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Fabrício Borges Carrerette, Emanuel Carvalho, Henrique Machado, Felipe Casa Freire, Ronaldo Damião
INTRODUCTION: Robotic-assisted radical prostatectomy is the leading surgical technique and was discussed in Pasadena Consensus Panel (1). The goal of this study is to present the results of the first fifty-five patients submitted to Anterograde Anatomic Radical Retropubic Prostatectomy technique (R2PA2), without adding complexity or cost. MATERIALS AND METHODS: Fifty-five eligible men with localized prostate cancer underwent R2PA2 from January, 2016 to December, 2017...
March 20, 2019: International Braz J Urol: Official Journal of the Brazilian Society of Urology
Wei Sheng, Ruth Kirschner-Hermanns
INTRODUCTION AND HYPOTHESIS: To determine whether pressure readings measured with air-filled catheter (AFC) and water-filled catheter (WFC) systems are equivalent during cystometric assessment, especially in case of pressure measurements at Valsalva manoeuvres and coughs. METHODS: Twenty-five subjects were recruited. The commercially available 7-Fr TDOC AFC, which simultaneously reads water and air pressures in the bladder and rectum, was used to compare filling and voiding data recordings...
March 19, 2019: International Urogynecology Journal
Giovanni Barchetti, Giuseppe Simone, Isabella Ceravolo, Vincenzo Salvo, Riccardo Campa, Francesco Del Giudice, Ettore De Berardinis, Dorelsa Buccilli, Carlo Catalano, Michele Gallucci, James W F Catto, Valeria Panebianco
OBJECTIVES: To evaluate accuracy and inter-observer variability using Vesical Imaging-Reporting and Data System (VI-RADS) for discrimination between non-muscle invasive bladder cancer (NMIBC) and muscle-invasive bladder cancer (MIBC). METHODS: Between September 2017 and July 2018, 78 patients referred for suspected bladder cancer underwent multiparametric MRI of the bladder (mpMRI) prior to transurethral resection of bladder tumor (TURBT). All mpMRI were reviewed by two radiologists, who scored each lesion according to VI-RADS...
March 18, 2019: European Radiology
Vijay Ganapathy, Chellappa Vijayakumar, Vilvapathy Senguttuvan Karthikeyan, J Srinivas, Sadhanandham Shrinuvasan
The common causes of irritative voiding symptoms in women include cystitis, vesical calculi, carcinoma bladder and neurologic disorders. Isolated primary vesical amyloidosis (VA) is a rare cause of irritative voiding symptoms. A 50-year-old female, a known case of retroviral disease but not on anti-retroviral therapy, presented with right flank and suprapubic pain for six months, worsening over the past 15 days with dysuria. She also presented with increased frequency of micturition with nocturia and urgency for the same duration...
January 4, 2019: Curēus
Ömer Özçağlayan, Murat Akgül, Cenk Yazıcı, Tuğba İlkem Özçağlayan, Arzu Malak, Mücahit Doğru Md
AIM: Bladder pain syndrome (BPS) is a complex disease which causes cognitive, behavioral, sexual, and emotional problems. Vascular factors related to bladder blood supply may be one of the etiologic cause of BPS. This study aims to investigate the bladder blood flow and internal iliac artery resistive indices of patients with BPS. METHODS: A total of 30 female patients with the diagnosis of BPS and 30 female as control group were enrolled in the study. Bilateral internal iliac arterial blood flow distal to uterine arteries were examined as the primary source of vesical arterial blood supply...
March 7, 2019: Neurourology and Urodynamics
Anisha S Basu, Steve Majerus, Elizabeth Ferry, Iryna Makovey, Hui Zhu, Margot S Damaser
There has been recent interest in placing pressure-sensing elements beneath the bladder mucosa to facilitate chronic bladder pressure monitoring. Wired submucosal sensors with the wires passed through detrusor have been demonstrated in vivo, with limited chronic retention, potentially due to the cable tethering the detrusor. Published studies of submucosal implants have shown that high correlation coefficients between submucosal and lumen pressures can be obtained in caprine, feline, and canine models. We have developed a wireless pressure monitor and surgical technique for wireless submucosal implantation and present our initial chronic implantation study here...
January 2019: Proceedings of the Institution of Mechanical Engineers. Part H, Journal of Engineering in Medicine
Masaru Nakamura, Kyoko Tanaka, Shigenori Hayashi, Tohru Morisada, Takashi Iwata, Nobuaki Imanishi, Daisuke Aoki
OBJECTIVES: Radical hysterectomy is performed for invasive cervical cancer. In this surgery, separation of the anterior leaf and posterior leaves of the vesicouterine ligament (VUL) is important. We studied the local anatomy of the anterior leaf of the VUL, especially the branches of the umbilical artery from the view point of surgery and cadaver dissection. STUDY DESIGN: We observed the cervicovesical blood vessels and the connective tissue layer continued from umbilical artery and searched for the origin of the cervicovesical blood vessels in radical hysterectomy...
February 16, 2019: European Journal of Obstetrics, Gynecology, and Reproductive Biology
Javier Romero Otero, Lucía García-González, Borja García-Gómez, Manuel Alonso-Isa, Esther García-Rojo, Javier Gil-Moradillo, Jose Duarte-Ojeda, Alfredo Rodríguez-Antolín
PURPOSE: To assess the influence of holmium laser cystolitholapaxy (HLC) concomitantly with holmium laser prostate enucleation (HoLEP) on patients with benign prostatic hyperplasia (BPH) presenting bladder calculi. METHODS: Retrospective analysis of patients with BPH (with or without concomitant HLC) at three Spanish centers. Intraoperative variables (e.g., time and resected tissue), changes in functional parameters of the prostate, and frequency of complications (intraoperative, early postoperative, and at 12 months) in patients with and without HLC were compared...
February 16, 2019: Journal of Endourology
Sammy Au, Carlos F Villamil, Reza Alaghehbandan, Gang Wang
Prostatic ductal adenocarcinoma (PDA) is a rare histologic subtype of prostate cancer characterized by large glands lined with tall columnar pseudostratified epithelium. PDA has several architectural patterns, with papillary and cribriform being the most common. The cribriform pattern of acinar carcinoma has shown to be associated with a worse prognosis in terms of disease progression and disease-specific mortality. However, the significance of cribriform pattern in PDA is unknown. In this study, we sought to compare the adverse pathologic features between cribriform-type and non-cribriform-type PDA, and between PDA and acinar carcinoma with Gleason scores 8-10...
February 10, 2019: Annals of Diagnostic Pathology
Vincenzo Piccolo, Paola Corneli, Gabriela de Castro, Teresa Russo, Iris Zalaudek, Roberto Alfano, Giuseppe Argenziano
No abstract text is available yet for this article.
February 14, 2019: Giornale Italiano di Dermatologia e Venereologia: Organo Ufficiale, Società Italiana di Dermatologia e Sifilografia
Rui Encarnado Assis, Inês Coelho, André Real, Luís França, Ana Araújo, Tiago Pereira, Nuno Catorze
The numbers of multiple drug-resistant Gram-negative bacterial infections are rising worldwide. The threat is increased by the lack of new antibiotics, so clinicians are turning to older drugs previously abandoned due to their recognized toxicity, such as colistin. However, the need to avoid kidney toxicity from colistin has led to its topical use. We present the case of a patient with type I cardiorenal syndrome with cystitis due to multiple drug-resistant Pseudomonas aeruginosa who was successfully treated with intravesical instillation of colistin...
2019: European Journal of Case Reports in Internal Medicine
S Islam, S A Talukder, A A Mahmud, S C Das, S Bari, M S Ali, A B Shamsuzzaman, A S Hasnuzzaman
The standard treatment of high variety anorectal malformation (ARM) is the staged approach. A growing interest in one stage correction of high variety ARM was noted recently. The aim of this study was to examine the feasibility, safety and outcome of single stage correction of High variety ARM. This prospective study was carried out in the Department of Paediatric Surgery, Mymensingh Medical College Hospital (MMCH), Mymensingh, Bangladesh from July 2012 to September 2013. It was conducted among 30 patients, all having high ARM...
January 2019: Mymensingh Medical Journal: MMJ
Yehonatan Nevo, Ron Shapiro, Dvir Froylich, Shai Meron-Eldar, Douglas Zippel, Aviram Nissan, David Hazzan
Background and Objective: Entero vesical fistulas (EVFs) are an uncommon complication mainly of diverticular disease (70%) and less commonly of Crohn's disease (10%). Only about 10% are caused by malignancies. At this time, it is unclear whether the laparoscopic approach can be routinely proposed as a safe procedure for patients with EVF. The aim of this study was to assess the feasibility and safety of laparoscopic surgery in the treatment of EVFs in patients with complicated diverticular and Crohn's disease...
January 2019: JSLS: Journal of the Society of Laparoendoscopic Surgeons
Aleksandar Gavrilovic, Gordana Toncev, Tatjana Boskovic Matic, Katarina Vesic, Jelena Ilic Zivojinovic, Jagoda Gavrilovic
Cognitive impairment frequently occurs in epilepsy patients. Patients with drug-resistant epilepsy (DRE) have poor drug responsivity and higher seizure frequency which consequently lead to brain damage and may have implications on cognitive status. In the present study, we assessed a frequency and degree of cognitive impairment in 52 patients with drug-sensitive epilepsy (DSE) and 103 DRE patients at three time points (baseline, after 12 and 18 months). Degree of cognitive decline was assessed with Montreal Cognitive Assessment (MoCA) scale...
February 8, 2019: Acta Neurologica Belgica
Olivier Opdenakker, Thomas Renson, Johan Vande Walle
No abstract text is available yet for this article.
February 5, 2019: Journal of Pediatrics
Brett Allen Johnson, Matthew Timberlake, Ryan L Steinberg, Matthew Kosemund, Bradly Mueller, Jeffrey C Gahan
OBJECTIVE: We sought to develop and validate a low-cost, high fidelity robotic surgical model for the urethrovesical anastomosis component of the robotic assisted laparoscopic radical prostatectomy. METHODS: A novel simulation model was constructed using a 3D-printed model of the male boney pelvis from CT scan data and silicone molds to recreate the soft tissue aspects. Using a DaVinci Si surgical robot, urology faculty and trainees performed simulated urethral-vesical anastomosis...
February 8, 2019: Journal of Endourology
Johannes du Pisanie, Andrew Abumoussa, Kevin Donovan, Jessica Stewart, Sandeep Bagla, Ari Isaacson
PURPOSE: To identify technical factors that significantly change prostatic artery embolization (PAE) technical outcomes and to derive and test technical outcome predictive models. MATERIALS AND METHODS: Retrospective analysis of PAEs performed by 2 operators (OPs) was performed: OP1, between April 2014 and May 2017 (n = 150); OP2, between February 2017 and December 2017 (n = 67). Multivariate analysis with mixed-effects modeling was used to test significance and derive predictive models...
February 2019: Journal of Vascular and Interventional Radiology: JVIR
Eugenia Mylona, Oscar Acosta, Thibaut Lizee, Caroline Lafond, Gilles Crehange, Nicolas Magné, Sophie Chiavassa, Stéphane Supiot, Juan David Arango Ospina, Borris Campillo-Gimenez, Joel Castelli, Renaud de Crevoisier
BACKGROUND AND PURPOSE: To apply a voxel-based analysis to identify urethro-vesical symptom-related subregions (SRSs) associated with acute and late urinary toxicity in prostate cancer radiotherapy. MATERIALS AND METHODS: A total of 272 prostate cancer patients treated with IMRT/IGRT were prospectively analyzed. Each patient's CT was spatially normalized to a common coordinate system (CCS) via nonrigid registration. The obtained deformation fields were used to map the dose of each patient to the CCS...
February 1, 2019: International Journal of Radiation Oncology, Biology, Physics
Ofer N Gofrit, Herve Bercovier, Benjamin Y Klein, Irun R Cohen, Tamir Ben-Hur, Charles L Greenblatt
Alzheimer's disease (AD) is a neurodegenerative disorder which is the most prevalent cause of dementia in the western world. Currently, it is the most expensive disease in America, costing more than heart diseases and cancer and as the world population is getting older it is expected to become the most expensive medical disorder in the world. AD is characterized by three core pathologies: accumulation of amyloid β (Aβ) plaques, neurofibrillary tangles (NFT) and sustained inflammation. It is now believed that inflammation provides the link between Aβ and NFT...
February 2019: Medical Hypotheses
Lei Yang, Wei Tang
RATIONALE: Pelvic lipomatosis (PL) is a benign disease characterized by overgrowth of adipose tissue in pelvic space. Hydronephrosis and ureterectasis are common complications caused by PL in urinary system. But PL accompanied with upper urinary tract calculi is rare. Also there has been no report of PL with ureteral calculi managed by flexible ureteroscopy (fURS). PATIENT CONCERNS: A 62-year-old man who has been diagnosed of PL was found to have a right-side ureteral calculi by ultrasound in the routine health examination...
January 2019: Medicine (Baltimore)
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