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http://dx.doi.org/10.1016/j.eururo.2022.02.024 | DOI Listing |
J Urol
August 2025
Department of Urology, The University of Melbourne, The Royal Melbourne Hospital, Parkville, Victoria, Australia.
Purpose: With the availability of prostate-specific membrane antigen positron emission tomography scans, it is controversial whether pelvic lymph node dissection (PLND) at the time of radical prostatectomy (RP) is still the most reliable and accurate staging modality for lymph node assessment. Furthermore, the oncological benefit of PLND remains unclear. The aim of this study was to assess whether omitting PLND in patients undergoing RP for prostate cancer (PCa) is associated with the risk of tumor recurrence and progression to metastasis.
View Article and Find Full Text PDFEur Urol Open Sci
May 2025
Department of Urology, University of Melbourne, Royal Melbourne Hospital, Parkville, Australia.
Unlabelled: Risk assessment plays a critical role in surgical decision-making and influences patient care, resource allocation, surgical planning, and postoperative outcomes. Accurate stratification facilitates better treatment selection and planning, and identification of teaching cases. Existing tools such as POSSUM and the Surgical Apgar Score are widely used but focus primarily on general surgery and often lack urology-specific considerations or integration of intraoperative factors.
View Article and Find Full Text PDFEur Urol
May 2025
Department of Anaesthesiology and Pain Medicine, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland; Department of Urology, Royal Melbourne Hospital, Parkville, Australia; Department of Urology, Solothurner Spitäler AG, Kantonsspital Olten and Bürgerspital Solothurn, Solo
Cancers (Basel)
December 2023
Department of Urology, The Royal Melbourne Hospital, The University of Melbourne, Melbourne, VIC 3050, Australia.
Lymphovascular invasion, whereby tumour cells or cell clusters are identified in the lumen of lymphatic or blood vessels, is thought to be an essential step in disease dissemination. It has been established as an independent negative prognostic indicator in a range of cancers. We therefore aimed to assess the impact of lymphovascular invasion at the time of prostatectomy on oncological outcomes.
View Article and Find Full Text PDFMinerva Urol Nephrol
February 2024
Department of Anesthesiology and Pain Medicine, Bern University Hospital, University of Bern, Bern, Switzerland.