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Central European Journal of Urology

Marek Roslan, Michal Borowik, Maciej Przudzik
No abstract text is available yet for this article.
2018: Central European Journal of Urology
Przemysław Bombiński, Michał Brzewski, Stanislaw Warchol, Agnieszka Biejat, Marcin Banasiuk, Marek Gołębiowski
Introduction: Diuretics improve visualization of the urinary tract in computed tomography urography in adults, as well as in magnetic resonance urography in adults and children. Also, diuretics can help to diagnose upper urinary tract obstruction in intravenous urography, ultrasonography or dynamic scintigraphy. However, there are still missing data on evaluation of furosemide usefulness in computed tomography urography examinations in children with suspected congenital anomalies of the urinary tracts...
2018: Central European Journal of Urology
Alaa Moubasher, Heba Sayed, Eman Mosaad, Ahmed Mahmoud, Fawzy Farag, Emad A Taha
Introduction: To characterize sperm dynamic motility patterns and chromatin integrity in infertile men with leukocytospermia. Material and methods: Fifty patients with primary infertility and oligoasthenoteratozoospermia included in this prospective, controlled, blind study. All patients underwent clinical evaluation, semen peroxidase stain, computer aided semen analysis (CASA), sperm DNA integrity evaluation with acridine orange test (AOT) and fluorescence in situ hybridization (FISH) analysis of 18, X and Y chromosomes...
2018: Central European Journal of Urology
Giuseppe Giusti, Antonello De Lisa
Percutaneous nephrolithotripsy (PCNL) has become a common procedure performed in patients with large renal calculi. Hemorrhage is the most frequent complication of this procedure. Transcatheter renal artery embolization is an effective and minimally invasive treatment option for acute renal bleeding but it is not without risks. In the case we describe, a big stone originated on embolization coils which migrated inside the renal pelvis after a previous PCNL and transcatheter artery embolization. We show that a new percutaneous approach is feasible and allows for the fragmentation of the stone and full clearance of fragments and coils...
2018: Central European Journal of Urology
Ahmad A Elderwy, Mohamed Gadelmoula, Mohammed A Elgammal, Diaa A Hameed, Hosny M Behnsawy, Mahmoud M Osman, Adel Kurkar
Introduction: Obstructive anuria can be managed by primary ureteroscopy (URS) or deferred URS after initial ureteral stenting. We want to compare the primary URS and deferred URS in the management of calculus anuria regarding the feasibility and clinical outcome. Material and methods: Between January 2012 and December 2014, 150 patients with anuria due to ureteral calculi were prospectively randomized according to the timing of ureteroscopic intervention into two groups; deferred URS group (69 patients who were treated initially by ureteral stenting) and primary URS group (81 patients who were treated by emergency URS)...
2018: Central European Journal of Urology
Thomas James Johnston, Joyce Baard, Jean de la Rosette, Steeve Doizi, Guido Giusti, Thomas Knoll, Silvia Proietti, Marianne Brehmer, Esteban Emiliani, Daniel Pérez-Fentes, Palle Jorn Sloth Osther, Christian Seitz, Naomi Neal, Ben Turney, Mudhar Hasan, Olivier Traxer, Oliver Wiseman
Introduction: We assessed the clinical performance of a new digital single-use flexible ureteroscope (UscopePU3022). Material and methods: A prospective cohort study was carried out across 11 centers (July-Oct. 2017). The UscopePU3022 was assessed regarding ease of insertion; deflection, image quality, maneuverability and overall performance using either a visual analog* or Likert scale. Results: A total of 56 procedures were performed in 11 centers (16 surgeons) with the indication being renal stones in 83%...
2018: Central European Journal of Urology
Peter Petros, Burghard Abendstein
Introduction: Current thinking is that chronic pelvic pain of unknown origin (CPPU) is poorly understood and its treatment is empirical and ineffective. According to the Integral Theory System (ITS), however, CPPU is secondary to uterosacral ligament (USL) laxity which is associated with bladder and bowel symptoms and all are potentially curable by surgical reinforcement of USLs. Material and methods: We applied the ITS to anatomically explain the pathogenesis and cure of these conditions...
2018: Central European Journal of Urology
Peter Petros, Klaus Goeschen, Hiromi Inoue
Introduction: The aim of this study was to compare the posterior fornix syndrome (PFS), (abnormal bladder emptying, urge, frequency, nocturia, chronic pelvic pain) cured/improved by uterosacral ligament (USL) ligation, with 'underactive bladder' (UAB) [2], whose cause and cure of UAB are said to be unknown [2]. Material and methods: A limited literature search was carried out for the words posterior fornix syndrome; obstructed micturition; post-void residual. Results: We found the diagnostic criteria used for UAB to be identical with PFS...
2018: Central European Journal of Urology
Peter Petros, Burghard Abendstein, Michael Swash
Introduction: The aim of this study was to independently evaluate idiopathic urinary retention and other known Fowler's syndrome (FS) descriptions in 24 women treated for posterior fornix syndrome (PFS) by reinforcement of the uterosacral ligaments (USL) using the tissue fixation system (TFS). Material and methods: The main inclusion criterion was: idiopathic urinary retention with post-void residual urines (PVR) >100 ml. Results: The mean patient age was 63 years (range 32-87)...
2018: Central European Journal of Urology
Dmitry Pushkar, Andrey Vinarov, Leonid Spivak, Konstantin Kolontarev, Mikhail Putilovskiy, Elena Andrianova, Oleg Epstein
Introduction: In order to investigate the efficacy and safety of Afalaza in men with benign prostatic hyperplasia (BPH) at risk of progression, this multicenter, double-blind, placebo-controlled, randomized clinical trial was performed. Derived by technological treatment of antibodies to prostate-specific antigen (PSA) and endothelial nitric oxide synthase (eNOs), Afalaza was previously proved to modulate its molecular targets. The mechanism of action of the drug is associated with the modulating effect of the antibiodies (RA-Abs) on the molecular targets (PSA and eNOS) by way of conformational changes...
2018: Central European Journal of Urology
Kamil Szeliski, Jan Adamowicz, Agata Gastecka, Tomasz Drewa, Marta Pokrywczyńska
Introduction: Prostate cancer (PCa) is the most common type of cancer among men in Europe. Current recommendations for screening and diagnosis are based on prostate-specific antigen (PSA) measurements and the digital rectal examination (DRE). Both of them are triggers for prostate biopsy. Limited specificity of the PSA test brings, however, a need to develop new, better diagnostic tools. Several commercially available variations of the PSA test including: prostate health index (PHI), 4Kscore as well as molecular PCA3 score, have already revealed its value, lowering the number of unnecessary biopsies...
2018: Central European Journal of Urology
Herney Andrés García-Perdomo, Maria Juliana Chaves, Julio Cesar Osorio, Adalberto Sanchez
Introduction: To identify the association between the TMPRSS2:ERG fusion gene, their variants and the onset of localized prostate cancer. Material and methods: A systematic search strategy was carried out through MEDLINE, EMBASE, LILACS, CENTRAL and unpublished literature. We included randomized control trials, cohort, case-control and cross-sectional studies that involved patients >18 years-old assessing the association between TMPRSS2 fusion gene, its single nucleotide polymorphisms and prostate cancer...
2018: Central European Journal of Urology
Francesca New, Sally Deverill, Bhaskar K Somani
Introduction: Prostate cancer is the most common cancer amongst men in the UK. Treatments for malignant ureteric obstruction consist of percutaneous nephrostomy, ureteric stent insertion, or occasionally other forms of urinary diversion. Our aim was to look at the outcomes of percutaneous nephrostomy (PCN) in patients with advanced prostate cancer and to look at the impact on patient's general health, quality of life, life expectancy and complications after PCN insertion. Material and methods: A systematic review of the literature was done for all prospective English language articles on PCN in patients with prostate cancer using PubMed, MEDLINE, EMBASE, Scopus, CINAHL, Cochrane library, Clinicaltrials...
2018: Central European Journal of Urology
Paweł Wieczorek, Marta Bałut-Wieczorek, Milosz Jasinski, Waldemar Szabłoński, Andrzej Antczak
Introduction: There is a need for a new biochemical marker of aggressive prostate cancer (PCa). Inosine monophosphate dehydrogenase 2 (IMPDH2) is a candidate for such a marker - its activity is increased in certain tumors and neoplastic cell lines, including PCa, and may correlate with cancer aggressiveness. Material and methods: IMPDH2 levels were measured in blood samples from 34 PCa patients. The results were analyzed and correlated with prostate-specific antigen (PSA), digital rectal examination (DRE), Gleason score, risk groups according to d'Amico and metastatic disease...
2018: Central European Journal of Urology
Piotr Kania, Maciej Salagierski
Introduction: During laparoscopic procedures, the surgeon's control on target field visualization as well as optimal and steady vision can be achieved by using a camera holder. The article presents our preliminary experience with the use of a voice controlled robotic camera holder during 3D laparoscopic radical prostatectomy (3D LRP). Material and method: Thirty patients were prospectively enrolled and underwent either 3D LRP with the use of a voice controlled robotic camera holder (study group) or 3D LRP with the surgeon holding the camera (control group)...
2018: Central European Journal of Urology
Endre Zoltan Neulander
Introduction: The articulated Endo GIA stapler has proven itself as an important addition to the technical armamentarium of radical cystectomy (RC) [1]. RC in female patients is technically more challenging than in males, especially when improved functional results and life quality issues, such as vaginal preservation and nerve sparing, are pursued. Additionally, the use of the endo stapler reduces bleeding in female cystectomy [1]. Material and methods: Using the Endo GIA stapler, we performed the lateral vaginal dissection during RC (radical cystectomy) in 7 female patients with minimal blood loss and very good functional results...
2018: Central European Journal of Urology
Rubén G Bengió, Leandro Cristian Arribillaga, Javier Epelde, Sergio Orellana, Ariel Montedoro, Verónica Bengió, Esteban Cordero, Matías Guevara
Introduction: The aim of this study was to describe the prognostic impact of microvascular invasion (MVI) in patients with non-metastatic renal cell cancer. Material and methods: We carried out a retrospective, descriptive and analytical study of patients with non-metastatic renal cell carcinoma who had undergone a radical or partial nephrectomy. Patients were divided according to the presence of MVI. In each group, clinical and pathological characteristics were evaluated...
2018: Central European Journal of Urology
Leonid Rapoport, Ofer Yossepowitch, Evgeniy Shpot, Denis Chinenov, Yaroslav Chernov, Maria Yurova, Dmitry Enikeev
Introduction: Oncological remission along with high postoperative functionality [continence and erectile function (EF)] are the main aspects of prostate cancer (PCa) treatment. The aim of this study was to compare functional and oncological treatment results achieved after a nerve-sparing radical prostatectomy (RP) via transperitoneal (TPRP), extraperitoneal (EPRP) and robot-assisted (RARP) approach. Material and methods: From March 2015 to March 2016, 507 RP were performed at the Institute for Urology and Reproductive Health (Moscow, Russia)...
2018: Central European Journal of Urology
Jennifer Kranz, Daniel Schlager, Petra Anheuser, Sandra Mühlstädt, Benedict Brücher, Tanja Frank, Dimitri Barski, Roman Mayr, Andreas Lunacek, Eric Francis Macharia-Nimietz, Joachim A Steffens, Johannes Grolle, Alexandre Pelzer, Laila Schneidewind
Introduction: To compare earlier and later patient groups with Fournier's gangrene, specifically with the incidence of rising antibiotic resistance rates in mind. Primary endpoints were to compare therapy, outcomes, and resistance rates. Material and methods: A multicentric, retrospective, multi-national study was performed. Two groups with different time frames of treatment were defined: Group 1 (n = 50) and Group 2 (n = 104). Demographics and outcomes were analysed using Student-t test, chi-square test, or Fisher exact test...
2018: Central European Journal of Urology
Carlos Gasanz, Carles Raventós, Jordi Temprana-Salvador, Marielle Esteves, Carla Fonseca, Inés de Torres, Juan Morote
Introduction: Bladder reconstruction without using the intestine remains a challenge to this day despite the development of new biomaterials and cell cultures. Human bladder engineering is merely anecdotic, and mostly in vitro and animal studies have been conducted. Material and methods: In our study using a porcine model, we performed a bladder augmentation using an autologous parietal peritoneum graft (peritoneocystoplasty) and determined whether the attachment of an acellular collagen-elastin matrix (Group 1) or lack of (Group 2) had better histologic and functional results...
2018: Central European Journal of Urology
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