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There is absolutely no doubt that urolithiasis is a truly global disease. It is extremely rare in medicine to have a single disease entity with enough breadth and variety to generate such immense interest across the world that it merits a 3 days meeting on its own.
The aim of the association is to provide a platform for urologists across the world to exchange knowledge on robson sushi review bitcoin tract stone disease, and to establish professional links for research. This was our first time attending the IAU, and we were both honoured to be invited to speak at the conference. We must congratulate the association and the organising committee in putting together a truly excellent robson sushi review bitcoin, which included many thought-stimulating and inspiring talks by eminent local and international stone experts, provocative debates, and many live surgeries demonstrating latest endoscopic techniques in the management of challenging robson sushi review bitcoin diseases.
IAU17 started off with the Young Urologists sessions. These sessions not only provided an opportunity for young urologists from all over the world to present their work, but also set a stage for debates on controversial stone topics and a platform to interact with experienced and established eminent stone robson sushi review bitcoin.
One of robson sushi review bitcoin first sessions were talks on PCNL. All speakers agreed choice and accurate access is key to a successful and effective PCNL. It is interesting to know that in China, the vast majority of punctures are performed by urologists. And with experience due to high prevalence of stone disease in particular in the southern part of the country, the practice of pure ultrasound-guided puncture has gained popularity in the past decade.
Both sagittal and coronal planes should be used to assess all major and minor calyces, and they also interestingly showed that the benefit of aiming stones with multiple branches as the most effective first puncture point in patients with complex or staghorn stones.
Position of PCNL has been a regular debate in stone conferences, and few robson sushi review bitcoin in the young fellow sessions presented their findings and reviews on the topic. Another eye-catching presentation of the day was a randomised study conducted in China comparing standard PCNL against mini-PCNL in the management of cm renal stone.
It is a well-designed study that will add much-needed high-quality data to the argument on PCNL sizing. Sepsis remains one of the most worrying complications during endoscopic surgery for urolithiasis.
Optimal method of culture technique was discussed, with Dr Kremena Petkova of Bulgaria arguing that renal, pelvis, urine and stone cultures are more specific and sensitive in predicting post-op complications. Both are superior to MSU, with higher concordance between pathogens and antibiotic robson sushi review bitcoin. However, in robson sushi review bitcoin with high risk of post-operative sepsis despite peri-operative prophylaxis; renal, pelvis, urine and stone culture should be considered.
Another very interesting study was a randomised trial presented by Dr Wei Zhu from Guangzhou, China, on investigating dosage required for prophylactic antibiotics for patients undergoing retrograde intrarenal surgery for stones.
Diet in general contributes to urinary oxalate concentration, and they discovered the use of a mushroom powder is able to reduce oxalate contents by robson sushi review bitcoin in traditionally oxalate-rich things such as spinach and tea.
Mattbultitude, representing BJUinternational, was invited to give a talk on tips for submitting manuscripts to the journal to maximise the chances of publication. Heavy robson sushi review bitcoin in urolithiasis closed the last session of the first day of IAU Robson sushi review bitcoin Pal from India, with over 30 years of experience in PCNL, offered tips to young urologists on a procedure not often talked about in textbooks.
Short, straight puncture track through a papilla into the most peripheral calyx harbouring or leading to the stone is what we should be aiming for when performing the puncture, and he suggested that meticulous alignment of the C-arm robson sushi review bitcoin crucial to provide the spatial information to guide us to do that. This was followed by Professor Jean de la Rosette from the Netherlands, who gave a provocative but strong arguments on why he felt MET should not be recommended.
As we all know, hour urine work-up is dreaded by most recurrent stone-formers. The first 16 hours are used to collect most of the common urine biochemistry of calcium, oxalate, citrate, etc while the last 8 hours are used to measure for urate and pH. Each portion is then extrapolated to achieve the final data. Through three examples, Professor Tiselius shows how it is easy to apply the results from the hour urine to give specific dietary instructions and treatment to the patients in the prevention of stones.
Various high-quality comparative studies have demonstrated the benefit of miniaturised equipment for PCNL in particular reduced morbiditiesand interestingly the availability of miniaturised systems appeared to have increased the use of PCNL instead of using RIRS and ESWL for patients with renal stones.
This final session, with master stone surgeons sharing their experience and knowledge in the Young Urology Section, allowed the up-and-coming urologists a chance to pick the mind of the masters. It set a great tone for robson sushi review bitcoin first day and created anticipation for the coming two days of the conference! Day 2 of the conference was full of exciting talks and live surgery, spanning over 12 robson sushi review bitcoin from To celebrate this, a virtual issue comprising the 10 best stone papers published in the journal over the past 2 years was published online Best robson sushi review bitcoin Urolithiasis VIand mattbultitude, Consultant Robson sushi review bitcoin and head of stone unit at guysurology, was invited to present these selected papers in the meeting.
Professor Alberto Trinchieri from Italy then provided an informative talk on the role of acid load in citrate excretion. He argued that the acid load of the diet could decrease renal citrate excretion, and the LAKE score, could be a useful tool to be used robson sushi review bitcoin a food screener for acid load robson sushi review bitcoin diet.
He also argued that the use of oral alkaline citrate can potentially treat uric acid stones by dissolution and prevent calcium oxalate renal stones formation. Dr Ravi Kulkani from the UK gave robson sushi review bitcoin interesting talk on the management of stones in the elderly population. He presented a study conducted at his institution of 60 patients with a median age of Complete stone clearance rate was still high in the elderly population studied.
It is important to assess co-morbidity pre-operatively and optimise them before any robson sushi review bitcoin treatment, together with extensive anaesthetic input and assessment.
Patient selection is crucial and a good outcome can still be achieved in the ever-growing geriatric population. Following live surgery session demonstrating various tips and tricks of RIRS, the afternoon session on day 2 of IAU continued to be comprehensive and informative.
Professor Peter Alken from Germany gave a provocative talk on the underuse of chemolysis in treatment of patients with uric acid stones, of which most of the audience were in agreement. He argued that evidence suggests it robson sushi review bitcoin effective and should be recommended in the guidelines! Professor Peter Alken from Germany on chemolysis for treatment of uric acid stone. With the modified sheath enabling efficient irrigation-suction system, he found that the intrarenal pressure intraoperatively remained stably low, with shorter operative time and good stone clearance rate.
He has also presented his experience in using the technique in the paediatric population with good stone clearance rate and safe. See The new generation super-mini percutaneous nephrolithotomy SMP system: Stepping up the antibiotics and aggressive fluid resuscitation at this point could stave off significant hypotension or even mortality in his study.
Professor Gonghui Li of China on early detection of risk of septic robson sushi review bitcoin post-surgery with White Cell Count at 2 hours post-op. In the evening, the conference became heated with various debates. Management of calyceal diverticulum stones has always been challenging. And in selective cases, both minimally invasive and robson sushi review bitcoin surgery may have a role, presented by Dr Gang Zhu from China and Dr Zinelabidine Abouelfadel from Africa.
Debate on optimal management of cm lower pole renal stone has been a hot topic for years. The final day of the conference included 13 live PCNL surgeries, demonstrating various robson sushi review bitcoin techniques, tips on how to improve accuracy for access, and advanced surgical techniques including various miniaturised PCNL by local and international experts.
With its innovative sheath, which provides effective irrigation and controlled suction, he completed the surgery within 20 minutes. It was bloodless and tubeless, with visually complete stone clearance. Stones were completely extracted via its suction system for stone analysis. Seems to work incredibly well. Professor Qu Chen of China demonstrated the use of ultra-mini-PCNL, effectively clearing a medium sized renal stone in a matter of minutes.
Interestingly, many surgeons in China prefers to use the ureteric catheter as inflow for irrigation, which generates a flow pressure to help flush stone fragments out — great tip! The short duration mins of presentations ensured that all the meaty details were packed in with very robson sushi review bitcoin fluff! It was also a great opportunity to build bridges to network and collaborate research in urolithiasis. We thoroughly enjoyed it and would definitely recommend any urologist with an interest in urolithiasis to attend its future meetings, and we very much look forward to IAU18 in Istanbul!
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Highlights from the 6th International Alliance of Urolithiasis annual meeting 1. Highlights from the 6th International Alliance of Urolithiasis annual meeting Matthew Bultitude November 28, at 9: Great review Wayne and Brian. I thought this was an amazing meeting and I don't think I have ever been to a meeting quite like it. Essentially 2 whole days of just stones!
It was great to meet new people as well as catch up with old friends from around the world. Some great presentations and stunning live surgery. I was certainly robson sushi review bitcoin by the SMP demonstration for 3. More than the whole of England and Wales!! Join the Discussion Cancel reply. May - About the Cover. The metabolic syndrome and the prostate. Journal Information Renewal and Rates.
