Dr. Mani Menon

And the surgeon who was doing it started doing the prostatectomy, went posteriorly, developed the planes, and was about to transect the urethra, but he couldn't figure out where the prostate ended and where the urethra started. And that's just because this person was so muscular and the robot magnification was different from the laparoscopic magnification.

And the anatomy in an African-American pelvis is different from a Mediterranean pelvis. So I think we spent about an hour arguing about where to cut the urethra. I couldn't tell him where to cut it. I mean, he was the surgeon. I mean, I was learning from him. But We ended up opening him up. And I ended up having to do an open radical prostatectomy.

And the anatomy in an African-American pelvis is different from a Mediterranean pelvis. So I think we spent about an hour arguing about where to cut the urethra. I couldn't tell him where to cut it. I mean, he was the surgeon. I mean, I was learning from him. But We ended up opening him up. And I ended up having to do an open radical prostatectomy.

And the anatomy in an African-American pelvis is different from a Mediterranean pelvis. So I think we spent about an hour arguing about where to cut the urethra. I couldn't tell him where to cut it. I mean, he was the surgeon. I mean, I was learning from him. But We ended up opening him up. And I ended up having to do an open radical prostatectomy.

And it's really difficult to do an open radical prostatectomy in a person with unfavorable anatomy who has had four hours of laparoscopic surgery. But the only thing that I learned from it is that I knew the anatomy in my patients better than the French surgeons did. Because I was used to seeing this anatomy and they weren't.

And it's really difficult to do an open radical prostatectomy in a person with unfavorable anatomy who has had four hours of laparoscopic surgery. But the only thing that I learned from it is that I knew the anatomy in my patients better than the French surgeons did. Because I was used to seeing this anatomy and they weren't.

And it's really difficult to do an open radical prostatectomy in a person with unfavorable anatomy who has had four hours of laparoscopic surgery. But the only thing that I learned from it is that I knew the anatomy in my patients better than the French surgeons did. Because I was used to seeing this anatomy and they weren't.

So where I wanted to transect the urethra laparoscopically was where I ended up transecting the urethra open. And, you know, we did the case and I went home and I got a call saying, The patient isn't moving his leg. He's paralyzed. So I said, call the neurosurgeon and I'm coming in. And as I was driving in, I said, if this person doesn't move, I'm going to cancel the program.

So where I wanted to transect the urethra laparoscopically was where I ended up transecting the urethra open. And, you know, we did the case and I went home and I got a call saying, The patient isn't moving his leg. He's paralyzed. So I said, call the neurosurgeon and I'm coming in. And as I was driving in, I said, if this person doesn't move, I'm going to cancel the program.

So where I wanted to transect the urethra laparoscopically was where I ended up transecting the urethra open. And, you know, we did the case and I went home and I got a call saying, The patient isn't moving his leg. He's paralyzed. So I said, call the neurosurgeon and I'm coming in. And as I was driving in, I said, if this person doesn't move, I'm going to cancel the program.

You know, we were legally bound to honor their contract for a year. This was their first case. So I would somehow have to justify this with our administration and the donor, because I'd spent a lot of money into this. We had agreed to buy the robot, which was, you know, a million dollars, $999,000. But I couldn't conscientiously have a patient become paralyzed because I was trying something new.

You know, we were legally bound to honor their contract for a year. This was their first case. So I would somehow have to justify this with our administration and the donor, because I'd spent a lot of money into this. We had agreed to buy the robot, which was, you know, a million dollars, $999,000. But I couldn't conscientiously have a patient become paralyzed because I was trying something new.

You know, we were legally bound to honor their contract for a year. This was their first case. So I would somehow have to justify this with our administration and the donor, because I'd spent a lot of money into this. We had agreed to buy the robot, which was, you know, a million dollars, $999,000. But I couldn't conscientiously have a patient become paralyzed because I was trying something new.

By the time I went there, the patient was moving. When I was told that it was either stretch on the sciatic nerve or the femoral nerve, I forget which, maybe from the retractors on the femoral nerve or the sciatic nerve from the reverse Dellenberg position with the hips flexed, and that he would be okay. And he was okay. He had a Gleason 9 cancer with seminal vesicle invasion.

By the time I went there, the patient was moving. When I was told that it was either stretch on the sciatic nerve or the femoral nerve, I forget which, maybe from the retractors on the femoral nerve or the sciatic nerve from the reverse Dellenberg position with the hips flexed, and that he would be okay. And he was okay. He had a Gleason 9 cancer with seminal vesicle invasion.

By the time I went there, the patient was moving. When I was told that it was either stretch on the sciatic nerve or the femoral nerve, I forget which, maybe from the retractors on the femoral nerve or the sciatic nerve from the reverse Dellenberg position with the hips flexed, and that he would be okay. And he was okay. He had a Gleason 9 cancer with seminal vesicle invasion.

He was incontinent and impotent. Not the best way to start the program. But I saw him 14 years later. He has an undetectable PSA. He is incontinent and he's potent and he's a fan of the procedure that he go figure.

He was incontinent and impotent. Not the best way to start the program. But I saw him 14 years later. He has an undetectable PSA. He is incontinent and he's potent and he's a fan of the procedure that he go figure.

He was incontinent and impotent. Not the best way to start the program. But I saw him 14 years later. He has an undetectable PSA. He is incontinent and he's potent and he's a fan of the procedure that he go figure.

I'm not sure, you know, one of my closest friends, Paul Schellhammer, Well, it was in the OR because he wanted to see robotics. So he was there for this case, and Paul's an absolute gentleman. It kind of shocked him as to how primitive we were. But I think what he told me is, I like the way that you converted him to open.