15 March 2013

Prostate cancer incidence in mainland China has increased in recent years and more urological researchers are expanding their coverage and clinical studies to tackle the growing challenges in uro-oncology.

The President-Elect of the Chinese Urological Association (CUA), Prof. Ying-Hua Sun (CN), yesterday mentioned this challenge during the joint session of the EAU and CUA. According to Sun, the incidence of prostate cancer is increasing in the country and since 2006 it has been the most prevalent urological cancer in Chinese men. Sun mentioned the newly established Chinese Prostate Cancer Consortium (CPCC), a multidisciplinary group to stimulate research on prostate cancer.

“As you all know, China is a developing country: everything is developing, including prostate cancer,” Sun said. He stressed the need for the Chinese urological community to contribute to the field of uro-oncology: “The focus of Chinese research on prostate cancer should be on innovation of treatment techniques, as well as on finding biomarkers and infusion genes”. Session chairman Prof. Christopher Chapple (GB), congratulated Sun with the establishment of the CPCC and agreed that their focus on “patient-oriented pathways” is the right direction as experienced by the EAU in its own strategies. Chapple expressed his enthusiasm regarding a close collaboration between the CUA and the EAU.

In the session on reconstructive surgery, Dr. Ying-Long Sa (CN) presented a 10-year study on oral mucosal grafts, which recruited 328 patients. “No single technique is appropriate for all tissues,” he said, stressing the use of oral mucosal grafts. “Some important advantages of oral mucosal grafts are the absence of visible external scars and relatively low complication rates. Moreover, the surgical technique is simple and safe, but the key to success is blood supply,” Sa concluded.

Chapple, who spoke on reconstructive urology of the urethra, concurred with Sa’s conclusions and recommendations on oral mucosal grafts. On the other hand, he also emphasised that urologists should keep patient-oriented outcomes in mind. “For us as surgeons, an open urethra is considered as success, but for patients sexual function is an important factor that should not be overlooked”. \

Chapple also emphasised  the importance of the size of Sa’s study. The number of patients included in this single study already exceeded the number of patients in all current English literature on urethral reconstruction, said Chapple as he concluded that China’s role in urological research will become increasingly important, primarily due to the size of its population.

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