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RSM Urology Winter Meeting 2017, Northstar, California




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rsm-2017-blogThis year’s Annual RSM Urology Section Winter Meeting, hosted by Roger Kirby and Matt Bultitude, was held in Lake Tahoe, California.

A pre-conference trip to sunny Los Angeles provided a warm-up to the meeting for a group of delegates who flew out early to visit Professor Indy Gill at the Keck School of Medicine.  We were treated to a diverse range of live open, endourological and robotic surgery; highlights included a salvage RARP with extended lymph node dissection and a robotic simple prostatectomy which was presented as an alternative option for units with a robot but no/limited HoLEP expertise.

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On arrival to Northstar, Dr Stacy Loeb (NYU) officially opened the meeting by reviewing the social media urology highlights from 2016. Next up was Professor Joseph Smith (Nashville) who gave us a fascinating insight into the last 100 years of urology as seen through the Journal of Urology. Much like today, prostate cancer and BPH were areas of significant interest although, in contrast, early papers focused heavily on venereal disease, TB and the development of cystoscopy. Perhaps most interesting was a slightly hair-raising description of the management of IVC bleeding from 1927; the operating surgeon was advised to clamp as much tissue as possible, close and then return to theatre a week later in the hopes the bleeding had ceased!

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With the promise of beautifully groomed pistes and stunning views of Lake Tahoe, it was hardly surprising that the meeting was attended by a record number of trainees. One of the highlights of the trainee session was the hilarious balloon debate which saw participants trying to convince the audience of how best to manage BPH in the newly inaugurated President Trump. Although strong arguments were put forward for finasteride, sildenafil, Urolift, PVP and HoLEP, TURP ultimately won the debate. A disclaimer: this was a fictional scenario and, to the best of my knowledge, Donald Trump does not have BPH.

The meeting also provided updates on prostate, renal and bladder cancer. A standout highlight was Professor Nick James’ presentation on STAMPEDE which summarized the trial’s key results and gave us a taste of the upcoming data we can expect to see in the next few years.

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We were fortunate to be joined by prominent American faculty including Dr Trinity Bivalacqua (Johns Hopkins) and Dr Matt Cooperberg (UCSF) who provided state-of-the-art lectures on potential therapeutic targets and biomarkers in bladder and prostate cancer which promise to usher in a new era of personalized therapy.

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A personal highlight was Tuesday’s session on learning from complications. It was great to hear some very senior and experienced surgeons speaking candidly about their worst complications. As a trainee, it served as a reminder that complications are inevitable in surgery and that it is not their absence which distinguishes a good surgeon but rather the ability to manage them well.

There was also plenty for those interested in benign disease, including topical discussions on how to best provide care to an increasingly ageing population with multiple co-morbidities. This was followed by some lively point-counterpoint sessions on robot-assisted versus open renal transplantation (Ravi Barod and Tim O’Brien), Urolift vs TURP (Tom McNicholas and Matt Bultitude) and HOLEP vs prostate artery embolization for BPH (Ben Challacombe and Rick Popert). Professor Culley Carson (University of North Carolina) concluded the session with a state-of-the art lecture on testosterone replacement.

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In addition to the excellent academic programme, delegates enjoyed fantastic skiing with perfect weather and unparalleled views of the Sierra Nevada Mountains. For the more adventurous skiiers, there was also a trip to Squaw Valley, the home of the 1960 Winter Olympics. Another highlight was a Western-themed dinner on the shores of Lake Tahoe which culminated in almost all delegates trying their hand at line dancing to varying degrees of success! I have no doubt that next year’s meeting in Corvara, Italy will be equally successful and would especially encourage trainees to attend what promises to be another excellent week of skiing and urological education.

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Miss Niyati Lobo
ST3 Urology Trainee, Brighton and Sussex University Hospitals NHS Trust

@niyatilobo

 

  1. Roger Kirby
    Great blog Niyati and great meeting thanks to hard work of Matt Bultitude, who put together an outstanding academic programme. Our American faculty of Trinity Bivalacqua, Culley Carson, Matt Cooperberg, Stacy Loeb and Jay Smith did an excellent job in keeping the standard of the presentations extremely high. The 16 trainees that came with us, including Niyati, (thanks to the generosity of The Hadley Trust and others) also participated fully and were a genuine pleasure to have along. Next year's winter meeting is in Covara and there are opportunities to win prizes to sponsor your place there at the Malcolm Coptcoat meeting at the RSM on 16th March and the Geoff Chisholm communication day on the 19th May. Register for these meetings on the www.rsm.ac.uk website on the urology section page.
  2. Ben Challacombe
    Niyati
    Great summary of a fantastic meeting. This was my first RSM winter meeting and it thoroughly lived up to my expectations.
    The quality of the academic program coupled with the spectacular venue made it quite a week. The international faculty added huge value and really added polish to the event. The other aspect which is more unique to this kind of meeting is the ability to attend reflective and insightful talks on peoples careers, complications, surgical and decision making learning points in a way not accessible at more major meetings. This is where lots of true learning takes place and I'm grateful for all those who were so open and candid.
    Well done Roger and Matt
  3. Declan Murphy
    This looked like a great meeting! I followed it on Twitter from Melbourne and was sorry that I couldn't make it. But it was a very social meeting and I enjoyed the steady flow of tweets.
    Well done Roger/Matt and all at RSM.

    Declan
  4. indy gill
    Was a real treat to have the RSM visit us in los angeles. Many of our US attendees at the live surgery conference at USC commented on the excellent comments from the various RSM members ....there's something about a thoughtful critique delivered in pristine British accent that totally gets the US folks going!!! personally, i loved seeing all my British friends, especially the junior RSM registrars and residents. sorry i couldn't be at the northstar event...i missed a good one, and Roger's beautiful video just rubbed it in even more!
    thanks for coming to USC, guys!
    with admiration always
    indy
  5. Culley carson
    Niyati

    It was great to meet you in Northstar. The addition of the trainees added great energy to the meeting and getting to know the future leaders of UK urology was inspiring for me and the other faculty. Your presentations and balloon debate were excellent and added immeasurably to the meeting.

    Best to you and the other junior doctors for a bright future and more energy and enthusiasm for the RSM

    Outstanding efforts

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