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Mr. Roboto (domo arigato, if you like)

2020; Wiley; Volume: 1; Issue: 5 Linguagem: Inglês

10.1002/bco2.54

2688-4526

John W. Davis,

Urological Disorders and Treatments

The rock band Styx released a song of this name in 1983. I was in ninth grade at the time and played guitar in a band. We sort of laughed at this song—seemed a rather ridiculous departure into 1980s synthesizer-based rock for a band that was rooted in classic guitar riffs and keyboard ballads in the 1970s. The band went full in with the themes from the lyrics—a full length music video and a linked rock opera story line. Fast forward a few decades, and the song does show up on my play list in the operating room as part of my Styx Greatest Hits album. Often I get a shout out from the room, as if this song is some sort of anthem for a robotic surgeon. As this issue of BJUI Compass features a review article on new robotic surgery platforms, this song has been on my mind. Looking up the lyrics on-line, the song is really not about robots but rather human emotions and frustrations. Pausing for a brief trip down a rabbit trail, I am able to read these lyrics on-line, since almost all pop songs now have internet sites posting the lyrics, and discussions on the meaning and backstories. For the musicians interested: sheet music available to download, and in many cases YouTube videos on how to play the instrumental parts. This is such a departure from my brief era as a rock guitarist in the 1980s—we had to record songs on cassette tapes off the radio and play/rewind them endlessly to figure out the lyrics and the instrumental parts. In many cases, you really could not figure out what they were singing (looking right at you, Sting). Follow this link for an amusing list of top 40 “mis-heard” song lyrics: https://www.nme.com/blogs/nme-blogs/misheard-song-lyrics-6787 To the Clinic… The paper by Anderson et al2 is kind of a “bucking the trend” paper on the topic of how to do a radical orchiectomy. I imagine at this point, every urologist alive was taught the technique and rationale for doing a radical orchiectomy—and likely some test questions along the way that made you differentiate when to do or not do a scrotal approach. Is there a downside to the radical/inguinal approach? These authors point out the ilioinguinal nerve damage risk of dissecting in the inguinal canal and illustrate a sub-inguinal approach that stops at the external inguinal canal. They report oncologic outcomes and follow-up for 42 cases. Will you try this? This group is from Melbourne, Australia, and after a recent visit there, I toured the Outback and visited the famous Ayer's Rock or Uluru as named by the indigenous population (Figure 3). Near the base is an impressive display of solar powered lights—looking like a neural network, Figure 4. So that's my best Australian photo-analogy—don't damage the light network or it will go dark; and don't damage the ilioinguinal nerve or the patient will complain of pain and/or numbness.