Excited to welcome our third da Vinci SP robotic system at @HMHNewJersey @HUMCUrology and use it to perform my 2,202nd SP case! The most da Vinci SP systems and the highest volume of SP oncologic cases at any institution worldwide. Grateful for the tremendous support @mdstifelman
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Join us October 28 at 8 PM ET for a step-by-step look at da Vinci Single-Port Transvesical Enucleation of the Prostate (STEP) and related transvesical procedures. Link: Intuitive.zoom.us/j/98467822481?… ID 98467822481 PW 769766
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Honored that Dr. Mani Menon highlighted my video of SP precision #prostatectomy during his Andrew Novick Innovative Award reception lecture at @CleClinicUro SP symposium a giant in robotic surgery whose relentless pursuit of innovation and excellence continues to inspire us all!
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Central renal masses are readily approached retroperitoneally with the SP robotic system,whether anterior or posterior. I favor a medial/hilar approach first to define the vascular and collecting-system anatomy early, facilitating controlled tumor dissection.
See demo reg speed
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Amazing how SP can expand options for our patients. A 3-cm retroperitoneal incision in the supine position allowed complete removal of a complex staghorn stone in a single setting—with only 45 minutes of operative time. This is what MIS innovation is about. @HUMCUrology
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A privilege to have Dr. Menon join us @HUMCUrology and provide valuable guidance during “prostate de-escalation surgery” using the SP robot. This may preserve continence and erections without compromising cancer control in select patients, unlike focal therapy. @MMenonMD
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Great visit to Koç University Hospital, hosted by visionary Prof.Yakup Kordan & @erdemcanda, early adopters of the @IntuitiveSurg SP, exceptional facility with comprehensive robotic and laparoscopic training,plus truly a model for hands-on surgical education.@RMKAIMES
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Unforgettable Rome tour at the @NYSAUA Annual Meeting, hosted by President @Hossein5555 ! Next stop: vibrant Jaipur, India, where President-Elect @JSandhuUrology will welcome us next year. Tomorrow’s SP talk will be packed with insights—can’t blink! 👀
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Welcome @LarryHouMD 👏
Completed his first official week of the RSMIUO Fellowship-7 SP and 5 MP cases under the belt! Already well-liked by the staff- a very important part of the fellowship. @SimplyUroMD cont. now at teaching role.@HUMCUrology @SummitHealthHQ
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Congratulations @SimplyUroMD, on completing your Robotic Oncology Fellowship! @Endo_Society Outstanding! waited to share this until you completed three solo SP cases, performed them exceptionally. Looking forward to continuing to work together and watching you grow even further.
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Amazing! 3 outstanding live cases:PNx,RALP &TV RASP moderated by an outstanding faculty. Great discussions with bright young minds,covering SP pearls across multiple procedures, including LAA SP RPLND.Fantastic education, collaboration..SP is present and future! @HUMCUrology
5th annual @HUMCUrology SP Symposium designed for SUO and Robotic Endo fellows as well as senior residents. Engaged faculty, participation from programs around the country, 3 live surgeries, 10 didactic lectures and hydrogel kidney training models for all participants day 1. lled by more learning day 2. 💪 @RoboticsUrology @MSBillah_md @SimplyUroMD @urorogerio @TheMobotMD
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Kicking off the Bangladesh Urological Association Annual Meeting with live laparoscopy and RIRS workshop. Proud of our graduating Chief Resident, @LarryHouMD, and @MSBillah_md take part in this exceptional opportunity. TY @HUMCUrology for sponsoring international resident edu.
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Thrilled to welcome Conor Driscoll from @NM_Urology top match for the 27-28 Robotic Oncology & Minimally Invasive Surgery Fellowship @Endo_Society Looking forward to an outstanding year of innovation,mentorship,and advancing the field together. Best wish to others! @HUMCUrology
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I’ve been fortunate to receive a few awards and scholarships throughout my life, but this one means the most. Honored to receive the Best Teacher Award from the finest—our @HUMCUrology residents. Despite everything on my plate, teaching remains closest to my heart. @mdstifelman
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Witnessed history last night at the #Knicks #NBA finals game with my son and partners! 🔥 The Garden was absolutely rocking, the energy was off the charts, and the memories made will last forever. One of those nights you never forget. TY @TRChristianoMD for planning.
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Heading home from #AUA26 after catching up with friends and colleagues, sharing ideas, and learning a few new things along the way. The best session by far, in my opinion, was the robotic theater — excellently managed by @mdstifelman. 👏 @AmerUrological @HUMCUrology
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Honored to continue our annual tradition of hosting the Bangladesh Urological Association surgeons during the AUA Convention lunch event. Thanks to @SimplyUroMD and @RoboUroMD @m_dreschermd @LarryHouMD for joining. @HUMCUrology @AmerUrological 🇧🇩🇺🇸
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AUA2026 robotic theater prostate session full capacity and standing, honored to moderate with distinguished panel, great discussions
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Just arrived in D.C. for #AUA2026 @AmerUrological. Excited to reconnect with colleagues and friends. Below are the program sessions I contributed to. Don’t miss the SP robotic cystectomy with Indiana pouch, to our knowledge is the first ever reported. @HUMCUrology @SimplyUroMD
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STEP for BPH: effective for any prostate size or shape, even with an atonic bladder.Heals by primary intention—fast symptoms relief—with no early or delayed bleeding and no need for CBI. @HUMCUrology brings unmatched SP robotic experience.
Had an incredible visit with @RahulMehan1 today.
Different surgeons. Different techniques. Same mission.
From Aquablation to HoLEP, we work together-not against each other-to bring the best technology to men struggling to urinate.
Because it's not about the tool... it's about d for episode 2, the laser strikes back.
#aquablation #holep #bph #menshealth #starwars
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Now, with mastery of the MIS approach, SP robotic RPLND can be performed completely retroperitoneally through a single 3 cm incision, next day home, making the case even stronger.
🔥@UrolOncol April issue! #TestisCancer

RPLND in stage II ECP NSGCT
1⃣ 85% cured by primary RPLND alone
2⃣Oncologically safe and effective when performed at high-volume centers
3⃣Results in less secondary therapy and reduces treatment burden

🔗bit.ly/4cwBEIr
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Replying to @uretericbud
@uretericbud @DrSpratticus @dr_coops @Uroweb @BogdanaSchmidt @ChapinMD @wandering_gu @qdtrinh @jeshoag @SFreedlandMD @EUplatinum @UrologyUS SP isn’t here to replace MP completely, yet. But dismissing it as “just hype” ignores where it actually changes what we can offer patients—especially extraperitoneal and transvesical approaches.

Nuance matters. Full ⬇️
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☪️ Eid Mubarak to all my colleagues and friends who are celebrating. May this blessed occasion, following a month of fasting and reflection, bring you peace, good health, and tranquility. Wishing you and your families joy and fulfillment. 🕌 🌙
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Took a break from the SP robot to try the PUSEN 7.5Fr DISS™ ureteroscope with an 11/13 ClearEVAC suction access sheath on a 3.5cm partial staghorn. Excellent visualization-cleared it in <1hr. As this technology continues to improve,it might eventually put PCNL out of business.👀
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Proud to be invited to demonstrate a live SP TV Simple Prostatectomy (STEP) at @RoboUro #NARUS2026. Skin-to-skin in under 45 minutes. Grateful for an outstanding team @HMHNewJersey @SimplyUroMD @HUMCUrology @LarryHouMD 👏
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Wow! #ProstateCancerScreening front and center at the #SuperBowl. Even tight ends can relax — because in many cases, a blood test comes before the DRE if any 😂🏈. That’s a win for everyone Relax your tight end. youtu.be/lMTcZb48aVU?si… via @YouTube
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Another live laparoscopic surgery workshop completed in Bangladesh-this year was special, Bangladeshi colleagues ran side-by-side live lap cases, and most importantly, robot has finally arrived-2026 will be an amazing year for MIS in Bangladesh! @AmerUrological @Endo_Society
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Night out in old Jeddah with amazing fresh seafood at #3rdSUD #Jeddah. Up next..will be presenting on robotic/MIS topics: reconstruction, complications, unique SP robot approaches, and incisionless cystectomy. @wissamabokhalid @gbrobouro @almoflihi_m @Endo_Society
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Honored to present at the @MountsinaiUro 7th Annual Meeting, “Low Anterior Access:A Unique Solution to Multiple Challenges.” SP robot continues to open approaches to surgery we never imagined. Highlight-receiving the Golden Robotic Society pin,personally placed by @AshTewariMD 🙏🏽
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It was a pleasure reconnecting with friends from the UK and Detroit during the @MountsinaiUro Sinai Urology 7th Annual Meeting. Excellent meeting and enjoyed the chance to share ideas and learn. @LondonProstate1 @RaviBarodUrol @nikhilvasdevuro @CraigRogersMD
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Honored to share my experience with SP robotic radical prostatectomy (regionalizing surgery) at the @NYSAUA meeting in Paris 🇫🇷. Grateful for the opportunity—well received and sparked good discussions! #Urology #Robotics @SocietySURS @AmerUrological @HUMCUrology
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Another great SP proctoring day at Centre Hospitalier de Valenciennes 🇫🇷 with Drs. Lokmane & Benkirane! Honored to be called into the Xi room for a challenging recon case. Wrapped up with a fine Parisian dinner 🍷 Next stop: Paris for the @NYSAUA meeting!
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So nice to be with Europe’s most efficient surgeon I’ve ever proctored, Dr. Christian Schwentner, @lapguy at Diakonie-Klinikum Stuttgart, 🇩🇪. 6 SP cases — 5 RALPs and 1 (complex)PNx Amazing day (<10hrs)!
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Proud to present the SP robotic retroperitoneal partial nephrectomy #WCET25 @Endo_Society with Dr. Lee Richstone challenging the concepts, and chaired by the giant of minimally invasive surgery @RalphVClayman. @HUMCUrology
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Nice to see our abstract on incision-less single-port cystectomy highlighted at #WCE25 @Endo_Society as we continue to push boundaries in minimally invasive surgery. @HUMCUrology @HMHNewJersey
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Lap/Robotics: Lower & Upper Tract — timely state-of-the-art abstracts reviewed in an excellent discussion led by @NazihKhaterMD and @Dr_Jen_Linehan, Courtney Yang, T Habuchi #WCET25, @Endo_Society
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What an amazing @SocietySURS session at @Endo_Society #WCET25. Incredible interactive and engaging challenging dogmas and innovating and most of all learning from each other; all this and still on time! TY @mdstifelman.
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Proud of our team @sonam_sax and @LarryHouMD presenting at #WCET25 @Endo_Society on the largest series single-port (SP) vs multi-port (MP) cystectomy comparison, and SP vs MP functional outcome comparison for RALP. Much more to come from @HUMCUrology tomorrow
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Proud of our residents and students @HUMCUrology presenting in strong numbers at #WCET25 @Endo_Society. Don’t miss my must-watch presentation on incision-less cystectomy and the SP LAR retro partial challenge! @HMHNewJersey @sonam_sax
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Five cakes birthday, but more robotic cases (7). Nice to share birthday with my resident ⁦@AKP_Med⁩..top notch, wonderful operating room staff ⁦@HMHNewJersey⁩..Thank You
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Replying to @CDFankhauser
@CDFankhauser @HUMCUrology @SimplyUroMD @MSBillah_md Full spec template will try to get the video edited, resdient has it. But here is a post pic..IMA was saved and completely skeletonized
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Replying to @RoboticsUrology
SP robot – Final incision photo.
Had to extend slightly beyond the usual 3 cm due to specimen size. Photo shared with patient’s permission. @HUMCUrology @SimplyUroMD @MSBillah_md
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Replying to @RoboticsUrology
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We’re continuing to expand the use of SP at @HMHNewJersey. Dr. Moore @DoctorRyanMoore successfully performed a no-incision LAR with coloanal anastomosis — one of the first cases in the country, and the first of its kind in New Jersey. Excellent outcome — more to come! Pt’s apr.
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Day 2 continues with an incredible redo SP UPJ repair with crossing vessels by @mdstifelman. Followed by more SP surgery pearls—highlighting the advantages of the trans-V approach and various types of procedures that can be done. Capped off with hands-on SP training. @HUMCUrology
Day 1 of @HUMCUrology SP symposium done! Shared key pearls with young minds. Two complex live cases—ERALP & RetroPNx—demonstrated by @RoboticsUrology, capped off with a great reception dinner. Excited for tomorrow’s live SP UPJ by @mdstifelman. Amazing faculty (tagged)
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Day 1 of @HUMCUrology SP symposium done! Shared key pearls with young minds. Two complex live cases—ERALP & RetroPNx—demonstrated by @RoboticsUrology, capped off with a great reception dinner. Excited for tomorrow’s live SP UPJ by @mdstifelman. Amazing faculty (tagged)
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In <24 hrs, we’re excited to welcome @UroOnc and @Endo_Society fellows & select chief residents. Kicking off our 2-day SP hands-on symposium hosted by @HUMCUrology with live SP RALP and LAA PNx. Amazing faculty: @mdstifelman @oooitsjulz @DrShakuriRad @NelsonNelsonr2 @MSBillah_md
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Farewell to our outstanding fellow Ryan Russell (>650 robotic cases)—ready to tackle anything with SP or MP Intuitive robotics. Proud to have helped shape such unique talent. Welcome David A @SimplyUroMD—excited for another year of innovation, learning & impact. @Endo_Society
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Happening today @HMHNewJersey Just got our second SP robot, already in use. Did 6 cases today using both SP systems. With 2K+cases on our first, it’s exciting to see growth. 6 urologists & 2 ENT surgeons routinely using SP, with more coming. TY @mdstifelman for all the support.
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Another great example of what the SP robot makes possible. 4.5 cm Rt renal mass + 2 cm para-aortic LN near Lt hilum (prior lymphoma)-managed seamlessly. Retro Rt LAA gave direct access to both, saving time, pain. Home <24 hrs. Mastery is within reach—just takes effort, vision. x.com/RoboticsUrolog…
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Pre-celebration hosted by OR staff for our @HUMCUrology graduating chief @DoctaSnips (Sarah Brink) well liked by all the staff…amazing 5 years …congratulations..best of luck in Vancouver.
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Replying to @asajimd
@asajimd @urorogerio @MickeyBmickeyB @SimplyUroMD As you know me Akhil there is no absolute rule. Just did this one today. You can do any as you gain experience and confidence nice job 👍🏼. So proud of you guys, and results shows it was well worth teaching you guys.
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An absolute pleasure to host the superstar of robotic surgery,Professor Christian Schwentner (@lapguy),for an SP robot observership. Performed 4 SP cases during the day-great to see how closely our surgical approaches align. Great minds think alike!.Pic-view of NYC @HUMCUrology
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Capped off the live surgery workshop with an upper pole lap partial Nx in Bangladesh.Amazing energy from the young urologists! Had to snap a pic with the incredible team of female Bangladeshi urologists.Can’t wait to see them get the robot! @AmerUrological @Endo_Society
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