Accuracy of elastic fusion biopsy: Comparing prostate cancer detection between targeted and systematic biopsy.

Introduction: When performing targeted biopsy (TBx), the need to add systematic biopsies (SBx) is often debated. Aim of the study is to evaluate the added value of SBx in addition to TBx in terms of prostate cancer (PCa) detection rates (CDR), and to test the concordance between multiparametric magnetic resonance imaging (mpMRI) findings and fusion biopsy results in terms of cancer location.

Methods: We performed a retrospective, multicentric study that gathered data on 1992 consecutive patients who underwent elastic fusion biopsy between 2011 and 2020.

Are early continence recovery and oncologic outcomes influenced by use of different devices in prostatic apex dissection during laparoscopic radical prostatectomy?

Background And Purpose: Treatment of patients with prostate cancer has evolved considerably in the last decade, especially in terms of minimization of the negative impacts on erectile function and continence to ensure good quality of life for treated patients. New surgical devices, such as dissectors and hemostatic scalpels, allow precise definition of the surgical field with finer dissection of the anatomic structures, with subsequent reductions in operative times and better oncologic and functional outcomes. Although monopolar scissors (MS) are still widely used, radiofrequency (RF) and ultrasound (US) scalpels have been introduced recently in laparoscopic radical prostatectomy (LRP).

[Bladder injury after TVT transobturator].

The new minimally invasive technique for surgical treatment of female stress urinary incontinence via a transobturator approach is designed to reconstitute the urethral support sling while preserving the retropubic space. One of the advantages of this technique is that it avoids the risk of bladder injuries, frequently observed during passage of TVT into the prevesical space, particularly when it has been previously operated. However, recent anatomical studies have shown that bladder injuries may still occur with the use of this new transobturator approach.

Pain and morbidity of an extensive prostate 10-biopsy protocol: a prospective study in 289 patients.

Purpose: Some studies imply that increasing the number of prostate biopsy cores may improve the cancer detection rate. We performed a prospective study to evaluate pain and morbidity after an extensive transrectal ultrasound guided 10-core biopsy protocol.

Materials And Methods: A total of 289 consecutive men with abnormal digital rectal examination findings and/or increased prostate specific antigen underwent extensive prostate biopsy involving 6 sextant and 4 peripheral biopsies.