Indian Journal of Urology最新文献_第6页

Diagnostic value of voiding scores of the "International prostate symptom score" and the "Bristol female lower urinary system symptoms-short form" questionnaires in women with voiding dysfunction. 国际前列腺症状评分 "和 "布里斯托尔女性下泌尿系统症状-简表 "问卷对排尿功能障碍女性的诊断价值。

IF 1.1

Indian Journal of Urology Pub Date : 2024-04-01 DOI: 10.4103/iju.iju_162_23

Mehmet Erkan Erbay, Burcu Hanci Sevinç, Fatih Tarhan

{"title":"Diagnostic value of voiding scores of the \"International prostate symptom score\" and the \"Bristol female lower urinary system symptoms-short form\" questionnaires in women with voiding dysfunction.","authors":"Mehmet Erkan Erbay, Burcu Hanci Sevinç, Fatih Tarhan","doi":"10.4103/iju.iju_162_23","DOIUrl":"10.4103/iju.iju_162_23","url":null,"abstract":"Introduction: We aimed to investigate the diagnostic value of International Prostate Symptom Score voiding symptom score (IPSS-VS) and Bristol Female Lower Urinary Tract Symptoms-short form voiding score (BFLUTS-VS) in female patients with urodynamically diagnosed voiding dysfunction.Methods: The medical records of female patients who underwent urodynamic examination between May 2007 and November 2021 for lower urinary tract complaints were retrospectively evaluated. A total of 1858 female patients were included in the study. Patients investigated between 2007 and 2014 were asked to fill the IPSS, and patients investigated after 2015 were asked to fill the BFLUTS-SF.Results: The mean age of the patients was 49.06 ± 0.33 in the IPSS group and 50.02 ± 0.47 in the BFLUTS group. On the pressure flow study, voiding dysfunction was found in 14.8% (n = 95) in the IPSS group and 15.1% (n = 183) in the BFLUTS group. The area under curve value was found to be 0.58 for IPSS and 0.64 for BFLUTS. Threshold values were found as >9 for IPSS-VS and >4 for BFLUTS-VS. The sensitivity, specificity, false negative, and false positive rates for IPSS-VS were 33.3%, 78.8%, 66.7%, and 21.2%, respectively. The same parameters were 45.5%, 78.9%, 54.5%, and 21.1% for BFLUTS-VS, respectively.Conclusion: The diagnostic performance of both the questionnaires was found to be low for diagnosing voiding dysfunction in female patients according to our data. Therefore, the assessment of the voiding phase in women should not solely rely on the current questionnaires. However, further studies using questionnaires including all voiding symptoms are required.","PeriodicalId":47352,"journal":{"name":"Indian Journal of Urology","volume":"40 2","pages":"107-111"},"PeriodicalIF":1.1,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11078451/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140899891","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Robotic reconstruction of necrosed ileal ureter: Technical challenges, intra-operative difficulty, and learning points. 机器人重建坏死的回肠输尿管：技术挑战、术中困难和学习要点。

IF 1.1

Indian Journal of Urology Pub Date : 2024-04-01 DOI: 10.4103/iju.iju_492_23

Deepanshu Aggarwal, Sidhartha Kalra, Lalgudi Narayanan Dorairajan, K S Sreerag, Poojan Thakor

引用次数: 0

Re: Gyawali, Sushil; Luitel, Bhoj Raj; Bhattarai, Amit Sharma; Sharma, Uttam Kumar. Comparison of efficacy of intercostal nerve block versus peritract infiltration with 0.25% bupivacaine in percutaneous nephrolithotomy: A prospective randomized clinical trial. Indian Journal of Urology 40(1):p 37-43, Jan-Mar 2024. Re：Gyawali，Sushil；Luitel，Bhoj Raj；Bhattarai，Amit Sharma；Sharma，Uttam Kumar。经皮肾镜碎石术中肋间神经阻滞与 0.25% 布比卡因周围浸润的疗效比较：前瞻性随机临床试验。印度泌尿学杂志》40（1）：第 37-43 页，2024 年 1-3 月。

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Indian Journal of Urology Pub Date : 2024-04-01 DOI: 10.4103/iju.iju_6_24

Singh Kirti, Swarnendu Mandal, Das Manoj Kumar, Nayak Prasant

引用次数: 0

The impact of anticholinergics on cognitive function in patients with neurogenic lower urinary tract dysfunction: A narrative review. 抗胆碱能药物对神经源性下尿路功能障碍患者认知功能的影响：叙述性综述。

IF 1.1

Indian Journal of Urology Pub Date : 2024-04-01 DOI: 10.4103/iju.iju_352_23

Blayne Welk

{"title":"The impact of anticholinergics on cognitive function in patients with neurogenic lower urinary tract dysfunction: A narrative review.","authors":"Blayne Welk","doi":"10.4103/iju.iju_352_23","DOIUrl":"10.4103/iju.iju_352_23","url":null,"abstract":"This narrative review discusses the relationship between anticholinergic medications and cognitive change specifically in patients with neurogenic lower urinary tract dysfunction (NLUTD). NLUTD is prevalent in various conditions, including spinal cord injury (SCI), spina bifida (SB), multiple sclerosis (MS), Parkinson's, stroke, and dementia and often requires anticholinergic overactive bladder (OAB) medications. In the general population, and among those with OAB, several studies have found a significant association between this class of medications and cognitive side effects, mostly when used for > 90 days. These cognitive side effects may be particularly relevant to people with NLUTD due to their higher baseline risk of cognitive impairment. Two studies (one in people with SCI and another in MS) found evidence of cognitive impairment with the use of OAB anticholinergics (specifically oxybutynin and tolterodine). People with dementia commonly use OAB anticholinergics, and there is evidence that oxybutynin and tolterodine may impair cognition in this population. Two recent studies in children with SB studied 12 months of solifenacin and 6 months of fesoterodine/oxybutynin and found there was no significant change in neuropsychological testing. Clinical studies in people with Parkinson's disease and prior stroke have not shown that trospium, darifenacin, or fesoterodine have a significant impact on cognitive measures. In summary, oxybutynin and tolterodine may pose a higher risk of cognitive impairment than newer OAB anticholinergics in people with NLUTD; there is no evidence that children with SB experience cognitive impairment with OAB anticholinergics. Further study is necessary to confirm cognitive safety, particularly as the NLUTD population may have a high exposure to OAB anticholinergics. Advocating for potentially safer OAB medications is necessary if there is concern about cognitive risks.","PeriodicalId":47352,"journal":{"name":"Indian Journal of Urology","volume":"40 2","pages":"82-87"},"PeriodicalIF":1.1,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11078446/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140899865","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Translation, cross-cultural adaptation, reliability, validation of King's Health Questionnaire in the Marathi language. 马拉地语国王健康问卷的翻译、跨文化适应、可靠性和验证。

IF 1.1

Indian Journal of Urology Pub Date : 2024-04-01 DOI: 10.4103/iju.iju_263_23

Reema Joshi, Manisha Rathi

{"title":"Translation, cross-cultural adaptation, reliability, validation of King's Health Questionnaire in the Marathi language.","authors":"Reema Joshi, Manisha Rathi","doi":"10.4103/iju.iju_263_23","DOIUrl":"10.4103/iju.iju_263_23","url":null,"abstract":"Introduction: Outcome measurement is a crucial component of contemporary professional practice. Many Indian rehabilitation facilities employ the King's Health Questionnaire (KHQ), but there has never been an official Marathi translation with its reliability and validity.Materials and methods: As per the recommendations for cross-cultural validation of an outcome assessment, KHQ was translated into the Marathi language at a tertiary hospital in Pune, India. A study was conducted to assess the dependability of 123 patients from tertiary hospitals in India. The reliability of the study was assessed by two competent physiotherapists. The interrater reliability of the KHQ total scores and each item was evaluated using Cronbach's alpha coefficient. To compare the interrater dependability with the findings of other investigations, the intraclass correlation (ICC) coefficient was determined.Results: When evaluated by domain, the KHQ's standardized Cronbach's alpha ranged from 0.49-0.92. All domains had reliability that was rated as moderate to strong by ICC, and the severity rating scale varied from 0.53 to 0.81. The Pearson correlation coefficient between KHQ and short form-36 (SF-36) in the majority of related areas was found to be weak to moderate, with values ranging from -0.27 to -0.53.Conclusions: The Marathi version of the KHQ was translated and adapted for use in Marathi language-speaking Indian women with urinary incontinence complaints. It represents an important instrument for the evaluation of incontinent women in clinical research with good interrater reliability and validity with SF-36 quality-of-life measure.","PeriodicalId":47352,"journal":{"name":"Indian Journal of Urology","volume":"40 2","pages":"96-100"},"PeriodicalIF":1.1,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11078443/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140899872","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Does the setting for intradetrusor onabotulinumtoxinA injection for management of overactive bladder matter? 治疗膀胱过度活动症的尿道内注射奥博妥妥毒素的环境是否重要？

IF 1.1

Indian Journal of Urology Pub Date : 2024-04-01 DOI: 10.4103/iju.iju_228_23

James H Ross, Megan Abrams, Sandip P Vasavada, Jeffrey M Mangel, Cecile A Ferrando

{"title":"Does the setting for intradetrusor onabotulinumtoxinA injection for management of overactive bladder matter?","authors":"James H Ross, Megan Abrams, Sandip P Vasavada, Jeffrey M Mangel, Cecile A Ferrando","doi":"10.4103/iju.iju_228_23","DOIUrl":"10.4103/iju.iju_228_23","url":null,"abstract":"Introduction: Intradetrusor onabotulinumtoxinA (Botox) injections, to treat idiopathic overactive bladder (OAB), can be performed in the office setting under local analgesia alone or in the operating room (OR) under local and/or sedation. The objective of this study was to compare the symptomatic improvement in patients with OAB who underwent treatment with intradetrusor onabotulinumtoxinA injections in an in-office versus the OR setting.Methods: We performed a multicenter retrospective cohort study of women with the diagnosis of refractory non-neurogenic OAB who elected to undergo treatment with intradetrusor onabotulinumtoxinA injections between January 2015 and December 2020. The electronic medical records were queried for all the demographic and peri-procedural data, including the report of subjective improvement post procedure. Patients were categorized as either \"in-office\" versus \"OR\" based on the setting in which they underwent their procedure.Results: Five hundred and thirty-nine patients met the inclusion criteria: 297 (55%) in the in-office group and 242 (45%) in the OR group. A total of 30 (5.6%) patients reported retention after their procedure and it was more common in the in-office group (8.1%) versus the OR group (2.5%), (P = 0.003). The rate of urinary tract infection within 6 months of the procedure was higher in the OR group (26.0% vs. 16.8%, P = 0.009). The overall subjective improvement rate was 77% (95% confidence interval: 73%-80%). Patients in the OR group had a higher reported improvement as compared to the in-office group (81.4% vs. 73.3%, P = 0.03).Conclusions: In this cohort study of patients with OAB undergoing intradetrusor onabotulinumtoxinA injections, post procedural subjective improvement was high regardless of the setting in which the procedure was performed.","PeriodicalId":47352,"journal":{"name":"Indian Journal of Urology","volume":"40 2","pages":"101-106"},"PeriodicalIF":1.1,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11078453/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140899894","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Perioperative and functional outcomes following robot-assisted partial nephrectomy: Descriptive analysis of Indian study group on partial nephrectomy database. 机器人辅助肾部分切除术的围手术期和功能性结果：印度肾部分切除术数据库研究小组的描述性分析。

IF 1.1

Indian Journal of Urology Pub Date : 2024-04-01 DOI: 10.4103/iju.iju_443_23

Sudhir Rawal, Arvind Ganpule, Gurpremjit Singh, Nikita Shrivastava, T A Kishore, Deepak Dubey, Ravimohan S Mavuduru, Anant Kumar, Gagan Gautam, Ginil Kumar Pooleri, Mohan Keshavamurthy, Narasimhan Ragavan, Hemang Baxi, Sanjai Kumar Addla, S Krishnappa Raghunath, Akhil Dahiya, Divya Gupta, Gopal Sharma

{"title":"Perioperative and functional outcomes following robot-assisted partial nephrectomy: Descriptive analysis of Indian study group on partial nephrectomy database.","authors":"Sudhir Rawal, Arvind Ganpule, Gurpremjit Singh, Nikita Shrivastava, T A Kishore, Deepak Dubey, Ravimohan S Mavuduru, Anant Kumar, Gagan Gautam, Ginil Kumar Pooleri, Mohan Keshavamurthy, Narasimhan Ragavan, Hemang Baxi, Sanjai Kumar Addla, S Krishnappa Raghunath, Akhil Dahiya, Divya Gupta, Gopal Sharma","doi":"10.4103/iju.iju_443_23","DOIUrl":"10.4103/iju.iju_443_23","url":null,"abstract":"Introduction: There is an unmet need for high-quality data for Robot-assisted partial nephrectomy (RAPN) in the Indian population. Indian study group on partial nephrectomy (ISGPN) is a consortium of Indian centers contributing to the partial nephrectomy (PN) database. The current study is a descriptive analysis of perioperative and functional outcomes following RAPN.Methods: For this study, the retrospective ISGPN database was reviewed, which included patients who underwent RAPN for renal masses at 14 centers across India from September 2010 to September 2022. Demographic, clinical, radiological, perioperative, and functional data were collected and analyzed. Ethics approval was obtained from each of the participating centers.Results: In this study, 782 patients were included, and 69.7% were male. The median age was 53 years (interquartile range [IQR 44-62]), median operative time was 180 min (IQR 133-240), median estimated blood loss was 100 mL (IQR 50-200), mean warm ischemia time was 22.7 min and positive surgical margin rates were 2.5%. The complication rate was 16.2%, and most of them were of minor grade. Trifecta and pentafecta outcomes were attained in 61.4% and 60% of patients, respectively.Conclusions: This is the largest Indian multi-centric study using the Indian Robotic PN Collaborative database to evaluate the outcomes of robot-assisted PN, and has proven its safety and efficacy in the management of renal masses.","PeriodicalId":47352,"journal":{"name":"Indian Journal of Urology","volume":"40 2","pages":"121-126"},"PeriodicalIF":1.1,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11078450/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140899900","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Indian Journal of Urology: A growing journal of South Asia. 印度泌尿学杂志》：南亚的成长期刊。

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Indian Journal of Urology Pub Date : 2024-04-01 DOI: 10.4103/iju.iju_95_24

Apul Goel

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IJU Awards 2023 2023 年国际法官联盟奖

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Indian Journal of Urology Pub Date : 2023-12-29 DOI: 10.4103/iju.iju_471_23

引用次数: 0

Urodynamic assessment of detrusor function in the very acute phase of traumatic spinal cord injury: A prospective cohort study 创伤性脊髓损伤极急性期的逼尿肌功能评估：前瞻性队列研究

IF 1.1

Indian Journal of Urology Pub Date : 2023-12-29 DOI: 10.4103/iju.iju_315_23

P. Vasudeva, Vinod Kumar, Siddharth Yadav, Vishnu Prasad, Niraj Kumar, Sandeep Kumar, Amitabh Kumar

{"title":"Urodynamic assessment of detrusor function in the very acute phase of traumatic spinal cord injury: A prospective cohort study","authors":"P. Vasudeva, Vinod Kumar, Siddharth Yadav, Vishnu Prasad, Niraj Kumar, Sandeep Kumar, Amitabh Kumar","doi":"10.4103/iju.iju_315_23","DOIUrl":"https://doi.org/10.4103/iju.iju_315_23","url":null,"abstract":"The bladder is believed to be acontractile due to the phase of spinal shock and there is a lack of data on the detrusor function within the first few days after spinal cord injury (SCI). This study intended to assess the detrusor function with invasive urodynamics (UDS) during the first 15 days of SCI. This prospective observational study was carried out from January 2020 to June 2021 and consecutive stable patients older than 18 years of age who had a history of traumatic SCI within the past 15 days were screened for inclusion. For each patient, the International Standards for Neurological Classification of SCI Worksheet was filled. All patients underwent bedside invasive UDS within 15 days of injury. There were a total of 41 patients with a mean age of 35 years. The thoracic cord was most commonly involved (46.3%) with Type A AISA grade being the most common (68.2%). The mean duration of injury at the time of UDS was 6 days. Abnormality in the filling phase could be identified in six patients. Three patients had neurogenic detrusor overactivity (NDO), with one having a high-pressure phasic NDO and one having a sustained NDO. Two patients had poor compliance and one had borderline poor compliance. None of the patients generated any detrusor pressure during voiding cystometry. In patients with SCI, 14.5% of the patients had abnormal findings during the filling phase on the UDS performed within 15 days of the injury. These findings are in stark contrast to the traditional understanding that the detrusor is acontractile during the early phase of the SCI and merit further evaluation.","PeriodicalId":47352,"journal":{"name":"Indian Journal of Urology","volume":"14 11","pages":""},"PeriodicalIF":1.1,"publicationDate":"2023-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139145506","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