Urology Annals最新文献

{"title":"Influence of the grade and invasiveness of bladder cancer on disease course severity in patients with bladder tamponade resulting from a bleeding bladder cancer.","authors":"Dora Jakus,&nbsp;Petra Čepin,&nbsp;Ivana Vrhovac,&nbsp;Ivana Alujević Jakus","doi":"10.4103/ua.ua_181_21","DOIUrl":"10.4103/ua.ua_181_21","url":null,"abstract":"<p><strong>Introduction and objectives: </strong>Urinary bladder tamponade is a common urological emergency, but it has so far been insufficiently researched. The aim of our study was to show the association between the characteristics of bladder cancer (grade and invasiveness) and disease course severity based on blood hemoglobin (Hgb) count at admission, the need for red blood cell transfusion (RBCT), and the length of hospitalization in patients suffering from bladder tamponade.</p><p><strong>Materials and methods: </strong>A retrospective, cross-sectional study was conducted, namely, including 25 adult patients surgically treated for bladder tamponade resulting from a bleeding bladder cancer.</p><p><strong>Results: </strong>Patients with low-grade cancer had statistically significantly higher mean Hgb values at admission (101.14 ± 8.26 vs. 87.22 g/L ± 10.64 g/L, <i>P</i> = 0.005), as well as a lower mean number of received units of RBCT (0.71 ± 0.76 vs. 2.39 ± 1.46, <i>P</i> < 0.001) and a shorter hospitalization (2.43 ± 0.55 vs. 4.36 ± 1.04 days, <i>P</i> = 0.009) than those with high-grade cancer. Patients suffering from nonmuscle-invasive bladder cancer (NMIBC) had statistically significantly higher mean Hgb values at admission (96.69 ± 9.86 g/L vs. 81.22 ± 7.23 g/L, <i>P</i> = 0.001), as well as a lower mean number of received units of RBCT (1.31 ± 1.2 vs. 3 ± 1.41, <i>P</i> = 0.004) and a shorter hospitalization (3.31 ± 1.14 vs. 4.78 ± 0.97 days, <i>P</i> = 0.004) than those with muscle-invasive bladder cancer.</p><p><strong>Conclusion: </strong>Low-grade bladder cancer and NMIBC are associated with a milder clinical course of bladder tamponade.</p>","PeriodicalId":23633,"journal":{"name":"Urology Annals","volume":"15 1","pages":"27-30"},"PeriodicalIF":0.7,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/11/fc/UA-15-27.PMC10062507.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9609087","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Oncological outcomes of whole-gland cryoablation in patients with prostate cancer and high risk of lymph node invasion.","authors":"Oscar Selvaggio,&nbsp;Ugo Giovanni Falagario,&nbsp;Marco Finati,&nbsp;Salvatore Mariano Bruno,&nbsp;Marco Recchia,&nbsp;Paola Milillo,&nbsp;Francesca Sanguedolce,&nbsp;Giovanni Silecchia,&nbsp;Luca Macarini,&nbsp;Luigi Cormio,&nbsp;Giuseppe Carrieri","doi":"10.4103/ua.ua_171_21","DOIUrl":"10.4103/ua.ua_171_21","url":null,"abstract":"<p><strong>Purpose: </strong>Prostate cryoablation has been proposed as an alternative to radical prostatectomy for men with localized prostate cancer (PCa); however, it is limited by the lack of data regarding oncological outcomes and the impossibility of performing a lymph node dissection. The aim of this study was to assess if whole-gland cryoablation is oncologically safe, especially for patients in whom pelvic lymph node dissection would be necessary.</p><p><strong>Materials and methods: </strong>After institutional review board approval, we identified 102 patients who underwent whole-gland prostate cryoablation between 2013 and April 2019. Lymph node invasion (LNI) probability was computed using Briganti nomogram, and a 5% cutoff probability was used to stratify the population in two groups. Biochemical recurrence after procedure was assessed using Phoenix criteria. Multiparametric magnetic resonance imaging, (CT), and bone scan or choline positron-emission tomography/CT were performed for the detection of distant metastases.</p><p><strong>Results: </strong>Seventeen (17%) patients were treated for a low-risk PCa, 48 (47%) patients were at intermediate-risk PCa, and 37 (36%) patients were at high-risk PCa. Patients with a probability of LNI >5% (<i>n</i> = 46) exhibited higher prostate-specific antigen (PSA), PSA density, ISUP Grade Group, CT stage, and european association of urology (EAU) risk. Recurrence-free survival rates at 3 years' follow-up were 93%, 82%, and 72%, respectively for low-, intermediate-, and high-risk patients. At a median follow-up of 37 months (17-62), additional treatment and metastasis-free survival were 84% and 97%, respectively. No differences in oncological outcomes were found in patients with a probability of LNI above and below 5%.</p><p><strong>Conclusions: </strong>Prostate whole-gland cryoablation can be considered a safe procedure with acceptable outcomes in low- and intermediate-risk patients. A high preoperative risk of nodal involvement could not be considered an exclusion criterion to perform cryoablation. Further studies are required.</p>","PeriodicalId":23633,"journal":{"name":"Urology Annals","volume":"15 1","pages":"48-53"},"PeriodicalIF":0.7,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/80/93/UA-15-48.PMC10062521.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9594390","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Migrating foreign body into the urinary bladder of children postperineal trauma.","authors":"Mosab A A Alzubier,&nbsp;Raed AlAsmi,&nbsp;Sami Mahjoub Taha,&nbsp;Yassin M Osman","doi":"10.4103/ua.ua_55_22","DOIUrl":"10.4103/ua.ua_55_22","url":null,"abstract":"<p><p>Foreign body (FB) in the urinary bladder (UB) is uncommon and rarely reported in pediatric patients<b>.</b> FB migration into the UB is an extremely rare and unpredictable condition that needs a high index of suspicion with meticulous history taking and clinical reasoning, so diagnosis may be challenging. In this study, we report two cases of male pediatric patients from Sudan with FB in the UB, with a history of penetrating perineal trauma, both were presented with irritative lower urinary tract symptoms, history of penetrating perineal trauma, and unremarkable clinical examination. Both were diagnosed by abdominal Ultrasound study (USS) and confirmed by cystoscopy. One child was treated by endoscopic extraction, while the other was treated by open surgical extraction. The outcome of treatment of both the cases was satisfactory.</p>","PeriodicalId":23633,"journal":{"name":"Urology Annals","volume":"15 1","pages":"109-112"},"PeriodicalIF":0.7,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/af/15/UA-15-109.PMC10062516.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9594389","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Editorial.","authors":"Khalid Ali Fouda","doi":"10.4103/0974-7796.368029","DOIUrl":"10.4103/0974-7796.368029","url":null,"abstract":"","PeriodicalId":23633,"journal":{"name":"Urology Annals","volume":"15 1","pages":"1"},"PeriodicalIF":0.7,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/24/96/UA-15-1.PMC10062506.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9603392","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Patient-reported outcomes after robot-assisted radical prostatectomy and institutional learning curve for functional outcomes.","authors":"Katsuyoshi Hashine,&nbsp;Koki Tada,&nbsp;Ryoei Minato,&nbsp;Yuichiro Sawada,&nbsp;Masafumi Matsumura","doi":"10.4103/ua.ua_75_22","DOIUrl":"10.4103/ua.ua_75_22","url":null,"abstract":"<p><strong>Purpose: </strong>The study was performed to examine patient-reported outcomes (PROs) in the 1^st year after surgery and the institutional learning curve after the introduction of robot-assisted radical prostatectomy (RARP).</p><p><strong>Materials and methods: </strong>The subjects were 320 consecutive patients who underwent RARP from 2014 to 2018. These cases were divided into three groups treated in the early, middle, and late periods, with about 100 cases in each. PROs were recorded using the Expanded Prostate Cancer Index Composite (EPIC).</p><p><strong>Results: </strong>There were no significant differences among the early, middle, and late periods based on EPIC scores. Urinary function and bother decreased in the 1^st month after surgery, and gradually recovered thereafter. However, urinary function was significantly worse in the 1^st year after surgery than at baseline. Urinary function and bother were better in patients treated with nerve-sparing surgery, and in nerve-sparing cases, urinary function and bother were best in the early period and worst in the late period. These cases also had the best score for sexual function in the early period, but sexual bother was worst in the early period. In contrast, in cases treated without nerve-sparing surgery, urinary function and bother were best in the late period and worst in the early period, although without significant differences.</p><p><strong>Conclusion: </strong>The functional results of this study based on PROs are useful for providing information for patients. Interestingly, the institutional learning curves for RARP differed in cases that did and did not undergo a nerve-sparing procedure.</p>","PeriodicalId":23633,"journal":{"name":"Urology Annals","volume":"15 1","pages":"60-67"},"PeriodicalIF":0.7,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/c8/9b/UA-15-60.PMC10062511.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9241060","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Extraction of foreign body from the urinary bladder using nephroscope: A case report of endoscopy treatment.","authors":"Abdulhkam Aljarbou,&nbsp;Ahmed Jamal Abdo,&nbsp;Mohammed Ali Almosa,&nbsp;Albara Hariri","doi":"10.4103/ua.ua_109_22","DOIUrl":"10.4103/ua.ua_109_22","url":null,"abstract":"<p><p>Transurethral foreign bodies (FBs) in the urinary tract are rare findings in a clinical setting. The most common cases are reported for FBs in the urinary bladder. The present report similarly aimed to examine a whole pen as a FB with a discussion about symptoms and complexities. Here, we significantly reported the management of pen extraction from the bladder of a female patient using nephroscope and proposed success with possible recommendations for treatment in future operations.</p>","PeriodicalId":23633,"journal":{"name":"Urology Annals","volume":"15 1","pages":"95-97"},"PeriodicalIF":0.7,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/8b/04/UA-15-95.PMC10062505.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9294564","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sphincter preservation techniques during radical prostatectomies: Lessons learned","authors":"Theodoros Spinos, Iason Kyriazis, Arman Tsaturyan, Jens-Uwe Stolzenburg, Evangelos Liatsikos, Abdulrahman Al-Aown, Panagiotis Kallidonis","doi":"10.4103/ua.ua_126_22","DOIUrl":"https://doi.org/10.4103/ua.ua_126_22","url":null,"abstract":"Abstract Prolonged urinary incontinence represents one of the most severe complications after a radical prostatectomy procedure, significantly affecting patients’ quality of life. In an attempt to ameliorate postprostatectomy continence rates, several sphincter preservation techniques have been reported. The purpose of this article is to report several different sphincter preservation techniques and identify the ones which affect postoperative outcomes the most. For our narrative review, PubMed was searched using the keywords “sphincter,” “continence,” “preservation,” “techniques,” and “prostatectomy.” Other potentially eligible studies were identified using the reference lists of included studies. Sphincter preservation techniques can be summarized into bladder neck preservation, minimizing injury to the external urethral sphincter, and preserving the maximal length of the external sphincter and of the membranous urethra. Three anatomical structures must be recognized and protected in an attempt to maintain the sphincter complex: the bladder neck, the external urethral sphincter and the musculature of the membranous urethra. While there is strong evidence supporting the importance of bladder neck preservation, the role of maximal preservation of the external sphincter and of the intraprostatic part of the membranous urethra in improving continence rates has not yet been reported in a statistically significant manner by high-quality studies.","PeriodicalId":23633,"journal":{"name":"Urology Annals","volume":"48 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135104168","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":"Trimodal therapy versus radical cystectomy for cT2N0M0 urothelial muscle-invasive bladder cancer: Single-center experience","authors":"Moayid Fallatah, Ali S. Alkahtani, Majed Alrumayyan, Mohammed F. Alotaibi, Sultan Alkhateeb, Alaa Ahmed Mokhtar, Waleed Altaweel","doi":"10.4103/ua.ua_50_23","DOIUrl":"https://doi.org/10.4103/ua.ua_50_23","url":null,"abstract":"Abstract Background: Bladder cancer is ranked the ninth most common cancer in the world. Locally, the incidence of bladder cancer has increased tenfold over the past 26 years. Radical cystectomy (RC) is considered a gold standard management option for muscle-invasive bladder cancer (MIBC), but trimodal therapy (TMT) has shown comparable oncological outcomes in selected patients. Materials and Methods: This is a retrospective study in which we reviewed medical records of patients diagnosed with MIBC without nodal disease or distant metastasis (cT2N0M0) who underwent either RC or TMT. Demographic data, comorbidities, histopathological and clinical staging, neoadjuvant/adjuvant therapy, and follow-up were analyzed. Results: We included a total of 31 patients in the study, with 10 patients in the TMT group and 21 patients in the RC group. There was no significant difference in recurrence between the TMT and RC groups ( P = 0.58). The TMT group had a higher percentage of local recurrence (40% vs. RC 5.2%, P = 0.018) but no significant difference in metastasis (0% vs. 10%, P = 0.420). The difference in overall survival between the TMT and RC groups was not significant ( P = 0.25). Conclusion: TMT may be considered an alternative option for patients unwilling to undergo RC due to related complications and prioritize a better quality of life. However, the decision should be made after considering the cost of extensive follow-ups and patient compliance with surveillance.","PeriodicalId":23633,"journal":{"name":"Urology Annals","volume":"41 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135060085","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":"Ureteral stents: A brief narrative review of the different polymeric types, their characteristics, and their connection to stent-related symptoms","authors":"Themistoklis Ch. Bellos, Stamatios N. Katsimperis, Lazaros I. Tzelves, Nikolaos Athanasios Kostakopoulos, Titos P. Markopoulos, Iraklis C. Mitsogiannis, Ioannis M. Varkarakis, Athanasios G. Papatsoris, Charalampos Deliveliotis","doi":"10.4103/ua.ua_39_23","DOIUrl":"https://doi.org/10.4103/ua.ua_39_23","url":null,"abstract":"Abstract Background: In routine urological practice, pigtails are frequently utilized to relieve blockage. Early signs of pigtail problems include pain, lower urinary tract symptoms, pain, hematuria (54%) and fever. Seventy percent of patients experience irritable voiding symptoms, and 80% of patients or even more report pain interfering with everyday activities. Methods: This article’s goal is to evaluate the various polymeric stents that are currently on the market. In addition, a review of their fundamental bioqualities is conducted, and a connection between their physical attributes (length, size, and composition) and stent-related issues is looked into. For this review, extensive Medline, PubMed, and literature research from 1987 to January 2023 was conducted. Lower urinary tract complaints, ureteral stents, “pigtail,” “materials,” “characteristics,” or “properties” were the search terms employed. Results: The reviews and publications that are now accessible linking certain materials to stent-related symptoms offer contradictory conclusions, and the majority of research do not specify the precise properties of the materials utilized. The results of the studies on the relationship between stents length and diameter and symptoms connected to stents are likewise inconclusive, despite the fact that there are several studies on this topic in the literature. Conclusion: Numerous studies imply a connection between the various types and properties of the utilized stents and stent-related complaints. However, the available data did not fully support this claim, necessitating additional research.","PeriodicalId":23633,"journal":{"name":"Urology Annals","volume":"45 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135060105","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":"False-positive magnetic resonance imaging prostate cancer correlates and clinical implications.","authors":"Mostafa A Arafa,&nbsp;Danny M Rabah,&nbsp;Farrukh Khan,&nbsp;Karim Hamda Farhat,&nbsp;Nahla Khamis Ibrahim,&nbsp;Alanoud A Albekairi","doi":"10.4103/ua.ua_22_22","DOIUrl":"10.4103/ua.ua_22_22","url":null,"abstract":"<p><strong>Background: </strong>False-positive (FP) multiparametric magnetic resonance imaging (MPMRI) obscures and swift needless biopsies in men with a high prostate-specific antigen.</p><p><strong>Materials and methods: </strong>This was a retrospective study, in which all patients who had been exposed to consecutive MP-MRI of the prostate combined with transrectal ultrasound-guided-magnetic resonance imaging fusion-guided prostate biopsy between 2017 and 2020 were involved in the study. The FP was measured as the number of biopsies that did not encompass prostate cancer divided by the whole number of biopsies.</p><p><strong>Results: </strong>The percentage of FP cases was 51.1%, the highest percentage was found in Prostate Imaging-Reporting and Data System (PI-RADs) 3 (37.7%) and the lowest was detected in PI-RAD 5 (14.5%). Those with FP biopsies are younger, and their total prostate antigen (PSA) and PSA density (PSAD) are significantly lesser. The area under the curve PSAD, age, and total PSA are 0.76, 0.74, and 0.69, respectively. An optimum PSAD value of 0.135 was chosen as a cutoff because it showed the highest sum of sensitivity and specificity, 68% and 69%, respectively.</p><p><strong>Conclusion: </strong>FP results of mpMRI were detected in more than half of our sample, more than one-third were presented in Pi-RAD3, improved imaging techniques to decrease FP rates are highly needed.</p>","PeriodicalId":23633,"journal":{"name":"Urology Annals","volume":"15 1","pages":"54-59"},"PeriodicalIF":0.7,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/7f/48/UA-15-54.PMC10062519.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9609086","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}