I think the post COVID world try to represent [Ph] what that would be like. We've had a bunch of in-depth doctor conversations lately.
So no change to that.
We expect uro and pelvic health to deliver double-digit revenue growth in 2020 and the continued progress of our broad portfolio and globalization efforts. But we’ve seen a very nice consistent recovery, as I mentioned in the script, throughout second, throughout the second quarter, and also a very nice improvement in July. But given the pipeline that we have, the momentum that we have, most of our businesses continue to gain share versus their peers, the expansion and the new adjacencies that we have, we’re very comfortable, nothing has changed in terms of our outlook being the high end of our peer group. So first question, I just wanted to ask about the guidance you're providing for the first quarter, that 5 to 7%. We are pleased to have entered the clinic in December in Australia with our Millipede full annuloplasty ring for mitral valve repair. Any reason to believe that sort of 50 to 100 basis point type expansion, it can’t be achieved on an underlying basis. Consistent with the preliminary results we announced on January 14, we delivered 14.1% operational revenue growth and 7.3% organic revenue growth for the fourth quarter of '19. Fourth-quarter strength was led by double-digit growth in our single-use LithoVue scope, core stone, Rezum minimally invasive therapy for BPH and almost doubling of SpaceOAR revenue. The full year organic sales were up plus 7% and operational sales were up 13%. We ended Q4 2019 with 1,413,000,000, and full-year 2019 with 1,411,000,000 fully diluted weighted average shares outstanding.
You may access the AT&T Executive replay system at any time by dialing 1-866-207-1041 and entering the access code 7194459. Actually, on that prior question from my Watchman team friends here, I want to make sure I include Watchman FLX in the US as well because that's a huge launch for the Watchman team who has done a fantastic job since inception.
And, in the background here, we’re working on that. But we also remain cautious given that. Turning to CRM, second quarter sales declined 29% with both high and low voltage franchises down similarly in June, with average daily sales declining 20%. So endo is one of our more predictable businesses, I would say, in the company. Thanks for taking the question. Like what is coming back, when you think about the back half? Thanks for joining us. And then also I'd love to see, hear your comments on Exalt-D in terms of what you're expecting for the year out of that product. First question, I guess is happy to hear that July continues to improve over June on a selling day basis rate.
So turning to each business. Stock Advisor launched in February of 2002. Endo sales also are expected to decelerate slightly in first-quarter 2020, where we're targeting full-year growth acceleration in endo, given the breadth and strength of our category-leading portfolio, as well as more significant contributions from the Exalt-D single-use scope launch in second quarter and beyond.
Your next question comes from the line of Larry Biegelsen from Wells Fargo. Sure, just specific to the July run rate.
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