650gm est prostate size w/SPT&foley chronic bleeding/clots. Robot simple: 1hr resection+30min hemostasis+40min 360 anastomosis/Cystectomy closure. 18Fr 2way cath/No CBI. 487gm adenoma resected weight. Foley clear AM POD1. Always exciting @TempleUrology @SocietyGURS @Endo_Society
Daniel D Eun MD
1,451 posts
Robotic urology surgical technique innovator/teacher/enthusiast. Be kind, generous & thankful for all things. Aficionado of travel, food & culture. Views mine.
- Wwwhhaattt? Uretero-duodenal fistula referred to us for repair after ureteroscopy and perforation for stone disease. Stent removed+PCN placed to allow for period of “ureteral rest” before repair. Always something exciting going on! @TempleUrology @SocietyGURS @Endo_Society
00:00 - Hey twitterland robotic surgeons, Just discovered this corrective posture Intelliskin zip-up shirt. I’ve had trouble w/rotator cuff issues. Support straps encourage better posture, esp with straightening shoulder as your sitting at console for hrs but prob good for any surgery.
- The beauty of 360 degree running anastomosis after 250gm simple prostatectomy enucleation. Apical mucosa to bladder neck. Catheter slides right in. Minimal postop hematuria. 18Fr 2 way catheter. No continuous bladder irrigation. Same day DC. 0 pads. Always exciting @TempleUrology
00:00 - 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
- A new alternative to bowel interposition developed @TempleUrology: A transureteropyelostomy is a variant of TUU but for shorter ureters where TUU won’t work. Pt in 60’s post radiation for cervical CA w/L mid Ureter stricture. Pic: 30cm stent w/90 turn @Endo_Society @SocietyGURS
- Embarking on a new chapter of my professional life. Sad to leave my partners and the residents at Temple University after 13 amazing years. I’ve now moved across town to Thomas Jefferson University. I wanted to remember my first case with my new residents @EinsteinUrology!
- Interesting case: male mid 60s w/ prostatomegaly who presented with urinary retention. PSA of 35, Gleason 7 Ca, MRI est size: 590 gms. Case took 4 hours w/ EBL 500cc. I’ve wondered what’s the largest prostate that’s been removed out there for prostate cancer?
- Just for fun: Here’s a big prostate for RARP. 400gm est. size on MRI. What’s the largest radical and simple prostatectomies that you guys in Twitter land have done? In residency @VattikutiUrol we did a 640gm (specimen) simple. For RARP: I did a 500gm RARP. @TempleUrology
- Want to minimize ports for robo recon? Here’s a simple to do trick I made up years ago to help with tissue retraction. The “Eun Fishhook”. Bend the tip of needle & setup as adjustable pulley using 6” 3-0 VLOC. Easily readjustable, endless variations. @TempleUrology @SocietyGURS
00:00 - Hey urology trainees, what does an ischemic ureteral injury look like? Here you can see the fibrotic changes at the distal-most ureter prior to our repair. @TempleUrology
00:00 - Just for fun. I see lots of huge prostates in my practice. This one is a 350gram doozy. Sometimes my imagination gets the better of me. Sometimes these prostates stare back at me. Today is my 21st wedding anniversary & I think I see a heart and a teddy bear!Enjoy. @TempleUrology
- Buccal mucosa graft is good option for failed ureterocalycostomy. Pt in 20s failed pyeloplasty, a revision w/renal pelvis flap and then UC. Recurrent pain & UTI. So I went in for 4th attempt. ICG: great perfusion so did a 3cm BMG onlay. @TempleUrology @Endo_Society @SocietyGURS
- 60yo male BMI40 history recurrent stones, open pyeloplasty (1980s), more recently PCNL & endopyelotomy. Obvious 5-6cm proximal stricture on retrograde at endopyelo site. Renal scan: 28min T1/2. Pics show 5cm buccal graft. Home same day. @TempleUrology @Endo_Society @SocietyGURS






























