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EAU 2013 - Programme Book - YouMed

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Sunday<br />

144 <strong>Programme</strong> <strong>Book</strong><br />

the evidence for lymphadenectomy and delegates should leave with a clear understanding of which patients<br />

have most to gain from lymphatic clearance and how extensive that clearance needs to be.<br />

09.05 - 09.35 <strong>EAU</strong> Guidelines Office case discussion Upper urinary tract tumours<br />

Moderator: M. Rouprêt, Paris (FR)<br />

Panel: J. Palou, Barcelona (ES)<br />

R.E. Zigeuner, Graz (AT)<br />

Aims and objectives<br />

The new version of the European Association of Urology (<strong>EAU</strong>) guidelines on upper urinary tract tumours<br />

known as urothelial carcinomas of the upper tract (UTUCs) are likely to be released in <strong>2013</strong>. The <strong>EAU</strong><br />

Guideline working group for UTUCs has prepared current guidelines to provide evidence-based information<br />

for the clinical management of these rare tumours and to help clinicians incorporate these recommendations<br />

into their practice. Through clinical cases, we will emphasize the most important Take-Home messages and<br />

address concrete issues.<br />

09.35 - 09.55 Société Internationale d’Urologie (SIU) lecture The role of ESWL in upper urinary tract stones<br />

M.R. Desai, Naidad (IN)<br />

09.55 - 10.10 Update Interventional imaging in upper urinary tract stone disease: What’s new?<br />

C.M. Scoffone, Turin (IT)<br />

Aims and objectives<br />

Endourological treatment of urolithiasis is a field where the concept of image-guided therapy has the chance<br />

to display all its value. In fact, interventional imaging during the endoscopic treatment of ureteral and pyelocalyceal<br />

stones is fundamental for the performance of a safe and effective procedure. The integrated use of<br />

fluoroscopy, ultrasound, computed tomography, magnetic resonance and endoscopic vision will be discussed,<br />

as well as the most recent advances and innovations regarding these consolidated techniques (rotational 3D<br />

fluoroscopy, Doppler, 3D and 4D ultrasound, flat-panel volume CT and CT/pyelography, open configuration<br />

MRI, image fusion techniques, HD endoscopic imaging) and the need for a multidisciplinary cooperation<br />

between endourologist and radiologist. The issue of radioprotection will also be addressed (including<br />

the X-ray-free percutaneous access), as well as the correlation of the mentioned tools with preoperative<br />

diagnostic work up.<br />

10.10 - 10.50 Case discussion From above or below: Flexible, rigid or percutaneous management of upper urinary tract<br />

stones<br />

Moderator: P.J. Osther, Fredericia (DK)<br />

PCNL<br />

A. Skolarikos, Athens (GR)<br />

Flexible<br />

E.K. Bres-Niewada, Warsaw (PL)<br />

What is the best energy for fragmentation?<br />

T. Bach, Hamburg (DE)<br />

Aims and objectives<br />

Rapid technological developments continuously set new standards in stone treatment. The combined<br />

introduction of digital flexible ureteroscopes, new laser settings, superflexible utensils and pressurecontrolled<br />

irrigation with the possibility of on-demand flushing clearly has expanded the indications for<br />

ureteroscopic renal stone management. In complex cases combined (antegrade – retrograde) procedures<br />

are increasingly being used. In this session we will – through case discussions – explore pros and cons of<br />

different approaches to the endourological treatment of renal stones: which cases are most suitable for a

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