Urologist, interested in laparoscopy, endourology, and open surgery. Author, committed to self-publishing.
Augsburg
Joined October 2012
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After months of work, the new German edition of my urology textbook is now available on Amazon.
amazon.de/dp/3946441076
I’m updating the English edition chapter by chapter and sharing interesting cases, imaging, guideline updates, and clinical pearls here. #Urology #UroSoMe
ALT Cover of Urologielehrbuch.de, 18th edition (2026), ISBN 978-3946441076.
It’s remarkable that these prominent veins don’t bleed more often.
The vascular substrate of prostatic hematuria.
Endoscopic close-up of prominent, tortuous submucosal prostatic veins—a potential source of bleeding in BPH.
Striking vascular anatomy beneath a thin urothelial covering.
#Endourology #BPH #Hematuria @so_uro @Endo_Society
A new US study claims transrectal prostate biopsy is better because it saves $200 over the safer transperineal route. But $200 covers less than 10 hours of a single cancer drug like Darolutamide. Patient safety shouldn't be traded for 0.4 days of oncology costs. #urology
💰 Balancing Costs in Prostate Biopsy Choices!
The ProBE-PC study analyzes TR-Bx vs. TP-Bx costs, guiding evidence-based healthcare decisions.
📊 Higher Costs - TP-Bx costs more than TR-Bx with increased healthcare resource use
💼 Decision-Making - Key for biopsy technique selection in modern clinical settings
DOI: tnyp.me/V4eBbCRY/x
Great tutorial. As an old-timer who still performs open surgery, I’m surprised by the clipless approach. I prefer to clip the major lymphatic vessels. Who else? #urology
🔬 Pelvic lymph node dissection: let's focus on the LEFT side!
Most surgical tutorials focus on the right side. But what about the left?
🎓 In this new FREE Surgical Vision tutorial, you'll learn:
✅ Key anatomical landmarks
✅ Instrument positioning
✅ External iliac vein dissection
✅ How to safely identify and preserve the obturator nerve
Relevant to both prostate and bladder cancer surgery.
🔁 Subscribe & share to help make surgical education accessible to everyone!
@ERUSrobotics @AmerUrological @Uroweb
youtu.be/vP_Qsfc7frE
Dr. Dirk Manski retweeted
A challenging Prune Belly Syndrome reconstructive case.
• Reduction Cystoplasty
• Tubularized Bladder Flap for a Continent Catheterizable Stoma e' Young–Dees technique.
• Modified Abdominoplasty with Double-Breasted Musculoaponeurotic Fascial Closure
#PruneBellySyndrome
Excellent. Check surgicalvision.org/ for more teaching videos. #urology
In my recent poll, nearly 70% of respondents identified nerve-sparing as the most challenging step of radical prostatectomy.
So here's your next Surgical Vision tutorial! 🎥
Step-by-step intrafascial nerve-sparing, surgical anatomy & DVC preservation.
Watch here 👇
youtu.be/RdUDhFghkmk
Subscribe and share with colleagues to keep these videos coming
@ERUSrobotics @Uroweb @ESRUrology @AmerUrological
Dr. Dirk Manski retweeted
An introduction to MIBC (and mUC) in graphical narrative abstract. Please note: there are more subtype/variant histologies (there will be a separate thread in this).
🌶️🌡️Summary of my uropathology for urologists and oncologists series! 👉check it out! and retweet if you like!
@urotoday @OncoAlert @Uroweb @EAUYAUrology @EAU_YAUroTech @EauPatient @niklas_kluemper @onkowissen
nitter.cf/Markuseckstein3/status…
Dr. Dirk Manski retweeted
Histologic diversity in #BladderCancer is stage-dependent: rare in pTa (<2%) and pT1 (<5%), but common in MIBC/mUC (~35% variants/divergent). Squamous differentiation dominates (~90% of divergent cases), with basal-like biology and distinct therapeutic targets.
#GUPath #UrothelialCancer
🌶️🌡️Summary of my uropathology for urologists and oncologists series! 👉check it out! and retweet if you like!
@urotoday @OncoAlert @Uroweb @EAUYAUrology @EAU_YAUroTech @EauPatient @niklas_kluemper @onkowissen
nitter.cf/Markuseckstein3/status…
Please stop listening to AI, if stone retraction via the retroperitoneum is recommended. 🙃 Looking at the image makes me feel uncomfortable.
Can we predict a difficult ureter before ureteroscopy using AI?
Thanks to my mentors on AI @erole1977 @EgriogluErol and prof eren baş for their valuable contributions and collaboration!
🔗 pubmed.ncbi.nlm.nih.gov/4283…
#Urology #Endourology #ArtificialIntelligence #Ureteroscopy
Excellent, thank you!
Introducing my En bloc HoLEP Video Library.
Real cases, searchable by technique, prostate size and documented challenges. Free access, with an interface in 8 languages. Save the link below!
I hope it helps with your learning curve!
holep.icua.es/library/
#HoLEP #Urology
Dr. Dirk Manski retweeted
Planned laparoscopic ureterolithotomy for a 5.4 cm ureteric stone. Then… it passed spontaneously 😲
Resident Ashwin turned the surprise into a case report @UroCaseReports. To our knowledge, this was the 1st spontaneous passage of a ureteric stone >5 cm
sciencedirect.com/science/ar…
At initial presentation of a suspected testicular germ-cell tumor—before tumor markers and CT are available—do you perform POCUS of the aorta and retroperitoneum? I do it out of curiosity—and to learn.
#UroSoMe #TesticularCancer #Urology #POCUS
ALT Transversal plane shows a large lymph node metastasis next to the aorta.
Dr. Dirk Manski retweeted
👆What would be your 1st action when you see 260 gram prostate with such MRI?
NB: AI failed🤛 to answer the question
Ultrasound quiz: What is being measured here (24 mm), what is its clinical significance, and do you use it in daily practice? #Urology #UroSoMe #MedTwitter
For patients with mCSPC, are you testing for BRCA1/2 at diagnosis? If positive, are you considering niraparib plus abiraterone upfront? Curious how colleagues are approaching this in practice. #urology
annalsofoncology.org/article…
This is misleading information: during prostatectomy, whether open or robotic, the difference between apex of the prostate and sphincter is clearly visible. @uroweb @AmerUrological @DoctorSotelo @dr_coops
With a prostatectomy, the urologist is unable to see the difference between the apex of the prostate and the external sphincter. If a patient has an apical lesion and it is too close to the external sphincter, two things can happen:
buschcenter.com/tulsa-and-th…
#ProstateCancer
AI is getting better. When will it be trusted to perform surgery?
Hematuria after partial nephrectomy or percutaneous stone surgery? Think renal AV fistula or pseudoaneurysm. Doppler US or CT angiography can establish the diagnosis; selective embolization usually preserves the kidney. #Urology
