World Journal of Urology最新文献

Ventral versus dorsal onlay buccal mucosal graft urethroplasty for non-traumatic proximal bulbar urethral strictures in sexually active men: erectile and urinary functions.

IF 2.8 2区医学

World Journal of Urology Pub Date : 2025-01-27 DOI: 10.1007/s00345-025-05441-7

Ayman Mousa, Ahmed Eissa, Ali Abdel Raheem, Ahmed Zoeir

{"title":"Ventral versus dorsal onlay buccal mucosal graft urethroplasty for non-traumatic proximal bulbar urethral strictures in sexually active men: erectile and urinary functions.","authors":"Ayman Mousa, Ahmed Eissa, Ali Abdel Raheem, Ahmed Zoeir","doi":"10.1007/s00345-025-05441-7","DOIUrl":"https://doi.org/10.1007/s00345-025-05441-7","url":null,"abstract":"Purpose: To compare the erectile and urinary functions of ventral and dorsal onlay buccal mucosal graft (BMG) urethroplasty in the management of proximal bulbar urethral strictures (PBUS) in sexually active men.Patients and methods: We retrospectively included patients with primary non-traumatic PBUS who were treated with (BMG) urethroplasty at our department between March 2019 and March 2023 either ventral or dorsal approaches. Patients were assessed at 3- and 12-months postoperatively for urinary and erectile functions.Results: 133 patients were identified and underwent either ventral repair (n = 60, group I) or dorsal repair (n = 73, group II). There was no significant difference in baseline urinary and sexual function between both groups (p > 0.05). Overall, the success rate was 91.7% in Group I and 90.4% in Group II (p = 0.801). Transient ED (at 3 months) was detected in 5% and 25% (p = 0.002), while permeant ED (at 12 months) was 1.7% and 13.7% (p = 0.012) in group I and group II, respectively. Group I had significantly higher mean IIEF scores; 28.2 and 28.4 at 3 months (p < 0.001) and 12 months (p < 0.001); compared to Group II; 22.1 and 24.4, respectively.Conclusion: The ventral approach had better erectile functional outcomes compared to the dorsal approach in the management of non-traumatic PBUS in sexually active men. This might be related to less urethral mobilization and no dissection of the intercrural space during ventral onlay graft urethroplasty.","PeriodicalId":23954,"journal":{"name":"World Journal of Urology","volume":"43 1","pages":"87"},"PeriodicalIF":2.8,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143048040","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}

引用次数: 0

Mitrofanoff complications: time-to-event analysis of split versus intact appendix and meta-analysis.

IF 2.8 2区医学

World Journal of Urology Pub Date : 2025-01-27 DOI: 10.1007/s00345-024-05434-y

Michael E Chua, Kay Rivera, Rodrigo Romao, Jin Kyu Kim, Abby Varghese, Mandy Rickard, Pippi Salle, Joana Dos Santos, Jessie Cunningham, Barbara Pannozzo, Armando Lorenzo

{"title":"Mitrofanoff complications: time-to-event analysis of split versus intact appendix and meta-analysis.","authors":"Michael E Chua, Kay Rivera, Rodrigo Romao, Jin Kyu Kim, Abby Varghese, Mandy Rickard, Pippi Salle, Joana Dos Santos, Jessie Cunningham, Barbara Pannozzo, Armando Lorenzo","doi":"10.1007/s00345-024-05434-y","DOIUrl":"https://doi.org/10.1007/s00345-024-05434-y","url":null,"abstract":"Objectives: To assess the complication rates associated with split versus intact appendix Mitrofanoff procedures using a single-center retrospective analysis and a systematic review with meta-analysis.Subjects and methods: The study comprised a retrospective cohort analysis at a single institution, analyzing patients who underwent a laparoscopic-assisted Mitrofanoff with or without splitting the appendix from 2005 to 2016. The focus was on complications related to both Mitrofanoff and ACE channels. Kaplan-Meier survival analysis, log-rank tests, and Cox regression were utilized to determine hazard ratios. Additionally, a PROSPERO (CRD42023481627)-registered systematic review and meta-analysis were conducted, evaluating complication rates across diverse patient populations using the Mantel-Haenszel method with a random-effects model.Results: A total of 22 patients with intact appendix Mitrofanoff and 10 with split appendix for both Mitrofanoff and ACE creation were compared. The time to complications did not differ significantly, with a log-rank p-value of 0.72. The adjusted hazard ratio for the split appendix group was 1.26 (95% CI: 0.32-4.99). The systematic review and meta-analysis included 565 patients and indicated a higher, albeit non-significant, complication rate in the split appendix group (29.2%) compared to the intact group (20.4%), with an odds ratio of 1.49 (95% CI: 0.82-2.73).Conclusion: The analysis showed that, compared to appendicovesicostomy performed in isolation, the split appendix technique may be associated with slightly higher complication rates, though not statistically significant. The choice of surgical technique should be tailored to the individual anatomical and functional needs of patients, emphasizing the importance of personalized surgical planning and skilled execution.","PeriodicalId":23954,"journal":{"name":"World Journal of Urology","volume":"43 1","pages":"90"},"PeriodicalIF":2.8,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143053667","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}

引用次数: 0

Predictive value of Bladder EpiCheck^® in detecting residual tumor before second TUR for non-muscle-invasive bladder cancer.

IF 2.8 2区医学

World Journal of Urology Pub Date : 2025-01-27 DOI: 10.1007/s00345-025-05453-3

Serhat Süzan, İsmail Ulus, İbrahim Hacıbey, Ahmet Yaser Müslümanoğlu

{"title":"Predictive value of Bladder EpiCheck® in detecting residual tumor before second TUR for non-muscle-invasive bladder cancer.","authors":"Serhat Süzan, İsmail Ulus, İbrahim Hacıbey, Ahmet Yaser Müslümanoğlu","doi":"10.1007/s00345-025-05453-3","DOIUrl":"https://doi.org/10.1007/s00345-025-05453-3","url":null,"abstract":"Purpose: As Bladder EpiCheck® (BE) is a promising urinary biomarker for diagnosis and follow up of non-muscle-invasive bladder cancer (NMIBC), there are no studies evaluated this tool for second transurethral resection (TUR) indication. We aim to evaluate the performance of BE in predicting residual tumor before second TUR in NMIBC and its effects on clinical decision making.Methods: A total of 50 patients who were diagnosed with NMIBC and indicated for a second TUR were included in the study prospectively. The urine sample taken one day before the second TUR operation was evaluated with BE and the results were compared with second TUR pathologies.Results: The mean age was 65.3 and 45 of the patients were male. Specificity and negative predictive value of BE in primary tumor stage Ta were 100% and 87.5% while in primary tumor stage T1 were 71.4% and 68.2%, respectively. The specificity and negative predictive value of BE were 77.8% and 75%, respectively, in patients with high grade primary tumor. When all NMIBC were evaluated, the specificity and negative predictive value of BE were found to be 78.6% and 73.3% for second TUR, respectively. As an independent predictor of residual tumor in this group, positivity rates of BE were higher in T1 (p < 0.037) and high grade (p < 0.002) tumors.Conclusions: BE may be useful in detecting residual tumor before second TUR and benefit in clinical decision making with high specificity and negative predictive value. These results encourage the use of BE to reduce number of unnecessary second TUR procedures. It may improve cost effectivity and quality of life as high numbered studies are needed to support these views and to incorporate BE into clinical practice.","PeriodicalId":23954,"journal":{"name":"World Journal of Urology","volume":"43 1","pages":"89"},"PeriodicalIF":2.8,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143048033","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}

引用次数: 0

Chatbot's performance in answering medical questions: the effects of prompt design, customization settings, and session context.

IF 2.8 2区医学

World Journal of Urology Pub Date : 2025-01-27 DOI: 10.1007/s00345-025-05449-z

Mehmet Ezer

引用次数: 0

Transurethral resection of the prostate across continents: a meta-analysis evaluating quality of gold standard in the twenty-first century.

IF 2.8 2区医学

World Journal of Urology Pub Date : 2025-01-24 DOI: 10.1007/s00345-024-05439-7

Joao G Porto, Ansh M Bhatia, Abhishek Bhat, Maria Camila Suarez Arbelaez, Ruben Blachman-Braun, Khushi Shah, Ankur Malpani, Diana Lopategui, Thomas R W Herrmann, Robert Marcovich, Hemendra N Shah

{"title":"Transurethral resection of the prostate across continents: a meta-analysis evaluating quality of gold standard in the twenty-first century.","authors":"Joao G Porto, Ansh M Bhatia, Abhishek Bhat, Maria Camila Suarez Arbelaez, Ruben Blachman-Braun, Khushi Shah, Ankur Malpani, Diana Lopategui, Thomas R W Herrmann, Robert Marcovich, Hemendra N Shah","doi":"10.1007/s00345-024-05439-7","DOIUrl":"10.1007/s00345-024-05439-7","url":null,"abstract":"Purpose: To compare outcomes of transurethral resection of the prostate (TURP) across different regions worldwide over the past two decades.Methods: A systematic review and meta-analysis of randomized clinical trials indexed to PubMed that assessed TURP. A total of 102 studies with 8,454 patients were included and grouped by continents: Europe, Asia, Africa, and Others (North America, South America, and Australia). International Prostate Symptom Score (IPSS), peak flow (Qmax), postvoid residual urine (PVR), PSA levels, prostate volume, and Sexual Health Inventory for Men scores (at 3, 12, and 36 months) were assessed, along with postoperative complications. Heterogeneity across studies was classified as low (I2 < 25%), moderate (I2 = 25-75%), or high (I2 > 75%).Results: TURP consistently exhibited significant enhancements in IPSS, Qmax, and PVR across various regions. Notably, PVR demonstrated high heterogeneity (I²=100%). TURP presented low complication rates with TURP syndrome (2%), bleeding (8%), and blood transfusion (6%). However, significant heterogeneity was observed, particularly for clot evacuation (I2 = 87%), irritative symptoms (I2 = 96%), and incontinence (I2 = 84%). The retreatment rates at 1 and 3 years were 5% and 7%, respectively, with significant differences across regions.Conclusion: Global outcomes of TURP lack a discernible trend. The substantial heterogeneity observed among continents suggests a lack of standardization. Nevertheless, uniform symptomatic improvements among patients still support TURP as the gold-standard surgical treatment for benign prostatic hyperplasia, despite variations in its results worldwide.","PeriodicalId":23954,"journal":{"name":"World Journal of Urology","volume":"43 1","pages":"85"},"PeriodicalIF":2.8,"publicationDate":"2025-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11761131/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143042506","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}

引用次数: 0

Constructive feedback on the efficacy of tip-flexible suction access sheath in ureteroscopic lithotripsy for unilateral upper urinary tract calculi. 输尿管镜下单侧上尿路结石取石术中尖端柔性吸引通路鞘疗效的建设性反馈。

IF 2.8 2区医学

World Journal of Urology Pub Date : 2025-01-22 DOI: 10.1007/s00345-025-05446-2

Miaolin Zeng, Jiansheng Xiao

引用次数: 0

Comment on "Physician vs. AI-generated messages in urology: evaluation of accuracy, completeness, and preference by patients and physicians". 评论“泌尿科医生与人工智能生成的信息：患者和医生对准确性、完整性和偏好的评估”。

IF 2.8 2区医学

World Journal of Urology Pub Date : 2025-01-22 DOI: 10.1007/s00345-025-05448-0

Amnuay Kleebayoon, Viroj Wiwanitkit

引用次数: 0

Letter to the Editor: "Environmental impact of current endoscopic technology in urological procedures: a systematic review on reusable vs. disposable scopes". 致编辑的信：“泌尿外科手术中当前内窥镜技术对环境的影响：对可重复使用与一次性内窥镜的系统回顾”。

IF 2.8 2区医学

World Journal of Urology Pub Date : 2025-01-22 DOI: 10.1007/s00345-025-05454-2

Marlene Thöne, Steffen Rausch

引用次数: 0

Feasibility of robot-assisted system for navigated needle positioning in the PCNL procedure in vitro. 机器人辅助导航针定位系统在体外PCNL手术中的可行性。

IF 2.8 2区医学

World Journal of Urology Pub Date : 2025-01-20 DOI: 10.1007/s00345-025-05450-6

Jianpo Zhai, Yong Zhang, Hai Wang, Guizhong Li, Libo Man

{"title":"Feasibility of robot-assisted system for navigated needle positioning in the PCNL procedure in vitro.","authors":"Jianpo Zhai, Yong Zhang, Hai Wang, Guizhong Li, Libo Man","doi":"10.1007/s00345-025-05450-6","DOIUrl":"https://doi.org/10.1007/s00345-025-05450-6","url":null,"abstract":"Purpose: The objective of this study was to explore the feasibility of using the TianJi Robot system for navigated needle positioning in the PCNL procedure in vitro.Methods: A pig kidney with a segment of ureter was selected as the in vitro organ model. Iodine contrast agent was infused into the renal pelvis to dilate the renal pelvis and calyx to establish the in vitro hydronephrosis model. Fluoroscopic images were obtained using a 3D C-arm and transferred to the robotic workstation. Three-dimensional reconstructed images were generated and displayed on the monitor screen. The surgeon planned the optimal puncture trajectory on the workstation. After that, the robotic arm was instructed to move to the surgical field. The guiding cannula was placed onto the robotic arm and brought close to the skin. The needle was placed along the guiding cannula. An 18G needle was inserted manually. Finally, a second CBCT scan was performed to validate the needle's location.Results: Three hydronephrosis models were used in the study, and a total of seven target calyces were planned. six target calyces were successfully punctured in one attempt, with a single-puncture success rate of 87.5%.Conclusions: A high single-puncture success rate is achieved using the TianJi Robot system for navigated needle positioning in the PCNL procedure in vitro, marking an innovative step forward in urological interventions.","PeriodicalId":23954,"journal":{"name":"World Journal of Urology","volume":"43 1","pages":"81"},"PeriodicalIF":2.8,"publicationDate":"2025-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143012945","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}

引用次数: 0

A comparison on safety and efficacy between 24 Fr versus 18 Fr pneumatic balloon dilators for percutaneous treatment of renal stones between 10 and 20 mm: results from a contemporary cohort. 24 Fr与18 Fr气囊扩张器用于10 - 20毫米肾结石经皮治疗的安全性和有效性比较：来自当代队列的结果。

IF 2.8 2区医学

World Journal of Urology Pub Date : 2025-01-20 DOI: 10.1007/s00345-025-05445-3

Davide Perri, Umberto Besana, Matteo Maltagliati, Andrea Pacchetti, Tommaso Calcagnile, Antonio Luigi Pastore, Javier Romero-Otero, Salvatore Micali, Alexander Govorov, Bhaskar Somani, Evangelos Liatsikos, Thomas Knoll, Bernardo Rocco, Giorgio Bozzini

{"title":"A comparison on safety and efficacy between 24 Fr versus 18 Fr pneumatic balloon dilators for percutaneous treatment of renal stones between 10 and 20 mm: results from a contemporary cohort.","authors":"Davide Perri, Umberto Besana, Matteo Maltagliati, Andrea Pacchetti, Tommaso Calcagnile, Antonio Luigi Pastore, Javier Romero-Otero, Salvatore Micali, Alexander Govorov, Bhaskar Somani, Evangelos Liatsikos, Thomas Knoll, Bernardo Rocco, Giorgio Bozzini","doi":"10.1007/s00345-025-05445-3","DOIUrl":"https://doi.org/10.1007/s00345-025-05445-3","url":null,"abstract":"Purpose: To assess differences in safety and efficacy between 24 and 18 Fr pneumatic balloon dilators for percutaneous nephrolithotripsy (PCNL) of renal stones between 10 and 20 mm.Methods: Patients were randomized to dilatation with a 24 Fr (Group A) versus 18 Fr (Group B) Ultraxx pneumatic dilator (Cook Medical®). In all procedures percutaneous puncture was performed under ultrasound guidance. In both groups the Holmium: YAG Cyber Ho laser generator was used (Quanta System®). Stone-free rate (SFR) and postoperative complications were assessed.Results: 42 and 44 patients were assigned to Groups A and B, respectively. Preoperative features were comparable. Mean stone size was 17.8 vs. 16.6 mm in Group A vs. B (p = 0.21). SFR was 95.2% in Group A and 95.4% in Group B (p = 0.19). Postoperative gross haematuria was observed in 5 vs. 2 cases in Group A vs. B (p = 0.04). Mean haemoglobin drop at first postoperative day (POD) was higher in Group A (2.4 vs. 1.1 mg/dl, p = 0.04), while comparable at third POD. Blood transfusion was required in 2 cases in Group A and 1 case in Group B. No patients required embolization. No significant difference was observed in terms of postoperative pain and urinary infection.Conclusions: 24 and 18 Fr pneumatic dilators are both effective to access renal cavity during PCNL for the treatment of renal stones between 10 and 20 mm. Gross haematuria rate and mean haemoglobin decrease at first POD were significantly higher with 24 Fr dilator, but with no differences in the need for blood transfusions and renal embolization.","PeriodicalId":23954,"journal":{"name":"World Journal of Urology","volume":"43 1","pages":"79"},"PeriodicalIF":2.8,"publicationDate":"2025-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143012933","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}

引用次数: 0