The French journal of urology最新文献

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Role of extended transperineal ultrasound in differentiating type of midurethral slings: An exploratory study. 经会阴超声在鉴别中尿道悬吊类型中的作用:一项探索性研究。
IF 1.2
The French journal of urology Pub Date : 2026-09-05 DOI: 10.1016/j.fjurol.2026.103195
Miriam O'Kane, Hayser Medina Lucena, Amreen Shakur, Ashish Pradhan, Susan Freeman, Ivilina Pandeva
{"title":"Role of extended transperineal ultrasound in differentiating type of midurethral slings: An exploratory study.","authors":"Miriam O'Kane, Hayser Medina Lucena, Amreen Shakur, Ashish Pradhan, Susan Freeman, Ivilina Pandeva","doi":"10.1016/j.fjurol.2026.103195","DOIUrl":"10.1016/j.fjurol.2026.103195","url":null,"abstract":"<p><strong>Introduction: </strong>Accurate differentiation between retropubic (RPT) and transobturator (TOT) slings is essential for guiding management of mesh-related complications. This study evaluates extended two-dimensional (2D) transperineal ultrasound (TPUS), incorporating targeted adductor compartment scanning, for sling classification, and assesses the effect of clinician experience on image interpretation.</p><p><strong>Methods: </strong>This retrospective analysis included women attending a tertiary pelvic floor imaging clinic. In a primary analysis, original TPUS and magnetic resonance imaging (MRI) reports were compared with operative records as the reference standard. In a secondary analysis, extended 2D TPUS images were independently reviewed by four blinded clinicians with differing levels of experience to assess interobserver agreement and reproducibility.</p><p><strong>Results: </strong>Forty-two women were included. TPUS correctly identified all sling types with 100% accuracy (35/35; 95% CI 90.1-100.0). MRI correctly classified all cases in which a definitive sling type was reported (26/26), but six MRI examinations were non-diagnostic; when these were included, overall MRI accuracy decreased to 81.3% (26/32; 95% CI 64.7-91.1). Concordance between TPUS and MRI was 71.8% (28/39), with moderate agreement (κ=0.46; 95% CI [0.20-0.72]). In the secondary blinded review analysis, observer performance varied according to experience, with near-perfect agreement among experts and lower agreement among less experienced clinicians.</p><p><strong>Conclusion: </strong>Extended 2D TPUS can accurately identify sling type in specialist practice and represents a practical first-line imaging modality. However, interpretation is operator-dependent, highlighting the importance of structured training and standardized imaging protocols.</p><p><strong>Level of evidence: 4: </strong></p>","PeriodicalId":516865,"journal":{"name":"The French journal of urology","volume":" ","pages":"103195"},"PeriodicalIF":1.2,"publicationDate":"2026-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148898740","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
Comparative CT scout view and KUB radiography for ureteral stone detection in an ESWL cohort. 在ESWL队列中输尿管结石的比较CT侦察图和KUB x线片。
IF 1.2
The French journal of urology Pub Date : 2026-09-03 DOI: 10.1016/j.fjurol.2026.103188
Guillaume Joussen, Emilien Seizilles de Mazancourt, Pierre-Vincent Campello, Nora Jamali, Nadia Abid
{"title":"Comparative CT scout view and KUB radiography for ureteral stone detection in an ESWL cohort.","authors":"Guillaume Joussen, Emilien Seizilles de Mazancourt, Pierre-Vincent Campello, Nora Jamali, Nadia Abid","doi":"10.1016/j.fjurol.2026.103188","DOIUrl":"10.1016/j.fjurol.2026.103188","url":null,"abstract":"<p><strong>Purpose: </strong>To compare the sensitivity of CT scout view and kidney-ureter-bladder (KUB) radiography for ureteral stone detection in patients scheduled for extracorporeal shock wave lithotripsy (ESWL) and identify factors influencing stone visibility.</p><p><strong>Methods: </strong>We conducted a retrospective single-center study including consecutive patients presenting with renal colic between January 2023 and December 2024. Patients with ureteral stones confirmed on non-contrast computed tomography (NCCT) and referred for ESWL were included. Stones with a density<400 Hounsfield Units were excluded. CT scout view and KUB radiographs were reviewed. Sensitivities were compared using the McNemar test. Factors associated with detectability were assessed using univariate sis and Firth's penalized logistic regression.</p><p><strong>Results: </strong>Fifty-six stones in 49 patients were analyzed. Overall sensitivity was 58.9% for CT scout view and 66.1% for KUB, with no significant difference (P=0.50). Detection varied according to stone location: scout view performed better for pelvic stones (69.6% vs. 56.5%), whereas KUB showed higher sensitivity for lumbar (73.1% vs. 53.8%) and pyeloureteral stones (75.0% vs. 50.0%). Among stones not detected on scout view, 52% were identified on KUB, while 48% remained undetected on both modalities. Stone density was independently associated with scout view detectability (P=0.029), whereas no significant predictors were identified for KUB.</p><p><strong>Conclusion: </strong>In this pre-selected ESWL cohort, overall stone detection sensitivity did not differ significantly between CT scout view and KUB radiography, although visibility was location-dependent. A selective imaging strategy based on initial scout view assessment remains a hypothetical model requiring formal prospective validation.</p><p><strong>Level of evidence: 3: </strong></p>","PeriodicalId":516865,"journal":{"name":"The French journal of urology","volume":" ","pages":"103188"},"PeriodicalIF":1.2,"publicationDate":"2026-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148889866","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
Early versus delayed catheter removal after bipolar TURP: A prospective randomized study with long-term functional follow-up. 双极TURP术后早期与延迟导管拔除:一项长期功能随访的前瞻性随机研究。
IF 1.2
The French journal of urology Pub Date : 2026-09-02 DOI: 10.1016/j.fjurol.2026.103187
Haydar Guler, Oguzhan Yildiz, Salim Kucukpolat, Mehmet Sait Arslan, Huseyin Kocan
{"title":"Early versus delayed catheter removal after bipolar TURP: A prospective randomized study with long-term functional follow-up.","authors":"Haydar Guler, Oguzhan Yildiz, Salim Kucukpolat, Mehmet Sait Arslan, Huseyin Kocan","doi":"10.1016/j.fjurol.2026.103187","DOIUrl":"10.1016/j.fjurol.2026.103187","url":null,"abstract":"<p><strong>Objective: </strong>To compare early (24-hour) versus delayed (72-hour) urethral catheter removal after transurethral resection of the prostate (TURP), focusing primarily on postoperative functional outcomes and secondarily on hospitalization, complications, and treatment cost.</p><p><strong>Methods: </strong>This prospective, single-center randomized study included 88 men undergoing bipolar TURP for benign prostatic obstruction between February 2022 and June 2025. Patients were randomized to early catheter removal at 24hours (n=43) or delayed removal at 72hours (n=45). Primary outcomes were functional parameters, including maximum urinary flow rate (Qmax), postvoid residual urine volume (PVR), and International Prostate Symptom Score (IPSS), assessed immediately after catheter removal, at the third postoperative month, and at final follow-up. The median duration of follow-up was 20.5 months. Secondary outcomes included length of hospitalization, need for secondary treatment or intervention, and total treatment cost.</p><p><strong>Results: </strong>Baseline characteristics were comparable between groups. Immediately after catheter removal, Qmax values were similar between groups (P=0.851). Post-catheter IPSS scores were slightly higher in the early group but remained within the mild symptom range (P=0.031). At the third postoperative month and at final follow-up, no significant differences were observed between groups in Qmax, PVR, or IPSS (all P>0.05). The median cost excluding the TURP procedure fee was lower in the early group (65 vs. 87 USD, P=0.016), as was the median total cost including the TURP procedure fee (240 vs. 296 USD, P=0.012). Rates of secondary treatment or additional intervention were similar between groups (14.0% vs. 13.3%, P=0.932).</p><p><strong>Conclusion: </strong>Early catheter removal 24hours after bipolar TURP does not adversely affect short- or long-term functional outcomes and is associated with shorter hospitalization and lower treatment cost without increasing complication rates. These findings support early catheter removal as a safe and efficient strategy in contemporary bipolar TURP practice LEVEL OF EVIDENCE: 1.</p>","PeriodicalId":516865,"journal":{"name":"The French journal of urology","volume":" ","pages":"103187"},"PeriodicalIF":1.2,"publicationDate":"2026-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148882033","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
Stone size matters: Volume versus diameter in predicting spontaneous passage of ureteral stones<10mm. 结石大小:体积与直径在预测输尿管结石自发通过中的作用< 10mm。
IF 1.2
The French journal of urology Pub Date : 2026-09-02 DOI: 10.1016/j.fjurol.2026.103189
Claude Donfack Dongmo, Gina Reichman, Younes Ouardghi, Xenias Orfanos, Junior Djeubon Mbarga Demanou, Thierry Roumeguere
{"title":"Stone size matters: Volume versus diameter in predicting spontaneous passage of ureteral stones<10mm.","authors":"Claude Donfack Dongmo, Gina Reichman, Younes Ouardghi, Xenias Orfanos, Junior Djeubon Mbarga Demanou, Thierry Roumeguere","doi":"10.1016/j.fjurol.2026.103189","DOIUrl":"10.1016/j.fjurol.2026.103189","url":null,"abstract":"<p><strong>Introduction: </strong>International guidelines use maximum diameter to predict spontaneous passage of ureteral stones<10mm. This study compares its performance with calculated volume, a potentially more informative three-dimensional parameter.</p><p><strong>Materials and methods: </strong>Monocentric retrospective study including 121 patients admitted for renal colic. Maximum diameter and volume (calculated by ellipsoid formula and 3D segmentation) were evaluated against spontaneous passage at 4-6 weeks. Diagnostic performance of morphological parameters was evaluated by receiver operating characteristic (ROC) analysis. Multivariable logistic regression was used to identified factors independently associated with spontaneous passage.</p><p><strong>Results: </strong>Maximum diameter (AUC: 0.82; optimal threshold 5.35mm) proved significantly superior to volume for predicting spontaneous passage, with an overall passage rate of 77.7% in the cohort. In multivariate analysis, diameter≤5.35mm (OR=6.84) and distal location (OR=3.12) were the only independent predictive factors. Volumetric parameters provided no significant improvement.</p><p><strong>Conclusion: </strong>Maximum diameter remains the best predictor of spontaneous passage for ureteral stones <10mm. Systematic integration of volume measurement in routine clinical practice appears unjustified.</p><p><strong>Level of evidence: </strong>Level III : Retrospective Cohort.</p>","PeriodicalId":516865,"journal":{"name":"The French journal of urology","volume":" ","pages":"103189"},"PeriodicalIF":1.2,"publicationDate":"2026-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148882009","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
Early outcomes, patient selection and learning curve of Bulkamid® for female stress urinary incontinence. Bulkamid®治疗女性压力性尿失禁的早期结果、患者选择和学习曲线。
IF 1.2
The French journal of urology Pub Date : 2026-08-25 DOI: 10.1016/j.fjurol.2026.103184
Hugo Grinand, Nelly Reynaud, Nargisse Talji, Bruno Bali, Lionel Badet, Caroline Thuillier
{"title":"Early outcomes, patient selection and learning curve of Bulkamid® for female stress urinary incontinence.","authors":"Hugo Grinand, Nelly Reynaud, Nargisse Talji, Bruno Bali, Lionel Badet, Caroline Thuillier","doi":"10.1016/j.fjurol.2026.103184","DOIUrl":"10.1016/j.fjurol.2026.103184","url":null,"abstract":"<p><strong>Introduction: </strong>Periurethral Bulkamid® injections are a minimally invasive treatment option for female stress urinary incontinence. We assessed early outcomes, morbidity, predictors of favorable response, and the learning curve during implementation.</p><p><strong>Methods: </strong>This retrospective single-center cohort included 167 women treated with Bulkamid® for stress or mixed urinary incontinence between July 2021 and February 2024. The primary outcome was favorable patient-reported response at 6 weeks, defined as documented complete or near-complete resolution (>90% improvement) or marked improvement (>50-90%) of stress urinary leakage. Moving-window, CUSUM, and LC-CUSUM analyses assessed outcomes according to operator experience. Predictors of favorable response were assessed using multivariable logistic regression.</p><p><strong>Results: </strong>At 6 weeks, 57 patients (34.1%) achieved complete or near-complete resolution and 65 (38.9%) marked improvement, yielding a 73.0% favorable response rate. Sequential analyses consistently demonstrated stabilization after approximately 20 procedures. Acute urinary retention occurred in 24.5%, was transient in all cases, and differed between operators (35.3% vs. 2.0%; P<0.001). A positive urethral support test predicted favorable response (adjusted OR: 2.67, 95% CI: 1.01-7.03; P=0.047), whereas detrusor overactivity predicted poorer response (adjusted OR: 0.21, 95% CI: 0.05-0.85; P=0.029).</p><p><strong>Conclusion: </strong>Bulkamid® provided satisfactory early patient-reported outcomes, with stabilization after approximately 20 procedures. Patient selection appeared important, particularly urethral support and detrusor overactivity. Higher operator-related postoperative retention was not associated with superior clinical outcomes. These findings require prospective validation in larger multicenter cohorts.</p><p><strong>Level of evidence: 3: </strong></p>","PeriodicalId":516865,"journal":{"name":"The French journal of urology","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2026-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148820822","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
Postoperative management after penile fracture surgery: Intraoperative drainage is not associated with early morbidity reduction after penile fracture repair (FRACT AFUF project). 阴茎骨折术后处理:术中引流与早期发病率降低无关(FRACT AFUF项目)。
IF 1.2
The French journal of urology Pub Date : 2026-08-14 DOI: 10.1016/j.fjurol.2026.103181
Norbert De Brek, Arthur Peyrottes, Charles Dariane, Maxime Pattou, Alexandra Clerget, François Desgrandchamps, Paul Sabbagh, Hugo Dupuis, Louise Duffaut, Igor Duquesne, Benoît Mesnard, Capucine Miquel, Martin Lorette, Ophélie Delchet, Adrien Boileau, Stéphan Levy, Alice Bourillon, Anna Goujon, Valentine Lethuillier, Antoine Faix, William Mathez, Gabrielle Tissot, Alexandre De La Taille, Céline Mardelli, Grégory Papin, Arthur Galano, Thibaut Waeckel, Charly Bacle, Aurélie Schirmann, Élodie Chauveau, Pascal Eschwege, Jefferson Gardet, Philippe De Sousa, Angèle Reichenbach, Paul Neuville, Maxime Chabenes, Gaelle Fiard, Thomas Bessede, Cédric Lebacle
{"title":"Postoperative management after penile fracture surgery: Intraoperative drainage is not associated with early morbidity reduction after penile fracture repair (FRACT AFUF project).","authors":"Norbert De Brek, Arthur Peyrottes, Charles Dariane, Maxime Pattou, Alexandra Clerget, François Desgrandchamps, Paul Sabbagh, Hugo Dupuis, Louise Duffaut, Igor Duquesne, Benoît Mesnard, Capucine Miquel, Martin Lorette, Ophélie Delchet, Adrien Boileau, Stéphan Levy, Alice Bourillon, Anna Goujon, Valentine Lethuillier, Antoine Faix, William Mathez, Gabrielle Tissot, Alexandre De La Taille, Céline Mardelli, Grégory Papin, Arthur Galano, Thibaut Waeckel, Charly Bacle, Aurélie Schirmann, Élodie Chauveau, Pascal Eschwege, Jefferson Gardet, Philippe De Sousa, Angèle Reichenbach, Paul Neuville, Maxime Chabenes, Gaelle Fiard, Thomas Bessede, Cédric Lebacle","doi":"10.1016/j.fjurol.2026.103181","DOIUrl":"10.1016/j.fjurol.2026.103181","url":null,"abstract":"<p><strong>Purpose: </strong>Penile fracture is a rare urological emergency treated by surgical exploration. However, the indication for intraoperative drainage remains debated due to limited evidence. This study aimed to assess the impact of drainage on postoperative complications and symptoms after penile fracture repair.</p><p><strong>Methods: </strong>We performed a retrospective multicenter study including all patients with surgically confirmed corpus cavernosum fracture between 2000 and 2024 across 21 French centers. Patients were stratified according to intraoperative drain placement. The primary outcome was any early postoperative complication within 30days (hematoma, surgical-site infection, wound dehiscence, painful edema, skin necrosis, or urinary retention). The key secondary outcome was a focused surgical-site composite (hematoma, surgical-site infection, or wound dehiscence). Hospital stay and symptoms at 1 and 3months were also evaluated. Multivariable logistic regression adjusted for surgical approach, urethral or bilateral injury and surgeon experience assessed associations with complications.</p><p><strong>Results: </strong>Among 457 patients, 153 (34%) received a drain. Drain placement was associated with longer operative time and hospital stay and more frequent degloving approach. The overall postoperative complication rate was 11%. Drain placement was not significantly associated with complications (OR: 1.18; 95% CI: 0.59-2.29; P=0.63), whereas urethral injury was (OR: 2.33; 95% CI: 1.06-4.91, P=0.03). At 1month, 63% of patients reported at least one symptom and sexual pain was more frequent in the drain group (25% vs. 18%; P=0.04). Interpretation is limited by retrospective design and loss to follow-up.</p><p><strong>Conclusion: </strong>Intraoperative drainage was not associated with reduced early morbidity and was associated with a longer hospital stay and more sexual pain at 1month. Although these findings do not support the routine use of drains after penile fracture repair, our study does not exclude a potential benefit in selected complex cases. Drain use should therefore be tailored to intraoperative findings.</p><p><strong>Level of evidence: </strong>IV.</p>","PeriodicalId":516865,"journal":{"name":"The French journal of urology","volume":" ","pages":"103181"},"PeriodicalIF":1.2,"publicationDate":"2026-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148764487","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
Impact of adjunctive bipolar coagulation during HoLEP on secondary postoperative bleeding: A bicentric retrospective study. HoLEP期间辅助双极凝血对术后继发性出血的影响:一项双中心回顾性研究。
IF 1.2
The French journal of urology Pub Date : 2026-08-14 DOI: 10.1016/j.fjurol.2026.103178
Yannis Brakbi, Zakaria Hammoudi, Aurélien Descazeaud, Walter Bertherat, Raphael Ginot, François Buge, Marie Chicaud
{"title":"Impact of adjunctive bipolar coagulation during HoLEP on secondary postoperative bleeding: A bicentric retrospective study.","authors":"Yannis Brakbi, Zakaria Hammoudi, Aurélien Descazeaud, Walter Bertherat, Raphael Ginot, François Buge, Marie Chicaud","doi":"10.1016/j.fjurol.2026.103178","DOIUrl":"10.1016/j.fjurol.2026.103178","url":null,"abstract":"<p><strong>Objective: </strong>To determine the impact of the use of bipolar coagulation during holmium laser enucleation of the prostate (HoLEP) on the risk of secondary hemorrhagic complications.</p><p><strong>Methods: </strong>Retrospective bicentric study analyzing data from 501 patients who underwent HoLEP between 2017 and 2024. Patients were divided into two groups according to the type of intraoperative hemostasis: a laser-only hemostasis group and a group that received adjunctive bipolar hemostasis. The primary endpoint was the occurrence of clinically significant secondary hemorrhagic complications within 30days after hospital discharge. A multivariable analysis was performed to determine factors associated with an increased risk of secondary bleeding.</p><p><strong>Results: </strong>Patient demographic characteristics were comparable between the groups in terms of age, prostate volume, and antiplatelet therapy use; however, anticoagulant therapy was more frequent in the bipolar coagulation group (20.8% vs. 12.8%, P=0.018). Thirty-six patients (7.2%) experienced secondary hemorrhagic complications, with no significant difference between the two groups (6.3% vs. 8.6%, P=0.316). Perioperative parameters, including hemoglobin variation and duration of irrigation, catheterization, and hospitalization, were also comparable between groups. In multivariable analysis, only anticoagulant therapy was associated with an increased risk of secondary bleeding (adjusted odds ratio: 3.55, 95% CI: 1.59-7.95; P=0.002).</p><p><strong>Conclusion: </strong>Adjunctive bipolar coagulation during HoLEP is not associated with a higher risk of secondary bleeding, unlike anticoagulant therapy.</p><p><strong>Level of evidence: 3: </strong></p>","PeriodicalId":516865,"journal":{"name":"The French journal of urology","volume":" ","pages":"103178"},"PeriodicalIF":1.2,"publicationDate":"2026-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148764069","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
Day-case artificial urinary sphincter implantation in a low-volume centre: Feasibility with an experienced surgeon. 小容量中心人工尿括约肌植入术:经验丰富的外科医生的可行性。
IF 1.2
The French journal of urology Pub Date : 2026-08-14 DOI: 10.1016/j.fjurol.2026.103179
Mehdi Djouhri, Clement Sarrazin, Olivier Skowron, Mathilde Grange, Valentin Arnoux
{"title":"Day-case artificial urinary sphincter implantation in a low-volume centre: Feasibility with an experienced surgeon.","authors":"Mehdi Djouhri, Clement Sarrazin, Olivier Skowron, Mathilde Grange, Valentin Arnoux","doi":"10.1016/j.fjurol.2026.103179","DOIUrl":"10.1016/j.fjurol.2026.103179","url":null,"abstract":"<p><strong>Objective: </strong>To assess the feasibility and safety of day-case artificial urinary sphincter (AUS) implantation in a low-volume centre performing 5 to 10 procedures per year, with a single experienced surgeon.</p><p><strong>Methods: </strong>We conducted a retrospective single-centre study including all consecutive patients who underwent AUS implantation or reimplantation under day-case conditions between March 2022 and December 2025. Eligibility criteria for day-case surgery were: ASA score≤3, availability of a companion at home, and residence within 90minutes of the centre. The primary outcome was the absence of any unscheduled re-hospitalisation or unscheduled outpatient visit within 7days of surgery. Secondary outcomes included complication rates at 3months graded by the Clavien-Dindo classification, and functional outcomes assessed by pad usage at 3, 6 and 12months.</p><p><strong>Results: </strong>Twenty-five consecutive procedures were included, comprising 23 primary implantations and 2 reimplantations. Day-case surgery was successfully completed in 24 out of 25 patients (96%). Eighteen patients (72%) met the definition of a fragile urethra. Overall complications within 3months occurred in 5 patients (20%), with a single Clavien grade≥3 complication (4%) consisting of AUS explantation following an infected inguinal haematoma with prosthetic material exposure. The overall continence rate (0 or 1 pad per day) was 92% at 3months, 95% at 6months and 88% at 12months.</p><p><strong>Conclusions: </strong>Day-case AUS implantation is feasible in a low-volume centre, including in patients with a fragile urethra, when performed by an experienced surgeon, with short-term outcomes comparable to those reported in high-volume academic series.</p><p><strong>Level of evidence: 4: </strong></p>","PeriodicalId":516865,"journal":{"name":"The French journal of urology","volume":" ","pages":"103179"},"PeriodicalIF":1.2,"publicationDate":"2026-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148762421","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
Primary management and survival of non-metastatic prostate cancer in subjects aged 75years old and over. Analysis of data from a French cancer registry. 75岁及以上非转移性前列腺癌的初步管理和生存。对法国癌症登记处数据的分析。
IF 1.2
The French journal of urology Pub Date : 2026-08-14 DOI: 10.1016/j.fjurol.2026.103180
Stéphanie G Trouche-Sabatier, Brigitte Trétarre, Thibaut Murez, Nicolas Abdo, Grégoire Poinas, Anne-Sophie Foucan, François Iborra
{"title":"Primary management and survival of non-metastatic prostate cancer in subjects aged 75years old and over. Analysis of data from a French cancer registry.","authors":"Stéphanie G Trouche-Sabatier, Brigitte Trétarre, Thibaut Murez, Nicolas Abdo, Grégoire Poinas, Anne-Sophie Foucan, François Iborra","doi":"10.1016/j.fjurol.2026.103180","DOIUrl":"10.1016/j.fjurol.2026.103180","url":null,"abstract":"<p><strong>Background: </strong>In older men, non-metastatic prostate cancer (NMPC) may be under or overtreated, and curative treatments are rarely achieved.</p><p><strong>Objectives: </strong>The aim of this study was to analyze the primo-management and survival of non-metastatic prostate cancers in subjects aged 75 and over in a French department.</p><p><strong>Methods: </strong>We used retrospective, population-based data to identify subjects aged 75 and over at diagnosis with NMPC between 1 January 2017 and 31 December 2020. Patients were divided into 2 groups: group 1, patients aged 75 to 79years, and group 2, patients aged 80years and over.</p><p><strong>Results: </strong>We included 1077 patients, 606 in group 1 and 471 in group 2. Of the 794 patients diagnosed on prostate biopsies, 73.7% in group 1 and 35.1% in group 2 received a local curative treatment (P<0.001). Of the 219 NMPC patients diagnosed for a benign prostate hypertrophy (BPH), 73% in group 1 and 69.5% in group 2 were placed on WW after diagnosis and 13.5% in group 1 and 3.7% in group 2 had an active surveillance. Men in group 2 were more frequently put on androgen deprivation therapy (21.3% vs. 5.4%).</p><p><strong>Conclusions: </strong>Patients aged 80 and over received fewer local curative treatments, and hormone therapy was overused. In our study, patients with a local curative treatment strategy had a better survival in both age groups. Treatment decisions for these patients should not be based on chronological age, but on cancer prognosis and life expectancy.</p><p><strong>Level of evidence: 3: </strong></p>","PeriodicalId":516865,"journal":{"name":"The French journal of urology","volume":" ","pages":"103180"},"PeriodicalIF":1.2,"publicationDate":"2026-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148765785","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
Beyond the trial: Can audit and feedback produce lasting improvements in transurethral resection of bladder tumor quality? Commentary on: Orecchia L, Gerardi M, Colalillo G, et al. Impact of audit and feedback on transurethral resection of bladder tumor quality: a monocentric post-completion evaluation of the RESECT trial. BJU Int. 2026;138:92-99. 试验之外:审计和反馈能持久改善经尿道膀胱肿瘤切除术的质量吗?
IF 1.2
The French journal of urology Pub Date : 2026-08-04 DOI: 10.1016/j.fjurol.2026.103175
Jérémy Mercier, Alexandre de la Taille, Dimitri Vordos, Igor Duquesne
{"title":"Beyond the trial: Can audit and feedback produce lasting improvements in transurethral resection of bladder tumor quality? Commentary on: Orecchia L, Gerardi M, Colalillo G, et al. Impact of audit and feedback on transurethral resection of bladder tumor quality: a monocentric post-completion evaluation of the RESECT trial. BJU Int. 2026;138:92-99.","authors":"Jérémy Mercier, Alexandre de la Taille, Dimitri Vordos, Igor Duquesne","doi":"10.1016/j.fjurol.2026.103175","DOIUrl":"10.1016/j.fjurol.2026.103175","url":null,"abstract":"","PeriodicalId":516865,"journal":{"name":"The French journal of urology","volume":" ","pages":"103175"},"PeriodicalIF":1.2,"publicationDate":"2026-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148703161","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
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