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Here Is a Range of New Agents, Molecular Markers Ethics and Human Rights European Urology Today First Edition EUT Congress News 32nd33rd AnnualAnnual CongressCongress ofof thethe EuropeanEuropean AssociationAssociation ofof UrologyUrology Saturday, 2517 MarchMarch 20182017 Copenhagen,London, 24-2816-20 March 20182017 Meeting the challenges in urogenital diseases EU Health Commissioner Andriukaitis urges stronger collaboration By Joel Vega and Erika de Groot currently numbers 29 active units in 11 EU member Dr. Deepansh Dalela (US) received the Hans EAU Ernest Desnos Prize for his contributions to states. Marberger Award for the best European paper urological history, while Hashim Ahmed (GB) To the rhythmic, high energy beat of the published on minimally invasive surgery in was awarded the EAU Prostate Cancer Research synchronized, four-man Copenhagen Drummers Chapple also highlighted the crucial role of the EU in urology. Prof. Sergio Musitelli (IT) received the first Award. band, the 33rd Annual EAU Congress opened creating the ERNs which he said will lead to better data yesterday with European Commissioner for Health collection and mutual collaboration among European and Food Safety, Prof. Vytenis Andriukaitis (LT) scientists and clinical professionals. “To ensure the urging the audience to collaborate in the European sustainability of this project we need to form Reference Networks (ERNs). partnerships and work on common goals,” he said. “This flagship project reflects not only the need The Opening Ceremony traditionally highlights the to further strengthen our collaboration, but also EAU’s honorary members and awardees. Chapple the fact that we can and have achieved a lot if we conferred the title of Honorary Members to Gunnar put together our resources, knowledge and Aus (SE), Patrick Coloby (FR), Mani Menon (US) and commitment,” said Andriukaitis. He emphasized Ajit Vaze (IN). Prof. Vicenzo Mirone (IT) received the that the synergies of expert centres are invaluable EAU Willy Gregoir Medal 2018. Prof. Didier Jacqmin and will come a long way in providing better (FR) was awarded the EAU Frans Debruyne Lifetime healthcare, particularly to those with rare Achievement Award, while Prof. Selcuk Silay (TR) diseases. won the EAU Crystal Matula Award. Andriukaitis thanked EAU Secretary General Prof. “For urologists our biggest concern is how to boost Chris Chapple for his personal efforts and our medical and surgical strategies, and balance commitment to ERNs with the involvement of these without neglecting our core competencies,” urological expertise in the eUROGEN network which said Mirone. Commissioner V. Andriukaitis: “Synergies across Europe are invaluable.” New agents and imaging African and European views to improve PCa therapies on HIV and circumcision Experts’ forecasts at ESO Prostate Cancer Observatory By Erika de Groot Additional benefits include lower incidence of urinary tract infection in infants, penile hygiene, and There is a range of new agents, molecular markers Ethics and human rights. Medical safety concerns. prevention of balanitis and posthitis. The risk of and improved imaging techniques that over the These are factors that differentiate African and penile cancer is also lowered. Mangwiro said that MC coming years will help doctors to further optimise European views on the role of circumcision in HIV is “not a silver bullet.” It has a 60% efficacy and their management of prostate cancer patients, prevention as discussed today in the Joint Session of should be used as part of a comprehensive HIV particularly those with advanced or high-risk disease. the European Association of Urology (EAU) and the programme. Pan-African Urological Surgeons Association (PAUSA) During the 5th European School of Oncology (ESO) chaired by Dr. Allen Chiura (ZW) and Prof. Dr. Rien According to Mangwiro, the VMMC (voluntary medical Prostate Cancer Observatory held yesterday, a panel Nijman (NL). male circumcision) programme has done well; it has of prostate cancer (PCa) specialists presented their achieved its scale up targets and is currently expectations for promising medical approaches that In his lecture Successes and Challenges of Male developing a new strategy that will introduce a aim to boost the current management of PCa. Full audience at the 5th ESO Prostate Cancer Observatory Circumcision in the HIV era, Dr. Tonderayi Mangwiro sustainability component. (ZW) stated that male circumcision (MC) averts a The multidisciplinary presentations covered new greater incidence of ulcerative sexually-transmitted Dr. Nicolai Lohse (DK) listed varying recommendations developments and forecasts for research, surgery, Prof. Steven Joniau (BE), who co-chaired the session infections (STIs) and the susceptibility of the foreskin for neonatal MC in Europe, Canada and the United active surveillance, imaging, pathology, and medical with Prof. Riccardo Valdagni (IT), said: “For me, the to abrasions during intercourse. States. oncology. The perspective and concerns of patient session showed that we need to better understand groups were also discussed by Prof. Louis Denis (BE) the disease with the aid of the many tools we have as a representive for these groups. now such as PSMA, MRI and others, in combination with the standard tests such as PSA. Tools such as “My expectations for 2018 and next year are further PSA still have their use despite the entrance of new results from STAMPEDE and the potential changes in methods. It is important to avoid over-treatment and the standard of care for metastatic hormone-naïve instead focus on the detection and treatment of prostate cancer (mHNPC) patients,” said medical high-risk cancers.” oncologist Dr. Ananya Choudhury (GB) who gave the view from her discipline. Joniau reiterated Touijer’s key message as he stressed the importance of AS to avoid over-treatment of Choudhury added that results are awaited from low-risk PCa. sequencing and combination studies. She mentioned hormonal agents being tested in trials such as Dr. Ivo Schoots (NL) discussed prostate MRI and its SPARTAN (Apalutamide), PROSPER (Enzalutamide), diagnostic accuracy, noting that a limitation of MRI is STAMPEDE/LATITUDE (abiraterone) as well as disagreement among radiologists. “There are now STAMPEDE, which is testing the combination of proposed adjustments to the PIRADS text,” said abiraterone and enzalutamide. Schoots. “Looking back, to 2017, prostate MRI shows maturation with its strength and limitations.” Giving the urological perspective on active surveillance (AS), Prof. Karim Touijer (US) stressed its importance Prof. Rodolfo Montironi (IT) discussed developments and noted that its increasing use necessitates in pathology such as the update of PCa grading, educating the physician in order to provide better intraductal carcinoma of the prostate, the routine counselling to patients. Touijer stated that it is molecular markers used by pathologists with multiple important is to collect more information on AS and to clinical purposes, and the potential of liquid biopsies reassure the patient about future treatment options. such as urine and blood. Saturday, 17 March 2018 EUT Congress News 1 Today’s Industry History Office Special Session Sessions & Workshop Exploring history of urology in Denmark, Scandinavia and beyond Industry sessions and workshop, By Loek Keizer Initially, the Association had a fixed quota of all starting at 18:00 hrs members from each country, although over time this The interconnectedness of urology in Europe is arrangement was replaced by automatic membership exemplified by the collaboration evident in the when a urologist joined their respective national Multi-disciplinary team (MDT) perspectives for Scandinavian countries and the Scandinavian society. Iceland joined the Association in 1976. early, optimised treatment of mCRPC Association of Urology in particular. ASTELLAS PHARMA EUROPE LTD. Since 1995, the official language of the Association Green Area, Room 1 (Level 0) On the first day of EAU18, the 33rd Annual EAU has been “bad English” (as opposed to “bad Congress, held this year in Copenhagen, the EAU Swedish” – the words of Prof. Jens Andersen (DK)). History Office welcomed prominent Danish and The decision to switch to English was made in order Optimising patient management in urogenital Scandinavian speakers to give the audience a flavour to be more inclusive to the Finnish delegates and also cancers of the long history of regional cooperation, as well as to attract greater international interest. Prof. IPSEN PHARMA some biographies of eminent Danish urological Andersen recollected that board of the Scandinavian Green Area, Room 2 (Level 0) pioneers. Prof. Beisland, speaking about the history of the Scandinavian Association had a lot of discussion at the time, amid Association of Urology. fears of a loss of national identity. Later in the Specialty Session, EAU History Office Looking beyond mLUTS to BPE and BOO: Chairman Prof. Philip Van Kerrebroeck (NL) gave surgical societies in the world. It was a relatively slow Holm and Hald Does it really matter? some background information on the new EAU Ernest process of separating urology from general surgery, Drs. Jorgen Kvist Kristensen (DK) and Jørgen Nordling RECORDATI SPA Desnos Prize, Dr. Johan Mattelaer (BE) gave a preview with the first national societies being established in (DK) presented biographies of Profs. Hans Henrik Red Area, Room 1 (Level 0) of his latest book, and Mr. Jonathan Goddard (GB) the 1950s and 1960s.” Holm and Tage Hald (DK) respectively, two incredibly looked at the role of British urologists
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