Journal of endourology最新文献

{"title":"Single-Port Versus Multi-Port Robotic Retroperitoneal Partial Nephrectomy: A Propensity Score-Matched Comparison.","authors":"Seokhwan Bang, Jiwoong Yu, Hoyoung Bae, Dongho Shin, Yong Hyun Park, Hyuk Jin Cho, U-Syn Ha, Ji Youl Lee, Sung-Hoo Hong","doi":"10.1089/end.2024.0493","DOIUrl":"10.1089/end.2024.0493","url":null,"abstract":"<p><p><b><i>Objective:</i></b> To compare the surgical results of retroperitoneal (RP) robot partial nephrectomy (PNx) using either a single-port robot (SP) or a multi-port robot (MP). <b><i>Materials and Methods:</i></b> We retrospectively reviewed all RP robotic PNx performed at a single institution from September 2021-when the SP robot was introduced to the institution-through April 2023. In total, 125 patients underwent the surgery; 81 patients were treated with surgery using a MP robot whereas 44 patients were treated with surgery using a SP. All MP surgeries were performed with da Vinci Xi (Intuitive, Sunnyvale, California, USA), while all SP surgeries were performed with da Vinci SP (Intuitive, Sunnyvale, California, USA). We performed a propensity score-matching (PSM) analysis of these 125 patients. <b><i>Results:</i></b> There was no significant difference between the two groups after PSM. In terms of operation time, that for MP was 103.68 ± 21.89 minutes whereas that for SP was 95.43 ± 32.22 minutes (<i>p</i>-value = 0.164). Meanwhile, in terms of console time, that for MP was 70.95 ± 21.92 minutes whereas that for SP was 64.14 ± 32.06 minutes (<i>p</i>-value = 0.248). In terms of estimated blood loss was 90.91 ± 91.06 mL in MP and 92.27 ± 104.30 mL in SP (<i>p</i>-value = 0.948). Lastly, there was a statistically significant difference in warm ischemic time, as it was 17.18 ± 6.56 minutes in MP and 13.82 ± 4.59 in SP (<i>p</i>-value = 0.007). There were no statistically significant differences between MP and SP in any other surgical outcomes. <b><i>Conclusions:</i></b> SP robot RP PNx demonstrated comparable outcomes to those achieve using MP procedures. This means SP robot RP PNx can be considered a preferable and more convenient surgical approach than conventional methods, particularly when dealing with small renal masses located in the posterior side of the kidney.</p>","PeriodicalId":15723,"journal":{"name":"Journal of endourology","volume":" ","pages":"1353-1358"},"PeriodicalIF":2.9,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142501651","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}

{"title":"Preoperative Factors for Success of Robotic Ureteral Reconstruction for Distal Ureteral Strictures.","authors":"Matthew Lee, Kelley Zhao, Brian Chao, Ziho Lee, Ravi Munver, Mutahar Ahmed, Michael D Stifelman, Lee C Zhao, Daniel D Eun","doi":"10.1089/end.2024.0595","DOIUrl":"10.1089/end.2024.0595","url":null,"abstract":"<p><p><b><i>Introduction:</i></b> To investigate preoperative predictors of surgical success for patients undergoing robotic ureteral reconstruction (RUR) for management of distal ureteral strictures. <b><i>Methods:</i></b> We retrospectively reviewed our multi-institutional Collaborative of Reconstructive Robotic Ureteral Surgery database to identify all consecutive patients undergoing RUR for surgical repair of distal ureteral strictures between 04/2012 and 12/2022. Procedures included refluxing reimplant (58.5%), side to side reimplant (18.0%), ureteroureterostomy (12.7%), non-refluxing reimplant (6.3%), buccal mucosa ureteroplasty (2.8%), and appendiceal bypass ureteroplasty (1.7%). Patients were grouped according to whether they were surgically successful. Preoperative variables between both groups were compared using chi-square tests. All variables with associations of <i>p</i> < 0.2 underwent a binary logistic regression analysis to determine predictive variables of success for RUR (<i>p</i> ≤ 0.05 considered statistically significant). <b><i>Results:</i></b> Overall, 284 patients met inclusion criteria. Univariate analysis showed obesity (<i>p</i> = 0.03), smoking history (<i>p</i> = 0.10), abdominopelvic radiation history (<i>p</i> = 0.14), immunocompromised state (<i>p</i> = 0.12), and ureteral rest (<i>p</i> = 0.01) were notable preoperative factors (<i>p</i> < 0.2). Binary logistic regression analysis further revealed the odds of surgical success in patients with obesity was 0.32 times (CI: 0.12-0.83, <i>p</i> = 0.02) the odds of success for patients without obesity. The odds of surgical success in patients who underwent preoperative ureteral rest was 4.2 times (CI: 1.51-11.77, <i>p</i> < 0.01) the odds of success for patients who did not undergo preoperative ureteral rest. <b><i>Conclusion:</i></b> Preoperative factors including obesity and ureteral rest may affect surgical success of RUR for management of distal ureteral strictures.</p>","PeriodicalId":15723,"journal":{"name":"Journal of endourology","volume":" ","pages":"1359-1363"},"PeriodicalIF":2.9,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142467154","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}

{"title":"Digital Flexible Ureteroscope: Evaluating Factors Responsible for Damage and Implementing a Mandatory Certification Program for Usage.","authors":"Joao G Porto, Ansh Bhatia, Renil S Titus, Maria Camila Suarez Arbelaez, Mohamadhusni Zarli, Alejandra Guevara, Michael Tradewell, Diana M Lopategui, Ramgopal Satyanarayana, Robert Marcovich, Hemendra N Shah","doi":"10.1089/end.2024.0208","DOIUrl":"10.1089/end.2024.0208","url":null,"abstract":"<p><p><b><i>Objective:</i></b> Digital flexible ureteroscopes (DFUs) play a crucial role in endourological procedures, and scope breakages are often avoidable with proper measures in place. We aimed to evaluate the effect of mandatory training on DFU durability and to assess the influence of various factors on instrument damage. <b><i>Materials and Methods:</i></b> Mandatory training involving instructional videos on DFU care was introduced for all processing and operating room staff handling DFUs. Only certified personnel were allowed to handle DFUs, with meticulous usage documentation. The average annual usage of each DFU was compared pre and post program implementation. We examined factors such as patient demographics, procedure details, and operator experience impacting scope life using negative binomial regression. <b><i>Results:</i></b> The average usage of DFU increased by 21%, from 6.38 to 7.74 cases. We found that post-graduate year stood out as a significant predictive factor (estimate = 3.28, <i>p</i> = 0.04). Moreover, the streamlined model revealed that previous ureteral-stent use (estimate = 0.94, <i>p</i> < 0.001), struvite stones (estimate = 3.08, <i>p</i> = 0.01), and a higher number of stones (estimate = 0.11, <i>p</i> = 0.04) were associated with an increased number of procedures before DFU breakage, whreas in situ lithotripsy in the lower calyx was associated with a reduced number of procedures before DFU breakage (estimate = -1.11, <i>p</i> = 0.003). <b><i>Conclusion:</i></b> Implementing a mandatory training program showed an increase in DFU durability by 21%, suggesting a potential reduction in annual repair and replacement costs by the same percentage. Furthermore, outcomes were more favorable when experienced practitioners conducted treatments, especially in cases involving struvite stones.</p>","PeriodicalId":15723,"journal":{"name":"Journal of endourology","volume":" ","pages":"1372-1379"},"PeriodicalIF":2.9,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142501647","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}

{"title":"Editorial Comment on: \"Real-World Safety of Prostate Cancer Focal Therapy: MAUDE Database Analysis\" by Qian et al.","authors":"Omar E Hayek, Lillian X Royston, Soroush Rais-Bahrami","doi":"10.1089/end.2024.0773","DOIUrl":"10.1089/end.2024.0773","url":null,"abstract":"","PeriodicalId":15723,"journal":{"name":"Journal of endourology","volume":" ","pages":"1413-1414"},"PeriodicalIF":2.9,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142620584","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}

{"title":"Takaaki Inoue, MD, PhD.","authors":"","doi":"10.1089/end.2024.69785","DOIUrl":"10.1089/end.2024.69785","url":null,"abstract":"","PeriodicalId":15723,"journal":{"name":"Journal of endourology","volume":" ","pages":"1339"},"PeriodicalIF":2.9,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142716363","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}

{"title":"Evaluation of Optical Tracking to Distinguish Surgeon Experience During Endoscopic Stone Surgery.","authors":"Amy M Reed, Yizhou Li, Jumanh Atoum, Ayberk Acar, Callahan Henry, Jie Ying Wu, Nicholas Kavoussi","doi":"10.1089/end.2024.0246","DOIUrl":"10.1089/end.2024.0246","url":null,"abstract":"<p><p><b><i>Introduction and Objectives:</i></b> Optical tracking (OT) has shown potential in assessing surgical skill but has yet to be evaluated for endoscopic urologic surgery. We sought to evaluate the potential for OT to distinguish expert and trainee surgeons during flexible ureteroscopy (fURS) for kidney stone treatment in both simulated and live surgical settings. <b><i>Methods:</i></b> We performed OT analysis of six surgeons performing stone localization during fURS in two settings. In the first setting, surgeons were tasked with fiducial localization in three separate kidney phantoms during fURS. In the second setting, surgeons performed stone localization via fURS in five separate patients. Surgeons were categorized as \"expert\" (<i>n</i> = 3, endourologist, average case volume of >100 fURS per year) or trainee (<i>n</i> = 3, trainee, <100 fURS per year). OT metrics were recorded for both settings using the Microsoft HoloLens 2© as the surgeons viewed the surgical monitor during fURS. Standard OT metrics of experts and trainees were compared, and included: area of eye gaze movement, gaze distance traveled, number of gaze fixation points, percentage of gaze fixation dwell time, and number of saccades. <b><i>Results:</i></b> In the simulated setting, the average time for stone localization was greater for trainees compared to experts (318 seconds <i>vs</i> 52 seconds, <i>p</i> < 0.01). Additionally, the mean area of eye gaze movements with area of interest (AOI) was greater for trainees compared to experts (1430 cm² <i>vs</i> 1060 cm², <i>p</i> < 0.01). The total gaze distance traveled was also greater for trainees compared to experts (1480 cm <i>vs</i> 730 cm, <i>p</i> < 0.01). In the live surgical setting, average time for stone localization was similar for trainees and experts (74 seconds <i>vs</i> 51 seconds, <i>p</i> = 0.05). The total area of eye gaze movements in AOI was greater for trainees compared to experts (700 cm² <i>vs</i> 30 cm², <i>p</i> < 0.01). Additionally, the total gaze distance traveled was greater for trainees compared to experts (14,000 cm <i>vs</i> 680 cm, <i>p</i> < 0.01). This suggests more varied and less point specific concentration on the surgical screen by trainees. There was no difference in percentage of gaze fixation dwell time and number of saccades between experts and trainees in either setting. <b><i>Conclusions:</i></b> OT analysis can objectively distinguish surgical experience between experts and trainee surgeons performing fURS in both simulated and live surgical settings. These findings may play a role in future surgical training and skills assessment.</p>","PeriodicalId":15723,"journal":{"name":"Journal of endourology","volume":" ","pages":"1421-1426"},"PeriodicalIF":2.9,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142467153","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}

{"title":"Navigating Focal Therapy for Prostate Cancer: Contemporary Perspectives and Future Trajectories in the Canadian Context.","authors":"Charles Hesswani, Pier-Paolo Avolio, Alexis Rompre-Brodeur, Sangeet Ghai, Maurice Anidjar, Adam Kinnaird, Joseph Chin, Nathan Perlis, Mostapha Soytas, Miles Mannas, Ardalanejaz Ahmad, Lawrence Klotz, Simon Tanguay, Wassim Kassouf, Victor McPherson, Armen Aprikian, Peter Pinto, Rafael Sanchez-Salas","doi":"10.1089/end.2024.0619","DOIUrl":"https://doi.org/10.1089/end.2024.0619","url":null,"abstract":"<p><p><b><i>Objective:</i></b> This article equips Canadian urologists with the latest advancements in focal therapy (FT) principles and outcomes while providing an overview of its current landscape in Canada, including challenges and future directions. <b><i>Methods:</i></b> We conducted a nonsystematic review of the literature on FT in urology and prostate cancer (PCa), focusing on Canadian-led studies. Articles were identified using PubMed, MEDLINE, and Google Scholar and selected based on relevance and originality. The final search was completed in April 2024. A survey was also conducted among Canadian urologists and radiologists practicing FT. It covered their experiences, access to technology, implementation challenges, and reimbursement policies. Data were collected via video calls, phone calls, or email, and responses were reported anonymously. <b><i>Results:</i></b> Fourteen Canadian urologists and radiologists performing FT were contacted, and 12 participated in this study. Despite the increasing adoption of FT by Canadian urologists, nationwide implementation remains limited due to financial constraints and resource shortages. This has restricted the availability of FT for Canadian men with PCa compared with their American and European counterparts. Only two provinces-Saskatchewan and Alberta-currently have billing codes for FT, forcing patients elsewhere to either join clinical trials or pay out of pocket. To close this care gap, equitable health care coverage and integration of FT into standard treatment options are essential. <b><i>Conclusion:</i></b> The quality of research in FT is showing promising improvements, with several clinical trials currently underway that may pave the way for broader acceptance within clinical guidelines by multiple urological societies. Although Canada has been slower to adopt FT compared with other parts of the world, Canadian urologists continue to advocate for provincial health care coverage to ensure that this innovative technology becomes accessible to Canadian patients.</p>","PeriodicalId":15723,"journal":{"name":"Journal of endourology","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2024-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142750963","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}

{"title":"A Trifecta-Based Evaluation of Patients Treated with Percutaneous Thermal Ablation of Small Renal Masses.","authors":"Gianpaolo Lucignani, Michele Rizzo, Anna Maria Ierardi, Andrea Piasentin, Elisa De Lorenzis, Carlo Trombetta, Giovanni Liguori, Michele Bertolotto, Gianpaolo Carrafiello, Emanuele Montanari, Luca Boeri","doi":"10.1089/end.2024.0091.fts24","DOIUrl":"https://doi.org/10.1089/end.2024.0091.fts24","url":null,"abstract":"&lt;p&gt;&lt;p&gt;&lt;b&gt;&lt;i&gt;Background:&lt;/i&gt;&lt;/b&gt; Scoring metrics are important to compare outcomes of different percutaneous treatments for small renal masses (RMs). The concept of trifecta (no complications, kidney function preservation, and absence of local recurrence) has been recently introduced in percutaneous thermal ablation of RM. In this context, previous studies have shown that cryoablation (CA) and microwave ablation (MWA) have similar outcomes. We aimed to validate the trifecta in CA and MWA and factors associated with treatment success. &lt;b&gt;&lt;i&gt;Materials and Methods:&lt;/i&gt;&lt;/b&gt; A retrospective comparative analysis of two cohorts was carried out on 190 consecutive patients with RMs treated using percutaneous CA or MWA. Nephrometry scores described RM complexity. Postoperative complications were categorized according to the Clavien-Dindo system. Glomerular filtration rate (GFR) at the last follow-up was calculated through the chronic kidney disease-epidemiology collaboration (EPI) formula, whereas detection of contrast enhancement during follow-up defined local recurrence. Last, trifecta was defined by the combination of no major (Clavien &gt;2) complications, estimation of GFR (eGFR) decline &lt;10%, and absence of local recurrence. Descriptive statistics and logistic regression models tested the association between predictors and trifecta achievement. Factors associated with recurrence were compared by the log-rank test. &lt;b&gt;&lt;i&gt;Results:&lt;/i&gt;&lt;/b&gt; Of 175 patients, 121 (69.1%) and 54 (30.8%) patients underwent CA and MWA, respectively. Median (interquartile range [IQR]) age and RM diameter were 75 years (66-80) and 2.4 cm (1.8-3.0). The CA group had a lower preoperative GFR but also had a lower rate of comorbidities (both &lt;i&gt;p&lt;/i&gt; = 0.01). Other demographics and tumor characteristics were comparable between groups. In the CA and MWA groups, major complications occurred after 1.6% and 4.8% of procedures (&lt;i&gt;p&lt;/i&gt; = 0.33), whereas an eGFR decline &gt;10% was found in 31.5% and 38.8% of cases (&lt;i&gt;p&lt;/i&gt; = 0.40), respectively. Similarly, in the CA and MWA groups, at a median follow-up of 21 (8-39) and 24 (9.5-36) months, local recurrence was observed after 10 (8.3%) and 5 (9.3%) cases (&lt;i&gt;p&lt;/i&gt; = 0.78), trifecta was accomplished after 72 (59.5%) and 32 (59.3%; &lt;i&gt;p&lt;/i&gt; = 1.00) procedures, respectively. Of note, recurrence-free survival (RFS) was comparable among groups (&lt;i&gt;p&lt;/i&gt; = 0.57). Moreover, trifecta achievement was comparable when stratifying for demographics and tumor characteristics in the whole cohort and in the CA group (&lt;i&gt;p&lt;/i&gt; &gt; 0.05). Conversely, logistic regression showed a lower odds ratio (OR) of trifecta for lesions close to renal collecting system treated by MWA, even when accounting for maximum diameter and preoperative GFR (OR 0.21, confidence interval 0.60-0.72, &lt;i&gt;p&lt;/i&gt; = 0.010). Of note, this factor was also associated with a significantly lower RFS (log-rank &lt;i&gt;p&lt;/i&gt; = 0.002). &lt;b&gt;&lt;i&gt;Conclusions:&lt;/i&gt;&lt;/b&gt; Both percutaneous CA and MWA of RM can safely","PeriodicalId":15723,"journal":{"name":"Journal of endourology","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2024-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142750836","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}

{"title":"Editorial Comment on END-2024-0091.R1.","authors":"Ezequiel Becher","doi":"10.1089/end.2024.0767","DOIUrl":"https://doi.org/10.1089/end.2024.0767","url":null,"abstract":"","PeriodicalId":15723,"journal":{"name":"Journal of endourology","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2024-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142716364","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}

{"title":"The Role of Tumor Volume Ratio in Predicting Clinically Significant Prostate Cancer on Transperineal Biopsy.","authors":"Pier Paolo Avolio, Toufic Hassan, Abdulmalik Addar, Hend Alshamsi, Victor McPherson, Nicolò Maria Buffi, Giovanni Lughezzani, Oleg Loutochin, Alexis Rompré-Brodeur, Maurice Anidjar, Rafael Sanchez-Salas","doi":"10.1089/end.2024.0428.fts24","DOIUrl":"https://doi.org/10.1089/end.2024.0428.fts24","url":null,"abstract":"<p><p><b><i>Objectives:</i></b> Multiparametric magnetic resonance imaging (mpMRI) has made dramatic inroads into the management of localized prostate cancer (PCa); however, not all suspicious lesions represent clinically significant (cs) PCa. We aimed to analyze the hypothetical effect of incorporating tumor volume ratio (TVR) into prostate biopsy (PBx) decision-making. <b><i>Materials and Methods:</i></b> Two hundred and fifty-two patients with suspicious lesions at mpMRI undergoing transperineal PBx under local anesthesia between 2019 and 2022 were retrospectively evaluated. TVR was calculated by dividing the tumor volume by the prostate volume. A regression model was used to assess predictors of csPCa. Descriptive statistics were applied to evaluate the effect of including TVR in PBx decision-making. <b><i>Results:</i></b> Overall, 119 patients (47%) were found to have csPCa. Age (<i>p</i> < 0.001), prior negative PBx (<i>p</i> = 0.011), and TVR (<i>p</i> < 0.001) were found to be independent predictors of csPCa. Applying the TVR cutoff of 0.23, a total of 117/252 (46%) PBx would have been avoided at the cost of missing csPCa in 26 (10%) men. <b><i>Conclusions:</i></b> Age, previous biopsy status, and TVR were found to be independent predictors of csPCa in men with suspicious lesions at mpMRI. Implementation of TVR into PBx decision-making improves the accuracy of mpMRI. Future studies are required to validate our findings and evaluate the role of TVR in avoiding unnecessary PBx.</p>","PeriodicalId":15723,"journal":{"name":"Journal of endourology","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2024-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142716366","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}