James Akman retweeted
Very exciting news for patients with cisplatin-ineligible MIBC!! EV/P approved today!
#EV303
80% T3-T4a
12% ECOG 2
EFS 0.40
OS 0.50
pCR 57% vs 8.6%
❓could we preserve some of these bladders
❓extrapolate #Imvigor011 using ctDNA to guide adjuvant tx? #MODERN will help
James Akman retweeted
📌 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
uroweb.org/guidelines/manage…
James Akman retweeted
Delighted to announce the appointment of @urojohno as the @LeedsNhs Andrology fellow starting in October. He’s already doing malleable’s & most of IPP before the real work commences! congrats Mark and many thanks to @ED_solutions_CP for the sponsorship
James Akman retweeted
Accept family and friends for who they really are theguardian.com/lifeandstyle…
James Akman retweeted
#MedicalStudents join us live NOW on Teams for your free Urology Bootcamp!
teams.microsoft.com/dl/launc…
James Akman retweeted
Great thanks to the astounding mentors @ameliapietr1 @endouro for sharing their tips and tricks in Endourology. Their guidance is instrumental in forging ahead in the field. Thanks for @bsc_urology for hosting this incredible hands-on event.@JamesAkman
@CerratoMd #Endourology
James Akman retweeted
Old problem- new solutions. The prostatic middle lobe- at the centre of so much that we do in #bph it has its own flow rate patterns, symptom profile, response to medications and treatment options. nature.com/articles/s41585-0… @bellagharbieh @NatRevUrol @DrFairleighR – at Greenwich, London
James Akman retweeted
What is the point of doing routine 4ATs in the ED?
Most of us will miss delirium and memory problems on brief reviews if we don't do some specific testing.
You might think you're good at just spotting delirium. But you're probably not. (Neither am I)
James Akman retweeted
Always nice to see this slide!!!
From the @BURSTurology #MIMIC data @veerukasi @TaimurShah @NikitaB0709 @lithohlr @BAUSurology @BAUSendourology
Great discussion re MET (again!) @MattBultitude @NStreeps @DrAngusLuk @JoCresswell4
James Akman retweeted
Huge thanks to Yuko Smith & @SusieClayton3 for organising a really engaging #EastMeetsWest Joint Endourology Day. Thanks to all our speakers (including @jon_ellison from 🇺🇸), and final congratulations to @JamesAkman for winning the 🥇 for best abstract on USS for ureteric stones!
James Akman retweeted
1) look for infection, but don’t panic if no sign of infection because you can 2) rehydrate 3) treat constipation 4) stop anticholinergics 5) treat urinary retention (normally caused distressed behaviour) 6) give analgesia 7) assist with food 8) reorientate 9) involve caregivers
Replying to @drbillgibson @sean9n
Still, every delirious patient on the acute medical take must have a "confusion screen". B12, folate and TFTs on each admission. Of course a urine dip as well, for the UTI you see.
But rarely a PR. Very rarely indeed.
James Akman retweeted
Fantastic presentation from Bruce Gao @UofTUrology discussing racial disparities on outcomes for patients undergoing urologic surgery.
Key to move from demonstrating and characterizing these disparities to addressing them.
James Akman retweeted
We are in a staff retention crisis in the NHS. Pay junior doctors properly or don’t be surprised when they leave. @TheBMA #JuniorDoctorsStrike – at East Midlands, England
James Akman retweeted
How to predict surgery outcome for male #LUTS?
Ask men for his bother, preferences and look for these factors 👇🏼
Great talk by prof @MarcusDrakeUrol at #EAU23
James Akman retweeted
Government interference in the DDRB has left the 'independent' body unfit for purpose.
Our new report calls for urgent reform to restore it to its original purpose, autonomy, and authority’
Watch the explainer from @trentconsultant and read the report: bma.org.uk/pay-and-contracts…
James Akman retweeted
I spent so much time 3-4 years ago writing this out every day several times a day, that it made sense to create this.
Did one for prostate cancer treatment options too.
Patients and relatives immediately saw their value.
@imperialurology @IP_London
Thank you @soph_cash for referencing our decision aid. A real menu of BPH options available to men. Clear and concise information & adequate time for patients to digest the information is key #bph
James Akman retweeted
With great sadness, we share the news that former RCS England President, Dame Clare Marx CBE, DL, MBBS, PRCS, has passed away. Our thoughts are with the family and friends of Dame Clare: ow.ly/rQv850LOmcf
James Akman retweeted
Important to be familiar with instrument names. I know different names used depending on Geography. Anyone do a North American version for me? #SurgEd #CoreSurgicalTraining #BasicSurgicalSkills









































