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2. Prognostic Significance of Grade Discrepancy Between Primary Tumor and Venous Thrombus in Nonmetastatic Clear-cell Renal Cell Carcinoma: Analysis of the REMEMBER Registry and Implications for Adjuvant Therapy

Author

Wu, Zhenjie, Chen, Hui, Chen, Qi, Ge, Silun, Yu, Nengwang, Campi, Riccardo, Gómez Rivas, Juan, Autorino, Riccardo, Rouprêt, Morgan, Psutka, Sarah P., Mehrazin, Reza, Porpiglia, Francesco, Bensalah, Karim, Black, Peter C., Mir, Maria C., Minervini, Andrea, Djaladat, Hooman, Margulis, Vitaly, Bertolo, Riccardo, Caliò, Anna, Carbonara, Umberto, Amparore, Daniele, Borregales, Leonardo D., Ciccarese, Chiara, Diana, Pietro, Erdem, Selcuk, Marandino, Laura, Marchioni, Michele, Muselaers, Constantijn H.J., Palumbo, Carlotta, Pavan, Nicola, Pecoraro, Angela, Roussel, Eduard, Warren, Hannah, Pandolfo, Savio Domenico, Chen, Rui, Zhou, Wenquan, Zhai, Wei, He, Miaoxia, Li, Yaoming, Han, Bo, Wan, Jie, Zeng, Xing, Yan, Junan, Fu, Yao, Ji, Changwei, Fan, Xiang, Zhang, Guangyuan, Zhao, Cheng, Jing, Taile, Wang, Anbang, Feng, Chenchen, Zhao, Hongwei, Sun, Di, Wang, Liang, Tai, Sheng, Zhang, Cheng, Chen, Shaohao, Liu, Yixun, Xu, Zhipeng, Wang, Haifeng, Gao, Jinli, Wang, Fubo, Cheng, Jiwen, Miao, He, Rao, Qiu, Wang, Jianning, Xu, Ning, Wang, Gongxian, Liang, Chaozhao, Liu, Zhiyu, Xia, Dan, Jiang, Jun, Zu, Xiongbing, Chen, Ming, Guo, Hongqian, Qin, Weijun, Wang, Zhe, Xue, Wei, Shi, Benkang, Zhou, Xiaojun, Wang, Shaogang, Zheng, Junhua, Ge, Jingping, Feng, Xiang, Li, Minming, Chen, Cheng, Qu, Le, and Wang, Linhui

Published
2024
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4. Resection Techniques During Robotic Partial Nephrectomy: A Systematic Review

Author

Borregales, Leonardo D., Caliò, Anna, Ciccarese, Chiara, Erdem, Selçuk, Ingels, Alexandre, Kara, Önder, Marandino, Laura, Palumbo, Carlotta, Pavan, Nicola, Pecoraro, Angela, Roussel, Eduard, Vittori, Matteo, Warren, Hannah, Wu, Zhenjie, Bertolo, Riccardo, Pecoraro, Alessio, Carbonara, Umberto, Amparore, Daniele, Diana, Pietro, Muselaers, Stijn, Marchioni, Michele, Mir, Maria Carmen, Antonelli, Alessandro, Badani, Ketan, Breda, Alberto, Challacombe, Ben, Kaouk, Jihad, Mottrie, Alexandre, Porpiglia, Francesco, Porter, Jim, Minervini, Andrea, and Campi, Riccardo

Published
2023
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8. Artificial Intelligence in Renal Cell Carcinoma Histopathology: Current Applications and Future Perspectives

Author

Distante, Alfredo, primary, Marandino, Laura, additional, Bertolo, Riccardo, additional, Ingels, Alexandre, additional, Pavan, Nicola, additional, Pecoraro, Angela, additional, Marchioni, Michele, additional, Carbonara, Umberto, additional, Erdem, Selcuk, additional, Amparore, Daniele, additional, Campi, Riccardo, additional, Roussel, Eduard, additional, Caliò, Anna, additional, Wu, Zhenjie, additional, Palumbo, Carlotta, additional, Borregales, Leonardo D., additional, Mulders, Peter, additional, and Muselaers, Constantijn H. J., additional

Published
2023
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9. Prognostic Significance of Grade Discrepancy Between Primary Tumor and Venous Thrombus in Nonmetastatic Clear-cell Renal Cell Carcinoma: Analysis of the REMEMBER Registry and Implications for Adjuvant Therapy

Author

Wu, Zhenjie, primary, Chen, Hui, additional, Chen, Qi, additional, Ge, Silun, additional, Yu, Nengwang, additional, Campi, Riccardo, additional, Gómez Rivas, Juan, additional, Autorino, Riccardo, additional, Rouprêt, Morgan, additional, Psutka, Sarah P., additional, Mehrazin, Reza, additional, Porpiglia, Francesco, additional, Bensalah, Karim, additional, Black, Peter C., additional, Mir, Maria C., additional, Minervini, Andrea, additional, Djaladat, Hooman, additional, Margulis, Vitaly, additional, Bertolo, Riccardo, additional, Caliò, Anna, additional, Carbonara, Umberto, additional, Amparore, Daniele, additional, Borregales, Leonardo D., additional, Ciccarese, Chiara, additional, Diana, Pietro, additional, Erdem, Selcuk, additional, Marandino, Laura, additional, Marchioni, Michele, additional, Muselaers, Constantijn H.J., additional, Palumbo, Carlotta, additional, Pavan, Nicola, additional, Pecoraro, Angela, additional, Roussel, Eduard, additional, Warren, Hannah, additional, Pandolfo, Savio Domenico, additional, Chen, Rui, additional, Zhou, Wenquan, additional, Zhai, Wei, additional, He, Miaoxia, additional, Li, Yaoming, additional, Han, Bo, additional, Wan, Jie, additional, Zeng, Xing, additional, Yan, Junan, additional, Fu, Yao, additional, Ji, Changwei, additional, Fan, Xiang, additional, Zhang, Guangyuan, additional, Zhao, Cheng, additional, Jing, Taile, additional, Wang, Anbang, additional, Feng, Chenchen, additional, Zhao, Hongwei, additional, Sun, Di, additional, Wang, Liang, additional, Tai, Sheng, additional, Zhang, Cheng, additional, Chen, Shaohao, additional, Liu, Yixun, additional, Xu, Zhipeng, additional, Wang, Haifeng, additional, Gao, Jinli, additional, Wang, Fubo, additional, Cheng, Jiwen, additional, Miao, He, additional, Rao, Qiu, additional, Wang, Jianning, additional, Xu, Ning, additional, Wang, Gongxian, additional, Liang, Chaozhao, additional, Liu, Zhiyu, additional, Xia, Dan, additional, Jiang, Jun, additional, Zu, Xiongbing, additional, Chen, Ming, additional, Guo, Hongqian, additional, Qin, Weijun, additional, Wang, Zhe, additional, Xue, Wei, additional, Shi, Benkang, additional, Zhou, Xiaojun, additional, Wang, Shaogang, additional, Zheng, Junhua, additional, Ge, Jingping, additional, Feng, Xiang, additional, Li, Minming, additional, Chen, Cheng, additional, Qu, Le, additional, and Wang, Linhui, additional

Published
2023
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13. Optimizing postoperative follow-up in RCC patients: why does it always have to be black and white?

Author

MUSELAERS, Stijn, primary, AMPARORE, Daniele, additional, BERTOLO, Riccardo, additional, DIANA, Pietro, additional, ERDEM, Selçuk, additional, MARANDINO, Laura, additional, CARBONARA, Umberto, additional, BORREGALES, Leonardo D., additional, PAVAN, Nicola, additional, PECORARO, Angela, additional, ROUSSEL, Eduard, additional, PECORARO, Alessio, additional, CAMPI, Riccardo, additional, and MARCHIONI, Michele, additional

Published
2023
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14. Single-port robotic partial nephrectomy: impact on perioperative outcomes and hospital stay

Author

Carbonara, Umberto, primary, Amparore, Daniele, additional, Borregales, Leonardo D., additional, Caliò, Anna, additional, Ciccarese, Chiara, additional, Diana, Pietro, additional, Erdem, Selcuk, additional, Marandino, Laura, additional, Marchioni, Michele, additional, Muselaers, Constantijn H.J., additional, Palumbo, Carlotta, additional, Pavan, Nicola, additional, Pecoraro, Angela, additional, Roussel, Eduard, additional, Warren, Hannah, additional, Wu, Zhen-Jie, additional, Campi, Riccardo, additional, and Bertolo, Riccardo, additional

Published
2023
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15. Artificial Intelligence in Renal Cell Carcinoma Histopathology: Current Applications and Future Perspectives

Author

Distante, Alfredo, Marandino, Laura, Bertolo, Riccardo, Ingels, Alexandre, Pavan, Nicola, Pecoraro, Angela, Marchioni, Michele, Carbonara, Umberto, Erdem, Selcuk, Amparore, Daniele, Campi, Riccardo, Roussel, Eduard, Caliò, Anna, Zhenjie, Wu, Palumbo, Carlotta, Borregales, Leonardo D, Mulders, Peter, and Muselaers, Constantijn H J

Subjects
renal cell carcinoma, artificial intelligence, kidney cancer, pathology
Published
2023

16. Response to Takahashi

Author

Borregales, Leonardo D, primary, DeMeo, Gina, additional, Gu, Xiangmei, additional, Cheng, Emily, additional, Dudley, Vanessa, additional, Schaeffer, Edward M, additional, Nagar, Himanshu, additional, Carlsson, Sigrid, additional, Vickers, Andrew, additional, and Hu, Jim C, additional

Published
2022
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18. Findings from an international survey of urology trainee experience with prostate biopsy.

Author

Brant, Aaron, Campi, Riccardo, Carrion, Diego M., Esperto, Francesco, Sze, Christina, Johnson, Jeffrey P., Hu, Jim C., and Borregales, Leonardo D.

Subjects
PROSTATE biopsy, UROLOGY, FISHER exact test, PROSTATE cancer, MAGNETIC resonance, ODDS ratio
Abstract

Objective To assess urology trainees' exposure to transperineal prostate biopsy (TP-Bx) and intent to use TP-Bx in practice. Subjects and Methods A 34-question survey about prostate biopsy was distributed to urology trainees in the United States and Europe. Primary outcomes were exposure to TP-Bx in training and intent to use TP-Bx post training. Exposure to transrectal prostate biopsy (TR-Bx) and magnetic resonance imaging-targeted biopsy (MRI-Bx) was also assessed. Survey answers were compared between groups as categorical variables using Fisher's exact test. Multivariable logistic regression was used to identify factors associated with intent of performing TP-Bx post training. Results A total of 658 trainees from 19 countries completed the survey. Of these, 313 trainees (48%) reported exposure to TP-Bx, 370 (56%) reported exposure to MRI-Bx, and 572 (87%) reported exposure to TR-Bx. There was significant heterogeneity in TP-Bx exposure among countries (P < 0.001), with the highest prevalence in Italy (72%) and the lowest prevalence in Greece (4%). Intent to perform TP-Bx post training was higher in those exposed to TP-Bx during training (89% vs 58%; P < 0.001) and did not differ between trainees in postgraduate year (PGY) 1-3 vs those in PGY =4 (73% vs 72%; P = 0.7). On multivariable regression, exposure to TP-Bx in training was independently associated with increased intent to perform TP-Bx post training (odds ratio 5.09, 95% confidence interval 3.29-8.03; P < 0.001). Conclusions Fewer than half of 658 surveyed urology trainees reported exposure to TP-Bx, with significant heterogeneity among countries. Greater experience with TP-Bx in training was associated with greater intent to perform TP-Bx post training. A minimum requirement of TP-Bx cases during urological training may increase resident familiarity and adoption of this guideline-endorsed prostate biopsy approach. [ABSTRACT FROM AUTHOR]

Published
2023
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27. Cytoreductive surgery in the era of targeted molecular therapy

Author

Thomas, Arun Z., Adibi, Mehrad, Borregales, Leonardo D., Karam, Jose A., and Wood, Christopher G.

Subjects
Cytoreductive nephrectomy (CN), kidney cancer, Review Article, targeted molecular therapy (TMT), urologic and male genital diseases, tyrosine kinase inhibitors (TKI), human activities
Abstract

Cytoreductive nephrectomy (CN) was regarded standard of care for patients with metastatic renal cell carcinoma (mRCC) in the immunotherapy era. With the advent of targeted molecular therapy (TMT) for the treatment of mRCC, the routine use of CN has been questioned. Up to date evidence continues to suggest that CN remains an integral part of treatment in appropriately selected patients. This review details the original context in which the efficacy of CN was established and rationale for the continued use of cytoreductive surgery in the era of TMT.

Published
2015

28. The Adverse Survival Implications of Bland Thrombus in Renal Cell Carcinoma With Venous Tumor Thrombus

Author

Hutchinson, Ryan, primary, Rew, Charles, additional, Chen, Gong, additional, Woldu, Solomon, additional, Krabbe, Laura-Maria, additional, Meissner, Matthew, additional, Sheth, Kunj, additional, Singla, Nirmish, additional, Shakir, Nabeel, additional, Master, Viraj A., additional, Karam, Jose A., additional, Matin, Surena F., additional, Borregales, Leonardo D., additional, Wood, Christopher, additional, Masterson, Timothy, additional, Thompson, R. Houston, additional, Boorjian, Stephen A., additional, Leibovich, Bradley C., additional, Abel, E. Jason, additional, Bagrodia, Aditya, additional, and Margulis, Vitaly, additional

Published
2018
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30. Oncocytoma on renal mass biopsy: why is surgery even performed?

Author

Warren, Hannah, Palumbo, Carlotta, Caliò, Anna, Tran, Maxine G. B., Campi, Riccardo, Courcier, Jean, Wu, Zhenjie, Bertolo, Riccardo, Pecoraro, Angela, Amparore, Daniele, Borregales, Leonardo D., Ciccarese, Chiara, Diana, Pietro, Erdem, Selçuk, Marandino, Laura, Muselaers, Stijn, Pavan, Nicola, Carbonara, Umberto, Roussel, Eduard, and Marchioni, Michele

Subjects
RENAL biopsy, MALE reproductive organs, SURGERY
Abstract

Lastly, upfront surgery was performed most commonly due to "tumour size" or "surgeon decision", with only 3% of the patients undergoing surgery based on patient preference alone; this suggests that patients accept AS when offered. Biopsy-diagnosed oncocytomas on active surveillance (AS) exhibit low growth (1-2 mm/year) with few transitioning to active treatment (3-11%) after median follow up of 29-34 months [[3]-[5]], with no reported metastatic events or deaths [[6]]. [Extracted from the article]

Published
2023
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31. Cytoreductive Nephrectomy for Renal Cell Carcinoma with Venous Tumor Thrombus

Author

Abel, E. Jason, primary, Spiess, Philippe E., additional, Margulis, Vitaly, additional, Master, Viraj A., additional, Mann, Michael, additional, Zargar-Shoshtari, Kamran, additional, Borregales, Leonardo D., additional, Sexton, Wade J., additional, Patil, Datta, additional, Matin, Surena F., additional, Wood, Christopher G., additional, and Karam, Jose A., additional

Published
2017
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32. PD04-03 SURVIVAL FOLLOWING NEOADJUVANT TARGETED THERAPY AND CYTOREDUCTIVE NEPHRECTOMY IN MRCC PATIENTS WITH TUMOR THROMBUS; A CONTEMPORARY MULTI-INSTITUTIONAL SERIES

Author

Damodaran, Shivashankar, primary, Spiess, Philippe E., additional, Karam, Jose A., additional, Margulis, Vitaly, additional, Master, Viraj A., additional, Raman, Jay D., additional, Sexton, Wade J., additional, Patil, Datta, additional, Borregales, Leonardo D., additional, Robyak, Haley, additional, Matin, Surena F., additional, Wood, Christopher G., additional, and Abel, E. Jason, additional

Published
2017
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34. The Role of Metastasectomy in Patients with Renal Cell Carcinoma with Sarcomatoid Dedifferentiation: A Matched Controlled Analysis

Author

Thomas, Arun Z., primary, Adibi, Mehrad, additional, Slack, Rebecca S., additional, Borregales, Leonardo D., additional, Merrill, Megan M., additional, Tamboli, Pheroze, additional, Sircar, Kanishka, additional, Jonasch, Eric, additional, Tannir, Nizar M., additional, Matin, Surena F., additional, Wood, Christopher G., additional, and Karam, Jose A., additional

Published
2016
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35. Incremental value of MRI for preoperative penile cancer staging

Author

Lucchesi, Fabiano Rubião, primary, Reis, Rodoldo Borges, additional, Faria, Eliney Ferreira, additional, Machado, Roberto Dias, additional, Rossini, Rodrigo Ribeiro, additional, Borregales, Leonardo D., additional, Silva, Gyl Eanes Barros, additional, and Muglia, Valdair Francisco, additional

Published
2016
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36. Prognosticators and outcomes of patients with renal cell carcinoma and adjacent organ invasion treated with radical nephrectomy

Author

Borregales, Leonardo D., primary, Kim, Dae Y., additional, Staller, Angie L., additional, Qiao, Wei, additional, Thomas, Arun Z., additional, Adibi, Mehrad, additional, Tamboli, Pheroze, additional, Sircar, Kanishka, additional, Jonasch, Eric, additional, Tannir, Nizar M., additional, Matin, Surena F., additional, Wood, Christopher G., additional, and Karam, Jose A., additional

Published
2016
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40. Percentage of sarcomatoid component as a prognostic indicator for survival in renal cell carcinoma with sarcomatoid dedifferentiation

Author

Adibi, Mehrad, primary, Thomas, Arun Z., additional, Borregales, Leonardo D., additional, Merrill, Megan M., additional, Slack, Rebecca S., additional, Chen, Hsiang-Chun, additional, Sircar, Kanishka, additional, Murugan, Paari, additional, Tamboli, Pheroze, additional, Jonasch, Eric, additional, Tannir, Nizar M., additional, Matin, Surena F., additional, Wood, Christopher G., additional, and Karam, Jose A., additional

Published
2015
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42. The role of neoadjuvant therapy in the management of locally advanced renal cell carcinoma.

Author

Borregales, Leonardo D., Adibi, Mehrad, Thomas, Arun Z., Wood, Christopher G., and Karam, Jose A.

Abstract

In the past decade, the armamentarium of targeted therapy agents for the treatment of metastatic renal cell carcinoma (RCC) has significantly increased. Improvements in response rates and survival, with more manageable side effects compared with interleukin 2/interferon immunotherapy, have been reported with the use of targeted therapy agents, including vascular endothelial growth factor (VEGF) receptor tyrosine kinase inhibitors (sunitinib, sorafenib, pazopanib, axitinib), mammalian target of rapamycin (mTOR) inhibitors (everolimus and temsirolimus) and VEGF receptor antibodies (bevacizumab). Current guidelines reflect these new therapeutic approaches with treatments based on risk category, histology and line of therapy in the metastatic setting. However, while radical nephrectomy remains the standard of care for locally advanced RCC, the migration and use of these agents from salvage to the neoadjuvant setting for large unresectable masses, high-level venous tumor thrombus involvement, and patients with imperative indications for nephron sparing has been increasingly described in the literature. Several trials have recently been published and some are still recruiting patients in the neoadjuvant setting. While the results of these trials will inform and guide the use of these agents in the neoadjuvant setting, there still remains a considerable lack of consensus in the literature regarding the effectiveness, safety and clinical utility of neoadjuvant therapy. The goal of this review is to shed light on the current body of evidence with regards to the use of neoadjuvant treatments in the setting of locally advanced RCC. [ABSTRACT FROM AUTHOR]

Published
2016
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43. Prognostic Significance of Grade Discrepancy Between Primary Tumor and Venous Thrombus in Nonmetastatic Clear-cell Renal Cell Carcinoma: Analysis of the REMEMBER Registry and Implications for Adjuvant Therapy

Author

Zhenjie, Wu, Chen, Hui, Chen, Qi, Silun, Ge, Nengwang, Yu, Campi, Riccardo, Gómez Rivas, Juan, Autorino, Riccardo, Rouprêt, Morgan, Psutka, Sarah P, Mehrazin, Reza, Porpiglia, Francesco, Bensalah, Karim, Black, Peter C, Mir, Maria C, Minervini, Andrea, Djaladat, Hooman, Margulis, Vitaly, Bertolo, Riccardo, Caliò, Anna, Carbonara, Umberto, Amparore, Daniele, Borregales, Leonardo D, Ciccarese, Chiara, Diana, Pietro, Erdem, Selcuk, Marandino, Laura, Marchioni, Michele, Muselaers, Constantijn H J, Palumbo, Carlotta, Pavan, Nicola, Pecoraro, Angela, Roussel, Eduard, Warren, Hannah, Pandolfo, Savio Domenico, Chen, Rui, Zhou, Wenquan, Zhai, Wei, Miaoxia, He, Yaoming, Li, Han, Bo, Wan, Jie, Zeng, Xing, Yan, Junan, Yao, Fu, Changwei, Ji, Fan, Xiang, Zhang, Guangyuan, Zhao, Cheng, Jing, Taile, Wang, Anbang, Feng, Chenchen, Zhao, Hongwei, Sun, Di, Wang, Liang, Tai, Sheng, Zhang, Cheng, Chen, Shaohao, Liu, Yixun, Zhipeng, Xu, Wang, Haifeng, Gao, Jinli, Wang, Fubo, Cheng, Jiwen, Miao, He, Rao, Qiu, Wang, Jianning, Ning, Xu, Wang, Gongxian, Liang, Chaozhao, Liu, Zhiyu, Xia, Dan, Jiang, Jun, Xiongbing, Zu, Chen, Ming, Guo, Hongqian, Qin, Weijun, Wang, Zhe, Xue, Wei, Shi, Benkang, Zhou, Xiaojun, Wang, Shaogang, Zheng, Junhua, Jingping, Ge, Feng, Xiang, Minming, Li, Chen, Cheng, Le, Qu, and Wang, Linhui

Subjects
Upgrading, Progression, Tumor grade, Adjuvant therapy, Downgrading, Model, Prognosis, Renal cell carcinoma, Venous tumor thrombus

44. Cryoablation of small renal masses in patients with solitary kidneys: worth crossing the road for?

Author

Bertolo R, Amparore D, Diana P, Erdem S, Marandino L, Carbonara U, Borregales LD, Muselaers S, Pavan N, Pecoraro A, Roussel E, Pecoraro A, Marchioni M, and Campi R

Subjects
Humans, Kidney diagnostic imaging, Kidney surgery, Cryosurgery, Kidney Neoplasms diagnostic imaging, Kidney Neoplasms surgery, Carcinoma, Renal Cell surgery, Solitary Kidney surgery
Published
2022
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46. Grade Migration of Prostate Cancer in the United States During the Last Decade.

Author

Borregales LD, DeMeo G, Gu X, Cheng E, Dudley V, Schaeffer EM, Nagar H, Carlsson S, Vickers A, and Hu JC

Subjects
Biopsy, Humans, Male, Neoplasm Grading, Prostate pathology, Prostatectomy, United States epidemiology, Prostate-Specific Antigen, Prostatic Neoplasms diagnosis, Prostatic Neoplasms epidemiology, Prostatic Neoplasms surgery
Abstract

Background: Prostate cancer (PC) screening guidelines have changed over the last decade to reduce overdiagnosis and overtreatment of low-grade disease. We sought to examine and attempt to explain how changes in screening strategies have impacted temporal trends in Gleason grade group (GG) PC at diagnosis and radical prostatectomy pathology., Methods: Using the Surveillance, Epidemiology, and End Results Registry database, we identified 438 432 men with newly diagnosed PC during 2010-2018. Temporal trends in incidence of GG at biopsy, radical prostatectomy pathology, prostate-specific antigen (PSA) level, and metastasis at diagnosis were examined. The National Health Interview Survey database was examined to evaluate trends in PSA-screening rates, and a literature review evaluating magnetic resonance imaging and biomarkers utilization during this period was performed., Results: Between 2010 and 2018, the incidence of low-grade PC (GG1) decreased from 52 to 26 cases per 100 000 (P < .001). The incidence of GG1 as a proportion of all PC decreased from 47% to 32%, and the proportion of GG1 at radical prostatectomy pathology decreased from 32% to 10% (P < .001). However, metastases at diagnosis increased from 3.0% to 5.2% (P < .001). During 2010-2013, PSA screening rates in men aged 50-74 years declined from 39 to 32 per 100 men and remained stable. Utilization rates of magnetic resonance imaging and biomarkers modestly increased from 7.2% in 2012 to 17% in 2019 and 1.3% in 2012 to 13% in 2019, respectively., Conclusions: We found a significant decrease in the diagnosis and treatment of GG1 PC between 2010 and 2018. Changes in PSA screening practices appear as the primary contributor. Public health efforts should be directed toward addressing the increase in the diagnoses of metastatic PC., (© The Author(s) 2022. Published by Oxford University Press. All rights reserved. For permissions, please email: journals.permissions@oup.com.)

Published
2022
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47. Novel protective penile collar following inflatable penile prosthesis placement: The "Wang Collar".

Author

Borregales LD, Saavedra-Belaunde J, Wang R, and Clavell-Hernández J

Subjects
Attitude of Health Personnel, Humans, Male, Patient Satisfaction, Penile Prosthesis, Penis injuries, Postoperative Period, Surveys and Questionnaires, Erectile Dysfunction surgery, Postoperative Care instrumentation, Prosthesis Implantation rehabilitation, Wounds and Injuries prevention & control
Abstract

Penile rehabilitation after inflatable penile prosthesis (IPP) implantation for the treatment of erectile dysfunction includes leaving the device partially inflated so as to preserve the penile length and to maintain hemostasis. With a partially inflated device, the penis becomes more sensitive and more susceptible to unintended insults during the immediate postoperative management. The "Wang Collar," a device intended to protect the penis in the early postoperative period, is hereby described. Three hundred and forty-eight patients had the "Wang Collar" included as part of their post-IPP management from August 2014 to February 2019. The protective collar, devised from a polystyrene cup with the bottom removed, is secured with a tape over the previously dressed and partially inflated penis. In order to evaluate the effectiveness of this device, we conducted surveys on the perioperative staff at three different institutions. The "Wang Collar" has been found to be beneficial in the early postoperative care of patients. Based on the answers to our questionnaire, the perioperative personnel found this device to be highly protective, especially when transporting the patient after IPP surgery, easy to work with, and almost never bothersome or irritative to the patient. We present a novel penile device after IPP placement, which we have found to improve patient satisfaction in the postoperative period. In addition, it eases the care of the patient by the perioperative staff. It is now our routine to use this device after IPP surgery. Further research is necessary to evaluate whether this device can decrease postoperative wound complications., Competing Interests: None

Published
2020
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