Great morning working with Uro_Ike_MD.PhD. on #SP hydrogel models from Ahmed Ghazi. Terrific #AUA24 SP hands on master class. Let’s get that #SP journey started!

Extraction of large ADPKD kidneys after lap Nx can be challenging but not nearly as challenging as you might think. Lower midline & connect two port sites. No bag for these. Incision size related to short axis of kidneys. Assistant with smaller hands a plus (2 handed job).

Not a bad tumor location but approaching 7x7cm. GFR 30-40. Despite my infatuation with low anterior access #SP for retro partial nx, this one I’d prefer multiport retro. In my hands, slightly shorter warm ischemia and easier to manipulate large tumor in larger space. Disagree?

The master is out there everywhere, doing everything all at once. Just like the movie. Single handedly bringing us all into the #SP age. Keep it up Simone Crivellaro - if only the rest of us had your energy!

Looking forward to a great discussion today with my colleagues about SP retroperitoneal partial Nx in an Endourology Society webinar. Please join us at one of the two time slots. What are the real world advantages and disadvantages of this approach? Should you get on board? #SP

Interested in SP? Register for the 5th annual #SPARC Single Port Research Consortium for the latest techniques and clinical outcomes. Ketan K. Badani MD Michael Stifelman Mutahar Ahmed Simone Crivellaro Richard Link Ryan Nelson Craig Rogers MD Jennifer Linehan, MD Lee Zhao Dr. J. Kaouk

I have cracked the 'Surgeon's Mood' code for Monday clinic. Now you can predict your mood in advance. You are welcome. #SP

The #SP experience in a 🥜. I honestly don’t ❤️ it for low ant. retro radical Nx - my brain says “this would just be so much easier single site trans lap.” But then - the patient says 90 min post op “I have minimal pain & really want to go home right now please.” 🤦‍♂️ worth it.

Join us for our Operating Theater Webinar Series, 1-hour semi-live surgery by experts!

SP Retroperitoneal Partial Nephrectomy
👥 Richard Link Mihir S. Shah, MD Andrew Wagner
📆 Friday, April 26, 12:00 & 18:00 EDT

Free registration: meetings.association-service.org/wcet/webinars

Sponsored by Intuitive

Transvesical simple prostatectomy with #SP 4 months following a prostatic artery embolization (PAE) that did not improve patient's symptoms. 190 g prostate and now in retention. Other than slightly adherent posterior plane, no notable difficulties with procedure following PAE.👍

Great sessions today at #intuitiveconnect about alternative access nephron sparing surgery, transvesical procedures and managing complex case scenarios. Privileged to teach with such an outstanding faculty and staff.

Inspiring first day at #intuitiveConnect . Learning pearls of wisdom from enthusiastic speakers who are distributing the secret sauce to get your #SP journey off to the right start. Let’s raise all the boats together!

Sometimes nature can be unexpectedly surprising and beautiful. A bladder stone in the shape of a perfect cube during a transvesical case.

A follow up on this story. Multiport da Vinci Xi case. Able to repair the obliterated UPJ primarily without tension. The mid ureteral stricture was longer than appreciated here (3 cm) as defined with simultaneous ureteroscopy. Repaired with buccal onlay and omental flap.

I would agree 100%. I've removed many plastic clips from near the anastomosis in secondary UPJ cases. Never sure why these clips were used and left in situ. There just aren't many situations where you need to clip major vessels in a primary pyeloplasty. Maybe don't open them....

W. Mayer and I do look rather smug in this photo holding our gifts. Our staff really went way beyond the call of duty (as always) to source something special. Most appreciated!