Publications by authors named "J PALOU"
Introduction: Open ureteroenteric reimplantation (OUER) of ureteroenteric strictures (UESs) is related to important morbidity. Robot-assisted ureteroenteric reimplantation (RUER) has been proposed to provide similar outcomes with lower morbidity. We aimed to compare perioperative and functional outcomes between RUER and OUER.
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- The study compares the effectiveness of targeted biopsy plus regional biopsy (TBx + RBx) against the standard approach of targeted biopsy plus systematic biopsy (TBx + SBx) in detecting clinically significant prostate cancer.
- A meta-analysis of 21 studies showed that TBx + RBx had a similar detection yield of significant prostate cancer compared to TBx + SBx, suggesting that RBx can replace some systematic biopsies.
- The study identifies limitations such as the retrospective nature of the included studies and variability in how regional biopsy was defined, but overall supports using TBx + RBx for prostate cancer detection.
Article Synopsis
- Over the past 20 years, the European School of Urology (ESU) has implemented various educational programs, including e-learning, courses, webinars, and the European Urology Resident Education Program (EUREP), to standardize training in urology.
- From 2004 to 2022, participation in ESU courses grew significantly, with 4,750 attendees and EUREP attracting 5,958 trainees, showing a notable increase in female participation from 10.7% to 37.1%.
- The average age of participants has decreased over time, indicating a growing influx of younger urologists, which reflects the ESU's commitment to modernizing urological education and improving patient care.
According to the current definitions of recurrence of non-muscle-invasive bladder cancer after bacillus Calmette-Guérin (BCG), patients in the BCG-exposed and late relapse categories might benefit from further instillations. Patients with BCG-unresponsive disease could be included in clinical trials, but otherwise radical cystectomy is the preferred treatment. BCG-intolerant disease still represents an area of debate, with limited evidence regarding the best treatment for these patients.
View Article and Find Full Text PDFBackground And Objective: Management of low-grade (LG) urothelium-confined (Ta stage) non-muscle-invasive bladder cancer (NMIBC) poses a distinct therapeutic challenge. Transurethral resection of bladder tumor (TURBT), the standard treatment, frequently has to be repeated because of high tumor recurrence rates. This places a considerable strain on both patients and health care infrastructure, underscoring the need for alternative management approaches.
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