The French journal of urology最新文献

{"title":"Single-use digital ureteroscopes: Which characteristics are essential for the next generation? An international survey.","authors":"Stessy Kutchukian, Mariela Corrales, Marie Chicaud, Marie-Lou Letouche, François-René Roustan, Paul Méria, Nicolas Abdo, Paul Chiron, Benoit Malval, Vincent Estrade, Gauthier Raynal, Sandrine Lemoine, Etienne Denis, Christophe Almeras, Frédéric Panthier, Nadia Abid","doi":"10.1016/j.fjurol.2026.103231","DOIUrl":"10.1016/j.fjurol.2026.103231","url":null,"abstract":"<p><strong>Purpose: </strong>To assess the current use of single-use digital flexible ureteroscopes (SUDUs) and to better understand which characteristics are considered essential for the future development by current and future users.</p><p><strong>Methods: </strong>We conducted an international, online survey comprising 23 questions, including demographics, practice patterns in stone disease, and expectations regarding 26 characteristics on SUDUs. Participants were certified urologists or in-training. After review by an expert panel, the survey was spread via social media and email and remained open from January 2026 to March 2026. Respondents rated the importance of multiple single-use digital ureteroscope characteristics on a 4-point scale (from \"without interest\" to \"essential\"). Data were analyzed descriptively.</p><p><strong>Results: </strong>A total of 142 respondents from 24 countries completed the survey. Most respondents were consultant with 36% having specific training in endourology. Stone disease represented more than 30% of the activity, and the annual volume of flexible ureteroscopies was mainly more than 50 per year. Single-use digital ureteroscopes were used systematically for 38%, often for 33% and sometimes for 24%. Only 5% never used it. Overall, the highest-rated characteristics were image resolution, bidirectional deflection, torque and robustness whereas deflection lock, zoom, image capture, video capture and freeze image buttons were considered gadget. Cost was the main determining factor in the decision for 59%. The advantage for 80% of respondents of single-use ureteroscopes over reusable devices was management of complex stones without the risk of ureteroscope damage, while the main inconveniences were cost and environmental impact. Regarding future use, respondents anticipated an increase over the next 5 years, and desired to reduce costs and enable reuse or miniaturization due to the environmental impact.</p><p><strong>Conclusion: </strong>This international survey identifies the features that clinicians consider priorities for next-generation SUDUs, highlighting the importance of improved image quality and durability while also reducing cost and environmental impact. These findings may guide manufacturers in optimizing device design by placing greater emphasis on user needs.</p><p><strong>Level of evidence: </strong>IV.</p>","PeriodicalId":516865,"journal":{"name":"The French journal of urology","volume":" ","pages":"103231"},"PeriodicalIF":1.2,"publicationDate":"2026-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149121856","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":"Surgical complications and risk factors in elderly patients after kidney transplantation: A single-center retrospective study.","authors":"Julien M'bongo-Martina, François Kleinclauss, Loïc Balssa, Johann Barkatz, Guillaume Guichard, Alexandre Frontczak","doi":"10.1016/j.fjurol.2026.103157","DOIUrl":"10.1016/j.fjurol.2026.103157","url":null,"abstract":"<p><strong>Introduction: </strong>Aging among kidney transplant candidates is associated with increased postoperative morbidity. The determinants of surgical complications and their prognostic impact in elderly recipients remain poorly defined.</p><p><strong>Material: </strong>This retrospective single-center study included kidney transplantations between 2004 and 2022. In recipients aged ≥ 65 years, factors associated with surgical complications within 3months (classified according to Clavien-Dindo), delayed graft function (DGF), death-censored graft survival, and overall survival were identified using logistic regression and Cox models.</p><p><strong>Results: </strong>Among 849 kidney transplantations, 190 involved elderly recipients, who had higher rates of surgical complications, DGF, and worse overall survival (all P<0.0001). In elderly recipients, multivariable analysis identified recipient obesity (P=0.047), donor cerebrovascular cause of death (P=0.020), and cold ischemia time (P=0.035) as factors associated with surgical complications; however, these complications did not impact graft or patient survival. Diabetes was associated with an increased risk of DGF (P=0.033), whereas machine perfusion was protective (P=0.049). Graft loss was associated with obesity (P=0.021) and DGF (P=0.005), whereas mortality was associated with recipient age (P=0.016) and donor age (P=0.033).</p><p><strong>Conclusion: </strong>In elderly recipients, surgical complications are frequent but do not appear to affect overall or graft survival, which are mainly driven by obesity, DGF, and recipient and donor age. Together with the limitations of BMI as a surrogate for body composition, the prominent role of obesity supports the need for comprehensive morphometric assessment in this population.</p><p><strong>Level of evidence: 4: </strong></p>","PeriodicalId":516865,"journal":{"name":"The French journal of urology","volume":" ","pages":"103157"},"PeriodicalIF":1.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148364756","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":"Corrigendum to \"Treatment of interstitial cystitis/bladder pain syndrome: Guidelines from the Committee of Female Urology (CUROPF) of the French Association of Urology (AFU)\" [The French Journal of Urology 36 (2026) 103169].","authors":"François Meyer, Caroline Brandon, Christian Saussine, Shahed Borojen, Pierre-Olivier Bosset, Sandrine Campagne-Loiseau, Jean-Nicolas Cornu, Laurence Donon, Lucie Even, Marie Florin, François Hervé, Sophie Hurel, Julia Klap, Marie-Aimée Perrouin-Verbe, Caroline Plassais, Claire Richard, Adrien Vidart, Souhil Lebdai, Amélie Levesque, Caroline Thuillier, Benoît Peyronnet","doi":"10.1016/j.fjurol.2026.103177","DOIUrl":"10.1016/j.fjurol.2026.103177","url":null,"abstract":"","PeriodicalId":516865,"journal":{"name":"The French journal of urology","volume":"36 9","pages":"103177"},"PeriodicalIF":1.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148804310","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":"Comparison of local anesthesia techniques for pain control during transrectal ultrasound-guided prostate biopsy: A prospective randomized study.","authors":"Ahmed Chaabouni, Kays Chaker, Hazem Hachicha, Wafa Elleuch, Nouri Rebai, Yassine Nouira, Mourad Hadj Slimen","doi":"10.1016/j.fjurol.2026.103163","DOIUrl":"10.1016/j.fjurol.2026.103163","url":null,"abstract":"<p><strong>Introduction: </strong>Pain during transrectal ultrasound-guided (TRUS) prostate biopsy remains a major concern and may negatively affect patient tolerance and acceptance of the procedure. Various local anesthesia techniques have been developed to improve patient comfort. This prospective study aimed to evaluate the effectiveness and safety of two commonly used anesthetic approaches intrarectal local anesthesia (IRLA) and periprostatic nerve block (PNB) in patients undergoing prostate biopsy.</p><p><strong>Patients and methods: </strong>A prospective observational study was conducted involving all patients who underwent TRUS guided prostate biopsy. Two commonly used local anesthesia techniques were applied: intrarectal instillation of 15mL of 2% lidocaine gel, and bilateral periprostatic injection of 5mL of 1% lidocaine at the junction between the seminal vesicles and the prostate base. Based on randomization, patients were allocated to one of two groups. All patients underwent a standard 12 - core biopsy, and pain levels were assessed immediately after the procedure using a visual analog scale (VAS) ranging from 0 to 10.</p><p><strong>Results: </strong>We included 152 patients. The patients were divided into two groups (G1 and G2), with 76 patients in each group. Baseline demographic and clinical characteristics were comparable among the study groups. Pain assessment using the Visual Analog Scale (VAS) showed significantly lower scores in group 2 compared with group 1 at the time of insertion of ultrasound probe (P<0.001), after taking all the biopsy cores (P<0.001) and 2h thereafter (P<0.001). Post biopsy complication rates were low and comparable between the two groups.</p><p><strong>Conclusion: </strong>The local anesthesia technique used in G2 provided superior pain control during and after TRUS-guided prostate biopsy without increasing procedure-related complications. This approach appears to be a safe and effective option for improving patient comfort during prostate biopsy.</p><p><strong>Level of evidence: 4: </strong></p>","PeriodicalId":516865,"journal":{"name":"The French journal of urology","volume":" ","pages":"103163"},"PeriodicalIF":1.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148498653","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":"Day-case versus conventional inpatient artificial urinary sphincter implantation: A single-center comparative study of 177 patients.","authors":"Mhamed Wissem Youssef, Léa Perrin, Anne-Charlotte Denormandie, Emmanuel Chartier-Kastler, Louis Lenfant","doi":"10.1016/j.fjurol.2026.103135","DOIUrl":"10.1016/j.fjurol.2026.103135","url":null,"abstract":"<p><strong>Purpose: </strong>Ambulatory artificial urinary sphincter (AUS) implantation has been proposed as an alternative to conventional inpatient surgery, but comparative data remain limited. We aimed to compare early postoperative outcomes between day-case and conventional inpatient AUS implantation at a single tertiary center.</p><p><strong>Materials and methods: </strong>We retrospectively analyzed all primary AUS (AMS 800) implantations performed at our institution between November 2018 and December 2025. Patients were allocated to ambulatory (Group A, n=126) or conventional hospitalization (Group B, n=51). Group B included patients with ASA score≥3 or social conditions incompatible with same-day discharge. The primary endpoint was a composite of early complication or hospital readmission within 30 days.</p><p><strong>Results: </strong>The composite primary endpoint occurred in 14/124 (11.3%) ambulatory and 4/49 (8.2%) conventional patients (P=0.78). Early complication rates (11.3 vs. 8.0%, P=0.60), 30-day readmission rates (4.0 vs. 6.1%, P=0.69), and severe complication rates (Clavien-Dindo≥III: 14.4 vs. 20.4%, P=0.36) did not differ significantly. Kaplan-Meier analysis showed comparable explantation-free (P=0.61) and revision-free (P=0.55) survival. On univariate analysis, anticoagulant therapy was associated with higher complication risk in ambulatory patients (OR 4.00, P=0.040), but this was not confirmed on multivariate analysis. Limitations include the retrospective design, selection bias, and limited sample size.</p><p><strong>Conclusions: </strong>Day-case AUS implantation is feasible and safe in selected patients, with outcomes comparable to conventional inpatient management. These findings support the broader adoption of ambulatory surgical pathways for AUS implantation.</p><p><strong>Level of evidence: </strong>III.</p>","PeriodicalId":516865,"journal":{"name":"The French journal of urology","volume":" ","pages":"103135"},"PeriodicalIF":1.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148102182","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":"Clinical utility of routine urine culture before intravesical mitomycin C instillation: A retrospective instillation-based study.","authors":"William Mathez, Victor Briche, Antoine Vincentelli, Franck Bruyère, Ali Bourgi","doi":"10.1016/j.fjurol.2026.103154","DOIUrl":"10.1016/j.fjurol.2026.103154","url":null,"abstract":"<p><strong>Background: </strong>Intravesical mitomycin C (MMC) is widely used after transurethral resection of bladder tumor (TURBT) and as adjuvant therapy for non-muscle-invasive bladder cancer (NMIBC). Despite its favorable safety profile, many institutions continue to require systematic urine culture before each instillation, although supporting evidence is limited.</p><p><strong>Objective: </strong>To evaluate the clinical utility of routine urine culture before intravesical MMC instillation and to assess its association with post-instillation urinary infectious complications.</p><p><strong>Methods: </strong>We conducted a retrospective instillation-based analysis of all intravesical MMC instillations performed at our institution between June 2022 and June 2025. A total of 720 consecutive instillations performed in 78 patients were analyzed. Pre-instillation urine cultures were systematically obtained and classified as negative, polymicrobial, single-organism cultures, or two-organism cultures. The primary outcome was the occurrence of post-instillation urinary infectious complications within 30 days, defined as febrile urinary tract infection, hospitalization for urinary infection, or sepsis, bacteremia.</p><p><strong>Results: </strong>Among 720 MMC instillations, 639 (88.8%) pre-instillation urine cultures were negative and 81 (11.2%) were non-negative (47 polymicrobial, 26 single-organism cultures, 8 two-organism cultures). Three urinary infectious complications (0.4%) were observed, all occurring in patients with negative pre-instillation urine cultures. No urinary infectious complications occurred in patients with positive urine cultures.</p><p><strong>Conclusion: </strong>In this retrospective cohort, routine pre-instillation urine culture appeared to have limited clinical utility for predicting subsequent urinary infectious complications. Although these findings support a symptom-based approach in asymptomatic patients, larger prospective studies are needed before definitive recommendations can be made.</p><p><strong>Level of evidence: 4: </strong></p>","PeriodicalId":516865,"journal":{"name":"The French journal of urology","volume":" ","pages":"103154"},"PeriodicalIF":1.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148335477","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":"Temporal evolution of urinary microbiology between acute obstructive pyelonephritis and delayed ureteroscopy.","authors":"C Ricolleau, S Kutchukian, M Chicaud, M Corrales, P Bigot, M L Letouche","doi":"10.1016/j.fjurol.2026.103170","DOIUrl":"10.1016/j.fjurol.2026.103170","url":null,"abstract":"<p><strong>Background: </strong>Urolithiasis is a common disease associated with severe infectious complications such as acute obstructive pyelonephritis (AOP). This emergency requires antibiotic therapy and urinary drainage, with bladder and renal pelvic urine cultures (BUCap and PUCap, respectively) that are often discordant. However, microbiological evolution between AOP and delayed ureteroscopy remains poorly studied. This study evaluated the concordance between BUCap, PUCap, and preoperative bladder urine cultures before delayed ureteroscopy (poBUC).</p><p><strong>Methods: </strong>This retrospective single-center study included patients with stone-related AOP undergoing urgent drainage and delayed ureteroscopy between 2015 and 2025. Clinical and microbiological data were collected. The primary endpoint was concordance between BUCap vs. poBUC and between PUCap vs. poBUC. Secondary analyses assessed concordance between BUCap vs. PUCap.</p><p><strong>Results: </strong>A total of 200 patients were included (63% female; median age 65.5 years). BUCap, PUCap, and poBUC were positive in 51.5%, 49.5%, and 39.5%, respectively. The median interval between drainage and ureteroscopy was 86.5 days. Concordance was 55.6% between BUCap vs. poBUC, 40.9% between PUCap vs. poBUC, and 61% between BUCap vs. PUCap. Pathogen discordance between AOP and poBUC was observed in 50.5 and 32.0% for BUCap and PUCap, respectively. Reliance on acute-phase cultures alone would have resulted in potentially inappropriate antimicrobial management in 37.8-42.5% of the cases, with overall microbiological discordance exceeding 70% when culture status changes were considered.</p><p><strong>Conclusion: </strong>Concordance between BUCap, PUCap, and poBUC was limited. These findings support the routine use of poBUC before delayed ureteroscopy, as microbiological findings may substantially differ from those observed during the acute infectious episode.</p><p><strong>Level of evidence: 4: </strong></p>","PeriodicalId":516865,"journal":{"name":"The French journal of urology","volume":" ","pages":"103170"},"PeriodicalIF":1.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148611620","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":"Efficacy and predictive criteria for success of photobiomodulation therapy in women presenting with vulvar and vaginal pain.","authors":"Catlyne Plumasseau, Mathilde Lepelletier, Sarah Vieillefosse, Pierre Millet, Roxane Haziza, Eleonora Salakos, Antony Tuil, Jeremie Mattern, Xavier Deffieux","doi":"10.1016/j.fjurol.2026.103095","DOIUrl":"10.1016/j.fjurol.2026.103095","url":null,"abstract":"<p><strong>Objective: </strong>Vulvar and vaginal pain is a frequent complaint that may have psychological consequences. Treatments such as muscle relaxation physiotherapy, sophrology, and photobiomodulation (PBM)/low-intensity laser therapy (LLT) are used, but there are a few data concerning the efficacy of PBM/LLT. The objective of the current study was to assess the effectiveness and the predictive factors associated with the success of PBM/LLT in women presenting with vulvar and vaginal pain.</p><p><strong>Method: </strong>Success was defined as a Patient Global Impression of Improvement (PGI-I) of 1 or 2. A single-center, retrospective, observational study (cohort study) was conducted on 52 women, 27 of whom were in the success group and 25 in the failure group. Patients had 6 to 8 PBM/LLT sessions with an endovaginal probe and completed pre- and post-therapy questionnaires. The analysis was carried out on the various recorded characteristics.</p><p><strong>Results: </strong>The overall success rate was 52%. The univariate analysis significantly revealed less burning pain in the success group (OR 0.13; 95% CI: 0.02, 0.62). There were also more patients without vaginal atrophy and non-menopausal women in the success group (OR 0.21; 95% CI: 0.04-0.82 for both). However, the multivariate analysis did not show any significant difference for any predictive factor.</p><p><strong>Conclusion: </strong>We observed a moderate success rate associated with PBM/LLT in women presenting with vulvar and vaginal pain. Multivariate analysis revealed no predictive factor for success.</p><p><strong>Level of evidence: 4: </strong></p>","PeriodicalId":516865,"journal":{"name":"The French journal of urology","volume":" ","pages":"103095"},"PeriodicalIF":1.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147367785","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":"Commentary regarding \"Complications and causes of readmission following retropubic versus transobturator midurethral sling surgery in 88,880 patients\".","authors":"Caroline Thuillier","doi":"10.1016/j.fjurol.2026.103102","DOIUrl":"10.1016/j.fjurol.2026.103102","url":null,"abstract":"","PeriodicalId":516865,"journal":{"name":"The French journal of urology","volume":" ","pages":"103102"},"PeriodicalIF":1.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147719274","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":"Choosing the approach for suburethral sling placement: Raw data versus expert opinion.","authors":"Xavier Fritel, Arnaud Fauconnier","doi":"10.1016/j.fjurol.2026.103128","DOIUrl":"10.1016/j.fjurol.2026.103128","url":null,"abstract":"","PeriodicalId":516865,"journal":{"name":"The French journal of urology","volume":" ","pages":"103128"},"PeriodicalIF":1.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147949834","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}