Today I lost my father unexpectedly. No words. He was the most loyal and kind man. The best grandfather. RIP Colonel Raul Gonzalez. 💔
#familia
Taking a break from this platform
Rest in eternal peace, Dad (Col. Raul Gonzalez, Ret.). You will be missed. Thanks for showing us how to be gentlemen; an example of love, duty and honor to family and our country 🇺🇸 we love you 😔
#familia
#fatherhood
@NationalGuard
As Latino Urologists, we join in celebrating
#NationalLatinoPhysicianDay
today! 🫶
Let's honor the dedication of Latinx doctors who work tirelessly to improve healthcare and advocate for diverse patient needs. We remain <6% of the physician workforce. Let’s continue to care for
Hit a personal milestone this week.
#💯 Aquablation !
Can’t do it without a dream team
@HMethodistUro
where we have treated over 200 men through to 2022.
So glad to be able to offer solutions that preserve sexual health while treating BPH
@SocietyofBPD
@PROCEPTRobotics
Challenging Urolift salvage case. 1st pics: obstructed view of prostate w prior Urololift x 4 (70 ml, no IML) came to us w gross hematuria. Adherent bladder stone. 2nd pics: whole implant was nidus for stone (capsular tab in bladder w prox migration of clip).
#holep
#TURP
#PVP
Bladder neck contractures can happen after any prostate surgery. This was 7 months after an Aquablation (first I’ve seen). Why do you think BNC’s happen?
See poll below…
#BPH
@SocietyofBPD
@HMethodistUro
HUSNA Hispanic Heritage Month Highlight!
This Dr. Ricardo Gonzalez an attending from Houston Methodist! His academic focus has been on BPH and Voiding Dysfunction. His clinical focus is in men's health and FPMRS.
Photogenic view (3T MRI) of a formerly 160 ml prostate 3 months after HoLEP done to follow up a prostate cancer on active surveillance. Few lessons:
⭐️yes, treating symptomatic BPH in men on AS surveillance is feasible.
⭐️Treating BPH can decrease PSA and diagnostic burden in
Happy new year! Have y’all checked out the
@JUrology
@AmerUrological
#BPH
guideline update?
#PAE
and
@iTind_System
added for select patients. TUMT out. Important to know prostate size, patient goals prior to surgical interventions. Nice job Jaspreet Sandhu, Tim Wilt,
@BladderBud
As parents we are beaming with pride in our 2nd son’s graduation from
@StrakeJesuit
- he is resilient and unstoppable. Next stop
@UWMadison
Go Badgers!
Today my heart💖bursts w pride watching Dr. Natalia Hernandez
@NatHernandezB
present her FPMRS Uro Fellow thesis and see how much she has grown and made our field better 🤩. She will be the 1st FPMRS trained specialist in So TX Rio Grande Valley, improving care for so many
#DEI
Love our family tradition of “dinner w dad” at their choice of restaurant as a prize for earning straight A’s. Last night was omakase w
#2
. ☺️
#familia
grateful I was “allowed” to snap a pic.
Love our fellow, Dr. Rachel Sosland. She awarded me her own🏆 because she knows I am fond of trophies. As you will see, the award was for "Best male FPMRS Attending under 60"... (see next tweet)
Let it flow! 💦 post ablation image following
#Aquablation
robotic handpiece removal in 137 ml prostate. 48 min case. Flow generated w abd pressure to appreciate open fossa. Good balance of LUTS relief and ej/erectile preservation ⚖️
@MaleHealthDoc
@DrDeanElterman
@NaeemBhojani7
Happy at
@HMethodistUro
to provide
#Optilume
balloon dilation w paclitaxel drug-delivery to treat urethral strictures. The paclitaxel inhibits fibroblast growth and stricture recurrence. Again, match the right treatment for the right patient.
#leadingmedicine
@nathanstarkemd
@FCAFigueiredo
This is a brilliant and clear example of two things:
1) size alone does not account for degree of obstruction. In this case, ball-valve median lobe is severe.
2) by the time he is having surgery, there are permanent morphological changes to the bladder (trabeculations) from the
@AshleyGWinter
When my 👩patients come in with urinary urgency, infections, incontinence, and dryness, I like to ask them if they had these problems before menopause.
Most of them did not, and it helps them realize that the absence of estrogen is causation.
#GSM
When iTIND is properly deployed in prostates, it expands and creates space immediately. No catheter required. Lasting effects are due to ischemic incisions from 12, 5, and 7 o’clock struts before removal at 5-7 days. Below find correct “tongue” placement distal to BN at 6 o’clock
Round
#3
(Moderna) today.
Feel relieved.
Completed Pfizer 2 doses in January. Spike antibodies low. Concerned about 4th surge.
Did it to protect myself , my patients, and my family.
#vacuna
#modernavaccine
#DeltaVariant
Vacation was so needed. Grateful for an unforgettable opportunity to recharge and reconnect in Greece. Fortunately, the Cyclades did not appear affected by the terrible wildfires.
#familia
#urology
#sailing
While providing GreenLight therapy or Rezum to patients is not new, I am grateful for the recognition and support of our team at
@HMethodistUro
that allows us to train physicians locally and globally in these therapies that improve QoL for men everywhere. 😊
#BPH
Celebrated
@RRGonzalezMD
designation as a Greenlight AND Rezum Center of Excellence! 1st in Texas with
the Greenlight COE & 1st in the country with both distinctions. 🎗️🙌
Congratulations Dr. Gonzalez, we are extremely proud of you! 🥳🎖️💝
@HMethodistMD
Congrats to Dr. Kathleen Kobashi
@KKseattle
for this well-earned and prestigious award
@AmerUrological
! Your patients and work family are better because of all you do to help those around you. You are an outstanding leader who makes all those around you shine!
Happy to have yet another FDA-approved option to offer eligible men w BPH (no IML). We are the first in Houston to do this brief 5 min procedure.
#bespokeProstateHealth
@HMethodistUro
@SocietyofBPD
finding the right treatment for the right patient because 1 👞 not fit every 🦶.
#TUIP
is a great for PBNO. Can safely do with GL with less $ EA (extended application) fiber that allows up to 40 W vapor w min bleed. I offer for men with high BN who are interested in improving LUTS with less risk of ejac dysfxn. Good if these men want off ABs like tamsulosin.
Glorious day for our graduating UroGyn
#FPMRS
fellow
@drshwetadesai
who successfully defended her thesis on ERAS for apical prolapse! The sunbeams literally pierced the clouds over
@TXMedCenter
in joy! She will be an asset to the Atlanta community with Advanced Gynecology
@FPMRS