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Metastatic Renal Cell Carcinoma: The role of surgery in the treatment algorithm 转移性肾细胞癌:手术在治疗算法中的作用
Hellenic Urology Pub Date : 2018-10-17 DOI: 10.19264/HJ.V30I3.236
D. Memmos, I. Mykoniatis, A. Anastasiadis, G. Dimitriadis
{"title":"Metastatic Renal Cell Carcinoma: The role of surgery in the treatment algorithm","authors":"D. Memmos, I. Mykoniatis, A. Anastasiadis, G. Dimitriadis","doi":"10.19264/HJ.V30I3.236","DOIUrl":"https://doi.org/10.19264/HJ.V30I3.236","url":null,"abstract":"Renal cell carcinoma (RCC) is a life threatening disease, the most lethal among urinary tract tumors. It accounts for about 2-3% of adult solid malignancies, with a reported worldwide annual increase of 1.5-5.5%. Surgical intervention is the primary treatment for early-stage RCC, however nephrectomy alone offers limited benefit in patients with metastatic disease, except for palliative reasons. The aim of this review is to study the role of surgical intervention in the treatment algorithm of metastatic renal cell carcinoma.","PeriodicalId":185530,"journal":{"name":"Hellenic Urology","volume":"33 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115022153","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
Urosepsis: How much do we really know? 尿脓毒症:我们到底了解多少?
Hellenic Urology Pub Date : 2018-10-17 DOI: 10.19264/HJ.V30I3.237
P. Mourmouris, Titos Markopoulos, Marinos Mperdempes, A. Skolarikos
{"title":"Urosepsis: How much do we really know?","authors":"P. Mourmouris, Titos Markopoulos, Marinos Mperdempes, A. Skolarikos","doi":"10.19264/HJ.V30I3.237","DOIUrl":"https://doi.org/10.19264/HJ.V30I3.237","url":null,"abstract":"Sepsis, a syndrome of physiologic, pathologic and biochemical abnormalities induced by infection, is a major public health concern and its incidence is increasing worldwide. Urosepsis represents an approximately 25% of all sepsis cases and it requires a multi-disciplinary team consisted by urologists, intensive care and infectious diseases specialists. We review the literature for potential changes in the steps of recognition and management of this life-threatening syndrome in an effort to widen our knowledge and minimize the risk of complications of sepsis.","PeriodicalId":185530,"journal":{"name":"Hellenic Urology","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133185689","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
How different treatments for clinically localised prostate cancer affect quality of life 临床局限性前列腺癌的不同治疗方法如何影响生活质量
Hellenic Urology Pub Date : 2018-10-17 DOI: 10.19264/HJ.V30I3.238
L. Michael, Christos Papachristou, Emmanouil Chrysafis, A. Skolarikos
{"title":"How different treatments for clinically localised prostate cancer affect quality of life","authors":"L. Michael, Christos Papachristou, Emmanouil Chrysafis, A. Skolarikos","doi":"10.19264/HJ.V30I3.238","DOIUrl":"https://doi.org/10.19264/HJ.V30I3.238","url":null,"abstract":"Introduction: Patients with clinically localised prostate cancer have a favourable long-term overall and cancer-specific survival regardless of treatment choice. These options differ in terms of side effects. Knowledge of the side effects of different management options is crucial for making treatment decisions, as they can negatively impact on patient’s quality of life. Methods: We conducted a literature review for articles concerning treatment and quality of life for clinically localised prostate cancer to access the impact of different treatments on patient’s quality of life. Results: We identified 5 prospective randomised comparative studies reporting QoL outcomes, recruiting a total of 2933 patients. Conclusion: Surgery seems to produce sexual and urinary incontinence deterioration, while external beam radiotherapy can cause bowel dysfunction and bother. Men managed with active surveillance have good overall quality of life scores, which seem to be better than those of patients undergoing radical treatments.","PeriodicalId":185530,"journal":{"name":"Hellenic Urology","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122319924","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
Maximizing success for penile prosthesis revision surgery after glans penis erosion: operative strategies. 龟头阴茎侵蚀后阴茎假体翻修手术的最大成功:手术策略。
Hellenic Urology Pub Date : 2018-10-17 DOI: 10.19264/HJ.V30I3.239
G. Kousournas, P. Drettas, P. Levis, N. Spanos
{"title":"Maximizing success for penile prosthesis revision surgery after glans penis erosion: operative strategies.","authors":"G. Kousournas, P. Drettas, P. Levis, N. Spanos","doi":"10.19264/HJ.V30I3.239","DOIUrl":"https://doi.org/10.19264/HJ.V30I3.239","url":null,"abstract":"We present the case of a 68-year-old male who presented with an inflatable penile prosthesis protruding through the glans penis. A thorough preoperative investigation was conducted, in order to perform an evidence-based surgical approach, aiming to remove the prosthetic materials and reconstruct all compromised penile structures in order to maximize the chance for a future prosthesis reimplantation. Although the insertion of a penile prosthesis has become a routine procedure, managing complications has always been one","PeriodicalId":185530,"journal":{"name":"Hellenic Urology","volume":"25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132530538","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
Repair of iatrogenic ureteral injury with a combination of ‘’Boari flap’’ and ‘’Psoas Hitch’’ technique “Boari皮瓣”联合“腰肌结”技术修复医源性输尿管损伤
Hellenic Urology Pub Date : 2018-10-17 DOI: 10.19264/HJ.V30I3.240
L. Tzelves, M. Berdempes, Titos Markopoulos, L. Lazarou, M. Zerva, A. Pinitas, Nikolaos Xatzikraxtis, I. Mitsogiannis, E. Karagiotis, A. Skolarikos
{"title":"Repair of iatrogenic ureteral injury with a combination of ‘’Boari flap’’ and ‘’Psoas Hitch’’ technique","authors":"L. Tzelves, M. Berdempes, Titos Markopoulos, L. Lazarou, M. Zerva, A. Pinitas, Nikolaos Xatzikraxtis, I. Mitsogiannis, E. Karagiotis, A. Skolarikos","doi":"10.19264/HJ.V30I3.240","DOIUrl":"https://doi.org/10.19264/HJ.V30I3.240","url":null,"abstract":"A common cause of ureter trauma is iatrogenic, especially during gynecologic and obstetric procedures. Early diagnosis is of vital importance for the successful management of these patients and depends on the type, anatomic location and length of ureteral deficit. Preoperative placement of ureteral stent does not seem to reduce incidence of these cases. For extended length traumas, surgical techniques like Boari flap and Psoas hitch have been reported, in order to reconstruct ureter and accomplish ureteroneocystostomy. We describe the case of a patient, who presented with a deficit of 13 cm after sigmoidectomy. We performed a combination of Boari flap and Psoas hitch successfully and restored the continuity of urinary tract.","PeriodicalId":185530,"journal":{"name":"Hellenic Urology","volume":"104 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115798579","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
Prevention and Management of Intra and Perioperative Complications During Laparoscopic Urological Surgery 腹腔镜泌尿外科术中及围术期并发症的预防与处理
Hellenic Urology Pub Date : 2018-08-02 DOI: 10.19264/HJ.V30I2.233
P. Mourmouris, Christos Papachristou, Titos Markopoulos, I. Kyriazis, M. Lardas, O. Argun, A. Skolarikos
{"title":"Prevention and Management of Intra and Perioperative Complications During Laparoscopic Urological Surgery","authors":"P. Mourmouris, Christos Papachristou, Titos Markopoulos, I. Kyriazis, M. Lardas, O. Argun, A. Skolarikos","doi":"10.19264/HJ.V30I2.233","DOIUrl":"https://doi.org/10.19264/HJ.V30I2.233","url":null,"abstract":"Laparoscopy is the gold standard for many urological surgeries and the experience of the surgeons has significantly increased the last two decades. Inevitable surgeons are confronted with complications, some of them can be potentially life-threatening. Since the best way to deal with complications is to prevent them, we review the literature for the most frequent intra or perioperative complications during laparoscopic urological surgeries and we propose measures to prevent them before happening and to manage them after they occur.","PeriodicalId":185530,"journal":{"name":"Hellenic Urology","volume":"96 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129875678","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
A rare presentation of Matrix Stone and a short review of the literature 一个罕见的介绍矩阵石和简短的文献回顾
Hellenic Urology Pub Date : 2018-08-01 DOI: 10.19264/HJ.V30I2.228
Antonios Katsimantas, G. Zervopoulos, Vasileios Klapsis, S. Paparidis, L. Foti, K. Bouropoulos, N. Ferakis
{"title":"A rare presentation of Matrix Stone and a short review of the literature","authors":"Antonios Katsimantas, G. Zervopoulos, Vasileios Klapsis, S. Paparidis, L. Foti, K. Bouropoulos, N. Ferakis","doi":"10.19264/HJ.V30I2.228","DOIUrl":"https://doi.org/10.19264/HJ.V30I2.228","url":null,"abstract":"Matrix stones are extremely rare. An unusual case of coexistence of matrix stone with a conventional, calcified stone is reported. A 63-year-old female was admitted to our department because of a sizable, radiopaque, right renal stone. Her medical history included recurrent urinary tract infections. Preoperative Computed Tomography scan demonstrated a 2 cm calculus and a radiolucent, soft tissue mass in the dilated, right renal pelvis, without enhancement after the intravenous administration of contrast agent. The patient underwent right Percutaneous Nephrolithotomy. Intraoperatively, we found that the renal pelvis was occupied by matrix stone with a centrally located core of solid calculus.","PeriodicalId":185530,"journal":{"name":"Hellenic Urology","volume":"30 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129274458","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: 1
Renocolic fistula following radiofrequency ablation of a renal tumor. A rare case report and review of the literature 射频消融术后肾结肠瘘。罕见病例报告及文献回顾
Hellenic Urology Pub Date : 2018-08-01 DOI: 10.19264/HJ.V30I2.229
P. Mourmouris, Marinos Mperdempes, T. Markopoulos, Christos Papachristou, A. Skolarikos
{"title":"Renocolic fistula following radiofrequency ablation of a renal tumor. A rare case report and review of the literature","authors":"P. Mourmouris, Marinos Mperdempes, T. Markopoulos, Christos Papachristou, A. Skolarikos","doi":"10.19264/HJ.V30I2.229","DOIUrl":"https://doi.org/10.19264/HJ.V30I2.229","url":null,"abstract":"Data in the literature concerning fistula formation between colon and kidney are limited in no more than 50 case reports with the majority of them representing complications of bowel surgery or disease. There are sparse and limited data concerning fistula formation after urological procedures. We report a case of fistula formation between calyx and colon after RFA for kidney tumor and we review the literature about this rare entity.","PeriodicalId":185530,"journal":{"name":"Hellenic Urology","volume":"70 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126167914","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
Laparoscopic nephrectomy: initial experience and 3 years follow-up with 68 cases 腹腔镜肾切除术68例的初步经验及3年随访
Hellenic Urology Pub Date : 2018-08-01 DOI: 10.19264/HJ.V30I2.230
K. Davidoff, E. Popov, A. Popov, D. Zlatanov, N. Stoyanov, A. Alexandrov, V. Ivanov, K. Ibrahimov
{"title":"Laparoscopic nephrectomy: initial experience and 3 years follow-up with 68 cases","authors":"K. Davidoff, E. Popov, A. Popov, D. Zlatanov, N. Stoyanov, A. Alexandrov, V. Ivanov, K. Ibrahimov","doi":"10.19264/HJ.V30I2.230","DOIUrl":"https://doi.org/10.19264/HJ.V30I2.230","url":null,"abstract":"Introduction : Partial nephrectomy is considered the gold standard procedure in managing small renal masses less than 4cm, even less than 7 cm in the last decade. Minimal invasive surgery is a preferred option in those cases. Laparoscopic partial nephrectomy has equivalent oncological results with open partial nephrectomy, offering in the same time all the advantages of minimal invasive surgery. The purpose of our study is to present our initial experience in laparoscopic partial nephrectomy. Material and Methods : Between May 2015 and December 2017, 68 selected patients with renal masses smaller than 7cm observed by CT scan, were submitted to laparoscopic partial nephrectomy. Patient demographics, preoperative tumor characteristics and detailed operative, postoperative and pathologic data were collected. Results : Mean age of patients is 56,1 years (44-71), mean diameter of renal tumor 5, 3 cm (3,3 - 7,4 cm).36 patients had a right partial nephrectomy and 32 a left one, with no intraoperative complications. In four patients a laparoscopic radical nephrectomy was done, there are no cases of conversion to open surgery. The operation time ranged from 90 to 211 min, estimated blood loss (EBL) ranged from 30 to 300 ml and warm ischemia time (WIT) ranged from 5 to 31 min. Overall, four cases of postoperative complications CDC ≥ 3 were observed. One patient presented with a ureteric stricture and 3 with bleeding which necessitate angiographic intervention. There was one patient with a microscopic positive surgical margin and all patients are disease free during follow up (3-20 months, mean 12,2 months). Mean serum creatinine level has increased 23 mcmol/L (0-114). Conclusion : Laparoscopic partial nephrectomy is a safe and feasible approach in small renal masses, offering all the advantages of minimal invasive surgery","PeriodicalId":185530,"journal":{"name":"Hellenic Urology","volume":"48 3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117312148","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
Male LUTS diagnostics: Where are we in 2018? 男性LUTS诊断:2018年我们在哪里?
Hellenic Urology Pub Date : 2018-06-12 DOI: 10.19264/HJ.V30I1.221
I. Kyriazis, D. Dimitriou, A. Thanos
{"title":"Male LUTS diagnostics: Where are we in 2018?","authors":"I. Kyriazis, D. Dimitriou, A. Thanos","doi":"10.19264/HJ.V30I1.221","DOIUrl":"https://doi.org/10.19264/HJ.V30I1.221","url":null,"abstract":"The pathophysiology of male lower urinary rack symptoms (LUTS) includes numerous different clinical conditions and organs such as prostate, bladder, urethra and nervous system. A paradigm shift of modern urological pactice against male LUTS lies on the fact that instead of focusing into each individual component of the system, we now face lower urinary track as a single functioning unit simplifying evaluation and targeting only its clinical manifestations that have impact to the patient. In this mini review recent advancements in the diagnosis of male LUTS are presented.","PeriodicalId":185530,"journal":{"name":"Hellenic Urology","volume":"30 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129592431","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
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