Tobias S. Kohler MD, MPH, discusses the corollary relationship between vascular disease and its treatment and erectile dysfunction (ED) and the literature supporting this relationship. He then reviews ED management approaches through a cardiovascular standpoint, including counseling patients on lifestyle modification and pudendal artery stenting.
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Peter Schulam MD, PhD, emphasizes the importance of staging renal tumors based on weighted risk, including risk of metastases, histologic subtypes, and adverse pathologic characteristics, and not simply mass size. This is essential when considering partial nephrectomy, radical nephrectomy, active surveillance, ablative techniques, or other management options for individual patients.
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Riccardo Autorino, MD, PhD, FEBU, summarizes the current EAU, AUA, and ASCO recommendations regarding partial and radical nephrectomies, the effect robotic surgery has had in this clinical area, and whether or not nephron sparing surgery is a beneficial and safe method for the management of large renal masses.
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Roberto Miano, MD, compares transperineal versus transrectal access for prostate biopsy. He argues that transperineal is safer in terms of infectious complications and more accurate for detecting cancer versus a transrectal approach. He also discusses proper clinician training, the transperineal approach in MRI-guided fusion biopsy, and emerging software for a local anesthesia free-hand technique.
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Riccardo Autorino, MD, PhD, FEBU, reviews the assets and limitations of the robotic systems currently available for clinical urological applications, especially the da Vinci system. He describes the global scene of emerging systems, such as the REVO-I and the avatera-System, as well as multiple systems under development.
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