Brian John Chaplin

@Urodoc46 @Houstorian My best mate from Med School did a med student taster rotation with Cooley: he was an absolute gentleman (and a genius surgeon).

@Houstorian I don't know as much about Cooley but apparently DeBakey was a notoriously toxic character and a dreadful bully. Made life miserable for a lot of people

Today in 1970, feuding Houston surgeons Denton Cooley and Michael DeBakey appear on the cover of Life Magazine.

@DrShakuriRad Wow. Inspirational. Congrats!

When I was in residency, we used to try to do 3 robotic cases by 3 PM… that was our golden target. Fast forward to the age of SP surgery and now the target has moved to 6 by 6 PM. ALL OUTPATIENT. The right tool in the right hands…grateful for those who made it possible @IntuitiveSurg #RoboticSurgery

@ciirarref Go and get yourself into that operating room right now. 3 days is critical.

Haven't operated in 3 days getting withdrawal

@DrSpratticus @ChapinMD @urotoday @UroOnc @Uroweb @wandering_gu @BogdanaSchmidt @CanesDavid @DrMLChua @HimanshuNagarMD @AmarUKishan @piet_ost @alison_tree @declangmurphy Okay. What about those men with LUTS and a completely normal PSA. A non PSA secreting tumor and if only the urologist had bothered to do a DRE a rock hard T4 prostatic tumor. What about those patients?

#EAU26 DRE not recommended for asymptomatic men. What are people’s thoughts on need for routine DRE in era of MRI? @ChapinMD @urotoday @UroOnc @Uroweb @wandering_gu @BogdanaSchmidt @CanesDavid @DrMLChua @HimanshuNagarMD @AmarUKishan @piet_ost @alison_tree @declangmurphy

@hayesjdb What a post John. All the important things in life. What an incredibly apt name for a bunch of urologists to repair to.

Have identified the optimal site for post-session fluid management at this year’s #EAU2026 Where flow dynamics, Peyronie’s plaques and cavernosal arterial insufficiency can be discussed freely over a pint 🍺 #YeOldeCockTavern

@jimhumd Where?

@murthykusuma Congratulations Murthy! All best wishes from Middlesbrough

Honoured to receive the National Clinical Impact Award (NCIA). Grateful to our team, and above all to our patients — the reason behind every effort to improve care. linkedin.com/posts/nuffield…

@drkeithsiau Bilateral nephrectomies for tumor or polycystic kidneys

Which operation has this person had?

@CanesDavid @jdimick1 I do cystoprostatectomy with urinary diversion regularly. Year on year we have brought op time down. We are now considerably quicker than open (I did open for many years before that). The benefits: transfusion rates, pain, recovery and far shorter hospital stay clear & obvious.

Why do you think that is? From a urologist's perspective, we've seen this movie before Believe it or not, the times will continue to improve. Eight years isn't long enough If you think about it, once you are docked, there is no logical reason (that I can think of) why the case should take any longer, robotic vs laparoscopic Bariatric surg can’t be any more complex than say, cystoprostatectomy with urinary diversion, could it? Ultimately, incision to sitting down at the console should take less than 10 minutes. Where is time being lost?

An honest—but likely to be controversial—take here: “The longitudinal inefficiency of robotic bariatric surgery: can we finally agree we are over the learning curve and robotic bariatric surgery just takes longer?” Surgical Endoscopy link.springer.com/article/10.100…

@ciirarref Yep. I’m one of ‘em. Random urologist in UK.

Who r u ppl

When did I get 5.2k followers

@epaez11 @ClarksonsFarm1 Damn. That is impressive Edgar. Wow.

@ClarksonsFarm1 Esprit, Countach, Miura

Can you name the car? Bonus points for the background cars…

@DrAngusLuk One of my trainers in the Netherlands used to call this image: “de eenzame koning” (translated “the lonely king.”)= the veru after state of the art TURP (back in the day). We didn’t always see eye to eye, but excellent surgeon (and trainer).

Verumontanum after ejaculation-sparing #HoLEP Best of both worlds; maximal deconstruction and ejaculation preservation! #BPH #AEEP #MensHealth #ProstateHealth #BladderHealthMatters

@Doctors_GUILD You are making me feel inadequate! Well done.

Answer: D) Scrub typhus Why? The classic clue here is: Black eschar at the bite site This is pathognomonic for Scrub typhus, caused by Orientia tsutsugamushi and transmitted by mite (chigger) bites. Typical features: - High fever - Severe headache - Generalized lymphadenopathy -Black necrotic eschar at inoculation site Why not others? A) Dengue - Fever, rash, myalgia - No eschar B) Malaria - Fever with chills - No eschar C) Leptospirosis - Jaundice, myalgia, conjunctival suffusion - No eschar

Fever, headache, lymphadenopathy, and a black eschar at the bite site. Diagnosis? A. Dengue B. Malaria C. Leptospirosis D. Scrub typhus

@mcg_urology Urology is simply beautiful. Poetic, soulful, endlessly fascinating, quirky, it is not possible to know all of it, it’s a universe all on its own, it is a privilege to be a urologist, the connection with patients, the meaning of life (42), it is art (and science), …….beautiful

Considering declaring a specialty (such as urology) that some people will judge? It’s your career, do what you enjoy!

@drmehrarohit @SUO_YUO @kidneycan @KidneyCancerDoc @wandering_gu @UMichUrology @UMichPath @rovingatuscap @h_alahmadie @PavlosMsaouel @UMRogelCancer @samsimsal @UroOnc You can’t have too many Brians

Brian and Bryan kicking off the #kidneycancer course #SUO2025 @kidneycan Looking forward to learning and speaking at the full day course #genomics #urology @KidneyCancerDoc

@LondonProstate1 @ProstateUK @IP_London @ProstateUKProfs @naserturabi @mgtmccartney @ImperialNHS @imperialcollege @ImperialMed @mrsprostate Prof Ahmed, we salute you!

Observer newspaper OpEd by myself on the recent UK prostate cancer screening decision observer.co.uk/news/opinion-a… 📣 “I and those same colleagues who brought about a seismic shift in MRI scans being used before biopsy are not standing still”

@ciirarref 😂

Dying on day 5 after using up my total of 3 liters of water

@David_Cameron For the purposes of clarity, I agree completely with you Clive.

I am disappointed by today’s recommendation on prostate cancer screening from the National Committee. Targeted screening is a natural first step - but the recommendation today is far too targeted, not including black men or men with a family history, both high-risk groups. Prostate cancer is the most common cancer among British men. We are letting down too many men if we don’t push for a wider screening programme that includes all high-risk groups - and not just the men involved, but their families too, who risk losing a loved one unnecessarily. As I know all too well, prostate cancer can be symptomless early on. That’s why screening is so essential - catching the cancers early when they can be more effectively and successfully treated, like in my own case. I urge @wesstreeting and the government to be brave and bold on this crucial issue. Make the first step more significant than what’s being recommended. Put in place a proper, targeted screening programme that involves all those at higher-risk. Without it, more men will die, more families will lose a loved one. This is avoidable and can be done.

@cpeedell @David_Cameron I agree completely

@David_Cameron As a prostate cancer specialist, I suggest you speak to the committee members. This is a complex issue that requires a deep understanding of prostate cancer disease biology, biases in screening, and medical statistics. I fully support this decision

@NEUS_Residents @YehiaZaky88 @Khalifa_Urol @NE_Urol @BSoT_UK Congratulations gents

Heartiest congratulations to @YehiaZaky88 & @Khalifa_Urol on passing the FRCS with flying colors. Well done both, we are super proud of you! @NE_Urol @BSoT_UK