Urologia Internationalis最新文献_第2页

Treatment strategies in oligo-metastatic prostate cancer - a nation-wide survey. 低转移性前列腺癌的治疗策略-一项全国性调查。

IF 1.5 4区医学

Urologia Internationalis Pub Date : 2025-04-14 DOI: 10.1159/000545630

Angelika Borkowetz, Bernd Wullich, Matthias Saar, Nina Schmidt-Hegemann, Johannes Linxweiler

{"title":"Treatment strategies in oligo-metastatic prostate cancer - a nation-wide survey.","authors":"Angelika Borkowetz, Bernd Wullich, Matthias Saar, Nina Schmidt-Hegemann, Johannes Linxweiler","doi":"10.1159/000545630","DOIUrl":"https://doi.org/10.1159/000545630","url":null,"abstract":"Introduction: Metastasis-directed therapy (MDT) is a promising approach for recurrent or de novo oligo-metastatic castration-sensitive prostate cancer (omCSPC). The aim of this study was to evaluate the treatment approaches in omCSPC among German physicians.Methods: An anonymous online questionnaire was sent via survio.com to the members of the German Societies of Urology and Radiooncology.Results: Participants (n=166; 33% urologists, 66% radiooncologists) define omCSPC as ≤ 3 (31%) or ≤ 4 (58%) metastases. Multimodal therapy consisting of local therapy of the primary tumor, MDT and androgen deprivation therapy (ADT) was favored. For local therapy, radiotherapy was the preferred approach (radiotherapy: 84%, prostatectomy: 16%). 77% and 76% considered MDT as (very) highly important in synchronous and metachronous omCSPC, respectively. 80% would complement MDT with time-limited ADT. Compared to urologists, radiooncologists more often include cases with ≥ 3 metastases (p=0.006), see a higher importance of radiotherapy (p=0.023), a lower importance of prostatectomy (p<0.001) as well as a higher importance of MDT (in de novo p=0.038, in metachronous p=0.010).Conclusion: In conclusion, MDT with time-limited ADT is a common treatment strategy in omCSPC. Especially in synchronous omCSPC, radiotherapy as local treatment for the primary is the preferred option rather than radical prostatectomy.","PeriodicalId":23414,"journal":{"name":"Urologia Internationalis","volume":" ","pages":"1-20"},"PeriodicalIF":1.5,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144050234","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Erratum. 勘误表。

IF 1.5 4区医学

Urologia Internationalis Pub Date : 2025-04-07 DOI: 10.1159/000544959

引用次数: 0

Usage of the Internet and Digital Health among Urological Patients: Findings from a Cross-Sectional Study. 泌尿科患者使用互联网和数字健康的情况：一项横断面研究的结果。

IF 1.5 4区医学

Urologia Internationalis Pub Date : 2025-04-06 DOI: 10.1159/000544873

Rashid Al Sliman, Timur H Kuru, Julian P Struck, Anna L Heinrichs, Katharina Arndt, Johannes Salem, Hendrik Borgmann

{"title":"Usage of the Internet and Digital Health among Urological Patients: Findings from a Cross-Sectional Study.","authors":"Rashid Al Sliman, Timur H Kuru, Julian P Struck, Anna L Heinrichs, Katharina Arndt, Johannes Salem, Hendrik Borgmann","doi":"10.1159/000544873","DOIUrl":"10.1159/000544873","url":null,"abstract":"Introduction: The rising prevalence of Internet usage and smartphone applications among urology patients underscores the critical role of digital health literacy. This study investigates the acceptability of digital health technologies among urology patients and identifies factors influencing their acceptance.Materials and methods: A cross-sectional, anonymous survey consisting of 12 questions was developed based on literature research. It was conducted online using SurveyMonkey and targeted patients in the CUROS network in Germany. The data were analyzed descriptively using SPSS.Results: Of 1,039 participants, 99.1% reported using the Internet, with 84.4% using it several times daily. YouTube emerged as the most popular social media platform. While 90.2% searched for health information online, trust in online resources was low (mean score 4.63). Only 35.2% used medical apps, but 62.8% expressed willingness to use them if prescribed. Furthermore, 74.2% supported the use of electronic patient records, although concerns regarding privacy were noted.Conclusions: Urology patients demonstrate a high engagement with digital resources but express concerns about the reliability of online health information. Enhancing education on digital health tools and fostering trust in these resources is essential for improving patient outcomes and encouraging the integration of digital health in urological care.","PeriodicalId":23414,"journal":{"name":"Urologia Internationalis","volume":" ","pages":"1-7"},"PeriodicalIF":1.5,"publicationDate":"2025-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143796563","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Geriatric Nutritional Risk Index as a Predictor of Outcomes in Urological Cancers: A Systematic Review and Meta-Analysis. 作为泌尿系统癌症预后预测指标的老年营养风险指数：系统回顾和荟萃分析。

IF 1.5 4区医学

Urologia Internationalis Pub Date : 2025-04-06 DOI: 10.1159/000544793

Yuefen Chen, Mei Wen, Zhe Yu, Fengjiao Xu

{"title":"The Geriatric Nutritional Risk Index as a Predictor of Outcomes in Urological Cancers: A Systematic Review and Meta-Analysis.","authors":"Yuefen Chen, Mei Wen, Zhe Yu, Fengjiao Xu","doi":"10.1159/000544793","DOIUrl":"10.1159/000544793","url":null,"abstract":"Introduction: The geriatric nutritional risk index (GNRI) is being used to predict outcomes of several malignancies. However, its utility for urinary tract cancer has not been systematically analyzed. We present the first meta-analysis examining the association between GNRI and the prognosis of urological cancers.Methods: This PROSPERO registered review searched Embase, PubMed, Web of Science, and Scopus up to 25 November 2024 for studies examining the relationship between GNRI and overall survival (OS), cancer-specific survival (CSS), and progression-free survival (PFS) after urological cancers.Results: A total of 20 studies were eligible. Three studies were on bladder cancer, four on prostate cancer, seven on renal cell carcinoma (RCC), and six on urothelial cancers. Meta-analysis showed that low GNRI was a statistically significant predictor of poor OS in prostate cancer (OR: 3.02; 95% CI: 1.61, 5.67). Pooled analysis showed that low GNRI was associated with poor OS (OR: 2.17; 95% CI: 1.46, 3.22) and CSS (OR: 2.60; 95% CI: 1.57, 4.30) in RCC but not PFS (OR: 1.50; 95% CI: 1.00, 2.24). Pooled analysis also found that low GNRI was a predictor of worse OS (OR: 2.24; 95% CI: 1.52, 3.29) and CSS (OR: 3.07; 95% CI: 1.38, 6.86) in urothelial carcinoma. A narrative review on bladder cancer and GNRI showed mixed results.Conclusion: GNRI may have a role in predicting outcomes of urological malignancies. Low GNRI was independently associated with worse OS after prostate, renal cell, and urothelial carcinoma. Further, it also predicted CSS after RCC and urothelial carcinoma.","PeriodicalId":23414,"journal":{"name":"Urologia Internationalis","volume":" ","pages":"1-14"},"PeriodicalIF":1.5,"publicationDate":"2025-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143796548","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Intraindividual Perception of Open versus Robot-Assisted Partial Nephrectomy (PERCEPTION Trial): An Important Complementing Perspective to Randomized Controlled Trials. 开放式与机器人辅助肾部分切除术的个体内部认知（PERCEPTION 试验）：随机对照试验的重要补充视角。

IF 1.5 4区医学

Urologia Internationalis Pub Date : 2025-04-06 DOI: 10.1159/000545583

Philipp Reimold, Luisa Bourgeois, Lia Klefenz, Marius Christian Butea-Bocu, Anna Lena Jacobi, Luka Flegar, Christer Groeben, Johannes Huber

{"title":"Intraindividual Perception of Open versus Robot-Assisted Partial Nephrectomy (PERCEPTION Trial): An Important Complementing Perspective to Randomized Controlled Trials.","authors":"Philipp Reimold, Luisa Bourgeois, Lia Klefenz, Marius Christian Butea-Bocu, Anna Lena Jacobi, Luka Flegar, Christer Groeben, Johannes Huber","doi":"10.1159/000545583","DOIUrl":"10.1159/000545583","url":null,"abstract":"Introduction: Randomized controlled trials comparing patients' experience with open (OPN) vs. robot-assisted (RAPN) partial nephrectomy showed no clear advantages for RAPN. This contradicts our clinical impression, so we analyzed a cohort that underwent both approaches for bilateral renal tumors. The aim of our study was to compare their intraindividual perceptions of OPN and RAPN.Methods: Scar assessment and evaluation of patient-reported outcome measures were conducted. The questionnaires were retrospectively answered for postoperative day 5 after OPN and RAPN and, as a reference, for the date of presentation.Results: Results revealed longer hospitalization and ischemia times in patients with OPN, while ratings for physical condition and quality of life were better in the RAPN group. Stress, depression, and anxiety in cancer patients scored higher in the OPN group. Scar assessment revealed less patient-reported satisfaction after OPN. Patients favored RAPN when comparing both approaches directly and were more likely to recommend RAPN to a friend.Conclusion: This is the first study on the intraindividual perception of OPN vs. RAPN, revealing a comparative judgement clearly in favor of RAPN. Based on our findings, we designed the APPROACH trial to compare OPN and RAPN in a representative population under the conditions of routine care.","PeriodicalId":23414,"journal":{"name":"Urologia Internationalis","volume":" ","pages":"1-10"},"PeriodicalIF":1.5,"publicationDate":"2025-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12091961/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143796544","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Bladder Stone Composition in Jiangsu Region of China: Results from 421 Stone Analyses. 中国江苏地区的膀胱结石成分：421 例结石分析结果。

IF 1.5 4区医学

Urologia Internationalis Pub Date : 2025-04-04 DOI: 10.1159/000542255

Chen Zhu, Long Ma, Xuehua Chen, Yue Zhou, Yunfei Wei, Ping Zhou, Ninghong Wang, Jian Su, Lin Yuan, Yan Xu

{"title":"Bladder Stone Composition in Jiangsu Region of China: Results from 421 Stone Analyses.","authors":"Chen Zhu, Long Ma, Xuehua Chen, Yue Zhou, Yunfei Wei, Ping Zhou, Ninghong Wang, Jian Su, Lin Yuan, Yan Xu","doi":"10.1159/000542255","DOIUrl":"10.1159/000542255","url":null,"abstract":"Introduction: Accurate analysis of bladder stone composition is essential for appropriate treatment planning and recurrence prevention. The aim of this study was to evaluate the characteristics of bladder stone components in our center.Methods: A retrospective analysis on the composition of bladder stones collected in our center from January 2014 to March 2023 was conducted in the present work. Age, sex, and laboratory examination of all patients were collected. Infrared spectroscopy was conducted for stone analysis.Results: The most common stone component was calcium oxalate (43.0%), followed by uric acid (UA) stone (35.4%), calcium phosphate (12.10%), infection stone (9.0%), and cystine (0.5%). The highest stone prevalence appeared in patients aged over 60 years and increased progressively with age. Furthermore, patients with UA stones were more likely to have a lower urinary pH. Additionally, patients with infection stones showed higher incidence of urinary tract infections than those with other types of stones. Patients with UA stones had higher average serum UA and creatinine levels. UA stones are more likely to form multiple stones compared to stones of other composition. The volume of infectious stones is larger compared to stones of other compositions.Conclusion: This study highlights the importance of gaining a deeper understanding of bladder stone composition, as it can lead to more effective evaluation, treatment, and prevention of stone disease.","PeriodicalId":23414,"journal":{"name":"Urologia Internationalis","volume":" ","pages":"1-6"},"PeriodicalIF":1.5,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12060838/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143796526","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Urinary Pleural Effusion: Introducing Treatment and Follow-Up Course of Three Cases. 尿性胸腔积液：3例治疗及随访。

IF 1.5 4区医学

Urologia Internationalis Pub Date : 2025-03-25 DOI: 10.1159/000545416

Longyuhe Yang, Xuanfan Hu, Yueqiang Wang, Yu Tian, Zhen Ma, Qiuyi Lu, Yunliang Zhao, Jianbin Yang, Zhigang Zhang

{"title":"Urinary Pleural Effusion: Introducing Treatment and Follow-Up Course of Three Cases.","authors":"Longyuhe Yang, Xuanfan Hu, Yueqiang Wang, Yu Tian, Zhen Ma, Qiuyi Lu, Yunliang Zhao, Jianbin Yang, Zhigang Zhang","doi":"10.1159/000545416","DOIUrl":"10.1159/000545416","url":null,"abstract":"Introduction: Urinary pleural effusion is a rare thoracic complication associated with urogenital diseases, primarily resulting from obstructive urinary tract disorders, but it can also arise from therapeutic or traumatic injuries. Due to its infrequency and the absence of clear diagnostic criteria, such cases are often overlooked.Case presentation: In 3 reported cases, patients presented with typical symptoms such as dyspnea and chest pain. Following the diagnosis of urinary-derived pleural effusion, various treatment strategies were successfully implemented. All patients subsequently underwent surgery for urinary calculi during follow-up, without experiencing similar severe complications.Conclusion: Effective management of urinary-derived pleural effusion necessitates a multidisciplinary approach aimed at addressing the underlying urological issues. Once the urinary tract is treated, pleural effusion generally resolves quickly. These cases underscore the significance of early diagnosis and appropriate treatment, and clinicians should maintain a high index of suspicion for this condition to facilitate early diagnosis and individualized management.","PeriodicalId":23414,"journal":{"name":"Urologia Internationalis","volume":" ","pages":"1-6"},"PeriodicalIF":1.5,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143711128","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Anterior Urethral Paraganglioma: An Extremely Rare Case Report and Literature Review. 前尿道副神经节瘤一罕见病例报告及文献复习。

IF 1.5 4区医学

Urologia Internationalis Pub Date : 2025-03-25 DOI: 10.1159/000545412

Emre Şam, Ömer Uslu, Ahmet Erkan Bilici, Mehmet Sefa Altay

引用次数: 0

Impact of 3D Reconstruction Combined with Engineering Software Analysis of Pelvic Floor Muscle Morphology on Sexual Dysfunction in Patients with Pelvic Organ Prolapse. 三维重建结合工程软件分析盆底肌肉形态对盆腔器官脱垂患者性功能障碍的影响。

IF 1.5 4区医学

Urologia Internationalis Pub Date : 2025-03-21 DOI: 10.1159/000545009

Lifan Shen, Huijun Bai

{"title":"Impact of 3D Reconstruction Combined with Engineering Software Analysis of Pelvic Floor Muscle Morphology on Sexual Dysfunction in Patients with Pelvic Organ Prolapse.","authors":"Lifan Shen, Huijun Bai","doi":"10.1159/000545009","DOIUrl":"10.1159/000545009","url":null,"abstract":"Introduction: The aim of the study was to evaluate the relationship between the deformation of pelvic floor muscles, which primarily participate in sexual activity, in non-prolapse patients compared to those with pelvic organ prolapse (POP), using MRI combined with 3D reconstruction and engineering software.Methods: This study retrospectively analyzed 100 patients with sexual activity needs, including 53 diagnosed with POP and 47 without POP. MRI images of relevant pelvic floor muscles were reconstructed in 3D using Mimics software. The IGS models generated with Geomagic Wrap software were assigned material properties and analyzed in SolidWorks. The muscle models were transformed into visualized solid models, yielding results for the mass, volume, and surface area of the pelvic floor muscles involved in sexual activity. These parameters were visualized among POP and non-POP patients, allowing for a comparative analysis.Result: Significant differences (p < 0.05) were observed between the two groups in terms of the volume, mass, and measurable thickness range (thicker regions) of the bulbospongiosus muscle, as well as the surface area of the pubococcygeus muscle and the levator ani.Conclusion: By using 3D reconstruction and engineering software to visualize muscle models, morphological changes in the bulbospongiosus, pubococcygeus, and levator ani muscles are highlighted. This study lays a theoretical foundation for understanding the functional factors contributing to sexual dysfunction in patients with POP.","PeriodicalId":23414,"journal":{"name":"Urologia Internationalis","volume":" ","pages":"1-8"},"PeriodicalIF":1.5,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12060818/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143693452","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Comparison of Flexible-Tip and Non-Flexible Ureteral Access Sheaths for Treatment of Renal Lower Calyx Stones. 软端输尿管鞘与非软端输尿管鞘治疗肾下盏结石的比较。

IF 1.5 4区医学

Urologia Internationalis Pub Date : 2025-03-19 DOI: 10.1159/000545070

Zhiyong Xiong, Chen Li, Keming Huang, Zhen Han, Shuai Wu

{"title":"Comparison of Flexible-Tip and Non-Flexible Ureteral Access Sheaths for Treatment of Renal Lower Calyx Stones.","authors":"Zhiyong Xiong, Chen Li, Keming Huang, Zhen Han, Shuai Wu","doi":"10.1159/000545070","DOIUrl":"10.1159/000545070","url":null,"abstract":"Introduction: The aim of the study was to compare the efficacy of a flexible-tip ureteral access sheath (F-UAS) with a traditional non-flexible ureteral access sheath (T-UAS) in the treatment of renal lower calyx stones.Methods: This retrospective analysis included clinical data from patients with unilateral renal lower calyx stones who underwent treatment with either an F-UAS (cases from December 2023 to September 2024) or a T-UAS (cases from January 2023 to November 2023). Inclusion criteria were ages 18-75 years, lower pole kidney stones measuring 1-2 cm. The primary outcome was the immediate postoperative stone-free rate (SFR) on the first day post-surgery. Secondary outcomes included operative time, postoperative complications, postoperative hospital stay, and 3-month SFR.Results: A total of 132 patients were included in the study, with 63 in the F-UAS group and 69 in the T-UAS group. Baseline characteristics were comparable between groups. The F-UAS group demonstrated a significantly higher day-1 postoperative SFR (73.0% vs. 17.4%; p < 0.001). The overall complication rate was lower in the F-UAS group (p = 0.031), with a notably reduced incidence of postoperative fever. The F-UAS group also had a significantly lower basket usage rate (20.6% vs. 100%; p < 0.001). There were no significant differences in operative time or 3-month SFR between the groups (p = 0.097 and p = 0.354, respectively). Hospital stay and stone composition were also similar between groups.Conclusion: Compared to T-UAS, the use of F-UAS for retrograde intrarenal surgery in the treatment of renal lower calyx stones is associated with a higher day-1 SFR. Additionally, the F-UAS group demonstrated reduced basket usage and fewer postoperative complications.","PeriodicalId":23414,"journal":{"name":"Urologia Internationalis","volume":" ","pages":"1-7"},"PeriodicalIF":1.5,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143664716","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0