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Men’s Health and Urologic Oncology—A Common Challenge for Urology and Public Health

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Prof. Dr. Marcin Słojewski

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Department of Urology and Urological Oncology, Pomeranian Medical University, Powstańców Wlkp. 72, 70-111 Szczecin, Poland
Interests: treatment of cancers of the prostate; bladder; kidneys; testicles; diagnosis and treatment of benign prostatic hyperplasia; diagnostics and minimally invasive treatment of urolithiasis; sex medicine and andrology; ultrasound examination of the urinary system; robotic surgery; oncologic surgery

Dr. Artur Lemiński

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Department of Urology and Urological Oncology, Pomeranian Medical University, al. Powstańców Wlkp. 72, 70-111 Szczecin, Poland
Interests: bladder cancer; multidisciplinary approach; bladder sparing combined-modality treatment; lifestyle intervention in GU cancer prophylaxis; public education; self-awareness and self-examination

Prof. Dr. Małgorzata Piasecka

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Guest Editor

Department of Histology and Developmental Biology, Pomeranian Medical University, ul. Żołnierska 48; 71-201 Szczecin, Poland
Interests: male fertility; male aging; metabolic syndrome; benign prostate hyperplasia; immunosupressants; public health; apoptosis; prostate
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Special Issue Information

Dear Colleagues,

The ageing of the population is a global healthcare concern, with increasing prevalence of multiple health conditions which were considered rare only a few decades ago. Despite the COVID-19 pandemic, the incidence of most common urological cancers continues to increase. Three out of the ten most common cancers in the male population belong to the area of interest of urological oncology, which translates into an ever-growing number of patients. Contemporary urology not only has to adjust, but also lead the way in the development of uro-oncological services, multidisciplinary and personalized patient care. With this goal in mind, we need to adopt contemporary evidence-based knowledge and build ties of cooperation between multiple specialties: medical oncology, radiotherapy, palliative medicine, rehabilitation, and psychology. We, as urological specialists, also need to reach out to our communities and policymakers with educational interventions focused on a healthy lifestyle, self-awareness, self-examination, and the promotion of evidence-based onco-prophylaxis.

This Special Issue will focus on a broad area of urologic oncology and urological aspects of men’s health, with special attention paid to the impact of urological conditions on public health, the influence of environmental factors on urological disease, and multidisciplinary, patient-centered approaches to treatment.

Prof. Dr. Marcin Słojewski
Dr. Artur Lemiński
Prof. Dr. Małgorzata Piasecka
Guest Editors

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Keywords

public health
prostate cancer
bladder cancer
testicular cancer
kidney cancer
male infertility palliative care
psychooncology
minimally invasive surgery
robotic surgery

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Research

9 pages, 605 KiB

Open AccessArticle

Reasons behind the Delayed Diagnosis of Testicular Cancer: A Retrospective Analysis

by Wojciech A. Cieślikowski, Michał Kasperczak, Tomasz Milecki and Andrzej Antczak

Int. J. Environ. Res. Public Health 2023, 20(6), 4752; https://doi.org/10.3390/ijerph20064752 - 08 Mar 2023

Cited by 4 | Viewed by 1510

Abstract

The aim of the present study was to identify the reasons behind the delayed diagnosis of testicular cancer in a group of Polish males diagnosed with this malignancy in 2015–2016. The study included data from 72 patients aged between 18 and 69 years. Based on the median time elapsed to the testicular cancer diagnosis, the study patients were divided into the timely diagnosis group (diagnosis within 10 weeks from initial manifestation, n = 40) and the delayed diagnosis group (diagnosis > 10 weeks from initial manifestation, n = 32). Diagnosis of testicular cancer > 10 weeks after its initial manifestation was associated with less favorable survival (5-year overall survival: 78.1% [95% CI: 59.5–88.9%] vs. 92.5% [95% CI: 78.5–97.5%], p = 0.087). Multivariate logistic regression analysis identified two independent predictors of the delayed diagnosis, age > 33 years (OR = 6.65, p = 0.020) and residence in the countryside (OR = 7.21, p = 0.012), with another two parameters, the lack of a regular intimate partner (OR = 3.32, p = 0.098) and the feeling of shame (OR = 8.13, p = 0.056), being at the verge of statistical significance. All the factors mentioned above should be considered during planning social campaigns aimed at the early detection of testicular malignancies, along with improving the quality and trustfulness of Internet-based information resources. Full article

(This article belongs to the Special Issue Men’s Health and Urologic Oncology—A Common Challenge for Urology and Public Health)

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12 pages, 1682 KiB

Open AccessArticle

Comparison of Laparoscopic and Open Radical Cystectomy for Muscle-Invasive Bladder Cancer

by Janusz Lisiński, Jakub Kienitz, Piotr Tousty, Krystian Kaczmarek, Artur Lemiński and Marcin Słojewski

Int. J. Environ. Res. Public Health 2022, 19(23), 15995; https://doi.org/10.3390/ijerph192315995 - 30 Nov 2022

Cited by 4 | Viewed by 1139

Abstract

The goal of the study was to compare laparoscopic and open radical cystectomy in treatment of muscle-invasive bladder cancer in the Department of Urology and Oncological Urology PUM in Szczecin. A total of 78 patients in the study group underwent laparoscopic cystectomy between 2016–2018, and 81 patients from the control group had open cystectomy between 2014–2016. Both groups were comparable in terms of age, stage, and concomitant diseases. The 3 year overall survival was comparable in both groups (37.7% for laparoscopy and 44.4% for open, p = 0.64). There was no difference in positive surgical margin rate. Lymph node yield during cystectomy was higher in open cystectomy (14 vs. 11.5, p = 0.001). Post-operative blood loss and transfusion rates were lower in laparoscopic cystectomy. Decrease in hemoglobin level was lower in laparoscopy (0.9 mmol/L, p < 0.001). Intraoperative transfusion rate was 11.8% in laparoscopy vs. 34.8% in open cystectomy (p = 0.002). Operation time, duration of hospitalisation, and time to full oral alimentation were comparable in both groups. Patients with BMI > 30 kg/m² and those with pT3-T4 cancer in the laparoscopy group had less septic complications post-operatively. Patients with ASA score ≥ 3 from the laparoscopy group had fewer reoperations due to ileus. Laparoscopic cystectomy is less invasive and offers similar oncological outcomes to the open method. Patients benefit from less tissue trauma, less blood loss, and faster recovery. The presented results, as well as other publications, should encourage a wider use of this procedure in everyday urological practice. Full article

(This article belongs to the Special Issue Men’s Health and Urologic Oncology—A Common Challenge for Urology and Public Health)

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Men’s Health and Urologic Oncology—A Common Challenge for Urology and Public Health

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