Acta Urologica Japonica最新文献_第2页

[A Case of Secondary Extramammary Paget's Disease Developed at 11 Years after Cystectomy]. [膀胱切除术后11年继发乳腺外佩吉特病1例]。

Acta Urologica Japonica Pub Date : 2024-10-01 DOI: 10.14989/ActaUrolJap_70_10_335

Yuki Nishimura, Yuta Oki, Daichi Nonomura, Kyosuke Matsuzaki, Kensaku Nishimura

{"title":"[A Case of Secondary Extramammary Paget's Disease Developed at 11 Years after Cystectomy].","authors":"Yuki Nishimura, Yuta Oki, Daichi Nonomura, Kyosuke Matsuzaki, Kensaku Nishimura","doi":"10.14989/ActaUrolJap_70_10_335","DOIUrl":"https://doi.org/10.14989/ActaUrolJap_70_10_335","url":null,"abstract":"An 82-year-old woman previously underwent cystectomy and ureterocutaneous ureteral fistula for bacillus calmette guerin-resistant bladder cancer at the age of 70 years old in February 2012. Pathological examination revealed a pTisN0. In October 2020, the patient experienced vulvar itching and pain, which prompted her to consult a gynecologist. Vulvovaginitis was diagnosed, and the patient was observed. However, in June 2023, the vulvar itching persisted, prompting a biopsy for refractory erosions of the vulva. Paget cells were identified in the epidermis, and immunostaining (CK7 (＋), CK20 (＋), p63 (＋), GATA3 (＋), and GCDFP15 (-)) was used to diagnose secondary extramammary Paget's disease due to urothelial carcinoma. Magnetic resonance imaging revealed a 25 mm mass in the pelvic floor, and a biopsy showed the same immunostaining pattern as the skin lesion. Consequently, a diagnosis of local recurrence 11 years after cystectomy and associated secondary extramammary Paget's disease was established. Owing to the evidence of invasion of the mass into the levator ani muscle, she underwent laparoscopic rectal resection plus combined resection of the tumor, perineum, and levator ani muscle in October. Currently, she is 3 months postoperatively without evidence of recurrence.","PeriodicalId":39291,"journal":{"name":"Acta Urologica Japonica","volume":"70 10","pages":"335-341"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142781406","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

[Assessment of Risk Factors for Reinsertion of Indwelling Urinary Catheters Despite Intervention for Voiding Disturbances by the Urination Care Team]. [评估留置导尿管再次插入的危险因素，尽管排尿护理小组干预排尿障碍]。

Acta Urologica Japonica Pub Date : 2024-10-01 DOI: 10.14989/ActaUrolJap_70_10_323

Masayuki Kurokawa, Fumiko Okada, Kosuke Ogawa, Yoshiyuki Okada, Mitsue Ito, Manami Shimizu, Takahiro Nonaka, Kazutoshi Okubo

{"title":"[Assessment of Risk Factors for Reinsertion of Indwelling Urinary Catheters Despite Intervention for Voiding Disturbances by the Urination Care Team].","authors":"Masayuki Kurokawa, Fumiko Okada, Kosuke Ogawa, Yoshiyuki Okada, Mitsue Ito, Manami Shimizu, Takahiro Nonaka, Kazutoshi Okubo","doi":"10.14989/ActaUrolJap_70_10_323","DOIUrl":"https://doi.org/10.14989/ActaUrolJap_70_10_323","url":null,"abstract":"A urination care team comprising professionals from various fields was developed. This team intervened during hospitalization of patients who were either expected to have voiding disturbances following the removal of indwelling urinary catheters or develop voiding disturbances following catheter removal during hospitalization. The team aims to remove unnecessary indwelling urinary catheters and promote patient independence during urination. However, if patients do not achieve spontaneous micturition or clean intermittent self-catheterization (CISC) during their hospital stay, an indwelling urinary catheter is reinserted. In this study, risk factors for indwelling urinary catheter reinsertion were retrospectively analyzed during hospitalization. In total, 98 patients from January 1, 2018, to December 31, 2020, were examined at Kyoto Katsura Hospital, where the urination care team intervened due to voiding disturbances with residual urine of ≥100 ml. At discharge, 46 (46%) patients were able to urinate independently, 9 (9%) were voiding through a diaper, 14 (14%) practiced CISC, and 29 (30%) had indwelling urinary catheters. Multivariate analysis revealed that age ≥75 years (p＝0.03), a cognitive functional independence measure (FIM) score of ≤25 on admission (p＜0.01), and residual urine of ≥300 ml at intervention (p＝0.03) were independent risk factors affecting the indwelling urinary catheter reinsertion. The indwelling urinary catheter non-reinsertion and reinsertion groups demonstrated significant improvement in the FIM total and motor scores between admission and discharge ; however, the FIM cognitive score did not show any statistically significant difference.","PeriodicalId":39291,"journal":{"name":"Acta Urologica Japonica","volume":"70 10","pages":"323-330"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142781375","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

[A Study of the Prognosis of Prostate Cancer Patients Over 80 Years of Age]. 80岁以上前列腺癌患者预后的研究

Acta Urologica Japonica Pub Date : 2024-10-01 DOI: 10.14989/ActaUrolJap_70_10_309

Kodai Hattahara, Yuki Hashimoto, Masayuki Uegaki, Koji Nishizawa, Toru Yoshida

{"title":"[A Study of the Prognosis of Prostate Cancer Patients Over 80 Years of Age].","authors":"Kodai Hattahara, Yuki Hashimoto, Masayuki Uegaki, Koji Nishizawa, Toru Yoshida","doi":"10.14989/ActaUrolJap_70_10_309","DOIUrl":"https://doi.org/10.14989/ActaUrolJap_70_10_309","url":null,"abstract":"With the ageing of the population in Japan, an increasing number of elderly prostate cancer patients will require treatment. However, the elderly often have comorbidities, which can make treatment decisions for prostate cancer patients difficult. Therefore, we investigated prostate cancer deaths and risk factors among patients aged 80 years or older at diagnosis of prostate cancer at our hospital. Of 532 prostate cancer cases diagnosed and treated at our hospital between January2011 and December 2018, 90 cases were included. The median observation period was 54 months and 13 (14.4%) patients died of prostate cancer. The overall 5-year cancer-specific survival rate was 86.7%, with M1 (47.1%) and GS≥9 (71.9%) as significant risk factors on multivariate analysis. Patients with metastatic prostate cancer, even those older than 80 years, should be cautiously started on treatment after explaining to the patient and family that the chance of prostate cancer death is not low. Even in patients with localized prostate cancer, four out of 45 (8.9%) high-risk prostate cancer patients died of prostate cancer, suggesting that curative treatment is an option, depending on their life expectancy.","PeriodicalId":39291,"journal":{"name":"Acta Urologica Japonica","volume":"70 10","pages":"309-315"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142781411","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

[Comparison of Mosesᵀᴹ Mode and Conventional Laser in Transurethral Lithotripsy for Kidney Stones]. [Moses -模式与常规激光在经尿道肾结石碎石中的比较]。

Acta Urologica Japonica Pub Date : 2024-10-01 DOI: 10.14989/ActaUrolJap_70_10_317

Kasumi Kanai, Hiromasa Sakamoto, Masafumi Tsuruta, Hirohisa Yano, Teruyoshi Aoyama

{"title":"[Comparison of Mosesᵀᴹ Mode and Conventional Laser in Transurethral Lithotripsy for Kidney Stones].","authors":"Kasumi Kanai, Hiromasa Sakamoto, Masafumi Tsuruta, Hirohisa Yano, Teruyoshi Aoyama","doi":"10.14989/ActaUrolJap_70_10_317","DOIUrl":"https://doi.org/10.14989/ActaUrolJap_70_10_317","url":null,"abstract":"Transurethral lithotripsy (TUL) using holmium YAG laser has become the standard treatment for kidney stones. Mosesᵀᴹ technology, which delivers the laser with less energy loss, has been introduced and is reported to have advantages over regular laser in terms of shorter operation time and lithotripsy efficiency, but there are few reports from general hospitals. We retrospectively compared the perioperative and postoperative outcome, and complications of 28 cases of TUL using Mosesᵀᴹ mode performed from August 2021 to January 2023 at our hospital, and 25 cases of TUL using regular laser from August 2020 to July 2021. The median stone size was 11.9 and 10.9 mm, the median operation time was 103 and 105 minutes, and the 3-month stone-free rate was 88. 0 and 95.8% for Mosesᵀᴹ mode and regular laser, respectively. No significant difference was observed in the operation time. There was no difference in stone-free rate or complications either. The Mosesᵀᴹ mode group had significantly more cases of ureteral stent removal on the day after placement. In evaluating stone retropulsion on a 4-point scale, Mosesᵀᴹ mode cases showed significantly less retropulsion. TUL using Mosesᵀᴹ mode could be a useful option for treatment of kidney stones.","PeriodicalId":39291,"journal":{"name":"Acta Urologica Japonica","volume":"70 10","pages":"317-321"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142781392","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

[Spontaneous Subcapsular Renal Hemorrhage of Clear Cell Renal Cell Carcinoma with Inflammation]. 【透明细胞肾癌伴炎症的自发性肾包膜下出血】。

Acta Urologica Japonica Pub Date : 2024-09-01 DOI: 10.14989/ActaUrolJap_70_9_267

Mayuko Kusuda, Shuhei Yokokawa, Atsushi Fujikawa, Yoshinori Takekawa

引用次数: 0

[Robot-Assisted Laparoscopic Radical Prostatectomy for Prostatic Mucinous Carcinoma : A Case Report]. 机器人辅助腹腔镜前列腺根治术治疗前列腺黏液癌1例

Acta Urologica Japonica Pub Date : 2024-09-01 DOI: 10.14989/ActaUrolJap_70_9_277

Hiromu Horitani, Takumi Ishikawa, Shun Umeda, Fuuki Kondo, Satoru Yumiba, Sayaka Horii, Yuu Ishizuya, Masao Kobayashi, Yutaka Ono, Shigemi Nakamori

{"title":"[Robot-Assisted Laparoscopic Radical Prostatectomy for Prostatic Mucinous Carcinoma : A Case Report].","authors":"Hiromu Horitani, Takumi Ishikawa, Shun Umeda, Fuuki Kondo, Satoru Yumiba, Sayaka Horii, Yuu Ishizuya, Masao Kobayashi, Yutaka Ono, Shigemi Nakamori","doi":"10.14989/ActaUrolJap_70_9_277","DOIUrl":"https://doi.org/10.14989/ActaUrolJap_70_9_277","url":null,"abstract":"A 65-year-old man with dysuria was referred to our department with a prostate-specific antigen concentration of 145.6 ng/ml. Unenhanced T2-weighted magnetic resonance imaging showed high signal intensity mainly in the right lobe of the prostate and a mass lesion with a mucus component. Contrastenhanced magnetic resonance imaging showed a progressively increasing contrast effect in the same region. Prostatic biopsy was performed, and histopathology revealed a Gleason score of 4＋3＝7, and a diagnosis of mucinous carcinoma of the prostate, stage cT3bN0M0. The patient underwent robot-assisted laparoscopic total prostatectomy and enlarged lymph node dissection. Pathological analysis confirmed mucinous adenocarcinoma of the prostate, with a Gleason score of 4＋3＝7, EPE1, RM0, ly1, v0, pn1, sv0, n1 (1/22). The final pathological diagnosis was prostate mucinous carcinoma, pT3aN1M0, and strict post-operative two-year follow-up resulted in no biochemical recurrence (prostate-specific antigen concentration was 0.001 ng/ml). The results suggest that surgical treatment may provide a good prognosis in high-risk prostatic mucous carcinoma.","PeriodicalId":39291,"journal":{"name":"Acta Urologica Japonica","volume":"70 9","pages":"277-281"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142781436","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

[Crizotinib Associated Renal Abscess --A Case Report-]. [克唑替尼相关性肾脓肿1例报告]。

Acta Urologica Japonica Pub Date : 2024-09-01 DOI: 10.14989/ActaUrolJap_70_9_283

Shohei Toyota, Taku Kato, Hidetoshi Ehara, Shigeyuki Sugie

{"title":"[Crizotinib Associated Renal Abscess --A Case Report-].","authors":"Shohei Toyota, Taku Kato, Hidetoshi Ehara, Shigeyuki Sugie","doi":"10.14989/ActaUrolJap_70_9_283","DOIUrl":"https://doi.org/10.14989/ActaUrolJap_70_9_283","url":null,"abstract":"A 51-year-old female patient developed multiple crizotinib- associated renal abscesses in her left kidney. She noticed a swellingof the right supraclavicular node in June, 202X. She visited a clinic and a blood test showed an elevated carcinoembryonic antigen. She was referred to our hospital and underwent computed tomography (CT) which revealed nodules in her right lung, mediastinum, and right supraclavicular lymph node. After thorough examination, the patient was diagnosed with metastatic lung adenocarcinoma. She had a ROS-1 gene mutation ; thus, treatment with crizotinib was recommended. After the initiation of crizotinib in October, 202X, routine CT showed a complete response. No further CT findings were observed until April, 2 years after 202X, when a polycystic lesion in the left kidney was observed. In August, 3 years after 202X, she complained of high fever and presented to our hospital. Her blood test showed a high c-reactive protein (CRP) levels ; therefore, she was admitted and received levofloxacin drip infusion for 5 days. However, the CRP level was elevated, and she underwent CT, which revealed a significant increase in the size and number of left polycystic lesions. She was diagnosed with multiple left renal abscesses and underwent a percutaneous left renal abscess puncture. Despite continued percutaneous drainage and antibiotic infusion, the high fever and elevated CRP level persisted. Therefore, she underwent left open nephrectomy. Pathology of the left kidney revealed a renal abscess, but there was no sign of malignancy. Crizotinib has been reported to cause rare adverse effects, such as polycystic renal lesions or renal abscesses.","PeriodicalId":39291,"journal":{"name":"Acta Urologica Japonica","volume":"70 9","pages":"283-287"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142781421","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

[Pneumomediastinum with Chest Pain after Retroperitoneal Laparoscopic Nephrectomy : A Case Report]. [腹膜后腹腔镜肾切除术后纵隔气肿伴胸痛1例]。

Acta Urologica Japonica Pub Date : 2024-09-01 DOI: 10.14989/ActaUrolJap_70_9_289

Fumie Yoshioka, Tetsuji Soda, Yohei Koida, Hiroshi Kiuchi, Kenichiro Sekii

引用次数: 0

[Renal Pelvic Cancer with Inferior Vena Cava Tumor Thrombus: A Case Report]. 【肾盆腔癌合并下腔静脉肿瘤血栓1例】。

Acta Urologica Japonica Pub Date : 2024-09-01 DOI: 10.14989/ActaUrolJap_70_9_271

Hitoshi Yokozeki, Takayuki Sumiyoshi, Takehiro Yamane, Toshihide Hosomi, Hiromichi Nakagawa, Atsushi Igarashi, Masashi Takeda, Takashi Matsuoka, Kaoru Murakami, Jin Kono, Yuki Kita, Kimihiko Masui, Takeshi Sano, Takayuki Goto, Atsuro Sawada, Yuki Teramoto, Takashi Kobayashi

{"title":"[Renal Pelvic Cancer with Inferior Vena Cava Tumor Thrombus: A Case Report].","authors":"Hitoshi Yokozeki, Takayuki Sumiyoshi, Takehiro Yamane, Toshihide Hosomi, Hiromichi Nakagawa, Atsushi Igarashi, Masashi Takeda, Takashi Matsuoka, Kaoru Murakami, Jin Kono, Yuki Kita, Kimihiko Masui, Takeshi Sano, Takayuki Goto, Atsuro Sawada, Yuki Teramoto, Takashi Kobayashi","doi":"10.14989/ActaUrolJap_70_9_271","DOIUrl":"https://doi.org/10.14989/ActaUrolJap_70_9_271","url":null,"abstract":"A 68-year-old male was referred to our hospital because plain computed tomography (CT) showed right hydronephrosis. Contrast-enhanced CT revealed a mass with an irregular margin and poor contrast effect in the lower pole of the right kidney, which invaded the perirenal fat tissues and the area around the inferior vena cava (IVC). Moreover, a thrombus extending from the right renal vein to the IVC was detected, some of which was suggestive of tumor components on contrast-enhanced magnetic resonance imaging (MRI). Biopsy of the renal pelvic mucosa revealed urothelial carcinoma, which was diagnosed as cT4N0M0 renal pelvic cancer. After five courses of neoadjuvant chemotherapy with gemcitabine plus carboplatin, the patient underwent right nephroureterectomy. To avoid tumor cell dissemination into the abdominal cavity, we removed the thrombus and a portion of the IVC were removed en bloc with the right kidney without opening the vein. On pathological diagnosis, the renal tumor was identified as high-grade urothelial carcinoma with sarcomatoid features and squamous differentiation. The tumor invaded the IVC wall through perirenal fat tissues and further developed into a mass in the lumen of the vein. Although the patient was treated with nivolumab as a postoperative adjuvant therapy, he developed liver metastases and local recurrence on the right psoas muscle 6 months after surgery and is currently receiving chemotherapy with enfortumab vedotin.","PeriodicalId":39291,"journal":{"name":"Acta Urologica Japonica","volume":"70 9","pages":"271-276"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142781429","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

[The Usefulness of MAG3 Diuretic Renography in the Evaluation of Stomal Obstruction after Cutaneous Ureterostomy]. [MAG3利尿肾造影在皮肤输尿管造瘘术后瘘口阻塞评估中的应用]。

Acta Urologica Japonica Pub Date : 2024-09-01 DOI: 10.14989/ActaUrolJap_70_9_261

Chul Jang Kim, Eiki Hanada, Masatoshi Nakamura, Kayo Takeuchi, Akinori Wada, Susumu Kageyama

{"title":"[The Usefulness of MAG3 Diuretic Renography in the Evaluation of Stomal Obstruction after Cutaneous Ureterostomy].","authors":"Chul Jang Kim, Eiki Hanada, Masatoshi Nakamura, Kayo Takeuchi, Akinori Wada, Susumu Kageyama","doi":"10.14989/ActaUrolJap_70_9_261","DOIUrl":"https://doi.org/10.14989/ActaUrolJap_70_9_261","url":null,"abstract":"Cutaneous ureterostomy (CU) is the most simple and safe method of all permanent urinary diversions, but is associated with a risk for stomal obstruction. It is important to appropriately manage hydronephrosis associated with CU. We evaluated the occurrence of stomal obstruction after CU by 99m Tcmercaptoacetyltriglycine (MAG3) diuretic renography three months after surgery. CU was performed after radical cystectomy in 46 patients (90 renal units,RUs) with a minimum follow-up period of 12 months, including 39 men and seven women. The median follow-up period was 102.1 months. The data analyses were performed with half-times to tracer clearance (T1/2) following furosemide administration. The mean T1/2 was 8.45±8.04 minutes. Seventy-five RUs (83.3%) had T1/2 of less than 15 minutes,and 74 (98. 7%) out of 75 RUs had no hydronephrosis. Ten RUs (11.1%) had T1/2 of more than 20 minutes,and all 10 RUs required stent insertions (six RUs) or became atrophic kidneys (four RUs) without the stent insertion. In conclusion,MAG3 diuretic renography was very useful for diagnosing stomal obstruction after CU. T1/2 of less than 15 minutes could be judged as non-obstructive systems,and T1/2 of more than 20 minutes could be judged as obstructed systems. T1/2 between 15 and 20 minutes indicate equivocal studies. Therefore,we recommend the immediate stent insertion in RUs with T1/2 of more than 20 minutes three months after surgery.","PeriodicalId":39291,"journal":{"name":"Acta Urologica Japonica","volume":"70 9","pages":"261-265"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142781456","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