keyword
https://read.qxmd.com/read/38537231/pentafecta-evaluation-in-robot-assisted-radical-prostatectomy-by-risk-group
#1
JOURNAL ARTICLE
Víctor E Corona-Montes, Juan E Sánchez-Núñez, Rocío N Gómez-López, Gerardo Fernández-Noyola
OBJECTIVE: Radical prostatectomy is a therapeutic option in organ-confined prostate cancer. As the development of robotic systems progresses, the approach with this technology has begun to impact the functional and oncological outcomes of urological patients. The objective is to report the rate of pentafecta in patients undergoing robot-assisted radical prostatectomy (RARP) stratified by risk groups. METHOD: Retrospective, observational, descriptive study from 2013 to 2020 that included 112 patients undergoing RARP...
2024: Cirugia y Cirujanos
https://read.qxmd.com/read/38536503/vacuum-assisted-mini-percutaneous-nephrolithotomy-is-associated-with-lower-rates-of-infectious-complications-compared-to-vacuum-cleaner-procedure-in-patients-at-high-risk-for-infections-a-single-center-experience
#2
JOURNAL ARTICLE
Andrea Marmiroli, Marco Nizzardo, Stefano Paolo Zanetti, Gianpaolo Lucignani, Matteo Turetti, Carlo Silvani, Franco Gadda, Fabrizio Longo, Elisa De Lorenzis, Giancarlo Albo, Andrea Salonia, Emanuele Montanari, Luca Boeri
PURPOSE: To evaluate the impact of vacuum-assisted mini-percutaneous nephrolithotomy (vamPCNL) vs. vacuum-cleaner mPCNL (vcmPCNL) on the rate of postoperative infectious complications in a cohort of patients with high risk factors for infections. METHODS: We retrospectively analysed data from 145 patients who underwent mPCNL between 01/2016 and 12/2022. Patient's demographics, stones characteristics and operative data were collected. vamPCNL and vcmPCNL were performed based on the surgeon's preference...
March 27, 2024: World Journal of Urology
https://read.qxmd.com/read/38534980/the-assessment-of-sf-36-survey-for-quality-of-life-measurement-after-radical-cystectomy-for-muscle-invasive-bladder-cancer-a-systematic-review
#3
REVIEW
Vlad Barbos, Bogdan Feciche, Silviu Latcu, Alexei Croitor, Vlad Dema, Razvan Bardan, Flaviu Ionut Faur, Tudor Mateescu, Dorin Novacescu, Gherle Bogdan, Alin Adrian Cumpanas
This study presents a systematic review of the literature on individuals' health-related quality of life (HRQoL) following radical cystectomy for muscle-invasive bladder cancer (MIBC), utilizing the Short Form-36 Health Survey (SF-36) as a primary assessment tool. The review was designed as an exhaustive literature search across three major databases including PubMed, Scopus, and Embase up to December 2023, using the PRISMA guidelines. The selection process refined 2281 identified articles down to 11 studies meeting our inclusion criteria...
March 16, 2024: Diseases (Basel)
https://read.qxmd.com/read/38533164/the-effect-of-lymphovascular-invasion-on-short-term-tumor-recurrence-and-progression-in-stage-t1-bladder-cancer
#4
JOURNAL ARTICLE
Osman Gercek, Melih Senkol, Veli Mert Yazar, Kutay Topal
Introduction Lymphovascular invasion (LVI) is the most important stage for tumor spread and metastasis. The role of LVI in transurethral resection is not yet clear. In this study, the progression and recurrences of patients who underwent transurethral resection bladder tumor (TUR-BT) and T1 high-grade tumor and concomitant LVI were detected in pathology results and were evaluated. Methods Our study included 58 patients, who underwent TUR-BT with the suspicion of bladder cancer and were pathologically diagnosed with T1 stage bladder cancer and who did not undergo radical surgery, in the Urology Clinic of Afyonkarahisar Health Sciences University, Turkey...
February 2024: Curēus
https://read.qxmd.com/read/38531343/adjuvant-chemotherapy-after-radical-nephroureterectomy-for-upper-tract-urothelial-carcinoma-with-variant-histology-a-systematic-review-and-meta-analysis-of-survival-outcomes
#5
Jinhyung Jeon, Jae Heon Kim, Jee Soo Ha, Won Jae Yang, Kang Su Cho, Do Kyung Kim
INTRODUCTION: To determine effects of adjuvant chemotherapy (AC) on survival outcomes compared to surgery alone without AC for upper tract urothelial carcinoma (UTUC) patients with variant histology (VH). METHODS: We conducted a systematic review and meta-analysis of studies investigating AC for UTUC in Medline, Embase, the Cochrane library up to January 2023. Population, intervention, comparator, and outcome were UTUC patients with VH, radical nephroureterectomy with AC, radical nephroureterectomy only, and oncological survival, respectively...
March 26, 2024: Urologia Internationalis
https://read.qxmd.com/read/38531117/guess-who-s-coming-to-clinic-companions-in-a-pediatric-urology-clinic
#6
JOURNAL ARTICLE
Meridiana Mendez, Kurt Panganiban, Kathleen Kieran
INTRODUCTION: Understanding who accompanies children to clinic visits is necessary to engage stakeholders and tailor communication and educational materials. We undertook this study to describe the clinical companions for new patients in a general pediatric urology clinic. METHODS: This retrospective cross-sectional study included all new urology patients aged less than 18 y at a single freestanding quaternary care children's hospital in selected months of 2019 and 2022...
March 25, 2024: Journal of Surgical Research
https://read.qxmd.com/read/38530585/low-cubilin-myeloperoxidase-ratio-as-a-promising-biomarker-for-prognosis-of-high-grade-t1-bladder-cancer
#7
JOURNAL ARTICLE
Mariana Silva Medeiros, Luís André Botelho de Carvalho, Marta Alves, Ana Papoila, Hugo Miguel Baptista Carreira Dos Santos, José-Luis Capelo-Martínez, Luís Manuel Viegas de Campos Pinheiro
PURPOSE: T1 bladder cancer is known for its high progression and recurrence rates. Identifying aggressive tumours at the non-muscle-invasive stage is crucial to allow early interventions and subsequently increase patient survival. This study aimed to investigate the potential of the cubilin/myeloperoxidase (CUBN/MPO) ratio as a high-grade T1 bladder cancer biomarker. METHODS: Urine samples were collected from 30 patients who underwent transurethral resection of the tumour with high-grade T1 bladder cancer (June 2015 to December 2019) before surgery...
March 26, 2024: International Urology and Nephrology
https://read.qxmd.com/read/38530438/robotic-assisted-vs-open-ureteral-reimplantation-a-multicentre-comparison
#8
JOURNAL ARTICLE
Stefanie Ziewers, Robert Dotzauer, Anita Thomas, Maximilian P Brandt, Axel Haferkamp, Sebastian Frees, Vahudin Zugor, David Kajaia, Apostolos Labanaris, Chrysanthos Kouriefs, Cosmin Radu, Daniel Radavoi, Viorel Jinga, Cristian Mirvald, Ioanel Sinescu, Cristian Surcel, Igor Tsaur
PURPOSE: Open ureteral reimplantation is considered the standard surgical approach to treat distal ureteral strictures or injuries. These procedures are increasingly performed in a minimally invasive and robotic-assisted manner. Notably, no series comparing perioperative outcomes and safety of the open vs. robotic approach are available so far. METHODS: In this retrospective multi-center study, we compared data from 51 robotic ureteral reimplantations (RUR) with 79 open ureteral reimplantations (OUR)...
March 26, 2024: World Journal of Urology
https://read.qxmd.com/read/38530433/iatrogenic-or-recurrent-bladder-neck-contracture-treated-by-the-palminteri-ferrari-technique-a-new-way-to-approach-a-frustrating-condition
#9
JOURNAL ARTICLE
Palminteri Enzo, Simone Morselli, Luca Cindolo, Salvatore Rabito, Stefano Toso, Lorenzo Gatti, Riccardo Ferrari, Salvatore Micali, Giovanni Ferrari
PURPOSE: Bladder neck stricture (BNS) is a bothersome disease which may affect patients after trauma or prostatic surgery. It is frustrating due to the low durable success rate of currently available surgical techniques. The aim of the study is to explore the efficacy of a novel technique. MATERIALS & METHODS: The surgical protocol was developed by two high case-volume surgeons. The technique consists of Holmium laser incisions at 3-6-9-12 o'clock. Subsequently, triamcinolone acetonide 40 mg is injected...
March 26, 2024: World Journal of Urology
https://read.qxmd.com/read/38529193/a-rare-variant-of-zinner-syndrome-involving-ectopic-ureteral-implantation-into-the-seminal-vesicle-causing-recurrent-epididymitis
#10
Michael Zaliznyak, Aaron Baer, Joshua Trierweiler, Thomas Landon, Zachary Hamilton
Zinner syndrome is a rare congenital anomaly characterized by a triad of renal dysgenesis/agenesis, cysts in the ipsilateral seminal vesicle, and ejaculatory duct obstruction. Though often diagnosed in infancy, the diagnoses can be incidentally found in adults who present with nonspecific genitourinary symptoms including dysuria, ejaculatory dysfunction, or genital pain. We present an unusual case of a 29-year-old male patient who presented to the emergency department with recurrent testicular pain and hematospermia and was found to have an atrophic right kidney with an ectopic ureter implanting into a cystic seminal vesicle...
2024: Case Reports in Urology
https://read.qxmd.com/read/38526505/urological-surgical-robot-in-china-state-of-the-art-and-future-prospect
#11
JOURNAL ARTICLE
Aimin Jiang, Ying Liu, Chen Cai, Peng Luo, Linhui Wang
No abstract text is available yet for this article.
March 25, 2024: International Journal of Surgery
https://read.qxmd.com/read/38525423/application-of-three-dimensional-technology-in-video-assisted-thoracoscopic-surgery-sublobectomy
#12
Xinyu Zhang, Di Yang, Linqian Li, Jianing Wang, Si Liang, Peng Li, Zhe Han, Xiaodong Wang, Ke Zhang
BACKGROUND: Due to the widespread use of imaging techniques, the detection rate of early-stage lung cancer has increased. Video-assisted thoracoscopic surgery (VATS) sublobectomy has emerged as a prominent alternative to lobectomy, offering advantages like reduced resection range, better preservation of lung function, and enhanced postoperative quality of life. However, sublobectomy is more intricate than lobectomy, necessitating a higher level of surgical proficiency and anatomical understanding...
2024: Frontiers in Oncology
https://read.qxmd.com/read/38525302/automated-surgical-step-recognition-in-transurethral-bladder-tumor-resection-using-artificial-intelligence-transfer-learning-across-surgical-modalities
#13
JOURNAL ARTICLE
Ekamjit S Deol, Matthew K Tollefson, Alenka Antolin, Maya Zohar, Omri Bar, Danielle Ben-Ayoun, Lance A Mynderse, Derek J Lomas, Ross A Avant, Adam R Miller, Daniel S Elliott, Stephen A Boorjian, Tamir Wolf, Dotan Asselmann, Abhinav Khanna
OBJECTIVE: Automated surgical step recognition (SSR) using AI has been a catalyst in the "digitization" of surgery. However, progress has been limited to laparoscopy, with relatively few SSR tools in endoscopic surgery. This study aimed to create a SSR model for transurethral resection of bladder tumors (TURBT), leveraging a novel application of transfer learning to reduce video dataset requirements. MATERIALS AND METHODS: Retrospective surgical videos of TURBT were manually annotated with the following steps of surgery: primary endoscopic evaluation, resection of bladder tumor, and surface coagulation...
2024: Frontiers in artificial intelligence
https://read.qxmd.com/read/38524680/a-rare-complication-in-percutaneous-nephrolithotomy-clinical-case-and-implications
#14
Saleh Abdelkerim Nedjim, Hissein Hagguir Berdé, Adil Kbirou, Amine Moataz, Mohamed Dakir, Adil Debbagh, Rachid Aboutaieb
Percutaneous nephrolithotomy has become the standard procedure for the management of large kidney stones. Compared with other endo-urological techniques, it has a better fragmentation rate in a single session for kidney stones over 20 mm. It is therefore the recommended first-line treatment modality for large kidney stones. Bleeding is a well-known complication of this procedure, often requiring transfusion. In 0.8% of cases, bleeding can be severe, requiring surgical intervention to control hemostasis...
March 2024: Journal of Surgical Case Reports
https://read.qxmd.com/read/38524654/giant-retroperitoneal-myolipoma-mimicking-liposarcoma-report-of-a-resected-case-and-review-of-the-literature
#15
JOURNAL ARTICLE
Kosuke Mori, Takamichi Igarashi, Akira Noguchi, Miki Ito, Yasuhiro Nagaoka, Chitaru Takeshita, Naoya Takeda, Toru Watanabe, Isaku Yoshioka, Kenichi Hirabayashi, Tsutomu Fujii
Myolipomas are rare tumors that are often difficult to differentiate from liposarcoma. Herein, we report a case of resected giant myolipoma preoperatively diagnosed as liposarcoma. A 63-year-old woman was suspected of having a large retroperitoneal liposarcoma on October 202X. The patient was referred to our department for tumor resection and a histological diagnosis. After consultation with the urology, obstetric and gynecology, and vascular surgery departments, tumor resection was planned, including the potential resection of other organs...
April 2024: International cancer conference journal
https://read.qxmd.com/read/38523833/a-curious-case-concurrent-collecting-duct-renal-cell-carcinoma-and-upper-tract-urothelial-carcinoma
#16
Adib Rahman, Daniel Matheson, Joanna Perry-Keene, Devang Desai
A 71-year-old male presented to Urology with three weeks of overt haematuria and increasing lethargy. Contrast-enhanced CT scans revealed an 8 × 6cm partially exophytic lesion in the left kidney's upper pole, extending beyond the capsule and invading the superior cortical vein, accompanied by abnormal retrocrural lymph nodes. Signs of paraneoplastic syndrome prompted a left radical nephrectomy for symptom relief. Histological analysis identified high-grade collecting duct renal carcinoma and invasive urothelial cell carcinoma...
May 2024: Urology Case Reports
https://read.qxmd.com/read/38523018/large-scale-prospective-validation-study-of-a-multiplex-rna-urine-test-for-noninvasive-detection-of-upper-tract-urothelial-carcinoma
#17
JOURNAL ARTICLE
Hao Zhang, Yue Xu, Kai Wang, Chaoyue Zheng, Yanfeng Li, Huijie Gong, Changming Liu, Mingxiong Sheng, Qinghua Xu, Yifeng Sun, Jinying Chen, Xiaodong Zhang, Changwen Zhang, Hongxian Zhang, Wei Wang
BACKGROUND: Current approaches for diagnosis and monitoring of upper tract urothelial carcinoma (UTUC) are often invasive, costly, and not efficient for early-stage and low-grade tumors. OBJECTIVE: To validate a noninvasive urine-based RNA test for accurate UTUC diagnosis. DESIGN, SETTING, AND PARTICIPANTS: Urine samples were prospectively collected from 61 patients with UTUC and 99 controls without urothelial carcinomas, in five clinical centers between October 2022 and August 2023 prior to any invasive test (cystoscope or ureteroscope) or treatment...
March 23, 2024: European Urology Oncology
https://read.qxmd.com/read/38522976/nomogram-for-personalized-prognostic-assessment-of-children-with-favorable-histology-wilms-tumor-a-retrospective-analysis
#18
JOURNAL ARTICLE
Zihong Wang, Jiayi Li, Pei Liu, Xianghui Xie, Hongcheng Song, Weiping Zhang
OBJECTIVE: This retrospective study aimed to construct and validate a nomogram for personalized prognostic assessment of favorable histology Wilms tumor (FHWT) based on clinical and pathological variables. METHODS AND MATERIALS: This was a retrospective study collected data from patients who underwent surgery for FHWT between March 2007 and November 2022 at Beijing Children's Hospital. Univariate and multivariate Cox proportional hazards regression analyses were conducted to determine the significance variables and constructed the nomogram in predicting event-free survival (EFS) in FHWT patients...
March 23, 2024: Urologic Oncology
https://read.qxmd.com/read/38521660/longitudinal-tumor-informed-circulating-tumor-dna-status-predicts-disease-upstaging-and-poor-prognosis-for-patients-undergoing-radical-cystectomy
#19
JOURNAL ARTICLE
Reuben Ben-David, Neeraja Tillu, Shivaram Cumarasamy, Parissa Alerasool, Jordan M Rich, Basil Kaufmann, Yuval Elkun, Kyrollis Attalla, Reza Mehrazin, Peter Wiklund, John P Sfakianos
BACKGROUND AND OBJECTIVE: Decision-making on the use of neoadjuvant and adjuvant treatment for patients with bladder cancer undergoing radical cystectomy (RC) currently depends on assessment of clinical and pathological features, which lack sensitivity. Circulating tumor DNA (ctDNA) has emerged as a possible novel prognostic biomarker in the field. Our aim was to assess whether ctDNA status before RC is predictive of pathological and oncological outcomes. We also evaluated the dynamic changes in ctDNA status after RC in relation to recurrence-free survival (RFS)...
March 22, 2024: European Urology Oncology
https://read.qxmd.com/read/38521421/palliative-care-for-pediatric-urology
#20
JOURNAL ARTICLE
Oscar Li, Royce Lee, Renee D Boss, Ming-Hsien Wang
Palliative care in the field of urology has largely been limited to adult oncologic conditions. Although there is a plethora of established literature suggesting the advantageous impact of palliative care, there is limited integration of palliative care in adult urology. This underutilization is further exacerbated in pediatric urology, and palliative care in pediatric urology remains an underexplored area despite the prevalence of several life-limiting conditions in this patient population. This paper highlights the potential need for palliative care intervention in a variety of urologic conditions in the pediatric population, including congenital lower urinary tract obstruction, neurogenic bladder dysfunction, exstrophy-epispadias complex, and congenital bilateral renal agenesis...
March 21, 2024: Journal of Pain and Symptom Management
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