Yesterday’s TRAVERSE paper has instantly changed clinical practice and scientific concepts. Hugely impactful. Kudos to Mohit Khera and the other investigators. My thoughts- A 🧵: 1/n

I feel seen

Important trial result

Dr. Jim C. Hu shares key findings from the PREVENT trial, assessing the risk of infection with transrectal vs transperineal prostate biopsy. Jim Hu Weill Cornell Medicine Urology #urology #urologist #pcsm Watch now: urologytimes.com/view/study-tra…

This reference is from the open RP era. Our study showed better outcomes with the robotic approach, FWIW. pubmed.ncbi.nlm.nih.gov/21114411/

daVinci 5 test drive this evening was fun. First impressions: lots of new features and slick advancements, the next generation of surgeons is gonna love it.

Excellent thread, as usual. Fundamentals matter.

The EB-StaR study was published at European Urology today! ✅ It is a randomised study comparing en bloc resection of bladder tumour (ERBT) and conventional transurethral resection of bladder tumour (TURBT) in patients with bladder tumour(s) <= 3 cm in size. 🏥 #UroSoMe (1/n)

Prostate-specific Membrane Antigen Positron Emission Tomography–detected Disease Extent and Overall Survival of Patients with High-risk Nonmetastatic Castration-resistant PCa by Manuel Weber, Wolfgang P. Fendler et al Read the full article here: europeanurology.com/article/S0302-…

Great work, a big step forward!!

Important work includes negative trials

I had the privilege of an hour alone with Dr. Olsson for my oral boards in 2009. He was a true legend, and was a worthy opponent that day. Sad to hear he has passed, and grateful that he passed me.

Sports > Everything Else

First single center RCT in the modern era to show a treatment effect on metastasis. Extended LND during radical prostatectomy superior to limited LND europeanurology.com/article/S0302-… Karim Touijer

⚡️ Stage T1 bladder cancer: diagnostic criteria and pitfalls #BladderCancer sciencedirect.com/science/articl…

Transperineal biopsy had similar cancer detection rates as transrectal biopsy, but there were no infections after transperineal biopsy, this study found. ja.ma/3ZajVjc Jim Hu

Dr. Bukavina is a great one to follow 👇

"2 RCTs have failed to show a benefit of an extended approach versus a limited pelvic LN dissection on early oncological outcomes, and it is associated with a nearly 20% risk of complication rates mainly related to significant lymphoceles" Both statements clearly false.

Seems like this could help with logistics and prevent elective case cancellations.