@jpavs17@FocalSociety@FlaUrological Though time may tell.. may be useful in combination therapy protocols similar to a brachy boost years down the line..
@jpavs17@FocalSociety@FlaUrological My recent consult for IRE probably saw the same doctor in SFL who wanted to do cryo+ADT followed by EBRT for what is clearly T3b disease on MRI. Even gave him a bottle of sample orgovyx to start…
Focal is not the problem- knowing when to not offer it is..
@fgomsan Agree 49% with pad use is abnormally high.. though w only 147 consecutive cases in 6 years perhaps due to volume/learning curves in the different surgeons.. probably would have been better to study this metric after several hundred had been done by a single high volume surgeon…
#SESAUA26 State of the Art Lecture @sanojpunnen
PCa Screening Guidelines:
♦️Start: 45-50 yrs
♦️Screen q2-4 yrs if PSA < 1
♦️Screen q1-2 yrs if PSA >1
♦️Intervene: PSA 3-4
♦️Stop: 70-75 yrs or life expectancy < 10 yrs
@urotoday
@ryansteinbergmd@RdonalisioMD@UIowa_urology Drill some holes with 1000 micron holmium 2+J short pulse then switch back to trilogy - there will be cracks under the superficial layers and make quick work!
@Mohamedessam997@soares_uro@MayoUrology Mid trigone injections are very safe. I save 1ml for injection (10 units) posterior to mid trigone and one injection anterior. The only notable finding is sometimes there is a bit of venous oozing which subsides with holding pressure using the cystoscope tip in the office
. @JayAminMD is one of the doctors in Central Florida trained to use Nanoknife, a newer, minimally invasive option that targets only the cancer and protects the healthy tissue around.
Watch how this procedure works and how early prostate cancer can be treated in a more precise.
@jfunkmd@RomanCarvajal Same and I’ve noticed pieces of tissue are more likely to clog the blade by going through both openings than non-urolift cases. Nothing a quick dismantling of the blade and a sharp tap to dislodge the tissue can’t fix 👍🏽
📉 Transperineal prostate biopsy has a <1% infection risk, significantly lower than transrectal. New evidence suggests antibiotic prophylaxis may not be needed in many transperineal cases. A step forward for antimicrobial stewardship.
#EAUGuidelines#ProstateCancer#UroUTI
https://t.co/kddlHpscVl
@orlandohealth Urology Residency website is up and running. Stay tuned, virtual open house will be announced soon! @UroResidency
@amy_krambeck@NM_Urology@EndourologyNm Previously seeing this with some rezum cases but now seeing more and more of these post Aqua cases as the residual lateral lobe adenoma regrows or grows tissue bridges together in midline causing a tortuous urethra.
Fortunately very straightforward HOLEP cases!
@justindubinmd Another article said he was having urinary symptoms. DRE was likely done for this reason, correctly so, which resulted in eventual mCSPC diagnosis.
It is now up to us to educate the pending barrage of 80+yo elevated PSA/“prostate check” pts about symptomatic treatment
@AustenSlade@RomanCarvajal@lfredosanchez I incise bladder neck prophylactically at 3 and 9 to fat when <40gm and very large capacity bladders. Idea being weak bladders don’t keep the bladder neck open and it scars down. Have had 3 BNC prior to doing this and all were treated with a TURBNC with 80gm kenalog injection
👏 Welcome to the NanoKnife System community, Dr. @JayAminMD! 👏
Dr. Amin has already completed 4 NanoKnife System procedures at @orlandohealth, marking an exciting start as a new user. By incorporating this advanced technology into his practice, he is giving patients more options for prostate care.
We are thrilled to support Dr. Amin and look forward to seeing the continued impact on patient care!
#NanoKnife #ProstateHealth #FocalTherapy #MedicalInnovation #MinimallyInvasive #IRE #PatientCare
TM: @MattwithAngio
Risk Info: https://t.co/xxrwO12GLz