
Urologist | IA Office Chair @CAU_URO 🌎| Board Secretary @ColMexUro🇲🇽 | @AmerUrological International Research Office & AUA Scholarship ‘23 🇺🇸 | #UroSoMe 🌏
Veracruz
Joined October 2018
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1st. Day of the Exchange scholarship Program by #AUA in @CleClinicUro @ClevelandClinic
Thank you @AmerUrological for making it happen.
#Urology
#UroOncology
#Oncology
#RoboticSuegery
#UroSoMe
#Cleveland
#Ohio
#Mexico
#USA
@colmexuro
@so_uro
@IntuitiveSurg – at Cleveland, OH
Hegel T-Santamaría retweeted
A novel scoring system to predict mortality risk in patients with emphysematous pyelonephritis has been developed and validated. The system uses an 8-point scoring system that accurately predicts mortality rates in both the test and validation groups. journals.lww.com/cur/fulltex…
Hegel T-Santamaría retweeted
🚨 Article Spotlight | #CurrentUrology!
Can we identify high-risk emphysematous pyelonephritis patients right at admission?
A multicenter GREMP study developed & externally validated an easy-to-use 8-point mortality risk score for #EPN.
✅ The Cohort: 570 patients
✅ The Score: qSOFA + laboratory + CT findings
✅ The Performance: AUC 0.90 in the test cohort / 0.91 in validation 📈
✅ The Goal: earlier recognition of patients at higher risk of death
🔗 Read the full article:
journals.lww.com/cur/fulltex…
#Urology #UroSoMe #MedTwitter #Sepsis #KidneyInfection #RiskScore
Hegel T-Santamaría retweeted
Very pleased to announce Mario Fernandez as the inaugural LATAM Liaison on the IBCG Board.
Mario will help us broaden IBCG’s engagement across Latin America, strengthen regional relationships, and create new opportunities for collaboration, education, and scientific exchange.
Could not think of a better person to help lead this effort.
@UrogerliMD @pjhensley11 @AmirHorowitz @mouwlab @spsutkaMD @shilpaonc @AndreaNecchi @LAUrology_NL @karima_oualla @joanfundi @PGrivasMDPhD @marigfern @SpiessPhilippe @IBCG_BladderCA #IBCG26
Hegel T-Santamaría retweeted
Honored to assume this challenge! Thanks to @IBCG_BladderCA !
Vamos por mejorar los cuidados y manejo del cancer de vejiga en LATAM
@CAU_URO @ResidentesCAU @autran_anamaria @HegeltS @LuisEbel1 @Urolchi @RSanchez_Salas @ARRODRIGUEZMD @GustavoVillold4 @DrFelixGuerrero
Very pleased to announce Mario Fernandez as the inaugural LATAM Liaison on the IBCG Board.
Mario will help us broaden IBCG’s engagement across Latin America, strengthen regional relationships, and create new opportunities for collaboration, education, and scientific exchange.
Could not think of a better person to help lead this effort.
@UrogerliMD @pjhensley11 @AmirHorowitz @mouwlab @spsutkaMD @shilpaonc @AndreaNecchi @LAUrology_NL @karima_oualla @joanfundi @PGrivasMDPhD @marigfern @SpiessPhilippe @IBCG_BladderCA #IBCG26
Hegel T-Santamaría retweeted
🚀 What’s Trending on SIU Academy? | July's Top 10 Must-Watch👀
Curious about what your colleagues are watching and learning from around the world? Explore the Top 10 most-viewed SIU Academy resources from July.
💡 From cutting-edge surgical innovations to practical clinical insights, these highly viewed sessions reflect the topics driving conversation and advancing urological practice today.
📖 Discover the Top 10: bit.ly/4wXSWXX
📚 Keep learning with SIU Academy
Beyond this month’s favorites, SIU Academy offers a vast library of expert-led educational content spanning all areas of urology. Whether you're enhancing your clinical knowledge or staying informed on the latest developments, there's always something new to explore.
🔥 What will you watch next?
Dive into the Academy, discover new perspectives, and continue your learning journey. Do not miss out on next month's Top 10!
@DrDeanElterman @StavrosGravas @MarcusDrakeUro @EFinazziAgro @Endo_Cav @vdconinck @ubsungur @HegeltS @AshwiniGaur5 @steffiyuen @jl_kwok @DocGauhar @endouro @CraccoCecilia @trwherrmann @KarinLehrich @cosimodenunzio
Hegel T-Santamaría retweeted
#ERBT está cambiando el tratamiento del cáncer de vejiga superficial (#NMIBC). Resecar el tumor en bloque mejora la evaluación histológica, aumenta la presencia de músculo detrusor y puede reducir la la necesidad de segunda resección.
@BernardoNor9
Hegel T-Santamaría retweeted
📢 New publication in European Urology
We are pleased to highlight a new study published in European Urology, titled “Systematic Review and Pooled Analysis of Functional and Sexual Outcomes of Minimally Invasive Surgical Treatments for Benign Prostatic Obstruction”.
👏 Congratulations to Franco A., Francesco Ditonno, and Celeste Manfredi on this excellent contribution, together with all co-authors.
🔗 Read the full article here:
👉 buff.ly/wr8EgkU
#EuropeanUrology #Urology #UroOncology #Research #MedicalResearch #AcademicUrology
Hegel T-Santamaría retweeted
🚀 What’s Trending on SIU Academy? | May’s Top 10 👀
Curious what your fellow urologists are learning right now? Here’s your insider look at the Top 10 most-watched content on SIU Academy from May.
💡 From cutting-edge techniques to practical clinical insights, these top picks reflect what matters most in urology today. bit.ly/44cQcsX
📚 Don’t stop at the top 10…
SIU Academy offers a vast library of expert-led content across all subspecialties. Take a moment to explore, there’s always something valuable to learn.
@DrDeanElterman @StavrosGravas @MarcusDrakeUro @Dr_KevinZorn @EFinazziAgro @vdconinck @Endo_Cav @HegeltS @steffiyuen @jl_kwok @DocGauhar
@endouro @JasamineCB @AshwiniGaur5 @fa_ocampo14
🔥 Your turn:
Browse the Academy, discover new content, and build your knowledge base. Who knows? 👉 Your picks might help shape June’s Top 10.
Hegel T-Santamaría retweeted
Nationwide German analysis of urachal cancer (2006-2022): 2593 cases; only 530 underwent surgery. Partial cystectomy in 413, radical cystectomy in 117. Despite its aggressive nature, the majority were treated with an organ-sparing approach.
pubmed.ncbi.nlm.nih.gov/4222…
With deep honor, gratitude and pride I receive this news.
Thank you, Paraguay, for opening your doors to me and allowing me to be part of this milestone during the VII Paraguayan Congress of Urology. Having participated in the first laparoscopic radical prostatectomy by single port in the country is an experience that I will keep with great appreciation.
We will continue to build academic and surgical bridges for a world-class Latin American urology. 🇲🇽
▶️ PARAGUAY REALIZÓ POR PRIMERA VEZ UNA PROSTATECTOMÍA RADICAL UNIPORTAL | 🏥🇵🇾
El Hospital Militar Central fue sede de la primera prostatectomía radical por laparoscopía por puerto único realizada en Paraguay, una técnica de alta complejidad para tratar el cáncer de próstata.
👨⚕️ La cirugía estuvo a cargo del urólogo mexicano Hegel Trujillo Santamaría, invitado al VII Congreso Paraguayo de Urología que se desarrolla en Asunción del 8 al 10 de mayo.
⚠️ La novedad de la técnica está en que se realiza a través de una sola incisión, lo que apunta a menos dolor posoperatorio, menor trauma quirúrgico y una recuperación más rápida para el paciente.
📄La Tribuna (Web)
Hegel T-Santamaría retweeted
▶️ PARAGUAY REALIZÓ POR PRIMERA VEZ UNA PROSTATECTOMÍA RADICAL UNIPORTAL | 🏥🇵🇾
El Hospital Militar Central fue sede de la primera prostatectomía radical por laparoscopía por puerto único realizada en Paraguay, una técnica de alta complejidad para tratar el cáncer de próstata.
👨⚕️ La cirugía estuvo a cargo del urólogo mexicano Hegel Trujillo Santamaría, invitado al VII Congreso Paraguayo de Urología que se desarrolla en Asunción del 8 al 10 de mayo.
⚠️ La novedad de la técnica está en que se realiza a través de una sola incisión, lo que apunta a menos dolor posoperatorio, menor trauma quirúrgico y una recuperación más rápida para el paciente.
📄La Tribuna (Web)
Hegel T-Santamaría retweeted
📢 Exciting Read for Radiologists and Urologists🚀
📚Just came across this fantastic educational article in @RadioGraphics “PRECISE Version 2: Essential Tips for Prostate Cancer MRI Reporting”
🔔This paper is a must-read for anyone involved in prostate MRI!
✅It provides clear, practical guidance on using the updated PRECISE v2 system to standardize reporting for patients on active surveillance.
👍Key highlights include refined scoring for assessing disease stability/progression, helpful checklists, case examples, and tips to reduce ambiguity in serial MRI interpretation!
💡Whether you’re a radiologist fine-tuning your reports, a urologist discussing imaging with your patients, or a trainee building your skills — this valuable resource makes complex concepts more approachable and clinically impactful!
🥇Congrats to @giga_fra and the entire team for this nice work!
🔗 Full article: pubs.rsna.org/doi/10.1148/rg…
#Radiology #ProstateCancer #MRI #ActiveSurveillance #RadioGraphics
Hegel T-Santamaría retweeted
The #EMBRACETrial: An enhanced recovery after surgery pathway for transurethral resection of bladder tumors. @mihiggins22 & @MaxKates @brady_urology join @UroCancerMD to discuss an enhanced recovery protocol for ambulatory TURBT which improved Quality of Recovery-15 scores by 12 points—well above the 6-point clinical significance threshold—and reduced urethral pain, dysuria, incontinence, and 30-day outpatient visits. #WatchNow to learn more > bit.ly/3NqT3tH
Hegel T-Santamaría retweeted
How modern therapies dislodged chemotherapy in advanced urothelial carcinoma
Hegel T-Santamaría retweeted
🚨🚨 UNA SOLA DOSIS de ibuprofeno aumenta la permeabilidad intestinal en personas sanas EN UN PLAZO DE 24 HORAS...
Ese Advil que tomaste para el dolor de cabeza. El ibuprofeno antes de entrenar. El naproxeno para la espalda.
PMID: 19148789
Cada una de ellas ensanchó los espacios en el revestimiento intestinal, las mismas uniones estrechas que impiden que las bacterias, las endotoxinas y los alimentos no digeridos entren en el torrente sanguíneo.
Un estudio realizado con 286 pacientes que tomaban AINE a largo plazo reveló inflamación intestinal medible en hasta el 72% de ellos...
PMID: 9824604
Una vez que se abre la barrera, las endotoxinas bacterianas (LPS) se filtran al torrente sanguíneo. El sistema inmunitario desencadena una respuesta inflamatoria leve. La señalización de la insulina se interrumpe. El cuerpo comienza a almacenar grasa visceral: la grasa profunda que rodea el hígado y los intestinos y que ningún ejercicio cardiovascular logra eliminar.
Primero se produjo el daño intestinal. Después vino la grasa abdominal.
La mayoría de las personas tratan la inflamación con más AINE. Lo cual aumenta la permeabilidad. Lo cual provoca más inflamación. El ciclo no se rompe por sí solo.
Hay que reconstruir la barrera...
Una revisión publicada en 2020 en Current Pharmaceutical Design (PMID: 32445447) reveló que el BPC-157 restauró la integridad de la barrera intestinal en múltiples modelos de daño intestinal, incluido el daño causado específicamente por los AINE...
Readers added context they thought people might want to know
El post afirma que los efectos nocivos, pero no especificar que es esos efectos son cuándo es un uso constante y no cuándo es indicado por el médico
x.com/i/status/20353…
The best session of #EAU26 ? The #UroSome dinner🥰: no doubt! What else? @jteoh_hk @DocGauhar @steffiyuen @endouro @A_Cormio @CarlottaNedbal @carlo_giulioni @fongkhiyung @PabloNContreras @DrBenChew @HegeltS @NICOLETTIRosse1 @TheodorosTokas @jl_kwok
Hegel T-Santamaría retweeted
Post-finasteride syndrome, PSSD, & Post-retinoid syndrome are devastating conditions. I appreciate the >1000 sufferers who responded to our survey. Robust discussion at #SUFU26. We need to advocate for patients and find solutions.@BeaumontUrology @CorewellHealth #PFS #PSSD
Hegel T-Santamaría retweeted
💥 Curious about the most popular content among urologists on #SIUAcademy?
📊 The Top 10 Most‑Watched Digital Resources from January are now available!
🚀 Explore the latest on‑demand eLearning and stay ahead with high‑quality educational content.
Enhance your expertise today—discover more here: bit.ly/4rwVxFO
@steffiyuen @jl_kwok @endouro @StavrosGravas @DrDeanElterman
@cosimodenunzio @jteoh_hk @HegeltS @zeng_guohua @wojciechpiotrk1
@pcvblack @paolo_gontero @VikramNarayan @karima_oualla @DanieleRaggi83
@gautiermarcq @spsutkaMD @SiTanguay @ParamMariappan @SWilliams_MD
@Merycarlap @DrMihirDesai @ameliapietr1 @Endo_Cav @ferasjaafari @SeccoSilvia
@EMoshokoa
Hegel T-Santamaría retweeted
Perioperative systemic treatment for bladder cancer
@MayoUrology #MayoUroHawaii26
In high-risk biochemically recurrent prostate cancer, enzalutamide plus leuprolide significantly improved overall survival as compared with leuprolide alone. Enzalutamide monotherapy had no significant benefit for survival. Full phase 3 EMBARK trial results and Research Summary: nej.md/4h8QpDc

ALT The New England Journal of Medicine Enzalutamide in Biochemically Recurrent Prostate Cancer A Research Summary based on Shore ND et al. | 10.1056/NEJMoa2510310 | Published on October 19, 2025 Visual representations of the patients in the trial and the treatments they were assigned. Read the full Research Summary at NEJM.org.










































