Role of cigarette smoking in urological malignancies and clinical interventions for smoking cessation

Cigarette smoking is the single greatest preventable cause of disease and death. Our literature review highlights the increased risk of cigarette smoking and kidney cancer, bladder cancer and prostate cancer.

Smoking cessation improves outcomes at all stages of these disease processes, where patients who quit for 10-20 years appear to obtain a similar risk as those who have never smoked, even after diagnosis of disease.

Urologists, however, very seldom provide smoking cessation assistance. By applying brief smoking cessation intervention techniques, physicians' posses an effective means of providing quitting advice.

Patients who receive smoking cessation advice from their urologist are 2.3 times more likely to attempt to quit. Urologists are well-positioned to screen, counsel, and promote cessation at regular intervals, which may improve quit rates, and ultimately improve our patients' outcomes.

Central European journal of urology. 2016 Nov 30 [Epub]

Roman Sosnowski, Marc A Bjurlin, Paolo Verze, Cosimo De Nunzio, Shahrokh F Shariat, Maurizio Brausi, Nicholas M Donin

Department of Urooncology, Maria Skłodowska-Curie Memorial Cancer Hospital, Warsaw, Poland., Division of Urology, Department of Surgery, NYU Lutheran Medical Center, NYU Langone Health System, New York, New York., Department of Urology, University Federico II of Naples, Naples, Italy., Department of Urology, Ospedale Sant'Andrea, University 'La Sapienza', Roma, Italy., Department of Urology, Comprehensive Cancer Center, Medical University Vienna, General Hospital, Vienna, Austria., Department of Urology, Ausl Modena, B. Ramazzini Hospital, Carpi-Modena, Italy., Department of Urology, UCLA Institute of Urologic Oncology, Los Angeles, California, USA.