Toto. EAMC Recon Fellowship Program Director 🇵🇭. Aiming to train recon urologists in a country of 118M people & 6 Recon Uros.
@SocietyGURS
Board of Directors
The grand finale of the Philippine Urological Association annual convention was the Mr and Ms Urology pageant featuring residents from all of the urology training institutions in the country.
Just when you thought you’ve seen everything. Today we anastomosed a 3-4cm segment of the urethra that was transected four months ago during a varicocelectomy
Did a Bracka Technique today. Adult male s/p hypospadias repair 4x. Long anterior stricture. Multiple urethrocutaneous fistulae. Severe fibrosis of the urethral plate.
The first formal 1-year reconstructive urology fellowship program in the Philippines. Approximately 150 urethroplasties a year…. Also includes complex upper tract reconstruction. Urologic fistulae. Urinary diversions. Urogenital reconstruction. Hypospadias repair etc
We performed another BMG ureteroplasty for a 55/F with a solitary kidney, who developed a stricture after ureteral stone surgery and subsequent ureterouretetostomy that failed.
#stricturedisease
#reconstructiveurology
#USTurology
Travelled 168km by car, to the province of Nueva Ecija. No reconstructive urologists there. We performed 6 urethroplasties and 2 hypospadias surgeries there. 7 hours drive, roundtrip. Slept the whole day after the mission
#reconstructiveurology
#PhilGURS
#stricturedisease
Previous failed hypospadias repair. Bracka was performed during the 1st stage. 2nd stage involved a modified Johansson technique reinforced by a tunica vaginalis flap. A urethrostomy was created to divert the urine proximally for now, and will be closed after 6 months.
Referred to our unit for almost complete loss of ureteral length due to scabbard injury. Our team performed an ileal interposition to reconstruct the ureter
#eamcurology
#reconstructiveurology
Travelled to the province of Cavite with my fellow to perform vessel-sparing anastomotic urethroplasty. Thank you Dr. Lua for the invitation. Thanks for the free lunch as well.
#reconstructiveurology
We performed a transvesical subtrigonal BMG inlay for a 12/F with a completely obliterated bladder neck due to crush injury after being run over by a tractor. A first in the Philippines.
A great way to start 2023. Officially accepted as a member of the European Association of Urology, Section of Genitourinary Reconstructive Surgeons (ESGURS). Excited for what lies ahead… collaborations between the PhilGURS and ESGURS.
The biggest reconstructive urology mission to ever happen in the Philippines is going to happen this coming March. 4 major public hospitals will serve as hosts. A logistical nightmare, but will surely be rewarding in the end. Excited for this!!!!
@SocietyGURS
Loaded OR sched for me and my team…
1. Radical Prostatectomy
2. TURP
3. Kulkarni Urethroplasty
4. Radical Cystectomy with Ileal Conduit
Now, time for some eat-all-you-can Korean Buffet
The residents initially planned to do a vessel-sparing EPA for the near-obliterative stricture in the bulbar urethra, only to realize that it was panurethral on urethroscopy. Ended up doing a Kulkarni augmented by a ventral onlay patch
Today, the EAMC Recon Team performed the first ever BMG ureteroplasty in the Philippines 🇵🇭. This also was the first time
@lee_c_zhao
’s method of non-transecting ureteral reimplantation was performed.
When i started my
#reconurology
journey here in my country, older urologists would say, “we don’t need that because it’s not that common here” “at the most, 1-2 cases per month”. It was because residents were turning the patients away. Now we have backlogs of 15 per month
Our senior resident’s first vessel-sparing urethroplasty. He will be joining me as my 2nd ever reconstructive fellow starting this June. Training the future of Philippine Recon, one fellow at a time
#EAMCurology
#reconstructiveurology
Did not see this coming. Awarded the Philippine Urological Association 2023 Research Awardee. And to think I almost did not graduate from residency because i was late in submitting my paper because i hated doing research.
Showing off our old, strictured ureteral orifice and the new, reimplanted ureteral orifice using
@lee_c_zhao
’s non-transecting end-to-end ureteral reimplantation technique. Patient is happy.
It is my honor, as this year’s overall scientific chair, to invite everyone to the Philippine Urological Association annual convention (Nov 23-27, 2022)
In areas of need, you also need to teach the general surgeons. Assisted Dr. Piñera in his first EPA urethroplasty for a 32/M police officer with complete transection of the urethra and has been with a suprapubic tube since 2018
#reconstructiveurology
#stricturedisease
Today, we performed the first ever Nikolavsky urethroplasty in the Philippines with no other than
@UroRecon
himself virtually scrubbing in to supervise.The stricture was much longer and more proximal than expected and a lot of lessons were learned today
It was an honor
@SocietyGURS
for giving me the opportunity to raise awareness on the state of reconstructive urology in the Philippines. “OBSESSION is just a word that the uninitiated use to describe the passion of the DEDICATED”
#reconstructiveurology
#PhilGURS
ARMMC is the biggest trauma center in Rizal Province. Today, we performed free surgery on a patient who has had 6 previous DVIU’s. He has had a suprapubic tube since 2018. The first ever urethroplasty performed in this institution
What a way to spend the day after my birthday. Severe flank pain at home. UVJ stone. Good thing my sister (an anesthesiologist) was there. IV Pain meds. For eswl tomorrow morning.
Today, I proudly graduated my 2nd fellow, Dr. Oyayi Atienza.He was able to fill a census that satisfied the requirements set by
@SocietyGURS
. Good luck in your practice and spread the gospel of recon, in the Philippines 🇵🇭
Our ever-growing case series of non-transecting ureteral reimplantations at East Avenue Medical Center. Thanks again to
@lee_c_zhao
for introducing the technique to us back in 2021
#EAMCurology
#reconstructiveurology
We are proud to announce the first formal fellowship program in reconstructive urology in the Philippines. We welcome
@Loxtantine
as our first-ever Fellow-in-training
The University of Santo Tomas, Section of Urology is inviting everyone to a special 2-day event this February. On Day 2, we will be sharing our nightmare cases so others will learn from our mistakes. Starts at 18:00 PST
@SocietyGURS
Looking at the program, and noticing the line-up of speakers, i felt overwhelmed and unsure why i was included in this incredible list of surgeons. Nevertheless, i am very proud to represent the Philippines. See you all in Antwerp!!!
@SocietyGURS
@ISORU1
#esgurs
Although this came as a bit of a surprise as the Philippines is a very conservative Catholic country, i still would like to thank the Philippine Medical Association for giving me the opportunity to speak in this year’s convention. May this be the start of more doors opening
Inviting everyone to the University of Santo Tomas postgraduate webinar featuring a couple of our friends from
@SocietyGURS
. Registration is free.
@drjnwarner
@JSimhan
Reconstructive surgery is my passion but sometimes, I still do the occasional tumor surgery. Retroperitoneal laparoscopic adrenalectomy for a 6.5cm adrenal mass
We performed the first non-transecting urethroplasty in East Avenue Medical Center, which is one of the biggest referral centers in the country for the underprivileged population. Good job to the whole team.
Clinic closed. Surgeries rescheduled. Nothing beats that face of your kid smiling, knowing that you’re there to watch him. His team won gold in the track meet, by the way 😁
Dream slowly coming true. Laying the groundwork for the 1st ever Recon Fellowship Program in the Philippines. Coming in 2023
#eamcurology
#reconstructiveurology
Two Generations of Dreams: The first part of the note was written in 2007 during my pre-residency. The 2nd part was written in 2013, graduation day. Still very proud of that day. This was for my dad
The University of Santo Tomas, Section of Urology is inviting everyone to a special 2-day event this February. On Day 1, we will be revisiting the Art of Urinary Diversions, with the help of
@jeremybmyers
@SocietyGURS
. The Main session starts at 18:00 PST
The calvary has arrived. The first ever Recon outreach mission involving GURS members, is happening on Nov 21-22 in Manila. Thanks my friends
@PaulRusilko
@QmaxDC
@shubhamdotgupta
for allowing me to trick you into coming for free. :)
Another 6-hour Sunday roundtrip ride to the province of Laguna, this time to assist my residency junior in his urethroplasty case. Plus a quick side trip to the Pililla Windmills of Rizal Province. Well worth the 4:00 AM wake up time.
Today, we performed the first ever Joshi Urethroplasty in the Philippines (double-faced inlay buccal mucosal graft) for a 35/F with a complicated urethral stricture.Congrats  V.Luna Medical Center Uroboys!!!
#reconstructiveurology
#joshiurethroplasty
BMG ureteroplasty for a patient with a long ureteral stricture, who previously underwent dismembered pyeloplasty. It was a fun day with my residents, as always
A number of difficult cases during our surgical mission in northern Philippines. One involved complete loss of viable urethra prompting us to perform a tubularized skin flap
#reconstructiveurology
#stricturedisease
#philGURS