In 2013, 1622 patients were admitted for surgical treatment. Among these we performed both endoscopic, open and robotic surgery. Among open procedures the division performed 6 radical retropubic prostatectomies, 21 radical nephrectomies, 3 nephron sparing procedures and 61 cystectomies. Of these procedures, 43 were with urinary reconstruction. We had a further increase of robotic surgery, with 503 robotic assisted prostatectomies and 109 kidney surgery (49 robotic radical nephrectomies and 60 nephron sparing procedures). The division experience in urologic oncology was extended in all the items such as testis cancer and penis cancer. There were also performed urinary diversions for patients who underwent pelvic exenteration in other divisions.
Many patients underwent endoscopic procedures, like transurethral resection of bladder (380 patients) and ureteral stent insertion (81 patients).
The recent development of multiparametric MRI, which combines anatomical T2W images with functional techniques, such as diffusion-weighted MRI and dynamic contrast-enhanced, has significantly improved local staging of prostate cancer, and has shown the potential to influence the decision to preserve neurovascular bundles and the extent of surgical margins in robotic prostatectomy The intraoperative frozen-section procedure, which provides histological assessment of the surgical margin, is attractive as it enables the surgeon to intraoperatively demonstrate the oncologic safety of an nerve sparing radical prostatectomy procedure. In light of the promising results reported for mpMRI and IFS separately, we hypothesized that their combined use would improve the oncological outcome and functional results.