Current Urology Reports最新文献

Pediatric Endourology Advances. 《儿科内分泌学进展》

IF 3.2 2区医学

Current Urology Reports Pub Date : 2026-10-15 DOI: 10.1007/s11934-026-01373-w

Tyler M Gaines, Sanjay Aiyar, Suhaib Abdfulfattah, Nicole J Kye, Saghar Babadi, Divya Mudundi, Sameer Mittal, Arun Srinivasan

引用次数: 0

The Role of Micro-Ultrasound in Prostate Cancer Detection. 微超声在前列腺癌检测中的作用。

IF 3.2 2区医学

Current Urology Reports Pub Date : 2026-10-09 DOI: 10.1007/s11934-026-01371-y

Navid Jabalameli, Feres Camargo Maluf, Fatema Bhinderwala, Thomas J Polascik, Soroush Rais-Bahrami

{"title":"The Role of Micro-Ultrasound in Prostate Cancer Detection.","authors":"Navid Jabalameli, Feres Camargo Maluf, Fatema Bhinderwala, Thomas J Polascik, Soroush Rais-Bahrami","doi":"10.1007/s11934-026-01371-y","DOIUrl":"10.1007/s11934-026-01371-y","url":null,"abstract":"Purpose of review: To synthesize current evidence on the role of 29-MHz micro-ultrasound (microUS) in prostate cancer (PCa) detection and to define its position relative to multiparametric MRI (mpMRI) across the diagnostic pathway. We conducted a narrative review of prospective, comparative, and randomized studies, with clinically significant prostate cancer (csPCa) detection as the primary endpoint.Recent findings: MicroUS provides ~ 70-µm axial resolution and enables real-time PRI-MUS-based risk stratification. Across head-to-head studies, microUS achieves diagnostic performance comparable to mpMRI. Evidence supports utility in biopsy-naïve patients, selected MRI-negative men with persistent clinical suspicion, repeat-biopsy settings, active surveillance, and local tumor staging, while combined mpMRI-microUS approaches have been shown to maximize yield of csPCa detection. Key limitations include operator dependence, interobserver variability, lack of validated biopsy-avoidance thresholds, and reduced sensitivity in anterior lesions. MicroUS is a practical, high-resolution platform that complements mpMRI and may enhance accessibility, efficiency, and precision in prostate cancer care.","PeriodicalId":11112,"journal":{"name":"Current Urology Reports","volume":"27 1","pages":""},"PeriodicalIF":3.2,"publicationDate":"2026-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13652915/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149148070","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

Can DTI Evaluate Lumbosacral Plexus Nerve Integrity, and What can this Tell us About Lower Urinary Tract Dysfunction? A Narrative Review. DTI能评估腰骶丛神经的完整性吗？它能告诉我们关于下尿路功能障碍的什么？叙述性评论。

IF 3.2 2区医学

Current Urology Reports Pub Date : 2026-10-08 DOI: 10.1007/s11934-026-01372-x

Ross Stephens, Sachin Malde, Arun Sahai, Eskinder Solomon

{"title":"Can DTI Evaluate Lumbosacral Plexus Nerve Integrity, and What can this Tell us About Lower Urinary Tract Dysfunction? A Narrative Review.","authors":"Ross Stephens, Sachin Malde, Arun Sahai, Eskinder Solomon","doi":"10.1007/s11934-026-01372-x","DOIUrl":"10.1007/s11934-026-01372-x","url":null,"abstract":"Purpose of review: Peripheral neuropathy affecting the lumbosacral plexus (LSP) is a potential contributor to \"idiopathic\" lower urinary tract dysfunction (LUTD), yet objective methods to assess peripheral nerve integrity in vivo remain limited. This narrative review evaluates the feasibility of diffusion tensor imaging (DTI) in assessing LSP microstructural integrity and explores what this may tell us about lower urinary tract dysfunction.Recent findings: Twelve studies met inclusion criteria from 91 screened abstracts. All studies successfully imaged and quantified sacral nerve microstructure using DTI parameters including fractional anisotropy (FA), mean diffusivity (MD), and apparent diffusion coefficient (ADC), demonstrating the technical feasibility of DTI across independent centres. Five case-control studies were identified, of which 4/5 included populations with pathologies known to result in LUTD and demonstrated significant differences in DTI parameters between patient and control groups within individual studies. However, findings are limited by small study cohorts, heterogeneous imaging protocols, and a lack of standardised lower urinary tract outcome measures across included studies. DTI can quantify the microstructural properties of peripheral nerves in the LSP and demonstrates consistent differences between patients with LUT dysfunction and controls. Therefore, this work supports a potential role for DTI to evaluate the contribution of peripheral neuropathy in patients with \"idiopathic\" LUT symptoms.","PeriodicalId":11112,"journal":{"name":"Current Urology Reports","volume":"27 1","pages":""},"PeriodicalIF":3.2,"publicationDate":"2026-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149135440","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

A Review of Minimally Invasive Therapies for Men with Overactive Bladder. 男性膀胱过动症的微创治疗综述。

IF 3.2 2区医学

Current Urology Reports Pub Date : 2026-10-03 DOI: 10.1007/s11934-026-01368-7

Hayley Premo, Meghan Cooper

引用次数: 0

Imaging in Upper Tract Urothelial Carcinoma: Diagnostic Accuracy of Current Modalities for Local Tumor Staging. 上尿路上皮癌的影像学诊断：当前模式对局部肿瘤分期的诊断准确性。

IF 3.2 2区医学

Current Urology Reports Pub Date : 2026-10-02 DOI: 10.1007/s11934-026-01366-9

John V Dudinec, Yu Guang Tan, Justin M Refugia, Reza Nabavizadeh, Ankeet M Shah, Michael R Abern, Alireza Ghoreifi

{"title":"Imaging in Upper Tract Urothelial Carcinoma: Diagnostic Accuracy of Current Modalities for Local Tumor Staging.","authors":"John V Dudinec, Yu Guang Tan, Justin M Refugia, Reza Nabavizadeh, Ankeet M Shah, Michael R Abern, Alireza Ghoreifi","doi":"10.1007/s11934-026-01366-9","DOIUrl":"10.1007/s11934-026-01366-9","url":null,"abstract":"Purpose of review: To summarize current imaging modalities for upper tract urothelial carcinoma (UTUC) and evaluate their diagnostic performance for tumor staging and risk stratification.Recent findings: CT urography remains the diagnostic standard with excellent accuracy for tumor detection, though its reliability for local staging is limited. MR urography shows promise for assessing muscle invasion but is operator dependent. FDG-PET demonstrates value in nodal and metastatic staging rather than primary tumor evaluation. Retrograde pyelography maintains a role in tumor diagnosis in circumstances where cross-sectional imaging is unable to be performed. Emerging approaches, including radiomics and machine learning, as well as novel modalities such as endoluminal ultrasound, optical coherence tomography, and contrast-enhanced ultrasound show encouraging preliminary results but lack large-scale validation. No single modality provides accurate clinical staging in UTUC. A multimodal approach integrating imaging with clinical and endoscopic data remains essential, while emerging technologies may improve future risk stratification.","PeriodicalId":11112,"journal":{"name":"Current Urology Reports","volume":"27 1","pages":""},"PeriodicalIF":3.2,"publicationDate":"2026-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149105343","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

Defining the Role of Single-Port Robotic Partial Nephrectomy: Current Evidence, Patient Selection, and Anatomy-Platform Matching. 定义单端口机器人肾部分切除术的作用：当前证据，患者选择和解剖平台匹配。

IF 3.2 2区医学

Current Urology Reports Pub Date : 2026-09-30 DOI: 10.1007/s11934-026-01363-y

Vital Hevia, Juan Sánchez-Carpena, Cristina Cámara-Martínez, Fernando Lista-Mateos

{"title":"Defining the Role of Single-Port Robotic Partial Nephrectomy: Current Evidence, Patient Selection, and Anatomy-Platform Matching.","authors":"Vital Hevia, Juan Sánchez-Carpena, Cristina Cámara-Martínez, Fernando Lista-Mateos","doi":"10.1007/s11934-026-01363-y","DOIUrl":"https://doi.org/10.1007/s11934-026-01363-y","url":null,"abstract":"Purpose of review: To critically review the contemporary evidence on single-port robot-assisted partial nephrectomy (SP-RAPN), focusing on comparative outcomes, patient selection, anatomy-based surgical approaches, technical implementation, and its current role relative to multi-port RAPN (MP-RAPN).Recent findings: Available comparative studies, multicenter registries, and recent meta-analyses indicate that SP-RAPN achieves perioperative, functional, and early oncological outcomes comparable to MP-RAPN in appropriately selected patients. Its principal added value appears to lie not in universal platform superiority, but in facilitating anatomy-adapted strategies, particularly retroperitoneal and low anterior access approaches in posterior tumors, confined operative spaces, and selected patients with hostile abdomen. However, current evidence remains predominantly retrospective and derives largely from high-volume expert centers. SP-RAPN should be considered a complementary robotic platform. Its greatest clinical value emerges when platform-specific engineering characteristics are matched to patient anatomy, surgical access, institutional experience, and surgeon expertise. Future studies should validate objective selection criteria and assess long-term, patient-reported, and efficiency outcomes.","PeriodicalId":11112,"journal":{"name":"Current Urology Reports","volume":"27 1","pages":""},"PeriodicalIF":3.2,"publicationDate":"2026-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149105377","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

Timing and Cost Consideration in Surgery for Male Stress Urinary Incontinence For Current Urology Reports. 当前泌尿外科报道中男性压力性尿失禁手术的时机和费用考虑。

IF 3.2 2区医学

Current Urology Reports Pub Date : 2026-09-23 DOI: 10.1007/s11934-026-01367-8

Eric Chung, Charles Yizhou Ruan, Juan Wang

{"title":"Timing and Cost Consideration in Surgery for Male Stress Urinary Incontinence For Current Urology Reports.","authors":"Eric Chung, Charles Yizhou Ruan, Juan Wang","doi":"10.1007/s11934-026-01367-8","DOIUrl":"10.1007/s11934-026-01367-8","url":null,"abstract":"Purpose of review: Surgery remains the standard of definitive care in male stress urinary incontinence (SUI). This narrative review provides a critical discussion of pertinent aspects of male continence surgery, including cost-benefit analysis and whether continence surgery should be offered earlier.Recent findings: Controversies exist regarding the timing of surgery and whether the male sling (MS) is superior to the artificial urinary sphincter (AUS). Presently, significant gaps exist in the cost analysis and modelling for the most effective treatment in male SUI. Each continence device has its own merit and drawbacks, and patients should be counselled on the procedure, mechanics, expectations and surgical complications, with emphasis on shared decision-making and personalised care. More high-quality studies of surgical interventions, including direct comparison against non-surgical methods, coupled with in-depth evaluation on why patients choose a particular treatment over another, will be useful in preoperative counselling and streamlining decision-making in male SUI.","PeriodicalId":11112,"journal":{"name":"Current Urology Reports","volume":"27 1","pages":""},"PeriodicalIF":3.2,"publicationDate":"2026-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13601187/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149029867","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

Renal Imaging Characteristics Predicting Percutaneous Access for Staghorn Stone Management. 肾影像学特征预测经皮入路治疗鹿角石。

IF 3.2 2区医学

Current Urology Reports Pub Date : 2026-09-18 DOI: 10.1007/s11934-026-01365-w

Vicente Elorrieta, Bahri Efe Turgut, Feres Camargo Maluf, Joseph J Crivelli, Kyle D Wood, Thomas Chi, Kazumi Taguchi

{"title":"Renal Imaging Characteristics Predicting Percutaneous Access for Staghorn Stone Management.","authors":"Vicente Elorrieta, Bahri Efe Turgut, Feres Camargo Maluf, Joseph J Crivelli, Kyle D Wood, Thomas Chi, Kazumi Taguchi","doi":"10.1007/s11934-026-01365-w","DOIUrl":"10.1007/s11934-026-01365-w","url":null,"abstract":"Purpose of review: Preoperative planning in staghorn stones treated with percutaneous nephrolithotomy (PCNL) can improve efficiency and minimize complications. We summarized the current evidence on imaging features to guide the selection of optimal access for managing staghorn stones.Recent findings: Although the upper pole may offer the most favorable route for stone clearance, it may carry a higher risk of complications in certain situations. In such cases, the middle-calyx may be a safer and equally efficient alternative. Multiple access may still be needed in certain cases. Care should be taken when analyzing preoperative imaging characteristics, as patient positioning and measurements may not directly correlate with the intraoperative findings. Detailed assessment of preoperative imaging remains essential for access planning and success. Linear stone burden, distribution of the stone and its relationships to the access calyx, nephrolithometry S.T.O.N.E. score, and infundibular width are relevant factors when planning PCNL access.","PeriodicalId":11112,"journal":{"name":"Current Urology Reports","volume":"27 1","pages":""},"PeriodicalIF":3.2,"publicationDate":"2026-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13588915/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149001476","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

Hydrogel-Based Therapies for Female Stress Urinary Incontinence: From Bulking Agents to Regenerative Platforms-A Narrative Review. 基于水凝胶的女性压力性尿失禁治疗：从膨胀剂到再生平台-一篇叙述性综述。

IF 3.2 2区医学

Current Urology Reports Pub Date : 2026-09-18 DOI: 10.1007/s11934-026-01364-x

Chen Li, Ziyu Wang, Guang Yue, Limin Liao, Linquan Jin, Xing Li

{"title":"Hydrogel-Based Therapies for Female Stress Urinary Incontinence: From Bulking Agents to Regenerative Platforms-A Narrative Review.","authors":"Chen Li, Ziyu Wang, Guang Yue, Limin Liao, Linquan Jin, Xing Li","doi":"10.1007/s11934-026-01364-x","DOIUrl":"10.1007/s11934-026-01364-x","url":null,"abstract":"Purpose of review: This review summarizes the procedural techniques, short- and long-term efficacy, and clinical application of polyacrylamide hydrogel (PAHG, Bulkamid®) as a urethral bulking agent for female stress urinary incontinence (SUI); compares PAHG with mid-urethral sling (MUS) surgery; and examines emerging hydrogel-based regenerative platforms, used for mechanical bulking, delivery of bioactive molecules or cells, and extracellular matrix-mimetic scaffolding, together with their prospects for clinical translation.Recent findings: PAHG injection has gained acceptance as a minimally invasive option for patients who have failed conservative management, declined or are intolerant of MUS surgery, or have recurrent SUI. Follow-up studies up to 7-9 years show sustained response rates of 44%-65% with mostly transient complications and improvements in quality of life and sexual function. Randomized trials indicate that although MUS achieves superior cure rates, PAHG is associated with fewer severe complications, aligning with patient preferences for less invasive procedures. In preclinical animal models, injectable hydrogels loaded with bioactive molecules or cells provide mechanical bulking and simultaneously promote tissue regeneration, including angiogenesis, neurogenesis, and modulation of the inflammatory response. PAHG is a well-tolerated, minimally invasive bulking agent that achieves sustained symptomatic relief and meaningful quality-of-life improvements. Dual-function hydrogel systems combining bulking and sustained regenerative repair may represent a future direction for SUI therapy; however, most evidence remains preclinical, and further material optimization, rigorous safety evaluation, and well-designed clinical trials are needed before clinical translation.","PeriodicalId":11112,"journal":{"name":"Current Urology Reports","volume":"27 1","pages":""},"PeriodicalIF":3.2,"publicationDate":"2026-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149001462","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

Leveraging Skills as a Practicing Urologist into Other Leadership Positions. 利用作为执业泌尿科医生的技能到其他领导职位。

IF 3.2 2区医学

Current Urology Reports Pub Date : 2026-09-12 DOI: 10.1007/s11934-026-01362-z

Gary W Chien, Kirk A Tamaddon, Ramin Davidoff

{"title":"Leveraging Skills as a Practicing Urologist into Other Leadership Positions.","authors":"Gary W Chien, Kirk A Tamaddon, Ramin Davidoff","doi":"10.1007/s11934-026-01362-z","DOIUrl":"10.1007/s11934-026-01362-z","url":null,"abstract":"Purpose of review: This review examines how the clinical skills, professional traits, and developmental pathways of practicing urologists can translate into broader institutional leadership roles, addressing the persistent underrepresentation of surgeons and urologists in health system decision-making.Recent findings: National data show that physician chief executives remain uncommon and that urologists are rarely represented in senior institutional roles. Yet urology draws from a highly competitive applicant pool and is associated with personality traits, longitudinal patient relationships, and operational habits that align closely with institutional leadership. National data further illustrate how physicians commonly reach durable leadership roles through progressive responsibility, visible institutional service, and sustained operational engagement. Urologists already exercise many competencies required for institutional leadership, including triage under uncertainty, multidisciplinary coordination, regulatory awareness, high-stakes communication, and long-term relationship-building. Intentional pathways built through mentorship, leadership development, visible service, and progressive administrative responsibility can help urologists extend their impact beyond the operating room and strengthen surgical representation in organizational leadership.","PeriodicalId":11112,"journal":{"name":"Current Urology Reports","volume":"27 1","pages":""},"PeriodicalIF":3.2,"publicationDate":"2026-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148954903","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