Challenges in Follow-up After Kidney-sparing Surgery for Upper Tract Urothelial Carcinoma: Insights from a Delphi Consensus.

Background And Objective: Kidney-sparing surgery (KSS) is the preferred treatment for patients with low-risk upper tract urothelial carcinoma (UTUC), offering a balance between oncologic efficacy and renal preservation. However, follow-up protocols are lacking due to insufficient evidence, resulting in clinical variability. In response, a Delphi consensus process has been initiated with the aim to refine and establish unified surveillance recommendations following KSS for low-risk UTUC.

A global assemblage of regional prescribed burn records - GlobalRx.

Prescribed burning (RxB) is a land management tool used widely for reducing wildfire hazard, restoring biodiversity, and managing natural resources. However, RxB can only be carried out safely and effectively under certain seasonal or weather conditions. Under climate change, shifts in the frequency and timing of these weather conditions are expected but analyses of climate change impacts have been restricted to select few regions partly due to a paucity of RxB records at global scale.

Uncovering the Risk: Incidence of Upper Tract Urothelial Carcinoma Following Renal Transplantation in the Netherlands.

Background And Objective: Renal transplant (RTx) recipients appear to have an elevated risk of urothelial carcinoma compared with the general population. While Asia reports a high incidence of upper tract urothelial carcinoma (UTUC) following RTx, this incidence remains underinvestigated in Western countries. The main objective of this study is to determine the incidence of UTUC after RTx in the Netherlands, and to evaluate and compare the incidence and tumour characteristics with those of the general Dutch population diagnosed with UTUC.

Does a kidney stone culture make sense? The findings of microbiological cultures of kidney stones and correlation with stone composition, preoperative urine testing and postoperative SIRS.

Purpose: The study investigates the results of kidney stone cultures and its correlation with preoperative urine tests, stone composition and postoperative systemic inflammatory response syndrome (SIRS) in patients undergoing percutaneous nephrolithotomy (PCNL).

Methods: Data from 338 PCNL procedures performed between January 2018 and September 2023 at two centers in the Netherlands were included for analysis. Preoperative urine tests, kidney stone analysis and the outcome of kidney stone cultures were evaluated in addition to general patient characteristics and surgical information.