UroToday - European Urology

Progress in the Management of Children Born with Spina Bifida
Monday, 01 May 2006
C.R.J. Woodhouse, The Institute of Urology and Nephrology, University College London, UK In 1809, Samuel Cooper devoted a whole chapter of his textbook on practical surgery to record that nothing could be done for infants born with spina bifida. Few children lived longer than a year, but for those who did, it was recognized that better prognosis was associated with lesions low in the spinal cord [1].
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Failed Hypospadias Repair Presenting in Adults
Monday, 01 May 2006
Anthony R. Mundy, Institute of Urology, UK It is almost impossible to write a satisfactory journal article on failed hypospadias repair even from a centre like this that specialises in treating such patients. Even with enough patients to produce a good cohort study otherwise, hypospadias encompasses such a wide range of abnormalities at first presentation that it is difficult to review treatment at that stage let alone taking account of the problems of repeated surgery.
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Hypospadias Repair Failures: Lessons Learned
Monday, 01 May 2006
Gianantonio Manzoni, Sezione Urologia Pediatrica Ospedale di Circolo e Fondazione Macchi, Italy Reoperative urethroplasty after hypospadias repair failures represents one of the most challenging and difficult tasks for the reconstructive urologist. In this issue of the journal, Barbagli et al. [1] report their extensive experience with this problem in an adult population at a single center.
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Quality Control in Radical (Laparoscopic) Prostatectomy
Saturday, 06 May 2006
Axel Heidenreich, Division of Oncological Urology, Department of Urology, University of Cologne, Germany Radical prostatectomy (RPE) remains the standard surgical therapy in patients with clinically organ-confined prostate cancer (PCA) so that the surgical procedure must be performed with the highest guarantee of quality.
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The Difficult Case in Prostate Cancer Diagnosis—When is a “Diagnostic TURP” Indicated?
Monday, 01 May 2006
Ola Bratt, Department of Urology, University Hospital of Lund, SE-221 85 Lund, Sweden The technique of transrectal ultrasound-guided core biopsy of the prostate has been improving gradually. It is a well-known fact since the late 1980s, when the “sextant biopsy” with parasagittal sampling became “gold standard,” that aggressive prostate cancer may well be present despite negative findings on digital rectal examination and ultrasonography.
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Management of BCG “Failures”
Saturday, 06 May 2006
Bacillus Calmette-Guérin (BCG) into the bladder has been demonstrated as an efficacious adjuvant treatment for superficial bladder cancer. BCG is the most effective regimen for the management of superficial disease, including cellular immune stimulation (CIS). However, the treatment fails in 30%–40% of patients, and 30%–40% of those who initially respond relapse. The reasons for an abnormal response may be insufficient or inappropriate CIS or detrimental response because the immune system has been overstimulated [1].
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Quality Control in Radical (Laparoscopic) Prostatectomy
Thursday, 01 June 2006
Axel Heidenreich, Division of Oncological Urology, Department of Urology, University of Cologne, Germany Radical prostatectomy (RPE) remains the standard surgical therapy in patients with clinically organ-confined prostate cancer (PCA) so that the surgical procedure must be performed with the highest guarantee of quality.
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