Urologia Journal最新文献

{"title":"Role of ultrasound elastography versus ultrasound guided biopsy in detection of cancer prostate.","authors":"Ali Ahmed Remah, Maha Mohamed Abdel Raouf, Ahmed Mohamed Ghandour, Shaimaa El Metwally El Diasty, Mohamed Ahmed Ateya","doi":"10.1177/03915603251387890","DOIUrl":"10.1177/03915603251387890","url":null,"abstract":"<p><strong>Introduction: </strong>Elastography, introduced in the early 1990s, is a high-performing diagnostic tool that enhances conventional B-mode ultrasonography. This study assessed the diagnostic potential of ultrasound (US) elastography for early prostate cancer, using histopathology as the reference. It aimed to evaluate elastography's ability to differentiate benign from malignant prostate lesions and measure its sensitivity and specificity.</p><p><strong>Method: </strong>From June 2020 to November 2022, 22 men with prostate lesions were enrolled in a prospective study. These patients, referred from the urology outpatient clinic, had a median prostate-specific antigen of 30.6 ng/mL and a median prostate volume of 65 mL. Strain stiffness was calculated for each lesion and subsequently compared with the corresponding histopathological diagnoses.</p><p><strong>Results: </strong>A stiffness threshold between 35 and 37 kPa demonstrated the optimal discriminatory capacity between benign and malignant lesions, yielding a sensitivity of 83.3%, a specificity of 70%, a positive predictive value of 76.9%, a negative predictive value of 77.7%, and an overall accuracy of 77.2%.</p><p><strong>Conclusion: </strong>Elastography is an effective diagnostic tool that enhances B-mode ultrasound specificity for prostate cancer detection. It improves differentiation between benign and malignant lesions and increases the accuracy of prostate biopsy outcomes.</p>","PeriodicalId":23574,"journal":{"name":"Urologia Journal","volume":" ","pages":"177-184"},"PeriodicalIF":0.7,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145490344","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":"Twenty-four months failure rate and functional outcomes comparison after implantable nitinol device (iTIND) and prostatic urethral lift (Urolift): real world multicenter study.","authors":"Alberto Olivero, Sabrina De Cillis, Daniele Amparore, Sofia Giudici, Carlo Buratto, Valerio Cellini, Alberto Piana, Federico Piramide, Alberto Quarà, Cristian Fiori, Erika Palagonia, Paolo Dell'Oglio, Stefano Tappero, Aldo Massimo Bocciardi, Alberto Caviglia, Antonio Galfano, Bhaskar K Somani, Amelia Pietropaolo, Francesco Porpiglia, Silvia Secco","doi":"10.1177/03915603251406809","DOIUrl":"10.1177/03915603251406809","url":null,"abstract":"<p><strong>Background: </strong>In recent years, there has been a growing trend toward minimally-invasive techniques (MISTs) in men presenting symptomatic lower urinary tract symptoms (LUTS). However, direct comparisons between techniques are rare. This work compares 2-year functional outcomes and failure rates after implantable nitinol device (iTIND) and prostatic Urethral lift (Urolift).</p><p><strong>Methods: </strong>Data of patients presenting with LUTS with an International Prostatic Symptom Score (IPSS) ⩾10, <i>Q</i>max < 12 mL/s, and prostate volume < 70 mL were obtained retrospectively from two different referral centers' databases. Patients with neurogenic bladder, sphincter abnormalities, urethral strictures, post-void residual (PVR) volume > 250 mL, urinary bladder stones, and active urinary tract infections were excluded from the study. Treatment failure was defined as the need for surgical retreatment for LUTS or ejaculatory dysfunction. Postoperative uroflowmetry, PVR, IPSS, ejaculatory function, and retreatment rate were collected at 24 months follow-up.</p><p><strong>Results: </strong>A total of 134 cases were collected. iTIND was used in 92 (68.7%) patients and Urolift in 42 (31.3%). Baseline characteristics were similar in both groups; however, Urolift patients were younger, with more significant prostate volumes and median lobe enlargement. No patients developed ejaculatory dysfunctions after the treatment, and the retreatment rate was similar in the two groups (13% vs 11.9% <i>p</i> = 0.8). Urolift demonstrated a shorter length of stay. Uroflowmetry, PVR volume, and symptom scores improved in both groups; iTIND cases showed significantly better symptom score reduction.</p><p><strong>Conclusions: </strong>The 24-month failure rate was similar for iTIND and Urolift. Urolift reported a shorter hospitalization. Uroflowmetry and PVR results were comparable in both groups. iTIND cases showed slightly superior improvements in symptom scores; however, the clinical significance of this finding must be confirmed by further studies in correlation with prostate volume and median lobe shape.</p>","PeriodicalId":23574,"journal":{"name":"Urologia Journal","volume":" ","pages":"200-205"},"PeriodicalIF":0.7,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145844199","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":"No screening, no life: Perspectives from a sociodemographic characterization of prostate cancer patients.","authors":"Lucas J Cortés, Germán Olaya, José S Cortés, Juan I Caicedo, Jorge A Flórez","doi":"10.1177/03915603251412607","DOIUrl":"10.1177/03915603251412607","url":null,"abstract":"<p><strong>Background: </strong>Prostate cancer is the most common solid neoplasm in men, with an increasing incidence. This study describes clinical and sociodemographic features and PSA levels, and evaluate their associations with stage, risk categories, metastasis, and mortality in a public tertiary hospital in southern Colombia.</p><p><strong>Methodology: </strong>The present retrospective cohort study included 590 patients diagnosed with prostate cancer between 2020 and 2023. Sociodemographic and clinical variables, PSA levels, pathological characteristics and risk scales were analyzed. Patients were categorized into two groups: living (<i>n</i> = 429) and deceased by prostate cancer (<i>n</i> = 109), and other causes (<i>n</i> = 44). Statistical analyses were performed to determine associations with mortality and presence of metastasis.</p><p><strong>Results: </strong>PSA screening was more frequent among survivors (66.9%, <i>n</i> = 287) than among deceased (22.0%, <i>n</i> = 24; <i>p</i> < 0.001). Median PSA at diagnosis was higher in those who died (123 vs 16 ng/mL; <i>p</i> < 0.001). PSA > 100 ng/mL was associated with ~50% probability of metastatic disease, rising to >95% for PSA > 323 ng/mL. High-risk D'Amico classification was strongly associated with metastasis (RR 6.67) and mortality (OR 14.24, <i>p</i> < 0.001). Bone pain was the predominant presenting symptom in the deceased group (76.1%, <i>n</i> = 83) and showed a strong association with metastasis (RR 8.146).</p><p><strong>Conclusions: </strong>PSA screening was strongly associated with improved survival outcomes. Elevated PSA levels, high risk D'Amico classification and the presence of bone pain were important predictors of metastasis and mortality. The need to strengthen early detection in our population is evident, given the high percentage of patients presenting at advanced stages.</p>","PeriodicalId":23574,"journal":{"name":"Urologia Journal","volume":" ","pages":"212-220"},"PeriodicalIF":0.7,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145960333","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 surgical versus conservative treatment in ureteropelvic junction obstruction: A systematic review of non-randomized trials.","authors":"Despoina Samourkasidou, Despoina Tramma, Nikolaos Gkiourtzis, Vaia Dokousli, Thomas Karagiannis, Michalis Aivaliotis","doi":"10.1177/03915603251384442","DOIUrl":"10.1177/03915603251384442","url":null,"abstract":"<p><p>Ureteropelvic junction obstruction (UPJO) is a major cause of obstructive uropathy in pediatric patients. However, the optimal management remains controversial. We aimed to summarize the evidence comparing surgical versus conservative treatment. We searched MEDLINE/PubMed (2016 to 31 October 2024) and the Cochrane Central Register of Controlled Trials (CENTRAL) on 31 October 2024. The primary outcome was split renal function (SRF). Results were summarized in a structured table. Study quality was assessed using the ROBINS-I tool and the level of evidence was evaluated using the Grading of Recommendations Assessment, Development and Evaluation (GRADE) working group. Our search resulted in 2.251 reports. We included two non-randomized interventional studies with 136 patients. One study reported no statistically significant difference in SRF between the study groups after 1 year of follow up, while the second study reported higher SRF in surgical group 6 months postoperatively. The studies were judged to have a serious risk of bias, and the quality of evidence was rated as very low. The paucity of eligible data precluded the performance of a meta-analysis. Our findings could not support clinical recommendations. This study highlights the lack of high-quality evidence that will come from large, prospective, well-designed trials comparing surgical intervention to updated conservative treatment options.</p>","PeriodicalId":23574,"journal":{"name":"Urologia Journal","volume":" ","pages":"154-163"},"PeriodicalIF":0.7,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145483094","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":"Comments on \"Severe bleeding in patients following \"tubeless\" percutaneous nephrolithotomy: Predictors of angioembolization\".","authors":"Ankur Sharma, Sushma Narsing Katkuri, Varshini Vadhithala, Arun Kumar, Sushma Verma, Dhanya Dedeepya","doi":"10.1177/03915603261420375","DOIUrl":"10.1177/03915603261420375","url":null,"abstract":"","PeriodicalId":23574,"journal":{"name":"Urologia Journal","volume":" ","pages":"313-314"},"PeriodicalIF":0.7,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146143749","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":"Physical activity after single incision sling for stress urinary incontinence: Our experience.","authors":"Andrea Morciano, Giovanni Pecorella, Andrea Tinelli, Giuseppe Marzo, Michele Carlo Schiavi, Matteo Frigerio, Giuseppe Campagna, Mauro Cervigni, Francesco Fanfani, Anna Fagotti","doi":"10.1177/03915603261426554","DOIUrl":"10.1177/03915603261426554","url":null,"abstract":"<p><strong>Objectives: </strong>The post-operative management of patients undergoing urogynecologic surgery remains controversial, despite the adoption of enhanced recovery protocols. This study aimed to evaluate the influence of moderate-to-high physical activity on functional and subjective outcomes after implantation of the Altis^® single-incision sling, with an 18-month follow-up (<i>FU</i>).</p><p><strong>Methods: </strong>A total of 222 consecutive women treated for stress urinary incontinence (<i>SUI</i>) between December 2019 and March 2022 were retrospectively reviewed. At 3-month <i>FU</i>, participants completed the International physical activity Questionnaire-Short Form (IPAQ-SF). Based on IPAQ-SF results, patients were categorized into <i>Low</i> or <i>Moderate-High</i> activity groups. Objective and subjective outcomes were compared at 3 and 18 months.</p><p><strong>Results: </strong>Both activity groups achieved high objective and subjective success rates, with no statistically significant differences at either follow-up interval. These results were maintained at 18 months. No correlation emerged in functional or objective results between activity level and surgical outcomes.</p><p><strong>Conclusion: </strong>Moderate or high post-operative physical activity did not adversely affect functional or patient-reported outcomes after Altis^® sling implantation. These findings support the Enhanced Recovery After Surgery (<i>ERAS</i>) philosophy and highlight the importance of abandoning unnecessary post-operative rest recommendations following <i>SUI</i> surgery.</p>","PeriodicalId":23574,"journal":{"name":"Urologia Journal","volume":" ","pages":"290-296"},"PeriodicalIF":0.7,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147356381","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":"Study of ureteric jet in kidney transplant recipient.","authors":"Sunil Kumar Das, VedVyas Mishra, Elisha Paikray, Bipin Bihari Pradhan","doi":"10.1177/03915603251410689","DOIUrl":"10.1177/03915603251410689","url":null,"abstract":"<p><strong>Introduction: </strong>An intact vescio-ureteric junction (VUJ) complex is necessary to maintain its normal physiological function. A ureteric jet is produced when urine is vigorously propelled from the VUJ into the urinary bladder. The transplanted ureter lacks a normal VUJ but maintains its intrinsic peristaltic activity. this study was conducted to compare prospectively between the ureteric jet parameters in voluntary kidney donors by Doppler ultrasound of the same with patients who underwent ureteric re-implantation during a kidney transplantation procedure.</p><p><strong>Methods: </strong>There were a total of 44 participants in the study. The outcome measurements were taken of the anteriorposterior diameter of the renal pelvis (RP-APD), the resistive index of the renal artery (RA-Ri), and ureteric jet parameters- the jet's maximum velocity, pattern, initial slope, direction, and duration. The patterns were of the following types - triphasic, biphasic, polyphasic, square, continuous, and monophasic.</p><p><strong>Result: </strong>The biphasic and monophasic jet pattern was most common in the donor and recipient groups, respectively.</p><p><strong>Conclusion: </strong>The Doppler waveform observed in transplanted ureters significantly differs from that seen in healthy voluntary kidney donors. This observation lends support to the theory that the native VUJ functions as a sphincter.</p>","PeriodicalId":23574,"journal":{"name":"Urologia Journal","volume":" ","pages":"285-289"},"PeriodicalIF":0.7,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145900982","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":"Evaluation of urethral stricture score (USS) in predicting intraoperative complexity and postoperative outcome in anterior urethral stricture: An observational study.","authors":"Souvik Chatterjee, Smita Verma, Debansu Sarkar","doi":"10.1177/03915603251360159","DOIUrl":"10.1177/03915603251360159","url":null,"abstract":"<p><strong>Introduction: </strong>Urethral stricture is common in men with anterior being more common. Number of surgical techniques are there for anterior urethral stricture depending upon location and extent of stricture. To compare one technique with another in terms of complexity, intra-op difficulty and recurrence, no standard scoring system is there. In order to quantify anterior urethral stricture disease, Weigand developed USS (UREThRAL Stricture Score) in 2012. This scoring system was based on preoperative imaging and intraoperative findings. This scoring system has not been accepted worldwide. The aim of this study is to evaluate the USS in predicting intraoperative complexity and postoperative outcome in anterior urethral stricture disease.</p><p><strong>Methods: </strong>This ambidirectional study included patients operated for anterior urethral stricture in our institute. USS score for each patient was calculated preoperatively. Patients underwent optical internal urethrotomy (OIU), anastomotic urethroplasty or buccal mucosal graft urethroplasty (BMG). Complexity of surgery (in terms of duration of surgery and need of blood transfusion) and postoperative outcome (post op complications and recurrence) was evaluated for association with USS score.</p><p><strong>Results: </strong>The study included 100 patients. Mean duration of surgery for overall study population was 99.39 ± 55.78 min with strong positive correlation of 0.76 (<i>p</i>-value < 0.001) with USS. Subgroup analysis revealed significant association between USS and postoperative complications (<i>p</i>-value 0.032) and recurrence of stricture (<i>p</i>-value 0.003) in OIU patients. There was also showed that there was significant association between USS and time to recurrence in patients who underwent OIU (<i>p</i>-value 0.007).</p><p><strong>Conclusion: </strong>Our study validates the USS in predicting complexity of surgery, postoperative complications and recurrence in anterior urethral stricture disease. Higher the USS, more complex is the surgery needed for anterior urethral stricture, more chances of postoperative complications and recurrence of stricture.</p>","PeriodicalId":23574,"journal":{"name":"Urologia Journal","volume":" ","pages":"270-274"},"PeriodicalIF":0.7,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145688466","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":"\"Second-look\" extracorporeal shock wave lithotripsy after percutaneous nephrolithotomy.","authors":"Guglielmo Mantica, Rafaela Malinaric, Federica Balzarini, Carlo Terrone","doi":"10.1177/03915603251398250","DOIUrl":"10.1177/03915603251398250","url":null,"abstract":"","PeriodicalId":23574,"journal":{"name":"Urologia Journal","volume":" ","pages":"311-312"},"PeriodicalIF":0.7,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145557801","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":"Impact of personalized Three-dimensional printed model prior to Percutaneous nephrolithotomy on Patients' satisfaction and understanding: A randomized clinical study.","authors":"Seyed Reza Hosseini, Alireza Pakdel, Ehsan Zemanati Yar, Hossein Chivaee, Fardin Asgari, Amirreza Shamshirgaran, Farshid Alaeddini, Leonardo Oliveira Reis, Seyed Mohammad Kazem Aghamir","doi":"10.1177/03915603251389518","DOIUrl":"10.1177/03915603251389518","url":null,"abstract":"<p><strong>Background: </strong>Percutaneous nephrolithotomy (PCNL) is a crucial treatment for large renal stones and has a high success rate. Patients require comprehensive information about the procedure to make informed decisions. Effective communication between patients and physicians is essential for treatment adherence and postoperative recovery. Utilizing three-dimensional (3D) models has been shown to improve comprehension of complication and increasing confidence in both treatments and surgeons.</p><p><strong>Method: </strong>This study involved 40 individuals planned for PCNL surgery, aged 18 to 80, confirmed through computed tomography (CT) scans. They were divided randomly into 2D and 3D groups. The 3D group received detailed information using patient-specific 3D printed kidney models, while the 2D group received education based on conventional 2D CT scan. After the educational session, participants completed a survey to assess their comprehension. Following surgery, participants rated their satisfaction on scale of 1-10. This study aimed to compare the effectiveness of 3D models in patient comprehension and satisfaction in PCNL surgery.</p><p><strong>Result: </strong>The analysis was performed on 40 individuals (23 males, 17 females). Each group comprises 20 participants, with similar demographic and stone feature characteristics. Participant ages ranged from 32 to 66 years with a mean (SD) of 50.0 (8.52) and no significant age or gender differences were seen between the groups. Patients in the 3D group showed significantly higher comprehension in various aspects and satisfaction levels (<i>p</i>-values<0.05).</p><p><strong>Conclusion: </strong>Incorporating personalized 3D printed models in PCNL surgery has been shown to enhance the patients' comprehension of renal stone features and PCNL procedure. It also increases postoperative satisfaction.</p>","PeriodicalId":23574,"journal":{"name":"Urologia Journal","volume":" ","pages":"227-234"},"PeriodicalIF":0.7,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145439322","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}