Showing papers in "European Urology in 2009"

TL;DR: Surgical morbidity following radical cystectomy is significant and, when strict reporting guidelines are incorporated, higher than previously published.

TL;DR: LRP and RALP were more time consuming than RRP, especially in the initial steps of the learning curve, but blood loss, transfusion rates, catheterisation time, hospitalisation duration, and complication rates all favoured LRP, and LRP showed similar continence and potency rates.

TL;DR: The PADUA score is a simple anatomical system that can be used to predict the risk of surgical and medical perioperative complications in patients undergoing open NSS and can help researchers evaluate the real comparability among patients undergoing NSS with different surgical approaches.

TL;DR: NMIBC is a heterogeneous disease with varying therapies, follow-up strategies, and oncologic outcomes for an individual patient, and multiplicity, tumour size, and prior recurrence rate are the most important variables for recurrence.

TL;DR: The diagnosis and treatment of NLUTD, which is a highly specialised and complex field involving both urology and medicine, requires up-to-date expert advice to be readily available and the current guidelines are designed to fulfil this need.

TL;DR: For prophylaxis of recurrence, maintenance BCG is required to demonstrate superiority to MMC in both patients previously treated and those not previously treated with chemotherapy.

TL;DR: These EAU guidelines are a short, comprehensive overview of the updated guidelines of (MiM-BC) as recently published in theEAU guidelines and also available in the National Guideline Clearinghouse.

TL;DR: It is suggested that if a PLND is indicated and its extent is indicated, then it should be extended, and in view of the low rate of LNI among patients with low-risk PCa, a staging ePLND might be spared in this patient category.

TL;DR: There is a limit to the ability of androgens to stimulate PCa growth, and a Saturation Model based on androgen-AR binding provides a satisfactory conceptual framework to account for the dramatic effects seen with castration as well as the minor impact of T administration in noncastrated men.

TL;DR: It is suggested that the first clinical applications of ETS fusions are likely to be in noninvasive detection of prostate cancer and in aiding with difficult diagnostic cases and tissue and functional studies suggest a specific role for Ets fusions in the transition to carcinoma.

TL;DR: The main objective of the present study is to point out the limit of renal ischaemia times for warm and cold ischaemic approaches, to minimise renal ischemic damage in patients suffering from kidney tumour.

TL;DR: On-demand vardenafil treatment resulted in significantly greater IIEF-EF scores and better SEP3 response rates than placebo over the entire treatment period, supporting a paradigm shift towards on demand dosing with PDE5 inhibitors in this patient group.

TL;DR: Although SILS may offer a subjective cosmetic advantage, prospective comparison is needed to more clearly define its role and whether it is feasible with perioperative outcomes and short-term measures of convalescence comparable to conventional laparoscopic nephrectomy.

TL;DR: This study shows that, after proper preoperative staging, the incidence of unsuspected lymph- node metastases is low and that, notwithstanding a possible relationship to this low incidence rate, no survival advantage of a complete lymph-node dissection in conjunction with a radical nephrectomy could be demonstrated.

TL;DR: Sliding-clip renorrhaphy provides an efficient and effective repair that is under nearly complete control of the surgeon and appears to contribute to significantly shorter overall operative times and, perhaps most critically, to shorter warm ischemia times.

TL;DR: The consensus committee recommends larger placebo-controlled and comparative trials to evaluate the efficacy of single and repeat injections, the duration of effect, the optimal dosage and injection technique, the timing for repeat injection, and the short- and long-term safety of the treatment in LUT and pelvic-floor disorders.

TL;DR: AS seems justified in selected men with screen-detected PCa, and prospective protocol-based AS programs are necessary to optimise selection criteria and to find the appropriate trigger points for switching to active therapy.

TL;DR: The suspension stitch during RALP resulted in a statistically significantly shorter interval to recovery of continence and higher continence rates at 3 mo after the procedure.

TL;DR: Patients undergoing robotic Cystectomy experienced fewer postoperative complications than those undergoing open cystectomy and high American Society of Anesthesiologists (ASA) score and longer surgical time were independent predictors of major complications.

TL;DR: Pooled analyses suggest that MET with alpha-blockers or calcium channel blockers augments stone expulsion rates, reduces the time to stone expulsion, and lowers analgesia requirements for ureteral stones with and without ESWL for stones < or = 10 mm.

TL;DR: In this paper, the authors proposed to stratify node positive patients according to the number of positive nodes to improve cancer specific survival (CSS) prediction, and showed that patients with up to 2 positive nodes experienced a significantly higher overall survival compared to patients with more than 2 nodes.

TL;DR: Laparoscopic sacrocolpopexy (LSC) as mentioned in this paper is the gold standard for VVP and is superior to VVP with fewer recurrent prolapses and less dyspareunia.

TL;DR: In experienced hands, LPN provides similar results compared to open surgery, and current experience questions the indication of secondary nephrectomy in these patients.

TL;DR: The high positive predictive value of integrated [(11)C]choline-PET/CT, even with low PSA values, provides a basis for further treatment decisions and is an accurate diagnostic tool for the detection of lymph-node metastases of recurrent prostate cancer.

TL;DR: A number of new agents targeting mechanisms of PCa progression with early promising results are in clinical trials and have the potential to provide novel treatment options for CRPC in the near future.

TL;DR: Although age alone does not preclude radical cystectomy for muscle-invasive or recurrent bladder cancer or for certain types of urinary diversion, careful surveillance is required, even after the first 30 d after surgery.

TL;DR: No clinically relevant differences in short-term efficacy exist between the two techniques, but B-TURP is preferable due to a more favorable safety profile and shorter irrigation and catheterization duration and PlasmaKinetic TURP showed an improved safety profile.

TL;DR: Level-1 evidence indicates that adjuvant radiotherapy in men with PSM reduces BCR rates and clinical progression and possibly improves overall survival (OS), and an evidence-based approach to assist clinicians in counseling patients with a PSM is provided.

TL;DR: USPIO-DW-MRI is a fast and accurate method for detecting pelvic lymph node metastases, even in normal-sized nodes of bladder or prostate cancer patients.

TL;DR: IHT should be considered for use in routine practice because it is associated with no reduction in survival, no clinically meaningful impairment in QoL, better sexual activity, and considerable economic benefit to the individual and the community.