[The robotic surgeon training].

The widespread robotic surgery in the world highlighted the relevance of the training programs for young urologists and residents. In the last years, urologic societies and some independent robotic surgeons strongly worked to standardize some general and specific training modules. Theoretical and practical sections of robotic training programs have been recently specified.

[Current role of training in robot-assisted urological procedures].

The rapid introduction of robotic procedures necessitates new training methods. Currently, we can estimate that in a considerable proportion of the hospitals in Europe, the criteria for the surgeon's competence before starting with robotic surgery are insufficient. Therefore, the development of structured robotic training programs should be considered as one of the priorities that the urologic community must take into account in the near future.

Will Multi-Parametric Magnetic Resonance Imaging be the Future Tool to Detect Clinically Significant Prostate Cancer?

Multi-parametric magnetic resonance imaging is an emerging imaging modality for diagnosis, staging, characterization, and treatment planning of prostate cancer. In this report, we reviewed the literature for studies assessing the accuracy of multi-parametric magnetic resonance imaging in detecting clinically significant prostate cancer, and we critically examined the future role of this imaging tool in various clinical diagnostic settings. There is accumulating evidence suggesting a high accuracy of multi-parametric magnetic resonance imaging in ruling out clinically significant disease.

The role of inflammation in lower urinary tract symptoms (LUTS) due to benign prostatic hyperplasia (BPH) and its potential impact on medical therapy.

A chronic prostatic inflammation seems to play a crucial role in benign prostatic hyperplasia (BPH) pathogenesis and progression. Therefore, inflammation could represent a new potential target for medical therapy of lower urinary tract symptoms (LUTS) due to BPH (LUTS/BPH). This review article analyzes the evidence supporting the role of inflammation in the onset and progression of BPH, and it assesses the potential impact of previous mechanisms on medical therapy of LUTS/BPH.

Spontaneous prostatic hematoma: an unusual presentation of prostatic cancer.

Prostatic fluid collection is not uncommon in urological practice. Prostatic abscess is the most frequent finding in this clinical setting. Spontaneous prostatic hematoma is rare, and may be related to prostatic cancer.

Prostate biopsy after abdominoperineal resection: a diagnostic challenge.

Prostate biopsy in patients who underwent abdominoperineal resection (APR) of the rectum is commonly considered a technical challenge even for experienced urologists, although tissue diagnosis is essential in prostate cancer management. Transperitoneal, transperineal and transgluteal approaches have been reported, under US, CT or MRI guidance. Transperineal biopsy seems to be the safest and most cost-effective technique.

Geometrical stepper-guided navigation system for ProACT implant under transrectal ultrasound control: preliminary data.

Purpose: To describe a new geometrical stepper-guided navigation system for positioning ProACT®.

Methods: The sizing of the stepper-guided navigation system was calculated using the distance from the ideal position of the device to anatomic referral points previously measured by ultrasound. The trocar and subsequently the device were maneuvered to the ideal position in accordance with the navigation system.

[Cavernous hemangioma of the spongious body of the urethra: a case report].

Urethral hemangiomas are rare and benign tumors, probably originating from a unipotent angioblastic stem cell. They can vary in size and the clinical appearance can range from asymptomatic lesions to urethral bleeding or gross hematuria. We present the case of an 18-year-old male, with a history of urethral bleeding.