One useful part of SP is the ability to access the retroperitoneum & pivot to intraperitoneal with a second SP access port + extracorp anastomosis. robotic right ileal ureter for obliteration caused by radiation. Full case uncut 127 min youtu.be/sUHaCnpOWno?si… via @YouTube

During recent #EAU25 & NARUS
mtgs, many ? about why SP for recon. very useful for avoiding adhesions. Right ureteroenteric stricture repair after open APR, recognized enterotomy. Full length, uncut 108 mins. youtu.be/S1cP1KCajYo?... via
@YouTube

At #EAU25, I spoke about the concept of non-transection for pyeloplasty. Here is a case were the ureter has been transected already so a flap is ideal. SP Left Pyeloplasty Y-V after Indiana Pouch youtu.be/cR5xsokU3Yk?... via
@YouTube

Why does a hydrocelectomy require an incision the size of the hydrocele? Simple technique to aspirate the fluid to minimize incision size and trauma to the scrotum. Full case filmed with Apple Vision Pro. youtu.be/j_0omR5AfOg

To reduce risk of ischemia from transection for pyeloplasty, I perform a non-dismembered flap technique for all UPJO. SP robotic pyeloplasty, right side, supine retro, Y-V flap for narrowed UPJ, 33 min uncut. youtu.be/GbHA_5iP5oE

An easy technique to find dorsal urethra: dissect to left corpora cavernosum, then turn left to get to urethra. Urethroplasty w BMG dorsal onlay, uncut 50 mins, recorded using Apple Vision Pro. youtu.be/2uZoZkARJi8?...

Annual review: 2024 was productive. ~600 cases, ⬇️urethroplasty (due to Optilume), ⬆️ureter recon, ⬆️robot, 📈innovation. Lucky to be in the right place @nyulangone.bsky.social, privileged to train residents, fellows, colleagues, & grateful for the trust patients have placed on me. Happy New Year!

>11 years ago, Michael Stifelman & I performed 1st robotic buccal mucosa graft ureteroplasty. Dan Eun joined us after learning of the technique and formed #CORRUS. Here is our decade long follow up: n=163, 92% success.
authors.elsevier.com/c/1kIHjKZx3f...

Drinking from the cup of the master Sanjay Kulkarni at the Kulkarni Uro Surgery Hospital. Looking forward to a great course.

Placement of ureteral stents during recon makes the surgeon feel safer, but it may increase the risk of ascending infections. I've moved towards fewer stents for routine cases.
Robotic ileal conduit, no stents, uncut. 52 mins. youtu.be/DdeVGMZK6jw?... via @YouTube

Just joined Bluesky. Introduction to my practice in New York. High volume upper and lower tract recon, with experience in gender affirming surgery and robotics. Fellowship in the GURS match.