerUrological@PBajicMD
The inimitable @drrachelrubin on the #AUA26 Plenary stage recounting the roller coaster history of the Estrogen black box warning.
How do you go from zero… to a wildly popular GSM guideline? ADVOCACY.
👏 👏 👏
🥊 𝗕𝗮𝘁𝗮𝗹𝗹𝗮 𝗽𝗼𝗿 𝗹𝗮 𝗳𝘂𝗻𝗰𝗶ó𝗻: ¿𝗤𝘂é 𝗠𝗜𝗦𝗧 𝗽𝗿𝗼𝘁𝗲𝗴𝗲 𝗺𝗲𝗷𝗼𝗿 𝗹𝗮 𝗲𝘆𝗮𝗰𝘂𝗹𝗮𝗰𝗶ó𝗻?
En un duelo de alto nivel, la Dra. Raevti Bole (@raevti) abrió con las terapias ablativas: precisión técnica, reducción de tejido documentada y un perfil de preservación funcional que respalda su uso.
El @Dr_KevinZorn tomó el otro lado con las terapias basadas en dispositivos intraprostáticos, presentando una menor agresividad tisular, recuperación más rápida y un enfoque centrado en la calidad de vida sexual.
Dos estrategias válidas, con resultados comprobados. ¿Cuál elegirías?
@AmerUrological
#SMU26 #JuntosTrascendemos #AUA26 #Urología #Urology
Many hours & lots of hard work by an awesome team ➡️ 2026 AUA Guideline: Management of LITS Attributed to BPH
Proud of the work we did. Grateful for the opportunity to contribute to our field & advance patient care. #MensHealth#Prostate@AmerUrological
https://t.co/Y3q3WgRLWe
Another use of hormone ratios in andrology? T/FSH predicts sperm retrieval success in men with idiopathic NOA. Check out our paper in F&S: https://t.co/v9blQrHqFH
Congrats to @jaymsiva on his first-author pub and to the @MOBYUSgroup for multi-institutional collaboration!
We’re having a great day visiting our partners at @CleClinicUro and capturing insights from leaders across the field! First in our series is Jihad Kaouk, MD, with quick tips for urologists beginning their single-port surgery journey.
Stay tuned for all the content from our visit! https://t.co/Q4ZQ5XxlQk
🚨🚨🚨 there is a last minute opening for the @UCI_Urology@SMSNA_ORG Men’s Health fellowship starting this summer 2026-2027!
World class training, check it out ⬇️
All interested applicants please send an email to [email protected]@faysal_a_yafi