🔬 New in @EUEuropeanUrol: The PUrE RCT 1 compares FURS vs. ESWL for lower pole kidney stones ≤10 mm.
🧑⚕️💰 A landmark trial on both clinical and cost effectiveness.
#UroTwitter#Urolithiasis
1/
📈 Findings from 461 randomized patients (48 UK centers):
✔️ Stone-free: FURS 72% vs ESWL 36%
✔️ Retreatments: FURS 9% vs ESWL 27%
✔️ Health status (EQ-5D): similar
✔️ Cost: ESWL significantly cheaper
2/
💡 FURS delivers better clearance, but at higher cost (£65K/QALY).
➡️ ESWL provides equivalent QoL at lower cost — making it more cost-effective in the UK NHS system.
3/
📢 Practice-changing implications for #Endourology
✅ Personalized decision-making
✅ Counselling on retreatment risk vs. resource burden
✅ Reinforces 2019 NICE guidance favoring ESWL for stones <10 mm
4/
Full open-access paper:
📄https://t.co/lnQkvYntBD
#FURS #ESWL #KidneyStones #RCT #Urology #EU25 #CostEffectiveness #SharedDecisionMaking #BAUS
📘 Excited to co-author the opening chapter “The Importance of Clinical Practice Guidelines” in the new Primer on Urology (Springer, 2025), with Jelizaveta Pereca & James N’Dow. Proud to contribute to this key resource for urological care.
🔗 https://t.co/ket8Kw6wlW
#Urology
Since up to 50% of invasive Penile Cancers and 80% of preneoplastic lesions are HPV-associated, HPV vaccination is encouraged.
#PenileCancer#EAUguidelines
https://t.co/5OZUedjsJA
📌 Combining α1-blockers with PDE5 inhibitors can modestly improve LUTS, Qmax and erectile function—with no increase in adverse events. Consider for men with bothersome LUTS who also seek ED improvement.
#EAUguidelines#UroBPH#ErectileDysfunction
https://t.co/hfOZp8n0Pj
Managing male LUTS/BPO?
It s time to move from rigid stepwise approach to personalized, hollistic strategies.
“Better Hollistic than Sequential”
https://t.co/VD3tTaSH24
📍 Reflecting on an inspiring OPTIMA General Assembly in Brussels — two days of valuable insights, great discussions & reconnections. Grateful for everyone’s energy and dedication. Excited for what’s ahead — sharing a group photo to capture the moment #OPTIMAproject#AI#RWE#IHI
I had a wonderful time at the European Association of Urology Guideline Office Methodology Workshop. The workshop focused on evidence synthesis and clinical practice guidelines development. I am fortunate to be a part of this incredible team. #EAUGuidelines#urology#EBM
@EUplatinum @ArieUrology @AshwinUrol What an achievement! Congratulations @AshwinUrol and Luke, it was a great pleasure working with you on this SR 🙏🏻🙏🏻🙏🏻
📢 Watch #ProstatePIONEER`s interview with Dr Sakalis, urologist and associate of @Uroweb, on the 1st PIONEER studyathon. The team identified clinical characteristics of #ProstateCancer patients treated with conservative management. Thank you! https://t.co/yBTLUTwhdj
📣Out today in @EUplatinum!
An incredible team effort to support development of @Uroweb-@ASCO guidelines for management of LN metastatic #penilecancer.
Highlights need for 👥multidisciplinary management & collaborative efforts to improve outcomes in this rare disease 🔬
🔥 HOT OFF THE PRESS 🔥
A summary paper of the #EAUguidelines on the management of male #LUTS just published in European Urology
Guidance on LUTS due #BPO, #OAB, nocturnal polyuria etc
Link1 (50 days OpenAccess): https://t.co/i9SIRAfWuz
Link2: https://t.co/Ce5Rq2sNIa
#EBM