Urologia Internationalis最新文献

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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":"<p><strong>Introduction: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusion: </strong>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.</p>","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":"<p><strong>Introduction: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusion: </strong>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.</p>","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":"<p><strong>Introduction: </strong>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.</p><p><strong>Case presentation: </strong>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.</p><p><strong>Conclusion: </strong>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.</p>","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
{"title":"Anterior Urethral Paraganglioma: An Extremely Rare Case Report and Literature Review.","authors":"Emre Şam, Ömer Uslu, Ahmet Erkan Bilici, Mehmet Sefa Altay","doi":"10.1159/000545412","DOIUrl":"10.1159/000545412","url":null,"abstract":"<p><strong>Introduction: </strong>Urinary tract paragangliomas account for less than 1% of all paragangliomas and are most commonly seen in the bladder, with the prostate being the second most common localization. However, urethral paragangliomas are extremely rare.</p><p><strong>Case presentation: </strong>A 52-year-old male patient was admitted to the urology clinic with lower urinary tract symptoms (LUTS), including poor and intermittent stream, straining, frequency, and nocturia. A pedunculated polypoid lesion, approximately 1 cm in size, was detected at the level of the bulbar urethra and was excised from its stalk using cold cup forceps. A diagnosis of paraganglioma was made on histopathological examination.</p><p><strong>Conclusion: </strong>Anterior urethral paraganglioma can cause LUTS even if small due to urethral calibration. The recommended treatment method is endoscopic excision of the lesion. Paraganglioma should be kept in mind in the differential diagnosis of urethral lesions.</p>","PeriodicalId":23414,"journal":{"name":"Urologia Internationalis","volume":" ","pages":"1-5"},"PeriodicalIF":1.5,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143711077","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
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":"<p><strong>Introduction: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Result: </strong>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.</p><p><strong>Conclusion: </strong>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.</p>","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":"<p><strong>Introduction: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusion: </strong>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.</p>","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
Comprehensive Analysis of Surgically Treated Renal Tumor Characteristics in Turkey: A Nationwide Study. 土耳其手术治疗肾肿瘤特征的综合分析:全国研究。
IF 1.5 4区 医学
Urologia Internationalis Pub Date : 2025-03-17 DOI: 10.1159/000545292
Ahmet Burak Yilmaz, Tolga Karakan, Bugra Bilge Keseroglu
{"title":"Comprehensive Analysis of Surgically Treated Renal Tumor Characteristics in Turkey: A Nationwide Study.","authors":"Ahmet Burak Yilmaz, Tolga Karakan, Bugra Bilge Keseroglu","doi":"10.1159/000545292","DOIUrl":"10.1159/000545292","url":null,"abstract":"<p><strong>Introduction: </strong>The aim of this study was to evaluate the kidney tumor characteristics in surgically treated patients in Turkey.</p><p><strong>Methods: </strong>Patients who underwent surgical treatment for kidney tumors between January 2017 and December 2022 in Turkey were retrospectively reviewed through the Health Information Systems of the Ministry of Health. Patient's age, gender, comorbidities, surgical methods, and tumor characteristics were evaluated.</p><p><strong>Results: </strong>The most common subtype of RCC was clear cell RCC (ccRCC) in 4,892 patients (72%). Papillary RCC (pRCC) was less frequent in patients under 50, with its incidence increasing with age compared to other subtypes (p = 0.006). There was a significant relationship found between hypertension and pathological subtypes (p = 0.002), with pRCC and unclassified RCC contributing to this difference. Among RCC subtypes, as the ISUP/Fuhrman grade increased, the tumor stage also progressed (p < 0.001). Tumors in males and tumors in the left kidney were at more advanced cancer at the time of diagnosis (p < 0.001 and p = 0.006, respectively). In multivariate logistic regression analysis, advanced age (odds ratio [OR]: 1.007, 95% confidence interval [CI]: 1.001-1.014, p = 0.04), male gender (OR: 0.416, 95% CI: 0.350-0.493, p < 0.001), increased tumor size (OR: 1.117, 95% CI: 1.079-1.156, p < 0.001), and the presence of diabetes mellitus (OR: 1.222, 95% CI: 1.007-1.483, p = 0.042) were found to be independent risk factors for malignancy.</p><p><strong>Conclusions: </strong>Our study identifies key factors associated with surgically treated renal tumors in Turkey. While aligning with prior research, these findings highlight the need for detailed studies to clarify the impact of biological, demographic, and lifestyle factors on RCC risk and progression, enabling more accurate diagnosis and tailored treatment.</p>","PeriodicalId":23414,"journal":{"name":"Urologia Internationalis","volume":" ","pages":"1-9"},"PeriodicalIF":1.5,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143650848","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
Direct Vision Internal Urethrotomy in the Management of Bulbar Urethral Strictures: Long-Term Follow-Up and Factors Predicting Treatment Failure. 直视内尿道切开术治疗球尿道狭窄:长期随访及治疗失败的预测因素。
IF 1.5 4区 医学
Urologia Internationalis Pub Date : 2025-03-15 DOI: 10.1159/000543674
David Hernández-Hernández, María Yanira Ortega-González, Bárbara Padilla-Fernández, Irene Díaz-González, Julia Climent-González, Stephany Hess-Medler
{"title":"Direct Vision Internal Urethrotomy in the Management of Bulbar Urethral Strictures: Long-Term Follow-Up and Factors Predicting Treatment Failure.","authors":"David Hernández-Hernández, María Yanira Ortega-González, Bárbara Padilla-Fernández, Irene Díaz-González, Julia Climent-González, Stephany Hess-Medler","doi":"10.1159/000543674","DOIUrl":"10.1159/000543674","url":null,"abstract":"<p><strong>Introduction: </strong>Evaluation of long-term results, risk factors for treatment failure, and complications in a contemporary cohort of patients with bulbar urethral strictures managed with direct vision internal urethrotomy (DVIU).</p><p><strong>Methods: </strong>We retrospectively reviewed 140 consecutive patients who underwent internal urethrotomy in a single institution between January 2012 and October 2020, with a minimum follow-up of 24 months. Most urethral strictures had an iatrogenic origin (89.3%), length under 2 cm (75%) and were located in the mid-bulbar urethra (56.4%). The main variable was treatment failure, defined as recurrent urethral stricture at the same location in urethrography or urethroscopy, or the need for dilation, internal urethrotomy or open urethral reconstruction. Secondary variables analyzed were length of stricture, suspected etiology, previous endoscopic procedures, hospital stay, days of catheterization, and postoperative complications such as infections or hematuria.</p><p><strong>Results: </strong>Treatment failure occurred in 61.4% of patients (104). Idiopathic strictures and those under 2 cm had better outcomes. Strictures longer than 2 cm and those with previous endoscopic procedures demonstrated a higher failure rate. More than 90% of recurrences occurred within the first 2 years of follow-up. Complications of DVIU were scarce with postoperative urinary tract infection/urosepsis in 5.7% and prolonged hematuria in 10%. The mean hospital stay was 2.9 days.</p><p><strong>Conclusion: </strong>DVIU is a safe and simple technique, with reasonable efficacy in primary cases of bulbar urethral strictures under 2 cm in length. Strictures longer than 2 cm or recurrent cases might be better approached through drug-coated balloon dilation or open urethral reconstruction. Follow-up after DVIU must be at least 24 months.</p>","PeriodicalId":23414,"journal":{"name":"Urologia Internationalis","volume":" ","pages":"1-6"},"PeriodicalIF":1.5,"publicationDate":"2025-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143639768","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
Mayo Adhesive Probability Score: A Reliable Predictor for Percutaneous Nephrolithotomy in Obese Patients? 梅奥黏附概率评分:肥胖患者经皮肾镜取石的可靠预测指标?
IF 1.5 4区 医学
Urologia Internationalis Pub Date : 2025-03-14 DOI: 10.1159/000545180
Ali Ayranci, Ufuk Caglar, Huseyin Burak Yazili, Ufuk Can Aksu, Omer Sarilar, Faruk Ozgor
{"title":"Mayo Adhesive Probability Score: A Reliable Predictor for Percutaneous Nephrolithotomy in Obese Patients?","authors":"Ali Ayranci, Ufuk Caglar, Huseyin Burak Yazili, Ufuk Can Aksu, Omer Sarilar, Faruk Ozgor","doi":"10.1159/000545180","DOIUrl":"10.1159/000545180","url":null,"abstract":"<p><strong>Introduction: </strong>This study evaluates the predictive value of the Mayo Adhesive Probability (MAP) score for surgical outcomes in obese patients undergoing miniaturised percutaneous nephrolithotomy (m-PCNL). The primary research question is whether the MAP score can predict intraoperative and postoperative complications in patients with a BMI greater than 30.</p><p><strong>Methods: </strong>A retrospective analysis was conducted on patients who underwent m-PCNL at a tertiary care centre between August 2018 and August 2023. Patients with kidney stones larger than 2 cm and a BMI >30 were included. They were categorised based on MAP scores (<3 vs. ≥3). Data on operation time, fluoroscopy time, hospital stay, and complications were compared. Statistical analyses included t tests, chi-square tests, and logistic regression to assess risk factors for postoperative fever.</p><p><strong>Results: </strong>Among 87 patients, those with a MAP score ≥3 had a significantly higher rate of postoperative fever (17.1% vs. 3.8%, p = 0.035). There were no significant differences between groups in operation time, fluoroscopy time, hospital stay, or blood transfusion needs. Logistic regression showed that a higher MAP score (OR: 6.614, p = 0.045) and increased stone burden (OR: 1.003, p = 0.040) were significant predictors of postoperative fever.</p><p><strong>Conclusion: </strong>The MAP score is a significant predictor of postoperative fever in obese patients undergoing m-PCNL. Higher MAP scores are associated with a greater risk of fever, suggesting that careful monitoring and preventive measures are essential for patients with higher MAP scores. Further multicentre studies are needed to validate these findings and improve predictive accuracy.</p>","PeriodicalId":23414,"journal":{"name":"Urologia Internationalis","volume":" ","pages":"1-6"},"PeriodicalIF":1.5,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143639773","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
Clinical Features and Outcomes of Congenital Anterior Urethrocutaneous Fistula: A Case Series Study. 先天性前尿道瘘的临床特点及预后:一个病例系列研究。
IF 1.5 4区 医学
Urologia Internationalis Pub Date : 2025-03-11 DOI: 10.1159/000545206
Haijun Zhong, Hongquan Geng, Bin Zhang
{"title":"Clinical Features and Outcomes of Congenital Anterior Urethrocutaneous Fistula: A Case Series Study.","authors":"Haijun Zhong, Hongquan Geng, Bin Zhang","doi":"10.1159/000545206","DOIUrl":"10.1159/000545206","url":null,"abstract":"<p><strong>Introduction: </strong>The aim of this study was to evaluate the clinical features and prognosis of congenital anterior urethrocutaneous fistula (CAUF) patients.</p><p><strong>Methods: </strong>This is a retrospective chart review of patients diagnosed with CAUF and underwent surgical repair by the author between October 2017 and December 2021 that was performed at a single tertiary care institution. The medical records of CAUF patients were reviewed to evaluate their clinical characteristics and outcomes.</p><p><strong>Results: </strong>11 patients with CAUF were included. The median age of the patients was 41 months (11-84 months). Subcoronal fistulas were observed in 1 patient, mid-penile shafts in 7 patients, proximal penile to subcoronal fistulas in 2 patients, and perineum to penile fistulas in 1 patient. Associated urinary system anomalies were found in 3 patients, and other anomalies were found in 2 patients. One-stage surgery was performed in 10 patients, and staged surgery was performed in 1 patient. There were no postoperative complications, and there was good voiding.</p><p><strong>Conclusion: </strong>Although CAUF often coexists with genitourinary or other deformities, it has a good prognosis following an appropriate surgical strategy for each patient.</p>","PeriodicalId":23414,"journal":{"name":"Urologia Internationalis","volume":" ","pages":"1-5"},"PeriodicalIF":1.5,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143606525","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
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