Dr Moises Adel (Centro de Uro-Andrologia SC)

Urology and Andrology.
Master in Andrology@Fundació Puigvert Barcelona, Spain
Microsurgery@Hospital Angeles del Carmen. Guadalajara, Jalisco
DaVinci Xi Surgeon

[DR CARVAJAL @RomanCarvajal]

Just watched an outstanding talk by my friend @Mohamedendourol on Bipolar Energy Prostate Enucleation (BPEP). 👏
A highly engaging session packed with practical tips, tricks, and surgical pearls that can immediately improve technique and outcomes.
If you’re interested in endourology and BPEP, make sure to follow @bipolepacademy for top-notch educational content, expert insights, and the latest updates in prostate enucleation. 🚀
#Urology #Endourology #BPEP #HoLEP

[Massimo @Rainmaker1973]

Scientists have identified specific gut bacteria that appear to trigger multiple sclerosis (MS).

In a groundbreaking study conducted at Ludwig Maximilian University of Munich, researchers examined 81 pairs of identical twins in which only one sibling had MS. This unique design allowed them to control for genetic and environmental factors, isolating the role of the microbiome.

The team found that two bacterial species, Eisenbergiella tayi and Lachnoclostridium, were significantly more abundant in the twins with MS. When these microbes were transferred into mouse models, they directly induced MS-like autoimmune symptoms, providing strong causal evidence.

This is the most precise identification of microbial triggers for MS to date and adds powerful support to the gut-brain axis in autoimmune disease. The discovery raises hope for new approaches to early detection, prevention, and treatment — potentially by targeting or modulating these specific bacteria before symptoms appear.

While human clinical trials are still needed, the findings represent a major step toward microbiome-based therapies for MS and other autoimmune conditions.

[Yoon, H., Gerdes, L. A., Beigel, F., Sun, Y., Kövilein, J., Wang, J., Kuhlmann, T., Flierl-Hecht, A., Haller, D., Hohlfeld, R., Baranzini, S. E., Wekerle, H., & Peters, A. (2025). Multiple sclerosis and gut microbiota: Lachnospiraceae from the ileum of MS twins trigger MS-like disease in germfree transgenic mice—An unbiased functional study. Proceedings of the National Academy of Sciences, 122(18), e2419689122. DOI: 10.1073/pnas.2419689122]

[A.O. Samuel ☢️⚕️ @ayooluwadesam]

Pattern recognition: Testicular Sonography.

I have spent the past few weeks perfecting my knowledge of testicular sonography, and I'll be sharing some of the most important patterns you should know in three parts.

Here's part 1. 👇👇

Contributions and corrections are welcome.

Quiz: What's the difference between an epididymal cyst and spermatocele on ultrasound?

[Avi Roy @agingroy]

7,000 false positives per square millimeter. The culprit was the lab gloves.

University of Michigan researchers just upended a core assumption in microplastics science. Latex and nitrile gloves, worn by the scientists doing the measuring, shed stearate particles that look chemically identical to polyethylene. Standard infrared and Raman instruments can't tell them apart. The gloves were counting as plastic.

Seven glove types tested. All contaminated. The cheapest fix: switch to cleanroom gloves, which dropped false positives to around 100 per mm² vs. 7,000.

The "credit card per week" headline (5 grams, WWF/Newcastle 2019) has separate problems. A 2022 re-analysis found severe methodological errors in the original estimate. Actual measured intake is likely 100x lower.

None of this means microplastics are harmless. Last month's data on brain accumulation still stands. But the numbers driving the panic may have been measuring the scientists, not the environment.

Science catching its own errors is exactly how it's supposed to work.

[Bee Haber @beehaber]

Ana Obregón, ölen oğlunun spermiyle 68 yaşında yeniden anne oldu:

🔹 İspanyol oyuncu, tek oğlunu 2020’de kanserden kaybetti.

🔹 Aless Lequio, kemoterapi öncesi spermlerini dondurmuştu.

🔹 Ana, bu spermleri ABD’de taşıyıcı anne sürecinde kullandı.

🔹 Bebek, 2023’te dünyaya geldi.

🔹 Hukuken Ana Obregón’un kızı olarak kayda geçti.

🔹 Biyolojik olarak ise Ana’nın ölen oğlunun çocuğu.

🔹 Bu yüzden bebek aynı zamanda Ana’nın torunu.

🔹 Ana, oğlunun son isteğini yerine getirdiğini söyledi.

[Comunidad Biológica @Bio_comunidad]

Estamos viendo cómo los cloroplastos se mueven dentro de la célula vegetal según la luz. Con poca luz se dispersan para captar más energía, pero cuando es intensa se agrupan para protegerse. Es un mecanismo activo que optimiza la fotosíntesis y evita daño celular.

DOI: 10.1073/pnas.2216497120

[Vive con Propósito. @PropositoyVida]

Cuando un óvulo humano es fecundado, libera una explosión de fuegos artificiales de zinc visible al microscopio.

Cada vida humana comienza con un destello de luz. El universo hizo lo mismo hace 13.000 millones de años, solo que a mayor escala

[José S. Vaque Ramírez, MD @drvaque_eco]

Varón de 35 años con episodios recurrentes de priapismo(2). Consulta por nuevo episodio de 1 hora de evolución.

En modo B: aumento de tamaño de los cuerpos cavernosos.
Al Doppler (ajustando PRF): ausencia de flujo en arterias cavernosas.
Hallazgos compatibles con priapismo de bajo flujo (isquémico).

Diferenciar bajo vs alto flujo con ecografía Doppler es clave:
• Bajo flujo → urgencia urológica
• Alto flujo → manejo conservador

La ecografía no solo confirma el diagnóstico, define la conducta.
#Ecografía #Doppler #Urología #Radiología

[Fernando GomezSancha @fgomsan]

Urge incontinence trick: toe curl, heel raises, or quick pelvic floor squeezes activate the sacral reflex arc and inhibit the overactive detrusor contraction — buying time to reach the bathroom safely.

Simple. Evidence-based. Life-changing for OAB patients.

https://t.co/PSqfEB4wRN

[Journal of Urology @JUrology]

Dr. Amanda Black talks about her randomized clinical trial and how it shows that office-based laser photocoagulation is noninferior to TURBT at 12 months—offering a safe, efficient alternative that avoids general anesthesia and the OR for many patients

🔗https://t.co/sZWWuLYDq0

[Massimo @Rainmaker1973]

When you start a chess game, you have 20 possible moves available. After the first full move (White then Black), there are already over 400 possible positions. By the third move, that number jumps to around 8,900, and after the fourth it reaches nearly 200,000.

By the time you get to move #40, the total number of possible games explodes to roughly 10⁴⁰, a number comparable to the total number of atoms in the observable universe.

[Abraham Alí Munive @abrahamalimd]

¿Cuántos ciclos cortos de prednisolona puede acumular un paciente con asma o rinosinusitis antes de que el riesgo deje de ser teórico?

Meta-análisis EAACI 2026 (37 estudios) responde con un umbral concreto: 0,5–1 g acumulados de prednisolona-equivalente — equivalente a 2–5 ciclos cortos a lo largo de la vida — ya se asocia a riesgo significativo de eventos adversos retardados.

Magnitudes (sGCS vs no-sGCS):
- Dispepsia OR 2,68 (IC95% 1,13–6,36)
- Neumonía OR 2,14 (1,56–2,94)
- Enfermedad cardiovascular OR 1,53 (1,25–1,87)
- Fracturas OR 1,48 (1,31–1,67)
- Osteoporosis OR 1,36 (1,15–1,62)
- Diabetes OR 1,20 (1,08–1,33)
- Catarata OR 1,18 (1,05–1,32)

Y la curva es dosis-dependiente: cada incremento acumulado eleva el OR de forma progresiva.

Implicación práctica: la dosis acumulada lifetime debería entrar al razonamiento clínico igual que la dosis hoy. Priorizar local terapia + biológicos antes del umbral 0,5–1 g.

DOI: 10.1111/all.70332

https://t.co/EeBneaOHMC · https://t.co/FxPGTLTfcp

#AsmaGrave #Neumología #Corticoides #EBM

[Yüksel Ürün @DrYukselUrun]

After radical prostatectomy, PSA should become undetectable by 6 weeks.
Persistent PSA may signal residual disease. Timing matters.
@OncoAlert @APCCC_Lugano #APCCC26 @Silke_Gillessen @AOmlin @Uroweb

[Baris Turkbey MD @radiolobt]

📢 Exciting Read for Radiologists and Urologists🚀

📚Just came across this fantastic educational article in @RadioGraphics “PRECISE Version 2: Essential Tips for Prostate Cancer MRI Reporting”

🔔This paper is a must-read for anyone involved in prostate MRI!

✅It provides clear, practical guidance on using the updated PRECISE v2 system to standardize reporting for patients on active surveillance.

👍Key highlights include refined scoring for assessing disease stability/progression, helpful checklists, case examples, and tips to reduce ambiguity in serial MRI interpretation!

💡Whether you’re a radiologist fine-tuning your reports, a urologist discussing imaging with your patients, or a trainee building your skills — this valuable resource makes complex concepts more approachable and clinically impactful!

🥇Congrats to @giga_fra and the entire team for this nice work!

🔗 Full article: https://t.co/aDDs0diGET

#Radiology #ProstateCancer #MRI #ActiveSurveillance #RadioGraphics

[Journal of Urology @JUrology]

Less anesthesia, fewer complications, same cancer control.

Thank you to @BogdanaSchmidt for discussing, “In‑Office Laser Coagulation of Ta Bladder Tumor Compared With Transurethral Resection of Bladder Tumor,” published in the May issue of JU.

🔗 More: https://t.co/sZWWuLYDq0

[Muhannad Alsyouf @UroAlsyouf]

🧵April is Testicular Cancer Awareness Month, and survivorship means more than cure rates.

Our new study in @UrolOncol: Testicular cancer survivors face sig higher suicide risk vs. general age-matched male population.

📊Key findings:

1⃣Risk highest in year 1 post-diagnosis (SMR 2.21) but persists up to 10 years

2⃣Risk ↑ with stage: localized 1.07 → regional 1.48 → distant 2.29

3⃣Being separated/divorced/widowed associated with 2.5x higher odds

🧠 Even after cure, the psychological burden remains. Early mental health screening & long-term psychosocial support are essential in survivorship care.

Link: https://t.co/Aslls98PBg

@TestesCancer @TCSupportGroup @TCSociety @martin_hofmann_ @LLU_Urology

[Roger Sur @roger_sur]

What is next best step since patient is forming uric acid stones. He is on KCitrate currently and 24 hr was done after starting med.

[Un_tal_urólogo @un_tal_urologo]

Uropatia obstructiva (en donde el flujo de la orina del riñón a la vejiga se obstruye) secundario a cálculo ureteral obstructivo, una verdadera URGENCIA UROLÓGICA, en descripción gráfica 😍…

Créditos: @io_voka

[Un_tal_urólogo @un_tal_urologo]

Casi todos damos por hecho y como simple el LUJO que tenemos de poder orinar bien…

Hasta que vemos la neurofisiología de nuestro organismo que interviene para poder llevar a cabo la micción.

descripción gráfica. 😮‍💨👌🏻

[Walter D. Cardona Maya 🇨🇴 🔬 @wdcmaya]

@GAF_Andrology Artificial Intelligence in Non-Obstructive Azoospermia: State of the Art in Sperm Retrieval
#Sperm #Infertility #Fertility #Male

pdf ⤵️
https://t.co/40B6eKMYGB