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Bladder, Kidney, and Other Urologic Cancers
  • Repeat resection emphasized in new bladder cancer guideline



    Among the many recommendations within the new AUA guideline for the management of nonmuscle-invasive bladder cancer, arguably one of the most important is the idea of repeating resection for patients with high-grade Ta or T1 disease within a few weeks of the initial resection before making a treatment recommendation.

    Adjuvant chemotherapy after cystectomy may prolong survival


    A retrospective study of patients seen at the University of Chicago suggests that adjuvant chemotherapy is an essential part of the treatment protocol for lymph node-positive bladder cancer.

    When is immediate cystectomy necessary in TCC?



    While immediate cystectomy offers excellent long-term outcomes for patients with high-grade T1 transitional cell carcinoma, genetic biomarkers one day could help urologists select the most appropriate candidates for this surgery.

    Cancer survivors have low levels of physical activity


    A new study reveals that many cancer survivors are inactive and obese, which may negatively affect the control of their disease. The findings, which come from a study of cancer survivors in Canada, show that a cancer diagnosis does not appear to prompt significant behavior change and that interventions to increase physical activity and promote better eating habits among cancer survivors are warranted.

    Pesticide exposure may increase testicular tumor risk


    Exposure to endocrine-disrupting chemicals, such as persistent organochlorine pesticides, is associated with the risk of both seminomatous and nonseminomatous testicular germ cell tumors, whereas exposure to chlordane compounds and metabolites may be associated with the risk of seminoma, according to a study published in an online issue of the Journal of the National Cancer Institute (April 28).

    Data dispute en bloc ligation, arteriovenous fistula link during nephrectomy



    Researchers now have evidence that the risk of arteriovenous fistula formation is low in patients who undergo en bloc ligation.

    Endoscopy: Safe option in select upper tract transitional cell carcinomas?



    With continuing advances in endoscopic equipment combined with the increasing dissemination of ureteroscopic skills, upper tract TCC is increasingly being evaluated and treated endoscopically.

    Laparoscopic nephrectomy: Not just for localized renal cell carcinoma?



    Intermediate-term oncologic results after laparoscopic radical nephrectomy for locally advanced renal cell carcinoma are similar to those of open nephrectomy.

    Laparoscopic renal surgery: Ongoing progress, promise


    Since the initial description of laparoscopic nephrectomy by Clayman and associates in 1991, the technique and the principles of the procedure have evolved logically.

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