Urological Science最新文献_第9页

The associations of genital-normalizing surgery and assigned gender in predicting gender outcomes: A pooled nested case study analysis of 282 adults with differences of sex development in 58 academic articles 生殖器正常化手术与指定性别在预测性别结果中的关联:58篇学术文章中282名性发育差异成人的汇总巢式案例研究分析

IF 0.5

Urological Science Pub Date : 2021-01-01 DOI: 10.4103/UROS.UROS_65_20

J. Veale

{"title":"The associations of genital-normalizing surgery and assigned gender in predicting gender outcomes: A pooled nested case study analysis of 282 adults with differences of sex development in 58 academic articles","authors":"J. Veale","doi":"10.4103/UROS.UROS_65_20","DOIUrl":"https://doi.org/10.4103/UROS.UROS_65_20","url":null,"abstract":"Purpose: The purpose was to systematically analyze the associations of childhood gender assignment and genital normalizing surgeries with adult gender in case reports of adults with differences of sex development (DSD). We did this using a pooled nested analysis of DSD adult cases reported in the academic literature. Materials and Methods: A search of academic databases uncovered 282 adult DSD cases reported in 58 academic articles that met the criteria for inclusion in the analysis. These were cases with 46, XX congenital adrenal hyperplasia, partial androgen insensitivity, mixed or partial gonadal dysgenesis, and micropenis where data about the assigned gender, childhood genital-normalizing surgery, and adult gender could be extracted. We conducted a generalized logistic mixed-model regression analysis, with multiple predictors of adult assigned gender incongruence. Results: Controlling for assigned gender, age, year of article publication, and DSD type, childhood genital surgery was not significantly associated with adult assigned gender incongruence. Cases assigned female had more than five times greater likelihood of assigned gender incongruence (95% confidence interval = 1.96–14.92). Conclusion: This study did not find evidence that childhood genital surgery is related to assigned gender incongruence; it also found that assigning a child as a female increased this possibility. These findings may inform decisions taken by clinicians and family members about the early management of DSD cases. The study was limited by publication bias in the types of cases that get published. Ethical considerations should always take precedence in decision-making regarding these surgeries.","PeriodicalId":23449,"journal":{"name":"Urological Science","volume":"32 1","pages":"9 - 14"},"PeriodicalIF":0.5,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47033595","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Risk factors of morbidity and mortality after flexible ureteroscopic lithotripsy 输尿管镜碎石术后发病率和死亡率的危险因素

IF 0.5

Urological Science Pub Date : 2020-11-01 DOI: 10.4103/UROS.UROS_85_20

Te-Yen Chuang, Ming-Hong Kao, Po-Cheng Chen, Chung-Cheng Wang

引用次数: 1

Surgical and functional outcomes of robotic-assisted radical prostatectomy in patients with previous transurethral resection of the prostate 机器人辅助根治性前列腺切除术对既往经尿道前列腺切除术患者的手术和功能效果

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Urological Science Pub Date : 2020-11-01 DOI: 10.4103/UROS.UROS_76_20

Sih-Han Chen, Chun-Hsien Wu, R. Wu, W. Kuo, Yen-Hsi Lee, Ryh-Chyr Li, Yung-Yao Lin, V. Lin

{"title":"Surgical and functional outcomes of robotic-assisted radical prostatectomy in patients with previous transurethral resection of the prostate","authors":"Sih-Han Chen, Chun-Hsien Wu, R. Wu, W. Kuo, Yen-Hsi Lee, Ryh-Chyr Li, Yung-Yao Lin, V. Lin","doi":"10.4103/UROS.UROS_76_20","DOIUrl":"https://doi.org/10.4103/UROS.UROS_76_20","url":null,"abstract":"Purpose: The purpose of this study was to assess the surgical and functional outcomes of robotic-assisted radical prostatectomy (RARP) in patients with previous transurethral resection of the prostate (TURP). Materials and Methods: The present article studies 99 patients who underwent RARP, including 13 patients with previous TURP at a single institution, in the period from April 2016 to February 2019. Propensity score matching 1:1 was performed to identify 13 patients with no previous TURP. The matched variables were age and preoperative prostate-specific antigen level. Surgical and functional outcomes were compared between the two groups. Descriptive statistics were evaluated using the Chi-square test. t-test was performed for continuous variables. Results: Regarding preoperative characteristics, no previous TURP group had a higher clinical stage (P = 0.026). The nerve-sparing procedure was similar between the two groups. Concerning intraoperative outcomes for the group with previous TURP history, the operating room time was increased by 25 min (P = 0.140), and the estimated blood loss was increased by 50 ml (P = 0.192). As for the postoperative pathological characteristics, there was no significant difference in the positive surgical margin rate between the two groups. The continence rate in the 3rd month for the group with previous TURP history was 69.2% versus 92.3% for the group with no previous TURP history, and after the 1st year, the rates were 100% versus. 92.3%. There was no significant difference in the potence recovery rate between the two groups after 1-year follow-up. Conclusion: RARP is safe and feasible in patients with localized prostate cancer with previous TURP history. Functional outcomes after 1-year follow-up were comparable for patients with previous TURP.","PeriodicalId":23449,"journal":{"name":"Urological Science","volume":"31 1","pages":"267 - 272"},"PeriodicalIF":0.5,"publicationDate":"2020-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48541972","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Time to Change 是时候改变了

IF 0.5

Urological Science Pub Date : 2020-11-01 DOI: 10.4103/1879-5226.305095

S. Yang

引用次数: 0

Recent literature on the minimally invasive management of pediatric urolithiasis: A narrative review 儿童尿石症微创治疗的最新文献：叙述性综述

IF 0.5

Urological Science Pub Date : 2020-11-01 DOI: 10.4103/UROS.UROS_91_20

J. Kim, M. Chua, S. Yang, J. Ming, J. Santos, W. Farhat

{"title":"Recent literature on the minimally invasive management of pediatric urolithiasis: A narrative review","authors":"J. Kim, M. Chua, S. Yang, J. Ming, J. Santos, W. Farhat","doi":"10.4103/UROS.UROS_91_20","DOIUrl":"https://doi.org/10.4103/UROS.UROS_91_20","url":null,"abstract":"Although the surgical management of pediatric urolithiasis does not differ significantly from that of adults, there are anatomical and physiological differences that necessitate special considerations. This review aims to summarize the existing high-level evidence (systematic review, meta-analysis, randomized controlled trials) for surgical management of pediatric urolithiasis, with a discussion on different technical tips to make these surgical approaches achievable. A PubMed web-based medical literature search was performed on May 26, 2020, using the search strategy (Pediatric or children) and (urolithiasis or stone) and Urology. The search was limited to meta-analysis, systematic reviews, and randomized controlled trials published in the past 10 years. Only studies that focused on surgical management of pediatric urolithiasis were included. Fifty-seven records were identified and 47 were excluded as these records were duplicates, did not assess surgical management, or were trials that were included in systematic reviews/meta-analyses that were included in this study. Ten studies were included in this review. Depending on the review/trial, the stone-free rate (SFR) had wide ranges for all of the surgical management options assessed (shock wave lithotripsy, retrograde intrarenal surgery, and percutaneous nephrolithotomy). There are many considerations in choosing the appropriate surgical management for a patient presenting with pediatric nephrolithiasis–SFRs, radiation exposure, and adverse events being some of these features. All three procedures assessed had different characteristics, with advantages and disadvantages unique to each procedure. As each surgical technique for pediatric urolithiasis provides its advantages and disadvantages, surgeons should discuss all options to provide the best-informed decision-making process to a patient or family who may require surgical management of pediatric nephrolithiasis.","PeriodicalId":23449,"journal":{"name":"Urological Science","volume":"31 1","pages":"244 - 252"},"PeriodicalIF":0.5,"publicationDate":"2020-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49508510","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Conservative management of upper tract urothelial carcinoma with endoscopic thulium laser ablation: A retrospective study with subgroup analyses 内镜下钬激光消融保守治疗上尿路上皮癌：一项亚组分析的回顾性研究

IF 0.5

Urological Science Pub Date : 2020-11-01 DOI: 10.4103/UROS.UROS_49_20

Y. Hsieh, Steven K. Huang, C. Su, Jhih-Cheng Wang, I. Feng, A. Chiu, Chien-Liang Liu

{"title":"Conservative management of upper tract urothelial carcinoma with endoscopic thulium laser ablation: A retrospective study with subgroup analyses","authors":"Y. Hsieh, Steven K. Huang, C. Su, Jhih-Cheng Wang, I. Feng, A. Chiu, Chien-Liang Liu","doi":"10.4103/UROS.UROS_49_20","DOIUrl":"https://doi.org/10.4103/UROS.UROS_49_20","url":null,"abstract":"Purpose: The gold standard treatment for upper tract urothelial carcinoma (UTUC) is radical nephroureterectomy. The combination of ureterorenoscopy and laser ablation has recently become more accepted. This study aims at investigating the risk factors of tumor recurrence associated with the thulium laser ablation of UTUC and reporting its clinical outcomes with subgroup analyses. Materials and Methods: Patients who underwent endoscopic thulium laser ablation of UTUC as the primary treatment from June 2012 to November 2018 were reviewed retrospectively. Sixty-eight patients were enrolled, of whom 34 had complete data for analysis after applying the exclusion criteria. Bivariate analysis was performed to compare patients with and without recurrence. Multivariable Cox regression models were applied. Kaplan–Meier survival estimates were presented, and three tumor characteristics were used for subgroup analyses. Results: Fifteen patients (44%) had local tumor recurrence. Four patients (12%) had cancer-specific death. In bivariate analysis, statistical significance was noted for age, tumor grade, and tumor size (P = 0.018, 0.047, and 0.014, respectively). In multivariate analysis, statistical significance was noted for age and tumor size (P = 0.017 and 0.042, respectively). In the Kaplan–Meier estimates for subgroup analysis, statistical significance was noted only in the tumor size and tumor grade group (P = 0.0275). The study limitations included the retrospective design and small sample size. Conclusion: Tumor size and tumor grade are influential recurrence factors. The tumor stage did not show statistical significance in recurrence analysis. In subgroup analyses, tumor size was more influential than tumor grade with respect to the prognosis of local recurrence.","PeriodicalId":23449,"journal":{"name":"Urological Science","volume":"31 1","pages":"258 - 266"},"PeriodicalIF":0.5,"publicationDate":"2020-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47479719","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 3

Corrigendum: Dorsolateral onlay buccal mucosal urethroplasty for anterior urethral strictures by unilateral urethral mobilization: a prospective study 更正：单侧尿道松动术治疗前尿道狭窄的背外侧颊粘膜尿道成形术：一项前瞻性研究

IF 0.5

Urological Science Pub Date : 2020-11-01 DOI: 10.4103/1879-5226.305093

引用次数: 0

The simple solution for infertile patients with aspermia in the modern era of assisted reproductive technique 现代辅助生殖技术时代不孕不育患者的简单解决方案

IF 0.5

Urological Science Pub Date : 2020-11-01 DOI: 10.4103/UROS.UROS_116_20

Le-Wei Fan, I. Shao, M. Hsieh

{"title":"The simple solution for infertile patients with aspermia in the modern era of assisted reproductive technique","authors":"Le-Wei Fan, I. Shao, M. Hsieh","doi":"10.4103/UROS.UROS_116_20","DOIUrl":"https://doi.org/10.4103/UROS.UROS_116_20","url":null,"abstract":"Purpose: The purpose is to investigate the feasibility and outcomes of loupe-assisted vasostomy for sperm retrieval in male infertility due to anejaculation or retrograde ejaculation. Materials and Methods: We retrospectively reviewed the vasal sperm aspirations of 9 patients with anejaculation or retrograde ejaculation from 2015 to 2017. We collected preoperative serum hormone data (testosterone, follicle-stimulating hormone, luteinizing hormone, and prolactin) and comorbidities of each patient. The patients underwent standard loupe-assisted modified vasostomy by a single surgeon with immediate specimen interpretation, with follow-up at the clinic. Results: Of the 9 patients, 4 had retrograde ejaculation, and 5 had anejaculation. Seven patients had controlled diabetes mellitus; of them, one had an ejaculating duct stone, and only one had no comorbidity. Aspirations were performed for sequential assisted reproductive techniques in 7 patients and cryopreservation in another two. The average total sperm count was 213 × 106, with motility between 9% and 67% and normal sperm morphology between 4.5% and 50.0%. One patient had undergone microsurgical epididymal sperm aspiration before vasal aspiration, but the semen analysis indicated poor sperm quality and could not be used for in vitro fertilization. In total, 7 of the 8 aspirations (87.5%) resulted in pregnancy. No complications have been observed to date. Conclusion: Vasal sperm aspiration is a simple and effective alternative method for sperm retrieval, with the advantage of a high success rate and less invasiveness and destruction of the reproductive system. It may be performed before sperm retrieval from the epididymis or testis in infertile men with aspermia.","PeriodicalId":23449,"journal":{"name":"Urological Science","volume":"31 1","pages":"277 - 281"},"PeriodicalIF":0.5,"publicationDate":"2020-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45001177","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Dorsolateral onlay buccal mucosal urethroplasty for anterior urethral strictures by unilateral urethral mobilization: A prospective study 单侧尿道松动术治疗前尿道狭窄的后外侧颊粘膜尿道成形术：一项前瞻性研究

IF 0.5

Urological Science Pub Date : 2020-09-01 DOI: 10.4103/UROS.UROS_63_20

P. Murugan, A. Iyyan, Akash Selvathangam

{"title":"Dorsolateral onlay buccal mucosal urethroplasty for anterior urethral strictures by unilateral urethral mobilization: A prospective study","authors":"P. Murugan, A. Iyyan, Akash Selvathangam","doi":"10.4103/UROS.UROS_63_20","DOIUrl":"https://doi.org/10.4103/UROS.UROS_63_20","url":null,"abstract":"Purpose: Complete urethral mobilization may endanger the lateral vascularity of the urethra in buccal mucosal graft (BMG) urethroplasty in stricture urethral disease. The present study aimed to evaluate the outcomes of BMG urethroplasty by dorsolateral onlay technique in patients with anterior urethral stricture. Materials and Methods: This was a prospective interventional study conducted at the Department of Urology at PSG Institute of Medical Sciences and Research between January 2015 and December 2018. Patients diagnosed with anterior urethral stricture who underwent dorsolateral onlay urethroplasty were included in this study. Results were considered satisfactory with the Qmax between 8 mL/s and 15 mL/s. Failed outcome was defined as persistent lower urinary tract symptoms, stricture on retrograde urethrogram, Qmax <8 mL/s, and requiring repeated urethra intervention. Results: A total of 54 patients underwent BMG urethroplasty by dorsolateral onlay graft with a mean age of 47.6 years. The patients with a range of stricture length 3–14 cm were included in this study. Short-term success rate (Qmax >15 mL/s) was achieved in 42 patients, while satisfactory results (Qmax 8–15 mL/s) were observed in nine patients and failure (Qmax <8 mL/s) occurred in three patients. Oral and perineal complications were treated conservatively with oral antibiotics and analgesia. None of the patients in this study had a postoperative perineal hematoma, graft infection, and scrotal swelling. Conclusion: Overall observations suggest that dorsolateral onlay BMG urethroplasty with unilateral urethral mobilization for an anterior urethral stricture is a feasible and effective option with favorable outcomes.","PeriodicalId":23449,"journal":{"name":"Urological Science","volume":"31 1","pages":"206 - 210"},"PeriodicalIF":0.5,"publicationDate":"2020-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44757182","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Evaluation of modified STONE score in patients presenting to the emergency department with flank pain 改良STONE评分在急诊科腰痛患者中的评估

IF 0.5

Urological Science Pub Date : 2020-09-01 DOI: 10.4103/UROS.UROS_32_20

A. Uzun, M. Korkut, M. Kartal, C. Bedel

{"title":"Evaluation of modified STONE score in patients presenting to the emergency department with flank pain","authors":"A. Uzun, M. Korkut, M. Kartal, C. Bedel","doi":"10.4103/UROS.UROS_32_20","DOIUrl":"https://doi.org/10.4103/UROS.UROS_32_20","url":null,"abstract":"Purpose: Renal colic due to urinary system stone disease is one of the main complaints in emergency department (ED) admissions. The STONE score is the most used model. The “race” item in the nomogram is not useful for communities where the Black race is not dominant. Therefore, we aimed at investigating the diagnostic value of a new modified scoring system, in which we replaced the “race” item in the original nomogram by “obstruction = pelvicalyceal dilation.” Materials and Methods: The study included patients who were admitted to a tertiary university ED with flank pain and underwent ultrasonography (US) from June 2017 to November 2017. Patients' demographic data such as US findings and the STONE score parameters were recorded. “Obstruction (pelvicalyceal dilation)” replaced the “race” item of the original STONE score. The diagnostic value of the modified system was investigated by categorizing the scores as low risk (0–5 points), moderate risk (6–9 points), and high risk (10–13). Results: The study included 305 patients who met the inclusion criteria. The mean age was 39.45 ± 13.83 years, and 170 patients (55.7%) were male. Pelvicalyceal dilation was detected on US at a statistically significantly higher percentage in patients with stones compared to stone-free patients (P < 0.001). The modified STONE score was statistically significantly higher in patients with stones compared to stone-free patients (P < 0.001). Conclusion: We suggest that the replacement of the race parameter of the original STONE score by the US finding of pelvicalyceal dilation will enhance the diagnostic value of scoring in societies mostly comprising a non-Black population.","PeriodicalId":23449,"journal":{"name":"Urological Science","volume":"31 1","pages":"221 - 225"},"PeriodicalIF":0.5,"publicationDate":"2020-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44651893","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 3