Colin Linke, DO

@fgomsan Idk man. Radical prostatectomy has a 0% BPH recurrence. I do it on all! A farce showing how sticking to one treatment is not good for all..

Why are patients steered toward procedures with 14-17% retreatment at 5 years when enucleation sits at 4.4%? Follow the money. drgomezsancha2.blogspot.com/2026/03/the-30…

@DrWKJIII @SPuro88 What are you even talking about

@SPuro88 Free up your hands…blue nipples go away…

Travelers are ruining medicine. #IYKYK

@SPuro88 Yeah… why’d they bring an Olympus scope with them….

@SPuro88 @cardiojaydoc02 @DrRyanPDaly Work more. Depends on what type of practice you are in.

@cardiojaydoc02 @DrRyanPDaly I definitely work less as an attending.

I’m not sure of any physician that works LESS as an attending than they did in training. That’s news to me. One of the myths is that you will work less when you’re done.

@soares_uro @NM_Urology Try it out

@ColinLinke @NM_Urology Honestly transvesical RARP doesn’t convince me when I get better outcomes with Retzius-sparing

Single-Port Transvesical Bladder diverticulectomy for HG T1 TCC. Only a 4-cm suprapubic incision. 86yo patient: “If it wasn’t for the catheter, I wouldn’t even know I had surgery” @NM_Urology

@JaneNguyen44 @dr_coops @CanesDavid @ClevelandClinic So positive margin status of the cohort, not just BCR, was 36%?

@ColinLinke @dr_coops @CanesDavid @ClevelandClinic The center table lists the clinical characteristics of the entire cohort, of which BCR status was determined.

And speaking of histology, here's a validation from @ClevelandClinic with twice the size of the original cohort published by @JaneNguyen44 and Jesse McKenney: again KM curves dividing "favorable" from "unfavorable" like nothing I've ever seen. #thisistheway #prostatecancer #GU26

Another successful @RoboUro #NARUS2026 in the books. Great job to @Dr_Jen_Linehan on orchestrating a thoughtful meeting. Loved the live surgeries from @DrRonneyAbaza @RyanNelson762. Always practice changing techniques to take back home.

Incredible mentor! Thanks for all the Robo kidney inspiration. @RoboUro #NARUS2026

@jasonmcmaster1 @SPuro88 This will age well…

As someone who completed a 5 year surgical residency, normal people don’t quit when they’re 6 months from finishing unless there’s a major red flag. Additionally, people with those red flags shouldn’t be surgeon general.

@drphil_urology @AmyPearlman1 Amen

@AmyPearlman1 As someone who's been involved in guidelines for a long time, this quote misses the entire sentiment of the process Guidelines are designed to create a standard by which all docs can practice There is always nuance and the ability to deviate from recommendations ....

“Guidelines are designed to make bad doctors average and good doctors average” - just heard this quote. Do you agree or disagree?!

@KennethMPeters1 @BeaumontUrology @CorewellHealth @aidan_j_kennedy Compared to Altaviva?

Did our first BlueWind Revi tibial nerve implants today for refractory urge incontinence. Simple procedure to place the device at the nerve. Great published long-term data. Happy to have a new approach to treat the millions suffering with OAB. @BeaumontUrology @CorewellHealth

@UroDocAsh @UroCancer

It’s disappointing to me that TURBT continues to be dismissed as a “low-priority” procedure in so many training programs. This single step defines the entire course for a bladder cancer patient. Accurate diagnosis, precise staging, and the choice of therapy all hinge on a high quality TURBT. And the “advanced genomic analysis and molecular profiling” these same programs love to promote? It all begins with adequate, high-quality tissue obtained through a TURBT. Yet incomplete resections leave behind residual tumor in up to 78% of cases at restaging, leading to higher recurrence rates and unnecessary progression. If we are serious about improving outcomes in NMIBC - and even MIBC - we must treat TURBT with the respect it deserves: structured, deliberate training curricula, hands-on attending involvement, and real performance metrics. This is why the @IBCG_BladderCA will make this one of the focus topics of our retreat this year, #IBCG26 @UrogerliMD @JoshMeeks @bbmdmsk @siadaneshmand @RobertoContieri @paolo_gontero @ParamMariappan @joanfundi @jteoh_hk @spsutkaMD @WorldBladderCan @BladderCancerUS @drgaganprakash @SUO_YUO @veerukasi

@CanesDavid @DocPriyamMD Hardy har har

@DocPriyamMD Stage IV testicular cancer can often be cured with standard of care treatments

Doctors, patients, or families - have you ever seen Stage 4 cancer go into remission?

@DrRonneyAbaza Excited to see it

NARUS 2026 is almost here! I'll be doing a live robotic prostatectomy on Friday with many other live cases and expert lectures on the agenda. Register now (narus.us) and book your flight to Vegas!

In one week, a first for me. GG3 prostate cancer in a 46 YO male and GG1 in a 36 YO male. Only one of which I am certain the treatment plan for. #UroSoMe @SUO_YUO

@DrewMoghanaki @QuadShotNews @_ShankarSiva @KaramLab @AKesarwala @JieDengMDPhD @MohammadKhanMD @AmarUKishan @alongi_filippo @fcounago @DrAndrewLoblaw It helps direct future care. I’m not sure how your statement makes sense.

Can we please put to rest the idea that treating lymph nodes helps patients with cancer live longer? Once again, we see no meaningful benefit and only harms—this time in a phase III RCT for bladder cancer. @QuadShotNews nejm.org/doi/10.1056/NE…

Surgery is a "wicked" environment: feedback is delayed, noisy, and often biased. My essay on why experience doesn't always equal mastery, and how to learn when the feedback loops are broken. leezhaomd.org/post/the-wicke… #MedTwitter #Surgery #MedEd

@SPuro88 @SocietyofBPD I appreciate the insight! I love to know what’s out there. What’s the average length of case and length of catheter duration

@ColinLinke @SocietyofBPD I don’t consider Aqua a MIST and don’t offer it for small glands (I’m too busy). I think a lot of MISTs are oversold on the max size they can treat. Aqua provides a predictable, durable outcome and once efficient, can treat more pts with large glands in a day than anything else

What a great weekend. My first @SocietyofBPD conference and looking forward to many more. Great catching up with old friends, making new, and meeting titans in the field. Honored to be able to teach in the residents’ course and speak. Looking forward to many conferences to come!