(UroToday.com) In a podium presentation in the Renal Cancer I – Localized session at the 19th Meeting of the EAU Section of Oncological Urology, Dr. Giusti presented on advances in conservative treatment approaches in patients with upper tract urothelial carcinoma (UTUC). He began by emphasizing that conservative treatment should be preferred for patients with low-grade disease which radical nephroureterectomy is preferred for patients with high-grade disease or high volumes of disease. While the guidelines recommend kidney sparing surgery for patients with low-risk disease, he emphasized that there are few details provided in the guideline. However, it is emphasized that flexible ureteroscopy should be performed and that complete tumor resection or destruction is necessary.