Minerva Urology and Nephrology最新文献

{"title":"The evolving landscape of urological practice: beyond distances.","authors":"Ahmed Eissa, Ahmed Zoeir, Moaz Abdelrahman, Ahmed M Bakr, Atinç Tozsin, Aly M Abdel-Karim, Stefano Puliatti","doi":"10.23736/S2724-6051.24.06266-9","DOIUrl":"https://doi.org/10.23736/S2724-6051.24.06266-9","url":null,"abstract":"","PeriodicalId":53228,"journal":{"name":"Minerva Urology and Nephrology","volume":"76 6","pages":"802-804"},"PeriodicalIF":4.9,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143016160","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Transperitoneal versus low anterior access single-port pyeloplasty: surgical and functional outcomes from a tertiary referral center.","authors":"Matteo Pacini, Luca Lambertini, Donato Cannoletta, Greta Pettenuzzo, Luca Morgantini, Gabriele Bignante, Giulio Avesani, Juan R Torres Anguiano, Ruben C Sauer, Alessandro Zucchi, Simone Crivellaro","doi":"10.23736/S2724-6051.24.06065-8","DOIUrl":"https://doi.org/10.23736/S2724-6051.24.06065-8","url":null,"abstract":"<p><strong>Background: </strong>Transperitoneal approach to robot-assisted pyeloplasty (RAP) have been preferred in the last decades because of the use of multi-port robotic platforms. However, this approach is linked to notable issues, such as pneumoperitoneum and lateral decubitus position, which is associated with potential soft tissues injuries, and it is a time-consuming procedure. Single-port (SP) platform was introduced to potentially address these issues. Our aim was to describe perioperative surgical and functional outcomes of SP-RAP, including our preliminary results comparing the transperitoneal and LAA approaches.</p><p><strong>Methods: </strong>Data from a prospectively maintained dataset of all consecutive patients undergoing SP-RAP between 2019 and 2024 were retrospectively reviewed. Early procedures were performed using transperitoneal midline access, while later procedures utilized the low anterior access (LAA) approach. Patients' demographics, perioperative data, and surgical and functional outcomes were collected.</p><p><strong>Results: </strong>Overall, 34 patients underwent the procedure without intraoperative complications or conversion to an alternative approach. The median age was 46.5 (range: 35-56) years. The transperitoneal approach was used for the first 17 (50%) procedures, while the remaining 17 (50%) underwent LAA SP-RAP. Nonoperative room time, postoperative opioid dose, and length of hospital stay were significantly lower in the LAA group (P<0.001 in all cases), with all patients in the LAA group being discharged on the same day. No differences were observed in operative time or postoperative renal function.</p><p><strong>Conclusions: </strong>Outcomes for SP pyeloplasties appear promising, and the LAA approach may help optimize operating room time, promote faster patient recovery, and reduce postoperative opioid use.</p>","PeriodicalId":53228,"journal":{"name":"Minerva Urology and Nephrology","volume":"76 6","pages":"717-725"},"PeriodicalIF":4.9,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143016232","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparative analysis of the long-term efficacy and safety of minimally invasive simple prostatectomy and endoscopic enucleation of the prostate for large benign prostatic hyperplasia (>80 mL).","authors":"Jia Luo, Pengjun Xu, Hui Shuai, Tao Cai, Shu Cui, Lin Zhou, Qian Xu, Yuxin Zhao, Tao Chen, Tao Wu","doi":"10.23736/S2724-6051.24.05940-8","DOIUrl":"10.23736/S2724-6051.24.05940-8","url":null,"abstract":"<p><strong>Introduction: </strong>Minimally invasive simple prostatectomy (MISP) and endoscopic enucleation of the prostate (EEP) are appropriate candidates for the large prostate. However, their comparative effectiveness and safety remain unclear. This study aims to conduct a comprehensive analysis comparing the efficacy and safety of MISP and EEP.</p><p><strong>Evidence acquisition: </strong>We conducted a systematic search of the PubMed, Embase, and Cochrane Library databases to identify eligible studies comparing MISP and EEP. Data analysis was performed using Review Manager 5.3. Risk of bias was assessed with the ROBINS-I and the ROB2.0 assessment tool.</p><p><strong>Evidence synthesis: </strong>The results of analyzing 13 studies involving 2271 patients showed that EEP had significant lower operative time (MD [CI]: 41.59 [14.62-68.56]), catheterization time (MD [CI]: 4.35 [3.31-5.38]), length of stay (MD [CI]: 2.16 [0.70-3.61]), and Hb decreases (MD [CI]: 0.46 [0.06-0.87]). MISP demonstrated significantly better long-term (MD [CI]: -0.46 [-0.89; -0.03]) and short-term QoL (MD [CI]: -0.38 [-0.66; -0.10]) and short-term Qmax (MD [CI]: 2.04 [0.06-4.03]). Efficacy outcomes were comparable in postoperative IPSS, PVR and PSA between MISP and EEP procedures. No significant differences were observed in resection weight, overall complications, blood transfusions, or urinary incontinence between MISP and EEP.</p><p><strong>Conclusions: </strong>Overall, EEP and MISP are both effective treatment options for large-volume BPH, providing comparable efficacy outcomes and long-term maintenance. EEP, on the other hand appears to have better perioperative outcomes, but it has a higher rate of short-term postoperative incontinence.</p>","PeriodicalId":53228,"journal":{"name":"Minerva Urology and Nephrology","volume":" ","pages":"674-682"},"PeriodicalIF":4.9,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142774693","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"YAU kidney transplantation spotlight: should the robotic surgery be considered the \"standard of care\" for living donor nephrectomy?","authors":"Alberto Piana, Alicia López-Abad, Alessio Pecoraro, Thomas Prudhomme, Beatriz Bañuelos Marco, Hakan B Haberal, M. Irfan Dönmez, Angelo Territo","doi":"10.23736/S2724-6051.24.06267-0","DOIUrl":"10.23736/S2724-6051.24.06267-0","url":null,"abstract":"","PeriodicalId":53228,"journal":{"name":"Minerva Urology and Nephrology","volume":"76 6","pages":"782-784"},"PeriodicalIF":4.9,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143016221","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Robot-assisted partial nephrectomy of multiple tumors: a multicenter analysis.","authors":"Pouriya Faraj Tabrizi, Philip Zeuschner, Olga Katzendorn, Frank Schiefelbein, Andreas Schneller, Georg Schoen, Burkhard Ubrig, Simon Gloger, Clemens G Wiesinger, Jacob Pfuner, Eva Falkensammer, Ahmed Eraky, Daniar Osmonov, Philipp Nuhn, Volker Zimmermanns, Ionna Paramythelli, Boris A Hadaschik, Jan P Radtke, Christopher Darr, Nils Gilbert, Maximilian Kriegmair, Christian Fuhrmann, Markus A Kuczyk, Nina N Harke","doi":"10.23736/S2724-6051.24.05816-6","DOIUrl":"10.23736/S2724-6051.24.05816-6","url":null,"abstract":"<p><strong>Background: </strong>Robot-assisted partial nephrectomy (RAPN) is increasingly performed in challenging tumor constellations like multiple renal masses.</p><p><strong>Methods: </strong>The objective was to investigate influencing factors on postoperative renal function (PRF) after ipsilateral robot-assisted partial nephrectomy of multiple tumors (iRAPN-MT). In this retrospective multicenter study, perioperative data of 132 trans- or retroperitoneal iRAPN-MT for ≥ two tumors were analyzed focusing on influencing factors on PRF and acute kidney injury including RIFLE and trifecta criteria. The impact of patient-, surgery- and tumor-related factors was investigated via uni- and multivariate regression analyses.</p><p><strong>Results: </strong>The majority of patients had two renal masses, with three or more lesions in 19%. Median operative time was 175 minutes. Eighty-five percent of the tumors were dissected on-clamp with a median cumulative warm ischemia time (WIT<inf>sum</inf>) of 15 minutes. Trifecta criteria were fulfilled in 57%. In regression analyses, WIT<inf>sum</inf>, BMI and preoperative eGFR had an impact on eGFR loss before discharge (median -11.6 mL/min). BMI and Charlson Comorbidity Index were independent predictors for the lowest RIFLE stage during hospitalization.</p><p><strong>Conclusions: </strong>iRAPN-MT for multiple ipsilateral renal masses is feasible with good trifecta rates. While mostly unmodifiable patient-associated parameters were independent predictors on PRF impairment, WIT<inf>sum</inf> was identified as a surgery-related independent parameter.</p>","PeriodicalId":53228,"journal":{"name":"Minerva Urology and Nephrology","volume":" ","pages":"698-707"},"PeriodicalIF":4.9,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142741206","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"\"Δ\" Delta neobladder: a novel stentless simplified totally intracorporeal robotic technique.","authors":"Rocco Papalia, Francesco Prata, Francesco Tedesco, Alberto Ragusa, Matteo Pira, Andrea Iannuzzi, Marco Fantozzi, Angelo Civitella, Barry McGUIRE, Giuseppe Simone, Roberto M Scarpa","doi":"10.23736/S2724-6051.24.06146-9","DOIUrl":"https://doi.org/10.23736/S2724-6051.24.06146-9","url":null,"abstract":"<p><strong>Background: </strong>To report the first case series of RARC using a simplified technique for intracorporeal stentless neobladder formation.</p><p><strong>Methods: </strong>From October 2022 to February 2023, 10 patients with high-risk bladder cancer underwent RARC at our Institution. RARC with extended pelvic lymph node dissection and totally intracorporeal neobladder using Hugo RAS system. Surgical steps of this novel reservoir are shown in the complementary video. Continuous data were presented as median and interquartile ranges (IQR) while frequencies and proportions were used to report categorical variables and compared by means of Mann-Whitney U test and Chi-square test, respectively. One-year outcomes were recorded.</p><p><strong>Results: </strong>All procedures were successfully performed. Median console time for neobladder configuration was 192 min (IQR, 170-219). A decrease in median operative time was observed in the second half of the series (305 vs. 322 minutes; P=0.12). Two patients (20%) experienced a minor complication (ileus and UTI, Clavien-Dindo II). At 12-months follow-up, renal function was preserved in all patients. Overall, 12-months daytime and night-time continence rates were 80% and 60%, respectively. The limited number of cases represents the main limitation of the current study.</p><p><strong>Conclusions: </strong>This simplified robotic assisted intracorporeal neobladder technique demonstrates a good safety profile in this series of patients. Simplifying robotic intracorporeal surgical techniques could potentially contribute to its reproducibility and popularization in the urologic community.</p>","PeriodicalId":53228,"journal":{"name":"Minerva Urology and Nephrology","volume":"76 6","pages":"773-781"},"PeriodicalIF":4.9,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143016202","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Early prostatic artery control (EPAC) during robot-assisted radical prostatectomy: a new surgical technique aiming to improve early potency recovery.","authors":"Francesco Porpiglia, Daniele Amparore, Federico Piramide, Sabrina DE Cillis, Alberto Piana, Enrico Checcucci, Matteo Manfredi, Cristian Fiori","doi":"10.23736/S2724-6051.24.05997-4","DOIUrl":"10.23736/S2724-6051.24.05997-4","url":null,"abstract":"","PeriodicalId":53228,"journal":{"name":"Minerva Urology and Nephrology","volume":" ","pages":"768-772"},"PeriodicalIF":4.9,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142480568","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Iliococcygeus fixation for the treatment of vaginal vault prolapse: a systematic review and meta-analysis.","authors":"Andrea Braga, Giulia Amato, Giorgio Caccia, Andrea Papadia, Giorgio Treglia, Chiara Scancarello, Stefano Salvatore, Marco Torella, Yoav Baruch, Maurizio Serati","doi":"10.23736/S2724-6051.24.05818-X","DOIUrl":"10.23736/S2724-6051.24.05818-X","url":null,"abstract":"<p><strong>Introduction: </strong>It has been reported that approximately 80-90% of apical prolapse repair is through reconstructive or obliterative vaginal surgery. Although several procedures have been described, to date there is a lack of consensus on the best surgical procedure. The aim of this study was to perform a thorough review of the current literature on the efficacy and safety of the iliococcygeus fixation technique for the treatment of vaginal vault prolapse.</p><p><strong>Evidence acquisition: </strong>A systematic literature search according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses 2020 guidelines. was conducted using the PubMed/MEDLINE and Cochrane CENTRAL databases. Our analysis included randomized control trials and observational prospective or retrospective cohort studies that assessed the Iliococcygeus fixation, in terms of overall cure rate, failure rate, reoperation rate, and complications rate.</p><p><strong>Evidence synthesis: </strong>The overall cure rate ranged from 74.4% to 98% in the considered studies with a pooled value of 84.9% (95% CI: 73.3% to 96.4%). The overall failure rate ranged from 4.8% to 23% with a pooled value of 13.6% (95% CI: 5.5% to 21.7%) while the pooled value of overall re-operation rate was 3.3% (95% CI: 0.6% to 6%), ranging from 0% to 6.8. The overall complication rate ranged from 0% to 33% with a pooled value of 10.4% (95% CI: 1.4% to 19.3%).</p><p><strong>Conclusions: </strong>Despite limitations due to the heterogeneity of study designs, our review, for the first time in the literature, demonstrated that fixation of the iliococcygeus appears to be an effective and safe option for the treatment of vaginal vault prolapse. However, future randomized controlled trials with rigorous methodological protocols are needed.</p>","PeriodicalId":53228,"journal":{"name":"Minerva Urology and Nephrology","volume":" ","pages":"683-690"},"PeriodicalIF":4.9,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142741141","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"PSMA PET vs. surgery: redefining lymph node staging in prostate cancer.","authors":"Fabio Zattoni, Filippo Carletti, Giuseppe Reitano, Giacomo Novara, Fabrizio Dal Moro","doi":"10.23736/S2724-6051.24.06270-0","DOIUrl":"https://doi.org/10.23736/S2724-6051.24.06270-0","url":null,"abstract":"","PeriodicalId":53228,"journal":{"name":"Minerva Urology and Nephrology","volume":"76 6","pages":"785-787"},"PeriodicalIF":4.9,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143016156","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comment on: Operative outcomes 24 hours after retrograde intrarenal surgery for solitary renal calculi using a flexible and navigable suction ureteral access sheath. A prospective global multicenter study by the European Association of Urology Section on Urolithiasis.","authors":"Giorgio Mazzon, Vimoshan Arumuham, Simon Choong","doi":"10.23736/S2724-6051.24.06264-5","DOIUrl":"https://doi.org/10.23736/S2724-6051.24.06264-5","url":null,"abstract":"","PeriodicalId":53228,"journal":{"name":"Minerva Urology and Nephrology","volume":"76 6","pages":"791-793"},"PeriodicalIF":4.9,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143016205","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}