Urology research & practice最新文献

{"title":"Distinct Adverse Clinical Outcomes of Small and Large Cribriform Patterns on Gleason 7 Prostate Cancer: A Preliminary Study.","authors":"Ozgur Kazan, Nilufer Kadioglu, Halil İbrahim Ivelik, Mehmet Sevim, Okan Alkis, Seref Coser, Ibrahim Guven Kartal, Bekir Aras","doi":"10.5152/tud.2023.23076","DOIUrl":"10.5152/tud.2023.23076","url":null,"abstract":"<p><strong>Objective: </strong>We aimed to evaluate the effect of large and small cribriform morphology on survival following radical prostatectomy.</p><p><strong>Methods: </strong>We included 30 patients who underwent radical prostatectomy with curative intent between 2015 and 2022. Patients with the final pathology of Gleason 7 were included. Patients' radical prostatectomy specimens were reviewed by an experienced genitourinary pathologist. The diverse growth patterns of Gleason grade 4 were specified as poorly formed/fused glands, cribriform glands, and glomeruloid glands. The cribriform morphology was subdivided into small and large cribriform. Large cribriform growth morphology was defined by its size, which was double that of benign prostate glands. Small and large cribriform glands' percentages were indicated semiquantitatively. The cribriform morphology subtype present at 50% and higher was defined as the dominant pattern. The effect of histopathological patterns on biochemical recurrence and clinical progression was analyzed.</p><p><strong>Results: </strong>Thirteen patients were small cribriform pattern dominant (group 1), whereas 14 of the patients were large cribriform pattern dominant (group 2). Pathological T, N stages, and surgical margin positivity were similar between groups. Biochemical recurrence and clinical progression rates were significantly higher in group 2. The large cribriform dominant patients had worse 2-year biochemical recurrence-free survival than small cribriform dominant patients (45.5% vs. 66.7%). In the univariate analysis, International Society of Urological Pathology grade, Gleason pattern 4 percentage, large cribriform pattern dominancy, and pT stage were predictors for biochemical recurrence-free survival. International Society of Urological Pathology grade was the only independent predictor for biochemical recurrence-free survival.</p><p><strong>Conclusion: </strong>Large cribriform pattern dominancy is associated with worse biochemical recurrence-free survival in Gleason 7 prostate cancer.</p>","PeriodicalId":101337,"journal":{"name":"Urology research & practice","volume":"49 5","pages":"324-328"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10652068/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50159668","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Physiotherapy in Patients with Stress Urinary Incontinence: A Systematic Review and Meta-analysis.","authors":"Fariba Ghaderi, Ghazal Kharaji, Sakineh Hajebrahimi, Fariba Pashazadeh, Bary Berghmans, Hanieh Salehi Pourmehr","doi":"10.5152/tud.2023.23018","DOIUrl":"10.5152/tud.2023.23018","url":null,"abstract":"<p><p>Physiotherapy is the most commonly used treatment for stress urinary incontinence including pelvic floor muscle training, biofeedback, and electrical stimulation. This systematic review evaluated the effects of physiotherapy in patients with stress urinary incontinence compared with no treatment, placebo, sham, surgery, or other inactive control treatments. MEDLINE (via PubMed), The Cochrane Library (CENTRAL), Embase, Scopus, Web of Science, PEDro, and Trip Database were explored using applicable vocabularies for all English and Persian language investigations released from inception to January 2021. On one side, trials including physiotherapy of pelvic floor muscle training, biofeedback, and electrical stimulation and on the other, either no treatment, placebo, sham, surgery, or other inactive control treatments were included. Studies were assessed for appropriateness and methodological excellence. Two authors extracted data. Disagreements were resolved by a third opinion. Data were processed as described in the Joanna Briggs Institute Handbook. Twenty-nine trials with 2601 participants were found, but only 16 were included because of data heterogeneity. The results showed that physiotherapy interventions are better than no treatment in terms of urine leakage, but no difference was found for urinary incontinence severity. Also, physiotherapy showed favorable results over comparison groups for International Consultation on Incontinence Questionnaire, pad test, pelvic floor muscle function, and improvement outcomes. This systematic review supports the widespread use of pelvic physiotherapy as the first-line treatment for adult patients with stress urinary incontinence.</p>","PeriodicalId":101337,"journal":{"name":"Urology research & practice","volume":"49 5","pages":"293-306"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10646808/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50159670","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Transperitoneal Versus Extraperitoneal Approach for Laparoscopic and Robot-Assisted Radical Prostatectomy: A Systematic Review and Meta-Analysis.","authors":"Stefanus Purnomo, Agus Rizal Ardy Hariandy Hamid, Moammar Andar Roemare Siregar, Andika Afriansyah, Hendy Mirza, Doddy Hami Seno, Nugroho Purnomo","doi":"10.5152/tud.2023.23008","DOIUrl":"10.5152/tud.2023.23008","url":null,"abstract":"<p><p>To conduct a comparative analysis of outcomes from 2 different surgical approaches, transperitoneal radical prostatectomy (TP-RP) and extraperitoneal radical prostatectomy (EP-RP) in minimally invasive surgery. A comprehensive search was conducted up to September 2022 using 5 online databases, namely PubMed, Cochrane, Scopus, EMBASE, and Science Direct. Studies were screened per the eligibility criteria, and outcomes included operative duration, estimated blood loss (EBL), hospital stay, operative complication, and positive surgical margin. Total of 13 studies compiled of 2387 patients were selected, with TP-RP and EP-RP performed on 1117 (46.79%) and 1270 (53.21%) patients, respectively. Six laparoscopy radical prostatectomy (LRP) studies and 7 robotassisted radical prostatectomy (RARP) studies with 1140 and 1247 patients, respectively, were also included. The EP-RP demonstrated a marked advantage in terms of operative complications (Risk Ratio [RR]=0.78, 95% CI=0.62, 0.98; P=.04), but no significant difference concluded for operative duration, EBL, hospital stay, and surgical margin. In the RARP group, there was a significant difference in operative duration for EP-RARP and TP-RARP (Mean difference [MD]=-17.27, 95% CI=-26.89, -7.65; P=.0004), hospital stay (MD=-0.54, 95% CI=-0.94, -0.14; P=.008), and operative complications (RR=0.7, 95% CI=0.49, 0.99; P=.04). There were no noteworthy variations identified in EBL and surgical margin. Furthermore, the LRP group did not show any significant differences. This study shows that regardless of the techniques used, EP-RP has a lower risk of operative complications than TP-RP, with no significant difference in other outcomes.</p>","PeriodicalId":101337,"journal":{"name":"Urology research & practice","volume":"49 5","pages":"285-292"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10646806/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50159674","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Inferior Alveolar Plus Buccal Nerve Block Decreases Postoperative Pain Scores at Buccal Mucosal Graft Harvest Site: A Retrospective Analysis.","authors":"Vivek Tarigopula, Swarnendu Mandal, Gorrepati Rohith, Abhay S Gaur, Manoj K Das","doi":"10.5152/tud.2023.23080","DOIUrl":"10.5152/tud.2023.23080","url":null,"abstract":"<p><strong>Objective: </strong>Postoperative pain at buccal mucosal graft (BMG) harvest site hinders the resumption of food intake. We aim to study the effect of inferior-alveolar nerve block plus buccal nerve block (IANB+BNB) on pain scores.</p><p><strong>Methods: </strong>This was a retrospective case-control study performed in a single center from July 2021 to July 2022 (ethics committee approval: T/IM-NF/Urology/23/27). We performed IANB+BNB with a mixture of 5 mL each of 1% lignocaine and 0.25% bupivacaine and 4 mg dexamethasone, in addition to local infiltration of 2% lignocaine and (1:100000) epinephrine combination before harvesting BMG. We retrospectively compared the recorded postoperative pain scores using the visual analog scale (VAS) among patients who received and did not receive IANB+BNB. The time for resumption of pain-free diets and postoperative analgesic requirements was compared.</p><p><strong>Results: </strong>The study groups included 20 patients each and were similar in age and graft size. The VAS scores at 0 hours [1.0 (1.25) vs. 2.5 (3.5); P= .043], 6 hours [2.40 (± 0.69) vs. 4.60 (± 0.97); P= .008], 12 hours [2.50 (± 0.97) vs. 4.80 (± 0.92); P= .008], and 24 hours [3.0 (1.25) vs. 4.5 (1.25); P= .002] were better in the intervention arm. However, the pain beyond the second day was similar. The IANB+BNB group resumed solid food quicker, and the cumulative paracetamol dose required was less [8.9 (± 3.03) vs. 16.2 (± 5.06) g; P= .001]. Fewer patients required opioids.</p><p><strong>Conclusion: </strong>Patients who received IANB+BNB had better pain scores during the first 24 hours following surgery and tolerated solid diet quicker.</p>","PeriodicalId":101337,"journal":{"name":"Urology research & practice","volume":"49 5","pages":"329-333"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10652067/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50159669","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Detrusor-Overactivity-Related Voiding in Women Mimics Bladder Outflow Obstruction and Conceals Underactivity.","authors":"Takeya Kitta,&nbsp;Shinya Kobayashi,&nbsp;Mio Togo,&nbsp;Hiroki Chiba,&nbsp;Madoka Higuchi,&nbsp;Naohisa Kusakabe,&nbsp;Mayuko Tsukiyama,&nbsp;Mifuka Ouchi,&nbsp;Yui Abe-Takahashi,&nbsp;Nobuo Shinohara","doi":"10.5152/tud.2023.22213","DOIUrl":"10.5152/tud.2023.22213","url":null,"abstract":"<p><strong>Objective: </strong>Urodynamics of the storage phase showing detrusor overactivity is com- mon in neurogenic bladder patients. Terminal detrusor overactivity, which is defined by involuntary detrusor contraction that cannot be inhibited, causes urinary incon- tinence. Such incontinence causes a unique voiding in neurogenic bladder patients. During the voiding phase, the detrusor pressure at Qmax (Pdet.Qmax)/maximum flow rate (Qmax) (P/Q) is the gold standard for differentiating between detrusor underactiv- ity and bladder outflow obstruction. We investigated whether a valid identification of lower urinary tract dysfunction could be established from P/Q assessment of detrusor overactivity-related voiding patients.</p><p><strong>Methods: </strong>This study evaluated 2 types of voiding. Detrusor overactivity-related void- ing is involuntary detrusor contraction that results in micturition or voiding after per- mission to void when detrusor overactivity has occurred, while voluntary voiding is voiding voluntarily after permission to void and without terminal detrusor overactivity. We evaluated female patients with neurogenic bladder who could undergo micturition without catheterization. A pressure flow study compared the 2 groups.</p><p><strong>Results: </strong>Comparison of the detrusor overactivity-related voiding group (n=20) and the voluntary voiding group (n=12) found statistically significant differences with a lower Qmax and higher Pdet.Qmax (P=.01) in the detrusor overactivity-related void- ing group. The linear regression analysis P/Q plot showed the positivity and negativity value of the slope that was reversed in the 2 groups (-0.089 vs. 0.198).</p><p><strong>Conclusion: </strong>Current results showed different P/Q plot patterns between 2 types of voiding in patients with neurogenic bladder. These findings suggest there is increased detrusor pressure observed in detrusor overactivity-related voiding that mimics out- flow obstruction.</p>","PeriodicalId":101337,"journal":{"name":"Urology research & practice","volume":"49 4","pages":"266-270"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10544474/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50159740","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Impact of Histological Variants on Oncological Outcomes in Patients with Muscle Invasive Bladder Cancer Treated with Radical Cystectomy.","authors":"Özgür Efiloğlu,&nbsp;Mehmet Çağlar Çakıcı,&nbsp;Gözde Kır,&nbsp;Ayberk İplikçi,&nbsp;Turgay Turan,&nbsp;Gözde Ecem Cecikoğlu,&nbsp;Asıf Yıldırım","doi":"10.5152/tud.2023.22223","DOIUrl":"10.5152/tud.2023.22223","url":null,"abstract":"<p><strong>Objective: </strong>Bladder cancer is a heterogeneous entity characterized by a wide range of different morphologies. The aim of this study was to investigate the prognostic effect of bladder tumor with variant histology that is treated with radical cystectomy on oncological outcomes.</p><p><strong>Methods: </strong>One hundred eighty-six patients who underwent radical cystectomy between September 2001 and June 2020 were included in the study. The patients were divided into 2 groups variant histology group (n = 54) and transitional cell cancer group (n = 132). Clinicopathologic data were compared between the two groups.</p><p><strong>Results: </strong>The groups were similar in terms of demographic characteristics. In the mul- tivariate analysis of cancer-specific survival in transitional cell cancer against variant histology, high-grade detection of primary transurethral bladder tumor pathology, cystectomy pT, cystectomy positive lymph node, and positive surgical margin in cys- tectomy were determined to be statistically significant. Diagnosis of pT2 and high grade of primary transurethral bladder tumor pathology, cystectomy ≥ pT3, cystec- tomy positive lymph node, and positive surgical margin in cystectomy were statis- tically significant in multivariate analysis of overall survival. Cancer-specific survival time was estimated at 65.1 ± 8.3 months for variant histology and 134.2 ± 10.4 months for transitional cell cancer (P=.004). The estimated overall survival time was 61.9 ± 8.0 months in variant histology and 119.0 ± 9.8 months in transitional cell cancer (P = .014).</p><p><strong>Conclusion: </strong>Pathological features and prognosis of bladder cancer with variant histol- ogies are worse than those of pure urothelial bladder cancer. Overall survival and can- cer-specific survival are shorter in bladder cancer with variant histology than in pure urothelial bladder cancer. Following the diagnosis of variant histology in transurethral bladder tumor, poor prognosis must be considered in the treatment plan.</p>","PeriodicalId":101337,"journal":{"name":"Urology research & practice","volume":"49 4","pages":"246-252"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10541520/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50159748","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Real-World Data on the Effectiveness of Microporous Polysaccharide Hemospheres for Allowing Even Novice Surgeons to Perform Robot-Assisted Radical Prostatectomy Safely.","authors":"Takuma Nirei,&nbsp;Tomoyuki Tatenuma,&nbsp;Kentaro Muraoka,&nbsp;Kota Aomori,&nbsp;Yusuke Ito,&nbsp;Hisashi Hasumi,&nbsp;Narihiko Hayashi,&nbsp;Noboru Nakaigawa,&nbsp;Kazuhide Makiyama","doi":"10.5152/tud.2023.22242","DOIUrl":"10.5152/tud.2023.22242","url":null,"abstract":"<p><strong>Objective: </strong>Radical prostatectomy can be performed more safely and with fewer com- plications since the advent of robot-assisted surgery. However, increased bleeding is a concern when robot-assisted radical prostatectomy includes lymph node dissection and nerve sparing. In real-world clinical practice, inexperienced surgeons sometimes perform robot-assisted radical prostatectomy. In this study, we investigated the effec- tiveness of microporous polysaccharide hemospheres as a local hemostatic agent in robot-assisted radical prostatectomy.</p><p><strong>Methods: </strong>We retrospectively evaluated 301 patients who underwent robot-assisted radical prostatectomy at our institution between December 2017 and November 2020. The patients were divided into 2 groups according to whether their surgery was per- formed after the introduction of microporous polysaccharide hemospheres as a local hemostatic agent (group A, n = 140) or before it (group B, n = 161: historical control).</p><p><strong>Results: </strong>Preoperative androgen deprivation therapy was significantly more common in group A than in group B (23 vs. 11, P = .009). Furthermore, surgeons were significantly less experienced (P < .001) and the operation time was significantly longer (260 min- utes vs. 229 minutes; P < .001) in group A than in group B. There was no significant difference in any other patient background characteristics or in the surgical outcomes between the groups.</p><p><strong>Conclusion: </strong>The use of microporous polysaccharide hemospheres allowed even inex- perienced surgeons to perform robot-assisted radical prostatectomy without compro- mising surgical outcomes.</p>","PeriodicalId":101337,"journal":{"name":"Urology research & practice","volume":"49 4","pages":"241-245"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10544207/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50159744","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prostate Imaging for Local Recurrence Reporting and Data System for Biparametric Magnetic Resonance Imaging: A Proposal.","authors":"Michele Scialpi,&nbsp;Eugenio Martorana,&nbsp;Fabio Trippa,&nbsp;Alessandro Di Marzo,&nbsp;Giovanni Battista Scalera,&nbsp;Maria Cristina Aisa,&nbsp;Alfredo D'Andrea,&nbsp;Francesco Maria Mancioli,&nbsp;Refky Nicola,&nbsp;Pietro Scialpi,&nbsp;Aldo Di Blasi","doi":"10.5152/tud.2023.22228","DOIUrl":"10.5152/tud.2023.22228","url":null,"abstract":"<p><p>We investigated a novel dedicated Prostate Imaging for Local Recurrence Reporting and Data System (PI-RRADS) in biochemical recurrence after radiotherapy (RT) and rad- ical prostatectomy (RP) evaluating biparametric magnetic resonance imaging (bpMRI) exams, at 3T MRI of 55 patients. Associating bpMRI and biochemical recurrence data, we calculated bpMRI diagnostic accuracy. Four probability categories, from 1 (very low) to 4 (very high), were distinguished. In 20 patients with radiotherapy, 25% and 75% of lesions were reported as PI-RRADS 3, and 4, respectively. In 35 patients with radi- cal prostatectomy, 7.7% of lesions were included in PI-RRADS 1-2, whereas 40.4% and 51.9% in PI-RRADS 3 and 4 categories, respectively. Excellent agreement and significant correlation between bpMRI and biochemical recurrence were found. BpMRI showed sensitivity, specificity, positive predictive value, negative predictive value, false-posi- tive value, false-negative value, and total diagnostic accuracy of 96.15%, 86.7%, 97.4 %, 81.25%, 13.3%, 3.8% and 94.6%, respectively. BpMRI-based PI-RRADS allows the detection and localization local recurrence in biochemical recurrence after RT and RP contributing in clinical management and treatment.</p>","PeriodicalId":101337,"journal":{"name":"Urology research & practice","volume":"49 4","pages":"233-240"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10544277/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50159743","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Retroperitoneal Laparoscopic Partial Adrenalectomy in a Patient with Conn's Syndrome.","authors":"Syed Jamal Rizvi,&nbsp;Kamleshkumar Ramabhai Patel,&nbsp;Sreenivasan R Prasad,&nbsp;Ketan Mehra","doi":"10.5152/tud.2023.23102","DOIUrl":"10.5152/tud.2023.23102","url":null,"abstract":"Laparoscopic adrenalectomy has the advantage of reduced blood loss, early convalescence, and shorter hospital stays. Retroperitoneal laparoscopic approach was first demonstrated by Mercan et al. in 1995 and is easier for adrenal pathologies. Adrenal-preserving surgeries may prevent adrenal insufficiency from developing over long time. There are many studies in the literature which have compared the appropriate approach and the extent of resection for the functional adrenal tumor. But it remains unclear which is the optimal option. Here we present a video of laparoscopic partial adrenalectomy by a retroperitoneal approach in a patient with primary hyperaldosteronism.","PeriodicalId":101337,"journal":{"name":"Urology research & practice","volume":"49 4","pages":"273"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10544502/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50159745","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Management of Priapism: Results of a Nationwide Survey and Comparison with International Guidelines.","authors":"Arif Kalkanli,&nbsp;Salih Zeki Sönmez,&nbsp;Mine Guvel,&nbsp;Erdogan Aglamis,&nbsp;Seyhmuz Araz,&nbsp;Ahmet Asfuroglu,&nbsp;Huseyin Kursad Avci,&nbsp;Memduh Aydin,&nbsp;Murat Aydos,&nbsp;Ugur Balci,&nbsp;Caner Baran,&nbsp;Yavuz Bastug,&nbsp;Numan Baydilli,&nbsp;Omer Bayrak,&nbsp;Can Benlioglu,&nbsp;Ibrahim Halil Bozkurt,&nbsp;Kerem Bursali,&nbsp;Utku Can,&nbsp;Seref Coser,&nbsp;Mehmet Caglar Cakici,&nbsp;Gokhan Calik,&nbsp;Ali Cift,&nbsp;Nusret Can Cilesiz,&nbsp;Demirhan Orsan Demir,&nbsp;Murat Demir,&nbsp;Huseyin Cihan Demirel,&nbsp;Murat Dursun,&nbsp;Erhan Demirelli,&nbsp;Berk Yasin Ekenci,&nbsp;Mithat Eksi,&nbsp;Giray Ergin,&nbsp;Ismail Emre Ergin,&nbsp;Anil Erkan,&nbsp;Onur Fikri,&nbsp;Cem Tugrul Gezmis,&nbsp;Abdullah Gül,&nbsp;Muhammet Guzelsoy,&nbsp;Muhammed Arif Ibis,&nbsp;Abdurrahman Inkaya,&nbsp;Tumay Ipekci,&nbsp;Ahmet Karakeci,&nbsp;Kadir Karkin,&nbsp;Coskun Kaya,&nbsp;Ozgur Kazan,&nbsp;Mustafa Koray Kirdag,&nbsp;Yigit Cagri Kizilcay,&nbsp;Burak Koseoglu,&nbsp;Emrah Kucuk,&nbsp;Serkan Gonultas,&nbsp;Mehmet Sezai Ogras,&nbsp;Ahmet Olgun,&nbsp;Eser Ordek,&nbsp;Isa Ozbey,&nbsp;Mehmet Sarier,&nbsp;Samet Senel,&nbsp;Ahmet Tahra,&nbsp;Tuncay Toprak,&nbsp;Mehmet Yigit Yalcin,&nbsp;Abdullah Hizir Yavuzsan,&nbsp;Selim Yazar,&nbsp;İbrahim Hacıbey,&nbsp;Kadir Yildirim,&nbsp;Kemal Yilmaz,&nbsp;Sercan Yilmaz,&nbsp;Mehmet Yoldas,&nbsp;Ahmet Yuce,&nbsp;Mehmet Ozgur Yucel,&nbsp;Cem Nedim Yuceturk,&nbsp;Jean de la Rosette,&nbsp;Ates Kadioglu","doi":"10.5152/tud.2023.22209","DOIUrl":"10.5152/tud.2023.22209","url":null,"abstract":"<p><strong>Objective: </strong>The aim of this study is to evaluate current urologic practice regarding the management of priapism in Turkey and compare with international guidelines.</p><p><strong>Methods: </strong>Urologists and urology residents were invited to an online survey consisting of 30 multiple-choice questions on priapism-related clinical practices that were consid- ered most important and relevant to practices by using Google Forms.</p><p><strong>Results: </strong>Total number of responses was 340. Respondents reported that they recorded a detailed patient's medical history and physical examination findings (n = 340, 100%) and laboratory testing, which includes corporal blood gas analysis (n=323, 95%). Participants announced that they performed Doppler ultrasound for 1/4 cases (n = 106, 31%), but 22% of the participants (n=75) replied that they performed in >75% of cases. Participants (n=311, 91%) responded that the first-line treatment of ischemic priapism is decompression of the corpus cavernosum. Moreover, most respondents (n = 320, 94%) stated that sympathomimetic injection drugs should be applied as the second step. About three-quarters of respondents (n = 247, 73%) indicated adrenaline as their drug of choice. Phosphodiesterase type 5 inhibitors seems to be the most pre- ferred drug for stuttering priapism (n=141, 41%). Participants (n=284, 84%) replied that corpora-glanular shunts should be preferred as the first. A large number of par- ticipants (n = 239, 70%) declared that magnetic resonance imaging can be performed in cases with delayed (>24 hours) priapism to diagnose corporal necrosis. Most of the participants (84%) responded that penile prosthesis should be preferred to shunts in cases with delayed (>48 hours) priapism.</p><p><strong>Conclusion: </strong>It would be appropriate to improve the training offered by professional associations and to give more training time to the management of priapism during residency.</p>","PeriodicalId":101337,"journal":{"name":"Urology research & practice","volume":"49 4","pages":"225-232"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10544432/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50159742","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}