Urology and Andrology – Open Journal最新文献_第2页

Paediatric Urolithiasis an Emerging Concern: Single Centre Experience in a Non-Endemic Region in South India 儿科尿石症一个新兴的关注:在印度南部非流行地区的单一中心经验

Urology and Andrology – Open Journal Pub Date : 2021-12-31 DOI: 10.17140/uaoj-5-136

K. M. B. Vijayaraghavan, R. Rajendran, Appu Thomas, A. Mathew

{"title":"Paediatric Urolithiasis an Emerging Concern: Single Centre Experience in a Non-Endemic Region in South India","authors":"K. M. B. Vijayaraghavan, R. Rajendran, Appu Thomas, A. Mathew","doi":"10.17140/uaoj-5-136","DOIUrl":"https://doi.org/10.17140/uaoj-5-136","url":null,"abstract":"Introduction Paediatric urolithiasis is an emerging disease in developing nations especially in India, but a rarer entity compared to its adult counterpart. There is significant geographic variation in the incidence of urolithiasis within India itself. Given the changing dynamics of the disease, this study evaluated paediatric urolithiasis patients in a non-endemic region in South India. Methods This is a retrospective study of children and adolescents diagnosed with urolithiasis from January 2009 to December 2019 in a single tertiary care centre in South India. The purpose of this study was to investigate and identify the demographic and clinical characteristics, aetiology, management, clearance rates after surgical intervention and disease recurrence of paediatric stone disease in a non-endemic region in South India. Results We evaluated 29 patients which included a total of 97 hospital admissions. Predominantly the study population consisted of males (80.0%), with a mean age of symptom onset of 9.44±5.53-years. All patients were metabolically evaluated, 16 patients (55.2%) had metabolic abnormalities and the most common abnormality was hypocitraturia (37.5%). Spontaneous elimination rate was 6.9% and clearance rates for surgical procedures ranged from 72% to 100%. Recurrent stones were seen in 37.9%. No patient developed chronic kidney disease or mortality due to stone disease within the evaluation period of this study. Conclusion Paediatric urolithiasis is an emerging disease in India. There is a high prevalence of metabolic abnormalities in paediatric stone disease which supports the need for metabolic evaluation in all cases. There is more similarity of our study with western literature than the available Indian data which may be due to the lifestyle changes, significant geographic variation within India itself between endemic and non-endemic regions or changing epidemiology of paediatric stone disease per se.","PeriodicalId":388500,"journal":{"name":"Urology and Andrology – Open Journal","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130650128","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}

引用次数: 0

Use of Ohmmeter for Detection of Leak in Hydraulic Penile Prostheses: A Case Report 用欧姆计检测液压阴茎假体渗漏1例

Urology and Andrology – Open Journal Pub Date : 2021-12-31 DOI: 10.17140/uaoj-5-139

L. Barragán, I. Fishman

引用次数: 0

Tumour Volume of the Index Lesion in Prostate Cancer: Correlation between Results of Multiparametric Magnetic Resonance Imaging and the Histophatology 前列腺癌指数病变的肿瘤体积:多参数磁共振成像结果与组织病理学的相关性

Urology and Andrology – Open Journal Pub Date : 2020-12-31 DOI: 10.17140/UAOJ-4-134

G. Vitagliano, L. Rico, H. R. Pita, M. Nazar, C. Ameri, L. Blas

{"title":"Tumour Volume of the Index Lesion in Prostate Cancer: Correlation between Results of Multiparametric Magnetic Resonance Imaging and the Histophatology","authors":"G. Vitagliano, L. Rico, H. R. Pita, M. Nazar, C. Ameri, L. Blas","doi":"10.17140/UAOJ-4-134","DOIUrl":"https://doi.org/10.17140/UAOJ-4-134","url":null,"abstract":"Introduction Prostate cancer is generally multifocal, presenting a lesion with a dominant focus (index lesion) that is characterized by being the lesion with the greatest volume and the biological capacity of invasion to adjacent tissues and distant metastases. With the advent of focal therapy and organ preservation in prostate cancer, it is essential to know the real tumour volume and thus, avoid the persistence of disease after treatments with curative intent. The aim of this study is to correlate the results of the dominant tumour volume obtained from the multiparametric magnetic resonance imaging (MRI) of the prostate and the histopathology. Material and Methods A retrospective study was performed which included all radical prostatectomies (RP) with previous MRI. A comparative analysis was performed between the tumour volume obtained from the MRI and the histopathology. Results A total of 46 patients were included in the study. The sensibility of the MRI in diagnosing the index lesion was 82.6%, highlighting that all tumours with a Gleason score ≥ 4+3 were diagnosed. The mean tumour volume in the MRI was 14.3 mm and in the histological result was 18.82 mm (p<0.05). The estimation tumour volume concordance was greatest in higher risk (International Society of Urological Pathology (ISUP)). Conclusion The MRI underestimates the real tumour volume of the prostate cancer index lesion when compared to the histological result of the surgical piece, being significantly lower in high-risk lesions.","PeriodicalId":388500,"journal":{"name":"Urology and Andrology – Open Journal","volume":"167 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122626141","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}

引用次数: 0

Fournier's Gangrene in a Diabetic Young Man 富尼耶坏疽的糖尿病年轻人

Urology and Andrology – Open Journal Pub Date : 2019-11-01 DOI: 10.17140/uaoj-3-117

S. Ennaciri, M. Ahsaini, M. H. Farih

引用次数: 0

Comparison of Hispanics to Caucasians in Metabolic Evaluation of Nephrolithiasis 西班牙裔与白种人肾结石代谢评价的比较

Urology and Andrology – Open Journal Pub Date : 2019-11-01 DOI: 10.17140/uaoj-3-116

Julie M. Riley, Jessica M. Ming, F. Alba, Michael L Davis

引用次数: 1

Incidentally Found Meckel’s Diverticulum Used in the Creation of an Orthotopic Neobladder 偶然发现梅克尔憩室用于原位新膀胱的形成

Urology and Andrology – Open Journal Pub Date : 2019-11-01 DOI: 10.17140/uaoj-3-118

S. Priyadarshi, Megha Priyadarshi

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A Bilateral Incomplete Duplex System in the Upper Urinary Tract: A Case Report 双侧上尿路不完全双尿系统1例

Urology and Andrology – Open Journal Pub Date : 2019-11-01 DOI: 10.17140/uaoj-3-120

S. Ennaciri, M. Ahsaini, S. Mellas, J. Ammari, M. Tazi, Mj. El. Fassi, M. H. Farih

引用次数: 0

Scrotal Calcinosis: A Dermatosis Not so Rare 阴囊钙质沉着症:一种并不罕见的皮肤病

Urology and Andrology – Open Journal Pub Date : 2019-11-01 DOI: 10.17140/uaoj-3-119

K. Laamari, S. Ennaciri, Zakia Douh, S. Elloudi, Hanane Bayba, F. Mernissi, M. H. Farih

引用次数: 0

A Fatal Case of Providencia Sepsis 普罗维登西亚败血症1例死亡

Urology and Andrology – Open Journal Pub Date : 2018-10-08 DOI: 10.17140/uaoj-2-112

B. Gupta, N. Kachru

引用次数: 1

Does Aging Affect the Efficiency of Extracorporeal Shock Wave Lithotripsy (ESWL) on Ureter Stones? 年龄会影响体外冲击波碎石治疗输尿管结石的效果吗?

Urology and Andrology – Open Journal Pub Date : 2018-10-08 DOI: 10.17140/uaoj-2-114

S. Lo, Jeng-Cheng Wu, M. Liu, Ching-Hsin Chang, Hsiao-Yu Lin, Chien‐Chih Wu, S. Yeh

{"title":"Does Aging Affect the Efficiency of Extracorporeal Shock Wave Lithotripsy (ESWL) on Ureter Stones?","authors":"S. Lo, Jeng-Cheng Wu, M. Liu, Ching-Hsin Chang, Hsiao-Yu Lin, Chien‐Chih Wu, S. Yeh","doi":"10.17140/uaoj-2-114","DOIUrl":"https://doi.org/10.17140/uaoj-2-114","url":null,"abstract":"Objective Current evidence concerning the effect of aging on the treatment outcome of extracorporeal shock wave lithotripsy (ESWL) is still conflicting. We performed a retrospective analysis to investigate the effect of age on the treatment outcome of ESWL for ureteric stones. Materials and Methods Our study was a pair-matched analysis comparing the three month stone free rate (SFR) after primary ESWL. Between March 1st, 2013 and December 31st, 2015, a total of 1204 patients received ESWL in our facility. We recruited 131 patients who were above or equal to 65 years old, 72 of whom met our inclusion criteria. These patients were stratified into Group A. To compare differences in treatment outcome between age groups, patients in Group A were matched 1:1 to patients aged less than 65 years by their stone size, stone location and gender. These matched patients were sorted into Group B. We compared the three-month SFR and the effect of co-morbidities on the three-month SFR between the two groups using the Pearson’s chi-square test and multivariate analysis. Results Seventy-two patients were included with a male-to-female ratio of 1:1 in each group. The average stone size was 6.74 mm (95% confidence interval, CI: 7.51-5.96) and 6.61 mm (95% CI: 7.25-5.96) in Group A and B, respectively (p=0.799). There were no differences in the three month SFR between Group A and B (63.9% vs. 66.7%, p=0.726). Univariate analysis suggested that stone location and diameter were related to SFR. However, multivariate analysis failed to show any statistically significant factors affecting SFR, including age. Conclusion In our study, age did not affect the three month SFR of ESWL. Therefore, ESWL could be an effective treatment modality for older patients. However, prospective studies with detailed data collection are required to validate these findings.","PeriodicalId":388500,"journal":{"name":"Urology and Andrology – Open Journal","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121922176","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}

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