{"title":"Correction to: Pulsed Thulium: YAG laser for the management of Urolithiasis: a systematic review from the EAU section of endourology.","authors":"Panagiotis Kallidonis, Theodoros Spinos, Selcuk Guven, Vasileios Tatanis, Angelis Peteinaris, Evangelos Liatsikos, Olivier Traxer, Bhaskar Somani","doi":"10.1007/s00345-025-05600-w","DOIUrl":"https://doi.org/10.1007/s00345-025-05600-w","url":null,"abstract":"","PeriodicalId":23954,"journal":{"name":"World Journal of Urology","volume":"43 1","pages":"400"},"PeriodicalIF":2.8,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144508661","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Henrique L Lepine, Fabio Carvalho Vicentini, Alexandre Danilovic, Wilson R Molina, Lucas B Vergamini, Giovanni S Marchini, Fabio C M Torricelli, Carlos A Batagello, William C Nahas, Eduardo Mazzucchi
{"title":"A comparative meta-analysis on bilateral same-session and unilateral retrograde intrarenal surgery for kidney stones.","authors":"Henrique L Lepine, Fabio Carvalho Vicentini, Alexandre Danilovic, Wilson R Molina, Lucas B Vergamini, Giovanni S Marchini, Fabio C M Torricelli, Carlos A Batagello, William C Nahas, Eduardo Mazzucchi","doi":"10.1007/s00345-025-05673-7","DOIUrl":"https://doi.org/10.1007/s00345-025-05673-7","url":null,"abstract":"<p><strong>Purpose: </strong>To compare the safety and efficacy of bilateral same-session retrograde intrarenal surgery (B-RIRS) and unilateral retrograde intrarenal surgery (U-RIRS) for treating renal stones, focusing on stone-free rates (SFR), complications, retreatment rates, operative time, and hospital stay.</p><p><strong>Materials and methods: </strong>A systematic review was conducted following PRISMA guidelines. Seven comparative studies met the inclusion criteria. Primary outcomes included SFR and complications (minor: Clavien-Dindo I-II; major: III-V); secondary outcomes comprised retreatment rates, operative time, and hospital stay. Random-effects models were used to generate pooled odds ratios (OR) for categorical outcomes and mean differences (MD) for continuous variables. Subgroup analyses compared adult-only populations with elderly-inclusive cohorts.</p><p><strong>Results: </strong>A total of 1,218 patients from seven studies were analyzed. Overall, B-RIRS showed no statistically significant difference in SFR (OR 0.73; 95% CI, 0.43-1.23) compared to U-RIRS, yet subgroup analyses indicated that elderly populations tended to have lower SFR with bilateral procedures. B-RIRS was associated with higher minor (OR 2.55; 95% CI, 1.33-4.90) and major complications (OR 3.16; 95% CI, 1.38-7.24), increased retreatment needs (OR 2.46; 95% CI, 1.48-4.08), and longer operative times (MD 24.99 min; 95% CI, 17.48-32.50). Hospital stay was similar between groups.</p><p><strong>Conclusions: </strong>Although B-RIRS facilitates management by reducing multiple anesthesia exposures and maintaining similar SFRs, it appears to be linked with increased complication and retreatment rates, especially in elderly or comorbidity-heavy populations. Carefully selected patients may see more comparable complications. Future randomized trials are needed to confirm these subgroup findings, standardize stone-free definitions, and refine selection criteria for bilateral same-session RIRS.</p>","PeriodicalId":23954,"journal":{"name":"World Journal of Urology","volume":"43 1","pages":"394"},"PeriodicalIF":2.8,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144498192","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Minore Antonio, Cacciatore Loris, Secco Silvia, Gacci Mauro, Thomas R W Herrmann, De Nunzio Cosimo, Kuang Wayne, Cornu Jean Nicolas, Cindolo Luca
{"title":"Non-conventional diagnostic tools for lower urinary tract symptoms and bladder outlet obstruction in men: a perspective review.","authors":"Minore Antonio, Cacciatore Loris, Secco Silvia, Gacci Mauro, Thomas R W Herrmann, De Nunzio Cosimo, Kuang Wayne, Cornu Jean Nicolas, Cindolo Luca","doi":"10.1007/s00345-025-05777-0","DOIUrl":"https://doi.org/10.1007/s00345-025-05777-0","url":null,"abstract":"<p><p>Introduction Assessing male lower urinary tract symptoms (LUTS) due to Benign outlet obstruction (BOO) remains a challenge in urology due to the limitations of conventional diagnostic methods, which are often invasive, time-consuming, and inefficient. Objective Given these limitations, this review explores emerging non-conventional diagnostic approaches for evaluating benign male LUTS. Methods: A broad literature search was performed in November 2024 regarding the assessment of male LUTS exploiting tools different than UDS. The search strategy was implemented across Scopus, PubMed, and Web of Science.Results Ultrasonography, along with surrogate diagnostic methods such as detrusor wall thickness and intravesical prostatic protrusion, remains a key tool in the outpatient setting. Additionally, alternative methods, including near-infrared spectroscopy (NIRS), condom catheter testing, and penile cuff pressure analysis, are being investigated with the latter, showing potential as a non-invasive alternative to urodynamics, pending further future validations. Biomarkers, such as PSA, adiponectin, neural growth factor and miRNA are gaining interest in the scientific community as additional diagnostic frameworks to enhance diagnostic accuracy. Moreover, advancements in computational modeling and artificial intelligence (AI) are poised to revolutionize LUTS diagnostics. Computational modeling, though still in its early stages, offers valuable insights into anatomical and flow dynamics, providing objective parameters for assessing obstruction severity and the need for surgical intervention. Although it has not yet integrated in the current clinical practice, AI, in particular, may offer the potential to integrate diverse data sources, including diagnostic tests and patient-reported symptoms, to create more reliable predictive models for bladder outlet obstruction. Conclusion Given the rapid development and the large economic interest of machine learning, it is expected to play a pivotal role in the future of LUTS assessment, offering faster and more accurate diagnostic tools.</p>","PeriodicalId":23954,"journal":{"name":"World Journal of Urology","volume":"43 1","pages":"395"},"PeriodicalIF":2.8,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144498197","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Frédéric Panthier, Laurent Berthe, Chady Ghnatios, Francisco Chinesta, Stessy Kutchukian, Steeve Doizi, François Audenet, Laurent Yonneau, Thierry Lebret, Marc-Olivier Timsit, Arnaud Mejean, Luigi Candela, Catalina Solano, Mariela Corrales, Marie Chicaud, Olivier Traxer, Daron Smith
{"title":"From laser-on time to lithotripsy duration: improving the prediction of lithotripsy duration with 'Kidney Stone Calculator' using artificial intelligence.","authors":"Frédéric Panthier, Laurent Berthe, Chady Ghnatios, Francisco Chinesta, Stessy Kutchukian, Steeve Doizi, François Audenet, Laurent Yonneau, Thierry Lebret, Marc-Olivier Timsit, Arnaud Mejean, Luigi Candela, Catalina Solano, Mariela Corrales, Marie Chicaud, Olivier Traxer, Daron Smith","doi":"10.1007/s00345-025-05771-6","DOIUrl":"https://doi.org/10.1007/s00345-025-05771-6","url":null,"abstract":"<p><strong>Introduction: </strong>\"Kidney Stone Calculator\" (KSC) helps to plan flexible ureteroscopy, providing the stone volume (SV) and an estimated duration of laser lithotripsy (eLD). eLD is calculated from in vitro ablation rates and SV. KSC's accuracy has been demonstrated with a mean difference between eLD and effective LD (EfLD) of 18.8%. We aimed to reduce the eLD-efLD difference using Machine Learning (ML).</p><p><strong>Methods: </strong>From the prospective multicenter KSC database, demographic and peri-operative data were anonymously extracted: SV, stone location, maximum density, anatomy, surgical expertise, ureteral access sheath, basket use, laser source, fiber diameter and settings, eLD and efLD. After normalization and splitting (training (80%), test (20%)), significant variables influencing the difference between eLD and efLD were selected through multiple linear regression (MLR). Six types of ML models were subsequently evaluated to minimize the mean absolute error (MAE) between eLD and efLD on the test group.</p><p><strong>Results: </strong>125 patients were included. After normalization and MLR, MAE were significantly influenced by 14 variables (including diverticulum location, surgical expertise, laser sources, laser fiber diameters, 5 Hz frequency, 1.5 J pulse energy and eLD). eLD had the greatest positive impact on the eLD-efLD difference (2.45 (2.16-2.73), p < 0.0001)). Above the various tested ML models, the Bayesian \"Automatic-Relevance-Determination\" and Dense Neural Networks respectively presented the lowest and highest MAE on the test group (3.9% and 6.8%). Results did not differ among models overall (p = 0.93) and two by two.</p><p><strong>Conclusion: </strong>The difference between KSC's eLD and efLD can be five-fold reduced using ML and Artificial Intelligence, including clinically impactful factors such as the surgical technique or expertise. A clinical inference could help to externally validate our findings.</p>","PeriodicalId":23954,"journal":{"name":"World Journal of Urology","volume":"43 1","pages":"396"},"PeriodicalIF":2.8,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144498196","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Comparing ventral and dorsal oral mucosal graft urethroplasty in female urethral stricture: a systematic review and meta-analysis.","authors":"Mazhar Ortac, M Firat Ozervarli, Rifat Burak Ergul, Arda Tunc Aydinoglu, Mevlut Melih Bicer, Teresa Olsen Ekerhult, Senol Tonyali, Assoc Prof","doi":"10.1007/s00345-025-05773-4","DOIUrl":"10.1007/s00345-025-05773-4","url":null,"abstract":"<p><strong>Purpose: </strong>Reconstructive surgical options have become an alternative for female urethral stricture. Dorsal and ventral methods using oral mucosa grafts have been described, but their superiority over each other has not been evaluated. In this meta-analysis, the outcomes of dorsal and ventral techniques with oral mucosa graft in female urethroplasty have been compared.</p><p><strong>Material and method: </strong>A systematic search of Pubmed, Scopus and Web of Science databases was performed according to the Preferred Reporting Items For Systematic Review And Meta-Analysis statement. Manuscripts published until February 2025 that reported the use of dorsal or ventral surgical approaches with oral mucosa grafts in female urethroplasty included. Success, determined based on the recurrence rate, was analyzed and compared between both groups. Complications were presented in both groups to evaluate the safety of the surgical technique.</p><p><strong>Results: </strong>A total of 320 studies were identified, with 25 meeting the inclusion criteria. The meta-analysis, including four comparative cohort studies, showed no significant difference in surgical success between the dorsal (62/69 patients) and ventral (93/103 patients) techniques (OR = 0.84, 95% CI: 0.30-2.36, p = 0.74). In the pooled analysis combining both comparative and non-comparative studies, the success rates for the dorsal and ventral techniques were 92.1% (95% CI: 89.1-95.1) and 95.5% (95% CI: 92.8-98.2), respectively, with no significant heterogeneity. A total of 4 cases of stress urinary incontinence complications were reported in the ventral approach, while 2 cases were reported using the dorsal approach. The majority of the studies (21 out of 25) provided Level 4 evidence, with only two randomized controlled trials reaching Level 2.</p><p><strong>Conclusion: </strong>This meta-analysis confirms that both dorsal and ventral approaches are effective for treating female urethral stricture, with high success rates. There was no statistically significant difference in success rates between the ventral and dorsal approaches. Surgical approach selection should depend on patient factors and surgeon expertise to achieve optimal outcomes.</p>","PeriodicalId":23954,"journal":{"name":"World Journal of Urology","volume":"43 1","pages":"397"},"PeriodicalIF":2.8,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12202565/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144498194","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Carlo Giulioni, Daniele Castellani, Federico Falsetti, Naeem Bhojani, Ben Hall Chew, Steffi Kar Kei Yuen, Anil Shrestha, Pablo Contreras, Sundaram Palaniappan, Tsung Wen Chong, Angelo Cafarelli, Wei Zhu, Guohua Zeng, Yi Tan Quan, Jia-Lun Kwok, Khi Yung Fong, Amelia Pietropaolo, Thomas Herrmann, Olivier Traxer, Bhaskar Kumar Somani, Vineet Gauhar
{"title":"Single-use versus reusable flexible ureterorenoscopes with FANS: a multicenter propensity-matched analysis of outcomes in a large series from the EAU-Endourology Section and FANS Collaborative Group.","authors":"Carlo Giulioni, Daniele Castellani, Federico Falsetti, Naeem Bhojani, Ben Hall Chew, Steffi Kar Kei Yuen, Anil Shrestha, Pablo Contreras, Sundaram Palaniappan, Tsung Wen Chong, Angelo Cafarelli, Wei Zhu, Guohua Zeng, Yi Tan Quan, Jia-Lun Kwok, Khi Yung Fong, Amelia Pietropaolo, Thomas Herrmann, Olivier Traxer, Bhaskar Kumar Somani, Vineet Gauhar","doi":"10.1007/s00345-025-05769-0","DOIUrl":"https://doi.org/10.1007/s00345-025-05769-0","url":null,"abstract":"<p><strong>Objective: </strong>This study compares the clinical outcomes of single-use and reusable flexible ureterorenoscopes (fURS) in retrograde intrarenal surgery (RIRS) with flexible and navigable suction access sheath (FANS).</p><p><strong>Methods: </strong>A multicenter prospective analysis included 704 patients who underwent RIRS with FANS between July 2023 and March 2024. Patients were stratified into two groups: those treated with single-use fURS (Group 1, n = 263) and those with reusable fURS (Group 2, n = 441). Propensity score matching (PSM) was used to reduce confounding in the statistical comparisons. The primary outcomes were stone-free rate (SFR) and complication rates, assessed through pre- and postoperative non-contrast computed tomography (NCCT) scans. Statistical analyses were performed using R software, with p < 0.05 considered significant.</p><p><strong>Results: </strong>After propensity score matching, 226 patients per group were well-balanced across baseline characteristics (ASMD < 0.1). Group 1 was associated with shorter laser (p = 0.001) and operative times (p = 0.048), and more frequent use of larger sheaths (p < 0.001). Complication rates were low and comparable between groups. Group 1 achieved higher 100% stone free status (65.5% vs. 55.8%, p = 0.012), though overall stone-free rates were similar. Reintervention rates did not differ significantly. Lasing and exit strategy did not differ between the two groups. On multivariate analysis, single-use scope use (OR 1.659, p = 0.018) and 10-12 Fr UAS (OR 1.749, p = 0.043) were significantly associated with complete stone clearance.</p><p><strong>Conclusion: </strong>Our study findings indicate that FANS is a safe and effective technique irrespective of the type of scope used. However, as FANS offers the potential to achieve a truly 100% stone-free status, this outcome is more likely when using single-use scopes in combination with 10/12 sheaths. Given that stone volume is a significant determinant of stone-free outcomes, surgeons may consider selecting the scope type to tailor the procedure according to stone complexity.</p>","PeriodicalId":23954,"journal":{"name":"World Journal of Urology","volume":"43 1","pages":"399"},"PeriodicalIF":2.8,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144498200","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Lina Souiden, Le Mai Tu, Maxence Bordeleau, Geneviève Laberge, Patrick O Richard, Salima Ismail
{"title":"Prevalence and predictive factors of complicated urinary tract infections post bladder and prostate transurethral resections.","authors":"Lina Souiden, Le Mai Tu, Maxence Bordeleau, Geneviève Laberge, Patrick O Richard, Salima Ismail","doi":"10.1007/s00345-025-05775-2","DOIUrl":"https://doi.org/10.1007/s00345-025-05775-2","url":null,"abstract":"<p><strong>Purpose: </strong>Complicated urinary tract infections (UTI) after transurethral resection of bladder or prostate tumor (TURBT, TURP) are one of the most frequent and significant complications. However, recommendations for pre-operative antibiotic prophylaxis and treatment of asymptomatic bacteriuria differ greatly. This study aims to determine the prevalence of complicated UTI following TURP and TURBT. The secondary objective is to identify pre and postoperative risk factors associated with complicated UTI.</p><p><strong>Methods: </strong>A retrospective institutional cohort study was conducted by analyzing records of patients who had either a TURP or a TURBT between January 2020 and December 2021 at the Centre intégré universitaire de santé et de services sociaux de l'Estrie-Centre hospitalier universitaire de Sherbrooke (CIUSSE-CHUS). The prevalence of complicated UTI requiring hospitalization up to 30 days after surgery and associated risk factors were recorded.</p><p><strong>Results: </strong>Out of the 701 patients included, 579 (82.6%) were men and the median age was 72.9 years (IQR: 67-79). In total, 505 (72.0%) patients had undergone a TURBT while 196 (28.0%) had a TURP. Readmission for a complicated UTI was necessary in 16 (2.3%) patients. American Society of Anesthesiologists scores of 3 and 4 were significantly associated with a higher prevalence of post-operative complicated UTI (OR 3.39; CI 1.21-10.8; p = 0.025).</p><p><strong>Conclusion: </strong>The prevalence of complicated UTI after TURBT and TURP is relatively low. However, patients with more comorbidities are at greater risk of serious post-operative infectious complications. Antibiotic regimen for patients with pre-operative asymptomatic bacteriuria should therefore be further personalized.</p>","PeriodicalId":23954,"journal":{"name":"World Journal of Urology","volume":"43 1","pages":"398"},"PeriodicalIF":2.8,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144498199","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Julio Yanes, Daniel Ajabshir, Aravindh Rathinam, Archan Khandekar, Jonathan Katz, Robert Marcovich, Hemendra N Shah
{"title":"Analyzing retraction trends in urology: a comprehensive study over the last decade.","authors":"Julio Yanes, Daniel Ajabshir, Aravindh Rathinam, Archan Khandekar, Jonathan Katz, Robert Marcovich, Hemendra N Shah","doi":"10.1007/s00345-025-05764-5","DOIUrl":"10.1007/s00345-025-05764-5","url":null,"abstract":"<p><strong>Objective: </strong>To investigate why retractions in academic literature have risen substantially, leading to rising concerns about research reliability and integrity. While retraction trends have been explored across disciplines, urology-specific factors remain underexamined. This study investigates 292 retracted urological publications from 2014 to 2024, focusing on open-access journals to analyze how publishing models influence retraction trends.</p><p><strong>Methods: </strong>A retrospective analysis of retracted urological publications was conducted using the PubMed database. The study employed 84 MeSH search terms to identify articles and categorize them by research type, journal impact factor, citation count, geographical distribution, and retraction reasons. Statistical analyses were performed to assess associations between retraction characteristics.</p><p><strong>Results: </strong>The most common reason for retraction (90.4%) was discrepancies in data availability or research description, with systematic publication manipulation accounting for 5.1%. The majority of retractions (84.5%) originated from China. Journals with higher impact factors exhibited longer recall times for retractions but no significant difference in citation count at recall.</p><p><strong>Conclusion: </strong>This study highlights the increasing frequency of retractions in urology and identifies key factors influencing these trends. Geographic disparities, open-access models, and journal impact factors play significant roles. Addressing research integrity requires improved editorial oversight, standardized reporting guidelines, and enhanced detection of publication misconduct.</p>","PeriodicalId":23954,"journal":{"name":"World Journal of Urology","volume":"43 1","pages":"392"},"PeriodicalIF":2.8,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12198332/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144498193","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Global prevalence and etiologies of urinary tract infection among oncologic patients: a systematic review and meta-analysis.","authors":"Muluneh Assefa, Mitkie Tigabie, Azanaw Amare, Abebe Birhanu, Wesam Taher Almagharbeh, Getu Girmay","doi":"10.1007/s00345-025-05774-3","DOIUrl":"10.1007/s00345-025-05774-3","url":null,"abstract":"<p><strong>Background: </strong>Chemotherapy can lead to severe and prolonged immunosuppression, which puts oncologic patients at a higher risk of UTIs. This review determined the global prevalence and etiologic agents of UTIs among oncologic patients.</p><p><strong>Methods: </strong>The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines were used for reporting. The article search was performed via PubMed, Medline, EMBASE, Google Scholar, Hinari, Web of Science, Science Direct, and African Journals Online. Data were extracted via a Microsoft Excel spreadsheet and analyzed via STATA version 11.0. A random effects model was used to estimate the pooled effect size across the studies. The heterogeneity was checked via the I<sup>2</sup> statistic. The publication bias was determined via a funnel plot and Egger's test, with a p-value < 0.05 indicating statistically significant bias. Subgroup and sensitivity analyses were subsequently performed.</p><p><strong>Results: </strong>Eighteen articles were eligible for this review. The pooled estimate of UTI incidence was 34.39% (95% CI: 22.29-46.49), with high heterogeneity (I<sup>2</sup> = 96.2%) and statistical significance (p < 0.001). In the subgroup analysis, a high prevalence of UTIs was observed in Asia (49.71%), with studies not reporting the type of malignancy (68.87%; 95% CI: 59.95-77.79%), symptomatic bacteriuria (34.86%), and adults (39.87%). Among the etiologic agents of UTI, the most common was E. coli (19.99%, 95% CI: 10.27-29.71%), followed by Klebsiella spp. (5.12%, 95% CI: 2.47-7.76%). The pooled prevalence of UTIs among patients with bladder cancer was 22.09% (95% CI: - 13.75-57.94, I<sup>2</sup> = 95.5%).</p><p><strong>Conclusion: </strong>There is a significant global burden of UTIs (34.39%) in oncologic patients. This requires regular screening of UTIs in oncologic patients to minimize further complications, better monitoring, and early treatment.</p>","PeriodicalId":23954,"journal":{"name":"World Journal of Urology","volume":"43 1","pages":"389"},"PeriodicalIF":2.8,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144486212","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Giorgio Mazzon, Samyek Dewan, Maryam Rasheed, Shailesh Kulkarni, Davide Brusa, Francesco Fontana, Khi Yung Fong, Kemal Sarica, Yasser Abelraouf Farahat, Ben H Chew, Naeem Bhojani, Steffi Kar Kei Yuen, Bhaskar Somani, Simon Choong, Daniele Castellani, Vineet Gauhar
{"title":"Flexible ureteroscopy for renal stones comparing non suction conventional UAS vs flexible and navigable suction ureteral access sheaths in a multicenter real-world experience. Is it finally time to bury the no suction ureteral access sheath? An EAU endourology analysis.","authors":"Giorgio Mazzon, Samyek Dewan, Maryam Rasheed, Shailesh Kulkarni, Davide Brusa, Francesco Fontana, Khi Yung Fong, Kemal Sarica, Yasser Abelraouf Farahat, Ben H Chew, Naeem Bhojani, Steffi Kar Kei Yuen, Bhaskar Somani, Simon Choong, Daniele Castellani, Vineet Gauhar","doi":"10.1007/s00345-025-05748-5","DOIUrl":"https://doi.org/10.1007/s00345-025-05748-5","url":null,"abstract":"","PeriodicalId":23954,"journal":{"name":"World Journal of Urology","volume":"43 1","pages":"390"},"PeriodicalIF":2.8,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144486211","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}