Michael Stifelman
@mdstifelman
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Chairman of Urology
Hackensack, NJ
Joined October 2015
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Been over 8 years since I joined
@HUMCUrology
The culture here is 2nd to none - focused on quality, innovation, research and education. Proud and honored to be ranked in the top 20 in the nation! We are just getting started. Check us out.
Proud to announce our Urology program ranked
#17
nationally, reinforcing our role as New Jersey's destination for urological care. This Top 20 recognition displays our dedication to exceptional patient care, pioneering research, and education.
@HMHNewJersey
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Da Vinci 5 delivered to HTP front door. First cases tomorrow.
@HMHNewJersey
@HUMCUrology
leading the way! This will change the way we do surgery in many ways. One I am excited for is the way we teach surgery - case insights.
@IntuitiveSurg
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Completed final review of our book that 2 years to complete. Thank you in advance to all the authors and the team at springer. 28 chapters; 400 pages; 38 videos and countless of contributors. To think it all started over a few beers
@md_eun
@lee_c_zhao
and chester KOh
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26 yo fem wheel chair bound spina bifida. Difficulty CIC and BL hydro. My ped urologist suggested ileo vesicostomy. Youtube provided video. Here is our summary video for those considering. As a visual person I learn a lot from video and even more live surgery. Thx
@nathanch3ng
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11
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Dr. Georg Schoen, Chief Physician of Robotic Urosurgery at the Urological Clinic at Munich Planegg in Germany, visited
@HUMCUrology
and observed 6 SP cases. He also shared his technique with pyeloplasty reconstruction. I tried it, liked it, and adopted it. Sharing for all.
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What the what! RRP being done by surgeon Xu Zhang in Rome with patient in Beijing China. Latency is 125 Ms. 5G telecommunication. Looks as if surgeon is in the room. The future is now! Pandora box has now been opened. Note surgeon and console in China as a backup.
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Just received this from our urology team (nurses, residents and doctors) who just opened up and receiving covid patients in our new 75 bed covid unit (the cafeteria). So happy we are all together - we got this. 9pe and HUMC Urology Rocks!!
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Some of the best articles are the simple and obvious. This is one of my favorite - confirming that removing the stent and letting ureter rest prior to ureteral reconstructive surgery improves outcomes
#CORRUS
.
@md_eun
@lee_c_zhao
@ZLeeGU
AddThis | Home
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Just performed a robotic prostatectomy in the AUA exhibit area using the most high Fidelity model I've ever seen. If you are a surgeon with > 500 prostates stop by booth 2517 and speak with the man
@aghazimd
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For this aspiring urologists looking to prepare for robotic surgery cases here is the link to full length,annotated, narrated videos. Feel free to share.
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One step closer to publication. Looking forward to helping pushing this field forward and promoting adoption. So great to see EVERYONE’s hard work come to fruition.
@lee_c_zhao
@md_eun
Cheste Koh
@SpringerNature
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Celebrating 25,000 robotic surgery cases at Hackensack University Medical Center.
@HMHNewJersey
@IntuitiveSurg
Experience does matter!
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I do not do PCNL, BUT if I did here is what I would consider. Supine, having a URS to watch puncture through middle calyx, US to avoid bleeding, mini perc and high power lasers. Well done session.
#WCE2019
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Opening today. Additional 75 bed covid unit in our cafeteria. Took 8 days to erect. Lucky to be at HUMC. Urology team to staff an 8 patient bay.
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Please disseminate to urologists. More patients can get released from unnecessary follow up and anxiety. Also provides MRI parameters and better clarity.
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Back in the OR after
#AUA23
. Inspired by the folks who liked our videos on . Folks asked for more. Please DM and let me know what you want updated and added. Going to do an SP sacrocolpopexy today. Fired up!
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Truly a testament of the incredible surgeons, surgical staff and leadership support offered at Hackensack University Medical Center. Looking forward to first case tomorrow.
Hackensack University Medical Center is thrilled to be among the first hospitals in the WORLD to acquire & use the Da Vinci 5 Multiport Robotic Surgical System - the most advanced surgical tech available. It arrived at our surgical tower today!
@IntuitiveSurg
@HMHNewJersey
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Medical students applying for urology listen up! Check out
@TulaneUrology
Spent weekend as VP and can attest an amazing training program, family culture, state of art facilities and fantastic engaged faculty. Thanks for inviting me. Can’t TY enough for a great trip
@roboraju
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Having a great day with friends and colleagues sharing our SP experience.
@HUMCUrology
@aghazimd
@drjkaouk
@NYCRoboticTeam
@MSBillah_md
@RoboticsUrology
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Here is another simple prostatectomy video. Again
@md_eun
technique. This time with one modification, splitting anterior commisure like
@davidleegumd
Take home message...We can learn so much from watching others, both of which I learned at
@NAmerRoboUrol
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Just loaded up a full length “double”buccal. Created for residents. Please feel free to share. .
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@CanesDavid
. As requested my current technique for SPP. Most steps reproduced from
@md_eun
Splitting anterior commissar from
@davidleegumd
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My cookie just got a partial. Should be discharged today
Came to work this am to find this on my desk. Our newest NP Megan was so happy to join our team last year, to show her appreciation, she treated the entire office to urology themed cookies.
#grateful
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Our department has been on a journey to improve outcomes, perform meaningful research and educate future urologists. We are so proud to be nationally ranked by
@usnews
- moving from
#48
to # 31. We will “Keep Getting Better”
@HMHNewJersey
@HMHSchoolofMed
@MarkSpartaFACHE
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4th arm pressure to control bleeding Once u have adequate pressure control. Breath. Alert anesthesia, get vascular in room, open and count tray, prepare rescue Prolene suture w/lapratye for 1 handed suturing, add extra port for assistant, 2 18 gauge IVs Get 3 tries, 500cc EBL
Ok bold robotic surgeons. Fortune favors the prepared. While operating on an accessory renal vessel at its origin on the aorta with lymphadenopathy you see this. What’s your next move? How do you prepare in advance to handle this should it occur?
@bcm_urology
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Attention Medical Students interested in Urology!
@HUMCUrology
is offering a 1 yr research fellowship - 13 active IRB’s databases in oncology, urinary reconstruction, infertility and ID. Amazing mentoring, learn key aspects of research, stipend and PUBLISH! DM to lean more.
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Future urology applicants come for a subi. Check us out!
@HUMCUrology
Access to the latest in robotics. SP and DaVinci 5 working simultaneously. Also offering scholarship to visit 1/month
@NitinYerram
Special place with incredible culture
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This will further enhance surgical integration, efficiency, improve our sensation including force feedback, better vision and surgeon ergonomics. Biggest value is the data we get from case insights! Can’t wait to get it into clinical use!
@HUMCUrology
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A lot of surgeons and staff smiling at HUMC today. Thank you to the entire team, staff at
@HMHNewJersey
and
@IntuitiveSurg
for making this 10 year journey to a new system reality and believing in us. Most grateful-our patients!!
Introducing a brand-new member of the Hackensack Meridian family...the da Vinci 5 Robot 🤖 This cutting-edge surgical innovation is at just 14 medical centers worldwide, and Hackensack University Medical Center is the only one in New Jersey.
#roboticsurgery
#surgery
#innovation
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Packed room at
#AUA24
for robotic urinary tract reconstruction course. Year 6. Thanks to my partners in crime
@md_eun
@roboraju
@lee_c_zhao
and and
@AmerUrological
for
@the
opportunity
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@JamesPorterMD
delivering his menon award lecture. Love this quote. For
@l
anyone trying something new sure u can relate.
@RoboUro
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Just 15 years ago 2% of partials were done robotically. Look how far we have come. 3/4 patients benefits from MIS. I also believe that robotics has helped to drive the use of PN rate way up
@allaf_mo
@JamesPorterMD
@CraigRogersMD
@DrRonneyAbaza
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Today
@HMHNewJersey
performed their 1000 single port case! First in nation! Thank you to all our pioneering surgeons
@RoboticsUrology
; Richard Park(ENT); Brian Benson (ENT) and our incredible robotics’ team led by Vivian Kufour.
@MarkSpartaFACHE
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CALLING MED STUDENTS INTERESTED IN UROLOGY:
@HUMCUrology
is accepting applications for a PAID 1-year research fellowship with leaders in SP robotics, reconstruction, oncology FPMR, and surgical simulation. . Apply
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Techniques of Robotic Urinary Tract Reconstruction: A Complete Approach. Now available on amazon. Great resource for those interested in robotic reconstruction. 35 videos to supplement your learning.
@lee_c_zhao
@md_eun
Chester koh
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Calling ALL medical students interested in Urology. This will be our 5th year offering a one year paid research fellowship at
@HUMCUrology
. Designed for students enrolled in US medical schools looking to immerse themselves in high quality urologic research. See below and apply.
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Interested in avoiding and managing robotic nightmares?! Tune in Thursday pm as Rene Sotolo presents the nightmares and the panel shares their experience on how to avoid and if need be manage. NOT to be missed.
@DrMihirDesai
@jeffcadeddu
@DoctorSotelo
@IntuitiveSurg
@HMHsomSHU
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Today a very special nurse Lilly (aka grandma) who I had the honor and pleasure to work with at HUMC is retiring. This is a letter she shared with us. We wish her the best and will miss her commitment to our patients and all of us.
@HackensackUMC
@RoboticsUrology
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. Woke up to this news regarding my alma mater. Just incredible. What generosity and humbleness. Not even a name change to recognize the gift! Wow!!!! Congrats
@EinsteinMed
@MontefioreUro
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Team making me feel very special today with new cart and new briefing and timeout sheet
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Looking forward to representing
@HUMCUrology
@HMHSchoolofMed
@HMHNewJersey
at
#ERUS22
. Showcasing a live BMG Ureteroplasty. Technique robotically 13 yrs stong. CORRUS
@ZLeeGU
@md_eun
@lee_c_zhao
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Just in case you could not access. Here is an example of what will be covered. Sign up now to see how we prevent and manage these heart pounding scenarios
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Amazing day with friends, colleagues and urology residents around country at our inaugural SP resident/fellow symposium.
@drpalese
@NYCRoboticTeam
@aghazimd
@Endo_Society
@HUMCUrology
. Off to dinner and drinks🍾🍻🎉
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All medical students interested in spending a one year clinical research fellowship
@HUMCUrology
interviews are happening now. Current projects include SP vs MP robotic analysis, nerve regeneration during RRP, 3D intraop imaging, phage therapy for recurrent UTI’s and much more..
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Look at this line up!!! Saturday August 14th we have experts from around the country discussing robotic urinary reconstruction. Live surgery - buccal mucosa ureteroplasty, incredible "how to" agenda and dynamic diversified faculty. RESIDENTS AND FELLOWS ITS FREE!!! Sign up now!
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US urology chief residents and robotic/oncology fellows. Register and sign up now. Already 25 applications. We will be closing registration June 1st. This is a one of a kind experience. Check out our video. . Click here to register.
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We have a date! For all program directors, senior residents and fellows interested in SP surgery please mark your calendars.
@HUMCUrology
the first hospital in nation to perform 1000 cases!
@HMHNewJersey
@NYSAUA
@SocietySURS
@RoboUro
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@JamesPorterMD
@CILR23
completes RPLND with superior hilar dissection. Always learn something watching Jim operate. Don’t rely on sealer use clips. If nodes going superior remove. Split role like open. 👍
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I still get so excited with what robotics allows me to do in terms of reconstruction during PartialNX. Come join us for a discussion on partial and use of IRIS “Beyond the Lens”.
#RUCHappyHour
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Join me and
@RoboDocX
for a European seminar on SP surgery. Sponsored by
@surgquest
Hope to see you there.
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Excited to announce our SP Symposium for residents and fellows coming this September. Thank you to the Endourology Society for their support and our industry partners.
@RoboticsUrology
@NYCRoboticTeam
@drpalese
@MSBillah_md
@Endo_Society
Billah your pic will be in next version🤦🏻♂️
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This has been year of research and collaboration
@HUMCUrology
. Through our own efforts and collaborating with SPARC, CORRUS,
@NYUUrology
@TempleUrology
@CleClinicUro
@MSUroRes
@UICUrol
we have had one of our best years ever!
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Yet another shout out to my colleagues.
@drjkaouk
@RoboticsUrology
@SimoneCrivella2
left retro SP partial. 1:30. I did flip camera to 12 o’clock. Let’s regionalize surgery! For those residents and fellows unable to come this we will definitely being doing it again.
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Senior Urology resident or fellow with interest in SP surgery - this is THE PROGRAM to attend. 3 live surgeries
@mdstifelman
and
@RoboticsUrology
Lectures
@SimoneCrivella2
@drjkaouk
@NYCRoboticTeam
. Hands on training with prostate models. Apply now.
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Grateful for intuitive for allowing
@HMHNewJersey
to be first in country to use E200. It’s a game changer! First case robo nx with level 2 thrombus. Clean, efficient and reproducible delivery of energy.
@IntuitiveSurg
@shah
.jignesh79
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If you do robotic kidney surgery watch this! " You can learn great things from your mistakes when you aren't busy denying them". Stephen Covey
Our video entitled: "Superior Mesenteric Artery Injury during Robotic Left Radical Nephrectomy: Prevention and Management” was awarded as the Best Video
@AmerUrological
@DoctorSotelo
@arefsayeghs
@lperezarteaga
@LGMedinaN
@aniballariva
@mdstifelman
#uscurology
#AUA22
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Dan. Great job spreading this technique literally around the world. Buccal ureteroplasty has changed the paradigm on how we treat long proximal ureteral strictures. Auto transplant and ileal ureteral no longer required.
Grateful to perform the first live case buccal mucosa graft ureteroplasty in People’s Republic of China in Zhengzhao with my fellow
@ZLeeGU
. Super complex case with duplex kidney with a 5cm proximal ureteral stricture. Nice to gain international street cred for
@TempleUrology
.
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Morning rounds with team urology. Excited to start another academic year!
@HackensackUMC
@HMHsomSHU
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Up and available to view. Missed our symposium, want to share with staff/attendings and want to view the lectures and/or live surgeries go to link! special tx to
@wiegand_luke
@RoboDocX
@jimhumd
@RoboticsUrology
@MSBillah_md
@BoxLineBox
@HUMCUrology
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Excited to see
@HUMCUrology
publishing on their vast (>400) SP experience. This one outlines very novel approaches for female orthotopic neobladder using SP and NOTES. Looking forward to sharing more.
@_bobbyharrison
@RoboticsUrology
@MSBillah_md
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Came back
@RoboUro
and tried something new. Transvesicle SP simple prostate. 2 modifications - camera at 6 o’clock and sutures in apical tissue - better traction. Those using this technique may want to try.
@drjkaouk
@RoboticsUrology
@nathanch3ng
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Last case symposium- buccal mucosa ureteroplasty. Patient asking to leave today Thank you
@RoboUroMD
@drpalese
@MSBillah_md
@RoboticsUrology
@NYCRoboticTeam
for making it success and all the program sent their senior residents .
@StanfordUrology
@HarvardURol
many others !
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Completed first SP case today. Used ROSI ( remote operated suction irrigation) by VTI, no need for a plus one trocar. Thank you to our amazing team of urologists
@RoboticsUrology
and nurses at HUMC
@HackensackUMC
blazing the path into the future of minimally invasive surgery
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About to start first single port live case ever. Hilar tumor partial
@DrRonneyAbaza
@NAmerRoboUrol
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63 y/o male, group 3 prostate cancer. PSH-L. Open Nephrectomy; b/l renal transplantations, 2 ex lap for SBO one closed with wound vac, BMI 34. VERY glad to have SP and extraperitoneal experience. Another advantage of
@training
at
@HUMCUrology
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1
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Special thanks to Taiwan Urologic Association and
@IntuitiveSurg
for hosting me this week to talk about all things robotic urologic surgery. Brought family who have been touring the island. Big 👍 up! Always so great to catch up with old friends and meet new ones as well
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Asked alot if we first train residents on MP than move to SP. Answer -NO . We train in parallel. Young minds have the neuroplacicity (sp?) to handel both.
@HUMCUrology
on track to perform ~300 SP cases and 700 MP cases this year. Med students applying for urology check us out.
So nice to see our newly minted chief resident stepping up to SP robot..here
@DoctaSnips
getting into action with retroperitoneal UPJ repair using right variations of LAA incision in this case right Pfannenstiel.
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Here is just one of many pearls you will learn at the Robotic Urinary Tract Reconstruction Course.... Using intra-op URS with fluorescence imaging to find stricture
@NYSAUA
@AmerUrological
@HUMCUrology
@lee_c_zhao
@md_eun
@roboraju
Start
#AUA23
with instructional course on robotic upper tract recon with amazing faculty
@md_eun
@mdstifelman
@roboraju
. Friday 7:30am S103B. Updated content on buccal ureteroplasty, ureterocalycostomy, intracorp ileal ureter, much much more.
@SocietyGURS
@SocietySURS
.
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The idea behind this article started in 2016, persistence by all allows us to state with confidence - Airseal has no increase risk of side effects compared with conventional insufflation(CIS) and adds benefits. When u ⬇️ pneumo by 20% get further improved outcomes vs. CIS
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This is THE option for proximal ureteral strictures where UU not possible. Here is video. . Great to see technique adopted in India. Exciting. Have long term follow up on 50 cases. Success 90%.
@md_eun
@lee_c_zhao
Laparscopic and Robotic buccal mucosal grafts for ureteric strictures by Dr Mallikarjuna from Hyderabad . Interesting concept
@north
zone USICON New Delhi
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@RoboUro
- Live surgeries, how 2tips, networking, great food/entertainment and cheap flights.
@HUMCUrology
presents
@RoboticsUrology
live cystectomy day 2
@HMHNewJersey
in new HTP surgical tower. TY
@BoxLineBox
and
@steris
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@HUMCUrology
excited to welcome residents and fellows from around the country for an immersive 2 day SP Symposium hosted by
@HMHNewJersey
Thanks to our faculty
@MSBillah_md
@RoboticsUrology
@RoboDocX
@wiegand_luke
@jimhumd
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👀 who is coming to
@HUMCUrology
to learn about SP robotics! 2 days of didactics, live surgery and hands on training. Some of the best and brightest senior residents/fellows around the country. Could not be more excited and grateful to host. Special thanks to our faculty
2
2
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Great night with
@RoboDocX
talking all things SP. TY
@IntuitiveSurg
Also excited to share a recording of our
@HUMCUrology
Annual Single Port Symposium 2023
@RoboticsUrology
@drjkaouk
@MSBillah_md
@NYCRoboticTeam
@aghazimd
@SimoneCrivella2
@BoxLineBox
1
4
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Wait there is more…. 3 hysterectomies
With
@AmiVaidya3
our GYN Onc prior. That’s four cases- not one camera clean, complete autonomy and efficiency. Helps we have best robotic staff ever! Already seeing real value
@HMHNewJersey
@IntuitiveSurg
First day on the
@IntuitiveSurg
dV5. Many internal features..Auto smoke evac and tip warmer is great addition.
Entire cystectomy and intracorporeal diversion without cleaning camera
Real test comes tomorrow
@mdstifelman
@HMHNewJersey
@HUMCUrology
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Now we’re talking new procedures. Awesome.
A new
#minimallyinvasive
treatment for large
#BPH
: Suprapubic
#singleport
#simpleprostatectomy
. Thru a 3cm incision robot is introduced into bladder filled with CO2. Excellent exposure no assistant port,no drain
@drjkaouk
@CleClinicUro
@Endo_Society
@IntuitiveSurg
@urovidjournal
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Just got this from a class who watched live surgery
@LibertySciCtr
Made our teams day
@HMHSchoolofMed
@HUMCUrology
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For retro SP cases I do lower quadrant. For trans Sp cases i use umbilical. Cosmetically I really like the umbilical incision. Welcome any thoughts from friends
@NYCRoboticTeam
@SimoneCrivella2
@drjkaouk
@jimhumd
@drpalese
@RoboDocX
@UABRenLec
@lee_c_zhao
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Thanks david for the shout out. Any residents/fellows/attendings looking for some full length videos check out . You have inspired me to add more like renal vein transposition and double buccal.
Thanks to
@mdstifelman
for tips from his SP surgery videos, recently did a single port pyeloplasty using
@md_eun
hook.
#singleport
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This works as I have used same technique as described by LZ. Don’t have these size balloons so use 30 fr 10 cm. Works well and easily able to pass 26 fr resectoscope after
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It must be stressed-Nathan prepared for this moment by completing our state of the art simulation program
@IntuitiveSurg
, assisting bedside and reviewing our extensive video library. He will also participate in our
@CSATSinc
program - we invest heavily in resident training.
Words cannot explain the excitement of our first year urology resident
@nathanc698
sitting for first time in the robot to do part of the prostatectomy
@HMHsomSHU
@mdstifelman
. Our resdents recieve well rounded experience.
@AmerUrological
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Getting excited to start the Congress. The superbowl of Robotic Urology. 26 live multiport; 6 single port and 28 semi-live in 3 days. Going to Lear a lot. Special thanks to Vito Pansadoro for spearheading this Congress for 20 years.
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Just over 4 weeks away! Opportunity to learn robotics and focal therapy with hands on for both! If you are a SUO or Endourology fellow this is not to be missed. Designed for transitioning attending and those looking to explore some new skill sets.
0
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Was a great event. Picture at bottom was showing what DaVinci 5 case insights is all about.
Fantastic
#GrandRounds
talk today by our
#visitingprofessor
@mdstifelman
Chair at
@HUMCUrology
, discussing cutting edge
#robotic
#reconstruction
techniques and cases and including 1-on-1 time w/ our residents!
#Meliora
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This is a follow up to the Ruh Roh moment when doing a UPJ repair and found TCC. Final Path. Feeling Lucky. Will do careful surveillance.
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One more post from
@HUMCUrology
SP symposium. Got some great interactive shots to share. Thanks again to faculty and attendees
@NYCRoboticTeam
@aghazimd
@RoboticsUrology
@RoboUroMD
@MSBillah_md
@drpalese
CU next year!
2
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Join us this Thursday
#RUChappyhour
This week were talking robotic Nephu. I’m fan of opening bladder to confirm UO excision. Lots of others ways to do this. Join us and share your thoughts and videos.
@NYCRoboticTeam
@RUCgroup
0
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It takes a dedicated team that exudes pride, thrives on excellence and treats each other like family.
@HUMCUrology
We are ready when you are!
Great to host
@BIDMChealth
leading robotic surgeons
@Peter
Chang and
@Andrew
Wagner shared ideas and expanded use of SP intuitive system, how we run duel room with SP and Xi and get through six cases in a single day
@HUMCUrology
1
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Congrats. As I like to say “if not reproducible it does not matter how good an individual results are, still not a good operation” we are seeing this technique being reproduced around the world! ? Less learning curve than holep
Single port transvesical simple on 215g gland. Credits to
@RoboticsUrology
@mdstifelman
@HUMCUrology
for top notch sp training
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19-Year-Old Gets ‘Back to Living’ After First-Of-Its-Kind Surgery to Treat Rare Vascular Condition 1st time seeing and managing
#nutcracker
syndrome. Send DM if you want copy video. TY
@JamesPorterMD
for teaching me this exposure.
@HUMCUrology
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Celebrating some major milestones:
In person teaching rounds with bagels and lox; approval for 2 residents a year; 14 abstracts accepted to AUA (60% acceptance) and in person 4th year SUBI. Students interested in urology apply and check us out. 2/month urology!
Really excited to announce we are now officially open to applications for sub-Is. Apply via VSAS.
You can also visit our website for information on our residency program.
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SP marathon going on right now. Just saw a SP retro calycostomy. 🤩
@lee_c_zhao
now tackling BNC with
@wiegand_luke
Good times. Great learning!
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... and to think it all started over some beers! So excited to share this with all interested in robotic urinary reconstruction. Thank you to all the amazing authors, editors and springer!
@springerpub
@lee_c_zhao
@md_eun
and Chester Koh
Our 1st textbook hard copy finally in! Thank you coeditors
@mdstifelman
@lee_c_zhao
@ckohmd1
for countless hrs corralling all the talented authors. The 1st textbook dedicated to emerging field of robotic reconstruction.
@TempleUrology
@templemedschool
@SocietyGURS
@Endo_Society
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Big thank you to my friends and colleagues
@drjkaouk
@SimoneCrivella2
@RoboticsUrology
@NYCRoboticTeam
This morning I took all the knowledge you shared and applied to a redo pyeloplasty. 70 minutes and so much easier going in away from previous surgery. Before/after below
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