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- Piet Ost discusses the STORM trial, a randomized study comparing stereotactic body radiotherapy (SBRT) with elective nodal radiotherapy (ENRT) in oligometastatic prostate cancer patients. The trial, involving 80% PSMA-PET scanned patients, includes six months of androgen deprivation therapy in both arms. Results show significant benefits for ENRT in biochemical recurrence-free survival and locoreg...
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- Rashid Sayyid and Zach Klaassen discuss a meta-analysis published in JAMA Oncology examining cardiovascular events associated with androgen receptor signaling inhibitors (ARSIs) in advanced prostate cancer. The study analyzes 24 randomized controlled trials across various prostate cancer stages, involving 22,166 patients. Results show a significant increase in both all-grade and grade 3+ cardiovas...
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- Brian Flynn discusses the emerging field of functional urology. Dr. Flynn defines functional urology as a comprehensive approach to non-cancer, non-stone, adult urological issues, focusing on restoring patients' functionality. He positions it as a bridge between reconstructive and traditional urology, emphasizing the need for expertise in both surgical techniques and physiological understanding. D...
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- In this follow-up discussion, Badar Mian and E David Crawford delve deeper into the implications of clinical trials comparing transperineal (TP) and transrectal (TR) prostate biopsies. They address key issues such as antibiotic use, patient comfort, and sampling accuracy. Dr. Mian notes that many European centers still use antibiotics for TP biopsies, contrary to claims of antibiotic avoidance. Th...
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- Badar Mian discusses randomized clinical trials comparing transperineal (TP) and transrectal (TR) prostate biopsy approaches. Despite previous beliefs favoring TP biopsies for lower infection rates and better cancer detection, three major trials (ProBE-PC, PREVENT, and PERFECT) show no significant differences in sepsis rates or cancer detection between the two methods. The studies reveal similar m...
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- Valeska Halstead discusses a survey study examining pediatric urologists' perceptions of US News and World Report rankings. The study, with a 51% response rate from Society for Pediatric Urology members, reveals significant skepticism about the ranking system's validity. Notably, 86% of respondents support withdrawing from the rankings, with even 75% of those in top-10 institutions agreeing. Most...
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- Giulia Marvaso discusses the RADIOSA trial, a phase II randomized study comparing SBRT alone versus SBRT with short-course hormonal therapy for oligorecurrent prostate cancer. The trial includes 102 patients with up to three metastatic lesions, randomized into two arms. Results show improved biochemical and clinical progression-free survival in the combination arm. Dr. Marvaso highlights that pati...
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- David Albala discusses the emerging field of telesurgery. Dr. Albala highlights the evolution from traditional surgical training to robotic surgery, and now to telesurgery, where surgeons can operate remotely. He mentions key milestones, including the first transatlantic telesurgery in 1998, and recent advancements in China and Japan. Dr. Albala emphasizes the potential of telesurgery to address h...
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- At the World Congress of Endourology and Uro-Technology, Bruce Gao presents a case study comparing holmium laser enucleation of the prostate (HoLEP) and thulium fiber laser enucleation of the prostate (ThuLEP) performed on the same patient with symmetrical lateral lobes. Dr. Gao describes the surgical technique, highlighting differences between the two laser types. The left lobe undergoes HoLEP, w...
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- At the World Congress of Endourology and Uro-Technology, Mariah Hernandez presents a study on the use of immersive virtual reality (VR) in preoperative planning for percutaneous nephrolithotomy. The study finds that VR enhances understanding of renal anatomy, leading to altered calyx choice for access in 30% of VR cases. This research demonstrates the potential of VR technology to improve surgical...
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