Urology最新文献

{"title":"Reply to Editorial Comment on “Predictors of Contralateral Disease in Men With Unilateral Lesions on Multiparametric MRI”","authors":"Vyom Sawhney, Richard Huang, William C. Huang, Herbert Lepor, Samir S. Taneja, James Wysock","doi":"10.1016/j.urology.2024.08.058","DOIUrl":"10.1016/j.urology.2024.08.058","url":null,"abstract":"","PeriodicalId":23415,"journal":{"name":"Urology","volume":"193 ","pages":"Pages 155-156"},"PeriodicalIF":2.1,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142141230","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}

{"title":"Editorial Comment on \"A Nomogram Predicting Testicular Sperm Extraction Success in Men With Non-obstructive Azoospermia: A Multi-center Study\".","authors":"Peter N Schlegel","doi":"10.1016/j.urology.2024.10.066","DOIUrl":"10.1016/j.urology.2024.10.066","url":null,"abstract":"","PeriodicalId":23415,"journal":{"name":"Urology","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142569659","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}

{"title":"Editorial Comment on “Association of Crowd-sourced Assessment of Technical Skills and Outcomes of Robotic Assisted Radical Prostatectomy”","authors":"Maximilien C. Goris Gbenou","doi":"10.1016/j.urology.2024.08.009","DOIUrl":"10.1016/j.urology.2024.08.009","url":null,"abstract":"","PeriodicalId":23415,"journal":{"name":"Urology","volume":"193 ","pages":"Pages 95-96"},"PeriodicalIF":2.1,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141996623","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}

{"title":"Letter to the Editor on “Does Ta Low-grade Urothelial Carcinoma of the Bladder With Focal High-grade Features Carry Worse Prognosis? The Roswell Park Comprehensive Cancer Center Experience”","authors":"Murat Can Karaburun , Evren Süer","doi":"10.1016/j.urology.2024.08.046","DOIUrl":"10.1016/j.urology.2024.08.046","url":null,"abstract":"","PeriodicalId":23415,"journal":{"name":"Urology","volume":"193 ","pages":"Pages 145-146"},"PeriodicalIF":2.1,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142112369","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}

{"title":"Editorial Comment on “Timing Considerations for Artificial Urinary Sphincter Implantation Post-pelvic Radiotherapy”","authors":"Keith F. Rourke","doi":"10.1016/j.urology.2024.08.027","DOIUrl":"10.1016/j.urology.2024.08.027","url":null,"abstract":"","PeriodicalId":23415,"journal":{"name":"Urology","volume":"193 ","pages":"Pages 220-221"},"PeriodicalIF":2.1,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142056567","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}

{"title":"To Biopsy or Not to Biopsy: A Retroperitoneal Mass.","authors":"Keavash Assani, Matthew W Cole, Monica M Nable, Bryn M Launer, Jeffrey J Tosoian, Erin A Cooke, Nicholas L Kavoussi","doi":"10.1016/j.urology.2024.10.061","DOIUrl":"10.1016/j.urology.2024.10.061","url":null,"abstract":"","PeriodicalId":23415,"journal":{"name":"Urology","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142569691","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}

{"title":"Effect of a Modified Technique of Posterior Reconstruction by Iliopectineal Ligament Suspension During Robot-assisted Laparoscopic Radical Prostatectomy on Early Continence: A Randomised Controlled Trial","authors":"Kaleem Atchia ,&nbsp;Bruno Turcotte ,&nbsp;Edouard Cazes ,&nbsp;Narcisse Singbo ,&nbsp;Mofarej Alhogbani ,&nbsp;Thierry Dujardin","doi":"10.1016/j.urology.2024.07.028","DOIUrl":"10.1016/j.urology.2024.07.028","url":null,"abstract":"<div><h3>Objective</h3><div>To evaluate the effect of a modified technique of posterior reconstruction by iliopectineal ligament suspension during robot-assisted radical prostatectomy (RARP) on recovery of early continence.</div></div><div><h3>Methods</h3><div>A prospective, single surgeon, single centre, randomised controlled trial was performed from August 2018 to March 2020 with 171 patients (92 control vs 79 experimental). The posterior reconstruction was done using a standard technique in the control group and was modified for the experimental group by incorporating not only the “Rocco” stitch between Denonvilliers’ fascia and the rhabdosphincter but also the iliopectineal ligaments bilaterally to further improve posterior support with this suspensory ‘hammock’. Both groups of patients were followed for a year with questionnaires and 24-hour pad tests.</div></div><div><h3>Results</h3><div>Both groups were comparable in terms of baseline demographic, clinical, and pathological characteristics. With regards to recovery of urinary continence, no statistically significant differences were found for socially continent (0-1 pads per day) or fully continent (0 pads per day) rates at all time points examined (1, 3, 6, 12 months). Moreover, there were no statistically significant differences between the groups for presence of urinary symptoms, bowel symptoms, sexual function, and hormonal symptoms.</div></div><div><h3>Conclusion</h3><div>The modified technique of posterior reconstruction by iliopectineal ligament suspension is not associated with improved early continence as compared to the standard posterior reconstruction technique during RARP. Future studies may want to explore other variations of suspensory sutures that could strengthen posterior urethral support to achieve earlier recovery of continence.</div></div>","PeriodicalId":23415,"journal":{"name":"Urology","volume":"193 ","pages":"Pages 116-122"},"PeriodicalIF":2.1,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141752935","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Timing Considerations for Artificial Urinary Sphincter Implantation Postpelvic Radiotherapy","authors":"Kamil Malshy ,&nbsp;Siddharth Marthi ,&nbsp;Rebecca Ortiz ,&nbsp;Edouard Nicaise ,&nbsp;Borivoj Golijanin ,&nbsp;Kennon Miller ,&nbsp;Lindsey Hartsell ,&nbsp;Madeline Cancian","doi":"10.1016/j.urology.2024.07.035","DOIUrl":"10.1016/j.urology.2024.07.035","url":null,"abstract":"<div><h3>Objective</h3><div>To explore the optimal timing for placing an artificial urinary sphincter (AUS) postradiation therapy (RT).</div></div><div><h3>Methods</h3><div>A bi-institutional retrospective review of all patients who underwent their first (virgin) AUS placement <em>after</em> pelvic RT between January 1, 2011 and July 1, 2023. To determine the optimal timeline for device implantation 2-5<!--> <!-->years post-RT, we compared hazard ratios for device revision/explantation (Rev/Exp) using Kaplan-Meier curves for each year (earlier vs later than 2/3/4/5 years post-RT). The Pearson correlation coefficient identified trends in Rev/Exp reasons (erosion/infection vs other).</div></div><div><h3>Results</h3><div>Seventy-two patients met our inclusion criteria with a median age of 65.5<!--> <!-->years (interquartile range 70-81.25). Fifteen (20.8%) had undergone one or more previous urethral or bladder neck interventions (urethroplasty in 1 [1.4%], internal urethrotomy in 7 [9.7%], and bladder neck incision in 9 [12.5%]). After a median follow-up of 57.5<!--> <!-->months (interquartile range 13-107), a total of 36 (50%) devices were Rev/Exp, with mechanical failure in 14 (19.4%) and device erosion in 12 (16.7%) being the main reasons. Device survival analysis revealed no significant difference in the risk of device Rev/Exp when implanted earlier vs later than 2, 3, 4, or 5<!--> <!-->years post-RT, with <em>P</em>-values of .3, .3, .4, and .4, respectively. A constant trend toward higher infection/erosion rates as indication for device Rev/Exp the later the insertion was noticed: R² = 0.98.</div></div><div><h3>Conclusion</h3><div>Despite a small sample size, our study indicates that implanting an AUS within 5 years after RT shows comparable device lifespan. However, later insertions may have higher removal rates due to erosion/infection.</div></div><div><h3>Clinical trial registration</h3><div>Not applicable.</div></div>","PeriodicalId":23415,"journal":{"name":"Urology","volume":"193 ","pages":"Pages 214-219"},"PeriodicalIF":2.1,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141876072","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}

{"title":"Large Retroperitoneal Cystic Mass in a 45-Year-Old Man","authors":"Seoho Lee,&nbsp;Sean A. Fletcher,&nbsp;Nirmish Singla","doi":"10.1016/j.urology.2024.08.036","DOIUrl":"10.1016/j.urology.2024.08.036","url":null,"abstract":"","PeriodicalId":23415,"journal":{"name":"Urology","volume":"193 ","pages":"Pages e78-e79"},"PeriodicalIF":2.1,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142073894","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}

{"title":"Reply to Editorial Comment on “Association of Crowd-Sourced Assessment of Technical Skills and Outcomes of Robotic-assisted Radical Prostatectomy”","authors":"Maximilian J. Rabil ,&nbsp;Michael S. Leapman ,&nbsp;Jaime A. Cavallo","doi":"10.1016/j.urology.2024.08.054","DOIUrl":"10.1016/j.urology.2024.08.054","url":null,"abstract":"","PeriodicalId":23415,"journal":{"name":"Urology","volume":"193 ","pages":"Pages 97-98"},"PeriodicalIF":2.1,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142112374","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}