IF 2.1 3区医学

Urology Pub Date : 2024-11-19 DOI: 10.1016/j.urology.2024.11.027

Erman Ceyhan, Mehmet Vehbi Kayra, Eylem Gul Ates, Yalcın Kizilkan, Mesut Altan, Omer Yildirim, Mehmet Hamza Gultekin, Nebil Akdogan, Eray Hasirci, Tufan Cicek, Iyimser Ure, Cem Sah, Aykut Baser, Umit Gul, Hamdi Ozkara, Kadir Emre Akkus, Tahsin Turunc

引用次数: 0

Reply to Letter to the Editor on "Use of Catheterization Algorithms to Manage Acute Urinary Retention: What is the Evidence?" 回复致编辑的信函："使用导管插入术算法处理急性尿潴留：证据是什么？

IF 2.1 3区医学

Urology Pub Date : 2024-11-19 DOI: 10.1016/j.urology.2024.11.022

Kristin Chrouser, Jessica Ameling, Jennifer Meddings

引用次数: 0

Editorial Comment on "Gender Differences in the Adoption and Utilization of Robotic-Assisted Laparoscopic Surgery (RALS) Among Practicing Urologists: A Study of American Board of Urology Case Logs from 2012-2022". 关于 "泌尿外科执业医师采用和使用机器人辅助腹腔镜手术 (RALS) 的性别差异：2012-2022年美国泌尿外科委员会病例记录研究"。

IF 2.1 3区医学

Urology Pub Date : 2024-11-19 DOI: 10.1016/j.urology.2024.11.021

Sydney Strup, Andrew Harris

引用次数: 0

Letter to the Editor Regarding "Do We Need a Urine Culture Before Cystoscopy? Time to Shift Away from Routine Testing". 致编辑的信，内容涉及 "膀胱镜检查前需要进行尿培养吗？是时候放弃常规检测了"。

IF 2.1 3区医学

Urology Pub Date : 2024-11-19 DOI: 10.1016/j.urology.2024.11.028

Recep Burak Degirmentepe, Esat Unal, Hasan Salih Saglam

引用次数: 0

Midterm Follow-up of Electrofulguration for Vesicular Cystitis in Women with Recurrent Urinary Tract Infections. 复发性尿路感染妇女膀胱炎电凝治疗的中期随访。

IF 2.1 3区医学

Urology Pub Date : 2024-11-18 DOI: 10.1016/j.urology.2024.10.072

Tze-Chen Chao, Alana L Christie, Feras Alhalabi, Philippe E Zimmern

{"title":"Midterm Follow-up of Electrofulguration for Vesicular Cystitis in Women with Recurrent Urinary Tract Infections.","authors":"Tze-Chen Chao, Alana L Christie, Feras Alhalabi, Philippe E Zimmern","doi":"10.1016/j.urology.2024.10.072","DOIUrl":"https://doi.org/10.1016/j.urology.2024.10.072","url":null,"abstract":"Objectives: To report the midterm outcomes of women with symptomatic recurrent urinary tract infections (RUTI) with findings of vesicular cystitis (VC) on cystoscopy treated with bladder electrofulguration (EF), and to identify factors affecting successful treatment outcome.Methods: Following IRB approval, a prospectively collected long-term database of women with RUTI and VC treated with EF was retrospectively reviewed. Patients were divided into two groups based on the associated presence of urinary obstruction (\"obstructed group\") or not. Follow-up included an office cystoscopy six months after EF. The primary outcome evaluated was rate of UTI recurrences over time.Results: From 2010 to 2023, 50 women met all study criteria, with 94% being postmenopausal. Overall, the three-year UTI-free survival from repeat fulguration was 71.4% (95% CI, 54.4 to 83.0). Kaplan-Meier analysis showed that patients with obstruction had a higher 3-year survival of no UTI recurrence (40.3%; 95% CI: 18.2, 61.7) than patients without obstruction (20.8%; 95% CI: 6.2, 41.4], p = 0.0085).Conclusions: Over two-thirds of women with VC and symptomatic UTI did not need a second EF or daily antibiotic prophylaxis after initial EF. Those with VC related to bladder outlet obstruction experienced less RUTIs and a longer time to a repeated EF.","PeriodicalId":23415,"journal":{"name":"Urology","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142682917","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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

Editorial Comment on Indwelling Urological Devise Biofilm Composition and Characteristics in the Presence and Absence of Infection. 关于留置泌尿科器械生物膜的组成和特性（有感染和无感染）的编辑评论。

IF 2.1 3区医学

Urology Pub Date : 2024-11-18 DOI: 10.1016/j.urology.2024.11.016

Mitchell H Bamberger

引用次数: 0

Efficacy and safety of ultrasound- vs fluoroscopy-guided percutaneous nephrolithotomy in managing renal calculi: A systematic review and meta-analysis of randomized controlled trials. 超声与透视引导下经皮肾镜取石术治疗肾结石的有效性和安全性：随机对照试验的系统回顾和荟萃分析。

IF 2.1 3区医学

Urology Pub Date : 2024-11-17 DOI: 10.1016/j.urology.2024.11.025

Ruoyang Du, Wubing Feng, Tong Yi

{"title":"Efficacy and safety of ultrasound- vs fluoroscopy-guided percutaneous nephrolithotomy in managing renal calculi: A systematic review and meta-analysis of randomized controlled trials.","authors":"Ruoyang Du, Wubing Feng, Tong Yi","doi":"10.1016/j.urology.2024.11.025","DOIUrl":"https://doi.org/10.1016/j.urology.2024.11.025","url":null,"abstract":"Objective: To evaluate the effectiveness and safety of ultrasound-guided percutaneous nephrolithotomy (UG-PCNL) compared to fluoroscopy-guided PCNL (FG-PCNL) for kidney stone management, focusing on clinical outcomes and procedural efficiency.Methods: A systematic review and meta-analysis of randomized controlled trials (RCTs) was conducted following PRISMA guidelines. Searches were performed in PubMed, EMBASE, Scopus, and Web of Science for studies published between 2000 and 2024. Primary outcomes included stone-free rate (SFR), needle puncture time (NPT), calculus clearance rate (CCR), and access time. Secondary outcomes involved single needle puncture success rate (SNPSR), hospital stay duration (HSD), total complication rate (TCR), urosepsis, fever and postoperative serum creatinine.Results: Analysis of 21 RCTs with 2969 patients showed no significant difference in SFR between UG-PCNL and FG-PCNL (OR: 0.93, 95% CI: 0.77-1.13; p = 0.47). UG-PCNL significantly reduced access time (SMD: 0.68, 95% CI: 0.06-1.30; p = 0.03), while other outcomes like SNPSR and puncture time showed no significant differences. Complication rates, including urosepsis and fever, were comparable between techniques.Conclusions: UG-PCNL is as effective as FG-PCNL, offering the benefits of radiation-free imaging and reduced access time, with comparable safety profiles. Further studies are needed to confirm the certainty of outcomes like SNPSR and bleeding rates.","PeriodicalId":23415,"journal":{"name":"Urology","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-11-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142677149","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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

Management and Long-Term Follow-Up of Vaginal Rhabdomyosarcoma in a 3-year-old Female. 一名 3 岁女性阴道横纹肌肉瘤的治疗和长期随访

IF 2.1 3区医学

Urology Pub Date : 2024-11-16 DOI: 10.1016/j.urology.2024.11.024

Lauren Poniatowski, Katherine Debiec, Hailey Silverii, Paul Merguerian

引用次数: 0

Application of 5G Remote Robotic-Assisted Laparoscopy in Urological Surgery: A Small Sample Analysis. 5G 远程机器人辅助腹腔镜在泌尿外科手术中的应用：小样本分析

IF 2.1 3区医学

Urology Pub Date : 2024-11-16 DOI: 10.1016/j.urology.2024.11.019

Fenghai Zhou, Baihong Guo, Haidi Lv, Xiaofeng Zhang, Yunfeng Zhang, Bin Feng, Fa Zhang, Qiangzhao Liu

{"title":"Application of 5G Remote Robotic-Assisted Laparoscopy in Urological Surgery: A Small Sample Analysis.","authors":"Fenghai Zhou, Baihong Guo, Haidi Lv, Xiaofeng Zhang, Yunfeng Zhang, Bin Feng, Fa Zhang, Qiangzhao Liu","doi":"10.1016/j.urology.2024.11.019","DOIUrl":"10.1016/j.urology.2024.11.019","url":null,"abstract":"Objective: To evaluate the practical application and clinical safety of 5G remote robotics in urological surgery.Methods: We conducted a comprehensive analysis of 14 cases of 5G remote domestic robot-assisted laparoscopic urological surgeries performed at our center from May 2023 to June 2024. Clinical data and network information were collected, and metrics such as operative time, blood loss, and complication rate were analyzed. We assessed the stability, accuracy, and safety of remote operations, as well as the acceptance and satisfaction of both doctors and patients with this technology.Results: The 14 surgeries conducted at our center involved a master-slave distance of 52 kilometers, with an average operative time of 83.3 minutes, an average blood loss of 23 milliliters, a conversion-to-open-surgery rate of 0%, and no complications. During the surgeries, the 5G remote robotic system functioned stably, with a clear field of vision, an average download speed of 216.5 Mbps, an average upload speed of 86.6 Mbps, an average maximum latency of 129.3 ms, an average minimum latency of 20.7 ms, and a packet loss rate of 0%. These results indicate that the system can provide a highly accurate operational view and effective transfer of surgical skills. Both doctors and patients expressed general satisfaction with this technology, recognizing its significant contribution to the safety and effectiveness of the surgery.Conclusion: The 5G remote robot-assisted laparoscopic urological surgeries conducted at our center demonstrate that combining 5G technology with robotic ensures the stability, real-time performance, and safety of remote surgeries.","PeriodicalId":23415,"journal":{"name":"Urology","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142668926","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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

Can female voiding dysfunction be predicted using a questionnaire? 女性排尿功能障碍能否通过问卷调查来预测？

IF 2.1 3区医学

Urology Pub Date : 2024-11-16 DOI: 10.1016/j.urology.2024.11.020

Victoria A Buckley, Anna Rosamilia, Joseph K Lee

{"title":"Can female voiding dysfunction be predicted using a questionnaire?","authors":"Victoria A Buckley, Anna Rosamilia, Joseph K Lee","doi":"10.1016/j.urology.2024.11.020","DOIUrl":"10.1016/j.urology.2024.11.020","url":null,"abstract":"Objectives: To evaluate symptoms using the modified International Prostate Symptoms Score (wIPSS) questionnaire, and clinical factors that could indicate objective VD in women.Methods: 1083 women who underwent urodynamic assessment were retrospectively analysed. The primary outcome was objective VD. Two definitions were utilised; VD1 defined VD as maximum flow rate <10th centile on the Liverpool nomogram, while VD2 defined VD as Qmax ≤ 15ml/s and PVR ≥ 100ml. Associations of potential explanatory variables with VD were assessed by standard bivariate testing. Classification and Regression Tree (CART) analyses were conducted to assess the discriminatory power of explanatory variables for VD.Results: The prevalence of objective VD depended on the definition used (VD1-30.9% vs. VD2-5.8%), as did the median wIPSS score (VD1-15, IQR 10-20 vs. VD2-12.5, IQR 10.3-22.8). Age, menopausal status, previous pelvic floor surgery, current degree of anterior/apical prolapse, a medical history of diabetes or neurological disease, the wIPSS score as well as the wIPSS with additional items were associated with VD. CART analysis revealed the questions regarding force of stream (FOS) and hesitancy were the strongest predictors for VD.Conclusion: Rates of objective VD depend on the definition used. VD was associated with the overall wIPSS score, and the additional questions of hesitancy and FOS which proved to be the most powerful predictors. This modified wIPSS may be a useful tool in screening for the absence of objective VD.Brief summary: Can we use a non-invasive screening tool to evaluate for female voiding dysfunction?","PeriodicalId":23415,"journal":{"name":"Urology","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142668930","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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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