World Journal of Urology最新文献_第4页

Is flexible and navigable suction ureteral access sheath (FANS-UAS) the next best development for retrograde intrarenal surgery in children? Results of a prospective multicentre study. 柔性可导航抽吸输尿管通路鞘（FANS-UAS）是儿童逆行肾内手术的下一个最佳发展方向吗？一项前瞻性多中心研究的结果。

IF 2.8 2区医学

World Journal of Urology Pub Date : 2024-11-06 DOI: 10.1007/s00345-024-05337-y

Vineet Gauhar, Yesica Quiroz Madarriaga, Bhaskar Somani, Rohit Joshi, Yiloren Tanidir, Daniele Castellani, Deepak Ragoori, Khi Yung Fong, Steffi Kar Kei Yuen, Anna Bujons Tur, Azimdjon N Tursunkulov, Chandra Mohan Vaddi

{"title":"Is flexible and navigable suction ureteral access sheath (FANS-UAS) the next best development for retrograde intrarenal surgery in children? Results of a prospective multicentre study.","authors":"Vineet Gauhar, Yesica Quiroz Madarriaga, Bhaskar Somani, Rohit Joshi, Yiloren Tanidir, Daniele Castellani, Deepak Ragoori, Khi Yung Fong, Steffi Kar Kei Yuen, Anna Bujons Tur, Azimdjon N Tursunkulov, Chandra Mohan Vaddi","doi":"10.1007/s00345-024-05337-y","DOIUrl":"10.1007/s00345-024-05337-y","url":null,"abstract":"Purpose: To assess retrograde intrarenal surgery (RIRS) outcomes in children using ClearPetra, a flexible and navigable suction ureteral access sheath (FANS-UAS).Methods: Children with kidney stone(s) only undergoing RIRS in 8 centers were prospectively included (September 2023-May 2024).Exclusion criteria: ureteral stone, bilateral procedures, anomalous kidneys, surgery for residual fragments. Lithotripsy was performed using either a Holmium or Thulium fiber laser. Postoperative pain was assessed within 24 h using a 10-point visual analogue score. The use of FANS-UAS was graded by surgeons after each case using a 5-point likert scale. Low-dose non-contrast CT scan was performed before and within 30 days of RIRS to assess residual fragments (RFs). Stone-free status was defined as no RF or single RF up to 2 mm.Results: 50 children were included. 66% were male. Mean age was 6.6 (± 3.38) years. 88% stones were < 2 cm. one-third of the patients had a stone volume > 1500mm3. 10-12 Fr FANS-UAS was used in 98% of the procedure. The mean operative time was 46.02 (± 20.72) minutes. 2 patients had Traxer grade1 distal ureter and 2 forniceal injuries on sheath placement. Mean pain score was 2.18 (± 1.34). Mean likert scale was 1.16 (± 0.47) for ease of suction, 1.24 (± 0.52) for manipulation, 1.02 (± 0.32) for visibility. 4 patients had post-operative fever lasting less than 24 h. No sepsis occurred. Stone-free rate was 100%.Conclusions: Our study shows that the use of FANS-UAS in paediatric RIRS is feasible and safe with a low rate of complications and excellent stone-free rate.","PeriodicalId":23954,"journal":{"name":"World Journal of Urology","volume":"42 1","pages":"627"},"PeriodicalIF":2.8,"publicationDate":"2024-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142584210","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

Efficacy analysis of tip-flexible suction access sheath during flexible ureteroscopic lithotripsy for unilateral upper urinary tract calculi. 在柔性输尿管镜碎石术治疗单侧上尿路结石时使用尖端柔性抽吸通道鞘的疗效分析。

IF 2.8 2区医学

World Journal of Urology Pub Date : 2024-11-05 DOI: 10.1007/s00345-024-05325-2

Zhaoxin Ying, Hao Dong, Chao Li, Shuwei Zhang, Yin Chen, Minjie Chen, Yonghan Peng, Xiaofeng Gao

{"title":"Efficacy analysis of tip-flexible suction access sheath during flexible ureteroscopic lithotripsy for unilateral upper urinary tract calculi.","authors":"Zhaoxin Ying, Hao Dong, Chao Li, Shuwei Zhang, Yin Chen, Minjie Chen, Yonghan Peng, Xiaofeng Gao","doi":"10.1007/s00345-024-05325-2","DOIUrl":"https://doi.org/10.1007/s00345-024-05325-2","url":null,"abstract":"Purpose: This study aims to evaluate the efficacy of tip-flexible suctioning ureteral access sheath (TFS-UAS) compared to traditional ureteral access sheath (T-UAS) in flexible ureteroscopic lithotripsy (FURL) for unilateral upper urinary tract calculi.Methods: The study retrospectively compared outcomes from 103 cases using TFS-UAS and 138 using T-UAS treated with FURL for unilateral upper urinary tract calculi from January to October 2023. Assessed parameters included patient demographics, stone characteristics, preoperative urine cultures, ureteral pre-stenting, comorbidities, procedure time, stone-free rate (SFR), utilization of stone retrieval baskets, and postoperative Systemic Inflammatory Response Syndrome (SIRS) rates. The maximum angle of deflection was also measured when the flexible ureteroscope was located in different parts of the TFS-UAS with different diameters in vitro.Results: The TFS-UAS group achieved a higher Immediate SFR (76.70% vs. 63.77%, p = 0.031) and final SFR (89.32% vs. 73.91%, p = 0.003) than the T-UAS group, especially in the lower calyx stones (80.00% vs. 41.18%, p = 0.018) and upper urinary tract calculi with a cumulative diameter of 2 cm or larger (68.97% vs. 42.11%, p = 0.029). Notably, TFS-UAS with a 10 French (F) inside diameter size achieved a higher SFR (88.57% vs. 70.59%, p = 0.041) and a greater deflection angle than the 12.5 F inside diameter size. No significant variations were observed in the operative duration, hospitalization duration and the occurrence of SIRS between the compared cohorts.Conclusion: TFS-UAS significantly improves SFR in FURL treatment of unilateral upper urinary tract calculi, particularly for stones located in the lower calyx or with a cumulative diameter of 2 cm or greater, compared to T-UAS.","PeriodicalId":23954,"journal":{"name":"World Journal of Urology","volume":"42 1","pages":"626"},"PeriodicalIF":2.8,"publicationDate":"2024-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142584080","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

Open simple prostatectomy in the last three decades: results of a meta-analysis. 过去三十年的开放式单纯前列腺切除术：荟萃分析结果。

IF 2.8 2区医学

World Journal of Urology Pub Date : 2024-11-05 DOI: 10.1007/s00345-024-05315-4

Renil S Titus, Ansh Bhatia, Joao G Porto, Khushi Shah, Diana M Lopategui, Thomas R W Herrmann, Robert Marcovich, Hemendra N Shah

{"title":"Open simple prostatectomy in the last three decades: results of a meta-analysis.","authors":"Renil S Titus, Ansh Bhatia, Joao G Porto, Khushi Shah, Diana M Lopategui, Thomas R W Herrmann, Robert Marcovich, Hemendra N Shah","doi":"10.1007/s00345-024-05315-4","DOIUrl":"10.1007/s00345-024-05315-4","url":null,"abstract":"Purpose: Open simple prostatectomy (OSP) has been a cornerstone in treating large prostate volumes (> 80 ml) in benign prostatic hyperplasia (BPH). With evolving minimally invasive procedures like minimally invasive simple prostatectomy (MISP) and laser enucleation, the role of OSP needs contemporary evaluation. This way, we assessed the efficacy and safety of OSP to understand its current standing in the treatment of BPH, especially in comparison with newer surgical modalities.Methods: A comprehensive search of MEDLINE, Cochrane and EMBASE was conducted to include randomized controlled trials (RCTs) comparing OSP with other treatments for BPH from 1993 to 2023. A total of 10 RCTs were included in the meta-analysis. Data on various outcomes including IPSS, Qmax, PVR, quality of life, perioperative factors, and postoperative complications were analysed.Results: Our meta-analysis, covering 557 patients, confirms OSP's significant improvement in voiding symptoms and objective voiding metrics. However, it also reveals a higher incidence of postoperative complications, such as bleeding and transfusion requirements. The study found moderate to high heterogeneity in perioperative outcomes, indicating variations in surgical techniques and postoperative care. OSP remains a reliable option with an easily accessible and effective approach for managing large prostates, despite advancements in minimally invasive surgeries.Conclusion: OSP continues to be a relevant surgical option for BPH in large prostates, offering significant symptom relief. However, the associated higher morbidity warrants careful patient selection and highlights the need for continued research into optimizing surgical techniques and improving outcomes.","PeriodicalId":23954,"journal":{"name":"World Journal of Urology","volume":"42 1","pages":"625"},"PeriodicalIF":2.8,"publicationDate":"2024-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142584184","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

Reply to Letter to the Editor about "Recurrences after nephron-sparing treatments of renal cell carcinoma: a competing risk analysis" by Qiang et al. 回复 Qiang 等人关于 "肾细胞癌肾小球保留治疗后的复发：竞争风险分析 "的致编辑信。

IF 2.8 2区医学

World Journal of Urology Pub Date : 2024-11-04 DOI: 10.1007/s00345-024-05304-7

Andreas Karlsson Rosenblad, Bassam Mazin Hashim, Per Lindblad, Börje Ljungberg

引用次数: 0

Letter to the editor for the article "Transrectal versus transperineal prostate fusion biopsy: a pair-matched analysis to evaluate accuracy and complications". 致编辑的信，文章标题为 "经直肠与经会阴前列腺融合活检：评估准确性和并发症的配对分析"。

IF 2.8 2区医学

World Journal of Urology Pub Date : 2024-11-04 DOI: 10.1007/s00345-024-05331-4

Ziyi He, Chenxi Wang, Huichuan Tian

引用次数: 0

Thirty-five years of the French Association of Urologists in Training (AFUF) a scoping review and bibliometric analysis of scientific literature conducted by urologists in training. 法国泌尿科医师培训协会（AFUF）成立三十五周年，对泌尿科医师培训科学文献进行范围界定和文献计量分析。

IF 2.8 2区医学

World Journal of Urology Pub Date : 2024-11-04 DOI: 10.1007/s00345-024-05292-8

Emilien Seizilles de Mazancourt, Anna Goujon, Juliette Cotte, Arthur Peyrottes, Gaelle Margue, Georges Mjaess, Stephan Levy, Pierre Luc Dequirez, William Berchiche, Guillaume Joussen, Alice Pitout, Vassili Anastay, Claire Deleuze, Benoit Mesnard, Denis Seguier, Fayek Taha, Kevin Kaulanjan

{"title":"Thirty-five years of the French Association of Urologists in Training (AFUF) a scoping review and bibliometric analysis of scientific literature conducted by urologists in training.","authors":"Emilien Seizilles de Mazancourt, Anna Goujon, Juliette Cotte, Arthur Peyrottes, Gaelle Margue, Georges Mjaess, Stephan Levy, Pierre Luc Dequirez, William Berchiche, Guillaume Joussen, Alice Pitout, Vassili Anastay, Claire Deleuze, Benoit Mesnard, Denis Seguier, Fayek Taha, Kevin Kaulanjan","doi":"10.1007/s00345-024-05292-8","DOIUrl":"https://doi.org/10.1007/s00345-024-05292-8","url":null,"abstract":"Purpose: The objective of this scoping review was to identify the topics of research and the types of studies published by the French Association of Urologists in Training (AFUF) since it was created, 35 years ago and to perform a bibliometric analysis.Methods: A scoping review on PubMed, Google scholar, Excerpta Medica database (EMBASE) was conducted from 1989 until the 31st of December 2023. The PRISMA extended guidelines for scoping reviews were followed. Articles were independently screened and analyzed by two reviewers. The theme type, primary results, language of publication, number of male and female authors and number of citations from each included article were extracted.Results: A total of 32 articles were included among which 17 surveys and 11 cohort studies. There was a median percentage of 20% women among authors. Fifteen articles (47%) were published in French and 17 articles in English. The median number of citations was 4.5. The topics covered were urologist in training's surgical education, well-being, professional practice, and urologic emergencies: renal trauma and spermatic cord torsion. The creation of large national databases enabled the generation of multiple studies focusing on previously under-represented topics.Conclusion: Over the 35 years since it was created, The AFUF has had an interesting and prolific scientific output. It has shown its concerns for urologists in training.","PeriodicalId":23954,"journal":{"name":"World Journal of Urology","volume":"42 1","pages":"624"},"PeriodicalIF":2.8,"publicationDate":"2024-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142576883","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

Use of omentum during robotic-assisted reconstructive urological surgery: a systematic review of the current literature. 在机器人辅助泌尿外科整形手术中使用网膜：当前文献的系统性回顾。

IF 4.6 2区医学

World Journal of Urology Pub Date : 2024-11-04 DOI: 10.1007/s00345-024-05335-0

Christopher Anderson, Theodoros Spinos, Evangelos Liatsikos, Panagiotis Kallidonis, Vasileios Tatanis, Anja Dietel, Toni Franz, Jens-Uwe Stolzenburg

{"title":"Use of omentum during robotic-assisted reconstructive urological surgery: a systematic review of the current literature.","authors":"Christopher Anderson, Theodoros Spinos, Evangelos Liatsikos, Panagiotis Kallidonis, Vasileios Tatanis, Anja Dietel, Toni Franz, Jens-Uwe Stolzenburg","doi":"10.1007/s00345-024-05335-0","DOIUrl":"10.1007/s00345-024-05335-0","url":null,"abstract":"Purpose: Due to its biological properties, the omentum is a very useful tool in the hands of reconstructive urologists. The purpose of this systematic review is to present all existing evidence regarding the use of omentum during different robotic-assisted reconstructive urological surgeries.Methods: In accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) Guidelines, three databases (PubMed, Scopus and Cochrane) were systematically screened. The following search string was used: (omentum OR omental) AND robotic. Retrospective studies and case-series were included, while case-reports were not included.Results: 13 studies met all eligibility criteria and were included in final qualitative synthesis. Seven studies reported robotic vesicovaginal fistula repair, two studies reported robotic vesicouterine or vesicocervical fistula repair, one study reported robotic rectovesical fistula repair, one study reported robotic rectourethral fistula repair, one study reported ureterolysis with omental wrap and one study reported robotic repair of long ureteral strictures with omental wrap and autologous onlay flap or graft ureteroplasty. Recurrence rates ranged from 0% to 6.7%. The Grade I-II complications according to Clavien-Dindo Classification ranged from 0 to 40%, while no Grade III-IV were reported.Conclusion: Robotic repair with the use of omentum is potentially a feasible, safe and efficient approach for complicated urological surgeries, such as vesicovaginal, vesicouterine, vaginocervical, rectovesical and rectourethral fistulas, idiopathic retroperitoneal fibrosis and long ureteral strictures. Because the evidence is based on small case series, further publications are needed to enhance confidence in omental harvesting and render it a routine component of reconstructive Urology.","PeriodicalId":23954,"journal":{"name":"World Journal of Urology","volume":"42 1","pages":"620"},"PeriodicalIF":4.6,"publicationDate":"2024-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142569756","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

Letter to the editor: transrectal versus transperineal prostate fusion biopsy-a pair-matched analysis to evaluate accuracy and complications. 致编辑的信：经直肠与经会阴前列腺融合活检--评估准确性和并发症的配对分析。

IF 2.8 2区医学

World Journal of Urology Pub Date : 2024-11-04 DOI: 10.1007/s00345-024-05328-z

Kamil Malshy, Thomas Osinski, Trevor C Hunt, Jean Joseph

引用次数: 0

Impact of weight loss on the risk of urinary incontinence: the role of sex and body type. 减肥对尿失禁风险的影响：性别和体型的作用。

IF 2.8 2区医学

World Journal of Urology Pub Date : 2024-11-02 DOI: 10.1007/s00345-024-05333-2

Feng Chen, Hao Lin, Yuansi Zhang, Yu Zhang, Maoping Chu, Lulu Pan

{"title":"Impact of weight loss on the risk of urinary incontinence: the role of sex and body type.","authors":"Feng Chen, Hao Lin, Yuansi Zhang, Yu Zhang, Maoping Chu, Lulu Pan","doi":"10.1007/s00345-024-05333-2","DOIUrl":"https://doi.org/10.1007/s00345-024-05333-2","url":null,"abstract":"Introduction: Although weight loss is known to alleviate urinary incontinence (UI) symptoms, the effects of sex and body size on this relationship remain insufficiently explored.Materials and methods: We analyzed data from the National Health and Nutrition Examination Survey (NHANES) 2007-2018, comprising 28,161 participants. Weighted logistic regression analysis, fitted curves, and subgroup analysis were used to assess the association between the percentage of weight loss and UI. Propensity score matching (PSM) was performed to account for potential confounding factors.Results: After PSM, multivariate logistic regression showed an inverse relationship between weight loss percentage and UI risk (odds ratio [OR] = 0.97, 95% confidence interval [CI]: 0.94-0.99). Compared with weight loss percentages < 0%, the risk of UI significantly decreased with weight loss percentages > 5% (weight loss percentage 5.1-10%: OR = 0.83, 95% CI: 0.70-1.00; weight loss percentage 10.1-15%: OR = 0.73, 95% CI: 0.55-0.97; weight loss percentage > 15%: OR = 0.52, 95% CI: 0.39-0.70). Furthermore, subgroup analysis indicated that this relationship was more significant in males and non-overweight/non-obese populations.Conclusion: There was an inverse relationship between weight loss percentage and UI risk, with noticeable differences based on sex and body size. However, these findings warrant further investigation.","PeriodicalId":23954,"journal":{"name":"World Journal of Urology","volume":"42 1","pages":"616"},"PeriodicalIF":2.8,"publicationDate":"2024-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142565041","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

Oncological outcomes of organ-sparing cystectomy versus standard radical cystectomy in male patients diagnosed with bladder cancer. 在确诊为膀胱癌的男性患者中，保全器官膀胱切除术与标准根治性膀胱切除术的肿瘤学效果对比。

IF 2.8 2区医学

World Journal of Urology Pub Date : 2024-11-02 DOI: 10.1007/s00345-024-05329-y

Zeyu Han, Yaxiong Tang, Xianyanling Yi, Jin Li, Jianzhong Ai

{"title":"Oncological outcomes of organ-sparing cystectomy versus standard radical cystectomy in male patients diagnosed with bladder cancer.","authors":"Zeyu Han, Yaxiong Tang, Xianyanling Yi, Jin Li, Jianzhong Ai","doi":"10.1007/s00345-024-05329-y","DOIUrl":"https://doi.org/10.1007/s00345-024-05329-y","url":null,"abstract":"Purpose: To compare the oncological outcomes between standard radical cystectomy (SRC) and organ-sparing cystectomy (OSC) in male patients diagnosed with bladder cancer.Methods: Patients with stage Ta-T3 bladder cancer who underwent OSC or SRC were identified from the Surveillance, Epidemiology, and End Results (SEER) database between 2004 and 2015. The association between preoperative factors and the implementation of OSC was analyzed using logistic regression. Propensity score matching (PSM) was employed to balance baseline characteristics between the two groups. Patients' overall survival (OS) and cancer-specific survival (CSS) were estimated using the Kaplan-Meier method. Subgroup analyses based on the T stage were also conducted.Results: A total of 7264 patients were included, with 96.8% (7033 patients) receiving SRC and 3.2% (231 patients) receiving OSC. Patients with higher T stages and high-grade tumors were less likely to undergo OSC. After PSM, OSC was associated with significantly worse OS and CSS than SRC. Subgroup analysis revealed that OSC did not lead to worse OS and CSS in non-muscle invasive bladder cancer and T2 stage patients, but it resulted in significantly worse outcomes in T3 stage patients.Conclusion: Our study indicates that OSC is associated with poorer oncological outcomes compared to SRC, particularly in patients with advanced-stage tumors. These findings suggest the need for stringent selection criteria for OSC in bladder cancer patients. Given the negative impact on prognosis, stage T3 should potentially be considered a contraindication for OSC. Further evidence is required to confirm these assertions.","PeriodicalId":23954,"journal":{"name":"World Journal of Urology","volume":"42 1","pages":"619"},"PeriodicalIF":2.8,"publicationDate":"2024-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142565048","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