European urologyPub Date : 2025-04-12DOI: 10.1016/j.eururo.2025.04.002
Karol Axcrona, Ulrika Axcrona, Rolf I. Skotheim
{"title":"Re: Histopathologic Features and Transcriptomic Signatures Do Not Solve the Issue of Magnetic Resonance Imaging-invisible Prostate Cancers: A Matched-pair Analysis","authors":"Karol Axcrona, Ulrika Axcrona, Rolf I. Skotheim","doi":"10.1016/j.eururo.2025.04.002","DOIUrl":"https://doi.org/10.1016/j.eururo.2025.04.002","url":null,"abstract":"No Abstract","PeriodicalId":12223,"journal":{"name":"European urology","volume":"21 1","pages":""},"PeriodicalIF":23.4,"publicationDate":"2025-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143824962","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
European urologyPub Date : 2025-04-12DOI: 10.1016/j.eururo.2025.02.030
Andrew Vickers , Karim Touijer
{"title":"Re: Philip Cornford, Roderick C.N. van den Bergh, Erik Briers, et al. EAU-EANM-ESTRO-ESUR-ISUP-SIOG Guidelines on Prostate Cancer—2024 Update. Part I: Screening, Diagnosis, and Local Treatment with Curative Intent. Eur Urol 2024;86:148–63","authors":"Andrew Vickers , Karim Touijer","doi":"10.1016/j.eururo.2025.02.030","DOIUrl":"10.1016/j.eururo.2025.02.030","url":null,"abstract":"","PeriodicalId":12223,"journal":{"name":"European urology","volume":"87 6","pages":"Pages e117-e118"},"PeriodicalIF":25.3,"publicationDate":"2025-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143824966","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
European urologyPub Date : 2025-04-11DOI: 10.1016/j.eururo.2025.03.016
Nora Sundahl, Laurence Albiges, Toni K. Choueiri, Elise De Bleser, Gert De Meerleer, Raquibul Hannan, Rana McKay, Chad Tang, Shankar Siva
{"title":"Stereotactic Body Radiation Therapy Alone or in Combination with Immunotherapy in Kidney Cancer: A Systematic Review","authors":"Nora Sundahl, Laurence Albiges, Toni K. Choueiri, Elise De Bleser, Gert De Meerleer, Raquibul Hannan, Rana McKay, Chad Tang, Shankar Siva","doi":"10.1016/j.eururo.2025.03.016","DOIUrl":"https://doi.org/10.1016/j.eururo.2025.03.016","url":null,"abstract":"<h3>Background and objective</h3>Despite its radioresistant reputation, renal cell carcinoma (RCC) is sensitive to high dose per fraction stereotactic ablative body radiotherapy (SABR). As SABR also triggers immunomodulatory effects, a combination of SABR and immunotherapy for RCC might improve patient outcomes. The current systematic review will discuss all prospective studies on SABR alone or combined with immunotherapy.<h3>Methods</h3>A systematic review was conducted in January 2025 according to the Preferred Reporting Items for Systematic Reviews and Meta-analyses statement on the PubMed and Cochrane databases. Thirty-eight studies were included in this review.<h3>Key findings and limitations</h3>In the primary setting, 15 prospective studies have proved SABR to be a valuable alternative for (partial) nephrectomy for high-risk or medically inoperable patients, with good tolerability and excellent local control. No prospective studies have reported on SABR combined with immunotherapy in nonmetastatic patients. In the oligometastatic setting, two phase 2 trials have investigated SABR in lieu of systemic treatment. This showed encouraging results, with the majority of patients being free from systemic therapy at 1 yr. SABR combined with immunotherapy in the metastatic setting has been investigated in multiple phase 1 and 2 trials, where the most promising option seems to be SABR to multiple—preferentially all—lesions. Cytoreductive SABR and SABR to oligoprogressive lesions combined with immunotherapy are attractive future strategies.<h3>Conclusions and clinical implications</h3>SABR is a valid alternative in localised RCC when (partial) nephrectomy is not an option. In the metastatic setting, several early-phase trials have investigated SABR alone and in combination with immunotherapy, warranting future large, randomised trials.","PeriodicalId":12223,"journal":{"name":"European urology","volume":"183 1","pages":""},"PeriodicalIF":23.4,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143820034","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
European urologyPub Date : 2025-04-10DOI: 10.1016/j.eururo.2025.03.009
Marcio Covas Moschovas , Shady Saikali , Marco Sandri , Carlo Bravi , Ugo Falagario , Arjun Nathan , Justin Collins , Eleonora Balestrazzi , Gert de Naeyer , Ruben Groote , Maria Chiara Sighinolfi , Sophie Knipper , Markus Graefen , Randi Pose , Guillaume Ploussard , Hamza Idais , Hubert John , Angelo Mottaran , Riccardo Schiavina , Pietro Piazza , Peter Wiklund
{"title":"Outcomes of Salvage Robotic-assisted Radical Prostatectomy: High-volume Multicentric Data from the European Association of Urology Robotic Urology Section Scientific Working Group","authors":"Marcio Covas Moschovas , Shady Saikali , Marco Sandri , Carlo Bravi , Ugo Falagario , Arjun Nathan , Justin Collins , Eleonora Balestrazzi , Gert de Naeyer , Ruben Groote , Maria Chiara Sighinolfi , Sophie Knipper , Markus Graefen , Randi Pose , Guillaume Ploussard , Hamza Idais , Hubert John , Angelo Mottaran , Riccardo Schiavina , Pietro Piazza , Peter Wiklund","doi":"10.1016/j.eururo.2025.03.009","DOIUrl":"10.1016/j.eururo.2025.03.009","url":null,"abstract":"<div><h3>Background and objective</h3><div>Salvage robotic-assisted radical prostatectomy (S-RARP) is one option for treating patients with recurrent prostate cancer after prostate-preserving primary therapy. However, the tissue damage, anatomical distortion, and lack of surgical landmarks caused by the primary treatment still constitute a major challenge to surgeons. We aim to report the experience of our group on S-RARP.</div></div><div><h3>Methods and surgical procedure</h3><div>A retrospective multicentric study including data from nine centers from the European Association of Urology Robotic Urology Section Scientific Working Group was conducted. Overall, 397 patients who underwent S-RARP from 2008 to 2023 were included and divided into three groups (primary radiation therapy [RT], whole gland [WG] ablation, and focal gland [FG] ablation). The primary endpoints were the safety and feasibility of S-RARP. The secondary endpoints were the comparison of functional and oncological outcomes among different primary therapies.</div></div><div><h3>Key findings and limitations</h3><div>The median (interquartile range) follow-up periods for RT, FG ablation, and WG ablation were 38 (19–73), 20 (10–37), and 24 (16–38) mo, respectively (<em>p</em> < 0.001). Only four patients (1%) had intraoperative complications and <2% had Clavien grade ≥3 after surgery. The 5-yr cumulative incidence rates of biochemical recurrence were 35%, 45%, and 23% for RT, FG ablation, and WG ablation, respectively (<em>p</em> = 0.3). The 3-yr cumulative incidence rates of continence were 67%, 92%, and 71% for RT, FG ablation, and WG ablation, respectively (<em>p</em> < 0.001). The 5-yr cumulative incidence rates of potency were 16%, 11%, and 5.3% (<em>p</em> = 0.2), while the overall survival rates at 5 yr were 95%, 94%, and 100% for RT, FG ablation, and WG ablation, respectively (<em>p</em> = 0.7).</div></div><div><h3>Conclusions</h3><div>S-RARP is safe and feasible with very low rates of perioperative complications. Functional outcomes in patients undergoing S-RARP are inferior to outcomes at primary surgery and demand highly skilled surgical expertise. Patients should be counseled carefully that the functional outcomes are inferior to those at primary surgery.</div></div>","PeriodicalId":12223,"journal":{"name":"European urology","volume":"88 1","pages":"Pages 103-113"},"PeriodicalIF":25.3,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143814355","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
European urologyPub Date : 2025-04-10DOI: 10.1016/j.eururo.2025.03.020
Christopher Sweeney , Meng He , Matthew Wongchenko , Roberta Ferraldeschi , Johann S. de Bono
{"title":"Reply to Felix Melchior, Andreas Pircher, and Isabel Heidegger’s Letter to the Editor re: Johann S. de Bono, Meng He, Chen Shi, et al. Final Overall Survival and Molecular Data Associated with Clinical Outcomes in Patients Receiving Ipatasertib and Abiraterone in the Phase 3 IPATential150 Trial. Eur Urol. 2025;87:468–75","authors":"Christopher Sweeney , Meng He , Matthew Wongchenko , Roberta Ferraldeschi , Johann S. de Bono","doi":"10.1016/j.eururo.2025.03.020","DOIUrl":"10.1016/j.eururo.2025.03.020","url":null,"abstract":"","PeriodicalId":12223,"journal":{"name":"European urology","volume":"87 6","pages":"Pages e115-e116"},"PeriodicalIF":25.3,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143814116","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
European urologyPub Date : 2025-04-10DOI: 10.1016/j.eururo.2025.03.021
Maxime Vallée
{"title":"Re: A Reference Standard for Urinary Tract Infection Research: A Multidisciplinary Delphi Consensus Study","authors":"Maxime Vallée","doi":"10.1016/j.eururo.2025.03.021","DOIUrl":"https://doi.org/10.1016/j.eururo.2025.03.021","url":null,"abstract":"No Abstract","PeriodicalId":12223,"journal":{"name":"European urology","volume":"39 1","pages":""},"PeriodicalIF":23.4,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143814115","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
European urologyPub Date : 2025-04-09DOI: 10.1016/j.eururo.2025.01.025
Zhuo Tony Su, Mohammad E. Allaf, Nirmish Singla
{"title":"Re: Brian Shuch, Allan J. Pantuck, Jean-Christophe Bernhard, et al. [89Zr]Zr-girentuximab for PET-CT Imaging of Clear-cell Renal Cell Carcinoma: A Prospective, Open-label, Multicentre, Phase 3 Trial. Lancet Oncol 2024;25:1277–87","authors":"Zhuo Tony Su, Mohammad E. Allaf, Nirmish Singla","doi":"10.1016/j.eururo.2025.01.025","DOIUrl":"10.1016/j.eururo.2025.01.025","url":null,"abstract":"","PeriodicalId":12223,"journal":{"name":"European urology","volume":"88 1","pages":"Pages e15-e16"},"PeriodicalIF":25.3,"publicationDate":"2025-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143806004","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}