Tim Large

@md_eun @TempleUrology @Endo_Society @SocietyGURS This is an inaccurate statement. This is a 450gm gland. 401 gm resected weight. 89 min enucleation 31min morcellation. Completed at an ASC - catheter was removed in the PACU. I’m sure the patient above will do great with RASP - but HoLEP is fine for super large glands.

BPH pt on imaging it measures 630-650grams!!! Plan: robotic simple prostatectomy. HoLeP is a good option for smaller glands, but its utility runs out with super large glands. Robotics is a good fit for 100-600 gram glands. Always exciting @TempleUrology @Endo_Society @SocietyGURS

@FCAFigueiredo Perineal urethrostomy. But then what size catheter and for how long is it safe/necessary to leave it?

BPH case of the day: 70y healthy patient IPSS 28 Qmax 8ml/s US: 50g prostate, PVR 110ml Semi-rigid penile prosthesis and long urethra(unable to reach the sphincter with a standard resectoscope!) How would you approach? #UroSome

@JnsHerrmann @fgomsan @trwherrmann @KarinLehrich @FCAFigueiredo @UrologyUK @amy_krambeck 1500 is the way to go.

A question to all fellow enucleators using the Wolf Piranha System for morcellation: what is your preferred speed setting? I am using 1500 but watching videos i have the feeling some you are faster... @fgomsan @trwherrmann @KarinLehrich @FCAFigueiredo @UrologyUK @amy_krambeck

I will be on @TheDoctors on Monday 3/8. To find out when it’s on in your city, visit thedrs.tv/watch. #TheDoctors @NorthwesternMed @NM_Urology #holep #molep

I am honored to be the UF Urology 2021 VP. The residents promise to challenge me with some very difficult cases!

Featured Article from the March issue of Urology Practice: Initial Experience with Novel Single-Use Disposable Ureteroscopy: A Prospective, Single Arm 90-Day Trial of the Axis Ureteroscope bit.ly/3jTzXZ0 @amy_krambeck

@FCAFigueiredo Congrats Felipe! Hard work has paid off!

Stone TTM was my core business for 10 years🪨 I was good and loved it❤️ But I was on call in 4 diff hospitals. Urgent surgs 4 nights/week😩 My first son was raised by my wife.🤦🏻‍♂️ #HoLEP allowed me to quit all on calls 1y ago.😃 Now I’m a great surgeon and a great dad! 😃😍💪🏼

@JJWUrology @FCAFigueiredo @amy_krambeck @AssmusMark 1.4% at 18 years. And that is 1 of 10 studies with long-term outcomes. This is the kind of data that should be reported before stating equivalence with GreenLight .... sent 286 and 186 cc glands Home same day, no prob.

@FCAFigueiredo @amy_krambeck @AssmusMark @MakeMePeeMD Never said it was the best, don’t make assumptions. What is holep reoperation rate at 3 years for the same sized glands?

HoLEP continues to provide superior outcomes for all BPH patients. Great job @AssmusMark and @MakeMePeeMD #holep #NMurology #Lumenis

I have to thank Dr Large @MakeMePeeMD. Same day discharge was his idea. He and I were able to complete this study quickly by combining our cases.

@FrancoisLuyckx @FCAFigueiredo @dr_venegas_uro @amy_krambeck He had an episode of hematuria after restarting anticoagulation and OSH ED ordered urogram per hematuria protocol. 😬

@MakeMePeeMD @FCAFigueiredo @dr_venegas_uro @amy_krambeck Great. But why did he have a ct scanner at that time?

Nice prostatic fossa, 7-days post-HoLEP, happy and grateful patient. #HoLEP #urosome

@dave_weatherly There is certainly some stool burden there.

@MakeMePeeMD Tim..... All I can see is poop... 💩

Even these cases can be fun when you're lucky to have incredible tools: Thanks for the support: Dornier Axis @DornierMedTech, Ambu cysto(nephro)scope @Ambu_Medical, MOSES @LumenisU, upper and lower pole 18F mini PCNL tracts.

I’m very sad to see my mentor leave for the Windy City but at least there’s a way to keep track of everything she @amy_krambeck is doing dr-krambeck.com

Initial Experience With a Novel Single Use Disposable Ureteroscopy: A Prospective Single Arm 90-day Trial of the AxisTM Ureteroscope | Urology Practice auajournals.org/doi/pdf/10.109…

It is so awesome to have Dr. Roth on faculty at IUSOM.

@LumenisU @roger_sur @MantuGuptaMD @AmerUrological Grateful for the chance to present alongside Drs. @roger_sur and @MantuGuptaMD on the benefits of MOSES 2.0

Looking forward to watching @tim_larger present on Moses optimized for BPH next Saturday! @IUendourology

@amy_krambeck @mikestern87 Amazing case to observe. Was great to see Dr. Krambeck @amy_krambeck use PERC-tic technique to get on stone.

@mikestern87 I triangulated into the anterior calyx the the kidney rotated with the balloon dilation.

Difficult anterior infected stone with long slender calyces. Sometimes accessing the anterior calyx is the best option to get to stone free.