We already know that the use of several drugs as MET; which target the ureter through different mechanisms, can reduce symptoms and ease stone expulsion. Alpha blockers and tadalafil in MET have a demonstrated role in favouring stone passage and reducing the need for minimally invasive surgery for distal ureteral stones.

With the study presented by the lecturers, they concluded that tadalafil or sildenafil showed significantly shorter stone expulsion time and higher ER compared with alpha-blockers for distal ureteral stones. Therefore, the results suggested the potential use of a combination of tadalafil or sildenafil with alpha-blockers for distal ureteral stones.

Urolithiasis is one of the most common diseases and it can be a serious medical problem for the working-age population. In highly developed countries, patients with urolithiasis prefer a treatment that can be quickly and promptly resolved.

In recent years, computer vision and Deep Learning have been used to detect many different diseases and lesions in the body automatically. In this study, the authors analysed a total of 1,332 stones obtained by endoscopic surgery and compared the differences between conventional stone analysis and a deep learning system for photographic images. With this Deep Learning method, they were able to predict stone components from raw images with high accuracy. In addition, they were able to classify the components of the stones with Deep Learning whether they were simple or complex components.

Therefore, they concluded that this system could be an alternative tool for conventional stone analysis and could help clinicians predict the components of urinary stones in order to improve subsequent stone treatment.

In this plenary session the speakers presented several clinical cases on different interesting clinical situations. But what I want to highlight of this conference is not about these clinical cases, it is about a topic that goes beyond urology.

They discussed for a long time an important point that we must consider in our day-to-day practise. This point is the importance of putting the patient first when thinking about the techniques and the follow-up we do (patient centricity) to ensure their quality of life. This is interesting because the main actor in the operating room is and must always be the patient, and all the decisions we take must be guided by scientific evidence. Moreover, it is interesting to remember that we should never disregard the patient's opinion and preferences.

Urology is one of the specialties that has evolved the most in recent decades, especially in terms of surgical techniques due to the great technological innovations provided by industry. And because of this, it can sometimes give the impression that the patient is relegated to a secondary role.