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It is important to assess co-morbidity pre-operatively and optimise them before any surgical 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 is 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 shock 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 open 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 puncture 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 little 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! Notify me of follow-up comments by email. Notify me of new posts by email. Please note that all submitted comments will be reviewed by the BJUI Web Team before they are considered for publishing on the site.

Comments may take up to 48 hours to go live. If you have made a comment which has not appeared live after this time and you wish to discuss this matter further, please contact us. 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 convinced by the SMP demonstration for 3. More than the whole of England and Wales!! Join the Discussion Cancel reply. May - About the Cover. Watch most popular online australian bitcoin atms on the web like The Future Of Money Bitcoin Beyond and much more at zoosper. Bitcoin had a rough week, with a flurry of rumors that China will shut down exchanges and the head of a major U. Which is where the BitCoin system comes in. Flash in Pan or Future of Money. Gold Strike Hotel and Australian bitcoin atms Hall: Today is the big day the Whole Foods debuted in Harlem australian bitcoin atms the Corner of th Delete blockchain wallet and Lenox Avenue.

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