Urologia Journal最新文献

{"title":"Comparison of effectiveness of a food supplement product versus Fosfomycin in the treatment of female recurrent urinary tract infections: Preliminary results of a multicenter comparative observational study.","authors":"Giulia Misasi, Claudia Lucia Catucci, Samuele Nardoni, Beatrice Turchi, Elena Pisacreta, Rudi Xhaferi, Tommaso Simoncini, Cosimo De Nunzio, Riccardo Lombardo, Eleonora Russo, Vincenzo Li Marzi","doi":"10.1177/03915603261426617","DOIUrl":"10.1177/03915603261426617","url":null,"abstract":"<p><p>Introduction an objective:Urinary tract infections (UTIs) are a significant health concern with high costs and poor quality of life (QoL) impact. Managing recurrent UTIs (rUTI) in women requires effective treatments that relieve symptoms and reduce recurrence, while also sparing antibiotics due to rising resistance. This study evaluates the efficacy of a nutritional supplement in reducing UTI recurrences and improving QoL compared to antibiotic therapy.Materials and methods:The study compared the effectiveness of a dietary supplement (containing D-mannose, Palmitoylethanolamide, N-acetylcysteine, Lactobacillus rhamnosus, and Hibiscus extract) with a low dose of Fosfomycin in treating recurrent urinary tract infections (rUTI) in women. Both treatments were administered for 6 months, with clinical and microbiological evaluations at 3 and 6 months. Quality of life and patient satisfaction were assessed using specific questionnaires. Fosfomycin was given every 10 days, while the supplement was taken for 14 days each month.Results:The study involved 55 patients in the nutritional supplement group (NGroup) and 34 in the Fosfomycin group (FGroup). In the NGroup, the average age was 62.2 years, with a BMI of 27.2. UTIs significantly decreased from 1.87 at baseline to 0.51 at 3 months and 0.28 at 6 months (<i>p</i> < 0.001). Few mild gastrointestinal side effects were reported. Quality of life (QoL) and satisfaction both improved significantly. In the FGroup, the average age was 62.9 years, with a lower BMI of 23.5. UTIs also decreased from 2.68 at baseline to 0.87 at 3 months and 0.67 at 6 months (<i>p</i> < 0.001). No side effects were reported. QoL improved, but satisfaction declined significantly. Both groups showed similar improvements in UTI frequency and QoL, but the Fosfomycin group had lower satisfaction overall.</p>","PeriodicalId":23574,"journal":{"name":"Urologia Journal","volume":" ","pages":"527-534"},"PeriodicalIF":1.3,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148550679","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}

{"title":"Risk factors and treatment of pyelonephritis requiring hemodialysis: A PRISMA-guided systematic review.","authors":"Gerry George Mathew, Shanmugam Sundaramurthy, Prakash Muthu Perumal, Varadharajan Jayaprakash","doi":"10.1177/03915603261468833","DOIUrl":"https://doi.org/10.1177/03915603261468833","url":null,"abstract":"<p><strong>Background: </strong>The present study aims to identify risk factors and evaluate treatment approaches in adult patients diagnosed with pyelonephritis requiring hemodialysis.</p><p><strong>Methodology: </strong>A comprehensive literature search was conducted using various electronic databases, published between 2004 and 2024. Totally, 24 articles reporting adult patients diagnosed with pyelonephritis who underwent hemodialysis were included. Risk factors and treatment modalities were categorized, and patient outcomes were grouped into recovered, deteriorated, or death after treatment.</p><p><strong>Results: </strong>In the analyzed studies, 28 patients, middle-aged males, were predominantly diagnosed with emphysematous pyelonephritis affecting either right or left kidney, with <i>Escherichia coli</i> identified as the predominant pathogen in urine cultures. Key risk factors included poorly controlled diabetes, immunosuppression, renal transplantation, obstructive uropathy and recurrent urinary tract infection. All patients initially received conservative treatment with antibiotics, antimicrobial therapy, and fluid resuscitation. Minimally invasive procedures were used in 42.8% patients while 50% underwent surgical interventions. Of the 28 patients, 23 survived, with 21 recovering fully and 2 experiencing deteriorations.</p><p><strong>Conclusion: </strong>The findings of this study emphasize the importance of early identification of risk factors in patients with severe pyelonephritis requiring hemodialysis. Recognizing these factors at an early stage allows for timely and targeted interventions, which can potentially reduce complications and mortality among high-risk patients. In addition, identifying effective treatment methods aid in informed decision-making for managing severe cases. Since this study primarily includes case reports, all results are merely descriptive and intended to generate hypotheses. However, there is a need for large-scale and well-designed studies to better understand the impact of treatment approaches and to establish more evidence-based management strategies for patients with pyelonephritis requiring hemodialysis.</p>","PeriodicalId":23574,"journal":{"name":"Urologia Journal","volume":" ","pages":"3915603261468833"},"PeriodicalIF":1.3,"publicationDate":"2026-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148621581","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}

{"title":"The use of artificial intelligence to predict postoperative outcomes following percutaneous nephrolithotomy: A systematic review of prognostic modeling studies.","authors":"Mohammadreza Padooiy Nooshabadi, Behnam Shakiba, Hossein Akbarnataj, Nadia Saniee","doi":"10.1177/03915603261467531","DOIUrl":"https://doi.org/10.1177/03915603261467531","url":null,"abstract":"<p><p>Artificial intelligence (AI) is increasingly applied in clinical practice to enhance prediction of postoperative outcomes. This systematic review evaluated the performance and clinical relevance of AI-based prognostic models for patients undergoing percutaneous nephrolithotomy (PCNL). A comprehensive search of PubMed, Embase, Scopus, Web of Science, and Google Scholar was conducted on 7 August 2025 to identify original studies that used AI to predict outcomes such as stone-free status. Risk of bias was assessed using the Prediction model Risk of Bias Assessment Tool-Artificial Intelligence extension. A narrative synthesis of study characteristics, and reported performance metrics of AI models was conducted. Twenty-one studies involving 24,087 patients met the inclusion criteria. Tree-based, support vector, discriminant, and regression models achieved the highest median AUCs (0.79-0.81) for predicting stone-free status, whereas neural networks showed lower performance (median 0.60). Tree-based and similarity-based models performed best for predicting the need for adjuvant therapy. Neural networks performed well for bleeding-related outcomes (median AUC 0.87), while tree-based and regression models showed more consistent performance for procedural complications and hospitalization. Infection-related outcomes were predicted most accurately by tree-based and neural network models (median AUCs 0.89-0.90). Temporal trends revealed a shift from early reliance on neural networks and support vector machines to increased use of tree-based approaches in recent years. Overall, AI models offer useful support for perioperative decision-making, though their reliability varies across outcomes. Model performance is highest for stone-free status and infection-related outcomes, but lower for rare or poorly-defined endpoints such as bleeding or peri-procedural complications, reflecting limitations in available features and outcome heterogeneity. Clinically, current models may inform management but are not yet sufficient to dictate care. Future research should focus on standardized outcome definitions, multi-institutional datasets, and integration of high-dimensional data such as imaging and radiomics to develop robust, externally validated predictive tools for prospective implementation in PCNL practice.</p>","PeriodicalId":23574,"journal":{"name":"Urologia Journal","volume":" ","pages":"3915603261467531"},"PeriodicalIF":1.3,"publicationDate":"2026-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148621609","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}

{"title":"Clinical and epidemiological characteristics of patients with vesicovaginal fistulas in a high-complexity public referral hospital from southwestern Colombia.","authors":"Nicolás Guerrón Morales, Herney Andrés García-Perdomo, German Adolfo Ramirez Martinez","doi":"10.1177/03915603261472017","DOIUrl":"https://doi.org/10.1177/03915603261472017","url":null,"abstract":"<p><strong>Objective: </strong>To describe the clinical characteristics of patients diagnosed with vesico-vaginal fistula in a urology service in Cali, Colombia, between 2016 and 2025.</p><p><strong>Methods: </strong>A retrospective cross-sectional study was conducted using medical records from the Urology service at a high-complexity public referral hospital in Cali, Colombia, between June 2016 and June 2025. Patients with confirmed vesico-vaginal fistula were identified through ICD-10 codes. Sociodemographic, clinical, and treatment data were extracted and analyzed descriptively.</p><p><strong>Results: </strong>We found 25 patients with vesicovaginal fistula; the median age was 45 years. A history of cervical cancer and prior radiotherapy was present in 32% and 48% of patients, respectively, and 68% had undergone previous pelvic surgery, most commonly hysterectomy (48%). Cystoscopy was the main diagnostic modality (84%), with a mean fistula size of 14.6 mm and predominantly retrotrigonal or trigonal locations. Conservative management was unsuccessful in all cases, while surgical repair-mostly laparoscopic-achieved a success rate of 72.2%, with postoperative complications occurring in 16.7% of patients.</p><p><strong>Conclusion: </strong>Vesicovaginal fistula in this cohort was mainly associated with prior pelvic surgery and radiotherapy. Conservative management was ineffective, while surgical repair-especially laparoscopic-achieved acceptable success with low complication rates.</p>","PeriodicalId":23574,"journal":{"name":"Urologia Journal","volume":" ","pages":"3915603261472017"},"PeriodicalIF":1.3,"publicationDate":"2026-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148593285","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}

{"title":"Effectiveness and safety of salvage therapy in residual retroperitoneal masses in advanced testicular seminoma: A systematic review.","authors":"Maria Paula Gomez, Herney Andres Garcia-Perdomo","doi":"10.1177/03915603261467519","DOIUrl":"https://doi.org/10.1177/03915603261467519","url":null,"abstract":"<p><strong>Objective: </strong>To determine the effectiveness and safety of surgery, chemotherapy, or radiotherapy for treating post-chemotherapy residual mass in advanced testicular seminoma in terms of overall survival and progression-free survival.</p><p><strong>Methods: </strong>We conducted a search strategy in MEDLINE (OVID), EMBASE, LILACS, and the Cochrane Central Register of Controlled Trials (CENTRAL) from inception to nowadays. We assessed the risk of bias and performed this review according to the recommendations of the Cochrane Collaboration and following the PRISMA Statement.</p><p><strong>Results: </strong>Within the included studies, there are 239 patients with germ cell carcinoma, all in an advanced stage of the disease (IIa,IIb, IIc, or III) and where 100% are pure seminomas. The interventions were radiation therapy, immediate resection after the first positive PET, other salvage therapy as second or third chemotherapy for residual masses, and a high dose of chemotherapy and autologous stem cell transplantation. The median progression-free survival in the observation arm was 39.4 months in the very high-risk group and 40 months in the high-risk group, whereas it was not reached for the radiotherapy arm. Also, a new chemotherapy scheme had progression-free survival in a 10-year follow-up of 94.2%. The overall survival for the high-risk group radiotherapy versus observation was not significant (<i>p</i> = 0.47), similar to the very high-risk subgroup (<i>p</i> = 0.42). The reported complications are due to surgical management and chemotherapy toxicity.</p><p><strong>Conclusion: </strong>Evidence on the management of post-chemotherapy residual retroperitoneal masses in advanced seminoma is limited and of low certainty. Available studies are few and heterogeneous, precluding definitive conclusions regarding progression-free or overall survival. Current findings support individualized treatment decisions, while further prospective studies are needed to better define optimal management strategies and long-term outcomes.</p>","PeriodicalId":23574,"journal":{"name":"Urologia Journal","volume":" ","pages":"3915603261467519"},"PeriodicalIF":1.3,"publicationDate":"2026-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148550656","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}

{"title":"Laser versus pneumatic lithotripsy in adult patients undergoing semirigid ureteroscopy: A systematic review, meta-analysis, and trial sequential analysis.","authors":"Saied Mohammed Saied Qasem, Mustafa Ali Almomani, Ahmed Naji Ahmed Hassan, Asmaa Hamdy Abdellatif","doi":"10.1177/03915603261465323","DOIUrl":"https://doi.org/10.1177/03915603261465323","url":null,"abstract":"<p><strong>Background: </strong>Ureteral calculi are a common cause of acute urologic morbidity, and semirigid ureteroscopy is a standard treatment when spontaneous passage fails. The relative effectiveness and safety of laser lithotripsy (LL) versus pneumatic lithotripsy (PL) remain clinically important questions.</p><p><strong>Objectives: </strong>To compare LL (Holmium:YAG or Thulium fiber) with PL for ureteral stones in adults undergoing semirigid ureteroscopy, focusing on early stone-free rate (SFR) and key perioperative outcomes.</p><p><strong>Methods: </strong>We searched PubMed, Scopus, CENTRAL, and Google Scholar from inception to 4 September 2025 for randomized controlled trials (RCTs). Eligible studies included adults (⩾18 years) undergoing semirigid ureteroscopy comparing LL with PL. The primary outcome was early SFR (1-4 weeks). Secondary outcomes included operative and lithotripsy times, stone migration, complications, hospital stay, DJ stenting, auxiliary procedures, and late SFR (>4 weeks). Meta-analyses used fixed- or random-effects models as appropriate. Trial Sequential Analysis (TSA), Egger's test, Begg-Mazumdar, and trim-and-fill assessed robustness and publication bias. Certainty of evidence was evaluated using GRADE. The review was registered in PROSPERO (CRD420251207635).</p><p><strong>Results: </strong>Eighteen RCTs (<i>n</i> = 2791) were included. LL significantly improved early SFR (OR 2.02; 95% CI 1.59-2.58) and late SFR, reduced stone migration, postoperative fever, overall complications, DJ stenting, and auxiliary procedures. Operative time and procedure-related injuries were similar, while lithotripsy time was longer for LL. TSA confirmed conclusive evidence for early SFR. No substantial publication bias was detected. GRADE rated evidence as high for early SFR and stenting.</p><p><strong>Conclusions: </strong>LL provides superior stone clearance and better overall clinical outcomes than PL, with comparable operative safety. It should be considered the preferred intracorporeal modality during semirigid ureteroscopy for ureteral stones.</p>","PeriodicalId":23574,"journal":{"name":"Urologia Journal","volume":" ","pages":"3915603261465323"},"PeriodicalIF":1.3,"publicationDate":"2026-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148550649","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}

{"title":"Initial experience with primary and redo robotic pyeloplasty using the Versius robotic system (CMR).","authors":"Nauman Zafar, Nadeem Bin Nusrat, Shujah Muhammad, Asadullah Aslam, Sarmad Imtiaz, Assad Ur Rehman, Hafiz Abdul Hanan, Syeda Sarah Shah, Saira Imtiaz","doi":"10.1177/03915603261464713","DOIUrl":"https://doi.org/10.1177/03915603261464713","url":null,"abstract":"<p><strong>Background: </strong>Robotic-assisted pyeloplasty is a well-established minimally invasive technique for the management of pelvi-ureteric junction obstruction (PUJO). The Versius Robotic System (CMR) is a state-of-the-art robotic technology that is increasingly being used in urologic surgery. The aim of this study was to evaluate the outcomes of primary and redo robotic pyeloplasty with the Versius robotic system in patients undergoing surgery at the Pakistan Kidney and Liver Institute & Research Center (PKLI & RC), Lahore.</p><p><strong>Methods: </strong>This is a retrospective study carried out on 74 patients who underwent robotic pyeloplasty between May 2023 and July 2025. Data on demographics, intraoperative parameters, and postoperative outcomes were analyzed.</p><p><strong>Results: </strong>Seventy-four patients underwent robotic pyeloplasty with the Versius robotic system. Of these, 65 (87.8%) were primary cases and 9 (12.2%) were redo procedures. The mean age of these patients was 32.5 ± 10.7 years. There were 44 (59.5%) males in our study. The mean operative time was 157.1 ± 35.8 min, and the console time was 80.3 ± 12.9 min. The median blood loss was 50 mL (IQR: 54). Conversion to open surgery occurred in four patients (5.4%). Early postoperative complications occurred in six patients (8.1%), while late complications were observed in eight patients (10.8%). Median hospital stay was 1 day (IQR: 0). Symptomatic improvement occurred in all patients (74, 100%), while radiological improvement was observed in 61 patients (82.4%) at a mean follow-up of 10.1 ± 1.5 weeks.</p><p><strong>Conclusion: </strong>Robotic pyeloplasty using the Versius system is a safe, feasible, and effective option for both primary and redo PUJO, providing favorable perioperative outcomes and rapid recovery.</p>","PeriodicalId":23574,"journal":{"name":"Urologia Journal","volume":" ","pages":"3915603261464713"},"PeriodicalIF":1.3,"publicationDate":"2026-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148449695","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}

{"title":"Comparison of safety and feasibility of on-clamp versus off-clamp robotic partial nephrectomy.","authors":"Nicolò Fiorello, Alessandro Zucchi, Giada Macrì, Gregorio Romei, Francesco Gregori, Erika Massai, Giulia Tornabene, Paolo Piaggi, Carlo Alberto Sepich","doi":"10.1177/03915603261464711","DOIUrl":"https://doi.org/10.1177/03915603261464711","url":null,"abstract":"<p><strong>Introduction: </strong>Robot-assisted partial nephrectomy (RAPN) is currently the gold standard for localized renal tumors. The surgical approach can be performed using either an on-clamp or off-clamp technique. The aim of the study is to evaluate differences in positive surgical margins (PSMs) and perioperative complications between on-clamp and off-clamp approaches of RAPN, at all levels of tumor complexity.</p><p><strong>Methods: </strong>We retrospectively enrolled 478 patients who underwent RAPN between 1/2020 and 6/2024 and divided into two groups: A (on-clamp) and B (off-clamp). We stratified tumor complexity according to the RENAL score and analyzed all perioperative and oncological outcomes: PSMs, post-operative creatinine changes, intra- and post-operative complications, duration of procedures. For multivariate statistical analysis we used the Chi-square test.</p><p><strong>Results: </strong>In 83 procedures clamping of the main renal artery was performed (in no case was selective clamping performed). Median value for duration of clamping was 16 minuts. In patients who have undergone ischemia, the duration of ischemia is correlated with the increase in postoperative creatinine (<i>p</i> < 0.001). There was a significant difference in the duration of the procedures between the two groups: group A (median value 90'), group B (median value 120') (<i>p</i> < 0.001) while no difference regarding perioperative complications (<i>p</i> = 0.34) or PSMs (<i>p</i> = 0.73).</p><p><strong>Conclusions: </strong>Both the on-clamp and off-clamp approaches are considered safe and feasible, provided there is adequate surgical experience. The complication rate was similar, as were the oncological outcomes and but post-operative creatinine increases proportionally to the duration of ischemia. In on-clamp procedures the increase in postoperative creatinine is directly related to the duration of ischemia. The off-clamp procedure is shorter with no difference in surgical and oncological outcomes.</p>","PeriodicalId":23574,"journal":{"name":"Urologia Journal","volume":" ","pages":"3915603261464711"},"PeriodicalIF":1.3,"publicationDate":"2026-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148412965","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}

{"title":"Validation of the Greek Version of the Ureteral Stent Symptom Questionnaire (USSQ): A prospective clinical Study.","authors":"Stamatios Katsimperis, Themistoklis Bellos, Polyvios Arseniou, Panagiotis Triantafyllou, Lazaros Tzelves, Andreas Skolarikos","doi":"10.1177/03915603261465244","DOIUrl":"https://doi.org/10.1177/03915603261465244","url":null,"abstract":"<p><strong>Background: </strong>The Ureteral Stent Symptom Questionnaire (USSQ) is the gold standard for evaluating stent-related symptoms. While validated in multiple languages, no validated Greek version currently exists.</p><p><strong>Objective: </strong>To perform a cross-cultural adaptation, and psychometric evaluation of the Greek USSQ.</p><p><strong>Methods: </strong>The USSQ was translated and culturally adapted following established forward-backward translation methodology. A cohort of 100 patients with temporary ureteral stents was prospectively enrolled and completed the Greek USSQ at predefined time points. Psychometric evaluation included internal consistency, test-retest reliability, construct validity, convergent validity, and responsiveness after stent removal. Comparative correlation was performed using International Prostate Symptom Score (IPSS), International Consultation on Incontinence Questionnaire Female Lower Urinary Tract Symptoms Modules (ICIQ-FLUTS), and 36-Item Short Form Health Survey (SF-36) questionnaires.</p><p><strong>Results: </strong>Internal consistency was good for urinary symptoms (α = 0.82), pain (α = 0.79), work performance (α = 0.77), and general health (α = 0.74), while sexual matters demonstrated moderate consistency (α = 0.68). Test-retest reliability was strong with ICC values ranging from 0.72 to 0.86. Significant correlations were found with IPSS (ρ = 0.68, <i>p</i> < 0.001), ICIQ-FLUTS (ρ = 0.52, <i>p</i> < 0.01), and SF-36 domains (ρ = -0.55 to -0.62, <i>p</i> < 0.001). All domains showed statistically significant improvement following stent removal (<i>p</i> < 0.001).</p><p><strong>Conclusion: </strong>The Greek version of the USSQ demonstrates strong reliability, validity, and responsiveness, confirming its suitability for clinical and research use in evaluating ureteral stent-related symptoms in Greek-speaking populations.</p>","PeriodicalId":23574,"journal":{"name":"Urologia Journal","volume":" ","pages":"3915603261465244"},"PeriodicalIF":1.3,"publicationDate":"2026-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148412972","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}

{"title":"Sex-based disparities in the management of acute renal colic: A retrospective analysis of emergency department outcomes.","authors":"Dor Golomb, Amit Shemesh, Hanan Goldberg, Orit Raz","doi":"10.1177/03915603261465326","DOIUrl":"https://doi.org/10.1177/03915603261465326","url":null,"abstract":"<p><strong>Objective: </strong>Renal colic is a frequent cause of Emergency Department (ED) visits. While management guidelines emphasize objective findings, subjective factors such as sex may influence clinical decision-making. This study investigated sex-based disparities in the management and hospital admission rates of patients with acute urolithiasis.</p><p><strong>Methods: </strong>A retrospective analysis was conducted on 546 patients presenting to the ED with renal colic. Demographic data, pain intensity (VAS), and radiographic characteristics (stone size, location, and hydronephrosis grade) were compared between sexes. Primary outcomes included hospital admission and surgical intervention rates. Multivariate logistic regression identified independent predictors of admission while adjusting for clinical severity.</p><p><strong>Results: </strong>The cohort was 75.3% male (<i>n</i> = 411) and 24.7% female (<i>n</i> = 135), with a median age of 48 years. No significant differences were found between men and women regarding median pain scores (8 vs 9, <i>p</i> = 0.16), median stone size (4.0 mm vs 4.0 mm, <i>p</i> = 0.77), or median hydronephrosis grade (1 vs 1, <i>p</i> = 0.65). Despite these clinical similarities, men were significantly more likely to be admitted to the hospital than women (49.9% vs 37.8%, <i>p</i> = 0.014). Multivariate analysis confirmed that sex remained an independent predictor of admission (OR 1.64, 95% CI 1.10-2.43, <i>p</i> = 0.015). Surgical intervention rates were also higher in men (31.4% vs 23.7%, <i>p</i> = 0.09).</p><p><strong>Conclusions: </strong>Male patients with renal colic were significantly more likely to be hospitalized than female patients despite comparable pain intensity and stone severity. These findings suggest sex-based disparities in the clinical disposition of urolithiasis, warranting further investigation into the clinical, social, and systemic drivers of this disparity in emergency care.</p>","PeriodicalId":23574,"journal":{"name":"Urologia Journal","volume":" ","pages":"3915603261465326"},"PeriodicalIF":1.3,"publicationDate":"2026-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148413024","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}