Current Urology Reports最新文献_第8页

Is Active Surveillance Too Active? 主动监控是否过于主动？

IF 2.6 2区医学

Current Urology Reports Pub Date : 2023-10-01 Epub Date: 2023-07-12 DOI: 10.1007/s11934-023-01177-2

James T Kearns, Brian T Helfand

引用次数: 0

Outcome of Mini-PCNL Under Loco-Regional Anesthesia: Outcomes of a Systematic Review. 局部区域麻醉下Mini-PCNL的结果:一项系统评价的结果。

IF 2.6 2区医学

Current Urology Reports Pub Date : 2023-09-01 DOI: 10.1007/s11934-023-01169-2

Mohammed Shahait, Ala'a Farkouh, Philip Mucksavage, Bhaskar Somani

{"title":"Outcome of Mini-PCNL Under Loco-Regional Anesthesia: Outcomes of a Systematic Review.","authors":"Mohammed Shahait, Ala'a Farkouh, Philip Mucksavage, Bhaskar Somani","doi":"10.1007/s11934-023-01169-2","DOIUrl":"https://doi.org/10.1007/s11934-023-01169-2","url":null,"abstract":"Purpose of review: Miniaturized PCNL (mi-PCNL) for stone disease is performed under a general anesthesia. However, the role of loco-regional anesthesia in mi-PCNL and its outcomes are not well defined yet. Here, we review the outcomes and complications of loco-regional anesthesia for mi-PCNL. A Cochrane-style review was performed in accordance with the preferred reporting items for systematic reviews to evaluate the outcomes of loco-reginal anesthesia for URS in stone disease, including all English language articles from January 1980 and October 2021.Recent findings: Ten studies with a total of 1663 patients underwent mi-PCNL under loco-regional anesthesia. The stone-free rate (SFR) for mi-PCNL under neuro-axial anesthesia ranged between 88.3 and 93.6%, while it ranged between 85.7 and 93.3% for mi-PCNL under local anesthesia (LA). The conversion rate to another anesthesia modality was 0.5%. The complications ranged widely between 3.3 and 85.7%. The majority were Grade I-II complications and none of the patients had grade V complications. Our review shows that mi-PCNL under loco-regional anesthesia is feasible with good SFR and a low risk of major complications. The conversion to general anesthesia is needed in a small minority, with the procedure itself being well tolerated and a big step towards establishing an ambulatory pathway for these patients.","PeriodicalId":11112,"journal":{"name":"Current Urology Reports","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10078369","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

Holmium and Thulium Fiber Laser Safety in Endourological Practice: What Does the Clinician Need to Know? 钬铥光纤激光在泌尿外科的安全性:临床医生需要知道什么?

IF 2.6 2区医学

Current Urology Reports Pub Date : 2023-09-01 DOI: 10.1007/s11934-023-01168-3

Patrick Juliebø-Jones, Bhaskar K Somani, Peder Gjengstø, Mathias Sørstrand Æsøy, Christian Beisland, Øyvind Ulvik

{"title":"Holmium and Thulium Fiber Laser Safety in Endourological Practice: What Does the Clinician Need to Know?","authors":"Patrick Juliebø-Jones, Bhaskar K Somani, Peder Gjengstø, Mathias Sørstrand Æsøy, Christian Beisland, Øyvind Ulvik","doi":"10.1007/s11934-023-01168-3","DOIUrl":"https://doi.org/10.1007/s11934-023-01168-3","url":null,"abstract":"PURPOSE OF REVIEW: To summarise the literature on laser safety during endourological practice. RECENT FINDINGS: Holmium and Thulium Fiber laser are the two main energy sources in the current clinical practice. The latter may have superior properties, but more clinical studies are needed to formally establish this. Laser injury to urothelium is more dependent on user experience rather than laser type. Smaller laser fibres allow for lower intra-renal temperature profiles. Operators should pay close attention to laser technique including maintaining the safety distance concept and only firing the laser when tip is clearly in view. When adjusting laser settings, pay close attention to resultant power given the associated heat changes. Prolonged periods of laser activation are to be avoided for the same reason. Outflow can be manipulated such as with access sheath to mitigate temperature and pressure changes. There is still limited evidence to support the mandate for compulsory use of eye protection wear during laser lithotripsy. Lasers are the gold standard energy source for stone lithotripsy. However, the safe clinical application of this technology requires an understanding of core principles as well as awareness of the safety and technical aspects that can help in protecting patient, surgeon and operating staff.","PeriodicalId":11112,"journal":{"name":"Current Urology Reports","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10449946/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10453040","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: 1

Imaging Techniques to Differentiate Benign Testicular Masses from Germ Cell Tumors. 良性睾丸肿块与生殖细胞瘤的影像鉴别。

IF 2.6 2区医学

Current Urology Reports Pub Date : 2023-09-01 DOI: 10.1007/s11934-023-01172-7

Ava Saidian, Aditya Bagrodia

引用次数: 0

Contemporary Use of Computed Tomography (CT) Imaging in Suspected Urolithiasis in Pregnancy. 当代计算机断层扫描(CT)在妊娠期疑似尿石症中的应用。

IF 2.6 2区医学

Current Urology Reports Pub Date : 2023-09-01 DOI: 10.1007/s11934-023-01171-8

Nicholas S Dean, Amy E Krambeck

引用次数: 0

Prostatic Arterial Embolization for Treatment of Lower Urinary Tract Symptoms Associated with Benign Prostatic Enlargement. 前列腺动脉栓塞治疗良性前列腺肿大相关下尿路症状。

IF 2.6 2区医学

Current Urology Reports Pub Date : 2023-09-01 DOI: 10.1007/s11934-023-01170-9

Patrick Curtin, Christopher Chang, Andre Uflacker

{"title":"Prostatic Arterial Embolization for Treatment of Lower Urinary Tract Symptoms Associated with Benign Prostatic Enlargement.","authors":"Patrick Curtin, Christopher Chang, Andre Uflacker","doi":"10.1007/s11934-023-01170-9","DOIUrl":"https://doi.org/10.1007/s11934-023-01170-9","url":null,"abstract":"Purpose of review: Prostatic artery embolization (PAE) is an emerging minimally invasive technique for lower urinary tract symptom reduction from benign prostatic hypertrophy (BPH). While the technique is becoming increasingly popular with patients and interventional radiologists, most urologists remain skeptical of the PAE's long-term efficacy and comparative success to the gold standard transurethral resection of the prostate.Recent findings: PAE has been found in multiple meta-analyses to perform similarly to the gold standard transurethral resection of the prostate (TURP) with regard to patient-driven measures like IPSS and IPSS-QoL, while also performing favorably in objective measurements including Qmax and PVR out to at least 12 months post intervention. Furthermore, PAE has a demonstrated shorter hospital length of stay and fewer adverse events when compared to TURP. PAE provides patients with an alternative to transurethral options for the management of LUTS in the setting of bladder outlet obstruction. While long-term evidence demonstrating the durability of PAE is still forthcoming, the procedure has been demonstrated to be safe according to multiple meta-analyses. Patients deserve to be counseled on PAE as an alternative to surgery and made aware that while the overall treatment effect may not be as robust or durable, the procedure carries a favorable adverse event profile that is attractive to patients wishing to avoid a trans-urethral approach.","PeriodicalId":11112,"journal":{"name":"Current Urology Reports","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10133279","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: 1

Outcomes of Paediatric Cystine Stone Management: Results of a Systematic Review. 儿科胱氨酸结石治疗的结果:一项系统评价的结果。

IF 2.6 2区医学

Current Urology Reports Pub Date : 2023-08-01 DOI: 10.1007/s11934-023-01162-9

Francesco Ripa, Amelia Pietropaolo, Robert Geraghty, Stephen Griffin, Paul Cook, Bhaskar Somani

{"title":"Outcomes of Paediatric Cystine Stone Management: Results of a Systematic Review.","authors":"Francesco Ripa, Amelia Pietropaolo, Robert Geraghty, Stephen Griffin, Paul Cook, Bhaskar Somani","doi":"10.1007/s11934-023-01162-9","DOIUrl":"https://doi.org/10.1007/s11934-023-01162-9","url":null,"abstract":"Purpose of review: We wanted to analyse the outcomes of surgical (SWL, URS, PCNL) and medical management of cystine stones in the paediatric population in terms of stone-free status and complication rates, based on all the available literature evidence.Recent findings: A systematic review of literature was performed for all studies with paediatric cystine stone management. Twelve studies met the eligibility criteria, of which 4 analysed outcomes of SWL, 2 of URS and 3 of PCNL and 3 focused on the effect of either alkalising agents (potassium citrate, citric acid) or cysteine-binding thiol (CBT) agents (tiopronin, penicillamine). The reported SFR in studies ranged from 50 to 83%, 59 to 100% and 63 to 80.6%, with a complication rate of 2.8-51%, 14-27% and 12.9-15.4% with SWL, URS and PCNL, respectively. Paediatric cystine stones treatment should aim at complete stone clearance, preservation of renal function and prevention of further recurrences. SWL achieves inferior results in case of cystine stones. URS and PCNL are safe and effective procedures in the paediatric population, with a low rate of major complications. Adherence to medical prevention therapies may prolong recurrence-free periods.","PeriodicalId":11112,"journal":{"name":"Current Urology Reports","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9943567","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

Correction: Role, Cost, and Availably of Urinary pH Monitoring for Kidney Stone Disease-A Systematic Review of the Literature. 修正:尿pH值监测在肾结石疾病中的作用、成本和有效性——对文献的系统回顾。

IF 2.6 2区医学

Current Urology Reports Pub Date : 2023-08-01 DOI: 10.1007/s11934-023-01176-3

Isabel Sanz-Gómez, Oriol Angerri, Michael Baboudjian, Andrés Kanashiro, Sílvia Gracia, Félix Millán, Francisco Sánchez-Martín, Bhaskar Somani, Juan Antonio Galan-Llopis, Yazeed Barghouthy, Esteban Emiliani

引用次数: 0

Selection and Outcomes for Dissolution Therapy in Uric Acid Stones: A Systematic Review of Literature. 尿酸结石溶出治疗的选择和结果:文献系统综述。

IF 2.6 2区医学

Current Urology Reports Pub Date : 2023-08-01 DOI: 10.1007/s11934-023-01164-7

Andrea Ong, George Brown, Theodoros Tokas, B M Zeeshan Hameed, Joe Philip, Bhaskar K Somani

{"title":"Selection and Outcomes for Dissolution Therapy in Uric Acid Stones: A Systematic Review of Literature.","authors":"Andrea Ong, George Brown, Theodoros Tokas, B M Zeeshan Hameed, Joe Philip, Bhaskar K Somani","doi":"10.1007/s11934-023-01164-7","DOIUrl":"https://doi.org/10.1007/s11934-023-01164-7","url":null,"abstract":"Purpose of review: The prevalence of uric acid (UA) urolithiasis contributes significantly to global disease burden, due to high rates of recurrence and diagnostic challenges. Dissolution therapy plays a valuable role in the conservative management of UA calculi, reducing the requirement for surgical intervention. This review summarises the existing evidence for the efficacy of medical dissolution of uric acid urolithiasis.Recent findings: A systematic search was conducted of worldwide literature according to PRISMA methodology and Cochrane standards for systematic review. Studies were included if they reported outcome data for the administration of medical therapy for the dissolution of UA calculi. A total of 1075 patients were included in the systematic review. Complete or partial dissolution of UA calculi was observed in 80.5% of patients (865/1075 patients), with 61.7% (647/1048 patients) achieving complete dissolution and 19.8% (207/1048 patients) achieving partial dissolution. A discontinuation rate of 10.2% (110/1075 patients) was noted, and 15.7% (169/1075 patients) required surgical intervention. Dissolution therapy is a safe and effective method of conservatively managing uric acid stones in the short term. Despite the significant disease burden of UA calculi, current guidelines are limited by deficiencies in the existing body of research. Further research should be undertaken to develop evidence-based clinical guidelines for diagnosis, treatment, and prevention of UA urolithiasis.","PeriodicalId":11112,"journal":{"name":"Current Urology Reports","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9943569","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

Endourological Options for Small (< 2 cm) Lower Pole Stones - Does the Lower Pole Angle Matter? 小(< 2厘米)下极结石的泌尿道选择-下极角度重要吗?

IF 2.6 2区医学

Current Urology Reports Pub Date : 2023-08-01 DOI: 10.1007/s11934-023-01161-w

Angus Luk, Robert Geraghty, Bhaskar Somani

引用次数: 1