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Article
Pathologic measures of quality compare favorably in patients undergoing robot-assisted radical cystectomy to open cystectomy cohorts: a National Cancer Database analysis
This study aims to assess the impact of facility characteristics on measures of surgical quality (positive surgical margin rates and lymph-node yield) in patients undergoing robot-assisted (RARC) versus open (...
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Natural History, Role of Biopsy, and Active Surveillance of Renal Masses
With increased utilization of cross-sectional imaging over the past few decades, we have observed a rise in asymptomatic, clinically localized, small renal masses (SRMs). Despite increased detection and treatm...
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Article
A national survey of radiation oncologists and urologists on prediction tools and nomograms for localized prostate cancer
Although prediction tools for prostate cancer (PCa) are essential for high-quality treatment decision-making, little is known about the degree of confidence in existing tools and whether they are used in clini...
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Article
Performance Measurement and Quality Improvement Initiatives for Bladder Cancer Care
Bladder cancer care is costly due to long surveillance periods for non-muscle-invasive bladder cancer (NMIBC) and comorbidities associated with the surgical treatment of muscle-invasive bladder cancer (MIBC). ...
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Article
Emerging guidelines for managing small renal masses
The 2017 ASCO guidelines present six well-reasoned recommendations for the management of small renal masses. We expand these recommendations to contextualize the use of renal tumour biopsy, clarify when active...
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Article
Perioperative Strategies to Reduce Postoperative Complications After Radical Cystectomy
Radical cystectomy with creation of urinary diversion is the standard treatment for muscle-invasive urothelial carcinoma of the bladder. Despite advances in perioperative care, radical cystectomy is associated...
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Article
The Kubler-Ross model, physician distress, and performance reporting
Changes in health-care policy have brought the issue of performance reporting to the fore. In this Perspectives, Smaldone and Uzzo discuss how the Kubler-Ross 'five stages of grief' model could help provide in...
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Article
Active surveillance of small renal masses
Smaldone and colleagues discuss the efforts that have been made to delineate the malignant potential of small renal masses (SRMs) in the preoperative setting and describe the existing data on the natural histo...
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Chapter
Active Surveillance of the Small Renal Mass
Increased abdominal imaging has led to the significant incidental detection of clinically localized renal tumors. While the gold standard remains surgical excision, no demonstrable improvement in cancer-specif...
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Article
Assessing the management of localized kidney cancer
Studies have reported an increase in the use of nephron-sparing surgery (NSS) since 2002, but quality of life (QOL) may be decreased in patients managed with partial versus radical nephrectomy. These reports h...
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Article
Objectifying risk for localized renal masses
Contemporary treatment guidelines for the localized renal mass are largely driven by expert opinion and retrospective observational data. Three articles published in 2011 add important information to the exist...
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Article
Current Status of Robot-Assisted Partial Nephrectomy
The incidence of incidentally diagnosed small renal masses is rising. Although open partial nephrectomy (OPN) remains the reference standard for clinically localized renal lesions, growing experience with mini...
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Robotic Anastomoses and Bladder Neck Reconstruction Following Radical Prostatectomy
With the introduction of robotic-assisted technology, there has been a dramatic evolution of minimally invasive prostate cancer surgery. Rapidly gaining popularity in both the United States and abroad, advanta...
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Article
Muscle derived stem cell therapy for stress urinary incontinence
The aim of this article is to discuss the potential of muscle-derived stem cells (MDSCs) for rhabdosphincter regeneration and to review the early clinical experiences with its application in patients with stre...
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Article
Neuromodulation versus neurotoxin for the treatment of refractory detrusor overactivity: for neurotoxin
In this second Viewpoint on the treatment of detrusor overactivity, the authors describe the preclinical and clinical data that support the use of botulinum neurotoxin in patients with detrusor overactivity, a...
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Article
Minimally invasive surgery for urologic disease in children
Laparoscopy is important in the treatment of children undergoing renal surgery and for the management of nonpalpable testes. Despite this, laparoscopy is still underutilized in the treatment of urologic disord...
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Article
Immunosuppressive Preconditioning or Induction Regimens
The success of solid organ transplantation has been directly related to the development of immunosuppressive drug therapies. Preconditioning or induction therapy was developed to reduce early immunological and...
