Carlton-Smith Endowed Chair of Urologic Education, Professor of Urology, Director Div of Endourology and Minimally Invasive Surgery, Baylor College of Medicine.
Joined January 2009
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253 Photos and videos
Jun 7
Pure retroperitoneal ureteral access using the low anterior approach with da Vinci SP is a powerful and versatile technique for managing a wide range of ureteral strictures. These procedures can often be performed with PACU discharge and are more efficient and less morbid than transperitoneal approaches to the ureter. In the tagged video, we demonstrate a side-to-side ureteroneocystostomy that avoids distal ureteral transection. share.surgeonapp.com/public/…
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Richard Link retweeted
Apr 18
That’s a wrap! @IntuitiveSurg #Connect2026 was a blast! Our esteemed faculty delivered an awesome program supported by an amazing Intuitive team!
Contributing to the field with peer to peer education serves to advance our ultimate shared aim of improving patient care. I had conversations with many Urologists as well as General/Acute Care Surgeons, and even the newest addition - Breast Surgery!
@RoboDocX @RoboUroMD @cmrusselluro @AskDoctorJay @ISRG_Adam Jeffrey Lu @lovelylau330
#RoboticSurgery #SinglePortSurgery #Urology #medtwitter #MedX
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Apr 16
About to start the ball rolling at Intuitive Connect 2026 in Austin, TX. Privileged to share a stage with fantastic faculty who have prepared a very high yield two day program. Let’s let the rising tide raise all our boats this week as we share experience and insights on da Vinci surgery. @IntuitiveSurg
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Mar 10
In surgery, fostering a defensive mindset anticipates problems in advance and avoids complications. “Offense sells tickets but defense wins championships - Bear Bryant” Over the next few weeks we will explore tips and tricks that improve your defensive mindset during single port robotic partial nephrectomy with da Vinci SP. #SP
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Mar 1
Great tips for retroperitoneal access from Dr Osinski in this session.
Feb 28
@URMCurology Dr Osinski presenting @robouro #NARUS2026 sharing retroperitoneal renal access skills with collaborator
@jamesportermd and other expert panelists
@urotj
@robodocx
@zschwen
@craigrogersmd
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Feb 28
Great to see such a pioneer in our field recognized at NARUS. Congratulations @NYCRoboticTeam.
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Feb 11
Outstanding two days spending time with the faculty, residents and fellows of @UABUrology in didactics and the operating room. The team there is doing great things and I was very impressed with the insightful questions from the trainees. Thank you for the invitation!
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Richard Link retweeted
.@RoboDocX, MD, PhD, @BCM_Urology, outlines principles and strategies for salvage #nephrectomy in recurrent kidney cancer.
#KidneyCancer #Urology #SalvageSurgery
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30 Dec 2025
SP Retro Pyeloplasty: The Basics
I'm often asked by new SP users how easy it is to manage crossing vessels during pyeloplasty with the low anterior approach. This is one of the biggest advantages over traditional multiport retro where transposition of the ureter anterior to a crossing vessel can make suturing the anastamosis challenging. Not so with low anterior. Here are before and after images from a right sided dismembered pyeloplasty. Easy suturing!
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7 Dec 2025
Join me and distinguished colleagues on Saturday at the 6th Annual Global SP Marathon. We will dig into some very practical aspects of SP regionalized surgery in high BMI patients. The SP Marathon is truly a highlight of the year and the accelerator pedal for your SP learning journey! @Endo_Society @SocietySURS @SimoneCrivella2 @drjkaouk @IntuitiveSurg
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Richard Link retweeted
13 Nov 2025
Register for the 6th Global SP Marathon!
This online event offers twelve plus hours of non-stop, live, semi-live cases on single port robotic surgery in Urology in the USA and Europe
sp-marathon.com/
@SocietySURS @SimoneCrivella2 @drjkaouk
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30 Oct 2025
Great visit to Scotland so far to speak about single port robotics at the #SIU2025 meeting.
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26 Oct 2025
Be careful to assess whether the contralateral kidney's collecting system extends across the midline in the isthmus of a horseshoe kidney. This case demonstrates a robotic left horseshoe heminephrectomy with exposed dilated right-sided collecting system in the transected isthmus that was closed in two layers. This is rare and occurs in < 5% of cases but if you miss this feature, can result in a troublesome urine leak.
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26 Oct 2025
Outpatient STEP procedure in 89 year old with 450 - 500 g prostate without prominent median lobe. 330g of prostate resected, 3 day catheterization. Although not a great case for early in your learning curve, very straightforward with modest experience provided you stick to disciplined and meticulous technique. Brute force is not the way!
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3 Oct 2025
Second SP came online this week and already busy opening up a significant bottleneck. This should support further rapid programmatic growth across specialties. Appreciative of the executive leadership at @StLukesHealthMD for their unwavering support of the transformative potential of single port robotics. 🚀
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16 Sep 2025
I'll be speaking at the 29th Innovations in Urologic Practice conference in Santa Fe, NM on September 19-21, 2025! 🌟 Join me and other urology experts to hear more on salvage nephron-sparing surgery and real world advice on building a reproducible training pathway for future da Vinci #SP surgeons.
Register today to listen: hubs.ly/Q03H12tl0
#Innovations2025 #Urology
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16 Sep 2025
Thanks @Dr_Jen_Linehan. Really an all star team on the podium keeping me honest. Hopefully an interesting survey of empowering applications for remote suction in #SP surgery. @VascularTechInc
12 Sep 2025
…. If you seek advice before your next case- the wisest robotic surgeon- someone who has known lap- MP -SP - retro/trans- see @RoboDocX - best tips on LAA kidney- pyeloplasty, and prostate, with an all-star panel #WCET25 @SocietySURS @mdstifelman @RyanNelson762 @UABUroOnc
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16 Sep 2025
In an era of outpatient regionalized single site robotic surgery, how are you treating distal ureteral strictures (example shown). Transvesical reimplant? Retroperitoneal side to side reimplant? Something more traditional? What’s your rationale?
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16 Sep 2025
For purposes of keeping it simple - let’s define this case as post surgical extrinsic trauma, no radiation, normal capacity bladder.
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