Current Urology Reports最新文献

Results of Radical Nephrectomy and Inferior Vena Cava Thrombectomy. 根治性肾切除术和下腔静脉血栓形成术的结果。

IF 2.5 2区医学

Current Urology Reports Pub Date : 2024-12-01 Epub Date: 2024-08-14 DOI: 10.1007/s11934-024-01228-2

Roberto Filizzola, Daniel Romero, Samuel Mendez, David Brunstein, Alejandro Benitez

引用次数: 0

Third-Line Therapeutic Interventions for Non-Neurogenic Bladder Dysfunction in Children. 儿童非神经源性膀胱功能障碍的三线治疗干预。

IF 2.5 2区医学

Current Urology Reports Pub Date : 2024-12-01 Epub Date: 2024-08-02 DOI: 10.1007/s11934-024-01227-3

Alyssa M Lombardo, Seth A Alpert

引用次数: 0

Professional Burnout and Career Choice Regret in Urology Residents. 泌尿科住院医生的职业倦怠和职业选择后悔。

IF 2.5 2区医学

Current Urology Reports Pub Date : 2024-12-01 Epub Date: 2024-07-17 DOI: 10.1007/s11934-024-01226-4

Kevin F Hanna, Kevin Koo

引用次数: 0

Focal Therapy in Grade Group 3 Prostate Cancer. 3级前列腺癌的局部治疗

IF 2.5 2区医学

Current Urology Reports Pub Date : 2024-11-01 Epub Date: 2024-07-02 DOI: 10.1007/s11934-024-01211-x

Lee Pressler, Mariel Pressler

{"title":"Focal Therapy in Grade Group 3 Prostate Cancer.","authors":"Lee Pressler, Mariel Pressler","doi":"10.1007/s11934-024-01211-x","DOIUrl":"10.1007/s11934-024-01211-x","url":null,"abstract":"Purpose of this review: Treatment of intermediate risk prostate cancer remains controversial. Clearly some patients with low volume favorable intermediate risk can be followed with active surveillance. Those with high volume bilateral disease need more radical whole gland therapy. The question remains on how to best treat low volume localized unfavorable intermediate risk prostate cancer (GG3) while maintaining quality of life. Focal therapy has been becoming a popular option for many patients with localized prostate cancer. Most studies looking at focal therapy for prostate cancer have been limited to GG1 and GG2, many of whom may not need treatment. We set out to review the literature evaluating the safety and efficacy of focal therapy for GG3 prostate cancer.Recent findings: We reviewed multiple peer review articles obtained from a PubMed search. While in field biopsy recurrence rates approach 20%, failure free survival and overall survival exceeds 90%. While focal therapy for unfavorable GG3 intermediate risk prostate cancer may have higher rates of local recurrence with appropriate post procedure follow up, patients who need salvage therapy are easily identified and survival rates are very high. Focal therapy is a good option for patients with localized low volume GG3 prostate cancer without compromising cancer survival and preserving quality of life.","PeriodicalId":11112,"journal":{"name":"Current Urology Reports","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11366723/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141491250","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Unraveling the Complexities of Uretero-Enteric Strictures: A Modern Review. 解读输尿管-肠管狭窄的复杂性：现代回顾。

IF 2.5 2区医学

Current Urology Reports Pub Date : 2024-11-01 Epub Date: 2024-08-14 DOI: 10.1007/s11934-024-01222-8

A Abdalla, Joshua A Cohn, J Simhan

引用次数: 0

Functional Outcomes of Orthotopic Neobladder in Women. 女性矫形新膀胱的功能结果。

IF 2.5 2区医学

Current Urology Reports Pub Date : 2024-11-01 Epub Date: 2024-08-28 DOI: 10.1007/s11934-024-01223-7

Unwanaobong Nseyo, David Ginsberg

{"title":"Functional Outcomes of Orthotopic Neobladder in Women.","authors":"Unwanaobong Nseyo, David Ginsberg","doi":"10.1007/s11934-024-01223-7","DOIUrl":"10.1007/s11934-024-01223-7","url":null,"abstract":"Purpose of review: This review paper summarizes the available literature on the evolution of surgical approach to radical cystectomy in female bladder cancer patients and its impact on functional outcomes in orthotopic neobladder.Recent findings: Traditionally, radical cystectomy in female bladder cancer patients has been maximally extirpative with pelvic exenteration. Recently, new techniques which include pelvic organ-sparing, nerve-sparing and vaginal-sparing have demonstrated improved rates of urinary incontinence and retention. Additional techniques include prophylactic apical suspension which reduces the likelihood of pelvic organ prolapse, a risk factor for voiding dysfunction in the setting of orthotopic neobladder. Surgical management of bladder cancer in female patients has evolved to include surgical approaches which center quality of life and functional outcomes that are unique to female patients who have undergone radical cystectomy with ileal neobladder and can be optimized based on considerations regarding an approach that limits pelvic floor and pelvic nerve disruption.","PeriodicalId":11112,"journal":{"name":"Current Urology Reports","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11366725/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142092520","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Telemedicine in Endourology for Patient Management and Healthcare Delivery: Current Status and Future Perspectives. 远程医疗在腔内泌尿学中用于患者管理和医疗服务：现状与未来展望》。

IF 2.5 2区医学

Current Urology Reports Pub Date : 2024-11-01 Epub Date: 2024-07-09 DOI: 10.1007/s11934-024-01224-6

Ali Talyshinskii, Nithesh Naik, B M Zeeshan Hameed, Gafour Khairley, Princy Randhawa, Bhaskar Kumar Somani

{"title":"Telemedicine in Endourology for Patient Management and Healthcare Delivery: Current Status and Future Perspectives.","authors":"Ali Talyshinskii, Nithesh Naik, B M Zeeshan Hameed, Gafour Khairley, Princy Randhawa, Bhaskar Kumar Somani","doi":"10.1007/s11934-024-01224-6","DOIUrl":"10.1007/s11934-024-01224-6","url":null,"abstract":"Purpose of review: Researchers have examined how telemedicine affects endourological patients. This review analyzes the literature to determine telemedicine's benefits and limitations in endourology.Recent findings: Many studies were devoted to describing the effect of telemedicine on endourological patient satisfaction, optimization of the clinical decision-making among patients with kidney and ureteric stones, the effectiveness of telemedicine in the management of patients with indications for PCNL, follow-up for patients with urolithiasis and describing financial effectiveness for the patients after BOO surgery. The authors describe phone calls, video calls, and online booking platforms as used as telemedicine technology. However, several concerns also exist, such as the necessity of internet connections and appropriate devices, different receptivity among certain subgroups, data safety, and different regulatory environments among countries. Telemedicine offers the potential to reduce patient travel time, expedite decision-making, and save costs in endourology. However, its everyday implementation is challenging due to various obstacles faced by patients and providers, hindering the realization of its full potential and necessitating a systematic approach to problem-solving.","PeriodicalId":11112,"journal":{"name":"Current Urology Reports","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11366724/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141558355","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Artificial Intelligence Modeling and Priapism. 人工智能建模与 Priapism。

IF 2.5 2区医学

Current Urology Reports Pub Date : 2024-10-01 Epub Date: 2024-06-18 DOI: 10.1007/s11934-024-01221-9

Edoardo Pozzi, David A Velasquez, Alexandra Aponte Varnum, Bruce R Kava, Ranjith Ramasamy

{"title":"Artificial Intelligence Modeling and Priapism.","authors":"Edoardo Pozzi, David A Velasquez, Alexandra Aponte Varnum, Bruce R Kava, Ranjith Ramasamy","doi":"10.1007/s11934-024-01221-9","DOIUrl":"10.1007/s11934-024-01221-9","url":null,"abstract":"Purpose of review: This narrative review aims to outline the current available evidence, challenges, and future perspectives of Artificial Intelligence (AI) in the diagnosis and management of priapism, a condition marked by prolonged and often painful erections that presents unique diagnostic and therapeutic challenges.Recent findings: Recent advancements in AI offer promising solutions to face the challenges in diagnosing and treating priapism. AI models have demonstrated the potential to predict the need for surgical intervention and improve diagnostic accuracy. The integration of AI models into medical decision-making for priapism can also predict long-term consequences. AI is currently being implemented in urology to enhance diagnostics and treatment work-up for various conditions, including priapism. Traditional diagnostic approaches rely heavily on assessments based on history, leading to potential delays in treatment with possible long-term sequelae. To date, the role of AI in the management of priapism is understudied, yet to achieve dependable and effective models that can reliably assist physicians in making decisions regarding both diagnostic and treatment strategies.","PeriodicalId":11112,"journal":{"name":"Current Urology Reports","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141418218","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Risk Factors and Contemporary Management Options for Pain and Discomfort Experienced During a Prostate Biopsy. 前列腺活检过程中出现疼痛和不适的风险因素和现代处理方案。

IF 2.5 2区医学

Current Urology Reports Pub Date : 2024-10-01 Epub Date: 2024-06-19 DOI: 10.1007/s11934-024-01220-w

Gabriela M Diaz, Lindsey T Webb, Maximilian J Rabil, Soum D Lokeshwar, Ankur U Choksi, Michael S Leapman, Preston C Sprenkle

{"title":"Risk Factors and Contemporary Management Options for Pain and Discomfort Experienced During a Prostate Biopsy.","authors":"Gabriela M Diaz, Lindsey T Webb, Maximilian J Rabil, Soum D Lokeshwar, Ankur U Choksi, Michael S Leapman, Preston C Sprenkle","doi":"10.1007/s11934-024-01220-w","DOIUrl":"10.1007/s11934-024-01220-w","url":null,"abstract":"Purpose of review: Prostate fusion biopsy, an innovative imaging modality for diagnosing prostate cancer, presents certain challenges for patients including discomfort and emotional distress, leading to nonadherence to treatment and follow-ups. To inform clinicians and offer pain relief alternatives to patients, this review delves into the risk factors for increased pain and modern management options to alleviate pain during prostate biopsy.Recent findings: Individual responses to pain vary, and the overall experience of pain during a prostate biopsy has been contributed to numerous factors such as patient age, prostate volume, previous biopsy experience, and more. As a result, several strategies aim to mitigate pain during in-office procedures. Notably, techniques including pharmacological analgesics, hand holding, heating pads, entertainment/virtual reality, and distraction have shown significant efficacy. Existing studies explore risk factors influencing pain intensity during prostate biopsy and effective pain management strategies. This review consolidates available information to guide clinicians in enhancing patient comfort and thus, encourage surveillance adherence.","PeriodicalId":11112,"journal":{"name":"Current Urology Reports","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141418265","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Genomics in active surveillance and post-prostatectomy patients: A review of when and how to use effectively. 主动监测和前列腺切除术后患者的基因组学：回顾何时以及如何有效使用。

IF 2.5 2区医学

Current Urology Reports Pub Date : 2024-10-01 Epub Date: 2024-06-13 DOI: 10.1007/s11934-024-01219-3

Adedayo Adetunji, Nikit Venishetty, Nita Gombakomba, Karl-Ray Jeune, Matthew Smith, Andrew Winer

{"title":"Genomics in active surveillance and post-prostatectomy patients: A review of when and how to use effectively.","authors":"Adedayo Adetunji, Nikit Venishetty, Nita Gombakomba, Karl-Ray Jeune, Matthew Smith, Andrew Winer","doi":"10.1007/s11934-024-01219-3","DOIUrl":"10.1007/s11934-024-01219-3","url":null,"abstract":"Purpose of review: Prostate cancer (PCa) represents a significant health burden globally, ranking as the most diagnosed cancer among men and a leading cause of cancer-related mortality. Conventional treatment methods such as radiation therapy or radical prostatectomy have significant side effects which often impact quality of life. As our understanding of the natural history and progression of PCa has evolved, so has the evolution of management options.Recent findings: Active surveillance (AS) has become an increasingly favored approach to the management of very low, low, and properly selected favorable intermediate risk PCa. AS permits ongoing observation and postpones intervention until definitive treatment is required. There are, however, challenges with selecting patients for AS, which further emphasizes the need for more precise tools to better risk stratify patients and choose candidates more accurately. Tissue-based biomarkers, such as ProMark, Prolaris, GPS (formerly Oncotype DX), and Decipher, are valuable because they improve the accuracy of patient selection for AS and offer important information on the prognosis and severity of disease. By enabling patients to be categorized according to their risk profiles, these biomarkers help physicians and patients make better informed treatment choices and lower the possibility of overtreatment. Even with their potential, further standardization and validation of these biomarkers is required to guarantee their broad clinical utility. Active surveillance has emerged as a preferred strategy for managing low-risk prostate cancer, and tissue-based biomarkers play a crucial role in refining patient selection and risk stratification. Standardization and validation of these biomarkers are essential to ensure their widespread clinical use and optimize patient outcomes.","PeriodicalId":11112,"journal":{"name":"Current Urology Reports","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141310317","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0