Laparoscopic Urology - Science topic

In the case of a fit patient (ECOG 0/1), having a distal ureteric tumor, with a proven TCC high grade pT1- of the bladder, what would be the most apt management strategy?

Would the choice of management vary, depending on-

A) Age of the patient

B) Status of the Opposite kidney

C) Role of reimplantation of the ureter in a diseased bladder.

D) Need for surveillance of the upper tract.

Many believe that minilaparoscopy is attractive option that may replace conventional laparoscopy and might be an alternative to technically challenging LESS

We have tried antispasmodic drugs, dexamethasone, ketamine, lidocaine ... with very variable results.

Thank you so much

During the past decade, the inguinal lymphadenectomy has evolved with an increasing emphasis on the preservation of the cutaneous blood supply and lymphatic drainage. There has been a gradual deviation from a large inguinal incision in favor of more minimally invasive techniques in an effort to reduce morbidity without compromising treatment efficacy. There are several gynecologic and urologic centres reported their experience about video endoscopic inguinal lymphadenectomy via limb approach (VEIL-L procedure), and we also have preformed VEIL via the hypogastric subcutaneous approach (VEIL-H procedure) in 21 cases with vulvar cancer. How do you evaluate the possibility that both VEILs procedures instead of the open approach?

Dear colleagues,

I'd need to collect NIR light trans-urethrally with an optical fiber. Does anybody know if such optically transparent (~700 nm -900 nm) catheters exist? Can you recommend the company and model, please?

Thanks,

Serge

P.S. In particular, I'd be interested in catheters made from Ultra Clear Silopren LSR 7000 liquid silicone rubber (LSR) if somebody makes them. LSR 700 has ~ a striking 94%  flat transmission in the entire VIS-NIR range!

LESS is still technically difficult and in urology we have already our own limitations. Therefore, do you think that LESS will survive?