European Urology Today - Volume 27 - No. 1 - Jan/Feb 2015

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60th National Congress of Czech Urological Society ESU offers well-attended course on testis cancer Dr. Michal Staník Masaryk Memorial Cancer Institute Brno (CZ)

stanik@mou.cz Brno, the second largest Czech city, hosted from October 22 to 24 last year the 60th Annual Congress of the Czech Urological Society (CUS). With the attendance of 501 urologists and 230 nurses, the high number of submitted abstracts and an attractive cultural programme, the event was a success. The scientific programme included 153 posters that were presented during 13 sessions, majority of which focused on onco-urology, functional urology, urolithiasis and andrology. The poster sessions were interactive and provided a platform for young urologists to actively participate with many of them also chairing the sessions.

The annual event is a unique opportunity to further educate and train young doctors. The first day offered courses, organised by the working groups of CUS, which tackled challenging issues in urolithiasis treatment, diagnosis of prostate and invasive bladder cancers and medical oncology.

"...The programme also presented live surgery from the Motol University Hospital in Prague where Prof. M. Babjuk demonstrated the various techniques of transurethral resection of noninvasive bladder tumour..." With an attendance of 501 urologists and 230 nurses the Czech annual congress was very successful

The organizers were happy to host the ESU course which covered current topics in testicular cancer. With Prof. P. Albers (Düsseldorf, DE) as course chairman, he discussed the role of surgery stage-by-stage and concentrated on the post-chemotherapy setting. Prof. J. Oldenburg (Oslo, NO) lectured on the changing landscape of stage I treatment that needs risk-adapted approach.

treatment of the upper urinary tract cancer, while Chlosta discussed laparoscopic single site surgery (LESS) in renal tumours. Prof. Svihra reviewed neuromodulation in urology. A part of the regular programme was the lecture series by a Czech and a Slovak resident, which took

Both lecturers stressed that over-treatment should be avoided and gave an overview on long-term adverse effects of chemotherapy. Several cases were presented by young Czech urologists to challenge the experts and which prompted a very insightful debate. Many participants commented the course gave them a unique opportunity to acquire up-to-date information from distinguished speakers.

Prof. S. F. Shariat, doc. J. Doležel (President of the conference), prof. M. Babjuk (president of the Czech Urological Society)

The second congress day opened with state-of-art lectures from Professors S. F. Shariat (Vienna, AT), P. L. Chlosta (Cracow, PL) and J. Švihra (Martin, SK). Prof. Shariat gave a very interesting overview of the etiopathogenesis, demography, diagnosis, and

Prof. P. Albers chaired the ESU course on Testicular cancer

up fertility in men with spinal cord injury and molecular markers in renal cancer. The programme also presented a live surgery from the Motol University Hospital in Prague. Prof. M. Babjuk demonstrated the various techniques of transurethral resection of noninvasive bladder tumours and the panel discussed the impact of new tools such as photodynamic diagnosis or Narrow-Band Imaging and the use of intravesical therapy. Every year the CUS strengthens its ties and cooperation with neighbouring urologic societies based in central Europe through many programmes, such as clinical visits of residents, participation in national congresses and conducting collaborative clinical research, among other activities. Certainly, the annual congress is the optimal platform to build up these links share knowledge and provide training to many young urologists.

Explore all of urology with our new ESU courses ESU Course 13 Chair: S. Boorjian, Rochester (US) How to proceed with an hematuria The course is designed for the practicing urologist, to provide a guidelines-based and case-oriented approach to the evaluation and management of hematuria. Specifically, after attending the course, participants will understand the guideline recommendations for the initial evaluation of patients with asymptomatic microscopic hematuria, as well as the evidence supporting these recommendations. Recommendations for follow-up of these patients will also be covered. In addition, the course will cover the initial and follow-up evaluation for patients presenting with symptomatic microscopic hematuria and gross hematuria. The course will also include a practical, case-based presentation of frequently-encountered clinical management challenges, particularly for refractory hemorrhagic cystitis and persistent BPH-related bleeding. ESU Course 40 Chair: S. Minhas, London (GB) Penile diseases This novel course will give a state of the art update on the variety of penile diseases that Urologists will encounter in everyday clinical practice. The faculty will consist of a group of internationally renowned experts in this field. A spectrum of pathologies can affect the penis including benign disorders to cancers. The aetiology, diagnosis and medical management of the common penile diseases including inflammatory conditions of the penis, HPV, BXO and pre-malignant conditions of the penis will be discussed and illustrated with interactive case based discussions, The course will also deal with the surgical management of these conditions including the surgical indications and surgical techniques used in penile reconstructive surgery. Finally, the management of penile carcinoma including the aetiopathogenesis, techniques/outcome of organ sparing surgery and surgical management of advanced disease including lymphadenectomy will be discussed. There will also be interactive case based discussions highlighting the pit falls and controversies in management of these conditions. ESU Course 5 Chair: N. Mottet, Saint Etienne (FR) Comorbidity in urology Senior adults represent a growing number of patients with specific problems. Individual life expectancy is a key decision driver in multiple situations . . . provided it is approachable. This topic is probably one of the most important as chronological age does not mean that much: this is true at every stage: early diagnosis, major surgery or systemic treatments. Reliable simple and practical tools exist in order to approach this based on comorbidities. One of their main interests is to decide when to refer to a geriatrician in order to optimize the clinical situation or to be able to propose alternative less toxic strategy, balancing

the efficacy and the feasibility. The purpose of this course is to detail these tools, to show how helpful they are in real life and to provide guidance to implement an effective geriatrician program in urologic oncology. ESU Course 18 Chair: J-U. Stolzenburg, Leipzich (DE) Surgical anatomy In the last 2 decades there has been significant evolution in minimally invasive techniques, both robotic and laparoscopic surgery. The techniques employed in both radical prostatectomy and upper tract renal surgery is regularly being refined with a number of techniques being described in contemporary literature. Regardless of the techniques employed, an emphasis on anatomy is paramount. Extra-peritoneal and trans-peritoneal approaches have been described in both renal and prostate surgery. Both approaches have pros and cons. It is therefore vital that surgeons undertaking these complex surgeries are familiar with both approaches. A precise anatomical understanding and technological development has enabled standardisation of minimal access radical prostatectomy, partial nephrectomy as well as open surgery. This course addresses comprehensively important anatomical considerations for open and minimally invasive radical prostatectomy and partial nephrectomy. Key technical aspects such access, port placement, robotic docking and each step of the procedures will be discussed. Additionally interfascial and intrafascial of nerve-sparing surgery will be discussed. In partial nephrectomy the focus is on pedicle control, tumour excision, how to achieve adequate haemostasis and how to shorten ischemia time. Presentations will be combination of didactic lectures and audio-visual presentations. The audience will have ample opportunity to interact with the teaching faculty to clarify any doubts. The course is aimed at residents and consultants with a specialist interest in advanced upper tract and pelvic surgery. ESU Course 31 Chair: F.M.E. Wagenlehner, Giessen (DE) Infection diseases This ESU course on infection diseases provides a broad, up to date coverage of the most important and recent problems of infectious diseases in urology. It targets definitions and classifications of urogenital tract infections as well as topics such as diagnosis, treatment and prophylaxis. Urogenital tract infections range from benign infections, such as uncomplicated and recurrent cystitis to life threatening infections, such as urosepsis. The management of infections in general and of urogenital tract infections especially has been compromised by the rapid and continuous increase of antimicrobial resistance. Basic biologic principles and strategies to compete with antibiotic resistance will be discussed in this workshop.

MADRID 20-24 March 2015 Sharing knowledge - Raising the level of urological care

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European Urology Today

E-BLUS

A unique opportunity to train with international experts in laparoscopy The European training in basic laparoscopic urological skills (E-BLUS) is a first-rate programme offered to residents and urologists who want to improve their basic skills in laparoscopy.

and represent a unique opportunity to train with international experts in laparoscopy.

Because of the growing need for international standardisation in urological skills, the E-BLUS course can be attended during the Annual EAU Annual EAU congresses as well as several national and international society meetings in and beyond Europe.

• H ands-on training (HOT) sessions of different levels carried out under the guidance of experienced tutors. • A set of training-box exercises developed and validated by the Dutch project Training in Urology (TiU) to train basic skills needed in urological laparoscopy. • E-BLUS examination and certification. • An online theoretical course.

The E-BLUS courses are designed to cater to the specific needs of the participants

The E-BLUS programme includes:

Interested to participate in the E-BLUS course during the 30th Anniversary EAU Congress in Madrid? Send an email to e-blus@uroweb.org Interested to offer the E-BLUS course during your national or international event? Send an email to e-blus@uroweb.org

E-BLUS

European training in basic laparoscopic urological skills

January/February 2015


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