Benjamin P. Saylor is associate editor of Urology Times, an Advanstar Communications publication.
Neoadjuvant chemo confers greater odds of pCR in upper tract urothelial carcinoma
The investigators reported that pCR was significantly higher in the neoadjuvant chemotherapy + RNU group vs RNU alone, with an OR of 2.49 (95% CI: 1.75 – 3.54, P < .001).
Transient improvement in erectile function is seen with low-intensity shock wave therapy
At baseline, 16 patients had an IIEF-EF score of 11-21. These patients reported significant improvement in IIEF-EF score at Times 2 and 4, according to the authors.
BPH experts discuss care pathways, patient education
"An educated patient is one that's always going to want to be more involved in trying to make themselves better; they're going to be an empowered patient,” says Thomas J. Mueller, MD.
177Lu-PSMA-617 meets rPFS end point in phase 3 trial for mCRPC
“No doubt about it, this is unequivocally a positive trial by the rPFS criteria. Quite positive,” says A. Oliver Sartor, MD.
Combination belzutifan/cabozantinib yields durable anti-tumor activity in ccRCC
“Belzutifan plus cabozantinib continue to show durable anti-tumor activity in patients with clear cell RCC who are treatment naïve or previously treated,” said Toni K. Choueiri, MD.
PSMA uptake, access appear high for US-based urologists
An exclusive Urology Times survey measured US-based urologists’ uptake, access to, and indications for utilizing prostate-specific membrane antigen-targeting agents.
FDA grants De Novo marketing approval to Revi System for urge urinary incontinence
The FDA's decision was based on results from the OASIS trial, in which the Revi tibial neurostimulator device demonstrated significant efficacy for treating urge urinary incontinence in women.
Pembrolizumab plus trimodality therapy sustains efficacy in muscle-invasive urothelial carcinoma
"The addition of an immune checkpoint inhibitor after tri- or tetra-modality therapy might improve long-term outcomes for patients with bladder cancer,” said Maria De Santis, MD.
Enfortumab vedotin/pembrolizumab combo shows safety, efficacy in metastatic urothelial carcinoma
"In EV-103 dose escalation/cohort A, the safety profile of the combination was manageable, with no new safety concerns observed at nearly 4 years of follow-up," said Shilpa Gupta, MD.
Darolutamide is linked to longer time to treatment discontinuation in nmCRPC
The proportion of patients who discontinued initial ARI treatment was 30.4% for darolutamide compared with 40.8% for enzalutamide and 46.0% for apalutamide.
PRP injections for erectile dysfunction show similar efficacy as placebo
"PRP does not seem to be effective in treating men with erectile dysfunction, at least as a monotherapy,” said Ranjith Ramasamy, MD.
Tibial neurostimulation system demonstrates safety and efficacy in urge urinary incontinence
“We looked at safety issues within 12 months after the implantation, and they were minor—some pain problems, some wound-healing problems, but no serious adverse events,” said John Heesakkers, MD, PhD.
Hypertension predicts worse outcomes for patients undergoing nephroureterectomy for UTUC
“What we found is that hypertension is an independent risk factor for worsened survival outcomes and mortality outcomes across the board on multivariable and Kaplan Meier analysis,” said Sohail Dhanji, MD.
Early-onset diabetes appears to affect Peyronie disease severity
Investigators retrospectively studied patients with Peyronie disease and diabetes mellitus between 2007 and 2022.
Functional outcomes are equivalent after HoLEP regardless of receipt of prior BPH procedure
"Patients with a prior BPH procedure were on average older than our HoLEP controls; however, there were no other differences in preoperative patient characteristics or postoperative functional outcomes," said Nicholas S. Dean, MD.
177Lu-PSMA-I&T shows PSA response and favorable toxicity in mCRPC
Clinical progression-free survival following the first cycle of radioligand therapy was 6.3 months, and overall survival following the first cycle was 21.4 months.
Pembrolizumab demonstrates antitumor activity in BCG-unresponsive papillary NMIBC
In cohort B of the phase 2 Keynote-057 trial, pembrolizumab led to antitumor activity in patients with BCG-unresponsive, papillary high-risk non–muscle-invasive bladder cancer.
Long-term data point to safety of darolutamide in nonmetastatic CRPC
By the data cut-off date of January 31, 2023, investigators reported that 30% of patients with nonmetastatic castration-resistant prostate cancer had received darolutamide for at least 4 years, and 24% of were still receiving the agent.
FDA grants priority review to frontline pembrolizumab/enfortumab vedotin for urothelial cancer
The FDA will be evaluating findings from cohorts A and K from the phase 1b/2 EV-103 trial.
Triplet therapy incorporating novel PSMA-TRT 225Ac-J591 shows efficacy in mCRPC
The regimen consists of an alpha prostate-specific membrane antigen-targeted radionuclide therapy (225Ac-J591), an androgen receptor signaling inhibitor, and pembrolizumab.
LUGPA President Dr. Goldfischer discusses the challenges facing independent urology
"We want to make sure that independent urology continues to thrive by recruiting new people to independent urology. That's what we're going to try and do," said Evan R. Goldfischer, MD.
Tips for optimizing an advanced prostate cancer clinic
In an interview during the 2022 LUGPA Annual Meeting, Jason M. Hafron, MD, shared advice on optimizing advanced prostate cancer clinics, recapped the biggest advances in urologic cancer treatment in 2022, and discussed how Jelmyto treatment for UTUC has evolved over time.
Dr. Ashley Ross on the biggest recent advances in prostate cancer
In an interview during the 2022 LUGPA Annual Meeting, Ashley Ross, MD, PhD, discussed angoing advances and unmet needs in prostate cancer.
Pembrolizumab/enfortumab vedotin combo hits high response rate in urothelial cancer
The findings are from the EV-103 trial and were presented at the 2022 ESMO Congress by lead investigator Jonathan E. Rosenberg, MD.
Improved RFS is not seen with perioperative nivolumab in renal cell carcinoma
“Further analysis of patient subsets with this unique trial should help inform future research,” said lead investigator Mohamad Allaf, MD.
Researchers interview transgender and gender expansive individuals regarding genitourinary health issues
"Our goal is to understand the lived experiences of people on gender-affirming hormonal therapy, as it relates to their urinary and sexual health,” said first author Paige De Rosa, MD, urology resident at the University of Iowa, Iowa City.
Surveillance for favorable intermediate-risk prostate cancer is on the rise
Senior author Kevin Ginsburg, MD, said he and his coauthors observed wide variation by practice in the use of active surveillance in this patient population.
Darolutamide reduces risk of metastatic progression vs placebo in nmCRPC
The median time between PSA progression and metastasis was 7.0 months for darolutamide compared with 5.6 months for placebo.
Study supports safety of darolutamide/cabazitaxel combination in mCRPC
“Darolutamide, unlike enzalutamide, does not affect cabazitaxel systemic exposure, justifying their use in combination,” the authors wrote in their poster.
LuPSMA has similar OS, better patient-reported outcomes than cabazitaxel in mCRPC
“The clinical implications are that lutetium PSMA has similar overall survival to cabazitaxel, a proven life-prolonging therapy, but with fewer adverse events and better patient-reported outcomes," said Michael S. Hoffman, MBBS (Hons), FRACP, FAANMS.
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