The French journal of urology最新文献

{"title":"Calcium and Vitamin D Supplementation and Health-Related Quality of Life in Women Aged >50 Years with Urolithiasis.","authors":"M L Letouche, O Zekraoui, M Moustafa, K Penniston, M Altabsh, M Meskawi, N Bhojani","doi":"10.1016/j.fjurol.2026.103242","DOIUrl":"https://doi.org/10.1016/j.fjurol.2026.103242","url":null,"abstract":"<p><strong>Introduction: </strong>Calcium supplementation (CaS) and vitamin D supplementation (VitDS) are common among older women, but their association with health-related quality of life (HRQOL) in women with kidney stone disease (KSD) remains poorly characterized. We evaluated the association between CaS and/or VitDS and disease-specific HRQOL in women aged >50 years with KSD.</p><p><strong>Materials: </strong>We performed a secondary analysis of a prospectively collected multicenter WISQOL database from 16 North American institutions (2014-2020). Women aged >50 years with a complete baseline Wisconsin Stone Quality of Life (WISQOL) assessment were included. Patients were classified as receiving neither supplement, CaS alone, VitDS alone, or combined CaS and VitDS. Multivariable general linear models evaluated associations with standardized WISQOL scores while adjusting for demographic, clinical, and contemporaneous stone-related characteristics.</p><p><strong>Results: </strong>Among 734 women, 381 (51.9%) received neither supplement, 44 (6.0%) CaS alone, 206 (28.1%) VitDS alone, and 103 (14.0%) combined CaS and VitDS. Supplementation status was not significantly associated with total WISQOL score (global p=0.400). Compared with neither supplementation, adjusted differences were +4.06 points for CaS alone (95% CI -2.42 to 10.54), +0.34 for VitDS alone (95% CI -3.47 to 4.15), and +3.29 for combined CaS and VitDS (95% CI -1.53 to 8.11). No significant domain-specific associations were observed after correction for multiple testing.</p><p><strong>Conclusion: </strong>CaS and/or VitDS was not independently associated with disease-specific HRQOL in women aged >50 years with KSD. Supplementation decisions should remain guided by clinical indication, skeletal health, and individual metabolic stone-risk profile rather than an expected association with stone-specific HRQOL.</p>","PeriodicalId":516865,"journal":{"name":"The French journal of urology","volume":" ","pages":"103242"},"PeriodicalIF":1.2,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149167725","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":"Decarbonizing urology: are we there yet?","authors":"Arthur Peyrottes, Maxime Pattou, Elliot Tokarski, Jennifer Le Guévelou, Richard Mallet, Michael Baboudjian","doi":"10.1016/j.fjurol.2026.103241","DOIUrl":"https://doi.org/10.1016/j.fjurol.2026.103241","url":null,"abstract":"","PeriodicalId":516865,"journal":{"name":"The French journal of urology","volume":" ","pages":"103241"},"PeriodicalIF":1.2,"publicationDate":"2026-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149149178","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":"Early catheter removal after TURP: from feasibility to long term functional outcomes.","authors":"Grégoire Robert, Souhil Lebdai","doi":"10.1016/j.fjurol.2026.103237","DOIUrl":"https://doi.org/10.1016/j.fjurol.2026.103237","url":null,"abstract":"","PeriodicalId":516865,"journal":{"name":"The French journal of urology","volume":" ","pages":"103237"},"PeriodicalIF":1.2,"publicationDate":"2026-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149129851","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":"Male infertility remains underrepresented on French assisted reproduction center websites.","authors":"Lucas Bento, Guillaume Perez, Nicolas Gatimel, Charlotte Methorst, Antoine Faix, Eric Huyghe","doi":"10.1016/j.fjurol.2026.103239","DOIUrl":"10.1016/j.fjurol.2026.103239","url":null,"abstract":"<p><strong>Introduction: </strong>Male infertility contributes to approximately half of infertility cases, yet patient-oriented information provided by assisted reproductive technology (ART) centers may remain predominantly focused on female factors. This study assessed the availability and scope of information on male infertility and the representation of urologists/andrologists on French ART center websites.</p><p><strong>Material and methods: </strong>We conducted a nationwide cross-sectional content analysis of the official patient-oriented websites of all clinical ART centers listed in the 2026 national registry of the Agence de la biomédecine (ABM). Websites were independently evaluated by two investigators using a standardized 24-variable extraction grid covering multidisciplinary team composition, sex-specific information, male infertility investigations and aetiologies, and andrological treatments. Paired male-female comparisons were performed using exact McNemar tests, and associations with the presence of an identified urologist/andrologist were assessed using two-sided Fisher's exact tests.</p><p><strong>Results: </strong>Among 109 clinical ART centers identified in the ABM registry, 107 (98.2%) had an active and accessible patient-oriented website and were included. A urologist/andrologist was identified on 36 websites (33.6%), with direct contact information available on 9 (8.4%). Dedicated information on male infertility was available on 19 websites (17.8%), compared with 32 (29.9%) for female infertility (P=0.0044). Male-specific treatment information was provided on 26 websites (24.3%), compared with 49 (45.8%) for female-specific treatments (P=0.0001). Semen analysis was described on 44 websites (41.1%), whereas information on potentially treatable male infertility conditions and andrological surgical procedures was less frequently reported. Websites identifying a urologist/andrologist showed numerically higher proportions of several male-oriented information items, but none of these between-group differences reached statistical significance.</p><p><strong>Conclusion: </strong>Male infertility and andrological care remain underrepresented on French ART center websites compared with female infertility information. Improving the visibility of urologists/andrologists and providing clearer information on male infertility assessment and referral pathways could contribute to more balanced, couple-centered patient information.</p><p><strong>Level of evidence: 4: </strong></p>","PeriodicalId":516865,"journal":{"name":"The French journal of urology","volume":" ","pages":"103239"},"PeriodicalIF":1.2,"publicationDate":"2026-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149129849","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":"Development/pilot evaluation of a compact symptom-based diagnostic model/database for female pelvic floor dysfunction.","authors":"Binmei Xiao, Yaping Yu, Alev Esercan, Zhang Yu, Peter Petros","doi":"10.1016/j.fjurol.2026.103238","DOIUrl":"https://doi.org/10.1016/j.fjurol.2026.103238","url":null,"abstract":"<p><p>Background There is a pressing need among individual surgeons and busy clinics for a time-efficient method to record, assess, and monitor cases going to surgery. Purpose To develop a compact, symptom-based, simplified diagnostic model and database, designed to be sufficiently comprehensive, accurate and predictive of causation to guide pelvic floor surgeries and monitor their results postoperatively. Methods We condensed the four parts of the validated comprehensive Integral Theory Diagnostic System into a 10-minute assessment, including QOL and \"simulated operations\" to test the possibility of ligamentous origins of SUI, OAB and chronic pelvic pain. Results The pilot model was tested in 109 women, 82 with pelvic organ prolapse and 27 with stress urinary incontinence (SUI) from a busy urogynecology clinic. The model succeeded in what it was planned to do: record symptoms in a database, deduce possible ligament causation of symptoms and observed prolapses graded simply I-IV, all within 10 minutes. Initial testing for monitoring post-operative anatomical and symptom results is promising. Conclusions The model has been found to be helpful as a clinical guide. It is now in general use for all planned incontinence and prolapse surgeries. It records symptoms, prolapses and diagnoses, and potential connective tissue causation for SUI, urge and pain, which is then tested. The simplified database is a low-cost monitoring system for incontinence and prolapse surgery, especially useful for an individual surgical practice and low-resource clinics. Being symptom-based, the model is amenable to tailoring for individual practices and institutions.</p>","PeriodicalId":516865,"journal":{"name":"The French journal of urology","volume":" ","pages":"103238"},"PeriodicalIF":1.2,"publicationDate":"2026-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149129929","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":"Perilesional Biopsy: Better Characterisation of the Index Lesion Rather Than Wider Sampling of the Gland.","authors":"Jérémy Mercier, Michael Baboudjian, Arthur Peyrottes","doi":"10.1016/j.fjurol.2026.103240","DOIUrl":"https://doi.org/10.1016/j.fjurol.2026.103240","url":null,"abstract":"","PeriodicalId":516865,"journal":{"name":"The French journal of urology","volume":" ","pages":"103240"},"PeriodicalIF":1.2,"publicationDate":"2026-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149129867","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":"Current practices in the management of stone-related renal colic during pregnancy in France: A national online survey from the CLAFU.","authors":"Eden Hazoume, Stessy Kutchukian, Marie-Lou Letouche, Christophe Almeras, Mariela Corrales, François-René Roustan, Paul Méria, Nicolas Abdo, Paul Chiron, Benoit Malval, Vincent Estrade, Gauthier Raynal, Sandrine Lemoine, Etienne Denis, Nadia Abid, Frédéric Panthier, Marie Chicaud","doi":"10.1016/j.fjurol.2026.103235","DOIUrl":"10.1016/j.fjurol.2026.103235","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Introduction: &lt;/strong&gt;The management of stone-related renal colic during pregnancy remains challenging because of diagnostic and therapeutic constraints specific to pregnancy. Current recommendations regarding double-J stent management are mainly based on limited observational data, and real-world practices may differ substantially between centers. This study aimed to evaluate current practices among urologists in France regarding the management of symptomatic urinary stones during pregnancy, with a particular focus on double-J ureteral stents.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Materials and methods: &lt;/strong&gt;A national cross-sectional online survey was conducted among French urologists between January and April 2026 under the supervision of the Urolithiasis Committee of the French Association of Urology (CLAFU). The questionnaire consisted of 22 multiple-choice questions exploring respondent characteristics, double-J stent management practices, complications and therapeutic strategies, and organization of care and guideline adherence. Descriptive statistical analyses were performed.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;A total of 173 participants completed the survey. Most respondents worked in private institutions (38.7%), university hospitals (28.9%), or regional hospitals (24.3%). The majority of centers managed fewer than 10 pregnant patients with renal colic annually. Obstructive febrile urinary tract infection was the main indication for double-J stent placement (63.6%). Stent replacement practices were heterogeneous, with no systematic replacement reported by 28.9% of respondents and replacement every 6weeks by 26.6%. Ultrasound follow-up was not routinely performed in 42.8% of centers. During stent placement, fluoroscopy with strict radiation minimization alone was the most commonly used imaging modality (52.0%), followed by ultrasound-only guidance alone (40.5%). Silicone stents were predominantly used (90.8%). More than 65% of respondents reported having already left a double-J stent in place for more than 6weeks without complications. The most frequently reported complication was urinary tract infection (41.0%). Ureteroscopy during pregnancy was performed in 37.6% of centers, although only 11.6% used ureteroscopy as a first-line treatment strategy. Only 13.9% of respondents reported the existence of a local institutional protocol. Overall, 68.2% of respondents reported being aware of and applying the CLAFU recommendations, while 46.2% considered them suitable for daily practice.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions: &lt;/strong&gt;Management practices for renal colic during pregnancy vary considerably across French centers, particularly regarding double-J stent replacement intervals and imaging follow-up strategies. Many clinicians reported prolonged stent indwelling without major complications, questioning the systematic need for iterative replacement every 4 to 8weeks. These findings highlight the need for stronger evidence and more standardized recommendations ","PeriodicalId":516865,"journal":{"name":"The French journal of urology","volume":" ","pages":"103235"},"PeriodicalIF":1.2,"publicationDate":"2026-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149121893","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":"Ultrasound assessment of mid-urethral slings: A practical reporting framework based on expert opinion and narrative literature review.","authors":"Marie Florin, Brigitte Fatton, Camille Haudebert, Marc Bazot, Edouard Poncelet, Julia Klap, Caroline A Brandon, Pierre-Olivier Bosset, Jean-Nicolas Cornu, Laurence Donon, Lucie Even, Frédéric Girard, François Hervé, Sophie Hurel, François Meyer, Caroline Plassais, Claire Richard, Thibault Thubert, Adrien Vidart, Rebecca Haddad, Caroline Thuillier, Sandrine Campagne-Loiseau, Benoit Peyronnet","doi":"10.1016/j.fjurol.2026.103233","DOIUrl":"https://doi.org/10.1016/j.fjurol.2026.103233","url":null,"abstract":"<p><p>Pelvic floor ultrasound is widely used for the postoperative evaluation of mid-urethral slings (MUS), but reporting practices remain heterogeneous. This expert-based narrative review proposes a practical ultrasound reporting framework for the assessment of MUS using routine pelvic ultrasound and dedicated transperineal/translabial imaging. Suggested reporting items include sling identification, position, morphology, relationship to the urethra, dynamic behavior during Valsalva, and potential postoperative complications. The proposed framework aims to improve reporting consistency, facilitate multidisciplinary communication, and support clinical decision-making in women undergoing MUS surgery.</p>","PeriodicalId":516865,"journal":{"name":"The French journal of urology","volume":" ","pages":"103233"},"PeriodicalIF":1.2,"publicationDate":"2026-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149121822","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":"Outcomes of Posterior Tibial Nerve Stimulation Using TENSI+ Device for Lower Urinary Tract Symptom Management: A Monocentric Study.","authors":"Arnaud Noysette, Hugo Dupuis, Joséphine Papet, Louis Surlemont, Lucie Vangheluwe, Guillaume Defortescu, Christian Pfister, Jean-Nicolas Cornu","doi":"10.1016/j.fjurol.2026.103232","DOIUrl":"https://doi.org/10.1016/j.fjurol.2026.103232","url":null,"abstract":"<p><strong>Introduction: </strong>Transcutaneous posterior tibial nerve stimulation (TTNS) has emerged as a non-invasive therapeutic option for LUTS management in both sexes, yet long-term real-world data remain scarce. This study aimed to evaluate the long-term efficacy and safety of TENSI+ therapy and predictive factors associated with treatment response after mid-term follow-up.</p><p><strong>Methods: </strong>We conducted a retrospective monocentric study including all patients treated with the TENSI+ device between August 2020 and January 2023. Data were collected from electronic medical records and standardized telephone interviews. Treatment efficacy was assessed using the Patient Global Impression of Improvement (PGI-I) scale at 3, 6, and 12 months. Kaplan-Meier analysis was used to evaluate treatment persistence. Multivariate logistic regression was performed to identify predictive factors of treatment response.</p><p><strong>Results: </strong>A total of 129 patients were included. At 12 months, 59% of patients reported treatment effectiveness (PGI-I ≤3). Improvement rates were 62% for urgency, 53% for urinary incontinence, 50% for voiding symptoms, and 55% for nocturia, whereas digestive symptoms showed minimal improvement (5%). Median treatment duration was 6 months, with a marked decline in adherence during the first 6 months followed by stabilization. Mild and reversible adverse events occurred in 8.5% of patients. Predictive factors of success identified through univariate analysis included the presence of voiding symptoms (p=0.028) and duration of use (p<0.001), but no independent predictive factors were identified in multivariate analysis.</p><p><strong>Conclusion: </strong>TENSI+ represents a safe, well-tolerated, and effective therapy for LUTS management in a real-world setting. Level of evidence : 4.</p>","PeriodicalId":516865,"journal":{"name":"The French journal of urology","volume":" ","pages":"103232"},"PeriodicalIF":1.2,"publicationDate":"2026-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149121879","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":"Impact of semirigid ureteroscope caliber on perioperative outcomes and surgeon stress: A prospective randomized study.","authors":"Gökhan Şahin, Büşra Şahin, Hakan Görkem Kazıcı, Arif Kol, Mustafa Tıpırdamaz","doi":"10.1016/j.fjurol.2026.103234","DOIUrl":"10.1016/j.fjurol.2026.103234","url":null,"abstract":"<p><strong>Introduction: </strong>To compare the effectiveness and safety of small- and standard-caliber semirigid ureteroscopes for ureteral stones and evaluate whether caliber correlates with intraoperative surgeon stress.</p><p><strong>Material and methods: </strong>In this prospective randomized study, 130 patients underwent ureterorenoscopy using either a 4.5-6.5 Fr (thin) or 8-9.8 Fr (standard) semirigid ureteroscope. The primary endpoint was the stone-free rate (SFR); secondary endpoints included perioperative outcomes and surgeon stress. Stress was assessed using the State-Trait Anxiety Inventory Form TX-1 (STAI-TX1) before and after each procedure, with increased stress defined as ΔSTAI-TX1>0. Multivariable logistic regression identified independent predictors of increased stress.</p><p><strong>Results: </strong>Baseline characteristics were comparable. SFRs did not differ significantly between the thin- and standard-caliber groups (92.3% vs. 86.2%, P=0.25). Balloon dilation (32.3% vs. 4.6%, P<0.01), ureteral injury (21.5% vs. 4.6%, P=0.004), and JJ stent placement (46.2% vs. 26.2%, P=0.018) were more frequent in the standard-caliber group. Increased surgeon stress occurred more often with standard-caliber ureteroscopes (27.7% vs. 9.2%, P=0.007). Multivariable analysis confirmed that standard-caliber use was independently associated with increased stress (adjusted OR 3.11, 95% CI 1.09-8.84, P=0.033), which remained significant in a Firth penalized sensitivity analysis (adjusted OR 2.94, 95% CI 1.06-8.17, P=0.037).</p><p><strong>Conclusion: </strong>Small- and standard-caliber ureteroscopes showed no significant difference in SFRs, but standard-caliber instruments were associated with higher rates of balloon dilation, ureteral injury, and JJ stent placement, as well as increased surgeon-reported stress. Ureteroscope caliber may influence both technical outcomes and the surgeon's intraoperative experience, although stress findings remain exploratory.</p><p><strong>Level of evidence: 2: </strong></p>","PeriodicalId":516865,"journal":{"name":"The French journal of urology","volume":" ","pages":"103234"},"PeriodicalIF":1.2,"publicationDate":"2026-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149121853","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}