Current Urology Reports最新文献_第4页

Advancements in Understanding and Managing Radiation Cystitis: A Comprehensive Review 了解和治疗放射性膀胱炎的进展：全面回顾

IF 2.6 2区医学

Current Urology Reports Pub Date : 2024-09-17 DOI: 10.1007/s11934-024-01238-0

Emily Neckonoff, Christopher B. Anderson

{"title":"Advancements in Understanding and Managing Radiation Cystitis: A Comprehensive Review","authors":"Emily Neckonoff, Christopher B. Anderson","doi":"10.1007/s11934-024-01238-0","DOIUrl":"https://doi.org/10.1007/s11934-024-01238-0","url":null,"abstract":"<h3 data-test=\"abstract-sub-heading\">Purpose of Review</h3><p>This manuscript aims to provide a comprehensive overview of the pathophysiology, risk factors, prevention strategies, and management options for radiation cystitis.</p><h3 data-test=\"abstract-sub-heading\">Recent Findings</h3><p>Recent studies have shed light on the pathophysiology of radiation cystitis, highlighting the role of inflammation, fibrosis, and vascular damage. Emerging preventive measures like stem cell therapy offer promise, alongside novel treatments such as amniotic bladder therapy and hyperbaric oxygen therapy.</p><h3 data-test=\"abstract-sub-heading\">Summary</h3><p>This review outlines the latest research on radiation cystitis, covering its pathophysiology, risk factors, prevention, and management. Major findings include insights into the mechanisms of RC development, promising preventive and therapeutic approaches, and the importance of standardized treatment pathways. Future research should focus on identifying genetic risk factors, improving treatment efficacy, and enhancing patient outcomes. This review offers valuable insights for clinicians and researchers, guiding future investigations into radiation cystitis management.</p>","PeriodicalId":11112,"journal":{"name":"Current Urology Reports","volume":"21 1","pages":""},"PeriodicalIF":2.6,"publicationDate":"2024-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142267674","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

The Extended Utilization of Bulking Agents in Pediatric Urology. 在小儿泌尿外科中扩大使用增容剂。

IF 2.5 2区医学

Current Urology Reports Pub Date : 2024-09-01 Epub Date: 2024-06-18 DOI: 10.1007/s11934-024-01212-w

Corey Weinstein, Andrew Kirsch

{"title":"The Extended Utilization of Bulking Agents in Pediatric Urology.","authors":"Corey Weinstein, Andrew Kirsch","doi":"10.1007/s11934-024-01212-w","DOIUrl":"10.1007/s11934-024-01212-w","url":null,"abstract":"<p><strong>Purpose of review: </strong>Traditional surgical management for urinary incontinence and vesicoureteral reflux often requires complex reconstructive surgery and extended hospitalizations. Since the introduction of endoscopic bulking agents in 1973, there has been increasing interest in the use of endoscopic injection (EI) and bulking for the treatment of a variety of pediatric urologic disorders. The purpose of this review is to summarize the most recent literature addressing the use of bulking agents in pediatric urology.</p><p><strong>Recent findings: </strong>The most recent literature has focused primarily on the use of EI of bulking agents at the bladder neck for the treatment of urinary incontinence. Other uses of EI of bulking agents has focused on the treatment of vesicoureteral reflux (VUR) in patients with anatomic abnormalities or treatment of incontinence catheterizable channels. The development of advanced techniques for endoscopic injection along with safe, stable bulking agents has allowed for the treatment of a variety of urologic conditions. This minimally invasive procedure offers an additional tool for the pediatric urologist's armamentarium in the treatment of urinary incontinence and VUR.</p>","PeriodicalId":11112,"journal":{"name":"Current Urology Reports","volume":" ","pages":"233-239"},"PeriodicalIF":2.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141418266","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

Virtual Urology Residency Interviews in the Post-Pandemic Era. 后流行病时代的虚拟泌尿科住院医师面试。

IF 2.5 2区医学

Current Urology Reports Pub Date : 2024-09-01 Epub Date: 2024-07-10 DOI: 10.1007/s11934-024-01215-7

Sakina Z Neemuchwala, Gary E Lemack

引用次数: 0

Erectile Dysfunction in Adolescents and Young Adults. 青少年和年轻人的勃起功能障碍。

IF 2.5 2区医学

Current Urology Reports Pub Date : 2024-09-01 Epub Date: 2024-06-26 DOI: 10.1007/s11934-024-01213-9

Amelia Pantazis, Israel Franco, Jordan Gitlin

引用次数: 0

Financial and Business Literacy Among Urology Residents: Is this a Problem and How Can We Better Prepare Residents for their Careers? 泌尿外科住院医师的财务和商业知识：这是一个问题吗？我们如何才能更好地为住院医生的职业生涯做好准备？

IF 2.5 2区医学

Current Urology Reports Pub Date : 2024-09-01 Epub Date: 2024-06-21 DOI: 10.1007/s11934-024-01216-6

Vinayak Madhusoodanan, Joshua Bitran, Maxwell Towe, Chad Ritch

{"title":"Financial and Business Literacy Among Urology Residents: Is this a Problem and How Can We Better Prepare Residents for their Careers?","authors":"Vinayak Madhusoodanan, Joshua Bitran, Maxwell Towe, Chad Ritch","doi":"10.1007/s11934-024-01216-6","DOIUrl":"10.1007/s11934-024-01216-6","url":null,"abstract":"<p><strong>Purpose of review: </strong>Although financial wellness is a predictor of physician burnout, we are yet to optimize financial education or wellness of Urology trainees. We assessed existing studies, compared them to those of other specialties, and discussed resources and methods to address this deficiency.</p><p><strong>Recent findings: </strong>Urology residents tend to be less fiscally savvy (carry significant debt, and lack retirement savings or disability insurance), and 90% of trainees and young Urologists do not feel comfortable with the business of practice, including skills like coding and billing, contract negotiation, and self-value assessment. Financial and business literacy are deficiencies of Urology training, as in other specialties. Eventually, the goal should be universal adoption of a formal curriculum that is graded in nature. In the interim, we need to propose and endorse adoption of a formal curriculum, and we should support trainees by promoting a space for easily accessible and transparent information regarding best practices in personal finance and the business of healthcare.</p>","PeriodicalId":11112,"journal":{"name":"Current Urology Reports","volume":" ","pages":"207-214"},"PeriodicalIF":2.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141431640","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

Advancements in Surgical Management of Megaureters. 巨尿道手术治疗的进展。

IF 2.5 2区医学

Current Urology Reports Pub Date : 2024-09-01 Epub Date: 2024-07-02 DOI: 10.1007/s11934-024-01214-8

Timothy C Boswell

引用次数: 0

Role of Genetic Testing in Kidney Stone Disease: A Narrative Review 基因检测在肾结石病中的作用：叙述性综述

IF 2.6 2区医学

Current Urology Reports Pub Date : 2024-08-03 DOI: 10.1007/s11934-024-01225-5

Robert Geraghty, Catherine Lovegrove, Sarah Howles, John A. Sayer

{"title":"Role of Genetic Testing in Kidney Stone Disease: A Narrative Review","authors":"Robert Geraghty, Catherine Lovegrove, Sarah Howles, John A. Sayer","doi":"10.1007/s11934-024-01225-5","DOIUrl":"https://doi.org/10.1007/s11934-024-01225-5","url":null,"abstract":"<h3 data-test=\"abstract-sub-heading\">Purpose of Review</h3><p>Kidney stone disease (KSD) is a common and potentially life-threatening condition, and half of patients experience a repeat kidney stone episode within 5–10 years. Despite the ~50% estimate heritability of KSD, international guidelines have not kept up with the pace of discovery of genetic causes of KSD. The European Association of Urology guidelines lists 7 genetic causes of KSD as ‘high risk’.</p><h3 data-test=\"abstract-sub-heading\">Recent Findings</h3><p>There are currently 46 known monogenic (single gene) causes of kidney stone disease, with evidence of association in a further 23 genes. There is also evidence for polygenic risk of developing KSD. Evidence is lacking for recurrent disease, and only one genome wide association study has investigated this phenomenon, identifying two associated genes (<i>SLC34A1</i> and <i>TRPV5</i>). However, in the absence of other evidence, patients with genetic predisposition to KSD should be treated as ‘high risk’. Further studies are needed to characterize both monogenic and polygenic associations with recurrent disease, to allow for appropriate risk stratification. Durability of test result must be balanced against cost. This would enable retrospective analysis if no genetic cause was found initially.</p><h3 data-test=\"abstract-sub-heading\">Summary</h3><p>We recommend genetic testing using a gene panel for all children, adults < 25 years, and older patients who have factors associated with high risk disease within the context of a wider metabolic evaluation. Those with a genetic predisposition should be managed via a multi-disciplinary team approach including urologists, radiologists, nephrologists, clinical geneticists and chemical pathologists. This will enable appropriate follow-up, counselling and potentially prophylaxis.</p>","PeriodicalId":11112,"journal":{"name":"Current Urology Reports","volume":"15 1","pages":""},"PeriodicalIF":2.6,"publicationDate":"2024-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141881735","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

Plastic Clamp Versus Conventional Surgical Dissection Technique in Pediatric Circumcision: A Systematic Review and Meta-Analysis. 小儿包皮环切术中的塑料夹钳与传统手术剥离技术：系统综述与元分析》。

IF 2.5 2区医学

Current Urology Reports Pub Date : 2024-08-01 Epub Date: 2024-05-21 DOI: 10.1007/s11934-024-01209-5

Xianming Yao, Gang Zhang, Qianwei Xiong, Shaoguang Feng, Xian Liu

{"title":"Plastic Clamp Versus Conventional Surgical Dissection Technique in Pediatric Circumcision: A Systematic Review and Meta-Analysis.","authors":"Xianming Yao, Gang Zhang, Qianwei Xiong, Shaoguang Feng, Xian Liu","doi":"10.1007/s11934-024-01209-5","DOIUrl":"10.1007/s11934-024-01209-5","url":null,"abstract":"<p><strong>Purpose: </strong>Phimosis is a common condition of the urinary system in children and often requires surgical treatment. However, the optimal method of circumcision for children has not been determined. We conducted a systematic review and meta-analysis to compare the safety and effectiveness of plastic clamp with conventional surgical circumcision in pediatric circumcision.</p><p><strong>Methods: </strong>A literature search was carried out to compare the plastic clamp and conventional dissection technique in the pediatric population. The following search terms were used: \"circumcision\", \"plastic clamp\", \"conventional\", \"plastibell\", \"children\" and etc. Meta-analysis was used to pool and evaluate variables such as operative time, blood loss, wound infection, bleeding, edema, and total postoperative complications.</p><p><strong>Results: </strong>The plastic clamp technique (PCT) was used in 10,412 of the 17,325 participants in the nine studies, while the conventional surgical dissection technique (CST) was used on 6913 patients. When compared to the CST approach, the PCT approach resulted in shorter operative times (mean difference (MD) -17.48, 95% CI -22 to -12.96; P < 0.001), less blood loss (MD -4.25, 95% CI -7.75 to -0.77; P = 0.02), and a higher incidence of postoperative edema (OR 2.33, 95% CI 1.34 to 4.08; P = 0.003). However, no significant difference was found in the incidence of postoperative complications, including wound infection and bleeding between PCT and CST.</p><p><strong>Conclusions: </strong>PCT is a safe and time-saving option in the pediatric population. However, this method appeared to have a significant greater rate of postoperative edema.</p>","PeriodicalId":11112,"journal":{"name":"Current Urology Reports","volume":" ","pages":"173-180"},"PeriodicalIF":2.5,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141070226","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

Overview of Radiation Therapy in the Management of Localized and Metastatic Prostate Cancer. 放射治疗治疗局部和转移性前列腺癌概述。

IF 2.5 2区医学

Current Urology Reports Pub Date : 2024-08-01 Epub Date: 2024-06-11 DOI: 10.1007/s11934-024-01217-5

Malcolm D Mattes

引用次数: 0

Digital Rectal Exam in Prostate Cancer Screening and Elevated PSA Work-up-Is there a role anymore? 前列腺癌筛查和 PSA 升高检查中的数字直肠检查--还有作用吗？

IF 2.5 2区医学

Current Urology Reports Pub Date : 2024-08-01 Epub Date: 2024-06-13 DOI: 10.1007/s11934-024-01218-4

Lane Shish, Joseph Zabell

引用次数: 0