

Meg Kulkarni 💙
11.8K posts

@MiniMiniMeg
Urology Specialist Registrar in London, UK | Uro-Oncology & Academics | Tennis NUT 🎾 | Former @BJUIjournal Section Editor @BURSTurology VC |



💧 Kidney stone prevention… reality check 👇 👏Large RCT (n=1,658) testing hydration adherence strategies in @TheLancet ✔️Smart bottles + incentives + coaching = ↑ urine volume 📉But increase was modest and not sustained over time ❌ No reduction in stone recurrence (HR ~0.96) 🚨 What this really shows: 1⃣Adherence is HARD 2⃣Even well-designed behavioral interventions struggle long-term 3⃣Changing behavior ≠ changing outcomes 🤔 Takeaway: Hydration still matters… But “just drink more water” isn’t a scalable solution for most patients @AmerUrological 🔗shorturl.at/tnTda



















Showdown Debate: SBRT vs Alternative Therapies for Primary RCC moderated by @_ShankarSiva (Bluey) and Peter Pan and Debate between John Gore (Yosemite Sam) and Anand Swaminath (Bert- Chimney Sweep) @the_RSS 2026

🎉 After 3 yr of work, our paper is finally accepted in @IJROBP! authors.elsevier.com/sd/article/S03… MDT for breast OMD remains highly controversial — NRG-BR002, CURB, and EXTEND all came back negative. So we asked: What actually happens when MBC progresses and can ctDNA predict it?

Fantastic news for renal cancer patients. Latest NICE guideline recommends #SABR to primary RCC for selected patients with stage IA and IB disease! nice.org.uk/guidance/ng256… #radonc #medonc #SBRT Big thanks to @_ShankarSiva who has pioneered this important treatment option
