2 nd Edition

26th World Congress on Endourology and SWL • Shanghai • November 30th - December 4th, 2008

Upcoming WCE 2009:The upcoming WCE Congress takes place in Munich. The Con-gress News asked the designated congress president Jens Rass-weiler, MD, about his goals for the WCE Congress 2009. Page 2

CMJ-region:Ischemic-reperfusion injury (IRI) is defined by damage to tissue caused when blood supply returns after a period of ische-mia. The absence of oxygen and nutrients from blood results in a cascade of events. Page 4

Advances in Imaging:The advent of multidetector CT scanners has yielded imaging that is faster with higher resolu-tion and less artifact. The older, axial CT scanners were, in com-parison, very slow and limited in capability. Page 9

HIFU Update:HIFU has emerged as a pro-mising definitive local therapy for prostate cancer with en-couraging efficacy and morbi-dity outcomes in the mid-term. Longer term follow-up will result in greater clarity of the role of HIFU. Page 9

Stents:For three decades, intraureteral tubular devices have been used to maintain ureteral patency. The contribution of the stents to modern urology is invaluable since these materials are tightly associated to everyday urological practice. Page 10

Robotic Radical Prostatectomy:The appeal for RRP continues to expand exponentially to patients and surgeons alike. RRP is likely to be the newly accepted surgical approach worldwide of localized prostate cancer once the cost co-mes down. Page 12

Index

SHANGHAI (mf) – Two days have gone now since the congress has been opened by Na Yanqun, MD, and Sun Yinghao, MD. Two exci-ting days with a lot of interesting talks, live-surgery, video and pos-ter-sessions.

The scientific program has co-vered a wide array of topics on

endourology: the latest advances in basic science, clinical preventi-on and treatment of endourologi-

cal diseases, as well as hands-on courses, and live-case transmissi-on. The robot surgery, single-port laparoscopy, and natural orifice translumenal endoscopic surgery (NOTES) are expected to be the hot spots in the near future. Mini-in-vasive treatment of BPH which is more safe and effective than the traditional surgery will be deve-

loped and widely applied and will play a important role on the WCE 2009. For this big program, a lot of commitment of both presidents is needed. Foremost, Sun showed a lot of dedication - not only in pre-paring the WCE Congress 2009. He also helped during the big earth-quake of Sichuan in May 2008, by taking profit from his military and clinical background.

Back from Sichuan, the congress preparation stood in the centre of attention. ”And so the meeting turns into success“, the congress president said. A total of 1,700 abs-tracts, posters and videos will ha-ve been presented during the 26th

WCE Congress in Shanghai. 1,400 visitors from China and 900 visitors from abroad re-presenting over 30 countries show a wide range of interest. Especially visitors from Asian countries attend the congress but also visitors from Mexico and Brasil are present. ”The congress shows the role of growing China especially in urology which has developed rapid-ly along with its country’s economy and society. The history of Chinese endourology dated back to the ear-ly 1980s. After 20 years of efforts, this technology has been generally used in large hospitals, usually in

major cities. WCE 2008 in China has a very impor-tant role in promoting the development of Chinese endourology”, the congress president commented. The boost of Chinese urology is directly linked to the large patient population in China. China has about 1.3 billion people, 20 percent of the world‘s total. Chi-nese urologists are faced with big challenges as well

as new opportuni-ties in providing highest standards of urological care to such a huge po-pulation. And the Chinese urologists are able to face this big challenge: “Chinese urolo-gists have abun-dant experiences on operating tech-niques. But the de-velopment of novel equipments needs to be boosted and innovative capa-bility needs to be

improved”, the president stated. The hosts of the WCE 2008, SIU 2009 and ICS 2012 could be a symbol of the development in the field of urology in China. The congress will provide an excellent opportunity for scien-tific and cultural exchange. W

Meeting becomes successfulSun singing together with Dong Wenhua opened the great show of endourology

SHANGHAI (mf) – The Shang-hai WCE Congress 2008 is rea-ching the end. Some urologists may stay a bit longer in China to uncover the spirit of the land in the east.

The trips within the social pro-gram will bring them to anci-

ent places like Xi’an or the Chinese Great Wall after the congress. But the view now is turning to Munich and the WCE Congress next year. Jens Rassweiler (Heilbronn), MD, and Christian Chaussy (München),

MD, plan also a big event in the Bavarian capital. Then the congress will come back to the birth place of one of the most important novel techniques in Urology, the Extra-corporeal Shock Wave Lithotripsy (ESWL). The last WCE Congress in Germany was 24 years ago. It was organized by Peter Alken, MD in Mainz. Now Rassweiler and Chaus-sy will invite you to a meeting with a lot of highlights:? Breakfast Seminars focussing on

all important issues of Endouro-logy and Laparoscopy

? Live-Surgery Session? State of the Art Lectures (ie.

Working Ergonomy, New Robo-tic Systems, The Role of Training in Endourology, Navigated Sur-gery)

? Debates on controversial issues (i.e. the value of single-port surgery, the role laparoscopic radical cystectomy, the role of focal therapy for renal and prostate cancer, the advantages of robotic versus laparoscopic surgery, How dangerous is ES-WL?)

? Instructional Courses (How do I do it, tips and tricks; Update on SWL-technology)

? Video-poster-session with the poster displayed on a flat screen (16:9) allowing the demonstrati-on of animated pictures or vi-deos.

? Oral and video sessions according to the submitted abs-tracts.� W

For more information, please read the interview with Jens Rassweiler, MD on the following page.

Back to the roots of urologyGermany will host the WCE Congress 2009

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One of the many chinese acts during the Welcoming Dinner

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Sun, MD, during the Welcoming Dinner on Sunday

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World Congress on Endourology and SWLPage 2 2nd edition – Shanghai 2008

HEILBRONN (mf) - The upcoming WCE Congress takes place in Mu-nich (Germany) - the heart of Ba-varia. The Congress News asked the designated congress president Jens Rassweiler, MD, Heilbronn (Germa-ny), about his goals for the WCE Congress 2009.

CN: The WCE Con-gress 2009 takes place in Germany. There are a lot of important cities in this small country. Why did you as the future WCE President choose the city of Mu-nich as the location of the congress 2009?

Rassweiler: Mu-nich is an excellent place for any World Congress in Medicine with all the culture and local flavor of Bava-ria. In addition, Munich represents the birth place of one of the most important novel techniques in uro-logy, the Extracorporeal Shock Wave Lithotripsy (ESWL). ESWL or SWL has revolutionized the managament of urolithiasis, which was one of the reasons to start with the World Con-gress on Endourology & SWL. I am very happy to have Prof. Christian Chaussy as Scientific Chairman and Co-organizer of the Congress. He has treated the first patient worldwide with SWL in 1980 in Munich at the Department of Urology, University of Munich-Großhadern.

CN: The motto of the soccer world championship 2006 in Germany was “A time to make friends”. What is your slogan for the WCE Congress 2009?

Rassweiler: "Munich salutes End-ourology“. Of course, the congress will offer a platform to make friends, but also to receive medical educa-tion provided by the top-experts of the World. This is reflected already by the German Organizing Commit-tee and the International Scientific

Board. We are happy that so many of our well-known colleagues and friends will help us to organize this important meeting.

CN: There is no WCE Congress without live operations. What will be the technical highlights of the upco-

ming congress in Munich?Rassweiler: We are

planning to offer a Live-Surgery-Session almost everyday (from Wednes-day through Friday). Like at the WCE-meeting 2005 in Amsterdam organized by Prof. De la Rosette, the-se Live-Surgery-Session will focus on the different topics of the Congress, such

as the treatment of BPH (ie. bipolar TUR, Lasers), improved diagnosis of bladder tumors (ie. PDD, NBI) – new techiques and instruments in endourology (ie. flexible URS with tip at the chip-technology, HDTV-systems), percutaneous techniques,

focal therapy for the treatment of loca-lized prostate and re-nal cancer (ie. HIFU, Cryotherapy) – lapa-roscopic and percu-taneous techniques for the management of pelvic floor disor-ders – Navigated la-

paroscopic and robot-assisted sur-gery. Of course, we cannot antici-pate the entire program now, but we are keen to present the latest tech-niques in Munich. The Live-Surge-ry will take place at the Depart-ments of Urology, Medical School Rechts der Isar in Munich (Head: Prof. Dr. Jürgen Gschwendt), Me-dical School of Regensburg (Head. Prof. Dr. Wolfgang Wieland), and the Klinikum Harlaching (Head: Prof. Dr. Christian Chaussy).

CN: Endourology provides a lot of discussible topics. Could you give us an overview of the program of the WCE Congress 2009?

Rassweiler: Basically, we plan to follow the structure of the last years. We will have:➤ Breakfast Seminars focussing on

all important issues of endourolo-gy and laparoscopy

➤ Live-Surgery-Session➤ State-of-the-Art Lectures (i.e. Wor-

king Ergonomy, New Robotic Sys-tems, The Role of Training in Endo- urology, Navigated Surgery)

➤ Debates on controversial issues (i.e. The Value of Sing-le-port Surgery, The Ro-le Laparoscopic Radical Cystectomy, The Role of Focal Therapy for Renal and Prostate Cancer, The Advantages of Robotic versus Laparoscopic Sur-gery, How Dangerous Is ESWL?)

➤ Instructional Courses

(How I Do It, Tips and Tricks; Up-date on SWL-Technology)

➤ Video-Poster-Session with the poster displayed on a flat screen (16:9) allowing the demonstration of animated pictures or videos.

➤ Oral and video sessions according to the submitted abstracts.The morning will be dedicated to

the Plenary Sessions and the after-noon to the various submitted pre-sentations. According to the further development of minimally invasive techniques, oncologic treatment will play an important role beside the classical field of the treatment of urolithiasis.

CN: The last WCE Congress in Germany took place 24 years ago. It was organized by Prof. Peter Alken in Mainz. Since that time, urology has developed really fast. There are a lot

of technical improvements. What are the biggest changes in endourology?

Rassweiler: Besides ESWL, which was in its infancy at that time, the entire endourological and laparosco-pic techniques have developped so fast with an enormous improvement of the instruments, video technology and armamentarium including the implementation of robotic-assisted surgery. The endoscopy of the entire urinary tract from the meatus to the papilla has become a routine proce-dure. The use of the DaVinci device has taken over open prostate surgery in the United States. All these move-

ments, nobody even closely anticipa-ted in the year 1984!

CN: Rainer Engel, MD, curator of the William P. Didusch Museum of the American Urological Association, said at the last big German congress of urology in Stuttgart: “Germany is the inventor of modern urology”. Could you tell us why?

Rassweiler: Indeed, a lot of the modern innovations have been pi-oneered in Germany, such as SWL, URS, PCNL. The main reason for this represents the fact, that the key-manufacturers for endoscopic sur-gery (i.e. Karl Storz, Richard Wolf, Olympus-Winter&Ibe) as well as for medical technology (i.e. Dornier, Sie-mens) are located in Germany. It is evident, that the transfer from bench to bedside was relatively easy. But of course, these developments represent only a small part of the entire sci-entfic progress in endourology that has been ongoing during the last two decades.

CN: How important is the German role in urology today?

Rassweiler: I think, that Germany still plays an important role in the entire field of urology. One reason for this may be attributed to the German Urological Education, which is not focused on super-specialization, but

more on a general application of sur-gical and medical therapy in urology. Based on this, German urologists are still working as uro-radiologists (i.e. doing there own percutaneous punc-ture), are experts in uro-sonography including color-duplex, mostly ad-minister chemotherapy, are perfor-ming pediatric urologic surgery, and perform uro-onclogic surgery. As a consequence, the implementation of laparoscopy for the management of uro-oncological indications was re-latively easy. This was also favoured by the existing structure of office urologists and tertiary referal cen-

tres.

CN: What are the urologi-cal specialities with the biggest technical capability?

Rassweiler: I believe, that urological surgery will still play the most important role, at least within the next ten years. Herein, laparoscopic, robot-as-sisted, but also focal ablative therapy will gain increasing attention, and of course, the management of BPH will still afford operative interventions be it either by laser or high fre-quency current.

CN: Let us take a look into the fu-ture. What would be important upco-ming inventions in urology?

Rasswe i le r : This is the most difficult questi-on. We have to admit, that af-ter the waves of SWL/Endouro-logy in the ear-ly eightees, the wave of laparos-copy in the early ninetees, and the wave of robotic surgery during the last years, ac-tually no future wave of any no-vel technology can be seen at the horizon. I personnally, think that any new treatment modality will be based on significant improvements in imaging. This would then allow to integrate these diagostic infor-mations (i.e. the exact localization of a prostatic carcinoma) into robot-assisted treatment systems of focal therapy (i.e. HIFU) or into soft tissue navigation devices of any kind of endoscopic surgery. But it is hard to predict the future!

CN: Prof. Rassweiler, thank you for answering the questions. W

„Munich salutes Endourology“The upcoming WCE Congress takes place in Germany - the land of modern innovations

Urological surgery will still play the most important role in urology in the next ten years

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The Residenz was the home of the Bavarian dukes, electors and kings. The building is an awesome mixture of baroque, renaissance, rococo and classicism style.

The Hofbräu Haus is one of the most popular beer taverns in the world.

The Marienplatz is the heart of the Bava-rian capital.

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