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Re: Natural History of Histologically Benign PIRADS 4-5 Lesions in Multiparametric MRI: Real-life Experience in an Academic Center.
Eur Urol
October 2024
Gaetano Barresi Department of Human and Pediatric Pathology, Urologic Section, University of Messina, Messina, Italy.
Prostate cancer diagnostic pathway in men with lower urinary tract symptoms or performing opportunistic screening: The Italian Society of Urology (SIU) position paper.
Minerva Urol Nephrol
October 2024
Department of Urology and Kidney Transplantation, University of Foggia, Foggia, Italy.
Background: Voluntary PCa screening frequently results in excessive use of unnecessary diagnostic tests and an increasing risk of detection of indolent PCa and unaffordable costs for the various national health systems. In this scenario, the Italian Society of Urology (Società Italiana di Urologia, SIU) proposes an organized flow chart guiding physicians to improve early diagnosis of significant PCa avoiding unnecessary diagnostic tests and prostate biopsy.
Methods: According to available evidence and international guidelines [i.
Organized prostate cancer screening program: a proposal from the Italian Society of Urology (SIU).
Minerva Urol Nephrol
October 2024
Department of Urology and Kidney Transplantation, University of Foggia, Foggia, Italy.
To contrast opportunistic PCa screening, the European Union Council suggested extending screening programs to PCa by recommending the implementation of a stepwise approach in the EU Countries to evaluate the feasibility and effectiveness of an organized program based on PSA testing in combination with additional MRI as a follow-up test. The objective of this expert-based document is to propose an organized PCa screening program according to the EU Council recommendations. The Italian Society of Urology (SIU) developed a team of experts with the aim to report 1) the most recent epidemiologic data about incidence, prevalence, and mortality of PCa; 2) the most important risk factors to identify categories of men with an increased risk to eventually develop the disease; 3) the most relevant studies presenting data on population-based screening; and 4) the current recommendations of the leading International Guidelines.
View Article and Find Full Text PDFBackground: Recently, an innovative tool called "proficiency score" was introduced to assess the learning curve for robot-assisted radical prostatectomy (RARP). However, the initial study only focused on patients with low-risk prostate cancer for whom pelvic lymph node dissection (PLND) was not required. To address this issue, we aimed to validate proficiency scores of a contemporary multicenter cohort of patients with high-risk prostate cancer treated with RARP plus extended PLND by trainee surgeons.
View Article and Find Full Text PDFEvaluation of Clinical Research on Novel Multiport Robotic Platforms for Urological Surgery According to the IDEAL Framework: A Systematic Review of the Literature.
Eur Urol Open Sci
September 2024
Gaetano Barresi Department of Human and Paediatric Pathology, Urology Section, University of Messina, Messina, Italy.
Article Synopsis
- The systematic review evaluated the status of new robotic systems approved for urological surgery, focusing on their evolution based on the IDEAL framework.
- It found 74 studies, with 90.5% being noncomparative, while only one randomized trial compared the KangDuo system with the da Vinci system.
- Results showed that the new robotic platforms had similar outcomes to the da Vinci system, but the review highlighted limitations like small sample sizes and the lack of robust comparative studies.
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