Current Urology最新文献

{"title":"Renal arterial embolization: Indications, angiographic findings, and outcomes in a series of 170 patients.","authors":"Hashim Mohamed Farg,&nbsp;Mohamed Elawdy,&nbsp;Karim Ali Soliman,&nbsp;Mohamed Ali Badawy,&nbsp;Ali Elsorougy,&nbsp;Tarek Mohsen,&nbsp;Tarek El-Diasty,&nbsp;Abdalla Abdelhamid","doi":"10.1097/CU9.0000000000000161","DOIUrl":"https://doi.org/10.1097/CU9.0000000000000161","url":null,"abstract":"<p><strong>Background: </strong>The lack of overall experience and reporting on angiographic findings in previously published studies of renal arterial embolization (RAE) compelled us to report our overall experience on a series of patients.</p><p><strong>Materials and methods: </strong>A retrospective study was performed analyzing data of patients enrolled for RAE between 2010 and 2019. History, physical examination, and laboratory data were reviewed for all patients. Abdominal ultrasound was the initial imaging study, and all patients underwent subsequent computed tomography or magnetic resonance imaging. The outcome of RAE was determined based on radiographic and clinical findings.</p><p><strong>Results: </strong>Data from 202 patients were analyzed, with a mean age of 45 ± 15 years, and 71.3% of patients were male. Iatrogenic injury was the most common indication for RAE (54%), followed by renal tumors, trauma, and spontaneous, in 27.7%, 10.4%, and 8.4% of patients, respectively. Renal angiography revealing pseudoaneurysm alone or with other pathology in the lower pole of the kidney was the most common finding (40.6%), whereas no lesions were identified on angiography in 32 patients (15.8%), after which RAE was subsequently aborted. Renal arterial embolization was successful in 158 of 170 patients (92.9%) after 1 or more trials (maximum of 4). Microcoil alone or with other embolic materials was the most commonly used material for embolization (85%).</p><p><strong>Conclusions: </strong>Iatrogenic injury was the most common indication for RAE. Pseudoaneurysm alone or with other lesions was the most common lesion on renal angiography; however, angiography showed a negative result in 16% of patients, even those with symptoms. When lesions are present on angiography, the overall success of repeated trials of RAE reached 92.9%.</p>","PeriodicalId":39147,"journal":{"name":"Current Urology","volume":"17 3","pages":"213-218"},"PeriodicalIF":1.6,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/6c/17/curr-urol-17-213.PMC10337812.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10132537","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The spectrum and etiologies of lower urinary tract symptoms in postmenopausal women.","authors":"Vishrut Bharti,&nbsp;Rajesh K Tiwari,&nbsp;Sanjay Gupta,&nbsp;Rohit Upadhyay,&nbsp;Manoj K Singh,&nbsp;Deelip K Singh","doi":"10.1097/CU9.0000000000000196","DOIUrl":"https://doi.org/10.1097/CU9.0000000000000196","url":null,"abstract":"<p><strong>Background: </strong>Although the prevalence of lower urinary tract symptoms (LUTS) is high in the female population, it is even higher in postmenopausal females. The frequency, severity, and etiology of LUTS vary among populations and individuals. This study aimed to define the characteristics of LUTS in postmenopausal women and their underlying etiologies.</p><p><strong>Material and methods: </strong>Overall, 74 postmenopausal patients presenting with LUTS in the urological outpatient department were included in the study. A detailed evaluation of LUTS and their underlying etiologies was performed. Patients were divided into 2 groups based on age (<65 and ≥65 years), and the variation in different factors was compared across the groups. Variables were compared using the <i>t</i> test and 1-way analysis of variance.</p><p><strong>Results: </strong>Nocturia was the most common symptom (89.2%) followed by frequency (83.8%). Among voiding LUTS, the most common was a weak stream (63.5%). Frequency, nocturia, urgency, urge urinary incontinence (UI), stress UI, and nocturnal enuresis were more common in patients older than 65 years. Urgency and urge UI were recognized to be the most bothersome symptoms by 37% of the study population followed by straining (32%). The mean storage scores, incontinence scores, and quality of life (QoL) scores for patients younger than 65 years and 65 years or older were 6.9 and 8.5 (<i>p</i> < 0.01), 1.8 and 4.1 (<i>p</i> ≤ 0.01), 4.9 and 6.1, respectively. The most common diagnosis was bladder outlet obstruction due to urethral/meatal stenosis (40.5%) followed by an overactive bladder (32.4%), urinary tract infection (10.8%), cystocele (8.1%), urethral prolapse (4.1%), and urethral caruncle (4.1%).</p><p><strong>Conclusions: </strong>Storage LUTS were the most common and increased in both frequency and severity with age. The QoL was also more severely affected in older postmenopausal women. Bladder outlet obstruction due to meatal with or without distal urethral stenosis was the most common underlying cause of LUTS followed by an overactive bladder. Overactive bladder had the most severe impact on patients' QoL among all the etiologies.</p>","PeriodicalId":39147,"journal":{"name":"Current Urology","volume":"17 3","pages":"179-183"},"PeriodicalIF":1.6,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/48/d2/curr-urol-17-179.PMC10337809.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10138018","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Penile metastasis in prostate cancer patients: Two case reports, surgical excision technique, and literature review.","authors":"Lucas Landen,&nbsp;Gaëtan Devos,&nbsp;Steven Joniau,&nbsp;Maarten Albersen","doi":"10.1097/CU9.0000000000000093","DOIUrl":"https://doi.org/10.1097/CU9.0000000000000093","url":null,"abstract":"<p><p>Two cases of penile metastasis from primary prostate cancer in a single center are presented, along with a literature review and description of the excision technique. Despite its rich vascularization, penile metastasis is rare, with 72 new cases from September 2006 to March 2021. There is a wide variety of diagnoses, treatments, and prognoses for penile metastatic lesions. Ga-68 prostatespecific membrane antigen positron emission tomography/computed tomography is the most sensitive imaging tool for detecting metastasis from primary prostate cancer. Magnetic resonance imaging of the penis is the most reliable technique for differentiating penile lesions. Histological diagnosis is mostly performed using fine-needle biopsy aspiration. Metastasis-directed treatment is not considered to contribute to prolonged survival. Local treatment is feasible and can be offered to symptomatic patients. Owing to a heterogeneous group, defining overall survival is difficult. Survival until 46months after detecting penile metastases is described.</p>","PeriodicalId":39147,"journal":{"name":"Current Urology","volume":"17 3","pages":"165-172"},"PeriodicalIF":1.6,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/f0/90/curr-urol-17-165.PMC10337815.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10125982","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Feasibility of cabazitaxel in octogenarian prostate cancer patients.","authors":"Paolo Tralongo,&nbsp;Sebastiano Bordonaro,&nbsp;Giuseppe Di Lorenzo,&nbsp;Ugo De Giorgi,&nbsp;Nicolò Borsellino,&nbsp;Gaetano Facchini,&nbsp;Sabrina Rossetti,&nbsp;Giuseppe Fornarini,&nbsp;Vito Longo,&nbsp;Antonino Carmelo Tralongo,&nbsp;Francesca Caspani,&nbsp;Massimiliano Spada,&nbsp;Nicola Calvani,&nbsp;Paolo Carlini","doi":"10.1097/CU9.0000000000000081","DOIUrl":"https://doi.org/10.1097/CU9.0000000000000081","url":null,"abstract":"<p><strong>Background: </strong>To evaluate the effectiveness and safety of cabazitaxel in castration-resistant prostate cancer patients aged ≥80 years, we performed a retrospective study on a sample of patients from 11 Italian cancer centers.</p><p><strong>Materials and methods: </strong>Fifty-seven patients aged ≥80 years were treated with cabazitaxel after previous failure with docetaxel; 39 completed a comprehensive geriatric assessment questionnaire (34 fit and 5 vulnerable) and 8 patients (14%) had an Eastern Cooperative Oncology Group performance status (PS) ≥2, while most had a PS of 0-1 (86%). Cabazitaxel was administered at a dose of 25 mg/m² in 30 (52%) patients and 20 mg/m² or adapted schedules in 27 (48%) patients. These schedules were adopted mainly in patients ≥85 years (75%), with a PS ≥2 (87.5%), and those classified as vulnerable (100%).</p><p><strong>Results: </strong>The duration of treatment was 4.8 months and was comparable in all subgroups; disease control rate was reported in 36 patients (63%); prostate-specific antigen response was recorded in 18 patients (31.5%). Median overall survival was 13.1 months regardless of age (<85/≥85 years), but overall survival was reduced in vulnerable (7.2 months) and PS ≥ 2 patients (6.8 months). The most frequently documented grade 3-4 toxicities were neutropenia (14%) and diarrhea (10.5%). Six patients (10.5%) dropped out due to severe toxicity.</p><p><strong>Conclusions: </strong>Octogenarian patients can be treated with cabazitaxel with reduced doses or alternative schedules that are associated with less toxicity and fewer treatment interruptions. Comprehensive geriatric assessment could facilitate more appropriate patient selection.</p>","PeriodicalId":39147,"journal":{"name":"Current Urology","volume":"17 3","pages":"153-158"},"PeriodicalIF":1.6,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/1e/5c/curr-urol-17-153.PMC10337820.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10125984","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Difference in symptom manifestation between postmenopausal and premenopausal women in acute uncomplicated cystitis: A multi-institutional pilot study.","authors":"Atsushi Wanifuchi,&nbsp;Yuki Kyoda,&nbsp;Takuto Ogasawara,&nbsp;Ko Kobayashi,&nbsp;Naoki Ito,&nbsp;Tetsuya Shindo,&nbsp;Atsushi Takahashi,&nbsp;Yasuharu Kunishima,&nbsp;Naoya Masumori","doi":"10.1097/CU9.0000000000000197","DOIUrl":"https://doi.org/10.1097/CU9.0000000000000197","url":null,"abstract":"<p><strong>Objectives: </strong>We aimed to prospectively compare lower urinary tract symptoms in premenopausal and postmenopausal women with acute uncomplicated cystitis before and after antibiotic therapy.</p><p><strong>Materials and methods: </strong>This study included adult women with acute uncomplicated cystitis who visited 4 institutions between 2019 and 2020. After registration, we administered oral antibiotics and prospectively documented the changes in lower urinary tract symptoms from the first visit to a follow-up visit at 1 week using the Core Lower Urinary Tract Symptoms Score (CLSS) questionnaire.</p><p><strong>Results: </strong>After treatment, pyuria disappeared in 60 of the 66 patients (14 premenopausal and 46 postmenopausal). The CLSS total score (range) changed from 13 (3-29) to 4 (0-18) with a significant improvement in all CLSS items. At baseline, nocturia, urgency, and urgency incontinence were more prominent in postmenopausal women than in premenopausal women. In contrast, baseline urethral pain and quality of life index were more severe in premenopausal women than in postmenopausal women. After treatment, the CLSS total score was still higher in postmenopausal women, as reflected by the relatively higher scores for nocturia and urgency, irrespective of the comparable scores for urethral pain and the quality of life index in the 2 groups.</p><p><strong>Conclusions: </strong>Our results suggest that if storage symptoms persist, they should be carefully interpreted according to menopausal status.</p>","PeriodicalId":39147,"journal":{"name":"Current Urology","volume":"17 3","pages":"174-178"},"PeriodicalIF":1.6,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/68/13/curr-urol-17-174.PMC10337814.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10125986","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Modern methods in managing urachal adenocarcinoma.","authors":"Samih Taktak,&nbsp;Omar El-Taji,&nbsp;Vishwanath Hanchanale","doi":"10.1097/CU9.0000000000000189","DOIUrl":"https://doi.org/10.1097/CU9.0000000000000189","url":null,"abstract":"<p><strong>Objectives: </strong>We sought to evaluate modern diagnostic and treatment options for urachal adenocarcinoma (UAC) and to provide clarity regarding the available options and their outcomes for this poorly understood yet damaging disease.</p><p><strong>Material and methods: </strong>We conducted a systematic literature search in PubMed and Medline focusing on updated management of UAC.</p><p><strong>Results: </strong>Surgical intervention continues to be the mainstay of treatment for localized UAC. However, with the increased availability of molecular and genetic profiling, chemotherapy has consistently demonstrated promising response rates and survival outcomes, especially for a disease that commonly presents in a metastatic stage. The role of checkpoint inhibitors remains under investigation. Cross-sectional imaging is vital during postoperative surveillance. However, there may also be a role for the adoption of cystoscopy to detect bladder recurrence.</p><p><strong>Conclusions: </strong>Although the importance of surgical resection remains unchanged, improved survival outcomes with chemotherapy have been found in small retrospective studies. Randomized trial data are required to further assess the influence of systemic treatment as a primary or adjuvant therapy. Moreover, a stringent follow-up regimen incorporating evaluation for distant and local recurrence of UAC must be evaluated and adopted.</p>","PeriodicalId":39147,"journal":{"name":"Current Urology","volume":"17 3","pages":"188-192"},"PeriodicalIF":1.6,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/91/77/curr-urol-17-188.PMC10337813.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10138020","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ureteroscopy during pregnancy under local anesthesia and light sedation: Technique and video.","authors":"Patrick Juliebø-Jones, Christian Beisland, Peder Gjengstø, Rachel Maheswaran, Øyvind Ulvik","doi":"10.1097/CU9.0000000000000180","DOIUrl":"10.1097/CU9.0000000000000180","url":null,"abstract":"<p><p>Ureteroscopy during pregnancy has become increasingly recognized as a safe intervention. Performing it under local anesthesia and light sedation reduces the risks associated with general or regional anesthesia, such as difficult airway scenarios, hypothermia, and hypotension. In addition, this approach reduces the total amount of fetal exposure to medications and anesthetic agents. Performing ureteroscopy in this manner requires a number of adjustments and modifications to the standard technique. This article provides a summary in a step-by-step format, as well as an accompanying video demonstration.</p>","PeriodicalId":39147,"journal":{"name":"Current Urology","volume":"17 3","pages":"219-220"},"PeriodicalIF":0.9,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/a3/41/curr-urol-17-219.PMC10337810.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10125985","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"War-related urethral and penile injuries' management and short-term outcomes: Experience from war in Yemen","authors":"A. Elkady, Abdulfattah Mohammed Abdullah, M. Lotfi, A. Rammah, Hesham Torad, M. Abdel-Rassoul, M. E. El Ghoneimy","doi":"10.1097/cu9.0000000000000211","DOIUrl":"https://doi.org/10.1097/cu9.0000000000000211","url":null,"abstract":"","PeriodicalId":39147,"journal":{"name":"Current Urology","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2023-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43999840","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Purple urine bag syndrome: An unusual manifestation of urinary tract infection, our experience at a tertiary care center.","authors":"Vishal Kumar Neniwal,&nbsp;Samir Swain,&nbsp;Suresh Kumar Rulaniya,&nbsp;Datteswar Hota,&nbsp;Piyush Agarwal,&nbsp;Praveen Kumar Yadav","doi":"10.1097/CU9.0000000000000044","DOIUrl":"https://doi.org/10.1097/CU9.0000000000000044","url":null,"abstract":"<p><strong>Background: </strong>Purple urine bag syndrome (PUBS) is an unusual condition in which a purple discoloration of urine and bag occurs in people with urinary catheters. People with purple urine usually do not complain of any symptoms. The purple discoloration of the urine bag is often the only finding, frequently noted by caregivers.</p><p><strong>Materials and methods: </strong>This prospective observational study was conducted at our tertiary care institute from June 2018 to May 2020. A total of 46 patients with PUBS were included in this study. The objective of our study was to record the prevalence of each predisposing factor and to correlate the pathological mechanism through which the PUBS is manifested.</p><p><strong>Results: </strong>The mean age of PUBS patients was 67.4years and 67.4% were males. Most patients of PUBS (60.9%) had a urethral catheter, while there was percutaneous nephrostomy in 26.1% patients and 13% patients had a percutaneous suprapubic cystostomy catheter. Among the patients, 69.65% were bedridden or in an institutionalized situation, 73.9% were suffering from chronic constipation, 21.7% were associated with dementia, and 47.8% were cerebrovascular accidents with hemiparesis patients. In addition, 93.5% of patients presented with alkaline urine and 3 patients with acidic urine. The most common bacteria isolated in urine culture were E coli and Pseudomonas.</p><p><strong>Conclusions: </strong>Urinary catheter associated urinary tract infection and PUBS is most commonly documented in females, but our study showed that it is more common in males. The appearance of a purple bag does not depend on the material and type of the catheter or the catheterization method. In addition, no correlation was found between the microorganisms isolated from the environment and patients' urine.</p>","PeriodicalId":39147,"journal":{"name":"Current Urology","volume":"17 2","pages":"125-129"},"PeriodicalIF":1.6,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/bc/55/curr-urol-17-125.PMC10489393.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10221792","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Revolutionizing laparoscopic telesurgery: The emergence of 5G-assisted wireless endoscopy systems.","authors":"Guiting Lin,&nbsp;Tom F Lue","doi":"10.1097/CU9.0000000000000187","DOIUrl":"https://doi.org/10.1097/CU9.0000000000000187","url":null,"abstract":"Laparoscopic surgery allows patients to undergo minimally invasive surgeries with reduced pain, shorter hospital stays","PeriodicalId":39147,"journal":{"name":"Current Urology","volume":"17 2","pages":"82-83"},"PeriodicalIF":1.6,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/97/22/curr-urol-17-082.PMC10489199.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10224034","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}