Acta Urologica Japonica最新文献_第7页

[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

[A Case of Successful Treatment of Small Cell Carcinoma of the Bladder with Pembrolizumab]. [彭博利珠单抗成功治疗膀胱小细胞癌的病例]。

Acta Urologica Japonica Pub Date : 2024-04-01 DOI: 10.14989/ActaUrolJap_70_4_93

Tomohiko Aigase, Tomoyuki Tatenuma, Koichi Uemura, Kazuhide Makiyama, Noritoshi Kobayashi, Ikuma Kato, Shoji Yamanaka, Seiji Fujii

{"title":"[A Case of Successful Treatment of Small Cell Carcinoma of the Bladder with Pembrolizumab].","authors":"Tomohiko Aigase, Tomoyuki Tatenuma, Koichi Uemura, Kazuhide Makiyama, Noritoshi Kobayashi, Ikuma Kato, Shoji Yamanaka, Seiji Fujii","doi":"10.14989/ActaUrolJap_70_4_93","DOIUrl":"10.14989/ActaUrolJap_70_4_93","url":null,"abstract":"Small cell carcinoma of the bladder (SCCB) is a rare cancer that accounts for approximately 1% of primary malignant bladder tumors. It is highly malignant and has a poor prognosis. Similar to small cell lung cancer, platinum-based chemotherapy is recommended as the first-line therapy, and amrubicin (AMR) is recommended as the second-line therapy, but there is no established therapy after the second line. We report a case of SCCB that was refractory to multiple chemotherapies but responded to pembrolizumab. A 77-year-old male, diagnosed with clinical stage T3N0M0 small cell carcinoma and invasive urothelial carcinoma by transurethral resection of bladder tumor (TURBT), underwent robot-assisted radical cystectomy after three cycles of neoadjuvant cisplatin-irinotecan chemotherapy, and pathological examination revealed only small cell carcinoma in his cystectomy specimen. After three courses of adjuvant carboplatin-etoposide chemotherapy, the patient developed liver and bone metastases. Furthermore, after two courses of amrubicin, we started pembrolizumab due to the progression of metastases. Metastases decreased after starting pembrolizumab and continued to decrease after discontinuation because of immunerelated adverse events (irAEs). Therefore, pembrolizumab may be an option for the treatment of refractory SCCB.","PeriodicalId":39291,"journal":{"name":"Acta Urologica Japonica","volume":"70 4","pages":"93-99"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141535600","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 Primary Adenocarcinoma Mucinous Subtype of the Bladder]. [膀胱粘液亚型原发性腺癌一例]。

Acta Urologica Japonica Pub Date : 2024-04-01 DOI: 10.14989/ActaUrolJap_70_4_89

Yusuke Kiyama, Yosuke Sekii, Shunsuke Inoguchi, Soichi Matsumura, Hiroaki Kitakaze, Shoko Hongo, Masayoshi Okumi, Shingo Takada, Hironao Kitaoka

{"title":"[A Case of Primary Adenocarcinoma Mucinous Subtype of the Bladder].","authors":"Yusuke Kiyama, Yosuke Sekii, Shunsuke Inoguchi, Soichi Matsumura, Hiroaki Kitakaze, Shoko Hongo, Masayoshi Okumi, Shingo Takada, Hironao Kitaoka","doi":"10.14989/ActaUrolJap_70_4_89","DOIUrl":"10.14989/ActaUrolJap_70_4_89","url":null,"abstract":"A 48-year-old man who presented with asymptomatic gross hematuria in July 202X had been followed up without treatment. In January 202X, he was referred to our department due to the exacerbation of his hematuria. Contrast-enhanced magnetic resonance imaging revealed bladder cancer suggested bilateral seminal vesicle and prostate invasion, and enlarged right internal and external iliac lymph nodes. The pathological diagnosis was mucinous bladder adenocarcinoma. Prostate biopsy results were negative. Upper and lower gastrointestinal examinations were unremarkable. We suspected bladder cancer cT4aN2M0. In March 202X＋1, the patient underwent robotic-assisted laparoscopic total bladder resection, pelvic lymph node dissection, and intracorporeal urinary tract modification (ileal conduit creation). The final diagnosis was primary mucinous adenocarcinoma pT4aN2M0 of the bladder. Given the heightened risk of recurrence, the patient was administered a three-month course of oxaliplatin and capecitabine (XELOX) as adjuvant postoperative chemotherapy. The patient remains free of progression at 8 months postoperatively. Adenocarcinoma of the bladder is an exceedingly rare entity, with no established chemotherapeutic protocols. Primary mucinous adenocarcinoma of the bladder is even more exceptional. Presently, only regimens similar to those for colorectal cancer or adenocarcinoma of unknown primary, including 5-fluorouracil, are considered. In our particular case, we elected to pursue XELOX therapy, aligning with the principles governing the management of colorectal cancer.","PeriodicalId":39291,"journal":{"name":"Acta Urologica Japonica","volume":"70 4","pages":"89-92"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141535599","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 Incidental Prostate Carcinoma Cases and Predictors by Holmium Laser Enucleation of the Prostate]. [通过前列腺钬激光去核术评估偶发前列腺癌病例及预测因素]。

Acta Urologica Japonica Pub Date : 2024-04-01 DOI: 10.14989/ActaUrolJap_70_4_85

Kanami Mori, Teruaki Kumazawa, Junichi Nadaoka, Masatoshi Kanzaki, Akira Anbai

{"title":"[Assessment of Incidental Prostate Carcinoma Cases and Predictors by Holmium Laser Enucleation of the Prostate].","authors":"Kanami Mori, Teruaki Kumazawa, Junichi Nadaoka, Masatoshi Kanzaki, Akira Anbai","doi":"10.14989/ActaUrolJap_70_4_85","DOIUrl":"https://doi.org/10.14989/ActaUrolJap_70_4_85","url":null,"abstract":"Surgery for benign prostatic hyperplasia (BPH) has greatly advanced with the development of laser technology ; and holmium laser enucleation of the prostate (HoLEP), which can be performed safely and with minimal invasiveness regardless of prostate size. Incidental prostate carcinoma (iPCa) following HoLEP occurs at a certain rate. Predictors, include age, biopsy, history, preoperative prostate specific antigen, and prostate volume. We compared cases with and without incidental carcinoma detection among 257 patients with BPH who underwent HoLEP at our hospital from July 2015 to December 2022. Among the 257 patients, 29 (11.3%) were found to have incidental carcinoma. Although 1 patient switched to endocrine therapy the remaining patients showed good prognosis under surveillance therapy. The proportion of cases with magnetic resonance imaging (MRI) findings suggestive of carcinoma was significantly higher in the incidental carcinoma detection group (p＝0.009). Furthermore, univariate analysis of incidental carcinoma predictive factors revealed a significant difference in MRI findings (odds ratio [OR] 2.92 ; confidence interval [CI] 1.33-6.42), and multivariate analysis showed similar results (OR 2.92 ; CI 1.33-6.42). At our hospital, we currently perform MRI scans for preoperative morphological assessments but not for cancer diagnosis. However, based on the results obtained, we aim to proactively utilize MRI for preoperative malignant screening, in addition to PSA.","PeriodicalId":39291,"journal":{"name":"Acta Urologica Japonica","volume":"70 4","pages":"85-88"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141535601","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

[Two Cases of Bleeding from the Ileal Conduit Due to Ectopic Varices]. [异位静脉曲张导致回肠导管出血两例]。

Acta Urologica Japonica Pub Date : 2024-04-01 DOI: 10.14989/ActaUrolJap_70_4_101

Takuto Yamasaki, Takayuki Yoshino, Kosukeo Kojo, Tomokazuo Kimura, Kotoe Matsuda, Bunpeio Isoda, Takazo Tanaka, Harukio Tsuchiya, Masanobu Shiga, Yoshiyuki Nagumo, Atsushi Ikeda, Shuya Kandori, Takashi Kawahara, Akio Hoshi, Hiromitsu Negoro, Kensaku Mori, Hiroyuki Nishiyama

{"title":"[Two Cases of Bleeding from the Ileal Conduit Due to Ectopic Varices].","authors":"Takuto Yamasaki, Takayuki Yoshino, Kosukeo Kojo, Tomokazuo Kimura, Kotoe Matsuda, Bunpeio Isoda, Takazo Tanaka, Harukio Tsuchiya, Masanobu Shiga, Yoshiyuki Nagumo, Atsushi Ikeda, Shuya Kandori, Takashi Kawahara, Akio Hoshi, Hiromitsu Negoro, Kensaku Mori, Hiroyuki Nishiyama","doi":"10.14989/ActaUrolJap_70_4_101","DOIUrl":"10.14989/ActaUrolJap_70_4_101","url":null,"abstract":"Case 1 : A 75-year-old man was emergently admitted to our hospital with a complaint of continuous bleeding from the ileal conduit. The conduit was constructed by a total pelvic resection for sigmoid colon cancer that invaded the urinary bladder 24 years ago. Swollen cutaneous mucosa was seen around the ileal conduit, but no obvious bleeding spot was observed. The contrast-enhanced computed tomographic (CT) scan and 3D visualization revealed varices extending to the abdominal wall. Percutaneous transhepatic embolization successfully stopped the bleeding, but it was needed again after two years. Case 2 : A 72-yearold man with a history of open cystectomy and ileal conduit for bladder cancer came to our hospital two years after the surgery, complaining of continuous bleeding from the conduit. The skin around the stoma site was discolored purple, but no obvious bleeding site or bloody urine was observed. The CT scan similar to Case 1 revealed varices in the ileal conduit, and percutaneous transhepatic embolization successfully stopped the bleeding, but it was needed again after five months. After that, three months passed without recurrence.","PeriodicalId":39291,"journal":{"name":"Acta Urologica Japonica","volume":"70 4","pages":"101-106"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141535602","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