[Laparoscopic radical cystectomy and orthotopic urinary diversion in the male patient: technique]. / Técnica de cistectomía radical laparoscópica y derivación urinaria ortotópica en el varón.

Radical cystectomy with extended pelvic lymphadenectomy remains the treatment of choice for muscle invasive bladder cancer and non-metastatic chorion-invasive high grade tumors resistant to treatment with intravesical chemotherapy. During the last decade the procedure has been refined and we have acquired the skills necessary to perform it using the laparoscopic approach. In this way, the oncologic and functional outcomes obtained can be compared to those of its open counterpart. This article describes in detail the technique of radical cystoprostatectomy and urinary diversion in the male patient conducted by our group in an attempt to improve the knowledge and spread of this always difficult procedure.

[Upper urinary tract tumors: endourological management and treatment]. / Manejo endourológico y tratamiento con láser de los tumores del tracto urinario superior.

The propensity of upper tract transitional cell carcinoma towards recurrence and the limitations of upper tract endoscopy have led to nephroureterectomy being the gold standard treatment, even though major open surgery risks outweigh the risks of cancer. Thus, removal of the entire unit may not be warranted when the tumor can be safely controlled endoscopically. Recent advances in technology and techniques have permitted the effective endourologic management of upper transitional cell carcinoma.