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e u r o p e a n u r o l o g y , vo l . 7 2 , n o . 2 , Au g u s t 2 0 1 7

267

Robot-assisted Level II–III Inferior Vena Cava Tumor Thrombectomy: Step-by-Step Technique and 1-Year Outcomes

S. Chopra, G. Simone, C. Metcalfe, A.L. de Castro Abreu, J. Nabhani, M. Ferriero, A.M. Bove,

R. Sotelo, M. Aron, M.M. Desai, M. Gallucci, I.S. Gill

Robot-assisted inferior vena cava tumor thrombectomy is feasible for level II–III

thrombi. The emergence of robotics to perform such complex operations advances

the field.

275

Magnetic Resonance Imaging–Ultrasound Fusion Biopsy During Prostate Cancer Active Surveillance

G.N. Tran, M.S. Leapman, H.G. Nguyen, J.E. Cowan, K. Shinohara, A.C. Westphalen, P.R. Carroll

Magnetic resonance imaging (MRI)–ultrasound fusion biopsy improved detection

of high-grade prostate cancer on active surveillance among men with prior biopsy.

Upgrading was also observed in systematic sampling, suggesting that both

systematic and MRI-ultrasound fusion core biopsy should be performed even

among men with prior biopsy.

282

Diagnostic Pathway with Multiparametric Magnetic Resonance Imaging Versus Standard Pathway: Results from a Randomized Prospective Study in Biopsy-naïve Patients with Suspected Prostate Cancer

F. Porpiglia, M. Manfredi, F. Mele, M. Cossu, E. Bollito, A. Veltri, S. Cirillo, D. Regge, R. Faletti,

R. Passera, C. Fiori, S. De Luca

This randomized trial included 212 biopsy-naïve patients with suspected prostate

cancer (PCa) who were randomized to prebiopsy multiparametric magnetic

resonance imaging (mpMRI) or standard biopsy. The detection rates of PCa and

clinically significant PCa in the mpMRI group were higher than those in the standard

biopsy group.

289

Radical Prostatectomy in Men with Oligometastatic Prostate Cancer: Results of a Single-institution Series with Long-term Follow-up

G. Gandaglia, N. Fossati, A. Stabile, M. Bandini, P. Rigatti, F. Montorsi, A. Briganti

Radical prostatectomy might represent a safe and feasible option in selected men

with oligometastatic prostate cancer and might provide acceptable oncologic

outcomes at long-term follow-up.

293

Effects of Different Exercise Modalities on Fatigue in Prostate Cancer Patients Undergoing Androgen Deprivation Therapy: A Year-long Randomised Controlled Trial

D.R. Taaffe, R.U. Newton, N. Spry, D. Joseph, S.K. Chambers, R.A. Gardiner, B.A. Wall, P. Cormie,

K.A. Bolam, D.A. Galvão

We compared the effects of different exercise modes on fatigue in men on

androgen deprivation therapy. All exercise programs reduced fatigue and enhanced

vitality. We conclude that undertaking some form of exercise will help reduce

fatigue, especially in those who are the most fatigued.

300

Renal Cell Carcinoma with Isolated Lymph Node Involvement: Long-term Natural History and Predictors of Oncologic Outcomes Following Surgical Resection

B. Gershman, D.M. Moreira, R.H. Thompson, S.A. Boorjian, C.M. Lohse, B.A. Costello, J.C. Cheville,

B.C. Leibovich

Although isolated pN1 disease portends a poor prognosis, a small subset of patients

experience durable long-term survival after surgical resection of isolated lymphatic

metastases. Adverse prognostic features may enhance patient risk stratification and

facilitate multimodal management approaches.

Surgery in Motion

Original Articles

Prostate Cancer

Kidney Cancer