Endourology and Robotic Surgery
Guadalajara, Jalisco
Joined July 2011
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Dr. Yaro Muñoz retweeted
Game CHANGER!!! Milep digital una nueva era en la enucleacion de próstata #prostata #laser #holep @fgomsan @scoffonecesare @dr_karian @YaroML
Dr. Yaro Muñoz retweeted
Why is HoLEP size-independent? Simple geometry.
From 30 to 500 cc we remove 48× more adenoma, but the enucleation plane grows only 13×. A median lobe adds only its base.
Interactive 3D model + free slides in 8 languages:
holep.icua.es/3d
#HoLEP #Urology
holep.icua.es/3d
#HoLEP #Urology
Dr. Yaro Muñoz retweeted
#ASTRO26
PACE-A: 8-year results 🧠
SBRT vs prostatectomy in localized prostate cancer:
☢️ 8-y BCF-free: 91.2% vs 83.7%
🚻 ≥1 urinary pad: 8.3% vs 48%
🦠 Moderate/big bowel problems: 0% vs 3.6%
⚕️ Grade ≥2 GU toxicity: 3.8% vs 2.5%
#ProstateCancer #SBRT #RadiationOncology
🤖 Made with AI
Dr. Yaro Muñoz retweeted
Curso de alta especialidad en endourología y cirugía robótica
Inscripciones abiertas @YaroML @edgar_dupond @drsaid_urologia @alexfige86 @fgomsan
🤖 Made with AI
Prostate volume does not tell the whole story.
- 40 g prostate with marked endoscopic obstruction.
Obstruction depends not only on prostate size, but also on adenoma configuration and its relationship with the prostatic urethra and bladder neck
Before vs. after AEEP. – at Arandas, Jalisco
Dr. Yaro Muñoz retweeted
前立腺全摘で守るべきなのは、外尿道括約筋だけではありません。
私たちの解剖学研究では、肛門挙筋を覆う骨盤隔膜上筋膜と外尿道括約筋の間を、平滑筋が連続的に橋渡ししていました。
剥離層の違いは、この支持構造を残せるかにも関わる可能性があります。
doi.org/10.1002/pros.70030
Dr. Yaro Muñoz retweeted
PROTEUS moves radical prostatectomy into a multimodal era: perioperative apalutamide plus ADT reduced the risk of metastasis or death by 20%. The next challenge is selecting who truly needs intensification.
🔗[doi.org/10.1038/s41391-026-0…] #ProstateCancer
🤖 Made with AI
Dr. Yaro Muñoz retweeted
🚨 Retzius-sparing RARP: better early continence, worse long-term cancer control in the first randomized trial 10-yr readout 🚨
@EurUrolOncol, post hoc analysis of an RCT
👥 120 men, NCCN low/intermediate risk PCa, randomized 1:1 RS vs anterior RARP
⏱️ Median f/u 77 mo, 20 progression events (BCR and/or any additional tx)
✅ 5-yr PFS: 80.2% RS vs 91.1% anterior (p=0.01)
✅ 10-yr PFS: 50.5% vs 82.0%
✅ Adjusted for CAPRA-S: HR 2.64 for progression w/ RS (95% CI 1.01 to 6.91)
⚠️ Signal held in negative-margin pts only: 5-yr 81.1% vs 96.1% (p=0.042), so not just a margin story
⚠️ RS arm had more pT3 (45% vs 23%) and numerically more PSMs (25% vs 13%)
⚠️ Small trial, oncology not the original endpoint, only 9 pts at risk at 10 yr, and the 2 surgeons had done just 60 RS cases total. Expert series suggest ~100 to flatten the learning curve
🎯 First randomized long-term evidence that the oncologic equivalence of RS RARP cannot be assumed.
👉Not a final verdict on RS in high-volume hands
🔗 doi.org/10.1016/j.euo.2026.0…
@AmerUrological @UroOnc @SUO_YUO @PCF_Science @PCFnews @UrologyTimes @urotoday
Dr. Yaro Muñoz retweeted
Webster Step 3a Posterior Anastomotic Urethroplasty secondary to Pelvic Fracture // Plastia de Uretra Posterior Termino-Terminal Webster 3a secundaria a Fractura de Pelvis – at Arandas, Jalisco
Dr. Yaro Muñoz retweeted
Mexican #BladderCancer guidelines adapt global standards to local realities and access. @amendoza_valdes @medicasur joins @UroDocAsh @MDAndersonNews reviewing Mexican Bladder Cancer Guideline development and a project which marked the first collaboration among all Mexican urologic associations and government institutions, involving 40 urologists using modified Delphi consensus methodology. #WatchNow > bit.ly/4qrJV6h
Orgulloso de ser partícipe en este trabajo junto a grandes colegas.
Agradecimiento especial para el @EndouroPaco y @fgomsan
Anexo link del video de la técnica
doi.org/10.1089/vid.2024.002…
New paper in World J Urol: En bloc HoLEP with vesical mucosal release — a technical refinement by Gomez-Regalado et al. Protecting the ureteral orifices by incising the vesical mucosa. Simple idea, elegant solution, now published.
pubmed.ncbi.nlm.nih.gov/4194…
drgomezsancha.com
Dr. Yaro Muñoz retweeted
New paper in World J Urol: En bloc HoLEP with vesical mucosal release — a technical refinement by Gomez-Regalado et al. Protecting the ureteral orifices by incising the vesical mucosa. Simple idea, elegant solution, now published.
pubmed.ncbi.nlm.nih.gov/4194…
drgomezsancha.com
Dr. Yaro Muñoz retweeted
El efecto sumidero en la terapia con Lu-177–PSMA significa que en pacientes con alta carga tumoral, los tumores “captan” la mayor parte del radioligando, reduciendo la captación en órganos normales (glándulas salivales, riñones). Más tumor = menos exposición de tejidos sanos.
The sink effect in Lu-177–PSMA therapy means that in patients with high tumor burden, tumors “trap” most of the radioligand, reducing uptake in normal organs (salivary glands, kidneys). More tumor = less normal tissue exposure.
Dr. Yaro Muñoz retweeted
Ejaculation - demystified … in 1994. bladder neck irrelevant - combustion chamber is. Relevant anatomy. M. Ejac. Distal circumferentially preserved urethra and M. dil. urethrae. Wonderful latest pub: pubmed.ncbi.nlm.nih.gov/4085… @BenjaminPradere @VMisrai #EAU26
@dr_romero_otero @MalteRieken taking us though #BPH SURGERY in motion - 2026 surgical techniques for EJN preservation. @SeccoSilvia @BenjaminPradere presents 3 TRUS & CYSTO views of male EJACULATION -👉validation that this male SXL fnc is NOT related to bladder neck. #EAU26
Dr. Yaro Muñoz retweeted
◾️A pig 🐷 nose🐽 ureteric orifce where double ureters join
🙂 It is nice to see
@PETRAurogroup @so_uro
Dr. Yaro Muñoz retweeted
Publicamos un estudio epidemiológico de #LitiasisRenal en 🇲🇽 (creo que el único).
‼️#Yucatan 1er lugar en prevalencia (por mucho) 🥇
📊#Hipocitraturia destaca como la principal causa subyacente
🚨 URGE: políticas públicas de salud apropiadas
🔗 link.springer.com/article/10…
Dr. Yaro Muñoz retweeted
📣 ¡Ya puedes checar el Programa Oficial de la 2ª Cumbre Internacional de HoLEP 2026! Del 31 de marzo al 2 de abril, Guadalajara reunirá a los referentes internacionales y nacionales en HoLEP.
🔶 Inscríbete y asegura tu lugar.
@fgomsan @scoffonecesare @dr_karian @YaroML
Dr. Yaro Muñoz retweeted
🇮🇹✨ ¡Confirmado!
Desde Italia, el pionero de la técnica en-bloc no-touch en HoLEP, Dr. Cesare M. Scoffone, estará en Guadalajara para la 2ª Cumbre Internacional CI-HoLEP @scoffonecesare
📅 31 de marzo y 1 de abril 2026
📍 Guadalajara, México
📞 Informes: 33 1003 5872
#HoLEP
