Acta Urologica Japonica最新文献_第6页

[A Case of Proliferative Cystitis Discovered as Protruding Lesion during Inspection of Secondary Infertility]. [在检查继发性不孕症时发现突出病变的增生性膀胱炎病例]。

Acta Urologica Japonica Pub Date : 2024-06-01 DOI: 10.14989/ActaUrolJap_70_6_167

Keita Okamoto, Kosuke Kojo, Masahiro Kurobe, Yoshimasa Nakazato, Hiromu Inai, Katsunori Uchida, Jun Miyazaki, Tatsuya Takayama

{"title":"[A Case of Proliferative Cystitis Discovered as Protruding Lesion during Inspection of Secondary Infertility].","authors":"Keita Okamoto, Kosuke Kojo, Masahiro Kurobe, Yoshimasa Nakazato, Hiromu Inai, Katsunori Uchida, Jun Miyazaki, Tatsuya Takayama","doi":"10.14989/ActaUrolJap_70_6_167","DOIUrl":"10.14989/ActaUrolJap_70_6_167","url":null,"abstract":"A 42-year-old man visited our hospital complaining of secondary infertility. An abdominal ultrasonography screening incidentally revealed a protruding lesion in the bladder. As the lesion extended from the prostatic urethra and bladder neck, there was a possibility of ejaculation dysfunction after resection of the lesion. Therefore, with the patient's informed consent, sperm cryopreservation was conducted for fertility preservation, and subsequently histological examination was performed by partial transurethral resection of bladder tumor. The pathological findings were proliferative cystitis including all three subtypes (glandularis, cystica, and papillary). Cyclooxygenase-2 immunostaining was positive in cytoplasm; weakly positive in cystic and papillary lesions, and strongly positive in glandular lesions. According to a literature review of massive proliferative cystitis, the patient was the 77th case in Japan. Novel postoperative immunological pharmacotherapies with cyclooxygenase-2 inhibitors have been introduced in recent years.","PeriodicalId":39291,"journal":{"name":"Acta Urologica Japonica","volume":"70 6","pages":"167-171"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141535635","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 Xanthogranulomatous Pyelonephritis with Multiple Lymphadenopathy that was Difficult to Differentiate from Renal Tumor]. [黄疽性肾盂肾炎伴多发性淋巴结病难以与肾肿瘤鉴别的病例]。

Acta Urologica Japonica Pub Date : 2024-06-01 DOI: 10.14989/ActaUrolJap_70_6_149

Yuta Goto, Ei Shiomi, Mizuki Hisano, Shuhei Ishii, Takashi Ujiie, Yasuyuki Nakamura

{"title":"[A Case of Xanthogranulomatous Pyelonephritis with Multiple Lymphadenopathy that was Difficult to Differentiate from Renal Tumor].","authors":"Yuta Goto, Ei Shiomi, Mizuki Hisano, Shuhei Ishii, Takashi Ujiie, Yasuyuki Nakamura","doi":"10.14989/ActaUrolJap_70_6_149","DOIUrl":"10.14989/ActaUrolJap_70_6_149","url":null,"abstract":"A 74-year-old woman presented to our hospital with the main complaint of anorexia and weight loss for several months. Computed tomography (CT) revealed right urinary stone, hydronephrosis, multiple lymphadenopathy, and a mass in the right kidney. Considering these findings, she was suspected to have renal malignancy (kidney or renal pelvis cancer) with multiple lymph node metastases; therefore, nephrectomy was performed. Her pathological diagnosis was xanthogranulomatous pyelonephritis (XGPN). There was no postoperative renal function decline, and multiple lymphadenopathy also disappeared on CT 3 months after surgery. It was judged to be reactive swelling due to inflammation. XGPN is a pathological condition characterized by accumulation of mast cells and activated macrophages in the renal tissue; and, the renal tissue recognizes yellowish granulation growth because of repeating pyelonephritis due to urinary tract passing impairment. In some cases, it is difficult to differentiate XGPN from renal malignancy. Moreover, lymphadenopathy may be lymph node metastasis but may also present reactive enlargement due to the effect of inflammation, making it even more difficult to differentiate when accompanied by lymphadenopathy. We report this case in which it was difficult to differentiate XGPN from renal malignancy considering the scarcity of reports of XGPN accompanied by multiple lymphadenopathy.","PeriodicalId":39291,"journal":{"name":"Acta Urologica Japonica","volume":"70 6","pages":"149-153"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141535637","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 Association of Docetaxel Side Effects and Introduction of Subsequent Cabazitaxel for Castration-Resistant Prostate Cancer : A Clinical Study]. [多西他赛副作用与后续卡巴他赛治疗阉割耐药前列腺癌的关联：一项临床研究]。

Acta Urologica Japonica Pub Date : 2024-06-01 DOI: 10.14989/ActaUrolJap_70_6_141

Yuma Kujime, Mototaka Sato, Takahiro Maekawa, Shun Umeda, Makoto Matsushita, Norihide Tei, Osamu Miyake

{"title":"[The Association of Docetaxel Side Effects and Introduction of Subsequent Cabazitaxel for Castration-Resistant Prostate Cancer : A Clinical Study].","authors":"Yuma Kujime, Mototaka Sato, Takahiro Maekawa, Shun Umeda, Makoto Matsushita, Norihide Tei, Osamu Miyake","doi":"10.14989/ActaUrolJap_70_6_141","DOIUrl":"https://doi.org/10.14989/ActaUrolJap_70_6_141","url":null,"abstract":"The administration of cabazitaxel for patients with castration-resistant prostate cancer (CRPC) requires prior docetaxel therapy. Sequential chemotherapy may have to be discontinued due to docetaxelassociated side effects. This study investigated the relationship between treatment outcome of docetaxel and cabazitaxel and their associated side effects. We retrospectively analyzed 69 patients with CRPC who had been administered docetaxel withand without subsequent cabazitaxel at Toyonaka Municipal Hospital from October 2014 to June 2022. Twenty-eight patients (41%) discontinued docetaxel because of side effects, and the median number of docetaxel cycles at discontinuation was 2 (range : 1-11). Fourteen of these patients received no treatment following docetaxel. A comparison of the 28 patients who had discontinued docetaxel due to side effects with 41 patients who had not revealed a significant difference in the total numbers of chemotherapy cycles (2.5 vs 9 ; P＜0.001) and time to treatment failure (56 days vs 301 days ; P＝ 0.001), with a trend toward shorter overall survival from the start of docetaxel treatment (259 days vs 512 days ; P＝0.06). Multivariate analysis identified discontinuation of docetaxel due to side effects (OR＝0.07 ; P＜0.001) and lower hemoglobin (OR＝0.01 ; P＝0.001) as significant factors inhibiting the introduction of cabazitaxel. Reducing the side effects of docetaxel, including early drug switching, may allow more CRPC patients to be reached with cabazitaxel. Consequently, the resulting taxane-based chemotherapy may contribute to an additional survival advantage.","PeriodicalId":39291,"journal":{"name":"Acta Urologica Japonica","volume":"70 6","pages":"141-147"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141535640","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 Granulocyte Colony-Stimulating Factor-Related Aortitis that Developed during the Treatment of Advanced Prostate Cancer with Neuroendocrine Differentiation]. [治疗神经内分泌分化的晚期前列腺癌期间出现的粒细胞集落刺激因子相关性大动脉炎病例]。

Acta Urologica Japonica Pub Date : 2024-06-01 DOI: 10.14989/ActaUrolJap_70_6_179

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

{"title":"[A Case of Granulocyte Colony-Stimulating Factor-Related Aortitis that Developed during the Treatment of Advanced Prostate Cancer with Neuroendocrine Differentiation].","authors":"Tatsuya Hazama, Kohei Maruno, Toshifumi Takahashi, Yuya Yamada, Masakazu Nakashima, Kazuro Kikkawa, Masahiro Tamaki, Noriyuki Ito","doi":"10.14989/ActaUrolJap_70_6_179","DOIUrl":"10.14989/ActaUrolJap_70_6_179","url":null,"abstract":"An 81-year-old man with prostate cancer (cT3aN0M0), who had been undergoing hormonal therapy for 4 years and had maintained low prostate specific antigen levels, developed metastasized pelvic lymph nodes. A tissue biopsy revealed neuroendocrine differentiation of prostate cancer in the metastatic lymph nodes. Consequently, chemotherapy with carboplatin＋etoposide was initiated. During the first course, filgrastim was administered for 2 days due to a drop in his neutrophil count to 230/μl. During the second course, pegfilgrastim was administered as prophylaxis on day 4. However, on day 10 of the second course, he started to develop a fever and fatigue. Suspecting infection, antibiotics were administered, but failed to ameliorate his symptoms. On day 14, plain computed tomography revealed signs of aortic inflammation. Given the lack of improvement even after one week of antibiotic therapy, steroid treatment was initiated on the suspicion of granulocyte colony-stimulating factor (G-CSF) -induced aortitis, which rapidly improved his symptoms. Therefore, when encountering a case in which a fever remains unresponsive to antibiotics during chemotherapy with G-CSF agents, a differential diagnosis of aortic inflammation caused by G-CSF agents needs to be considered.","PeriodicalId":39291,"journal":{"name":"Acta Urologica Japonica","volume":"70 6","pages":"179-183"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141535633","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

[Repair of Vaginal Cuff Dehiscence after Laparoscopic Radical Cystectomy with Gracilis Myocutaneous Flap]. [用 Gracilis 肌皮瓣修复腹腔镜根治性膀胱切除术后阴道袖口开裂]。

Acta Urologica Japonica Pub Date : 2024-06-01 DOI: 10.14989/ActaUrolJap_70_6_155

Kanji Nagahama, Masaaki Ito, Kazuto Imai, Norihiko Masuda, Masahiro Takekawa, Tadashi Inoue, Takakazu Matsushita, Miyuki Ito, Toru Kanno, Toshiya Akao

引用次数: 0

[A Case of Metastatic Renal Cancer Responding to Sunitinib as the Eighth Line Therapy]. [一例对第八线疗法舒尼替尼有反应的转移性肾癌】。］

Acta Urologica Japonica Pub Date : 2024-05-01 DOI: 10.14989/ActaUrolJap_70_5_117

Mami Yamazaki, Kosuke Sakai, Kentaro Kiyozuka, Chiaki Nakamura, Masatoshi Kumagai, Masakatsu Ueda, Yusuke Shiraishi, Masaaki Imamura, Koji Yoshimura

引用次数: 0

[A Case of Lymphorrhea after Radical Cystectomy Treated by Ultrasound-Guided Inguinal Intranodal Lymphangiography]. [超声引导下腹股沟内淋巴管造影术治疗根治性膀胱切除术后淋巴结肿大一例]。

Acta Urologica Japonica Pub Date : 2024-05-01 DOI: 10.14989/ActaUrolJap_70_5_123

Taro Akai, Seiji Ueno, Atsushi Takeda, Satoru Tokuyama, Hiroshi Yamazaki

{"title":"[A Case of Lymphorrhea after Radical Cystectomy Treated by Ultrasound-Guided Inguinal Intranodal Lymphangiography].","authors":"Taro Akai, Seiji Ueno, Atsushi Takeda, Satoru Tokuyama, Hiroshi Yamazaki","doi":"10.14989/ActaUrolJap_70_5_123","DOIUrl":"10.14989/ActaUrolJap_70_5_123","url":null,"abstract":"A 76-year-old woman was diagnosed with invasive bladder cancer and underwent cystectomy, bilateral external iliac, internal iliac and obturator lymph node dissection, and bilateral cutaneous ureterostomy. Pathological findings showed no lymph node metastasis ; however, the patient had lower abdominal pain and fever from the 14th postoperative day, and computed tomography (CT) revealed fluid retention in the pelvis. Retrograde pyelography showed no leakage from the urinary tract, and a drain was placed after percutaneous puncture of the pelvic cavity. There was copious drainage fluid and its nature and composition suggested lymphorrhea. Ultrasound-guided intranodal lymphangiography revealed contrast material leakage from the bilateral lymph node dissection sites. After lymphangiography, drainage from the drain decreased. Despite the drainage being minimal yet persistent, sclerotherapy was performed, the drain was removed and the patient was discharged. After discharge, there was leakage from the site of urethral extraction, and CT revealed recurrent lymph leakage. The patient was readmitted, and a second lymphangiography was performed. The leakage from the site of urethral extraction gradually decreased, and the patient was discharged on the 59th postoperative day. CT after discharge confirmed that the lymphorrhea had shrunk in size, and there has been no recurrence since then. Lymphangiography is a promising treatment option for lymphorrhea after pelvic surgery.","PeriodicalId":39291,"journal":{"name":"Acta Urologica Japonica","volume":"70 5","pages":"123-127"},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141535603","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

[Transurethral Resection of Necrotic Tissue in the Bladder Caused by Emphysematous Cystitis]. [气肿性膀胱炎引起的膀胱坏死组织经尿道切除术]。

Acta Urologica Japonica Pub Date : 2024-05-01 DOI: 10.14989/ActaUrolJap_70_5_133

Shun Watanabe, Hogara Segawa, Hidekazu Tachibana, Hiroshi Kobayashi

引用次数: 0

[Real-World Experience and Complications with Intermittent Balloon Catheters : A Predictor Analysis]. [间歇性球囊导管的实际使用经验和并发症：预测分析]。

Acta Urologica Japonica Pub Date : 2024-05-01 DOI: 10.14989/ActaUrolJap_70_5_111

Tomohiko Aigase, Hiroki Ito, Takahisa Suzuki, Tamami Sahoda, Yoko Azekoshi, Katsuyuki Tanaka

{"title":"[Real-World Experience and Complications with Intermittent Balloon Catheters : A Predictor Analysis].","authors":"Tomohiko Aigase, Hiroki Ito, Takahisa Suzuki, Tamami Sahoda, Yoko Azekoshi, Katsuyuki Tanaka","doi":"10.14989/ActaUrolJap_70_5_111","DOIUrl":"https://doi.org/10.14989/ActaUrolJap_70_5_111","url":null,"abstract":"Intermittent balloon catheterization with a reusable and temporary balloon catheter that could be implanted and removed by the patient was developed in Japan in 1995. Although the intermittent balloon catheter has the potential to improve the patient's quality of life (QOL), appropriate information and guidelines are needed to prevent complications such as hematuria and urinary tract infection. This study aimed to assess the real-world practice, complications, and problems associated with the use of intermittent balloon catheters and provide useful information for future medical care. We conducted a questionnaire survey on patients with spinal cord lesions who currently use or have used intermittent balloon catheters in the past. Seventy-six patients with spinal cord lesions who visited Kanagawa Rehabilitation Hospital from August 2020 to March 2021 and gave consent for participating in this study were included. QOL scores before and after intermittent balloon catheter use showed significant improvement after use. Forty-six of the 76 (61.3%) patients had complications. Overall complications were significantly associated with male sex and possibly linked to non-traumatic spinal cord lesions.","PeriodicalId":39291,"journal":{"name":"Acta Urologica Japonica","volume":"70 5","pages":"111-115"},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141535631","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

[Pedunculated Giant Condyloma Acuminatum of the Scrotum]. [阴囊有蒂巨型湿疣]。

Acta Urologica Japonica Pub Date : 2024-05-01 DOI: 10.14989/ActaUrolJap_70_5_129

Haruna Ide, Masanari Nishida, Masatoshi Nakamura, Eiki Hanada, Yuji Sakano, Chul Jang Kim

引用次数: 0