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The EAU 2018: Part 1

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An icy but (mostly) sunny Copenhagen welcomed the 14,000 delegates to the 33rd EAU annual conference. It is not uncommon for the first day of a conference to be a little subdued; this was certainly not the case in Copenhagen. On the first morning, the conference was already buzzing following a controversial presentation from Prof Prokar Dasgupta (@prokaruol). Despite a career in the vanguard of robotic urology, Prof Dasgupta advised the packed audience in the joint EAU- Société Internationale d’Urologie (SIU) session that, especially in the developing world, surgeons should “stop obsessing about technology… There are no differences in outcomes,” or even more succinctly……

This was just one of the many excellent talks at the joint EAU-SIU meeting. Despite Mr Wiklund’s excellent presentation on intracorporeal urinary diversion, Mr Gontero highlighted the lack of evidence to significant improvements to patients’ outcomes. Likewise, whilst Mr Declan Murphy (@declangmurphy) offered a spirited defence of SoMe highlighting its many benefits, Prof Jim Cato (@JimCatto) offered some words of caution to help avoid its pitfalls

Bladder Cancer

Following swiftly on from the EAU-SIU session, the bladder cancer debates offered a great succession of lectures from some of the leaders in the field. Alongside the growing importance of biomarkers, stratification of bladder cancers was a key topic. Prof Ashish Kamat (@UroDocAsh) spoke on importance of histological variants in NIMBC especially microvariant which is frequently BCG refractory.

On par with this was also the “Nightmare session on bladder cancer”. Excellently chaired by Mr T O’Brien , the session presented 3 challenging but not uncommon scenarios in the management of bladder cancer. It was then up to the expert surgeons to defend their decision to a leading medical negligence lawyer Bertie Leigh. Whilst the cross examination of Mr Hugh Mostafid (@ahmostafid)certainly didn’t look comfortable, the critical importance of getting muscle during TURBT was highlighted as well as fully and frankly informing patients.

Prostate Cancer

A highlight of the all-day session by Young Urologists Office (YOU) and European Society of Residents in Urology (ESRU) was the panel discussion on the management of intermediate prostate cancer highlighted. Despite a good pitch for focal therapy by Dr R Sanchez Salas (@RSanchez_Salas) as an experimental but very promising therapeutic approach, Mr Prasanna Sooriakumaran (@PSUrol)triumphantly defended radical treatment to win the round table discussion. Early subgroup analysis data from the ProTecT study showing significantly greater disease progression with active monitoring compared to radical treatment helped convince the audience.

Another key topic of the conference was the management of oligometastatic disease. During a plenary session arguments were presented for both systemic and local and metastasis targeted treatments. Dr De Meerleer gave an enjoyable explanation of the rational of treating the pokemets (sic) with the STOMP trials showing an 8-month median ADT-free survival benefit. However, Prof Mottet ended with the important reminder on the lack of data on PET PSMA to diagnose mets, treating the primary tumour or treating the metastasis. Whilst targeting mets offers an interesting approach it remains experimental without strong evidence.

The poster sessions offered a huge range of the latest research in prostate cancer. 19-year follow up results from the ERSPC Rotterdam offered strong evidence for the benefit of screening in prostate cancer with a 52% reduction in PCa associated mortality.

A corresponding poster from UC Irvine reported that following cessation of PSA screening, there was a rise in the incidence high risk disease from 6% to 19% albeit with a fall in grade group 1 disease. In a session on radical prostatectomy, a team from Leuven presented their data on the potentially unrealised dangers of Gleason 6, suggesting that patients with 3+3 with other high-risk features should be offered active treatment. But the twitter responses indicate that the audience were not fully convinced.

Andrology

The latest advances and hot topics in andrology was delivered to a packed room on the Saturday morning. The importance and dangers of lifestyle, epidemiology and increasing paternal ages were highlighted as important factors in accounting for the deteriorating semen quality seen in Europe.

Low intensity shockwave lithotripsy was also discussed. Whilst strong evidence supporting its use was presented, the importance of critically appraising all such data especially in ED was clear.

Despite being such a rare disease, a team from St Georges presented an interesting series on the management of squamous cell carcinoma of the anterior urethra with the advice to manage it in the same way as penile SCC.

Female and Functional Urology

The Section of Female and Functional Urology section meeting (ESFFU) addressed the important issue of female mesh with the clear recommendations that despite what is reported in the news mid-urethral slings are safe but only in the hands of appropriately trained surgeons.

BPH and Male LUTS

The conference provided an interesting showcase of the ever-growing arsenal now available to treat BPH. Alongside new 5-year data on urolift, more novel treatments such as the iTIND, Rezum, aqua ablation transurethral prostate evaporation and were presented together with transurethral enucleation with bipolar (TUEB). The advantages of HoLEP were also widely reported.

5 year data from a randomised study from Guanzhou of 240 demonstrated HoLEP resulting in significantly better long term efficacy compared to TURP. An interesting study from Miyazaki University, Japan, reported that an alternative technique of offered efficacious but safer and time efficient treatment. However, training especially during residency was highlighted as an issue that needs to be addressed. A excellent template for training was presented by Mr Kamran Ahmed with a comprehensive simulation training programme for endourology.

The Opening Ceremony

At the end of a busy first day in Copenhagen, the opening ceremony provided a great backdrop to celebrate the successes of the last year and a look to the future. An energetic drumming display officially opened the conference before the keynote speakers

Both EAU Secretary General Prof. Chris Chapple (@ProfCRChapple) and guest speak European Commissioner for Health and Food Safety, Prof. Vytenis Andriukaitis took the opportunity to urge greater collaboration between clinicians in Europe. European Reference Networks (ERNs) supported by the EAU offer the possibility of greater data collection and sharing expertise between urologists in Europe, hopefully something that the UK can continue to contribute to irrespective of what happens over the next few years. Amongst the many well deserved presentations, the prize for the most promising young urologist  (the crystal Matula named after the vessel for checking urine) was awarded to Selçuk Sılay (@SelcukSilay). Hashim Ahmed (@LondonProstate1) was awarded the very well deserved and very prestigious EAU Prostate Cancer Research Award.

But of course it is not just about what is going on in the halls and lecture rooms that makes the EAU so special, but also collaboration and friendship that it helps to foster amongst colleagues from around Europe and the wider world.

Nicholas Raison (@NicholasRaison)

Residents’ Podcast: Pelvic Drain Placement After Robot-Assisted Radical Prostatectomy

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Jesse Ory, Kyle Lehmann, Jeff Himmelman and Scott Bagnell

Department of Urology, Dalhousie University, Halifax, NS, Canada

 

Read the full article

Abstract

Objective

To determine if eliminating the prophylactic placement of a pelvic drain (PD) after robot-assisted radical prostatectomy (RARP) affects the incidence of early (90-day) postoperative adverse events.

Patients and Methods

In this parallel-group, blinded, non-inferiority trial, we randomised patients planning to undergo RARP to one of two arms: no drain placement (ND) or PD placement. Patients with demonstrable intraoperative leakage upon bladder irrigation were excluded. Randomisation sequence was determined a priori using a computer algorithm, and included a stratified design with respect to low vs intermediate/high D’Amico risk classifications. Surgeons remained blinded to the randomisation arm until final eligibility was verified at the end of the RARP. The primary endpoint was overall incidence of 90-day complications which, based on our standard treatment using PD retrospectively, was estimated at 13%. The non-inferiority margin was set at 10%, and the planned sample size was 312. An interim analysis was planned and conducted when one-third of the planned accrual and follow-up was completed, to rule out futility if the delta margin was in excess of 0.1389.

Results

From 2012 to 2016, 189 patients were accrued to the study, with 92 patients allocated to the ND group and 97 to the PD group. Due to lower than expected accrual rates, accrual to the study was halted by regulatory entities, and we did not reach the intended accrual goal. The ND and PD groups were comparable for median PSA level (6.2 vs 5.8 ng/mL, P = 0.5), clinical stage (P = 0.8), D’Amico risk classification (P = 0.4), median lymph nodes dissected (17 vs 18, P = 0.2), and proportion of patients receiving an extended pelvic lymph node dissection (70.7% vs 79.4%, P = 0.3). Incidence of 90-day overall and major (Clavien–Dindo grade >III) complications in the ND group (17.4% and 5.4%, respectively) was not inferior to the PD group (26.8% and 5.2%, respectively; P < 0.001 and P = 0.007 for difference of proportions <10%, respectively). Symptomatic lymphocoele rates (2.2% in the ND group, 4.1% in the PD group) were comparable between the two arms (P = 0.7).

Conclusions

Incidence of adverse events in the ND group was not inferior to the group who received a PD. In properly selected patients, PD placement after RARP can be safely withheld without significant additional morbidity.

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April 2018 – About the Cover

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This issue’s Article of the Month, Dietary Intervention to Prevent Clinical Progression in Prostate Cancer, is from San Diego, USA.

 

The cover shows the illuminated sign leading in to San Diego’s famous Gaslamp Quarter, a historic district on the National Register of Historic Places situated in the downtown of the city. It is is the epicentre of San Diego’s nightlife scene known for its theatres, art galleries, symphony halls, concert venues and museums.

 

 

 

 

 

©iStock.com/Mindy_Nicole_Photography

 

The 6th BJUI Social Media Awards (2018)

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It’s hard to believe that we have been doing the BJUI Social Media Awards for six years now! I recall vividly our inaugural BJUi Social Media Awards in 2013, as the burgeoning social media community in urology gathered in the back of an Irish Bar in San Diego to celebrate all things social. At that time, many of us had only got to know each other through Twitter, and it was certainly fun going around the room putting faces with twitter handles for the first time. That spirit continues today as the “uro-twitterati” continues to grow, and the BJUi Awards, remain a fun annual focus for the social-active urology community to meet up in person.

We continue to alternate the Awards between the annual congresses of the American Urological Association (AUA) and of the European Association of Urology (EAU). Last year we descended on Boston, MA, to join the 15,000 or so other delegates attending the AUA Annual Meeting and to enjoy beautiful Boston. This year, we set sail for the #EAU18 Annual Meeting in the wonderful (but very cold) city of Copenhagen, along with over 13,000 delegates from 100 different countries.

On therefore to the Awards. These took place on Sunday 18th March 2018 in the Crowne Plaza Hotel, Copenhagen. Over 50 of the most prominent uro-twitterati from all over the world turned up to enjoy the hospitality of the BJUI and to hear who would be recognised in the 2018 BJUI Social Media Awards. Individuals and organisations were recognised across 12 categories including the top gong, The BJUI Social Media Award 2018, awarded to an individual, organization, innovation or initiative who has made an outstanding contribution to social media in urology in the preceding year. The 2013 Award was won by the outstanding Urology Match portal, followed in 2014 by Dr Stacy Loeb for her outstanding individual contributions, and in 2015 by the #UroJC twitter-based journal club. In 2017 we recognised the #ilooklikeaurologist social media campaign which we continue to promote. This year our Awards Committee consisted of members of the BJUI Editorial Board – Declan Murphy, Prokar Dasgupta, Matt Bultitude, Stacy Loeb, John Davis, as well as BJUI Managing Editor Scott Millar whose team in London drive the content across our social platforms. The Committee reviewed a huge range of materials and activity before reaching their final conclusions.

The full list of winners is as follows:

  • Most Read Blog@BJUI – “Changing the LATITUDE of Treatment for High-Risk Hormone-Naïve Prostate Cancer: STAMPEDE-ing Towards Androgen Biosynthesis Inhibition”. Dr Zach Klaassen, Toronto, Canada

 

  • Most Commented Blog@BJUI – “The Urology Foundation – Cycle to Vietnam” – Prof Roger Kirby, London, UK.

 

  • Most Social Paper – “Unprofessional content on Facebook accounts of US urology residency graduates”. Accepted by Dr Matt Bultitude on behalf of Dr Ann Gormley and colleagues

  • Best BJUI Tube Video – “The value of In-111 PSMA radioguided surgery for salvage lymphadenectomy in recurrent prostate cancer”. Dr Tobias Maurer, Munich, Germany.

  • Best Urology Conference for Social Media – awarded to the EAU for #EAU17 and #EAU18. Accepted by Prof Jim Catto on behalf of the EAU Communications Department.

  • Innovation Award – EAU Communications Department, for their excellent Twitter strategy. Accepted by Prof Jim Catto onbehalf of Marc van Gurp and EAU colleagues

  • #UroJC Award – Dr David Penson, Vanderbilt, USA. Accepted by Matt Bultitude

  • Best Social Media Campaign – awarded to The Urology Foundation, London, UK. In recognition of their use of social media to promote their advocacy, awareness and fundraising efforts in urology. Also an acknowledgement of twitter super-user Stephen Fry as a supporter of TUF, and his use of twitter to share his recent personal prostate cancer journey.

  • Most Social Trainee – Awarded to the “Bellclapper Podcasts”, featuring Jesse Ory, Kyle Lehman, Jeff Himmelman, from Dalhousie University, Canada.

  • The BJUI Social Media Award 2018 – awarded to @BURSTurology, in recognition of their use of social media to engage with other urology trainee and research groups around the world to drive collaborative research, including the #identify project. Collected by BURST Chair Veeru Kasi.

 

A number of the BJUI senior editorial team were also present to join the fun!

 

A special thanks to our outstanding BJUI team at BJUI in London, Scott Millar, Max Cobb and team, who manage our social media and website activity as well as the day-to-day running of our busy journal.

See you all in Chicago for #AUA19 where we will present the 7th BJUI Social Media Awards ceremony!

 

Declan Murphy

Peter MacCallum Cancer Centre, Melbourne, Australia

Associate Editor, BJUI

@declangmurphy

 

Video: Highlights from USANZ 2018

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G’day! The 71st annual USANZ Congress, was held in Melbourne and had the biggest attendance on record for the past 6 years. The Urological Nurse’s congress: ANZUNS ran concurrently, encouraging multi disciplinary learning. An excellent and varied educational programme was masterminded by Declan Murphy, Nathan Lawrentschuk and their organising committee. Melbourne provided a great backdrop and soon felt like home with a rich and busy central business district, cultural and sporting venues, the Yarra river flowing past the conference centre, edgy graffiti and hipster coffee shops, plus too many shops, bars and restaurants to visit.

Sophie Rintoul-Hoad & Declan Murphy

 

PRECISION delivers on the PROMIS of mpMRI in early detection of prostate cancer

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Today, Dr Veeru Kasi of University College London, presented the results of the PRECISION (PRostate Evaluation for Clinically Important disease: Sampling using Image-guidance Or Not?) study in the “Game Changing” Plenary session at the #EAU18 Annual Meeting in Copenhagen. The accompanying paper was simultaneously published in the New England Journal of Medicine. And it is stunning! Everyone in the packed eURO auditorium knew they were witness to a practice-changing presentation, and the swift reaction on social media around the world confirms this.

 

Congratulations to Veeru (a second year urology resident in London), senior author Dr Caroline Moore, Prof Mark Emberton, and all the collaborators on this multicenter international trial. I had the great privilege to be the Discussant in the Plenary session so have been digesting this study in detail for the past few weeks.

Let me summarise the PRECISION study in brief. In this multicenter international study, 500 men with a suspicion of prostate cancer (mean age 64, median PSA 6.7), were randomised to receive a standard of care (SOC) diagnostic pathway (12 core TRUS biopsy), or an MRI directed pathway. In the MRI pathway, all patients had an MRI, and if the MRI was abnormal (72% of men), they had a targeted biopsy of the lesion(s) (with no systematic biopsy; ie only the abnormal lesion was biopsied). If the MRI was normal (28% of men), they did not have a biopsy, and continued on routine PSA surveillance. The primary outcome was detection rate of clinically significant cancer; and secondary outcomes included the detection rate of clinically insignificant cancer. In the standard of care arm, the detection rate of clinically significant cancer was 26%, and the detection rate of clinically insignificant cancer was 22%. In the MRI pathway, the detection rate of clinically significant cancer was 38%, and the detection rate of taking insignificant cancer was 9%. This is depicted below in one of my summary slides from the plenary discussion.

 

Therefore, despite the fact that over one quarter of men in the MRI pathway actually avoided a biopsy, the detection rate of clinically significant cancer was much greater in this arm (ie UNDER-diagnosis was reduced). Furthermore, the detection rate of the clinically insignificant cancer was much less (ie OVER-diagnosis was reduced). And all this with a median number of biopsy cores of only four, compared with 12 in the SOC arm. The reduction in core numbers along that too much less complications for these patients.

This looks like WIN-WIN all round!

 

And I truly believe that these findings should provoke an immediate change in our diagnostic pathway for early prostate cancer in two ways:

  1. All patients with a clinical suspicion of prostate cancer should be offered an MRI as part of their informed/shared decision making pathway
  2. All patients with an abnormality on their MRI scan should be offered be targeted biopsy alone.

The obvious concern of course, is the fate of those patients with a normal MRI (28% of patients), who despite a clinical suspicion of prostate cancer, did not have a biopsy. How many clinically significant cancers might we miss by not offering biopsy to those patients? Of course, we already have an idea of what we would find, as the PROMIS study also included extensive biopsy (transperienal mapping) for patients with a normal MRI.

In PROMIS, the negative predictive value of MRI for detecting any pattern 4 cancer is 76% ie up to 1 in 4 men will have some pattern 4 cancer on transperineal biopsy. However, no primary pattern 4 cancers were missed on MRI. This is something we have to digest. I think that we can accept missing some pattern 4 cancers in some men, provided the “routine follow up” is adequate. But we must also continue to use the other tools we have in our multivariable approach to early detection, and if there are red flags due to family history, palpable nodules, adverse PSA parameters (including PSA density), BRCA mutations, then there will clearly be a role for systematic biopsy in some of these men with normal MRI scans.

In my opinion, we now have enough evidence to fully embrace mpMRI in our approach to early detection of prostate cancer. Following on from the PROMIS study, published in the Lancet 2017, the PRECISION study provides us with the imprimatur to fully embed MRI in the assessment of men with a suspicion of prostate cancer. The era of blind random prostate biopsy is surely over, except perhaps in those patients in whom MRI is contra-indicated. The next challenge will be to create enough capacity and expertise to make this paradigm available to all.

Resourcing will inevitably be an issue, but the PROMIS and PRECISION papers provide a compelling health economic argument for funders. Less men undergoing biopsy; less biopsy cores; less complications; less insignificant cancer – this surely makes economic sense. In Australia, where MRI has already been enthusiastically embraced, a high-quality mpMRI on a 3T machine costs $USD300, and costs are usually borne by patients. In the USA, we hear that a 1.5T MRI (with an endorectal coil) can cost USD$2-3000!! Why is this?! Australia is an expensive country – an iPhone or a da Vinci robot costs 1.5 times the cost in the USA; why therefore should an MRI cost so much in the USA? A symptom of a much broader issue with the bloated US health economy, and likely a barrier to adoption of the paradigm proposed by PRECISION.

So there you have it. A truly practice-changing study. While there will be much discussion about the nuances, I for one will immediately embrace this paradigm:

  • MRI for all (I already do this)
  • Targeted biopsy alone for those with MRI lesions (a new departure for me)
  • No biopsy for those with normal MRI scans (unless there are other red flags).

My concluding slide from the plenary discussion:

 

Congrats again Veeru, Caroline, Mark and colleagues for publishing this landmark study.

 

Declan G Murphy

Urologist & Director of Genitourinary Oncology, Peter MacCallum Cancer Centre, Melbourne, Australia

Twitter: @declangmurphy

 

Search engine optimization is an essential step in the compilation of your paper

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Search engine optimization (SEO) is an essential step in the compilation of your paper. Before your article is published online it is essential to ensure that your article is prepared for the real world – the digital world – and can be found easily by potential readers. Employing adelaide seo can leverage the visibility of your paper so that it has a better chance of being at the top of search results, and, therefore, a better chance of being read and even cited.

SEO Winnipeg do everything they can to optimize the online platform so that search engines can easily crawl and index content and actively promote the journal and featured content in a crowded online space. However, you, the author, have ultimate control over the discoverability of content at the article level by ensuring you follow some basic rules. For the digital marketing skillful future  wsq courses singapore helps you . Seo melbourne services is a prominent Melbourne SEO firm that offers skilled services that are tailored to our clients’ specific requirements.

So what do you need to do? The most important parts of your article to consider are the title and the abstract. For both you need to select appropriate key words (i.e. search terms) and use them frequently and appropriately. This shouldn’t be a completely daunting process or even that much additional work. It’s really about being more mindful of how users will search and find the published version online. I frequent many SEO and Web Marketing forums on a daily basis and every so often there is a debate about the SEO industry and ethics, check this blog. After being involved in a number of these debates, it has become really obvious that the main problems are the facts that no two SEO companies are alike and there is no unified methodology, these are just some of the most common affiliate advertising myths.

Building an attractive even beautiful is the goal of most website designers. In the process, sometimes the effectiveness of the website is diminished. We need to keep in mind that our goal is not only to have a beautiful website that will make people want to stay and look around and enjoy, but also a website that will be helpful to the engines in determining what our website is about or what it is relevant to.

Search Engine Optimisation or SEO is arguably the most essential way to drive targeted traffic to your website because it leads to improved search engine placement. Optimizing the benefits of a well-designed web site will result in much more traffic coming to the website thereby generating income for the company publishing the website. With this fact in mind however, optimizing your website might cost you thousands of dollars if you are not skilled in this area. Good search engine optimization that leads to improved search engine placement will, on the other hand, bring you a much higher return on the investment of either time or money you put into it.

It’s very hard to make statements about the industry as a whole because it’s debatable what exactly ‘SEO’ is. Mix in the fact that most SEO companies keep their methodology and campaign strategies secret and we have a situation where every company is totally different with very different results. The truth about SEO services is that it is normally not hard work, but that doesn’t mean its easy. It still takes time, dedication, effort, strategy, technique, method, skill, and experience to perform quality SEO services. Anyone can use SEO services because it is within your reach to learn, but not everyone can apply sensible strategy to make SEO work.

That is why SEO engineers are needed to accomplish the almost impossible, but the question is how do you know you are making the right choice and not overpaying for SEO services? I can honestly say for the most part SEO service providers are on the up and up who want nothing more than to do professional business and provide quality SEO services. Identifying every shady SEO service may not be possible, but I have some recommended advice which should help anyone get a fair and quality rate for SEO services.

In order to make a great online presence with successful blogging, guest posting service is, undoubtedly, most cost-effective and viable option with Malcolm Read guide. No matter what you are; an independent blogger or a large-scale company seeking the resource to bring their business to new heights, you can get started with guest blogging. Here’s why it is best –

Getting High Quality, Genuine Traffic

This is the #1 reason why most individuals are spending most of their time in guest posting services for genuine traffic. If you are publishing your content in several reputable sites related to your niche daily, you can make handsome business revenue along with earning other benefits.

When you have to receive largest number of visitors, it’s not all about focusing only on quantity, but also about quality. For example, if a visitor spends only one second on average on your blog, it may lead to whopping 90% of bounce rate. On the other side, if a visitor spends about 4 to 5 minutes on your guest post, quality can cut the bounce rate down to only 40%.

Generating Search Engine and Domain Authority

Search engine and domain authority is the added advantage of paid guest posts plans. For instance, if you invest most of your time in specific SEO tactics and pay attention to generate links, your blog may receive around 4000 visitors every month from search engines and get PageRank 4 on Google. Keep tracking your links to know the progress of the page. Use special tools to check inbound links to website to keep yourself updated.

Generating Online Presence

When it comes to the influence in your traffic, it’s not about expertise or authority. In fact, it is about genuine influence that is either negative or positive. By posting high quality guest post on others’ blogs you can greatly leave a great impression among people and can make a huge impact on the lives of many. By collaborating the visitors from other blogs altogether to your standalone blog, you can reach more people so far.

Enhance Your Brand Visibility and Awareness

Added advantage of guest post service is that it improves the visibility and awareness of your brand in the market. For instance, you have published a guest blog on a website to welcome over 20000 visitors and it has got around 5000 views. Although it might not be possible for you to get above 300 visitors from that website, the reality is that your brand name has already been showed to over 5000 people. If it keeps on going, you will get more and more visitors to your website or blog as your name has already been revealed to more people and made them curious to know what you are offering.

Bottom Line

With guest posting, you can effectively build your presence in social media and make a strong fan following in Twitter or Facebook along with getting huge web traffic.

Three simple rules for SEO

Your title should catch the attention of readers, but it also serves as a way to introduce the main point of your article. Consider the introductory paragraph of your article and create a title from there. Your title shouldn’t be bland, but it can’t be misleading and it does need to include key words. Where you can, ensure these key words are located at the front of the title.

Use of private label seo services is an extra boost to your SEO practices. Abstracts are usually just a few hundred words, so putting the keywords in two or three times makes sense when you input the key words naturally.

Of course, you should consider all of this before submitting your article to BJUI, but of your article gets past initial peer review and you are asked to make revisions you may also be asked to look this again. The revision request email will include a PDF attached that provides some tips in a clear infographic – or you can click on the picture below to download the PDF now.

It’s no secret that online video is starting to come into its own. But producing video content can be expensive, so you’re going to want to make the most of that video. The absolute best way to save yourself time and money in your video marketing activity is to repurpose video content for social media. Here’s how.

These days, if you want to truly stand out, you need to be telling better stories, more effective stories, and more attention grabbing stories – and using video on your social media channels is increasingly becoming one of the most effective ways to do this.

Obviously, not every organisation has an in-house video production team or can afford to constantly create new video content. Budget constraints are a huge factor for any content marketing campaign, A music licensing company grants permissions and enables use of music for certain purposes.

The absolute best way to save yourself money (and time) is to repurpose and recycle the existing arsenal of video in your content archives.

How to repurpose video content for social media

 

What is ‘repurposing content’?

To start off with, you’ll want to get more familiar with the concept of ‘repurposing content’ in general.

Repurposing content is simply reusing and adapting existing content into different formats for different marketing channels, allowing you to target your audiences again in different ways, or to target a new audience on different platforms.

repurpose video content

Some example of ‘repurposing content’:

  • Breathing new life into blog posts by turning them into podcasts
  • Turning presentation slides into Pinterest infographics
  • Turning instructional graphics into GIFs.

Long story short, it means re-using that content for something different than it’s original intended use – and it means you need to think creatively and outside the box.

Start thinking about repurposing  from the very beginning – it’s not about creating a single-use piece of content:

“You’re not creating a blog post, a video, or a white paper … you are telling a story. That story can be told in a myriad of ways to help extend your content marketing strategy.” – Robert Rose, CMI

For more background to repurposing content, Buffer has written a great guide to repurposing contentand Search EngineJournal has written a brilliant post on effective ways to repurpose your blog content for social media.

Why should you repurpose video content?

Taking existing content and reusing it elsewhere may sound like hard work, especially if you’ve already spent a long time creating that original content in the first place.

“Every content idea involves a story you are trying to tell. If you remember that the story can and should always be told in many different ways, you’ll have a leg up on the competition.”

There are a number of other advantages to repurposing video content:

  1. Get an SEO boost: Multiple pieces of content around the same topic can generate additional opportunities to target a desired keyword.
  2. Reach a new audience: In many cases, your original piece of content may have only made a splash with one group of customers. Repurposing the content for different mediums allows you to meet an audience where they are.
  3. Reinforce your message: Repetition can be an essential part of sending a message that sinks in. Marketing’s Rule of 7 states that buyers need to hear your message seven times before they’ll close the deal.
  4. Gain extra authority: Publishing quality content in a variety of places on a single topic can teach others to regard you as an expert.
  5. Save time: Rather than creating new content from scratch, you may get the results you’re looking for from reusing your existent content in new ways

How can I repurpose video content?

The simplest way of repurposing video content is to take your current videos and slice ‘em up!

A video that is several minutes long won’t play as well on social platforms where brevity is king. Think about the videos you’ve already created.

  • Are there any longer videos that you could slice up into shorter 15 or 30-second clips?
  • Can you succinctly help illustrate your brand or campaign story by taking a small piece of a longer video and sharing it on Instagram, Twitter or Facebook?

You’ll need to bear in mind which length works best on each platform when you edit your longer clips down – including best length and audio format. This guide to video best practice across seven different social video platforms will be helpful.

Luckily, the short amount of time it takes to slice up and create these shorter clips will increase your ROI for the production of the original content and enhance and broaden the reach of the key message.

How can I get more video views across social media?

Have you created a video that only lives on YouTube or Vimeo? Have you taken the time to properly promote?

Make sure you’re posting it in different formats across your social presence, if appropriate.

This post from the Content Marketing Insititute explains how to take one video and turn it into 8 different assets across YouTube, LinkedIn, Facebook, WordPress, and more.

Prokar Dasgupta Editor-in-Chief
Scott Millar Managing Editor

BJUI SEO tips

USANZ 2018: Melbourne

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G’day! The 71st  annual USANZ Congress, was held in Melbourne and had the biggest attendance on record for the past 6 years. The Urological Nurse’s congress: ANZUNS ran concurrently, encouraging multi disciplinary learning. An excellent and varied educational programme was masterminded by Declan Murphy, Nathan Lawrentschuk and their organising committee. Melbourne provided a great backdrop and soon felt like home with a rich and busy central business district, cultural and sporting venues, the Yarra river flowing past the conference centre, edgy graffiti and hipster coffee shops, plus too many shops, bars and restaurants to visit.

The programme included a day of masterclasses on a range of subjects, including: urological imaging, advanced robotic surgery with a live case from USC, metastatic prostate cancer and penile prosthetics. These were well attended by trainees and consultants alike. The PCNL session (pictured) with Professor Webb was popular and he generously gave his expertise.  The session was supported by industry and provided an opportunity to use the latest nephroscopes on porcine models and innovative aids to realistically practice different puncture techniques.

Two plenary sessions were held each morning covering the breadth and depth of urology and were well attended. Dr Sotelo is always a highlight; he presented, to an auditorium of collective gasps, a unique selection of ‘nightmare’ cases  His cases gave insight in how intraoperative complications occur and how they can be avoided.  Tips, such as zooming out to reassess in times of anatomical uncertainty during laparoscopy or robotic surgery have great impact when you witness the possible consequences. Tim O’Brien shared his priceless insights on performing IVC thrombectomy highlighting the need for preoperative planning, early control of the renal artery and consideration of pre-embolisation.  His second plenary on retroperitoneal fibrosis provided clarity on the management of this rare condition highlighting the role of PET imaging and, as with complex upper tract surgery, the importance of a dedicated team.

Tony Costello’s captivating presentation covered several myths in robotic prostate surgery, plus the importance of knowing your own outcome figures and a future where robotics will be cost equivalent to laparoscopy. Future technology, progress in cancer genomics and biomarkers were also discussed in various sessions.  One example of new technology was Aquablation of the prostate; Peter Gilling presented the WATER trial results suggesting non-inferiority to TURP.  A welcome addition to the programme was Victoria Cullen (pictured), a psychologist and Intimacy Specialist who provides education, support and strategies for sexual  rehabilitation. She described her typical consultation with men with sexual dysfunction and how to change worries about being ‘normal’ to focusing on what is important to the individual.

Joint plenary sessions with the AUA and EAU were a particular highlight. Prof Chris Chapple confirmed the need for robust, evidence guidelines which support clinical decision making; and in many cases can be used internationally. He suggested collaboration is crucial between us as colleagues and scientists working in the field of urology. Stone prevention and analysis of available evidence was described by Michael Lipkin; unfortunately stone formers are usually under-estimaters of their fluid intake so encouragement is always needed! Amy Krambeck presented evidence for concurrent use of anticoagulants and antiplatelets during BOO surgery and suggested there can be a false sense of security when stopping these medications as it isn’t always safe. She championed HoLEP as her method of BOO surgery and continues medications, although the evidence does show blood transfusion rate may be higher. She also uses a fluid warming device which has less bleeding and therefore improved surgical vision; importantly it is preferred by her theatres nurses! MRI of the prostate was covered  by many different speakers, however Jochen Walz expertly discussed the limitations of MRI in particular relating negative predictive value (pictured). He eloquently explained the properties of cribiform Gleason 4 prostate cancer and how this variant contributed to the incidence of false negatives.

Moderated poster and presentation sessions showcased research and audit projects from the UK, Australia, New Zealand and beyond, mainly led by junior urologists. The best abstracts submitted by USANZ trainees were invited to present for consideration of Villis Marshall and Keith Kirkland prizes. These prestigious prizes were valiantly fought for and reflected high quality research completed by the trainees. Projects included urethral length and continence, no need for lead glasses, obesity and prostate cancer, multi-centre management of ureteric calculi, mental health of surgical trainees and seminal fluid biomarkers in prostate cancer. This enthusiasm for academia will undoubtedly stand urology in good stead for the future; this line up (pictured) is one to watch!

The Trade hall provided a great networking space to be able to meet with friends and colleagues and engage with industry. It also hosted poster presentation sessions, with a one minute allocation for each presenter – which really ensures a succinct summary of the important findings (pictured)! It was nice to meet with Australian trainees and we discussed the highs and lows of training and ideas for fellowships. Issues such as clinical burden and operative time, selection into the specialty, cost of training, burn out and exam fears were discussed and shared universally; however there is such enthusiasm, a passion for urology and inspirational trainers which help balance burdens that trainees face. Furthermore, USANZ ‘SET’ Trainees were invited to meet with the international faculty in a ‘hot seat’ style session which was an enviable opportunity to discuss careers and aspirations.

In addition to the Congress I was fortunate to be invited for a tour and roof-top ‘barbie’ at the Peter Mac Cancer centre; plus a visit to Adelaide with Rick (Catterwell, co-author) seeing his new hospital and tucking into an inaugural Aussie Brunch. Peter Mac and Royal Adelaide Hospital facilities indicated an extraordinary level of investment made by Federal and State providers; the Peter Mac in particular had impressive patient areas, radiotherapy suites and ethos of linking clinical and research. However beyond glossy exteriors Australian public sector clinicians voiced concerns regarding some issues similar to those we face in the NHS.

Despite the distance of travelling to Melbourne and the inevitable jet lag the world does feels an increasingly smaller place and the Urological world even more so. There is a neighbourly relationship between the UK, Australia and New Zealand as evidenced by many familiar faces at USANZ who have worked between these countries; better for the new experiences and teaching afforded to them by completing fellowships overseas. The Gala Dinner was a great chance to unwind, catch up with friends and celebrate successes in the impressive surrounding of Melbourne Town Hall (pictured); the infamous organ played particularly rousing rendition of Phantom of the Opera on arrival.

The enthusiasm to strive for improvement is similar both home and away and therefore collaboration both nationally and internationally is integral for the progress of urology. The opening address by USANZ President included the phrase ‘together we can do so much more’ and this theme of collaboration was apparent throughout the conference. The future is bright with initiatives led by enthusiastic trainee groups BURST and YURO to collect large volume, high quality data from multiple centres, such as MIMIC which was presented by Dr Todd Manning. Social media, telecommunications and innovative technology should be used to further the specialty, especially with research and in cases of rare diseases – such as RPF.  Twitter is a tool that can be harnessed and was certainly used freely with the hashtag #USANZ18. Furthermore, utilisation of educational learning platforms such as BJUI knowledge and evidence based guidelines help to facilitate high quality Urological practice regardless of state or country.

So we’d like to extend a huge thank you to Declan, Nathan and the whole team, and congratulate them for a successful, educational and friendly conference; all connections made will I’m sure last a lifetime and enable us to do more together.

Sophie Rintoul-Hoad and Rick Catterwell

 

March 2018 – About the Cover

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The editorial accompanying March’s Article of the Month, ‘Is overall survival not influenced by partial vs radical nephrectomy?’, is from Leuven, Belgium.

 

The cover shows the clock of the 15th Century St Peter’s church and the much more recently added golden bell ringer.

 

 

 

 

 

©istock.com/Tatiana Alex

Click here for this issue’s Table of Contents

 

Four Seasons – BJUI Reviewer of the Winter

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Four Seasons Winter 2018This month, BJUI continues the Four Seasons Peer Reviewer Award recognising the hard work and dedication of our peer reviewers. Each quarter the Editor and Editorial Team will select an individual peer reviewer whose reviews over the last 3 months have stood out for their quality and timeliness.

The Winter Crown goes to Jose A. Karam.

Jose A Karam - winner of the BJUI Winter 2018 Four Seasons peer reviewer award

Dr. Karam is an Associate Professor of Urology at MD Anderson Cancer Center. He is certified by the American Board of Urology, and provides surgical care for patients with renal, testicular and adrenal tumors. He performs open, laparoscopic, and robotic surgery, with a special interest in surgery for locally advanced and locally recurrent disease.

Dr. Karam earned his medical degree with Distinction from the American University of Beirut. He completed Urology residency at UT Southwestern Medical Center, followed by a Urologic Oncology Fellowship at MD Anderson Cancer Center.

Dr. Karam’s primary clinical and research interest is renal cell carcinoma, including the integration of targeted therapy with surgery (adjuvant, neoadjuvant, and presurgical therapy), sarcomatoid renal cell carcinoma, rare kidney cancer histologies including renal medullary carcinoma, mouse models of renal cell carcinoma and molecular markers. He has authored more than 170 articles and book chapters in urologic oncology. He serves as a reviewer for over 20 journals, and is an Editorial Board member of BJU International, Section Editor for Annals of Surgical Oncology, and Associate Editor for Frontiers in Oncology.

 

 

 

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