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The role of the adult urologist in the care of children is diminishing, as opinion over who should handle pediatric urological conditions has shifted in favor of the dedicated pediatric urologist. Christopher Woodhouse discusses the issues surrounding this controversy and presents his view on how adult urologists can best contribute to the care of children with urological diseases.
Biochemical recurrence after radical prostatectomy or radiation therapy for prostate cancer is increasingly common. The existence of multiple definitions complicates detection of biochemical recurrence and determination of its clinical significance. Here, Ward and Moul assess the relative merits of various definitions, and treatment options including salvage prostatectomy, radiation therapy and cryotherapy, and hormonal treatments.
Decision analysis is crucial to the formulation of treatment strategies. This classical approach relies on the predictive power of statistical models, which can be represented graphically as nomograms. Designed to facilitate simple and rapid calculation of probabilities for individual patients, Michael Kattan assesses the utility of several of these nomograms for management of clinically localized prostate cancer.
High intensity focused ultrasound (HIFU) is a promising technology for the treatment of a number of urologic cancers, although currently its only routine use is in the treatment of prostate cancer. This review by Christian Chaussy and colleagues discusses the technology behind HIFU and the evidence for its use in different urologic tumors.
