Amerika Üroloji Derneği-Avrasya Üroloji Platformu Toplantısı (AUA-EUP)

Türk Ürolojisinde son 20 yıldır gerçekleştirilmesi düşünülen Amerika Üroloji Derneği (AUA) ile ortak toplantı düzenleme fikri 2012 yılında “AUA-Avrasya Üroloji Platformu Toplantısı” adı altında gerçekleşmiştir. Dört saat süren toplantı 2 saati Türkiye’den gönderilen bildirilerden oluşan poster oturumu ve diğer 2 saatlik 2. bölümü onkoloji-androloji alanlarında dünya çapında uzmanların akademik katkıda bulunduğu seminer oturumlarından oluşmuştur.

Toplantının birinci ayağını oluşturan Türk Üroloji Derneği-Amerika Üroloji Derneği (TÜD-AUA) ortak poster oturumlarına İstanbul Tıp Fakültesinden Dr. İsmet Nane, Karaelmas Tıp Fakültesinden Dr. Bülent Akduman, Beyrut Tıp Merkezinden Dr. Raja Khauli, Ankara Tıp Fakültesinden Dr. Önder Yaman başkanlık etmiştir. İki ayrı oturumda onkoloji, androloji, endoüroloji ve genel ürolojiden toplam 21 poster bildirisi sunulmuş ve tartışılmıştır. Uluslar arası platformda İngilizce olarak sunulan bildiriler hem bilimsel paylaşım hem de genç ürologların sunu tecrübesine katkıda bulunmuştur.

Toplantının ikinci ayağı ise Türk Üroloji Derneği ve Avrasya Üroloji Platformu başkanı Dr. Ateş Kadıoğlu’nun açılış konuşmasıyla başlamıştır. Onkoloji-endoüroloji oturumuna Dr. Khauli başkanlık ederken, androloji oturumun başkanlığını Dr. Ateş Kadıoğlu yapmıştır.

ONKOLOJİ OTURUMU

Onkoloji oturumunda parsiyel nefrektomi cerrahisi her yönüyle tartışılmıştır. Oturumun ilk bölümünde sağlıklı böbrek dokusunun korunmasında endoürolojik tekniklerin rolü ele alınmıştır. Dr. Alexander Greenstein ,Tel-Aviv Üniversitesinden İsrail Üroloji Derneği başkanı, parsiyel nefrektomide iskeminin süresinin sınırının ne kadar olması gerektiği konusunu ele almıştır. Dr. John Libertino ,Lahey Burlington Kliniği, sıfır iskemi ile cerrahinin mümkün olup olmadığını tartışmış ve laparoskopik ve robotik parsiyel nefrektomi bu açıdan karşılaştırmıştır. Dr. Li Ming Su’nun ,Florida Üniversitesi Tıp Fakültesi, görsel ağırlıklı sunusunda laparoskopik ve robotik parsiyel nefrektominin komplikasyonları ve bunlara yaklaşım konusu ele alınmıştır.

Parsiyel nefrektomide cerrahların en önemli ikilemi olabildiğince çok nefronu korurken, cerrahi sınır pozitifliğini engellemektir. Onkolojik cerrahinin ana prensibi olan tümörün tamamen çıkartılması ilkesi burada da geçerlidir çünkü cerrahi sınır pozitifliğinde nüks ve metastaz ihtimali artmaktadır. Onkoloji oturumunun ikinci ayağı parsiyel nefrektomiyi bu onkolojik ilkeler üzerinden değerlendirmiştir. Dr. Raja B. Khouli parsiyel nefrektomide cerrahi sınırı tartıştıktan sonra kapanışta Dr. Derya Balbay, Memorial Şişli, lokal nükse yaklaşım konusunu ele almıştır.

ANDROLOJİ OTURUMU

Androloji oturumundaki konuşmalar dünya çapındaki uzmanlar tarafından gerçekleştirilmiştir. Dr. Larry Lipshultz ,Baylor Tıp Fakültesi, varikosel kaynaklı infertilitenin patofizyolojisini ve etkinliğini değerlendirmiş sonrasında da Dr. T.F. Lue ,California Üniversitesi San Francisco, 2005’ten itibaren popüler bir araştırma konusu olan erektil disfonksiyonda kök hücre tedavisini tartışmıştır. Avrasya Üroloji Platformuandrolojide zor vakaları konu alan, Dr. Kadıoğlu’nun yönettiği ve Dr. Lue, Dr. Lipshultz ve Dr. David Ralph’ın, St Peter's Androloji Merkezi, katıldığı bir panel ile son bulmuştur.

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