Société Internationale d’Urologie Journal最新文献_第9页

Management Recommendations for Prostate Cancer during the COVID-19 pandemic: A Systematic Review 2019冠状病毒病大流行期间前列腺癌管理建议:系统综述

Société Internationale d’Urologie Journal Pub Date : 2021-07-15 DOI: 10.48083/MBSB4196

A. Martínez-Salas, Iñigo Navarro-Ruesga, Erick A. Rodenas-Gil, Jesús Sebastián Muruato-Araiza, Aldo Jiménez-García, I. Reyna-Blanco, J. Morales-Montor, C. Pacheco-Gahbler

{"title":"Management Recommendations for Prostate Cancer during the COVID-19 pandemic: A Systematic Review","authors":"A. Martínez-Salas, Iñigo Navarro-Ruesga, Erick A. Rodenas-Gil, Jesús Sebastián Muruato-Araiza, Aldo Jiménez-García, I. Reyna-Blanco, J. Morales-Montor, C. Pacheco-Gahbler","doi":"10.48083/MBSB4196","DOIUrl":"https://doi.org/10.48083/MBSB4196","url":null,"abstract":"Introduction: The COVID-19 pandemic has delayed screening, diagnostic workup, and treatment in prostate cancer (PCa) patients. Our purpose was to review PCa screening, diagnostic workup, active surveillance (AS), radical prostatectomy (RP), radiotherapy (RT), androgen deprivation therapy (ADT) and systemic therapy during the\u0000COVID-19 pandemic.\u0000Materials and Methods: We performed a systematic literature search of MEDLINE, EMBASE, Scopus, LILACS, and Web of Science, according to Preferred Reporting Items for Systematic Reviews and Meta-analyses Protocols (PRISMA-P) statement for relevant material published from December 2019 to February 2021.\u0000Results: Prostate biopsy can be delayed, except when high-risk PCa is suspected or the patient is symptomatic. Active surveillance is appropriate for patients with very low risk, low risk (LR) and favorable intermediate risk (FIR). RP and RT for high risk and very high risk can be safely postponed up to 3 months. Hypofractionated external beam\u0000RT (EBRT) is recommended when RT is employed. ADT should be used according to standard PCa-based indications. Chemotherapy should be postponed until the pandemic is contained.\u0000Conclusions: The international urological community was not prepared for such an acute and severe pandemic. PCa patients can be adequately managed according to risk stratification. During the COVID-19 pandemic, LR and FIR patients can be followed with active surveillance. Delaying RP and RT in high risk and locally advanced disease\u0000is justified.","PeriodicalId":21961,"journal":{"name":"Société Internationale d’Urologie Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85142923","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

Predictors for Retrograde Ureteral Stenting Failure as an Initial Drainage Method for Emergent Complicated Acute Calculus Obstructive Uropathy 逆行输尿管支架置入术作为急诊复杂急性结石梗阻性尿路病变初始引流方法失败的预测因素

Société Internationale d’Urologie Journal Pub Date : 2021-07-15 DOI: 10.48083/OZUL6913

M. Elbaset, M. Edwan, Rasha T. Abouelkhei, Rawdy Ashour, M. Ramez, Abdalla Abdelhamid, Y. Osman

{"title":"Predictors for Retrograde Ureteral Stenting Failure as an Initial Drainage Method for Emergent Complicated Acute Calculus Obstructive Uropathy","authors":"M. Elbaset, M. Edwan, Rasha T. Abouelkhei, Rawdy Ashour, M. Ramez, Abdalla Abdelhamid, Y. Osman","doi":"10.48083/OZUL6913","DOIUrl":"https://doi.org/10.48083/OZUL6913","url":null,"abstract":"Objective: To define predictors for initial retrograde ureteral stenting (RUS) failure with the need for the percutaneous nephrostomy (PCN) insertion as a drainage method in patients with complicated acute calculus obstructive uropathy.\u0000Methods: We undertook a retrospective evaluation of patients who presented with complicated obstructive calculus uropathy (acute renal failure or obstructive pyelonephritis) between January 2016 and January 2020. Patients in whom there was failure to visualize ipsilateral ureteric orifice and those with extrinsic ureteral obstruction were excluded. Patient demographics and radiological data including stone site, hydronephrosis grade, maximum transverse stone diameter, periureteral density (PUD) and pericalcular ureteric thickness (P-CUT) at the maximum transverse stone\u0000diameter were assessed using non-contrast computed tomography at the time of admission.\u0000Results: The study included 256 patients who were managed initially by RUS trial. Of them, 48 (18.8 %) had RUS failure. The presence of acute pyelonephritis, increased maximum transverse stone diameter ≥ 9.5 mm, P-CUT ≥ 7.5 mm, and PUD at stone level ≥ 17.5 HU were risk factors associated with RUS failure (P = 0.007, 0.002, < 0.001, and < 0.001, respectively).\u0000Conclusion: Initial radiological stone and ureteric characteristics, in addition to the clinical diagnosis of obstructive pyelonephritis, can be used to determine PCN insertion as the preferred option over RUS for urinary drainage.","PeriodicalId":21961,"journal":{"name":"Société Internationale d’Urologie Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73075248","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

Pyeloduodenal Fistula in Xanthogranulomatous Pyelonephritis 黄色肉芽肿性肾盂肾炎的肾盂十二指肠瘘

Société Internationale d’Urologie Journal Pub Date : 2021-07-15 DOI: 10.48083/NSLU7720

Ryan Yan, Mark T. Dawidek, Drew Phillips, B. Chew

引用次数: 0

Vesicouterine Fistula in Burkina Faso: Report of 36 Cases in a Multicentric Study 布基纳法索膀胱外瘘:一项多中心研究36例报告

Société Internationale d’Urologie Journal Pub Date : 2021-07-13 DOI: 10.48083/NFMO2987

B. Ouédraogo, B. Kirakoya, M. Kaboré, Adama Millogo, A. Ouattara, F. A. Kaboré

{"title":"Vesicouterine Fistula in Burkina Faso: Report of 36 Cases in a Multicentric Study","authors":"B. Ouédraogo, B. Kirakoya, M. Kaboré, Adama Millogo, A. Ouattara, F. A. Kaboré","doi":"10.48083/NFMO2987","DOIUrl":"https://doi.org/10.48083/NFMO2987","url":null,"abstract":"Objective: To report etiological and therapeutic features of vesicouterine fistulas (VUF) in Burkina Faso.\u0000Patients and Methods: We performed a retrospective, descriptive, and multicentric study based on the medical records of women treated for VUF from January 2010 to December 2016.\u0000Results: VUF accounted for 7.2% (36/497) of urogenital fistulas managed during the study period. The median age of the 36 patients was 35 years (interquartile range = 27 to 37.5 years) with values ranging from 16 years to 64 years old. Among VUF, obstetric fistula accounted for 26 cases (26/36) versus 10 cases (10/36) of iatrogenic fistula.\u0000Obstetric VUF were consecutive to emergency Caesarean section (n = 16) and vaginal delivery (n = 10) after prolonged obstructed labor. The 10 cases of iatrogenic VUF were subsequent to prelabour Caesarean section. The main circumstance of VUF occurrence was Caesarean section (26/36). In 10 cases (10/36), VUF was associated with a\u0000vesicovaginal fistula. Thirty days after the removal of the catheter, the success rate fell from 89% to 80.6%.\u0000Conclusion: VUF is rare but its frequency is not negligible in our context. The main circumstance of occurrence remains Caesarean section. The best treatment remains prevention.","PeriodicalId":21961,"journal":{"name":"Société Internationale d’Urologie Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76667255","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

The Two Faces of Open Access 开放获取的两面

Société Internationale d’Urologie Journal Pub Date : 2021-07-13 DOI: 10.48083/EROK5654

Peter Black

引用次数: 0

Perioperative Outcomes of Anatomic Endoscopic Enucleation of the Prostate, Robotic and Open Simple Prostatectomy From a Multi-Institutional Database 来自多机构数据库的解剖内窥镜前列腺摘除、机器人和开放式简单前列腺切除术的围手术期结果

Société Internationale d’Urologie Journal Pub Date : 2021-07-13 DOI: 10.48083/LKVV8843

M. Labban, Nassib F. Abou Heidar, V. Misrai, Jad A. Najdi, A. El-Hajj

{"title":"Perioperative Outcomes of Anatomic Endoscopic Enucleation of the Prostate, Robotic and Open Simple Prostatectomy From a Multi-Institutional Database","authors":"M. Labban, Nassib F. Abou Heidar, V. Misrai, Jad A. Najdi, A. El-Hajj","doi":"10.48083/LKVV8843","DOIUrl":"https://doi.org/10.48083/LKVV8843","url":null,"abstract":"Objective: To compare the perioperative morbidity of robotic-assisted simple prostatectomy (RASP), anatomical endoscopic enucleation of the prostate (AEEP) and open simple prostatectomy (OSP) for the treatment of benign prostatic obstruction (BPO).\u0000Methods: The national surgical quality improvement program database was queried for AEEP, RASP, and OSPprocedures. Clavien-Dindo-graded complications, length of hospital stay (LOS), and operative time were compared among the procedures. To control for the potentially confounding variables, we first conducted a multivariate\u0000backward conditional logistic regression, and then resorted to propensity score matching.\u0000Results: We identified 2867 AEEP, 234 RASP, and 1492 OSP procedures. After matching, the risk of pulmonary, renal, infectious, and thromboembolic adverse events was lower after AEEP but not RASP in comparison with OSP (P < 0.05). In comparison with RASP, AEEP had lower cardiac and thromboembolic events (P < 0.05). When compared\u0000with OSP, AEEP had reduced odds of Clavien-Dindo grade I (OR = 0.12; 95% CI 0.10 to 0.16) and II (OR = 0.38; 95% CI 0.24 to 9.58) complications. Also, AEEP had lower odds for grade I and II as well as grade IV complications (OR = 0.30; 95% CI 0.19 to 0.48, and OR = 0.05; 95% CI 0.01 to 0.24, respectively) compared with RASP.\u0000Conclusion: AEEP and RASP were associated with fewer perioperative adverse events, a shorter LOS and a reduced risk of transfusion compared with OSP. AEEP was associated with overall lower complication rates than RASP and OSP.","PeriodicalId":21961,"journal":{"name":"Société Internationale d’Urologie Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87625132","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

Evaluation of the Guidelines for Penile Cancer Treatment: Overview and Assessment 阴茎癌治疗指南的评价:概述和评估

Société Internationale d’Urologie Journal Pub Date : 2021-05-13 DOI: 10.48083/TKFP8406

A. Aydh, S. Shariat, R. Motlagh, E. Laukhtina, F. Quhal, K. Mori, H. Mostafaei, A. Necchi, B. Pradère

{"title":"Evaluation of the Guidelines for Penile Cancer Treatment: Overview and Assessment","authors":"A. Aydh, S. Shariat, R. Motlagh, E. Laukhtina, F. Quhal, K. Mori, H. Mostafaei, A. Necchi, B. Pradère","doi":"10.48083/TKFP8406","DOIUrl":"https://doi.org/10.48083/TKFP8406","url":null,"abstract":"Introduction: Medical organizations have provided evidence-based guidelines for penile cancer treatment. This current review aims to compare and appraise guidelines on penile cancer treatment to provide a useful summary for clinicians. make an evidence-based approach in the clinical practice.\u0000Materials and Methods: We searched in PubMed and Medline for guidelines published between January 1, 2010, and February 1, 2020. The search query terms were “penile cancer,” “penile tumor,” “guidelines,” and “penile malignancy.” In the final analysis, we include the most recent versions of relevant guidelines published in English. The Appraisal of Guidelines for Research and Evaluation II (AGREE II) instrument was used to appraise the quality of each guideline.\u0000Results: In the final analysis, we included guidelines from the National Comprehensive Cancer Network (updated in 2020), The European Association of Urology (updated in 2018), and The European Society for Medical Oncology (published in 2013). The overall agreement among reviewers was excellent. The range of scores for each domain was as follows: scope and purpose (46% to 61%); stakeholder involvement (33% to 60%); rigor of development (34% to 69%); clarity and presentation (61% to 81%); applicability (33% to 59%) and editorial independence (52% to 78%). The European Association of Urology and National Comprehensive Cancer Network clinical practice guidelines received better scores according to the AGREE II evaluation.\u0000Conclusion: Despite the effort made by the guidelines groups to make a practical guideline regarding penile cancer treatment, the actual available evidence is weak. However, we believe our recommendations offer clear guidance.","PeriodicalId":21961,"journal":{"name":"Société Internationale d’Urologie Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89544209","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

Long-Term Outcomes Following Surgical Management of Urethral Catheter Injuries in Men With Spinal Cord Injury 男性脊髓损伤患者尿道导管损伤手术治疗后的远期疗效

Société Internationale d’Urologie Journal Pub Date : 2021-05-13 DOI: 10.48083/AGBN5610

Kirtishri Mishra, R. A. Campos, L. Bukavina, R. Gomez

{"title":"Long-Term Outcomes Following Surgical Management of Urethral Catheter Injuries in Men With Spinal Cord Injury","authors":"Kirtishri Mishra, R. A. Campos, L. Bukavina, R. Gomez","doi":"10.48083/AGBN5610","DOIUrl":"https://doi.org/10.48083/AGBN5610","url":null,"abstract":"Objective: To evaluate the outcomes of surgical management of men with spina cord injury (SCI) with subsequent catheter damage to the urethra that prevents clean intermittent catheterization (CIC).\u0000Methods: We performed a retrospective analysis of male SCI individuals on CIC with catheter-induced urethral injuries who had undergone an operative intervention in the last 30 years at our institution. The offered surgical managements were direct vision internal urethrotomy (DVIU) or urethroplasty (UP). Continent diversion (CDIV) was indicated when reconstruction was not possible.\u0000Results: A total of 43 male SCI patients were identified. Median age was 50 years (IQR 41 to 57), and follow-up was 69 months (IQR 34 to 125). Inability to perform CIC was due to urethral stricture (25), false passages (11), fistula (4), diverticulum (2), and urethral erosion (1) . Primary intervention techniques were DVIU, UP, and CDIV. Overall primary success, defined by the ability to return to continent CIC, was 25/43 (58%); secondary surgery (10 CDIV, 3 UP, 1 DVIU) rescued 14/18 failures for a final 91% success rate. \u0000Conclusion: Urethral injuries in men with SCI are complex, but individualized continued surgical management can be successful in up to 90% of patients. Therefore, reconstruction should be considered in this population to restore continent intermittent catheterization.","PeriodicalId":21961,"journal":{"name":"Société Internationale d’Urologie Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81781943","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

Use of Urology-Based Clinical Practice Guidelines in International Settings 国际泌尿科临床实践指南的使用

Société Internationale d’Urologie Journal Pub Date : 2021-01-18 DOI: 10.48083/QVXE4949

German Patiño, M. Ndoye, H. Thomas, Andrew J. Cohen, Nnenaya A. Mmonu, C. Chu, B. Breyer

{"title":"Use of Urology-Based Clinical Practice Guidelines in International Settings","authors":"German Patiño, M. Ndoye, H. Thomas, Andrew J. Cohen, Nnenaya A. Mmonu, C. Chu, B. Breyer","doi":"10.48083/QVXE4949","DOIUrl":"https://doi.org/10.48083/QVXE4949","url":null,"abstract":"Objective\u0000Clinical practice guidelines (CPGs) serve as frameworks to unify diagnostic criteria and guide clinical decision-making. There is a paucity of literature surrounding the uptake of CPGs in urology practice settings with varied levels of resources worldwide. This study aims to evaluate reported use of CPGs within the context of international urology practice, identify local barriers to uptake, and evaluate the role of stakeholders in the CPG-development process.\u0000Methods\u0000This was an international, multi-center, cross-sectional study. An online survey collecting variables pertaining to the use of CPGs was distributed to attending/consultant urologists in Latin America, Africa, and China. Statistical analysis was conducted using R software.\u0000Result\u0000A total of 249 practicing urologists from 28 countries completed the survey. The majority of participants were males, aged 36 to 45, and practiced in a non-academic setting. Ninety-three percent of urologists used CPGs in their everyday clinical practice, and 43% believed CPGs were very important to medical decision-making. However, barriers such as the lack of adaptability or applicability of CPGs to local settings were mentioned by 29% and 24% of participants, respectively. Urologists believed scientific associations (81%), national urology boards (68%), and ministries of health (56%), were important stakeholders to consult to foster the development of local CPGs.\u0000Conclusions\u0000Globally, CPGs are widely used tools for clinical practice. However, there are concerns about the adaptability and applicability of CPGs to settings that may lack the resources to implement their recommendations. Efforts should be directed towards incorporating scientific and medical stakeholders into the review and adaptation of urology CPGs to suit the unique features of local health care systems.","PeriodicalId":21961,"journal":{"name":"Société Internationale d’Urologie Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-01-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82609617","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: 2

West Africa Sub-Regional Training and Skills Transfer: My Experience at the Urology Unit of the Korle-Bu Teaching Hospital, Accra, Ghana 西非次区域培训和技能转移:我在加纳阿克拉Korle-Bu教学医院泌尿科的经历

Société Internationale d’Urologie Journal Pub Date : 2021-01-18 DOI: 10.48083/uyeq3443

引用次数: 0