Urology Journal最新文献_第2页

The Efficacy of Active Fistulation in Duckett Procedure for Proximal Hypospadias in Children. 儿童尿道下裂 Duckett 手术中主动瘘的疗效

IF 1.5 4区医学

Urology Journal Pub Date : 2024-11-27 DOI: 10.22037/uj.v21i.8064

Linghua Ji, Ze Yang, Tianyi Ji, Yang Yang, Qiyou Yin, Hua Xian, Wenliang Ge

{"title":"The Efficacy of Active Fistulation in Duckett Procedure for Proximal Hypospadias in Children.","authors":"Linghua Ji, Ze Yang, Tianyi Ji, Yang Yang, Qiyou Yin, Hua Xian, Wenliang Ge","doi":"10.22037/uj.v21i.8064","DOIUrl":"10.22037/uj.v21i.8064","url":null,"abstract":"Purpose: To explore the efficacy of active fistulation in the treatment of proximal hypospadias in children by comparing one-stage and two-stage Duckett procedure.Materials and methods: A total of sixty-seven children who were diagnosed with proximal hypospadias and underwent Duckett operation at our hospital between January 2013 and January 2021 were selected for this study. These subjects were divided into two groups: the research group (n = 36), using two-stage Duckett procedure with active fistulation, and the control group (n = 31), using one-stage Duckett procedure. The incidence of postoperative complications and the score of pediatric penile perception Scale were compared between the two groups.Results: The research group exhibits a significantly lower incidence rate of urethral fistula (8.3% Vs 16.1%) and urethral stricture (5.6% Vs 12.9%) in comparison to the control group (P < 0.01). Furthermore, the analysis of Pediatric Penile Perception Scale scores indicates that the research group achieves significantly higher scores in terms of urethral shape, penile skin shape, and overall appearance than the control group (P < 0.05).Conclusion: In the treatment of proximal hypospadias in children, active fistulation within the two-stage Duckett procedure significantly reduces the rate of stage 1 postoperative complications and improves parental satisfaction. Active fistulation may offer a more promising option for the treatment of proximal hypospadias in children.","PeriodicalId":23416,"journal":{"name":"Urology Journal","volume":" ","pages":"397-403"},"PeriodicalIF":1.5,"publicationDate":"2024-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141306878","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

Assessing the Knowledge of ChatGPT in Answering Questions Regarding Female Urology. 评估 ChatGPT 在回答有关女性泌尿外科问题时的知识。

IF 1.5 4区医学

Urology Journal Pub Date : 2024-11-27 DOI: 10.22037/uj.v21i.8194

Hakan Cakir, Ufuk Caglar, Ahmet Halis, Omer Sarilar, Huseyin Burak Yazili, Faruk Ozgor

{"title":"Assessing the Knowledge of ChatGPT in Answering Questions Regarding Female Urology.","authors":"Hakan Cakir, Ufuk Caglar, Ahmet Halis, Omer Sarilar, Huseyin Burak Yazili, Faruk Ozgor","doi":"10.22037/uj.v21i.8194","DOIUrl":"10.22037/uj.v21i.8194","url":null,"abstract":"Purpose: With the recent increase in the use of artificial intelligence in the medical field, this study aimed to evaluate the accuracy and adequacy of ChatGPT's responses to questions related to female urology.Methods: Intensive internet research was performed to prepare a frequently asked question (FAQs) list. Scientific questions were created in accordance with the European Urology Association (EAU) Non-neurogenic Female Lower Urinary Tract Symptoms Guidelines, EAU Chronic Pelvis Pain Guidelines, and EAU Neuro-Urology Guidelines. All answers by ChatGPT were analysed by two experienced urologists and each answer was scored between 1 and 4 by the physicians. A score of 1 was the highest and showed that the answer was completely true and sufficient. The reproducibility of ChatGPT answers was evaluated by asking each question twice using two different computers.Results: A total of 96 (97.0%) ChatGPT answers about female urology were accurate and sufficient, and categorized as grade 1. Additionally, two (2.0%) answers were scored as grade 2, and one answer (1.0%) was scored as grade 3. None of ChatGPT's responses about female urology were classified as grade 4. In total, 83 questions were prepared according to EAU guidelines recommendations, and ChatGPT gave complete accurate and satisfactory answers for 68 (82.9%) questions. The reproducibility rate was highest for ChatGPT answers for questions related to urinary incontinence, pelvic organ prolapses, and pelvic pain syndromes, and reproducibility rate was 100% for each subgroup. The reproducibility rate for ChatGPT answers was lowest for CPG questions (84.1%).Conclusion: For the first time our study revealed that ChatGPT had an excellent accuracy rate in answering questions related to female urology with 97% success rate. In addition, the outcomes of this study showed that ChatGPT accurately and satisfactorily answered 82.9% of questions about female urology based on EAU guidelines.","PeriodicalId":23416,"journal":{"name":"Urology Journal","volume":" ","pages":"410-414"},"PeriodicalIF":1.5,"publicationDate":"2024-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142711051","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

Prostate-Specific Antigen (PSA) Bounces Following Stereotactic Body Radiotherapy for Prostate Cancer: Importance of PSA Test Frequency. 前列腺癌立体定向体外放射治疗后前列腺特异性抗原（PSA）的反弹：PSA检测频率的重要性。

IF 1.5 4区医学

Urology Journal Pub Date : 2024-11-27 DOI: 10.22037/uj.v21i.8119

Ki Mun Kang, Hun Sik Choi, Hong Seok Jang, Jin-Ho Song

{"title":"Prostate-Specific Antigen (PSA) Bounces Following Stereotactic Body Radiotherapy for Prostate Cancer: Importance of PSA Test Frequency.","authors":"Ki Mun Kang, Hun Sik Choi, Hong Seok Jang, Jin-Ho Song","doi":"10.22037/uj.v21i.8119","DOIUrl":"10.22037/uj.v21i.8119","url":null,"abstract":"Purpose: Prostate-specific antigen (PSA) bounce is a common phenomenon that can be observed in patients of prostate cancer treated by radiotherapy. However, the clinical, pathological, or dosimetric predictors and clinical significance of PSA bounce in stereotactic body radiotherapy (SBRT) patients is still unknown.Methods: Between August 2006 to December 2015, 74 prostate cancer patients were treated by SBRT with Cyberknife at two medical centers. The prescription dose was 35-37.5 Gy in 5 fractions. Follow-up PSA tests were more frequently performed in one hospital than the other (median 4 vs. 10 times for initial one year). PSA bounce was defined as a rise of 0.2 ng/mL followed by a decline to or below the previous nadir.Results: A total of 74 patients, PSA bounce was observed in 41 patients (55.4%). On univariate analysis, the treated medical center (p = 0.02), PSA follow-up frequency (p = 0.01), patient age (p < 0.01), and total prescription dose (p = 0.03) were significant clinical factors in predicting the incidence of PSA bounce, while in multivariable analysis only the PSA follow-up frequency, and patient age remains significant.Conclusion: PSA bounce was seen in a significant proportion of patients after Cyberknife SBRT. The PSA follow- up test frequency, and patient age were significant factors that were correlated with the incidence of PSA bounces in this study.","PeriodicalId":23416,"journal":{"name":"Urology Journal","volume":" ","pages":"384-389"},"PeriodicalIF":1.5,"publicationDate":"2024-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141306876","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

Psychological and Pain Factors in Microsurgical Testicular Sperm Extraction (Micro-TESE) for Non-Obstructive Azoospermia: A Comparative Study of Successful and Unsuccessful Cases.

IF 1.5 4区医学

Urology Journal Pub Date : 2024-11-27 DOI: 10.22037/uj.v21i.8112

Ali Egemen Avci, Muammer Kendirci, Mehmet Murad Basar

{"title":"Psychological and Pain Factors in Microsurgical Testicular Sperm Extraction (Micro-TESE) for Non-Obstructive Azoospermia: A Comparative Study of Successful and Unsuccessful Cases.","authors":"Ali Egemen Avci, Muammer Kendirci, Mehmet Murad Basar","doi":"10.22037/uj.v21i.8112","DOIUrl":"https://doi.org/10.22037/uj.v21i.8112","url":null,"abstract":"Purpose: This study aimed to assess postoperative pain, depression, and anxiety levels in infertile men who underwent microsurgical testicular sperm extraction (micro-TESE) for non-obstructive azoospermia (NOA) and compare results between patients with successful and unsuccessful sperm retrieval.Material and methods: A total of 105 NOA patients participated, completing preoperative Beck Depression Inventory (BDI) and Situational and Transient Anxiety Inventory (SAI and TAI) questionnaires. Postoperatively, Visual Analog Scale (VAS) scores were recorded. Patients were categorized into primary and repeated micro- TESE groups, and scale scores, operation duration, and collected tubule count were compared. The relationship between micro-TESE outcomes, VAS scores, and additional analgesia needs was also examined.Results: Successful sperm retrieval was achieved in 55.9% of patients. While BDI, SAI, and TAI scores showed no significant intergroup differences, micro-TESE (-) patients exhibited significantly higher mean VAS scores (p < 0.001). VAS scores positively correlated with BDI score, operation duration, and tubule count, while patient age inversely correlated with micro-TESE results.Conclusion: Infertility, azoospermia, and unsuccessful sperm retrieval impact psychogenic status and pain levels in male patients. Additionally, a history of micro-TESE procedures and their outcomes elevate depression levels.","PeriodicalId":23416,"journal":{"name":"Urology Journal","volume":"21 6","pages":"415-419"},"PeriodicalIF":1.5,"publicationDate":"2024-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142755708","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

Translation and Validation of the Persian Version of the Wisconsin Stone Quality of Life Questionnaire. 威斯康辛结石生活质量问卷波斯语版本的翻译和验证。

IF 1.5 4区医学

Urology Journal Pub Date : 2024-11-27 DOI: 10.22037/uj.v21i.7940

Mohammad Soroush Hoseinbeigi, Behnam Shakiba, Ali Faegh, Sevim Soleimani, Robab Maghsoudi

{"title":"Translation and Validation of the Persian Version of the Wisconsin Stone Quality of Life Questionnaire.","authors":"Mohammad Soroush Hoseinbeigi, Behnam Shakiba, Ali Faegh, Sevim Soleimani, Robab Maghsoudi","doi":"10.22037/uj.v21i.7940","DOIUrl":"10.22037/uj.v21i.7940","url":null,"abstract":"Purpose: Patients with kidney stones have a lower quality of life (QOL) than healthy patients; however, treatment guidelines neglect their QOL. Wisconsin stone QOL test (WIS-QOL) is the first specific questionnaire for urolithiasis patients. This study evaluated the reliability and validity of the translated Persian version of the WIS-QOL questionnaire in patients with kidney stones.Material and methods: All patients (> 18 years old) with a history of urolithiasis were included in this cross-sectional. The WIS-QOL questionnaire was translated depending on Hutchinson's guideline. Effects of urolithiasis on the patient's social activity, emotions, disease, and vitality were evaluated. Pearson Correlation and Cronbach's alpha test were used to assess the validity and reliability of the questionnaire. All data were analyzed by SPSS software version 26.0.Results: Among 154 urolithiasis patients, 94 (61%) were males, and 60 (39%) were females. The mean age was 50.4 years (SD: ± 13.6), and the mean QOL score was 84.7 (SD: ± 21.8). For each question, the numerical value of the Pearson Correlation Coefficient has been compared with the numerical value, and the validity of the questionnaire was confirmed. The overall Cronbach's alpha was 0.94 for all four areas of the questionnaire, so the reliability of the questionnaire in Persian was confirmed.Conclusion: The present study showed the reliability and validity of the Persian version of the WIS-QOL questionnaire in symptomatic urolithiasis patients. The present study showed the status and impact of urolithiasis on QOL however, longitudinal and prospective studies should be done to specify changes over time.","PeriodicalId":23416,"journal":{"name":"Urology Journal","volume":" ","pages":"369-373"},"PeriodicalIF":1.5,"publicationDate":"2024-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142112435","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

Efficacy and Safety of 177Lu-PSMA-617 in Combination with Radical Prostatectomy and Bilateral Orchiectomy in Men with Castrate-Sensitive Metastatic Prostate Cancer: A Pilot Study. 177Lu-PSMA-617联合根治性前列腺切除术和双侧睾丸切除术治疗对阉割敏感的转移性前列腺癌男性患者的有效性和安全性：一项试点研究。

IF 1.5 4区医学

Urology Journal Pub Date : 2024-11-27 DOI: 10.22037/uj.v21i.8101

Saber Amanollahi Soudmand, Samaneh Hoseinzadeh, Maryam Moosavi, Nasser Simforoosh

{"title":"Efficacy and Safety of 177Lu-PSMA-617 in Combination with Radical Prostatectomy and Bilateral Orchiectomy in Men with Castrate-Sensitive Metastatic Prostate Cancer: A Pilot Study.","authors":"Saber Amanollahi Soudmand, Samaneh Hoseinzadeh, Maryam Moosavi, Nasser Simforoosh","doi":"10.22037/uj.v21i.8101","DOIUrl":"10.22037/uj.v21i.8101","url":null,"abstract":"Purpose: To investigate the efficacy and safety of 177Lu-PSMA-617 in combination with radical prostatectomy and bilateral orchiectomy in adult male patients with castrate-sensitive metastatic prostate cancer.Methods: This pilot study included 12 men with metastatic prostate cancer who underwent radical prostatectomy and received 177Lu-PSMA-617 in combination with hormonal therapy. The primary endpoint was the proportion of patients who achieved a PSA response, defined as a ≥ 50% reduction in PSA levels at first follow up from baseline. Secondary endpoints were the proportion of patients who achieved a PSA response, defined as a ≥ 50% reduction in PSA levels at the second follow up from the first one and progression in pain severity that was defined as an increase in score of 30% or greater from baseline without a decrease in analgesic use based on Brief Pain Inventory-short Form (PBI-SF).Results: The PSA levels of 9(75.0%) patients were reduced after the first course of 177Lu-PSMA-617, additional reduction was observed in 7(58.3%) patients after receiving the 2nd course of treatment. Of the 12 patients, 3(25.0%) achieved a PSA response (≥ 50% reduction in PSA levels) at first follow up visit and 3(25.0%) patients had PSA response at second follow up, 6 patients (50.%) had a pain response. The most common adverse events were Mouth dryness and fatigue, which were manageable with supportive care.Conclusion: This pilot study suggests that radical prostatectomy and hormonal therapy in combination with 177Lu-PSMA-617 is a safe and effective treatment option and may have a role in the management of select patients with castrate-sensitive metastatic prostate cancer. Further studies are needed to confirm these findings and determine the optimal use in this setting.","PeriodicalId":23416,"journal":{"name":"Urology Journal","volume":" ","pages":"374-383"},"PeriodicalIF":1.5,"publicationDate":"2024-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141559790","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

Comparison of Transurethral Resection of the Prostate (TURP) with 0.5-cm Tissue Preservation Proximal to the Verumontanum and Standard TURP in terms of Postoperative Ejaculation Disorders. 前列腺近端 0.5 厘米组织保留经尿道前列腺切除术 (TURP) 与标准 TURP 在术后射精障碍方面的比较。

IF 1.5 4区医学

Urology Journal Pub Date : 2024-11-27 DOI: 10.22037/uj.v21i.8074

Bedreddin Kalyenci, Fatih Rüştü Yalçınkaya

{"title":"Comparison of Transurethral Resection of the Prostate (TURP) with 0.5-cm Tissue Preservation Proximal to the Verumontanum and Standard TURP in terms of Postoperative Ejaculation Disorders.","authors":"Bedreddin Kalyenci, Fatih Rüştü Yalçınkaya","doi":"10.22037/uj.v21i.8074","DOIUrl":"https://doi.org/10.22037/uj.v21i.8074","url":null,"abstract":"Purpose: To compare postoperative ejaculation disorders (EjDs) between transurethral resection of the prostate (TURP) with 0.5-cm tissue preservation proximal to the verumontanum and the standard TURP procedure.Materials and methods: Between February 2016 and August 2020, 226 patients who underwent TURP for symptomatic benign prostatic hyperplasia were retrospectively screened. The patients were analyzed in two groups: In Group A (n = 106), TURP was performed by preserving 0.5-cm tissue proximal to the verumontanum, while in Group B (n = 120), standard TURP was performed. The postoperative voiding functions and EjD rates were compared.Results: Similar findings were observed in the international prostate symptom score, health-related quality of life score, maximum urine flow rate, and post-void residual volume in both groups. In Group A, ejaculation was preserved in 55 (51.9%) patients, the ejaculation volume was decreased in 13 (12.3%), and EjD developed in 38 (35.8%). In Group B, ejaculation was preserved in 16 (13.8%) patients, the ejaculation volume decreased in 15 (12.5%), and EjD developed in 89 (74.2%).Conclusion: The ejaculatory function of patients can be maintained in the TURP procedure through the preservation of 0.5-cm tissue from the proximal verumontanum. The modification of TURP can further reduce the risks and undesirable effects of the procedure. The implementation of novel surgical technique modifications and technological developments can potentially decrease complication rates. This approach will also eliminate the assumption that the development of EjD is inevitable after prostate surgery.","PeriodicalId":23416,"journal":{"name":"Urology Journal","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2024-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142732824","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

Mini-Incision Graft Removal in a Kidney Donor with Duplicated Inferior Vena Cava and Vein Reconstruction Using the Recipient's Great Saphenous Vein. 为一名下腔静脉重复的肾脏捐献者实施微型切口移植物手术，并利用受捐者的大隐静脉进行静脉重建。

IF 1.5 4区医学

Urology Journal Pub Date : 2024-11-27 DOI: 10.22037/uj.v21i.8418

Rashad Sholan, Hikmat Sahratov

引用次数: 0

Efficacy and Complications of Mitrofanoff Continent Urinary Diversion in Adults with Complex Urethral Strictures: A Single-Center Experience. 成人复杂尿道狭窄患者米特罗法诺夫大陆型尿流改道术的疗效和并发症：单中心经验

IF 1.5 4区医学

Urology Journal Pub Date : 2024-11-27 DOI: 10.22037/uj.v21i.8190

Amir Reza Abedi, Jalil Hosseini, Seyyed Ali Hojjati, Amir Alinejad Khorram, Raziyeh Nikmaram, Fatemeh Fakhar

{"title":"Efficacy and Complications of Mitrofanoff Continent Urinary Diversion in Adults with Complex Urethral Strictures: A Single-Center Experience.","authors":"Amir Reza Abedi, Jalil Hosseini, Seyyed Ali Hojjati, Amir Alinejad Khorram, Raziyeh Nikmaram, Fatemeh Fakhar","doi":"10.22037/uj.v21i.8190","DOIUrl":"10.22037/uj.v21i.8190","url":null,"abstract":"Purpose: The management of complicated and irreparable urethral strictures can be challenging, and continent urinary diversion has emerged as a viable option. This study aims to investigate the complications associated with continent urinary diversion using the Mitrofanoff principle in patients with complex urethral strictures that cannot be corrected through urethroplasty surgery.Materials and methods: A total of 22 patients were included in this study, who underwent continent urinary diversion surgery using the Mitrofanoff technique. The patients were monitored for post-surgical complications over an average follow-up period of 28.36±14.26 months. Surgical failure was defined as the inability to completely and regularly empty urine from the new urinary tract.Results: Half of the patients experienced surgical complications, with only one case resulting in surgery failure. The most common complication observed was stoma stenosis. Two patients reported slight urinary leakage from the stoma site. Notably, all patients except one, regained control over their urine after the procedure. Early therapeutic interventions were classified according to the Clavien-Dindo grading system, showed that none of the patients experienced severe complications (grade 4 or 5).Conclusion: The study examines the outcomes of continent urinary diversion using the Mitrofanoff technique in adults with complex urethral strictures, providing realistic expectations of complications. Overall, the study shows that this approach is a viable option with a high success rate and manageable complication for individuals with complex urethral strictures that cannot be corrected through urethroplasty surgery.","PeriodicalId":23416,"journal":{"name":"Urology Journal","volume":" ","pages":"404-409"},"PeriodicalIF":1.5,"publicationDate":"2024-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142112433","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

Investigating the Prevalence of Autonomic Neuropathy in Diabetic Patients with Urinary Irritation Symptoms Without a Known Cause. 调查无明确病因的尿路刺激症状糖尿病患者自主神经病变的患病率

IF 1.5 4区医学

Urology Journal Pub Date : 2024-11-27 DOI: 10.22037/uj.v21i.8222

Anahita Ansari Djafari, Babak Javanmard, Ali Koohifard, Fatemeh Hojjati, Amir Alinejad Khorram, Zahra Razzaghi, Seyyed Ali Hojjati

{"title":"Investigating the Prevalence of Autonomic Neuropathy in Diabetic Patients with Urinary Irritation Symptoms Without a Known Cause.","authors":"Anahita Ansari Djafari, Babak Javanmard, Ali Koohifard, Fatemeh Hojjati, Amir Alinejad Khorram, Zahra Razzaghi, Seyyed Ali Hojjati","doi":"10.22037/uj.v21i.8222","DOIUrl":"10.22037/uj.v21i.8222","url":null,"abstract":"Purpose: Evaluating pseudomotor performance can be a valuable tool for investigating the peripheral autonomic nervous system in diabetic patients. Sudoscan, a simple and non-invasive method for assessing pseudomotor performance, has been developed in recent years. This study aimed to investigate autonomic neuropathy using Sudoscan in diabetic patients with lower urinary tract symptoms (LUTS) of unknown cause.Materials and methods: In this cross-sectional study conducted from April 2022 to April 2023, we included 195 patients with type 2 diabetes who were referred to the urology clinic. We extracted demographic, clinical, and laboratory data from the patient files and evaluated urinary symptoms using the International Prostate Symptom Score (IPSS) questionnaire. Patients underwent Sudoscan testing to evaluate autonomic neuropathy in the physical medicine and rehabilitation clinic. To further assess urinary irritative symptoms, patients underwent urodynamic studies (UDS) and ultrasonography.Results: The Sudoscan test results showed that autonomic neuropathy was present in 77 patients (40%), with 43 (22.1%) having moderate and 44 (22.6%) having severe neuropathy. Patients with autonomic neuropathy were found to be older, had longer diabetes durations, higher average blood glucose levels, and higher creatinine levels. Additionally, we found a significant correlation between autonomic neuropathy and signs of high post-void residue on ultrasound and detrusor contraction disorders on UDS (p-value < 0.05).Conclusion: Our study found a higher prevalence of autonomic neuropathy in diabetic patients with LUTS using Sudoscan (40%). Longer diabetes duration and poor glycemic control were associated with an increased risk of autonomic neuropathy linked with LUTS, such as urge incontinence.","PeriodicalId":23416,"journal":{"name":"Urology Journal","volume":" ","pages":"420-424"},"PeriodicalIF":1.5,"publicationDate":"2024-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142112434","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