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Cisplatin-based chemotherapy is standard of care for patients with transitional cell bladder cancer; however, many of these patients suffer from renal impairment and are considered unfit for such treatment. Nicholson discusses whether this degree of caution is warranted, and what alternatives should be considered in patients for whom cisplatin is genuinely contraindicated.
Warm ischemia time during partial nephrectomy is an important risk factor for renal failure after surgery. A new study proposes using anatomic vascular microdissection of renal artery branches to perform zero-ischemia partial nephrectomy. Although the results are promising, the technique is challenging and requires further evaluation.
Urinary incontinence is a common condition among older adults. Numerous clinical guidelines have been published with recommendations for incontinence evaluation and management, especially in women. However, practitioner adherence to guidelines is often poor, particularly for elderly patients. What influences this trend? Is it a form of ageism in health care?