Epidemiology, Diagnosis and Management of Penile Cancer: Results from the Spanish National Registry of Penile Cancer.

Introduction: Penile cancer (PC) is a rare malignancy with an overall incidence in Europe of 1/100,000 males/year. In Europe, few studies report the epidemiology, risk factors, clinical presentation, and treatment of PC. The aim of this study is to present an updated outlook on the aforementioned factors of PC in Spain.

Using hyperrealistic simulations to improve digital informed consent for endourological procedures.

Objectives: To show that digital informed consent (DIC) improves the subjective understanding of information and, therefore, informed consent.

Patients And Methods: A nonblinded randomized controlled trial was performed in 84 patients who had undergone transurethral resection of bladder, transurethral resection of prostate, or ureterorenoscopy between July 2017 and March 2018. The DIC group watched a hyperrealistic simulation on a tablet device before surgery.

[Management of chylous fistulas, a rare complication after urologic surgery].

Objective: To analyze the different treatments for postoperative chylous fistulae.

Methods: A literature review of the main treatments for postoperative chylous fistula, providing our initial experience of two cases of patients with postsurgical chylorrea, with conservative treatment.

Results: There is very limited experience in the treatment of chylous ascites.

[Current validity of nomograms for prostate cancer staging].

Objective: [corrected] This paper presents a review of the concept of "nomogram" applied to prostate cancer, and specifically as a staging tool.

Methods/results: We describe the essential parameters for the evaluation of such type of predictive models: Calibration, discrimination and clinical usefulness. Such requisites are analyzed using a real clinical case in our clinical setting, comparing the "Partin's tables" and the "Miguel Servet University Hospital's nomogram".

[Current value of seminal vesicle biopsy in patients with prostate cancer and influence of radical prostatectomy in patients with seminal vesicle invasion].

Objectives: To evaluate if radical prostatectomy may positively influence cancer-specific survival (CSS), hormone-resistance-free time, metastasis-free time, and quality of life(QoL) of patients with prostate adenocarcinoma and seminal vesicle invasion, and also to update our thoughts about seminal vesicle biopsy.

Methods: 114 patients were included. Forty-six cases were diagnosed of seminal vesicle invasion after radical prostatectomy; 68 cases were diagnosed of seminal vesicle invasion after biopsy, not undergoing then surgery.