Inaugural SP case observation site launch at Swedish in Seattle with Dr Grant Owens. Thank you @Dr_Jen_Linehan for sending your rockstar fellow to spend a day with us. Future of SP is bright!

@asajimd @MickeyBmickeyB

Some thoughts on SP stapler in a robotic nephrectomy — BMI 52, TIGHT retroperitoneal space. 🎥
✅ Fires clean, control & maneuverability excellent
✅ Advanced SP access kit = assistant gets 1–2 instruments in alongside your robotic arms
⚠️ Access kit footprint is overkill for casectomy
Overall tho- Great value where working space is tough
@urorogerio @SimplyUroMD @MickeyBmickeyB @DavidMcEntire29 @RoboticsUrology @IntuitiveSurg

STEP (SP RASP) for BPH. Excellent outcomes with 360° VU anastomosis shown in 3x. Watertight , minimal EBL, no CBI, same-day discharge. Catheter out day 5 in a previously foley-dependent patient - now voiding spontaneously with minimal PVR (shared w/ pt consent). Grateful to THE @humcurology for the training that made this possible.
@IntuitiveSurg @mdstifelman @asajimd @urorogerio @MSBillah_md
#Urology #RoboticSurgery #SinglePort #SPARC

Great energy at the @HUMCUrology SP Symposium — lectures, live cases, and SP simulation with chief residents and fellows. The future of SP is in good hands. An honor to teach with @mdstifelman @RoboticsUrology @SimplyUroMD @MSBillah_md @urorogerio and Po Lam. #SinglePort #UroSoMe

Excellent SP symposium at @HUMCUrology as always. Future looks really bright with these talented residents/fellows. Learned lots of new tricks from @RoboticsUrology @SimplyUroMD @mdstifelman @MSBillah_md @TheMobotMD and Po Lam to take back home and try. Excited to keep the momentum going!

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

SP LAA nephrectomy in a young man with non-functional pelvic kidney and recurrent UTIs. SP stapler worked without a hitch. Placed at 12 o'clock.
Stapler lacks elbow that other SP instruments have so the boom moves externally to get in position. Also requires larger access globe md @MickeyBmickeyB

@RoboticsUrology @HUMCUrology @mdstifelman Congratulations! Your teachings have left a lasting impression on me. Hundreds of my patients have already benefited from everything I learned from you and I’m sure there will be many thousands more over the course of my career who will feel your impact

@asajimd

SP left retro reimplant for distal ureteral stricture from hysterectomy.

LAA offers amazing access to treat distal ureter strictures all while staying completely retro. Thanks to
@RoboticsUrology for showing the possibilities with this approach!

@SimplyUroMD @asajimd @MickeyBmickeyB

RT @asajimd: Plenty of HoLEP videos on X lately- lets show the other end of the spectrum. Heres an uncut (2x) ~400g SP transvesical simple…

Chief Residents, Robotic & Urologic Oncology Fellows—ready to level up?
SP Symposium apps are OPEN: 4 live SP cases, new faculty, hands-on + 3D models, networking 🍽️
Travel + hotel covered.
Spots are limited—apply now redcap.link/npenboee @RoboticsUrology @MSBillah_md @urorogerio

Setting the benchmark for SP excellence at Hackensack. 11 SP cases over two days. Always great returning to learn from @RoboticsUrology

@SimplyUroMD @LarryHouMD @asajimd @MickeyBmickeyB

❗To kick off NARUS, our very own @SimplyUroMD spoke with @RoboticsUrology of @HMSOM on how single‑port robotic surgery enables safer, more efficient retroperitoneal and extraperitoneal approaches while expanding the range of complex cases surgeons can treat.

📺 View more of video series: buff.ly/dvtLsU3

Huge fan of new reach assist on SP! Makes burping in and out a lot smoother and safer. Reach assist enabled when CRC is activated and allows you to advance or retract 3 cm at a time while holding your instruments still

@MickeyBmickeyB
@asajimd

Same day discharge after SP LAA sutureless partial nephrectomy.

@RoboticsUrology @RoboDocX Any thoughts on ways to increase odds of patients going home same day? Which types of patients or cases are best? Key instructions/teaching given pre-op vs post-op?

@asajimd @MickeyBmickeyB

Unbelievable day @asajimd and I had learning from the all time GOAT of single port @RoboticsUrology. 2 sp retro partial, 1 sp retro nephU, 1 transvesical ralp and mp salvage cystoprostatectomy with fistula repair done by 330pm

@MickeyBmickeyB

Sp reimplant of ectopic ureter. Transumbilical access with excellent cosmetic and functional outcome in young female with persistent incontinence

Anybody advocate for upper pole partial or clipping ureter ? @RoboticsUrology @mdstifelman @RoboDocX

@MickeyBmickeyB @asajimd

Are there limits to SP LAA partial nephrectomy? What's the largest or most complex tumor you've managed with this approach?

Sharing an example: a large, predominantly anterior upper pole tumor addressed via SP retro LAA.
@urorogerio @MickeyBmickeyB @SimplyUroMD @RoboticsUrology #RoboticSurgery

SP retro pyeloplasty from low anterior access. Shout out to @mdstifelman for all the important pearls in recon learned during residency. And of course @RoboticsUrology for showing the way with SPAM/LAA

@asajimd @MickeyBmickeyB