Ep. 189 Legends of Urology: Origins of Robotic Surgery with Dr Mani Menon

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Jose Silva 0:01
We know that TURBT procedure is critical in the care of patients with non-muscle invasive bladder cancer. With data that shows that CIS was missed by TURBT in more than 45% of radical cystectomy cases and 86% of residual tumors have been found at the original resection site, it's clear that enhanced visualization could be a significant benefit during TURBT's. Further, with only 23% of patients coming back for re-resection, it's all the more important to do a complete TURBT right from the start.
Unknown 0:42
This week on the Backtable Podcast.
Dr. Mani Menon 0:44
These were all people who worked in the automotive industry. Detroit had the highest concentration of industrial robots in the world. What they felt is they had seen the power of the robot in welding and soldering and screwing in areas where the hand couldn't get into. What they felt is that they came here because they trusted me and I had told them that I was very well trained in open surgery and they said, well, if you think this robot is going to help you, we've seen how it helps us. What do we have to lose?
Aditya Bagrodia 1:32
Hello, everyone, and welcome to Backtable, your source for all things urology. You can find all previous episodes on Apple, Spotify, YouTube, and on backtable.com. Now, a quick word from our sponsor. From concept to completion, there's a lot to consider when building a theranostics or PSMA PET-CT imaging program. It's nearly impossible to be an expert in every aspect of this care pathway, but the success of your program depends on it. Get the support you need from an experienced team. Open your web browser and search Siemens Healthineers Theranostics. You'll see the complete Theranostics care pathway and how they can help you customize it to meet the needs of your prostate cancer patients. Visit their website or stop by Siemens Healthineers booth at the local and national American Urological Association and Large Urology Group Practice Association meetings.
Unknown 2:26
You deliver the care, they'll deliver the rest.
Aditya Bagrodia 2:29
Now, back to the show. This is Aditya Begrodia as your host this week, and I'm very excited to introduce our guest today, Dr. Mani Menon from the Department of Urology at Mount Sinai Health Systems, where he serves as a professor and director of education and director of precision prostatectomy. Dr. Menon, welcome to the show. How are you doing today? Good to see you. Thank you for inviting me, having me here. It's an absolute honor. I had to really curtail the introduction because that could nearly certainly take the whole hour-long episode here. but without being hyperbolic here, Dr. Madden's absolute legend in our field, largely known as the father of robotic surgery, a gold cystoscope winner, recipient of an Indian presidential citation in the Smithsonian Institute as a part of a recognition of American immigrants. And I also learned the first Indian surgical trainee at Johns Hopkins University. Is this actually all true, Dr. Menon?
Dr. Mani Menon 3:28
I don't know the part of the first surgical training at Johns Hopkins. It's like 99% true. They may have had somebody who filled in when there was an unexpected vacancy. I don't think so. I think that's also true.
Aditya Bagrodia 3:43
But the rest of it is. Well, again, it's an honor. And I think it's worthwhile to start at the beginning. I would love to hear it. Why medicine? How urology transitioning from India to America? Can you tell us a little bit about that process? Well, it...
Dr. Mani Menon 4:05
In a nutshell, I was and continue to be a wimp surrounded by strong women who told me what to do. I grew up with my mother. My father had died when I was very young. And she idolized her uncle, who was a prominent physician who had died. And she wanted me to become a physician. So I became his physician. Came to the United States. I was a general surgical resident at my medical school, JIPA, in Pondicherry. And there was a change in administration, and I fell out of favor with the new chairman of the Department of Surgery. So once again, being a wimp, I decided that I would flee India and come to the U.S. I came to the U.S.

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