Sarvpreet Ubee

@ubeess.bsky.social

Endourology, #HOLEP, #ThuLEP, Stones, #PCNL. Russell's Hall Hospital, Dudley UK.
Runner, C25k (2018) to Marathon x4

[Sarvpreet Ubee @UbeeSS]

Theatre 5 team @DudleyGroupNHS have come a long way with me on my #HOLEP journey.
From doing 40/50 per year, today we crossed 100 cases in 2024 and still 3 months left in the year.
2 #HOLEP per session and team works like a machine. 🙏🏽 Same team, same operation = efficiency.

[Sarvpreet Ubee @UbeeSS]

@DrParimalGharia @drkemalsarica Stone clearance with single puncture depends more on calcyeal anatomy than #prone or #SupinePCNL approach. This is staghorn clearance #SupinePCNL, #clearpetra 18Fr, 24hr stay. CT showed 3mm, 4mm fragments. Renal Anatomy and stone dictate the approach and no. of punctures.

[Sarvpreet Ubee @UbeeSS]

@declangmurphy @gu_onc @RenuEapen Shocked and saddened by this news. He was an excellent registrar colleague in West Midlands. He will surely be missed.

[Sarvpreet Ubee @UbeeSS]

@fgomsan @Mohamedendourol @drkemalsarica @KariTikkinen @trwherrmann @GoumasUrologia @Urologeman @niteshkuro @simon_p_kim @StefaniaFerret @lfredosanchez @fsgomsan I do this routinely since I heard it in one of your YouTube videos. Less splitting of the anterior urethral mucosa and hence less bleeding. View of the apex is better and hardly any clot sitting around the veru.

[Sarvpreet Ubee @UbeeSS]

@VicentiniUro @DocGauhar The incontinence incidence is higher in EAR as the cohort has more UUI. EAR has no impact on reducing incidence of UUI.
Secondly the authors have put attention grabbing higher % in the abstract, which is 1 month. At 3 mth, it falls down to 6-7%.

[Sarvpreet Ubee @UbeeSS]

@VicentiniUro @DocGauhar This is a very surprising outcome and to some extent shocking. Not only the incontinence rates but also operating time. More inicions you make, longer it will take. I don't want to change to ML tech I would like the EAP masters can shed more light on these findings.

[Sarvpreet Ubee @UbeeSS]

@lfredosanchez I agree that you are creating an enclosed space thus irrigating a small space will give better vision.
What I question is labelling it as LAMINAR Flow concept.
Fluid is not travelling smoothly as the shape of the adenoma disrupts flow and is irregular thus CANNOT be LAMINAR.

[Sarvpreet Ubee @UbeeSS]

@JnsHerrmann @AustenSlade @Bothmann08 @MartinCKanne @amy_krambeck @FCAFigueiredo @trwherrmann @fgomsan @jfunkmd @MSLee_MD @KarinLehrich I find haemostasis with pulse modulation (#CyberHo) is better. No difference in other parameters c/o Lumenis 100w incl sameday DC rate.
#CyberHo causes much less noise in theatre.
I struggle to justify the extra cost of Moses machine and fibres in a publicly funded hospital.

[Sarvpreet Ubee @UbeeSS]

Really enjoyed doing #Holep 's with the @quanta_system #CyberHo150 laser at @DudleyGroupNHS
Easy to find planes and excellent first pass haemostasis.
11 #HOLEP' s in 3 days, 10 sameday discharge, 1 planned overnight stay.
Excellent support by the @CookMedical Rep Louise Davies.

[Sarvpreet Ubee @UbeeSS]

@w_mahmalji @Sri_URO @BSoT_UK @BAUSendourology @BAUSurology @EndoLuminalEndo @Subu_Urologist @lithohlr @rashmiurologist @ferasjaafari @endouro @MattBultitude Congratulations @w_mahmalji. Well deserved

[Sarvpreet Ubee @UbeeSS]

@NNUH @ishaikh4 Well done @ishaikh4 on all the good work you are doing at @NNUH.

[Sarvpreet Ubee @UbeeSS]

@NkwamN @drtevaho @fgomsan @asad_abedin @gidonellis @markr1004 @benchallacombe @FCAFigueiredo Furosemide, Yes but for different reason.
For all #HOLEP 's, I use diathermy only as an exception and pts go to recovery without bladder irrigation. I, hence give 20mg furosemide once catheter is in, to increase bladder washout. It has not let me down.

[Sarvpreet Ubee @UbeeSS]

@joeurol @adamalih @IBUSurology @shabi1009 @mzaslam77 @UmeshSalanke @stingrai78 @endouro @AndrolAyo *don't work in same unit for long period.
*network with trainees in region.
*offer to do teaching session, journal clubs
*know the points criteria for application like back of your hand. No points, no shortlisting.
*don't hesitate to ask for LTFD, maternity/ paternity leave.

[Sarvpreet Ubee @UbeeSS]

@joeurol @adamalih @IBUSurology @shabi1009 @mzaslam77 @UmeshSalanke @stingrai78 @endouro @AndrolAyo General points -
*do regular informal catchup's with Consultant/CS.
*insist a formal annual appraisal(lot of units don't)
*look for a mentor/career guide, who can be at times more useful than CS/AES.
*praise for service delivery should not mask career aims.

[Sarvpreet Ubee @UbeeSS]

@doc_sarvajit @TheWolfRep @fgomsan @drtevaho @trwherrmann 79yr, ASA 3, 330cc MRI, Gleason. 9, started LHRH 3/12 ago planned for RRT, HOLEP this week, 190 removed, 50 min enucleation, 10 min haemostasis, 70 min morcellation. Eating and walking after few hours, TWOC 12hrs postop. Pure endoscopic approach has unparallel benefits.

[Sarvpreet Ubee @UbeeSS]

@doc_sarvajit @fgomsan @drtevaho @trwherrmann Patients prefer short Hosp stay and catheter time, no drain and most importantly no abdominal wound.
If pt fit for anaesthetic, then long morcellation requires fresh blades and patience from the surgeon.

[Sarvpreet Ubee @UbeeSS]

@fgomsan I do sometimes think that there is a separate learning curve for #HOLEP on prostate bigger than 200cc. I have done about 20 cases in last 3 years. Is there a separate curve, any thoughts?
@fgomsan @drtevaho @trwherrmann @jfunkmd @FCAFigueiredo

[Sarvpreet Ubee @UbeeSS]

@dr_karian @EndouroPaco @urobraulio @urojavo @RodolfoGaleana2 @felipeglezglez @drmarket2 @urotelio @IvanMichelM @UrologiaAr @MSGONZALEZURO @lfredosanchez Tissue deserves respect. #SoMe

[Sarvpreet Ubee @UbeeSS]

@iamdockarl @so_uro @amy_krambeck @fgomsan @FCAFigueiredo @vmmcurology We have this as our backup laser machine. I found 18Hz 1800mJ as the right balance between enucleation and haemostasis. Agree with @fgomsan about haemostasis, esp comparing to our 100w Lumenis laser.

[Sarvpreet Ubee @UbeeSS]

@DavDandrea @OTRAXER @MRoupret @joanfundi @BenjaminPradere TURP will stay, not because it has been here for decades but due to its affordability and short learning curve for surgeons.
Not every surgeon/hospital/patient can absorb the cost of laser machine/fibres and morcellator.
TURP is cheaper and all urologists learn resection skills.