Hellenic Urology最新文献_第4页

Renal infarction: A nonurologic disease mimicking a urologic emergency event 肾梗死:一种模仿泌尿系统紧急事件的非泌尿系统疾病

Hellenic Urology Pub Date : 2021-07-01 DOI: 10.4103/HUAJ.HUAJ_35_21

Diomidis Kozyrakis, M. Lardas

引用次数: 0

Recurrence of primary hydrocele 1 month after hydrocelectomy in a 35-year-old patient 35岁原发性鞘膜积液切除术后1个月复发

Hellenic Urology Pub Date : 2021-07-01 DOI: 10.4103/HUAJ.HUAJ_33_21

Theodoros Spinos, A. Thanos, I. Kyriazis

引用次数: 0

Bilateral synchronous testicular mass from testicular adrenal rest tumors, in a patient with congenital adrenal hyperplasia, or testicular leydig cell tumors? Dilemma for bilateral orchiectomy or not 先天性肾上腺增生或睾丸间质细胞肿瘤患者的双侧同步睾丸肿块?是否双侧睾丸切除术的困境

Hellenic Urology Pub Date : 2021-07-01 DOI: 10.4103/huaj.huaj_46_21

Christos Leventis, P. Panagopoulos, E. Delliou, A. Syrnioti, V. Papamichail

{"title":"Bilateral synchronous testicular mass from testicular adrenal rest tumors, in a patient with congenital adrenal hyperplasia, or testicular leydig cell tumors? Dilemma for bilateral orchiectomy or not","authors":"Christos Leventis, P. Panagopoulos, E. Delliou, A. Syrnioti, V. Papamichail","doi":"10.4103/huaj.huaj_46_21","DOIUrl":"https://doi.org/10.4103/huaj.huaj_46_21","url":null,"abstract":"Congenital adrenal hyperplasia (CAH) refers to a group of autonomic disorders due to enzyme deficiency for the biosynthesis of steroid hormones. These disorders entail an increase in ACTH levels and as followed by adrenal hyperplasia. CAH is categorized into two types, classic and non-classic. In the common type we have a deficiency of 21-hydroxylase observed in a prevalence of 1 per 5000 per 145,000 births. We have insufficient aldosterone and cortisol production and as a result, elevated plasma ACTH levels, with subsequent disorders that this entails, depending on the level of deficiency. Testicular adrenal rest tumor (TART) develops from isletsectopic adrenal tissue within the gonads, directly affected by ACTH overproductions a complication of CAH, with a prevalence ranging from 27% to 47%. These are benign tumors that are recognized as palpable masses. A biopsy of these tumors is recommended as well as their surgical removal, so as to rule out malignancy.In this case report we present a case of bilateral synchronous TART tumor in association with medullolipoma in a patient with CAH. The dilemma arises regarding the decision of bilateral orchiectomy.","PeriodicalId":185530,"journal":{"name":"Hellenic Urology","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116105353","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Comparison of cancer waiting time targets in urology, pre-COVID era, and during the COVID era – A single-center experience 泌尿科、COVID前时代和COVID时代癌症等待时间目标的比较-单中心体验

Hellenic Urology Pub Date : 2021-07-01 DOI: 10.4103/huaj.huaj_44_21

MuhammadFaisal Khan, Lígia Amparo Santos da Silva, G. Tsampoukas, Shashank Iyer, K. Spellar

{"title":"Comparison of cancer waiting time targets in urology, pre-COVID era, and during the COVID era – A single-center experience","authors":"MuhammadFaisal Khan, Lígia Amparo Santos da Silva, G. Tsampoukas, Shashank Iyer, K. Spellar","doi":"10.4103/huaj.huaj_44_21","DOIUrl":"https://doi.org/10.4103/huaj.huaj_44_21","url":null,"abstract":"Objectives: The objective of this study is to measure the impact of COVID-19 pandemic on treatment targets for urgent urology cases in our hospital and compare it with previous research publications. Materials and Methods: We retrospectively collected and analyzed data over 10 months for 2 consecutive years. The data were analyzed from April to October in 2019 and 2020. This includes all suspected cancer. We collected a total number of referrals, time to the first consultation, and time of first definitive treatment. Results: The total number of patients referred in 2019 pre-COVID was 478 as compared to 278 in the subsequent year at the time of the first wave of COVID-19 pandemic. A total number of 118 cancers were detected in 2019 which makes up 24.6% of the total patients referred. Forty-one patients received treatment >62 days. This is 41 (34.7%) of the cancers or 8.5% of the referrals. Similarly, 60 patients were detected with cancer in 2020 making up 22.2% of the total referrals. Nineteen patients received treatment >62 days. This equates to 31.6% of the cancers or 7% of the total referrals. Conclusion: During the COVID-19 pandemic peak, though we did see a slight improvement in the total number of patients breached for their targeted dates of cancer treatment, this is largely due to the significant reduction of around 44% in the total number of referrals. This data also strengthens other large studies for other cancers which show a significantly lower number of patients being referred for cancer diagnosis.","PeriodicalId":185530,"journal":{"name":"Hellenic Urology","volume":"89 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122754576","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The first national resident survey assessing the Greek urology residency training programs 第一次全国居民调查评估希腊泌尿外科住院医师培训计划

Hellenic Urology Pub Date : 2021-07-01 DOI: 10.4103/huaj.huaj_36_21

L. Tzelves, I. Glykas, L. Lazarou, C. Zabaftis, P. Stamatakos, C. Fragkoulis, Aggeliki Leventi, N. Moulavasilis, D. Tzavellas, K. Tsirkas, K. Ntoumas, P. Mourmouris, A. Dellis, I. Varkarakis, A. Skolarikos, E. Liatsikos, I. Gkialas

{"title":"The first national resident survey assessing the Greek urology residency training programs","authors":"L. Tzelves, I. Glykas, L. Lazarou, C. Zabaftis, P. Stamatakos, C. Fragkoulis, Aggeliki Leventi, N. Moulavasilis, D. Tzavellas, K. Tsirkas, K. Ntoumas, P. Mourmouris, A. Dellis, I. Varkarakis, A. Skolarikos, E. Liatsikos, I. Gkialas","doi":"10.4103/huaj.huaj_36_21","DOIUrl":"https://doi.org/10.4103/huaj.huaj_36_21","url":null,"abstract":"Background and Objectives: This is the first national survey regarding Greek Urology residency programs. The main objective of this study is to assess the level of confidence and perception of Greek Urology residents regarding their educational program and detect areas that necessitate improvement. Materials and Methods: A 51-question survey was developed via an electronic platform and 87.5% of residents (91 out of 104) participated from March 2019 until May 2019. Fisher's exact test, Chi-square test, and Kruskal–Wallis test were used with statistical significance set at P = 0.05. Results: The median overall satisfaction from surgical training was 6/10, and was independent of working schedule, working in a University Department, postgraduate years or number of residents in clinic. Among diagnostic and therapeutic procedures, kidney-ureter-bladder ultrasound, cystoscopy, and double-J stent insertion were common for trainees. On the other hand, most residents have not performed any scrotal ultrasound or pressure-flow studies. About 70.4% of residents reported bureaucracy as a major issue. 80.2% have not performed any ESWL, while 58.2% of residents performed <10 ureteroscopies and only the last year trainees performed more than 10 TURBT and transurethral resection of prostate. Most of the participants mentioned to rarely perform basic steps in many open or laparoscopic urological procedures. Surprisingly, 59.3% of residents have not published any study in peer-reviewed journals. 44% rarely feel satisfied from their work and 59.3% sometimes suffer from burnout. Conclusions: Considering the results from this survey regulatory authorities should join forces to establish a structured curriculum of clinical, surgical, and research training in Urology across Europe.","PeriodicalId":185530,"journal":{"name":"Hellenic Urology","volume":"76 4","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133021347","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Rare histolopathologic variants in bladder cancer 膀胱癌罕见的组织病理变异

Hellenic Urology Pub Date : 2021-04-01 DOI: 10.4103/huaj.huaj_41_21

Eleftherios Tsiakoulas, Anastasios P. Zarkadas, V. Tzortzis, Diomidis Kozyrakis

{"title":"Rare histolopathologic variants in bladder cancer","authors":"Eleftherios Tsiakoulas, Anastasios P. Zarkadas, V. Tzortzis, Diomidis Kozyrakis","doi":"10.4103/huaj.huaj_41_21","DOIUrl":"https://doi.org/10.4103/huaj.huaj_41_21","url":null,"abstract":"The heterogeneous spectrum of bladder cancer comprises the coexistence of conventional urothelial carcinoma (UC) with its variants as well as the non-urothelial carcinoma (including squamous and glandular tumors). Since the official classification of rare histologic subtypes, by the World Health Organization (WHO) in 2004, uropathologists and urologists are paying more attention to the role of these subtypes as potential prognostic markers. Most of these rare variants have been associated with increased risk of progression and poor prognosis. Therefore, patients diagnosed with some of the histologic subtypes, have been classified to “the very high risk group” of recurrence and progression, although it has not yet been clarified if this is due to advanced stages at presentation and underdiagnosis or due to the aggressiveness of each variant, as an independent factor. This review discusses the most common variants of bladder cancer (urothelial carcinoma with squamous and/or glandular differentiation, pure squamous carcinoma, pure adenocarcinoma, urachal carcinoma, nested pattern, microcystic, micropapillary, small cell carcinoma, plasmacytoid, sarcomatoid, and lymphoepithelial like carcinoma), outlining the recent advances regarding the diagnosis, differential diagnosis, treatment and clinical significance for each one. High index of suspicious is required by the uropathologists for detection of these variants and well-designed multi-institutional studies are necessary in order the specific treatment strategies for these patients to be established.","PeriodicalId":185530,"journal":{"name":"Hellenic Urology","volume":"72 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121720962","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Isolated adrenal gland hematoma after blunt abdominal trauma: A case report and literature review 腹部钝性创伤后孤立性肾上腺血肿1例报告并文献复习

Hellenic Urology Pub Date : 2021-04-01 DOI: 10.4103/huaj.huaj_45_21

Savvas Tsakiris, S. Paparidis, M. Zerva, Antonios Katsimantas, K. Bouropoulos, N. Ferakis

引用次数: 0

Bladder metastasis of renal cell carcinoma. A case report and review of the literature 肾细胞癌的膀胱转移。病例报告及文献回顾

Hellenic Urology Pub Date : 2021-04-01 DOI: 10.4103/huaj.huaj_29_21

P. Stamatakos, Loannis Glykas, C. Fragkoulis, G. Theodoropoulou, S. Pappa

引用次数: 0

Mucinous adenocarcinoma of the prostate found incidentally in adenomectomy specimen complicated with vesicocutaneous fistulae 在腺瘤切除标本中偶然发现的前列腺粘液腺癌合并膀胱皮瘘

Hellenic Urology Pub Date : 2021-04-01 DOI: 10.4103/huaj.huaj_34_21

Spinos Theodoros, Lardas Michail, Kotoulas Grigorios, Thanos Anastasios, Kyriazis Iason