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International Urology and Nephrology

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https://read.qxmd.com/read/30989565/acute-kidney-injury-in-patients-with-hellp-syndrome
#1
Wenling Ye, Hong Shu, Yang Yu, Hang Li, Limeng Chen, Juntao Liu, Xue-Mei Li
PURPOSE: To evaluate the risk factors and renal prognosis of acute kidney injury (AKI) in patients with hemolysis, elevated liver enzymes, and low platelet count (HELLP) syndrome. METHODS: Women with HELLP syndrome over a 15-year period at Peking Union Medical College Hospital, China, were retrospectively studied. RESULTS: A total of 108 patients with HELLP syndrome were included. Fifty-two (48.1%) patients were diagnosed with AKI (median serum creatinine, 139...
April 15, 2019: International Urology and Nephrology
https://read.qxmd.com/read/30989564/the-efficacy-and-safety-of-immunosuppressive-agents-plus-steroids-compared-with-steroids-alone-in-the-treatment-of-henoch-sch%C3%A3-nlein-purpura-nephritis-a-meta-analysis
#2
REVIEW
Jiaxing Tan, Yi Tang, Zhengxia Zhong, Siyu Yan, Li Tan, Padamata Tarun, Wei Qin
BACKGROUND: Henoch-Schönlein purpura nephritis (HSPN) is the most severe symptom of Henoch-Schönlein purpura. The role of immunosuppressive agents combined with steroids is controversial in treating HSPN. Our meta-analysis was performed to assess the efficacy and safety of the combined therapy in the treatment of HSPN compared with steroids alone. METHODS: Cochrane Library, Pubmed, Embase, and Web of Science were searched and Newcastle-Ottawa Scale was used to assess the quality of the literatures...
April 15, 2019: International Urology and Nephrology
https://read.qxmd.com/read/30989563/adjunction-of-tamsulosin-or-mirabegron-before-semi-rigid-ureterolithotripsy-improves-outcomes-prospective-randomized-single-blind-study
#3
Göksel Bayar, Muhammet Fatih Kilinc, Abdulmecit Yavuz, Mustafa Aydın
OBJECTIVE: To evaluate efficiency and safety of adjunct tamsulosin and mirabegron therapy before semi-rigid ureteroscopy for ureteral stones. MATERIALS AND METHODS: In this prospective, randomized, single-blind and multicentric study, participants were randomized into three groups. Group 1 was the control, participants in Group 2 used tamsulosin, and those in Group 3 used mirabegron. Operations were performed 7 days after drug administration. In all clinics, a 6/7...
April 15, 2019: International Urology and Nephrology
https://read.qxmd.com/read/30989562/renal-histopathology-of-prolonged-acute-kidney-injury-in-hellp-syndrome-a-case-series-and-literature-review
#4
Wenling Ye, Hong Shu, Yubing Wen, Wei Ye, Hang Li, Yan Qin, Limeng Chen, Xuemei Li
PURPOSE: Acute kidney injury (AKI) is a severe complication of hemolysis, elevated liver enzymes, and low platelet count (HELLP) syndrome. However, renal pathological investigation of AKI in this syndrome has rarely been reported. We aimed to evaluate the renal pathological changes of persistent AKI and its relationship with renal outcomes in HELLP syndrome. METHODS: Women with HELLP syndrome who had a renal biopsy because of persistent AKI were investigated. The cases describing renal pathology of AKI in HELLP syndrome reported in PubMed were also reviewed...
April 15, 2019: International Urology and Nephrology
https://read.qxmd.com/read/30982147/robot-assisted-laparoscopic-surgery-for-the-management-of-post-renal-transplant-ureteric-strictures
#5
LETTER
Kishore Thekke Adiyat, Vishnu Raveendran
No abstract text is available yet for this article.
April 13, 2019: International Urology and Nephrology
https://read.qxmd.com/read/30982146/a-new-modification-of-tubeless-cutaneous-ureterostomy-following-radical-cystectomy
#6
Arman Tsaturyan, Serine Sahakyan, Armen Muradyan, Sergey Fanarjyan, Ashot Tsaturyan
PURPOSE: Cutaneous ureterostomy is a well-established surgical technique of incontinent urinary diversion treatment. However, stoma stenosis limits widespread utilization of this technique. We present our modification of constructing single-site tubeless cutaneous ureterostomy aiming to reduce stomal complications and improve catheter-free rate of those patients. MATERIALS AND METHODS: In 2016-2017, 30 patients with 60 renal units underwent modified and 30 patients with 60 renal units standard technique...
April 13, 2019: International Urology and Nephrology
https://read.qxmd.com/read/30977021/long-term-oncological-outcomes-of-cystic-renal-cell-carcinoma-according-to-the-bosniak-classification
#7
R Boissier, I Ouzaid, F X Nouhaud, Z Khene, C Dariane, S Chkir, S Chelly, A Giwerc, C Allenet, J B Lefrancq, P Gimel, T Bodin, N Rioux-Leclercq, J M Correas, L Albiges, J F Hetet, P Bigot, J C Bernhard, J A Long, A Mejean, K Bensalah
OBJECTIVES: To evaluate the prognostic role of the Bosniak classification on the long-term oncological outcomes of cystic renal cell carcinomas. MATERIAL AND METHOD: In a national multicentric retrospective study, we included patients treated surgically for localized cystic RCC from 2000 to 2010. Patients with a follow-up of less than 4 years, benign tumors, and ablative treatments were excluded. The primary outcome was disease-free survival. RESULTS: 152 patients met the inclusion criteria: Bosniak II (6%), III (53%), IV (41%), with a median follow-up of 61 (12-179) months...
April 12, 2019: International Urology and Nephrology
https://read.qxmd.com/read/30977020/response-to-the-letter-to-editor-need-for-upper-urinary-tract-stenting-in-cases-of-ureteral-orifice-injury-during-laser-enucleation-of-the-prostate
#8
EDITORIAL
Dmitry Enikeev
No abstract text is available yet for this article.
April 12, 2019: International Urology and Nephrology
https://read.qxmd.com/read/30977019/salvage-treatment-for-radio-recurrent-prostate-cancer-a-review-of-literature-with-focus-on-recent-advancements-in-image-guided-focal-salvage-therapies
#9
REVIEW
Monzer Haj-Hamed, Vidhya Karivedu, Abhinav Sidana
Biochemical recurrence of prostate cancer occurs in 25-33% of patients who undergo radiation therapy (RT). Unfortunately, greater than 90% of patients with radiation recurrence undergo androgen deprivation therapy (ADT), despite the detrimental side effect profile and the lack of supporting evidence for ADT use in local recurrence. In patients who experience recurrence after treatment with RT, options for treatment include salvage radical prostatectomy (SRP), salvage cryotherapy (SCT), salvage brachytherapy (SBT), and high-intensity focused ultrasound (HIFU)...
April 12, 2019: International Urology and Nephrology
https://read.qxmd.com/read/30977018/renal-hilar-block-predicts-long-term-success-of-renal-auto-transplantation-for-loin-pain-hematuria-syndrome
#10
Jeffrey Campsen, Mitchell R Bassett, Ryan O'Hara, Robin D Kim, Eryberto Martinez, Rulon Hardman, Jeremy B Myers, Blake Hamilton
PURPOSE: In patients with loin pain hematuria syndrome (LPHS), a response to percutaneous renal hilar blockade (RHB) and a multidisciplinary team (MDT) evaluation predicts patient's potential renal auto-transplantation (RAT) success. METHODS: A pain assessment was performed using a 0-10 numeric pain rating scale prior to a percutaneous RHB under CT guidance. If the pain score was reduced > 50% immediately after the RHB, patients were evaluated for RAT by a MDT...
April 11, 2019: International Urology and Nephrology
https://read.qxmd.com/read/30977017/hypomagnesemia-is-not-an-independent-risk-factor-for-mortality-in-japanese-maintenance-hemodialysis-patients
#11
Sonoo Mizuiri, Yoshiko Nishizawa, Kazuomi Yamashita, Takayuki Naito, Kyoka Ono, Chie Tanji, Koji Usui, Shigehiro Doi, Takao Masaki, Kenichiro Shigemoto
PURPOSE: It is unclear whether hypomagnesemia is an independent risk factor or innocent bystander for mortality in maintenance hemodialysis (MHD) patients. Thus, we studied associations between hypomagnesemia and all-cause as well as cardiovascular (CV) mortality in MHD patients. METHODS: Baseline clinical characteristics and coronary artery calcium score (CACS) of 353 Japanese MHD patients were reviewed. Three-year survival rate and mortality risk factors were assessed...
April 11, 2019: International Urology and Nephrology
https://read.qxmd.com/read/30963454/lactic-acidosis-due-to-metformin-in-type-2-diabetes-mellitus-and-chronic-kidney-disease-stage-3-5-is-it-significant
#12
Ravindra Attur Prabhu, Aswani Srinivas Mareddy, Shankar Prasad Nagaraju, Dharshan Rangaswamy, Vasudeva Guddattu
PURPOSE: To study the incidence of lactic acidosis due to metformin in patients with type 2 diabetes mellitus (T2DM) and chronic kidney disease (CKD) stage 3-5. METHODS: We estimated plasma lactate in patients of CKD stage 3 and worse who were continuing metformin on their own prior to stopping the drug. RESULT: Of 40 patients included, median duration of T2DM was 60 months (interquartile range IQR 24-120). The mean serum creatinine was 309...
April 8, 2019: International Urology and Nephrology
https://read.qxmd.com/read/30963453/prognostic-impact-of-galectin-3-in-chronic-kidney-disease-patients-a-systematic-review-and-meta-analysis
#13
Tao Zhang, Shili Cao, Hongtao Yang, Jing Li
BACKGROUND: Galectin-3 as a β-galactoside-binding lectin, which has served important functions in numerous biological activities including cell growth, apoptosis, pre-mRNA splicing, differentiation, transformation, angiogenesis, inflammation, fibrosis, and host defense, may be used in prediction of clinical outcomes in CKD patients. However, the given results remain debatable and inconclusive. Hence, we performed a comprehensive meta-analysis to clarify the predictive value of galectin-3 in patients with CKD, especially ESRD patients going on dialysis...
April 8, 2019: International Urology and Nephrology
https://read.qxmd.com/read/30963452/morphologic-changes-after-bladder-neck-intussusception-in-laparoscopic-radical-prostatectomy-contribute-to-early-postoperative-continence
#14
Lin Yao, Yuke Chen, He Wang, Wei Yu, Yu Fan, Yang Yang, Yunxiang Xiao, Jihong Duan, Qian Zhang, Zhisong He, Shiliang Wu
PURPOSE: To explore the mechanism and efficacy of the modified bladder neck intussusception in laparoscopic radical prostatectomy (LSRP) on postoperative early continence. METHODS: We prospectively collected clinical information of prostate cancer patients who underwent LSRP with modified bladder neck intussusception (n = 10) and non-intussusception (n = 10). At postoperative 1 month, the prostate-specific antigen (PSA), pad test, real-time magnetic resonance imaging (rt-MRI), and flow rate were performed...
April 8, 2019: International Urology and Nephrology
https://read.qxmd.com/read/30963451/comments-on-the-article-entitled-morphologic-changes-after-bladder-neck-intussusception-in-laparoscopic-radical-prostatectomy-contribute-to-early-postoperative-continence
#15
LETTER
Jieping Hu, Qingke Chen, Bin Fu
No abstract text is available yet for this article.
April 8, 2019: International Urology and Nephrology
https://read.qxmd.com/read/30963450/commentary-to-morphologic-changes-after-bladder-neck-intussusception-in-laparoscopic-radical-prostatectomy-contribute-to-early-postoperative-continence
#16
LETTER
Daniel J Culkin
No abstract text is available yet for this article.
April 8, 2019: International Urology and Nephrology
https://read.qxmd.com/read/30955139/magnetic-resonance-imaging-characteristics-and-changes-in-hemostatic-agents-after-partial-nephrectomy
#17
Erdem Kisa, Hilal Sahin, Ozgür Cakmak, Cem Yucel, Gokhan Koc, Zafer Kozacioglu, Yusuf Ozlem Ilbey
PURPOSE: To evaluate the characteristics of images generated by magnetic resonance imaging (MRI) and changes in the mass-like lesion (MLL) during the follow-up of patients who underwent partial nephrectomy (PN) with the intra-operative use of hemostatic agents (HAs). METHODS: The records of patients who had undergone PN in our clinic due to renal mass between January 2013 and August 2018 were retrospectively reviewed. Our study included 47 patients who were administered one or more HAs during the PN and who received diffusion and dynamic MRI at the post-operative 2nd/4th Queryand 12th month...
April 6, 2019: International Urology and Nephrology
https://read.qxmd.com/read/30955138/prognostic-significance-of-maternal-urinary-carbohydrate-antigen-19-9-for-antenatal-diagnosis-of-posterior-urethral-valve-associated-with-fetal-hydronephrosis
#18
Abdol-Mohammad Kajbafzadeh, Shabnam Sabetkish, Nastaran Sabetkish
PURPOSE: To evaluate the predictive role of maternal urinary CA 19-9 as a non-invasive marker for diagnosing antenatal posterior urethral valve (PUV). METHODS: A total of 40 women in the third pregnancy trimester were enrolled. Case group (group A) consisted of 20 women with a diagnosis of antenatal PUV. Twenty women with similar gestational age, fetal sex, normal US, and no history of congenital anomalies were chosen as a control group (group B). Maternal urine samples were collected and urinary CA 19-9 was measured in both groups...
April 6, 2019: International Urology and Nephrology
https://read.qxmd.com/read/30953260/classification-of-non-gonococcal-urethritis-a-review
#19
REVIEW
Mehmet Sarier, Erdal Kukul
Non-gonococcal urethritis (NGU) is the most common disease of the genital tract in men. Recent studies have recommended avoiding the empiric antibiotic administrations that constitute the classical treatment approach in NGU and to aim toward treatment of causative pathogens. However, the classification of NGU agents remains controversial. In addition, the relevance of the commensalism of Mycoplasma hominis, Ureaplasma urealyticum, Ureaplasma parvum, and Gardnerella vaginalis, which are among the opportunistic pathogens found in the urethral flora, has yet to be determined...
April 5, 2019: International Urology and Nephrology
https://read.qxmd.com/read/30953259/do-renal-cell-carcinoma-patients-with-brain-metastases-still-need-nephrectomy
#20
Wei Zhuang, Yining Li, Panyu Chen, Jialiang Wang, Weihui Liu, Jiabi Chen
PURPOSE: To evaluate the value of nephrectomy for survival prognosis in renal cell carcinoma (RCC) patients with brain metastases (BM). METHODS: There were 933 RCC patients diagnosed with BM in SEER database from 2010 to 2014. Kaplan-Meier method and Cox regression model were used to analyze the survival prognosis. The effect of nephrectomy on overall survival (OS) was analyzed by propensity score matching. The competitive risk model was performed to explore the relationship between surgery and cancer-specific survival (CSS), and the nomogram visualization model was established by R language to predict survival rate...
April 5, 2019: International Urology and Nephrology
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