Jay Amin, MD

Important to “open the door” and lead conversations with our patients exploring prostate health at earlier ages

@fgomsan Agree 49% with pad use is abnormally high.. though w only 147 consecutive cases in 6 years perhaps due to volume/learning curves in the different surgeons.. probably would have been better to study this metric after several hundred had been done by a single high volume surgeon…

This paper relates membranous urethral length to postoperative stress urinary incontinence after HoLEP... It kind of blames the patient's anatomy for the occurrence of postoperative stress incontinence. I think with these incidences of post-op incontinence, the surgical technique used by the authors is a huge problem. Or is it that I only operate on patients with long urethral lengths to get way much lower rates of incontinence? (49,7% SUI at 1 month shows a flaw with surgical technique)

#SESAUA26 State of the Art Lecture @sanojpunnen PCa Screening Guidelines: ♦️Start: 45-50 yrs ♦️Screen q2-4 yrs if PSA < 1 ♦️Screen q1-2 yrs if PSA >1 ♦️Intervene: PSA 3-4 ♦️Stop: 70-75 yrs or life expectancy < 10 yrs @urotoday

@ryansteinbergmd @RdonalisioMD @UIowa_urology Drill some holes with 1000 micron holmium 2+J short pulse then switch back to trilogy - there will be cracks under the superficial layers and make quick work!

@RdonalisioMD @UIowa_urology Impacted throughout the pelvis and in the infundibuli. Could never find a fracture plane where it cracked into a few pieces for partial basket extraction. Every step was an effort.

This one was a beast. 1400 HUs. Literal concrete. Not sure if I’ve ever done 1.5 hrs of Trilogy time before. Maxi-perc alive and well at @UIowa_urology

@Mohamedessam997 @soares_uro @MayoUrology Mid trigone injections are very safe. I save 1ml for injection (10 units) posterior to mid trigone and one injection anterior. The only notable finding is sometimes there is a bit of venous oozing which subsides with holding pressure using the cystoscope tip in the office

@soares_uro @MayoUrology The one which in the trigone doesn't cause any problem ?

Botox: 5 injections seems to have same efficacy as 20-30 injections @MayoUrology #MayoUroHawaii26

@justindubinmd Just watched the first episode yesterday and found it pretty engaging. That’s a bummer

I’m sorry but 6 episodes in and Pluribus is so incredibly boring. Mostly nothing happens, long scenes of just some random action or task being performed by someone. I don’t have much of a desire to continue with it.

. @JayAminMD is one of the doctors in Central Florida trained to use Nanoknife, a newer, minimally invasive option that targets only the cancer and protects the healthy tissue around. Watch how this procedure works and how early prostate cancer can be treated in a more precise.

@jfunkmd @RomanCarvajal Same and I’ve noticed pieces of tissue are more likely to clog the blade by going through both openings than non-urolift cases. Nothing a quick dismantling of the blade and a sharp tap to dislodge the tissue can’t fix 👍🏽

@RomanCarvajal In the US we have disposable blades. I just chew through the tabs/staples. About 1 in 10 cases I have to use a second blade but mostly it is straight forward. 👍🏼

🔍 A una década de #UroLift, los implantes siguen en su sitio, su identificación y una buena disección marcan la diferencia para una #MiLEP prolija, los planos siempre están respetados y es fácil reconocer el material colocado. Y ya sabes: reconocer y retirar adecuadamente las grapas antes de morcelar, si no quieres sorpresas y lastimar las cuchillas. @FCAFigueiredo @lfredosanchez @AustenSlade @dr_romero_otero @ThiagoHotaUro @drglezb @urotelio @CarlosMarneau @AkoMedical @quanta_system @Mohamedendourol @jfunkmd @Dr_KevinZorn @dr_robertouro @LucaMartinel

From trickle to torrent 💧➡️💦 HOLEP doesn’t just improve flow - it restores normalcy. The uroflow trace tells the whole story. #Urology #BPH #HOLEP

📉 Transperineal prostate biopsy has a <1% infection risk, significantly lower than transrectal. New evidence suggests antibiotic prophylaxis may not be needed in many transperineal cases. A step forward for antimicrobial stewardship. #EAUGuidelines #ProstateCancer #UroUTI

400 successful HOLEPs!! Greatful for my supportive team and colleagues on this exciting journey!  #holep #aeep #OrlandoHealth

orlandohealth.com/medical-profes… @orlandohealth Urology Residency website is up and running. Stay tuned, virtual open house will be announced soon! @UroResidency

What a start to the season... Let’s go bills!

@amy_krambeck @NM_Urology @EndourologyNm Previously seeing this with some rezum cases but now seeing more and more of these post Aqua cases as the residual lateral lobe adenoma regrows or grows tissue bridges together in midline causing a tortuous urethra. Fortunately very straightforward HOLEP cases!

Patient 18 months post Aquablation with severe persistent voiding symptoms. Fortunately, HoLEP was able to correct the obstruction course. #lastsurgeryfirst. #HoLEP @NM_Urology @EndourologyNm

@SPuro88 @Dr_KevinZorn Is it mainly the cold temp or tamponade from intraprostatic balloon.. interesting use of vasoconstriction nonetheless

Neat trick! Will keep this in the back pocket. Thanks @Dr_KevinZorn. We owe it to our patients to continue to innovate and perfect our techniques and improve outcomes.

@justindubinmd Another article said he was having urinary symptoms. DRE was likely done for this reason, correctly so, which resulted in eventual mCSPC diagnosis. It is now up to us to educate the pending barrage of 80+yo elevated PSA/“prostate check” pts about symptomatic treatment

I hope he is ok, but why are we doing DREs on 82 yo men in the first place? Just not necessary, against guidelines and frankly may create more problems for him than solutions.

@AustenSlade @RomanCarvajal @lfredosanchez I incise bladder neck prophylactically at 3 and 9 to fat when <40gm and very large capacity bladders. Idea being weak bladders don’t keep the bladder neck open and it scars down. Have had 3 BNC prior to doing this and all were treated with a TURBNC with 80gm kenalog injection

@RomanCarvajal @lfredosanchez I have debated injecting triamcinolone prophylactically in cases like these after hearing of others using this practice with good success. What dose do you use?

What's the smallest prostate you've done HoLEP for? This one measured only 18cc on TRUS and patient is doing very well after treatment! The planes are different but present. TUIP was an option but patient preferred the durability badge of HoLEP Uncut video below: @lfredosanchez @RomanCarvajal @jfunkmd @FCAFigueiredo @RRGonzalezMD @uroledezma #HoLEP

👏 Welcome to the NanoKnife System community, Dr. @JayAminMD! 👏 Dr. Amin has already completed 4 NanoKnife System procedures at @orlandohealth, marking an exciting start as a new user. By incorporating this advanced technology into his practice, he is giving patients more options for prostate care. We are thrilled to support Dr. Amin and look forward to seeing the continued impact on patient care! #NanoKnife #ProstateHealth #FocalTherapy #MedicalInnovation #MinimallyInvasive #IRE #PatientCare TM: @MattwithAngio Risk Info: angiodynamics.com/about-us/risk-…

@jfunkmd @UAUrology @UABUrology @UABHeersink @thomaschi8 Congratulations!

This topic was timely for my last Grand Rounds @UAUrology I’m excited to announce that I will be joining the @UABUrology team @UABHeersink this summer! Thank you @thomaschi8 for the opportunity and belief that we will build a Mecca for BPO mgmt!

A dream come true. Congratulations, @JoshAllenQB. 🏆 #NFLHonors