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Hello and welcome to the latest EMJ Urology newsletter. Included in this edition are details of some of the most recent developments in the field of urology. For instance, we feature a report on a new digital DNA sequencing tool, capable of speeding up and improving the identification and treatment of the bacteria behind urinary tract infections. The device can even help us to reduce our antibiotic wastage, which is crucial given the current antibiotic crisis. Also, be sure to have a look at our list of upcoming European Urology events. The 25thEuropean Urology Forum, for example, will take place in its traditional home of Davos, Switzerland, in February 2016, and promises to provide a critical update of key developments in the field of urology. We hope that you enjoy reading this issue, and be sure to check out the latest edition of EMJ Urology, available on our website.





T. Karakan et al.
The most important step of percutaneous nephrolithotomy (PCNL) is planning the puncture site. A well selected puncture will facilitate nephroscopic navigation and stone clearance. The traditional methods for planning the puncture are intravenous urogram or retrograde pyelogram. Either of these imaging tools is adequate, but new tools such as 3D reconstructed tomography should be more accurate. Many recently developed imaging tools are promising, but no one is still ideal. The imaging techniques that we currently use have specific advantages and disadvantages. The purpose of this review is to summarise different imaging tools and their effectiveness prior to PCNL.

Incidentally Detected Primary Giant Renal Cystic Enchinococcosis in a Young Patient: An Underestimated Entity?
E. Urer et al. 
Echinococcosis is a parasitic infestation caused byEchinococcus granulosus and is an endemic disease in many parts of world. The symptoms and signs depend on the location and size of the cyst. Renal cystic echinococcosis or hydatid cyst (HC) disease of the kidney is extremely rare and constitutes only 2-4% of all cases of hydatid disease (HD). We present a 39-year-old male patient who was referred to our outpatient clinic with cystic right kidney mass that was incidentally diagnosed during hepatobiliary ultrasound for chronic hepatitis B evaluation. Routine blood tests were normal without eosinophilia. Indirect haemagglutination test was negative. Abdominal kidneys, ureters, and bladder X-ray showed an 83×95 mm sized curvilinear calcification in the right upper abdominal quadrant. Abdominal computed tomography scan and magnetic resonance imaging demonstrated a 10x9x10 cm sized cystic mass arising from the middle pole of the right kidney, destructing the whole upper pole and extending into the liver. Daughter vesicles were present in the cystic lesion suggesting renal HD. Right retroperitoneal exploration with flank approach and right radical nephrectomy was performed without any complications. Pathology confirmed HC lesion. Following surgery, albendazole 400 mg per os twice daily for 4 weeks was suggested.

News Updates

Effective Treatment of Urinary Infections Using DNA Sequencing
“This technology is rapid and capable not only of identifying the bacteria in UTIs, but also detecting drug resistance at the point of clinical need.”

International Guidelines for Detecting Prostate Cancer with MRI Scans
“Early results have shown that mpMRI is an enormous help in detecting significant cancers. But to allow more widespread use, standardisation of image acquisition and interpretation is needed.”


Exclusive Interviews

What’s Happening in EMJ: Urology

The EMJ team is eagerly counting down the days until the next EAU congress, which will take place in Munich, Germany, from 11th-15th March 2016. The next edition ofEMJ Urology will be published soon after, and will contain a selection of updates and developments from the field of urology and its key leaders, in addition to a detailed review of the EAU congress. In the meantime, you can read our full inside review of this year’s EAU congress inEMJ Urology 3.2, which is available to read here. If you are interested in submitting an article or joining our esteemed editorial board, or would like to submit a blog for the EMJ website, please get in contact with us.
EMJ Urology 3.3
Featuring a full inside review of Endourology 2015
Antalya, Turkey








Vulval Dermatology in Practice: Masterclass 
11th February 2016
London, UK



European Urology
Forum 2016

13th–16th February 2016
Davos, Switzerland




Featuring a full inside review of EAU 2015
Madrid, Spain




European Medical Journal 


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