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Hands On
  • Localized kidney cancer: Changing patterns of care



    Open radical nephrectomy has long been the standard of care for patinets with organ-confined or locally advanced renal cell carcinoma. In recent years, however, laparoscopy has replaced open surgery for some patients undergoing radical nephrectomy, based on easier convalescence with equivalent cancer control.q

    Interpreting journal articles: How to validate, apply results



    It is incredibly tempting for readers to immediately look at the results of a study and determine the conclusions; however, the evidence-based mindset requires a more rational approach that questions the validity of the results, followed by a close inspection of them.

    Nonmuscle-invasive bladder cancer: Treating initial, recurrent disease



    This article guides the clinician in the management of initial and recurrent nonmuscle-invasive bladder cancer.

    Interpreting journal articles: Practical tips for urologists



    Whether he or she practices in a community or an academic setting, every urologist is faced with the routine challenge of sifting through a myriad of scientific articles each month.

    Technique, role of extended lymphadenectomy in bladder cancer



    Lymphadenectomy in conjunction with radical cystectomy (RC) is the standard approach for surgical management of high-grade, invasive bladder cancer. Approximately 25% of patients undergoing RC will be found to have lymph node-positive disease.

    Practical rules for calculating PSA doubling time



    PSA doubling time, defined as the length of time it takes for a PSA to double based on an exponential growth pattern, and PSA velocity, the rate of change of PSA over time, have been identified in large retrospective studies as strong prognostic indicators at the time of diagnosis prior to prostatectomy in patients with prostate cancer.

    Metabolic syndrome and LUTS: An emerging relationship



    Increasing evidence has recently pointed toward a relationship between LUTS secondary to BPH and the presence of metabolic syndrome. This relationship has been supported by recent epidemiologic findings.

    Prostate cancer: What is the optimal lymphadenectomy?



    Adequate lymphadenectomy is critical to the evaluation and staging of patients with many types of malignancies, including prostate cancer.

    Metastasectomy for RCC: Rationale and outcomes



    This article centers around the rationale and outcomes of the converse issue; namely, removal of metastatic extrarenal foci of RCC.

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