Journal of Urological Surgery最新文献

{"title":"Do High-Power Lasers Reduce Operative Time for Ureterorenoscopy? A Comparison of Holmium Lasers in An Australian Tertiary Centre","authors":"R. Mondschein, Caitlin Ying Ming Louey, A. Ng, P. McCahy","doi":"10.4274/jus.galenos.2021.2021.0104","DOIUrl":"https://doi.org/10.4274/jus.galenos.2021.2021.0104","url":null,"abstract":"There is some laboratory-based evidence that high-powered laser systems destroy stones more effectively than low-power laser systems. However, whether this translates clinically is unknown, as direct clinical comparisons are absent from the literature. This study provides a direct comparison of the two laser systems. Abstract Objective: Holmium lasers are an effective endoscopic treatment for renal stones. Although laboratory studies have demonstrated reduced destruction times for high-power lasers, clinical evidence is lacking. Operative times for ureterorenoscopy (URS) were investigated by comparing high- and low power lasers in a general hospital setting. Materials and Methods: An audited review was conducted of 354 patients who underwent URS over a two-year period at two hospital sites using high- or low power laser. Operative time, stone characteristics, disposable equipment, s use of dusting, complications and stone-free rates were recorded. Linear regression was used to model the relationship between laser type and theater time. Univariate analysis was performed to determine other factors associated with increased operative time. Results: Mean operative time was 61.9 minutes. No significant difference between sites [0.40, p=0.88, confidence interval (CI) -4.9-5.8] was found, including following the exclusion of large stones (>20 mm). Stone size categories analyzed separately showed reduced operative times for larger stones when using high-power laser. Basket use (8.4, p=0.002, CI 3.06-13.65) and increasing stone size (6.9, p<0.005, CI 3.4-10.4) were associated with increased operative time. Complications and stone-free rates did not vary between sites. Conclusion: High-power laser was not associated with reduced total operative time in this cohort, although there was a trend toward this for larger renal calculi. Further delineation by surgeon expertise would be useful to determine whether high power laser is generally advantageous in the clinical setting. In training hospitals, any differences may be obscured by other factors.","PeriodicalId":42050,"journal":{"name":"Journal of Urological Surgery","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2022-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43214746","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}

{"title":"The Effect of COVID-19 Phobia on the Time of Admission to the Hospital in Patients with Ureteral Stones","authors":"M. Değer, N. Akdoğan, M. Demirkol, Sümeyye Seday, Sevinç Püren Yüce, V. Izol, I. Aridogan","doi":"10.4274/jus.galenos.2022.2021.0135","DOIUrl":"https://doi.org/10.4274/jus.galenos.2022.2021.0135","url":null,"abstract":"Objective: To investigate the effect of coronavirus disease-2019 (COVID-19) phobia in patients with ureteral stones. Materials and Methods: Between August 2020 and March 2021, patients over the age of 18 who were diagnosed with ureteral stones were included in this study. The COVID-19 Phobia scale (C19P-S) was used to measure the COVID-19 phobia levels of the patients. Demographic and patients' characteristics were recorded. The time between the onset of the patient's complaint and the time of admission to the hospital was recorded and grouped as group 1 (≤7 days), group 2 (7-21 days), group 3 (>21 days). Results: A total of 77 patients with a mean age of 45.8±14.8 years were eligible for analysis. Among these, 55 (71.4%) were male. According to the time between the onset of the patient's complaint and the time of admission to the hospital, there were 39 (50.6%) patients in group 1 (≤7 days), 17 (22.1%) patients in group 2 (7-21 days) and 21 (27.3%) patients group 3 (>21 days). The median C19P-S scores in these groups were 32.0 (15.0- 46.0), 37.0 (26.0-62.0) and 56.0 (37.0-80.0), respectively. There were significant differences in terms of C19P-S between groups of the time between the onset of the patient's complaint and the time of admission to the hospital (p≤0.001). Conclusion: COVID-19 phobia caused a delay in the hospital admission of patients with ureter stones. When patients have complaints, it is necessary to raise the awareness of society about applying to the hospital and to increase awareness of this issue.","PeriodicalId":42050,"journal":{"name":"Journal of Urological Surgery","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2022-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42057529","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}

{"title":"Testicular Torsion: Not Just in Young Men","authors":"J. Saad, R. Shanmugasundaram, Sean Heywood, C. Varol, M. Roberts","doi":"10.4274/jus.galenos.2021.2021.0085","DOIUrl":"https://doi.org/10.4274/jus.galenos.2021.2021.0085","url":null,"abstract":"Testicular torsion (TT) is a urological emergency, which requires a time-sensitive approach to diagnosis and management. TT predominantly presents with severe, sudden onset, unilateral testicular pain in men under the age of 21. It is a clinical diagnosis with assistance from a scrotal ultrasound or confirmation via scrotal exploration. Here we present an interesting case of a 67-year-old man with TT. This case demonstrates that medical professionals should have a high degree of clinical suspicion for men of all ages with unilateral scrotal pain.","PeriodicalId":42050,"journal":{"name":"Journal of Urological Surgery","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2022-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42005560","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}

{"title":"A Rational Solution for Megaureter in Infants with Solitary Kidney: Temporary Loop Cutaneous Ureterostomy","authors":"S. Tekgül, B. Çıtamak, H. Doğan, T. Ceylan","doi":"10.4274/jus.galenos.2022.2021.0087","DOIUrl":"https://doi.org/10.4274/jus.galenos.2022.2021.0087","url":null,"abstract":"Objective: To define and discuss the new concept which using loop cutaneous ureterostomy (LCU) in patients with obstructing megaureter and solitary kidney. Materials and Methods: Two patients with solitary kidney with obstructive pattern were included. Both patients underwent LCU within the 1 st month to reduce the obstruction and to relieve the pelvicaliceal system. Thereafter, parents were taught to dilate the ureter and irrigate the bladder with sterile saline by a disposable 6F catheter via antegrade fashion through the distal ureter. Initially, 10 cc saline was used once a day, then it was increased to 20 cc once a day after 2 months. When the bladder capacity was sufficient (50 mL capacity at the 6 th month or by cystoscopic evaluation intraoperatively), we performed undiversion with ureteroneocystostomy and Double-J-stent placement. Results: Ureterorenal dilatations were followed-up by ultrasonography and renal function tests. No bladder dysfunction and renal insufficiency were observed during follow-up. At the postoperative controls, patients’ renal function tests were compatible with their ages and they had no voiding dysfunction. Conclusion: Patients with solitary kidney and obstructing megaureter require urgent diversion. After diversion, bladder cycling is required to prevent bladder dysfunction by protecting and developing bladder capacity. Using this concept, the kidney can be protected from further damage and treatment can be finalized around 6 months of age with minimum morbidity.","PeriodicalId":42050,"journal":{"name":"Journal of Urological Surgery","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2022-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46631614","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}

{"title":"Emphysematous Pyelonephritis: A Twelve-year Review in A Regional Centre","authors":"B. Storey, S. Nalavenkata, S. Whitcher, A. Blatt","doi":"10.4274/jus.galenos.2022.2021.0008","DOIUrl":"https://doi.org/10.4274/jus.galenos.2022.2021.0008","url":null,"abstract":"It is known that emphysematous pyelonephritis is a severe and life threatening illness that does not have a clearly defined treatment algorithm. This paper shows the experience of treating this disease over 12 years and reinforces that there remains a role for both minimally invasive therapy as well as extensive surgical intervention, but further research into this condition is Abstract Objective: To examine outcomes and prognostic features of patients admitted with emphysematous pyelonephritis (EPN) at a regional tertiary centre. Materials and Methods: Nineteen patients with EPN were identified between January 2007 and December 2019. Patients were grouped into two “mild” (grade I or II); and “severe” (grade III or IV) based on their Huang and Tseng classification. The two groups were compared using Fisher’s Exact tests to determine prognostic features associated with poor outcome, defined as extensive surgical intervention or death. Results: Thirteen patients had mild disease and six patients had severe disease. 69% of patients had ureteric obstruction, 58% were diabetic, 26% were thrombocytopaenic, and there was a female predominance (12:7). Poor outcomes were significantly more common in patients with severe disease (83%), versus mild disease (8%) (p<0.0001). Half of the patients managed with sole medical management died (two of four patients) and only two patients required escalation to extensive surgical management, both of whom survived. Overall mortality during admission was 19%; encompassing three of six patients with severe disease (50%) and one of thirteen patients with mild disease (8%). Conclusion: EPN is dangerous, requiring prompt recognition and intervention, and is of increasing importance given the aging population and increased prevalence of comorbidities associated with the disease. This study of the largest recorded cohort of patients with EPN in Australia it was found that poor outcomes were significantly more common in patients with high radiological-grade disease, and severe thrombocytopaenia.","PeriodicalId":42050,"journal":{"name":"Journal of Urological Surgery","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2022-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44121149","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}

{"title":"Primary Renal Synovial Sarcoma","authors":"Wyatt MacNevin, R. Rendon, B. Colwell, Cheng Wang, K. D. Haché, J. Merrimen, R. Mason","doi":"10.4274/jus.galenos.2022.2021.0094","DOIUrl":"https://doi.org/10.4274/jus.galenos.2022.2021.0094","url":null,"abstract":"Primary renal synovial sarcoma is a rare malignancy that may present similarly to other renal neoplasms. The diagnosis of synovial sarcoma is performed through the identification of a SYT-SSX gene fusion. Here, we present a case of a primary renal synovial sarcoma in a patient who presented with renal mass initially thought to be renal cell carcinoma until further pathological characterization. After undergoing radical open nephrectomy, the patient developed pulmonary and psoas metastases and was treated with systemic therapy.","PeriodicalId":42050,"journal":{"name":"Journal of Urological Surgery","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2022-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49496706","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}

{"title":"Protective Effects of Capsaicin on Experimental Testicular Torsion and Detorsion Injury","authors":"Hilal Gören, Semih Öz, D. BURUKOĞLU DÖNMEZ, M. Üstüner, İhsan Hız, H. Özden, Ş. Kabay","doi":"10.4274/jus.galenos.2022.2022.0011","DOIUrl":"https://doi.org/10.4274/jus.galenos.2022.2022.0011","url":null,"abstract":"","PeriodicalId":42050,"journal":{"name":"Journal of Urological Surgery","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2022-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48357852","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}

{"title":"Iatrogenic Renal Rupture in Conduitoscopy - A Diagnostic Trauma","authors":"J. Kovacic, E. Latif","doi":"10.4274/jus.galenos.2021.2021.0089","DOIUrl":"https://doi.org/10.4274/jus.galenos.2021.2021.0089","url":null,"abstract":"Cite this article as: Kovacic J, Latif E. Iatrogenic Renal Rupture in Conduitoscopy A Diagnostic Trauma. J Urol Surg, 2022;9(2):143-145. Correspondence: James Kovacic MD, Gosford Hospital Ringgold Standard Institution, Department of Urology, Gosford, Australia Phone: +61 411 359 053 E-mail: james.kovacic@health.nsw.gov.au ORCID-ID: orcid.org/0000-0002-8615-4371 Received: 22.07.2021 Accepted: 10.09.202","PeriodicalId":42050,"journal":{"name":"Journal of Urological Surgery","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2022-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49075349","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}

{"title":"A Large Bladder Tumor During Pregnancy: Twin Challenge","authors":"G. Singh, Sunil Chawla, P. Nandy, Meenakshi Rajput","doi":"10.4274/jus.galenos.2022.2021.0074","DOIUrl":"https://doi.org/10.4274/jus.galenos.2022.2021.0074","url":null,"abstract":"Malignant tumors during pregnancy are a rarity with the overall incidence being approximately 2.35/10,000 (1) and the commonest are malignant melanomas (2.8/1,000), cervix (1/2,200), breast (1/3,000) and lymphomas (1/6,000) (2,3). Urological malignancies during pregnancy are extremely rare, affecting about 13 in 1,000,000 pregnancies (4). Common signs of urological malignancies especially bladder tumors such as hematuria, urgency, lower abdominal pain, may be attributed to the pregnancy. Combined with the hesitancy to undergo imaging, these overlapping symptoms may result in delayed diagnosis.","PeriodicalId":42050,"journal":{"name":"Journal of Urological Surgery","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2022-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48086329","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}

{"title":"Correlation of Acute Flank Pain with the Number of Pregnancies and Hydronephroses; An Observational Study","authors":"A. Böyük, L. Özbek, Raşit İlhan, S. Verep, M. Ören, S. Erdem, T. Tefik","doi":"10.4274/jus.galenos.2022.2021.0071","DOIUrl":"https://doi.org/10.4274/jus.galenos.2022.2021.0071","url":null,"abstract":"1Beylikdüzü Kolan Hospital, Clinic of Urology, İstanbul, Turkiye 2Private Atasam Hospital Samsun, Clinic of Urology, Samsun, Turkiye 3Iğdır State Hospital, Clinic of Gynecology and Obstetrics, Iğdır, Turkiye 4Özalp State Hospital, Clinic of Urology, Van, Turkiye 5İstanbul University-İstanbul Faculty of Medicine, Department of Public Health, İstanbul, Turkiye 6İstanbul University-İstanbul Faculty of Medicine, Department of Urology, İstanbul, Turkiye ORIGINAL RESEARCH Functional","PeriodicalId":42050,"journal":{"name":"Journal of Urological Surgery","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2022-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46559550","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}