Acta Urologica Japonica最新文献_第5页

[A Case of Retroperitoneal Abscess with Severe Inflammatory Adherence to Inferior Vena Cava]. 腹膜后脓肿伴严重下腔静脉炎性粘附1例。

Acta Urologica Japonica Pub Date : 2024-08-01 DOI: 10.14989/ActaUrolJap_70_8_253

Shogo Makino, Jun-Ichi Hori, Haruka Takagi, Keigo Takeuchi, Shun Morishita, Miyu Otani, Shin Kobayashi, Naoki Wada, Takeya Kitta, Hidehiro Kakizaki

{"title":"[A Case of Retroperitoneal Abscess with Severe Inflammatory Adherence to Inferior Vena Cava].","authors":"Shogo Makino, Jun-Ichi Hori, Haruka Takagi, Keigo Takeuchi, Shun Morishita, Miyu Otani, Shin Kobayashi, Naoki Wada, Takeya Kitta, Hidehiro Kakizaki","doi":"10.14989/ActaUrolJap_70_8_253","DOIUrl":"https://doi.org/10.14989/ActaUrolJap_70_8_253","url":null,"abstract":"We report a case of retroperitoneal abscess mimicking a malignant retroperitoneal tumor. A 77-yearold woman was referred to our hospital because of retroperitoneal tumor without any symptoms. The tumor was located just behind the inferior vena cava, and the tumor size was about 38 mm. The tumor showed no abnormal findings in positron emission tomography (PET) and 123I-MIBG scintigraphy. We considered the tumor as benign tumor or retroperitoneal cyst. Follow-up computed tomography (CT) 6 months after the first visit to our department showed no change in the tumor. However, 3months later, she presented with fever, general fatigue and back pain. CT scan at that time showed that the tumor had enlarged to about 70 mm, and the tumor seemed to have invaded into the inferior vena cava. Thrombus into the inferior vena cava was also found. These findings were suggestive of malignancy, so we decided to remove the tumor. During the operation, the tumor was removed together with the inferior vena cava and right kidney because of severe adhesion. The pathological diagnosis was retroperitoneal abscess. Retroperitoneal abscess is caused by various reasons including diabetes mellitus, steroid use, inflammatory disease of gastrointestinal tract and retroperitoneal organs. Although the etiology was unknown in the present case, acute infection of the preexisting retroperitoneal cyst was a possible cause.","PeriodicalId":39291,"journal":{"name":"Acta Urologica Japonica","volume":"70 8","pages":"253-256"},"PeriodicalIF":0.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142773217","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

[Risk Factors for Positive Resection Margins in Robot-Assisted Laparoscopic Radical Prostatectomy after Systematic and MRI-Ultrasound Fusion Guided Prostate Biopsy]. [机器人辅助腹腔镜根治性前列腺切除术系统和mri超声融合引导前列腺活检后切缘阳性的危险因素]。

Acta Urologica Japonica Pub Date : 2024-08-01 DOI: 10.14989/ActaUrolJap_70_8_233

Toshifumi Takahashi, Masakazu Nakashima, Kouhei Maruno, Tatsuya Hazama, Yuya Yamada, Kazuro Kikkawa, Masahiro Tamaki, Noriyuki Ito

{"title":"[Risk Factors for Positive Resection Margins in Robot-Assisted Laparoscopic Radical Prostatectomy after Systematic and MRI-Ultrasound Fusion Guided Prostate Biopsy].","authors":"Toshifumi Takahashi, Masakazu Nakashima, Kouhei Maruno, Tatsuya Hazama, Yuya Yamada, Kazuro Kikkawa, Masahiro Tamaki, Noriyuki Ito","doi":"10.14989/ActaUrolJap_70_8_233","DOIUrl":"https://doi.org/10.14989/ActaUrolJap_70_8_233","url":null,"abstract":"There is a riskof positive resection margins (RMs) in patients who had undergone robot-assisted laparoscopic radical prostatectomy (RARP) following systematic prostate biopsies. This study examined the riskof positive RM post-RARP when magnetic resonance imaging-ultrasonography (MRI-US) fusion biopsy was performed along with systematic prostate biopsy. Sixty-one patients who had undergone MRI fusion biopsy and systematic transrectal and transperineal biopsies, followed by RARP, at our hospital between September 2020 and October 2023 were included. The median age was 61 years, and the median PSA level was 8.4 ng/ml. Although there was no significant difference between the two groups, the RM-positive group exhibited a significantly higher clinical stage. Of the 122 lobes of the prostate (including the right and left lobes), the RM-positive group (26 lobes) had a significantly higher proportion of positive transrectal biopsies of the internal and external glands of the 61 cases. Additionally, in the RM-positive group, the proportion of positive transperineal biopsies of the internal glands and the ratio of positive systematic biopsies were significantly higher. Logistic regression analysis of riskfactors linked to increased RM-positivity revealed that neurovascular bundle (NVB) preservation and positive target biopsy were not significant variables. However, systematic biopsies positivity rate was a significant riskfactor. Thus, the riskof RMpositivity was shown to be associated with the systematic biopsy positivity rate, which suggested that systematic biopsies may be necessary for evaluating the indications for NVB preservation.","PeriodicalId":39291,"journal":{"name":"Acta Urologica Japonica","volume":"70 8","pages":"233-239"},"PeriodicalIF":0.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142773222","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

[Advanced Renal Pelvic Tumor Diagnosed after Resection of a Solitary Subcutaneous Metastasis: A Case Report]. [切除单发皮下转移瘤后确诊的晚期肾盂肿瘤：病例报告]。

Acta Urologica Japonica Pub Date : 2024-07-01 DOI: 10.14989/ActaUrolJap_70_7_219

Shiori Saikawa, Tetsuyuki Kurokawa, Yasuharu Kaizaki, Naoki Terada

引用次数: 0

[Comparison of Chronic Testicular Pain and Scrotal Pain Due to Varicocele Using the Japanese Short Form McGill Pain Questionnaire (SF-MPQ)]. [使用日本麦吉尔疼痛简表（SF-MPQ）比较精索静脉曲张引起的慢性睾丸疼痛和阴囊疼痛]。

Acta Urologica Japonica Pub Date : 2024-07-01 DOI: 10.14989/ActaUrolJap_70_7_201

Masaki Kimura, Takahiro Yoshida, Takashi Ujiie, Kazuki Takei, Yuumi Tokura, Itsuki Yoshimura, Taketo Kawai, Tomoyuki Kaneko, Tohru Nakagawa

{"title":"[Comparison of Chronic Testicular Pain and Scrotal Pain Due to Varicocele Using the Japanese Short Form McGill Pain Questionnaire (SF-MPQ)].","authors":"Masaki Kimura, Takahiro Yoshida, Takashi Ujiie, Kazuki Takei, Yuumi Tokura, Itsuki Yoshimura, Taketo Kawai, Tomoyuki Kaneko, Tohru Nakagawa","doi":"10.14989/ActaUrolJap_70_7_201","DOIUrl":"10.14989/ActaUrolJap_70_7_201","url":null,"abstract":"Chronic testicular pain (CTP) is testicular pain that persists for more than 3 months, and the cause of the pain is often unknown, sometimes requiring differentiation from varicocele (VC). In this study, the shortform McGill pain questionnaire (SF-MPQ), which allows a detailed assessment of pain, was used to examine the clinical differences between CTP and scrotal pain due to VC. A retrospective study (IRB# : TeiRin21- 036) was conducted on 77 patients who visited our clinic between 2018 and 2022 with the chief complaint of scrotal pain. Of the 77 patients, 19 were diagnosed with CTP and 58 patients with VC. All patients were evaluated for marital status, smoking, alcohol consumption, body mass index, and duration of pain. In addition, comorbidities were assessed using the Charlson Comorbidity Index (CCI). All patients were asked to complete the Numerical Rating Scale (NRS), Verbal Rating Scale (VRS), and SF-MPQ. With respect to the patient background, the CTP group was significantly older than the VC group, had a higher percentage of married patients, and had higher CCI. Concerning pain assessment, the CTP group had significantly higher NRS and VRS than the VC group. In terms of pain sensation and character, the CTP group experienced significantly more throbbing, shooting, stabbing, sharp, burning, and tender pain than the VC group. Regarding, the emotional aspects of pain, they significantly felt the pain tiring- exhausting, sickening, fearful, and punishing-cruel. These results suggest that the SF-MPQ may be a useful questionnaire in the evaluation of CTP.","PeriodicalId":39291,"journal":{"name":"Acta Urologica Japonica","volume":"70 7","pages":"201-206"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142733163","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 Case of Immune Checkpoint Inhibitor-Related Gastritis and Severe Thrombocytopenia during Pembrolizumab and Axitinib Treatment]. [在 Pembrolizumab 和 Axitinib 治疗期间发生免疫检查点抑制剂相关性胃炎和严重血小板减少症的病例]。

Acta Urologica Japonica Pub Date : 2024-07-01 DOI: 10.14989/ActaUrolJap_70_7_213

Kosuke Ogawa, Daisuke Takahashi, Takuro Miyagawa, Ryuichiro Arakaki, Shinsuke Shibuya, Kazutoshi Okubo

{"title":"[A Case of Immune Checkpoint Inhibitor-Related Gastritis and Severe Thrombocytopenia during Pembrolizumab and Axitinib Treatment].","authors":"Kosuke Ogawa, Daisuke Takahashi, Takuro Miyagawa, Ryuichiro Arakaki, Shinsuke Shibuya, Kazutoshi Okubo","doi":"10.14989/ActaUrolJap_70_7_213","DOIUrl":"10.14989/ActaUrolJap_70_7_213","url":null,"abstract":"A 75-year-old female who was referred to our hospital with dizziness as the main complaint. Computed tomographic (CT) and positron emission tomography-CT scans indicated the presence of generalized lymphadenopathy and a 10 cm tumor in her left kidney. Further evaluation led to a diagnosis of Hodgkin’s lymphoma and left renal cell carcinoma. Due to her poor general condition secondary to the lymphoma, she was referred to our institution where chemotherapy was promptly initiated. After one year, metastases to the sternum and right hilar lymph nodes from the renal cancer were detected. Therefore, treatment for the lymphoma was discontinued, and combination therapy with Pembrolizumab and Axitinib for the renal carcinoma was started. Eight months after starting treatment for kidney cancer, the patient developed gastritis as an immune-related adverse event (irAE), which improved with high-dose steroid therapy. Subsequently, severe thrombocytopenia developed following the initiation of steroid therapy but improved upon discontinuation of Axitinib. Currently, treatment is ongoing with Cabozantinib without recurrence of either gastritis or thrombocytopenia.","PeriodicalId":39291,"journal":{"name":"Acta Urologica Japonica","volume":"70 7","pages":"213-218"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142733152","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

[Relationship between Serum Testosterone Levels and Diagnosis of Late-Onset Hypogonadism in Patients Visiting an Outpatient Clinic]. [门诊患者血清睾酮水平与晚发性性腺功能减退症诊断之间的关系]。

Acta Urologica Japonica Pub Date : 2024-07-01 DOI: 10.14989/ActaUrolJap_70_7_207

Hisanori Taniguchi, Seiji Shimada, Hidefumi Kinoshita, Tadashi Matsuda

{"title":"[Relationship between Serum Testosterone Levels and Diagnosis of Late-Onset Hypogonadism in Patients Visiting an Outpatient Clinic].","authors":"Hisanori Taniguchi, Seiji Shimada, Hidefumi Kinoshita, Tadashi Matsuda","doi":"10.14989/ActaUrolJap_70_7_207","DOIUrl":"10.14989/ActaUrolJap_70_7_207","url":null,"abstract":"The clinical practice manual for late-onset hypogonadism (LOH) was updated in 2022. This study analyzed the total and free testosterone levels of patients who visited our specialized hypogonadism outpatient clinic and examined the characteristics of patients eligible for androgen replacement therapy (TRT), using the 2007 guidelines and the new guidelines as references. Among a total of 770 patients that visited our clinic,11.9% (92/770) of the patients had total testosterone levels (＜250 ng/dl) that met the LOH diagnostic criteria of the new guidelines,and 39.2% (302/770) had free testosterone levels (＜7.5 pg/ml) that met the LOH diagnostic criteria. These patients represented 62.2% of the patients who underwent TRT,according to the 2007 guidelines. When patients who underwent TRT were divided into two groups depending on whether they met the diagnostic criteria in the new medical treatment guide,there was no significant difference in the subjective effectiveness rate of TRT and the improvement rate of Aging Males’Symptoms (AMS) score before and after TRT.","PeriodicalId":39291,"journal":{"name":"Acta Urologica Japonica","volume":"70 7","pages":"207-211"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142733087","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

[Prognostic Factors for Recurrence in Patients with cT1 Renal Cell Carcinoma Upstaging to pT3a after Laparoscopic/Robot-Assisted Partial Nephrectomy]. [腹腔镜/机器人辅助肾部分切除术后 cT1 肾细胞癌上移至 pT3a 患者复发的预后因素]。

Acta Urologica Japonica Pub Date : 2024-07-01 DOI: 10.14989/ActaUrolJap_70_7_193

Takanari Kambe, Toshinari Yamasaki, Akihiko Nagoshi, Tasuku Fujiwara, Yuta Mine, Hiroki Hagimoto, Yuto Hattori, Yohei Abe, Daisuke Yamashita, Naofumi Tsutsumi, Mutsushi Kawakita

引用次数: 0

[A Case of Urethral Foreign Body from 40 Years Ago with Scrotum Abscess and Urethroscrotal Fistula]. [40 年前尿道异物伴阴囊脓肿和尿道瘘病例]。

Acta Urologica Japonica Pub Date : 2024-06-01 DOI: 10.14989/ActaUrolJap_70_6_185

Yohei Kaizuka, Tetsuro Yoshimoto, Yutaka Doi, Motohiro Taguchi

引用次数: 0

[Resumption of Enfortumab Vedotin Supported by Diagnosis of a Late- Onset Immune-Related Adverse Event in Metastatic Urothelial Carcinoma : A Case Report]. [转移性尿路上皮癌晚期免疫相关不良事件诊断支持恢复使用恩福单抗维多汀：病例报告]。

Acta Urologica Japonica Pub Date : 2024-06-01 DOI: 10.14989/ActaUrolJap_70_6_161

Takeru Fujimoto, Yoshio Sugino, Kazuma Soya, Kana Kohashiguchi, Sachiko Higashino, Fumihiro Uwamori, Yusuke Takei, Hiroshi Iwamura

引用次数: 0

[A Case of Metastatic Prostate Cancer with Neuroendocrine Differentiation with Long-Term Survival after Multidisciplinary Therapy]. [神经内分泌分化转移性前列腺癌多学科治疗后长期生存病例]。

Acta Urologica Japonica Pub Date : 2024-06-01 DOI: 10.14989/ActaUrolJap_70_6_173

Koki Fujita, Minoru Kato, Yuki Kosugi, Yoshimasa Sekido, Nanami Matsui, Kazuki Masuda, Shoma Yamamoto, Taisuke Matsue, Keiko Iguchi, Nao Yukimatsu, Taiyo Otoshi, Takeshi Yamasaki, Katsuyuki Kuratsukuri, Kenichi Kohashi, Junji Uchida

{"title":"[A Case of Metastatic Prostate Cancer with Neuroendocrine Differentiation with Long-Term Survival after Multidisciplinary Therapy].","authors":"Koki Fujita, Minoru Kato, Yuki Kosugi, Yoshimasa Sekido, Nanami Matsui, Kazuki Masuda, Shoma Yamamoto, Taisuke Matsue, Keiko Iguchi, Nao Yukimatsu, Taiyo Otoshi, Takeshi Yamasaki, Katsuyuki Kuratsukuri, Kenichi Kohashi, Junji Uchida","doi":"10.14989/ActaUrolJap_70_6_173","DOIUrl":"10.14989/ActaUrolJap_70_6_173","url":null,"abstract":"A 74-year-old man visited the urology clinic with the chief complaint of urinary retention in December 2014. Serum level of initial prostate specific antigen (PSA) was 50 ng/ml and he was diagnosed with Gleason Score 4＋4 prostate adenocarcinoma with regional lymphadenopathy (cT3aN1M0). PSA level had declined after the treatment with combined androgen blockade. In November 2018, he was diagnosed with castration resistant prostate cancer (CRPC) as local progression was detected by computed tomography (CT) while PSA level did not increase. Since local symptoms worsened, resulting in repeated hematuria after the treatment with enzalutamide, palliative radiation therapy to the prostate (45 Gy) was performed. Five months later, follow-up CT showed multiple metastasis in bilateral lung and left testicle. Serum level of neuron-specific enolase (NSE) was 24.4 ng/ml without an elevated in serum PSA level. He received rebiopsy of the prostate, but no malignant findings were observed. Consequently, bilateral orchiectomy was performed for diagnosis of left testicular tumor. Pathological examination revealed metastasis of neuroendocrine prostate cancer (NEPC). Chemotherapy using cisplatin and irinotecan was administered after orchiectomy. Complete response of lung lesions was achieved and serum level of NSE decreased within normal range. No recurrence has been confirmed for 4 years after the completion of chemotherapy.","PeriodicalId":39291,"journal":{"name":"Acta Urologica Japonica","volume":"70 6","pages":"173-177"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141535634","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