Hellenic Urology最新文献

{"title":"Lower urinary tract injury during gynaecological and obstetric surgeries: Two years’ experience in our centre","authors":"M. Lardas, Christos Papachristou, Emmanouil Chrysafis, A. Skolarikos","doi":"10.19264/HJ.V30I1.225","DOIUrl":"https://doi.org/10.19264/HJ.V30I1.225","url":null,"abstract":"Introduction: Operative injuries to the lower urinary tract during gynaecological and obstetric surgery are common due to its anatomic proximity with the reproductive system. The purpose of this article is to report our centre’s experience with these iatrogenic injuries over a period of 2 years. Methods: We retrospectively reviewed our medical records during the years 2016 and 2017 in our department, to identify patients that were treated for lower urinary tract injury during or after gynaecological and obstetric surgeries. Results: 11 females were treated in our hospital, with trauma to the bladder, or ureter following gynaecological or obstetric surgeries. The most common type of urinary tract injury was bladder injury, occurring in 8 patients followed by ureteric injury in 1 patient and bladder along with ureteric injury in 1 patient. One patient presented with right ureterovaginal fistula. Conclusion: Bladder injury occurred very frequently as opposed to ureteral injury. The most significant risk factor for bladder injury during cesarean section seems to be previous cesarean delivery due to adhesive disease.","PeriodicalId":185530,"journal":{"name":"Hellenic Urology","volume":"66 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":"134636368","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}

{"title":"Membranous urethral length and pelvic anatomical structures as predictors of continence outcome after robot-assisted radical prostatectomy","authors":"N. Grivas, R. V. D. Roest, A. Bex, W. Artibani, S. Heijmink, H. Poel","doi":"10.19264/HJ.V30I1.223","DOIUrl":"https://doi.org/10.19264/HJ.V30I1.223","url":null,"abstract":"Introduction: Aim of our study was to determine whether preoperative prostate/pelvic anatomical structures predict continence recovery after robot-assisted radical prostatectomy (RARP). Materials and Methods: Between January 2012 and March 2016, 439 prostate cancer (PCa) patients with normal preoperative continence were retrospectively included. Anatomical prostate structures were measured on endorectal preoperative Magnetic Resonance Imaging. The International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF) was used to assess urinary incontinence (UI). Cox analysis was used to determine predictive factors for early continence recovery. Finally a binary logistic regression analysis was performed. Results: At a median follow up of 12.1 months 50.8% of men reported UI. In the Cox multivariate analysis longer membranous urethral length (MUL; P < 0.0001; OR 1.309; CI 1.211, 1.415) and shorter inner levator distance (ILD; P < 0.0001; OR 0.904; CI 0.85, 0.961) were predictors of earlier continence recovery. In the multivariate binary logistic regression analysis longer MUL and shorter ILD were independent predictors of continence outcome. Conclusions: Preoperative longer MUL and shorter ILD, independently improve continence recovery after RARP. These measurements could be used to identify patients at high risk of UI.","PeriodicalId":185530,"journal":{"name":"Hellenic Urology","volume":"25 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":"115714427","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}

{"title":"Lower pole stones management. Do we have a consensus","authors":"P. Mourmouris, Christos Papachristou, Titos Markopoulos, O. B. Argun","doi":"10.19264/HJ.V30I1.218","DOIUrl":"https://doi.org/10.19264/HJ.V30I1.218","url":null,"abstract":"Management of lower pole stones is still controversial. All available treatments modalities have their own advantages and disadvantages which change significantly according to the stone burden of the patient. Except from the size there are also other factors, less known, that may potentially influence the outcomes of each treatment option. SWL is the least invasive approach which is related to the lower SFR in comparison to PNL and fURS. PNL provides the highest SFRs. fURS provides high SFRs with less severe complications than PNL. Both the PNL and the fURS are minimally invasive in nature. A literature search in Pubmed took place with limitation to the English language abstracts and articles. The aim was to clarify the clinical impact and effectiveness of the available treatment modalities for the management of lower pole stones.”","PeriodicalId":185530,"journal":{"name":"Hellenic Urology","volume":"23 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":"124813356","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}

{"title":"Renal artery pseudoaneurysm following robotic partial nephrectomy. A rare case report and review of the literature","authors":"I. Tufek, P. Mourmouris, O. B. Argun, M. Tuna, A. Skolarikos, A. Kural","doi":"10.19264/HJ.V30I1.216","DOIUrl":"https://doi.org/10.19264/HJ.V30I1.216","url":null,"abstract":"A 50-year old woman with a 3cm left lower pole renal tumor underwent Robot Assisted Laparoscopic Partial Nephrectomy (RALPN). On postoperative day 11, the patient presented with gross hematuria and left flank pain. Selective renal arteriogram revealed the presence of a renal artery pseudoaneurysm in the lower pole of the left kidney. Selective embolization of the artery feeding the pseudoaneurysm was performed with excellent results. In conclusion surgeons need to maintain a high level of suspicion for this rare complication in order to diagnose and manage patients that presents with hematuria or flank pain after RALPN.","PeriodicalId":185530,"journal":{"name":"Hellenic Urology","volume":"21 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":"121681005","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}

{"title":"Multi-tract Percutaneous Nephrolithotomy approach","authors":"Durutovic Otas, Petronic D. Milenkovic, N. Predrag, Aleksic Djordje, Cegar Bojan, Bumbaširević Uroš, R. Milan, J. Aleksandar, A. Skolarikos","doi":"10.19264/HJ.V30I1.220","DOIUrl":"https://doi.org/10.19264/HJ.V30I1.220","url":null,"abstract":"Percutaneous nephrolithotomy is still considered as first line treatment for large stones; there is no doubt that for staghorn stones it is a gold standard. From its beginning it underwent many changes and developments. However, there are specific technical aspects, that remain stable throughout the years: Obtaining the precise, planed and desired access to a specific calyx, precise puncture technique and proper tract formation, along with careful introduction of most suitable equipment, are key elements in all percutaneous procedeures, especially in complex cases. Complex cases are not only associated with the aforementioned, along with the number and sites of puncture, but also with the duration of the whole procedure. Although, the approach selection is case-dependent, there are two steps with established role in all cases: puncture and tract formation along with safety. In the present study we overview multitract PNL key steps.","PeriodicalId":185530,"journal":{"name":"Hellenic Urology","volume":"113 ","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114000862","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}

{"title":"Management of Non-metastatic castrate-resistant prostate cancer","authors":"P. Mourmouris, Christos Papachristou, Titos Markopoulos, Marinos Mperdempes, N. Kostakopoulos, L. Lazarou, M. Tuna, A. Skolarikos","doi":"10.19264/HJ.V30I1.224","DOIUrl":"https://doi.org/10.19264/HJ.V30I1.224","url":null,"abstract":"When castration resistance is established, it is essential to rule out the presence of metastases or micrometastases by optimizing the use of imaging techniques. If non-metastastic castrate resistant prostate cancer diagnosis is confirmed the physician is in front of a difficult decision: to treat it or not and if not, how he can follow up his patient. In practice, patients awareness of their PSA levels and pressure to act upon any increase of PSA influence management irrespective of physical or radiographic findings. This highlights the need to have more accurate assessment of nmCRPC severity and the risk of progression. We review the literature about this ambiguous entity and we summarize all the available data for it’s management.","PeriodicalId":185530,"journal":{"name":"Hellenic Urology","volume":"65 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":"134163687","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}

{"title":"Questionnaires for the correlation of dietary factors with urolithiasis","authors":"Vasileios Τopalis, Charalampos Τsimpoukelis, P. Katsouli, A. Papatsoris","doi":"10.19264/HJ.V29I4.212","DOIUrl":"https://doi.org/10.19264/HJ.V29I4.212","url":null,"abstract":"Introduction: Urolithiasis is one of the most frequent urinary tract clinical entities worldwide. A plethora of factors contribute to its pathogenesis, thus creating a broad field for research and study. This review focuses on the assessment of the existing diet questionnaires in order to bring out the possible effect dietary factors may have on urolithiasis pathogenesis. Methods: The method used in order to locate studies which dealt with renal calculi and dietary factors was a search in PubMed literature database from January 1997 to March 2017. Results: The search has revealed studies which employed Food Frequency Questionnaires (FFQs), Load of Acid to Kidney Evaluation (LAKE) screening questionnaires as well as non-specialized questionnaires. Most of the studies used an FFQ, a recall method of food intake within a specific length of time. The analysis of their results has brought forth significant correlations, such as the higher risk of the formation of stones as a result of increased salt consumption. Additionally, the Potential Renal Acid Load (PRAL) of foods has been strongly associated with the risk of renal calculi and can be easily estimated using the LAKE screening method. Conclusions: The Food Frequency Questionnaire has been revealed as the primary choice of questionnaire type in order to examine the association of dietary parameters with renal calculi. The analysis of the questionnaires has displayed significant correlations of dietary factors with urolithiasis, which may direct towards its treatment as well as the prevention of relapses. The LAKE score constitutes an easy, fast and inexpensive way to study the effect diet has on the calculus-forming potential, which may assist in patients’ individualized approach.","PeriodicalId":185530,"journal":{"name":"Hellenic Urology","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131342947","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}

{"title":"A holistic approach to flexible ureteroscope longevity","authors":"D. S. Ellis, K. Haritopoulos","doi":"10.19264/HJ.V29I4.209","DOIUrl":"https://doi.org/10.19264/HJ.V29I4.209","url":null,"abstract":"Digital flexible ureteroscopy is one of the principal modalities currently used in modern endourology. Nevertheless, flexible ureteroscopes are accompanied by significant purchase and maintenance costs. This makes their use prohibitively expensive for many district general hospitals. Recently, alternatives such as single use ureteroscopes have been introduced in an effort to reduce the cost. We present in this letter our experience in delivering a low-cost endourology service by adopting a holistic approach in educating, handling and maintaining our reusable equipment leading to high numbers of usages without the need for frequent repair. This has allowed for a viable service in our district general hospital with up to 139 uses between repairs.","PeriodicalId":185530,"journal":{"name":"Hellenic Urology","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126964656","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}

{"title":"Malignant solitary fibrous tumor of the kidney","authors":"Chrysostomos Georgellis, Paschalis Barmpoutis, N. Michalis, C. Katsifotis","doi":"10.19264/hj.v29i4.207","DOIUrl":"https://doi.org/10.19264/hj.v29i4.207","url":null,"abstract":"A Solitary fibrous tumor (SFT) represents an uncommon spindle cell neoplasm of mesenchymal origin, usually occurring in the pleura but also described in various extrapleural sites. Malignant SFT of the kidney is extremely rare. We present the case of an 82-year-old man who originally presented with intermittent gross hematuria which was initially attributed to upper urinary tract urothelial carcinoma.","PeriodicalId":185530,"journal":{"name":"Hellenic Urology","volume":"42 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123415944","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}

{"title":"Silicone versus polyvinylchloride bladder catheter following radical prostatectomy and postoperative pain: a randomized comparative study","authors":"Marilena Mouriki, A. Papatsoris, Andreas Karagiannis, Aristeidis Karagiannis, P. Kamperi, C. Deliveliotis","doi":"10.19264/HJ.V29I4.208","DOIUrl":"https://doi.org/10.19264/HJ.V29I4.208","url":null,"abstract":"Introduction: Prostate cancer is the most common malignancy in men. In the case of localized prostate cancer, the treatment of choice is radical prostatectomy. Radical prostatectomy creates post-operative pain which is characterized as acute nociceptive resulting from the surgical field and catheter-related bladder discomfort (CRBD) resulting from the indwelling urinary catheter. The purpose of the study was the comparison of the effect of two different types of indwelling bladder catheters on postoperative pain after radical retropubic prostatectomy. Materials and Methods: The study included 120 men with localized prostate cancer who underwent radical retropubic prostatectomy and were randomized into two groups of 60 each. In the first group patients were catheterized with a couvelaire urinary catheter made of polyvinylchloride (couvelaire group) and in the second group patients were catheterized with a silicone catheter (silicone group). Urinary catheterization was performed with a 20Fr catheter and the balloon was inflated with 20ml. All patients received morphine, paracetamol , wound infiltration with ropivacaine and lornoxicam for the treatment of postoperative pain. The grade of postoperative pain was assessed with the numeric rating scale for clinical pain measurement , and the catheter related bladder discomfort was assessed as null, mild, moderate and severe at the 1st, 2nd, 6th, 24th hour, 3rd and 5th day postoperatively. Results: The postoperative pain because of tissue damage was lower in the silicone group than that of the couvelaire group at 6th, 24th hour and 3rd, 5th day postoperatively. (P<0.05). The catheter related bladder discomfort was significantly lower in the silicone group than that of the couvelaire group (P<0.001). Conclusion: The use of urinary catheter made of pure silicone reduced postoperative pain in patients undergoing radical retropubic prostatectomy compared to the use of the couvelaire catheter made of polyvinylchloride.","PeriodicalId":185530,"journal":{"name":"Hellenic Urology","volume":"36 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133183295","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}