Ram Pathak, M.D.

Single-port Trans-vesical Radical Prostatectomy with modified Hood Technique. Much thanks to @drjkaouk and @AshTewariMD for paving the path. Looking forward to SPARC meeting @AmerUrological #AUA24 ✅ retzius-sparing ✅ nerve sparing with preservation of anterior structures

Dr. Amanda Black talks about her randomized clinical trial and how it shows that office-based laser photocoagulation is noninferior to TURBT at 12 months—offering a safe, efficient alternative that avoids general anesthesia and the OR for many patients 🔗bit.ly/4sryOud

A world 🌎 of #robotic options in 7 days : performed 1st #mp #HUGO Ralp at @UIHealth 🇺🇸, streamed #sp #DaVinci Ralp from @Pascale 🇮🇹, discovered #sp new platforms in 🇨🇳, performed #mp #DV5 rarc back at UI Health 🇺🇸. Up to us to use options for the benefits of our pts.

Medical illustration, for me, is the product of training, observation, learning anatomy/concepts & communicating it in a way that makes sense to others. Learning to value my time, perspective & skills I've shown on journal covers, in books, & to patients. Open for collabs!✍️

We invite you all to join the Wake Forest Urology department for our upcoming AUA event on May 16th!

Save the Date! 2026 @FocalSociety @SocietySURS Joint Meeting September 17-19 in Arlington, VA Registration is open! meetings.association-service.org/ftsr @RSanchez_Salas @mdstifelman

@uretericbud As a medical student @DrexelMedicine, Dr Jaffe was my first introduction into Urology. He was an amazing educator and all around fun person to be around. He really motivated me to pursue Urology as a profession and I am forever thankful.

Huge loss for the House of Urology and for patients across the Philadelphia region. Jamison Jaffe was an outstanding urologic surgeon and a phenomenal colleague. Always thoughtful, technically superb, and deeply respected across the region. His beautiful family should be eternally proud. RIP. obits.levinefuneral.com/dr-jamison-jaf…

@urotelio @Endo_Society @BernardoNor9 @CSundaramMD @DrJohnDenstedt @PabloNContreras @hsanguinetti @young_endosoc @FocalSociety @SocietySURS We completely understand and know that these unfortunate circumstances have affected many who have booked their flights. Nevertheless we hope everyone will do their best to attend the 2026 WCET as it will truly be spectacular. Live surgeries, translation service, new courses…

🚨 ANNOUNCEMENT 🚨 Due to circumstances beyond our control, we have made the difficult decision to change the dates of #WCET26 to December 14-18, 2026. The Congress will remain at the Sheraton Buenos Aires Convention Center. Additional details 👇 1/

@JayChavaliMD @IntuitiveSurg Tips for the vesicoureteral anastomosis?

@RamPathakMD @IntuitiveSurg Transvesical 💯

A tale of 4 kidneys and 1 prostate. 2 native and 2 transplant kidneys and just enough space for robotic radical prostatectomy. Single-port surgery. #Prostatecancer #singleport @IntuitiveSurg @MUSC_UroOnc @SES_AUA @MUSChealth

Late posting😅….It was truly a great honor to open last week 90th SESAUA meeting sharing “Urology in 🇵🇷Challenges & Successes” along w @UPRUrology colleagues & friends @rammorales9 ✨@MPerezBrayfield 🌟Thank you for the opportunity!!🇵🇷 ⁦@SES_AUA⁩ ⁦@AmerUrological⁩

@ZSchwen @vourganti @CleClinicUro @drjkaouk Great work!!!

Thank you @vourganti for the shout out!!! 💪 Was great to chat about the transvesical and extraperitoneal techniques and the @CleClinicUro @drjkaouk experience

@DrSpratticus But it’s not really about SP vs MP it’s about the transvesical approach (cannot do this with the MP). Not all SP approaches (transperitoneal, extraperitoneal, transvesical) are the same

@RamPathakMD Ignorant question Do most centers have both SP and MP? Or when places get SP can they no longer offer MP? Curious if trial feasible.

1. Ultra preservation of anterior structures 2. It is Retzius sparing 3. Not hypermobilizing urethra 4. taking the prostate out of its “cocoon” and not harming surrounding structures.

@DrSpratticus If you have SP you definitely have MP. But not the other way around. I agree a trial would be beneficial in this space. Limitations would be surgeon experience, expertise, but can be negated with single-surgeon series

@CanesDavid @DrSpratticus @dr_coops @Uroweb @BogdanaSchmidt @ChapinMD @wandering_gu @qdtrinh @jeshoag @SFreedlandMD @EUplatinum @UrologyUS @CanesDavid - thoughts on Retzius sparing and improved continence? That has been shown to improve early continence. It’s not about the single port - it’s about the transvesical approach (which is Retzius sparing and not transperitoneal - no pneumoperitoneum)

I can tell you my take based on my experience as a multi-port surgeon, which apparently differs from all the other comments here. I also helped to work on some of the earliest laparoscopic single-port surgeries in the early 2000s. Better outcomes in prostate removal come from experience and preservation of as much surrounding anatomy as possible. From my point of view, that comes from making good DECISIONS with your surgical plane choices, and anatomical preservation. I can't for the life of me logically understand why it would be in any way based on single port versus multi-port. A single port surgeon can make poor decisions, as can a multi-port surgeon, and vice versa.

Urology community Help teach us non-surgeons the benefit of single port and continence outcomes. Is this something that improves outcomes? @dr_coops @Uroweb @BogdanaSchmidt @ChapinMD @wandering_gu @qdtrinh @jeshoag @SFreedlandMD @EUplatinum @UrologyUS

#SESAUA2026 MCF Urology crew holding strong on day 3 of an awesome conference @SES_AUA ☀️ Day kicked off early with Dr. Qualkenbush’s 7AM podium on the pilot of a difficult urethral catheter team, followed by a great talk from @RamPathakMD on the transvesical SP prostatectomy.

Work hard, play decently hard. Residents, faculty, and @BioprotectS enjoying some of the sunshine at #SESAUA2026 🇵🇷 🌞 @RamPathakMD @ysaralee @Justindavidmed @cklosemed @Ashley_Foret_

@DrSpratticus @dr_coops @Uroweb @BogdanaSchmidt @ChapinMD @wandering_gu @qdtrinh @jeshoag @SFreedlandMD @EUplatinum @UrologyUS Not for every prostate (size) or risk category - but yes, similar to the data from the Retzius sparing cohorts, the transvesical approach does seem to offer a quicker return. Data/publication from a multi-institution series forthcoming, but single-surgeon series has shown this.

@CanesDavid @Justindavidmed @drjkaouk Number of skin incisions isn’t the factor. The ability to dock the robot transvesically, avoiding adhesions (j-pouch video shown). Also, less traction force on surrounding structures is easier done on this platform. Quicker return to activities (no lifting restrictions, etc.)

@RamPathakMD @Justindavidmed @drjkaouk Aren’t those all surgical decisions rather than number of skin incisions and tooling considerations?

Excellent talk by @drjkaouk on Single Port prostatectomy. Data shows early return to continence compared to multiport, consistent with what we’ve seen with our transvesical single port prostatectomies @RamPathakMD