Indian journal of urology : IJU : journal of the Urological Society of India最新文献_第2页

Medical Council of India's amended qualifications for Indian medical teachers: Well intended, yet half-hearted. 印度医学委员会修订了印度医学教师的资格:初衷是好的，但却三心二意。

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Indian journal of urology : IJU : journal of the Urological Society of India Pub Date : 2018-01-01 DOI: 10.4103/iju.IJU_373_17

Sunita V S Bandewar, Amita Aggarwal, Rajeev Kumar, Rakesh Aggarwal, Peush Sahni, Sanjay A Pai

引用次数: 1

Effects of tumor size and location on survival in upper tract urothelial carcinoma after nephroureterectomy. 肿瘤大小和位置对肾输尿管切除术后上尿路上皮癌患者生存的影响。

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Indian journal of urology : IJU : journal of the Urological Society of India Pub Date : 2018-01-01 DOI: 10.4103/iju.IJU_216_17

Shreyas S Joshi, Laura L Quast, Sam S Chang, Sanjay G Patel

{"title":"Effects of tumor size and location on survival in upper tract urothelial carcinoma after nephroureterectomy.","authors":"Shreyas S Joshi, Laura L Quast, Sam S Chang, Sanjay G Patel","doi":"10.4103/iju.IJU_216_17","DOIUrl":"https://doi.org/10.4103/iju.IJU_216_17","url":null,"abstract":"Introduction: Upper Tract Urothelial Carcinoma (UTUC) is a rare disease with few prognostic determinants. We sought to evaluate the impact of tumor size and location on patient survival following nephroureterectomy for UTUC.Materials and methods: Data on 8284 patients treated with radical nephroureterectomy for UTUC in the United States between 1998 and 2011 were analyzed from the National Cancer Data Base. Univariable survivorship curves were generated based on pT stage, pN stage, grade, tumor size, and tumor site (renal pelvis vs. ureter). A Cox proportional hazards model was used to evaluate the effect of age, comorbidity, T stage, lymph node involvement, tumor site, and tumor size on survival.Results: The median follow-up time was 46 months. A majority of the patients were male (55.4%) with a tumor size of ≥3.5 cm (52.0%) and pT stage <T2 (47.8%). The overall 5 years survival overall survival (OS) for the entire cohort was 51.6%. When stratified by tumor size <3.5 cm or ≥3.5 cm the 5-year OS was 45.9% and 58.5%, respectively. On multivariable analysis controlling for age, Charlson comorbidity index, grade, and tumor stage, tumor size ≥3.5 cm was independently predictive of worse OS (odds ratio: 1.13 [95% confidence interval: 1.02-1.26], P = 0.023).Conclusions: Using the largest series of patients with UTUC undergoing nephroureterectomy, we demonstrated a worse survival in patients with larger tumor sizes (≥3.5 cm) but no difference in survival based on tumor location while controlling for other pathologic characteristics. Incorporation of tumor size into perioperative risk modeling may help with patient stratification and provide further prognostic information for patient counseling.","PeriodicalId":520644,"journal":{"name":"Indian journal of urology : IJU : journal of the Urological Society of India","volume":" ","pages":"68-73"},"PeriodicalIF":1.1,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/93/7f/IJU-34-68.PMC5769253.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35744768","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: 9

Extrarenal retroperitoneal angiomyolipoma with oncocytoma. 肾外腹膜后血管平滑肌脂肪瘤伴嗜瘤细胞瘤。

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Indian journal of urology : IJU : journal of the Urological Society of India Pub Date : 2018-01-01 DOI: 10.4103/iju.IJU_249_17

Amir Mahmud Ali, Syed Jamal Rizvi, Kamal V Kanodia

引用次数: 1

Re: Singh A et al. Robot-assisted retroperitoneal lymph node dissection: Feasibility and outcome in postchemotherapy residual mass in testicular cancer. Indian J Urol 2017;33:304-9. 回复:Singh A等人。机器人辅助腹膜后淋巴结清扫:睾丸癌化疗后残余肿块的可行性和结果。中国医学杂志2017;33:304-9。

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Indian journal of urology : IJU : journal of the Urological Society of India Pub Date : 2018-01-01 DOI: 10.4103/iju.IJU_341_17

Mustafa Zafer Temiz, Omer Onur Cakir, Engin Kandirali, Atilla Semercioz

{"title":"Re: Singh A et al. Robot-assisted retroperitoneal lymph node dissection: Feasibility and outcome in postchemotherapy residual mass in testicular cancer. Indian J Urol 2017;33:304-9.","authors":"Mustafa Zafer Temiz, Omer Onur Cakir, Engin Kandirali, Atilla Semercioz","doi":"10.4103/iju.IJU_341_17","DOIUrl":"https://doi.org/10.4103/iju.IJU_341_17","url":null,"abstract":"1. Goel S, Mandhani A, Srivastava A, Kapoor R, Gogoi S, Kumar A, et al. Is povidone iodine an alternative to silver nitrate for renal pelvic instillation sclerotherapy in chyluria? BJU Int 2004;94:1082‐5. 2. Kant L. Deleting the ‘neglect’ from two neglected tropical diseases in India. Indian J Med Res 2016;143:398‐400. 3. Heldwein FL, Rhoden EL, Morgentaler A. Classics of urology: A half century history of the most frequently cited articles (1955‐2009). Urology 2010;75:1261‐8. 4. Nason GJ, Tareen F, Mortell A. The top 100 cited articles in urology: An update. Can Urol Assoc J 2013;7:E16‐24. 5. Newble D, Cannon R. Helping students learn. A Handbook for Medical Teachers. 4th ed. New York: Kluwer Academic Publishers; 2001. p. 5‐7. This is an open access article distributed under the terms of the Creative Commons Attribution‐NonCommercial‐ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non‐commercially, as long as the author is credited and the new creations are licensed under the identical terms.","PeriodicalId":520644,"journal":{"name":"Indian journal of urology : IJU : journal of the Urological Society of India","volume":" ","pages":"91-92"},"PeriodicalIF":1.1,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/0e/cd/IJU-34-91.PMC5769264.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35746586","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

PET-CT and PET-MR in urological cancers other than prostate cancer: An update on state of the art. PET-CT和PET-MR在除前列腺癌以外的泌尿系统癌症中的应用:最新进展

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Indian journal of urology : IJU : journal of the Urological Society of India Pub Date : 2018-01-01 DOI: 10.4103/iju.IJU_321_17

Abdul Razik, Chandan Jyoti Das, Sanjay Sharma

{"title":"PET-CT and PET-MR in urological cancers other than prostate cancer: An update on state of the art.","authors":"Abdul Razik, Chandan Jyoti Das, Sanjay Sharma","doi":"10.4103/iju.IJU_321_17","DOIUrl":"https://doi.org/10.4103/iju.IJU_321_17","url":null,"abstract":"Hybrid positron emission tomography with computed tomography (PET/CT) and magnetic resonance imaging (PET/MRI) have enabled the combination of morphologic and functional imaging with the promise of providing better information in guiding therapy. Further advance has been made in the past decade with the development of newer radiotracers and optimization of the technical aspects. We performed a search in PubMed, Scopus, and Google Scholar for peer-reviewed literature concerning the advances and newer developments in the imaging of nonprostate urologic cancers between 2005 and 2017. This review aims at summarizing the current evidence on PET imaging in nonprostate urologic cancers and their impact on the diagnosis, staging, prognostication, response assessment, and restaging of these malignancies. However, much of the evidence is still in infancy and has not been incorporated into routine management or the practice guidelines of National Comprehensive Cancer Network or European Society for Medical Oncology (ESMO).","PeriodicalId":520644,"journal":{"name":"Indian journal of urology : IJU : journal of the Urological Society of India","volume":" ","pages":"20-27"},"PeriodicalIF":1.1,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/b1/8a/IJU-34-20.PMC5769244.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35745926","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: 11

Symptomatic lower urinary tract dysfunction in sacral agenesis: Potentially high risk? 骶骨发育不全的症状性下尿路功能障碍:潜在的高风险?

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Indian journal of urology : IJU : journal of the Urological Society of India Pub Date : 2018-01-01 DOI: 10.4103/iju.IJU_184_17

Sanjay Sinha, Mehul A Shah, Dilip M Babu

{"title":"Symptomatic lower urinary tract dysfunction in sacral agenesis: Potentially high risk?","authors":"Sanjay Sinha, Mehul A Shah, Dilip M Babu","doi":"10.4103/iju.IJU_184_17","DOIUrl":"https://doi.org/10.4103/iju.IJU_184_17","url":null,"abstract":"Introduction: Sacral agenesis (SA) is a caudal regression anomaly that can cause neurogenic bladder but is not generally recognized as high risk. We studied the clinical presentation, upper urinary tract, bone and spine abnormalities, and urodynamic findings in patients with SA and compared them with related high-risk conditions, anorectal malformation (ARM), and cloacal malformation.Materials and methods: Patient records between May 2011 and December 2015 were identified and grouped into isolated SA without an overt anomaly (Group I), SA with overt caudal regression anomalies (Group II), and ARM or cloacal malformation without the SA (Group III). Distribution of clinical and urodynamic findings and factors associated with reduced eGFR were tested with rank sum test, t-test, and unadjusted odds (P < 0.05 significant) using R statistical program (version 3.1.3).Results: Of 605 neurogenic bladder patients treated in the study period, 39 fulfilled the inclusion criteria. 12 were Group I, 5 Group II, and 22 Group III. Long-standing lower urinary symptoms were noted in all SA patients. Group I patients were older (14.5 years vs. 6 years and 5 years for II and III). Patients with SA (Group I and II) had poor compliance (6.7 ml/cmH2O, interquartile range [IQR] 4-13.6 ml/cmH2O), reduced age-adjusted bladder capacity (59%, IQR 22-85%), elevated end-fill pressure (22 cmH2O, IQR 11-28 cmH2O), hydronephrosis (88%), and reduction in eGFR (29%), all comparable to Group III. Most had Renshaw type II SA and tethered spinal cord rather than wedge-shaped termination. Limitations include small numbers and significant selection bias.Conclusions: Symptomatic neurogenic bladder due to SA may cause renal damage similar to ARM but often eludes diagnosis.","PeriodicalId":520644,"journal":{"name":"Indian journal of urology : IJU : journal of the Urological Society of India","volume":" ","pages":"56-61"},"PeriodicalIF":1.1,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/05/8e/IJU-34-56.PMC5769251.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35745928","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: 4

Whose evidence do we follow? 我们应该遵循谁的证据?

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Indian journal of urology : IJU : journal of the Urological Society of India Pub Date : 2018-01-01 DOI: 10.4103/iju.IJU_348_17

Rajeev Kumar

{"title":"Whose evidence do we follow?","authors":"Rajeev Kumar","doi":"10.4103/iju.IJU_348_17","DOIUrl":"https://doi.org/10.4103/iju.IJU_348_17","url":null,"abstract":"Evidence-based medicine (EBM) is the cornerstone of current medical practice and education.[1] From its beginnings in the early 20th century, modern medicine grew on the basis of knowledge passed on by eminent practitioners, at times based purely on anecdotes and logic. But then, who would need a randomized trial to know that parachutes save lives? Some of the discoveries were so radical that to question them, or their innovators, would be blasphemous. The use of anesthesia, antisepsis, antibiotics, radical surgery for cancer, and chemotherapy delivered results that were so obviously superior to previous practice that they were rapidly adopted and disseminated. Over the last 30 years, the impact of new discoveries became progressively smaller. A new drug would provide improvement in 10% of patients and improve survival by 3 months, and a surgical technique would decrease hospital stay by 12 h. Along with smaller benefits came the growth of commerce and enterprise where each new discovery promised billions of dollars to its owners if it succeeded. Conflicting reports on outcomes with high‐profile endorsements created an environment of uncertainty where EBM provided a solution.","PeriodicalId":520644,"journal":{"name":"Indian journal of urology : IJU : journal of the Urological Society of India","volume":" ","pages":"1-2"},"PeriodicalIF":1.1,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/fe/98/IJU-34-1.PMC5769242.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35744312","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

Papillary renal cell carcinoma with abscess formation: A report of three cases. 乳头状肾细胞癌伴脓肿形成:附3例报告。

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Indian journal of urology : IJU : journal of the Urological Society of India Pub Date : 2018-01-01 DOI: 10.4103/iju.IJU_234_17

Girdhar Singh Bora, Pankaj Panwar, Ravimohan S Mavuduru, Nandita Kakkar

引用次数: 2

Ureteropelvic junction obstruction - mimicking an "elephant head" on magnetic resonance imaging. 肾盂输尿管连接处阻塞——磁共振成像显示象头。

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Indian journal of urology : IJU : journal of the Urological Society of India Pub Date : 2018-01-01 DOI: 10.4103/iju.IJU_282_17

Sony Bhaskar Mehta, Hariharan Krishnamoorthy, Biju Pillai

引用次数: 1

Trans-vaginal total pelvic floor repair using customized prolene mesh: A safe and cost-effective approach for high-grade pelvic organ prolapse. 经阴道全盆底修复使用定制的prolene网:一种安全和经济有效的方法，高度盆腔器官脱垂。

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Indian journal of urology : IJU : journal of the Urological Society of India Pub Date : 2012-01-01 DOI: 10.4103/0970-1591.94949

Samit Chaturvedi, Rajesh Bansal, Priyadarshi Ranjan, M S Ansari, Deepa Kapoor, Rakesh Kapoor

{"title":"Trans-vaginal total pelvic floor repair using customized prolene mesh: A safe and cost-effective approach for high-grade pelvic organ prolapse.","authors":"Samit Chaturvedi, Rajesh Bansal, Priyadarshi Ranjan, M S Ansari, Deepa Kapoor, Rakesh Kapoor","doi":"10.4103/0970-1591.94949","DOIUrl":"https://doi.org/10.4103/0970-1591.94949","url":null,"abstract":"Aims: To assess safety, efficacy, and cost-effectiveness of trans-vaginal total pelvic floor repair with customized prolene mesh in patients with high-grade pelvic organ prolapse.Materials and methods: A total of 32 patients, who underwent trans-vaginal total pelvic floor repair using a customized prolene mesh from January 2007 to June 2010 for grade III and IV pelvic organ prolapse, were analyzed retrospectively. Prolapse was graded using Pelvic Organ Prolapse Quantification system of International Continence Society. Patients were evaluated for symptoms associated with prolapse pre- and postoperatively.Results: Of the 32 patients, 18 were grade IV uterine prolapse, 10 were grade III uterine prolapse, and 4 were grade IV vault prolapse. Twenty-eight patients underwent vaginal hysterectomy at the time of repair. All the patients had associated anterior and posterior prolapse of varying degree. Follow-up ranged from 6 to 42 months. All patients had symptomatic relief after surgery. There were no intraoperative rectal or bladder injuries. Early complications were perineal pain (30), de novo urgency (4), vaginal discharge (3), vaginal wall hematoma (2), and failure to void (2). Two patients had vaginal erosion of mesh.Conclusions: Trans-vaginal total pelvic floor repair using a customized prolene mesh is safe and effective treatment for comprehensive repair of high-grade pelvic organ prolapse. The use of this custom-made prolene mesh makes the procedure very cost-effective and affordable. The reduction in cost is about 25-30 times with the use of this mesh when compared with commercially available variety.","PeriodicalId":520644,"journal":{"name":"Indian journal of urology : IJU : journal of the Urological Society of India","volume":" ","pages":"21-7"},"PeriodicalIF":1.1,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/3a/a1/IJU-28-21.PMC3339780.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30591880","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: 5