title: Precision surgery and genitourinary cancers.
abstract: The landscape of the surgical management of urologic malignancies has dramatically changed over the past 20 years. On one side, better diagnostic and prognostic tools allowed better patient selection and more reliable surgical planning. On the other hand, the implementation of minimally invasive techniques and technologies, such as robot-assisted laparoscopy surgery and image-guided surgery, allowed minimizing surgical morbidity. Ultimately, these advances have translated into a more tailored approach to the management of urologic cancer patients. Following the paradigm of "precision medicine", contemporary urologic surgery has entered a technology-driven era of "precision surgery", which entails a range of surgical procedures tailored to combine maximal treatment efficacy with minimal impact on patient function and health related quality of life. Aim of this non-systematic review is to provide a critical analysis of the most recent advances in the field of surgical uro-oncology, and to define the current and future role of "precision surgery" in the management of genitourinary cancers.
authors.affiliation: Urology Institute, University Hospitals, Case Western Reserve University, Cleveland, OH, USA. Electronic address: ricautor@gmail.com.
authors.forename: R
authors.initials: R
authors.lastname: Autorino
authors.affiliation: Division of Urology, University of Turin, San Luigi Hospital, Orbassano, Italy. Electronic address: porpiglia@libero.it.
authors.forename: F
authors.initials: F
authors.lastname: Porpiglia
authors.affiliation: King's College London, Guy's Hospital, London, UK. Electronic address: prokarurol@gmail.com.
authors.forename: P
authors.initials: P
authors.lastname: Dasgupta
authors.affiliation: Department of Urology, SLK Kliniken Heilbronn, University of Heidelberg, Heidelberg, Germany. Electronic address: jens.rassweiler@slk-kliniken.de.
authors.forename: J
authors.initials: J
authors.lastname: Rassweiler
authors.affiliation: Academic Urology Unit, University of Sheffield, Sheffield, UK. Electronic address: j.catto@sheffield.ac.uk.
authors.forename: J W
authors.initials: JW
authors.lastname: Catto
authors.affiliation: Division of Urology, Virginia Commonwealth University, Richmond, VA, USA. Electronic address: lance.hampton@vcuhealth.org.
authors.forename: L J
authors.initials: LJ
authors.lastname: Hampton
authors.affiliation: Life and Health Sciences Research Institute, The Clinic Academic Center, University of Minho, and Department of CUF Urology, Braga, Portugal. Electronic address: estevaolima@ecsaude.uminho.pt.
authors.forename: E
authors.initials: E
authors.lastname: Lima
authors.affiliation: Department of Urology, Federico II University, Naples, Italy. Electronic address: mirone@unina.it.
authors.forename: V
authors.initials: V
authors.lastname: Mirone
authors.affiliation: Department of Urology, UC San Diego Health System, La Jolla, CA, USA. Electronic address: iderweesh@gmail.com.
authors.forename: I H
authors.initials: IH
authors.lastname: Derweesh
authors.affiliation: Andros Men's Health Institutes, Arnhem, The Netherlands. Electronic address: f.debruyne@uroweb.org.
authors.forename: F M J
authors.initials: FMJ
authors.lastname: Debruyne
mesh_terms: D015653:Cystectomy / Q000379:methods*; D006801:Humans; D007680:Kidney Neoplasms / Q000601:surgery*; D010535:Laparoscopy; D008297:Male; D009392:Nephrectomy / Q000379:methods*; D059351:Organ Sparing Treatments; D057285:Precision Medicine; D011468:Prostatectomy / Q000009:adverse effects / Q000379:methods*; D011471:Prostatic Neoplasms / Q000000981:diagnostic imaging / Q000601:surgery*; D065287:Robotic Surgical Procedures; D001749:Urinary Bladder Neoplasms / Q000000981:diagnostic imaging / Q000601:surgery*
keywords: Bladder cancer; Genitourinary cancer; Kidney cancer; Precision surgery; Prostate cancer; Robotic surgery; Uro-oncology