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Dr. Roger Sur

👤 Person
306 total appearances

Appearances Over Time

Podcast Appearances

BackTable Urology
Ep. 197 Suction Devices in Urology: Improving Stone Removal with Dr. Roger Sur

He wrote an article saying, you know, stone free rates are nice. But the problem with the stone-free rate is it's kind of a binary. It's a binary outcome. You're either stone-free or you're not stone-free. So the goal, obviously, is to get everyone stone-free. But what if you're not stone-free? Does it matter if you leave a little bit behind or a lot behind? And he suggested, you know what?

BackTable Urology
Ep. 197 Suction Devices in Urology: Improving Stone Removal with Dr. Roger Sur

He wrote an article saying, you know, stone free rates are nice. But the problem with the stone-free rate is it's kind of a binary. It's a binary outcome. You're either stone-free or you're not stone-free. So the goal, obviously, is to get everyone stone-free. But what if you're not stone-free? Does it matter if you leave a little bit behind or a lot behind? And he suggested, you know what?

BackTable Urology
Ep. 197 Suction Devices in Urology: Improving Stone Removal with Dr. Roger Sur

He wrote an article saying, you know, stone free rates are nice. But the problem with the stone-free rate is it's kind of a binary. It's a binary outcome. You're either stone-free or you're not stone-free. So the goal, obviously, is to get everyone stone-free. But what if you're not stone-free? Does it matter if you leave a little bit behind or a lot behind? And he suggested, you know what?

BackTable Urology
Ep. 197 Suction Devices in Urology: Improving Stone Removal with Dr. Roger Sur

Instead of looking at the size of a stone, like a 2-millimeter, 3-millimeter, or 4-millimeter, isn't a stone a three-dimensional object? Shouldn't we be looking at volume of stone? And you think about it, it totally makes sense. It's the volume of the stone that probably makes a lot more sense than the two-dimensional. We're kind of dumbing it down when really we should be looking at volume.

BackTable Urology
Ep. 197 Suction Devices in Urology: Improving Stone Removal with Dr. Roger Sur

Instead of looking at the size of a stone, like a 2-millimeter, 3-millimeter, or 4-millimeter, isn't a stone a three-dimensional object? Shouldn't we be looking at volume of stone? And you think about it, it totally makes sense. It's the volume of the stone that probably makes a lot more sense than the two-dimensional. We're kind of dumbing it down when really we should be looking at volume.

BackTable Urology
Ep. 197 Suction Devices in Urology: Improving Stone Removal with Dr. Roger Sur

Instead of looking at the size of a stone, like a 2-millimeter, 3-millimeter, or 4-millimeter, isn't a stone a three-dimensional object? Shouldn't we be looking at volume of stone? And you think about it, it totally makes sense. It's the volume of the stone that probably makes a lot more sense than the two-dimensional. We're kind of dumbing it down when really we should be looking at volume.

BackTable Urology
Ep. 197 Suction Devices in Urology: Improving Stone Removal with Dr. Roger Sur

So that I think is one of the futures is to look at how much stone are you leaving behind, you know, and not just in two dimensions, but in three dimensions. which is you can see there's emerging research that's demonstrating the importance of volume.

BackTable Urology
Ep. 197 Suction Devices in Urology: Improving Stone Removal with Dr. Roger Sur

So that I think is one of the futures is to look at how much stone are you leaving behind, you know, and not just in two dimensions, but in three dimensions. which is you can see there's emerging research that's demonstrating the importance of volume.

BackTable Urology
Ep. 197 Suction Devices in Urology: Improving Stone Removal with Dr. Roger Sur

So that I think is one of the futures is to look at how much stone are you leaving behind, you know, and not just in two dimensions, but in three dimensions. which is you can see there's emerging research that's demonstrating the importance of volume.

BackTable Urology
Ep. 197 Suction Devices in Urology: Improving Stone Removal with Dr. Roger Sur

So I think when you're going to see that more and more that people be talking about volume of stone that's been removed and how much volume is left behind and how that translates to all those things that you were talking about post-op problems.

BackTable Urology
Ep. 197 Suction Devices in Urology: Improving Stone Removal with Dr. Roger Sur

So I think when you're going to see that more and more that people be talking about volume of stone that's been removed and how much volume is left behind and how that translates to all those things that you were talking about post-op problems.

BackTable Urology
Ep. 197 Suction Devices in Urology: Improving Stone Removal with Dr. Roger Sur

So I think when you're going to see that more and more that people be talking about volume of stone that's been removed and how much volume is left behind and how that translates to all those things that you were talking about post-op problems.

BackTable Urology
Ep. 197 Suction Devices in Urology: Improving Stone Removal with Dr. Roger Sur

I think we need you in endourology. It's not too late to convert over. Clearly, with even very little time spent, you already have some good insight into identifying problems that I haven't even thought about.

BackTable Urology
Ep. 197 Suction Devices in Urology: Improving Stone Removal with Dr. Roger Sur

I think we need you in endourology. It's not too late to convert over. Clearly, with even very little time spent, you already have some good insight into identifying problems that I haven't even thought about.

BackTable Urology
Ep. 197 Suction Devices in Urology: Improving Stone Removal with Dr. Roger Sur

I think we need you in endourology. It's not too late to convert over. Clearly, with even very little time spent, you already have some good insight into identifying problems that I haven't even thought about.

BackTable Urology
Ep. 197 Suction Devices in Urology: Improving Stone Removal with Dr. Roger Sur

There have already been 1,500 cases performed with the new 2.0 in the United States. It's only available in the United States currently. But yeah, community urologists, All types of urologists have used this already, as well as FANS has been used all throughout the United States by all types of urologists. You don't need to have special training for any of this.

BackTable Urology
Ep. 197 Suction Devices in Urology: Improving Stone Removal with Dr. Roger Sur

There have already been 1,500 cases performed with the new 2.0 in the United States. It's only available in the United States currently. But yeah, community urologists, All types of urologists have used this already, as well as FANS has been used all throughout the United States by all types of urologists. You don't need to have special training for any of this.

BackTable Urology
Ep. 197 Suction Devices in Urology: Improving Stone Removal with Dr. Roger Sur

There have already been 1,500 cases performed with the new 2.0 in the United States. It's only available in the United States currently. But yeah, community urologists, All types of urologists have used this already, as well as FANS has been used all throughout the United States by all types of urologists. You don't need to have special training for any of this.

BackTable Urology
Ep. 197 Suction Devices in Urology: Improving Stone Removal with Dr. Roger Sur

I do think they recommend probably a couple of mentored cases with your territory manager from the company, just making sure you're using the best practices. But no, this does not require specialized training.

BackTable Urology
Ep. 197 Suction Devices in Urology: Improving Stone Removal with Dr. Roger Sur

I do think they recommend probably a couple of mentored cases with your territory manager from the company, just making sure you're using the best practices. But no, this does not require specialized training.