BJU International最新文献

{"title":"November's reviewers of the month","authors":"","doi":"10.1111/bju.16541","DOIUrl":"10.1111/bju.16541","url":null,"abstract":"","PeriodicalId":8985,"journal":{"name":"BJU International","volume":null,"pages":null},"PeriodicalIF":3.7,"publicationDate":"2024-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142488387","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":"MRI, Prostate cancer diagnosis, and Artificial Intelligence; What are the implications?","authors":"","doi":"10.1111/bju.16540","DOIUrl":"10.1111/bju.16540","url":null,"abstract":"","PeriodicalId":8985,"journal":{"name":"BJU International","volume":null,"pages":null},"PeriodicalIF":3.7,"publicationDate":"2024-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142489602","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":"Mini-percutaneous nephrolithotomy vs flexible ureteroscopy for 1–2 cm lower pole renal stones: a randomised controlled trial","authors":"Hazem Elmansy, Moustafa Fathy, Amr Hodhod, Amer Alaref, Ruba Abdul Hadi, Loay Abbas, Husain Alaradi, Yasser Labib, Walid Shahrour, Ahmed S. Zakaria","doi":"10.1111/bju.16567","DOIUrl":"https://doi.org/10.1111/bju.16567","url":null,"abstract":"To compare the safety and efficacy of flexible ureteroscopy (f-URS) and ambulatory tubeless mini-percutaneous nephrolithotomy (mini-PCNL) in the treatment of 1–2 cm lower calyceal renal stones.","PeriodicalId":8985,"journal":{"name":"BJU International","volume":null,"pages":null},"PeriodicalIF":4.5,"publicationDate":"2024-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142487837","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":"Accuracy of MRI in detecting seminal vesicle invasion in prostate cancer: a systematic review and meta-analysis.","authors":"Thomas Li, Petra L Graham, Brooke Cao, Sunny Nalavenkata, Manish I Patel, Lawrence Kim","doi":"10.1111/bju.16547","DOIUrl":"https://doi.org/10.1111/bju.16547","url":null,"abstract":"<p><strong>Objective: </strong>To determine the diagnostic test accuracy of multiparametric magnetic resonance imaging (mpMRI) in detecting seminal vesicle invasion (SVI).</p><p><strong>Methods: </strong>The Medical Literature Analysis and Retrieval System Online (MEDLINE), PubMed, the Excerpta Medica dataBASE (EMBASE) and Cochrane databases were search up to May 2023. We included studies that investigated the accuracy of mpMRI in detecting SVI when compared to radical prostatectomy specimens as the reference standard. Data extraction was performed by two independent reviewers to construct 2 × 2 tables, as well as patient and study characteristics. The methodological quality of the included studies was assessed with the Quality of Assessment of Diagnostic Accuracy Studies-2 tool. Sensitivity and specificity were pooled and presented graphically with summary receiver operator characteristic (SROC) plots.</p><p><strong>Results: </strong>A total of 27 articles with 4862 patients were included for analysis. The summary sensitivity and specificity were 0.57 (95% confidence interval [CI] 0.45-0.68) and 0.95 (95% CI 0.92-0.99), respectively. Meta-regression indicated that there was no evidence that coil strength (P = 0.079), coil type (P = 0.589), year of publication (P = 0.503) or use of the Prostate Imaging-Reporting and Data System (P = 0.873) significantly influenced these results. The summary diagnostic odds ratio was 28.3 (95% CI 15.0-48.8) and the area under the curve for the SROC curve was 0.87. The I² statistic was a modest 11.9%. In general, methodological quality was good.</p><p><strong>Conclusion: </strong>The use of mpMRI in detecting SVI has excellent specificity but poor sensitivity. Both endorectal coils and magnetic field strength do not significantly impact the accuracy of MRI. These findings suggest that mpMRI cannot reliably rule out SVI in patients with prostate cancer.</p>","PeriodicalId":8985,"journal":{"name":"BJU International","volume":null,"pages":null},"PeriodicalIF":3.7,"publicationDate":"2024-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142457298","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":"Decision regret and long-term success rates after ventral buccal mucosa graft urethroplasty","authors":"Javier E. Santiago, Michael D. Gross, João Pedro Accioly, Bryan B. Voelzke, Benjamin N. Breyer, Roger K. Khouri, Molly E. DeWitt-Foy, Kenneth W. Angermeier, Hadley M. Wood","doi":"10.1111/bju.16566","DOIUrl":"https://doi.org/10.1111/bju.16566","url":null,"abstract":"To characterise the long-term success rate of ventral onlay buccal mucosa graft urethroplasty (vBMG) in the management of bulbar urethral stricture disease (USD), assess patient-reported postoperative satisfaction and decision regret, and delineate clinical factors impacting patient-reported metrics.","PeriodicalId":8985,"journal":{"name":"BJU International","volume":null,"pages":null},"PeriodicalIF":4.5,"publicationDate":"2024-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142451916","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 effectiveness of robot-assisted radical cystectomy with intracorporeal urinary diversion vs open radical cystectomy for bladder cancer.","authors":"Pierre-Etienne Gabriel, Ugo Pinar, Louis Lenfant, Jérôme Parra, Christophe Vaessen, Pierre Mozer, Emmanuel Chartier-Kastler, Morgan Rouprêt, Thomas Seisen","doi":"10.1111/bju.16565","DOIUrl":"https://doi.org/10.1111/bju.16565","url":null,"abstract":"<p><strong>Objectives: </strong>To assess the comparative effectiveness of robot-assisted radical cystectomy (RARC) with intracorporeal urinary diversion (ICUD) vs open radical cystectomy (ORC) for bladder cancer (BC).</p><p><strong>Patients and methods: </strong>We conducted a real-life monocentric study including all consecutive patients who underwent RARC with ICUD or ORC for BC at our institution from 2014 to 2023. Uni- and multivariable logistic and Cox regression analyses were used to compare perioperative, oncological and stricture outcomes between both groups by calculating odds (ORs) and hazard (HRs) ratios with their corresponding 95% confidence intervals (CIs), respectively.</p><p><strong>Results: </strong>Overall, 316 patients underwent either RARC with ICUD (n = 228 [72.2%]) or ORC (n = 88 [27.8%]). The perioperative benefits of RARC vs ORC included decreased risks of major blood loss (OR 0.10, 95% CI 0.04-0.23; P < 0.001), perioperative transfusion (OR 0.30, 95% CI 0.16-0.57; P < 0.001), 90-day major complications (OR 0.56, 95% CI 0.29-0.99; P = 0.04), and prolonged initial length of hospital stay (OR 0.20, 95% CI 0.09-0.35; P < 0.001), as well as more days alive and out of the hospital within 90 days of surgery (OR 2.56, 95% CI 1.46-4.6; P < 0.01). In addition, the use of RARC vs ORC was associated with a higher lymph node (LN) count (OR 3.35, 95% CI 1.83-6.30; P < 0.001), while there was no significant difference in recurrence-free (HR 0.72, 95% CI 0.49-1.07; P = 0.1), cancer-specific (HR 0.69, 95% CI 0.43-1.10; P = 0.1), overall (HR 0.76, 95% CI 0.47-1.20; P = 0.3) and uretero-ileal stricture-free (HR 1.18, 95% CI 0.62-2.25; P = 0.6) survival between both groups after a median (interquartile range) follow-up of 42.3 (16.4-73.8) months.</p><p><strong>Conclusion: </strong>Our real-world study supports the effectiveness of RARC with ICUD vs ORC for BC. We generally observed better perioperative outcomes, as well as similar oncological-except for higher LN count-and uretero-ileal stricture outcomes after RARC with ICUD vs ORC.</p>","PeriodicalId":8985,"journal":{"name":"BJU International","volume":null,"pages":null},"PeriodicalIF":3.7,"publicationDate":"2024-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142457299","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":"Recent advancements in the Ward AdmSsion of Haematuria: an Observational mUlticentre sTudy (WASHOUT)—a large‐scale observational multicentre study of inpatient haematuria","authors":"Bing Jie Chow, Raghav Varma, Nikita Bhatt, Kevin Byrnes, Simona Ippoliti, Nikki Kerdegari, Quentin Mak, Aqua Asif, Alexander Ng, Arjun Nathan, Kevin Gallagher, Sinan Khadhouri, Veeru Kasivisvinathan","doi":"10.1111/bju.16557","DOIUrl":"https://doi.org/10.1111/bju.16557","url":null,"abstract":"","PeriodicalId":8985,"journal":{"name":"BJU International","volume":null,"pages":null},"PeriodicalIF":4.5,"publicationDate":"2024-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142448100","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":"Female genital cosmetic surgery: a social trend driving surgical practice","authors":"Magdalena Simonis, Helen E. O'Connell","doi":"10.1111/bju.16551","DOIUrl":"https://doi.org/10.1111/bju.16551","url":null,"abstract":"Click on the article title to read more.","PeriodicalId":8985,"journal":{"name":"BJU International","volume":null,"pages":null},"PeriodicalIF":4.5,"publicationDate":"2024-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142448604","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":"Serial manual bolus irrigation leads to critical intrarenal pressures during flexible ureterorenoscopy – time to abandon this manoeuvre","authors":"Anne Hong, Cliodhna Browne, Greg Jack, Damien Bolton","doi":"10.1111/bju.16535","DOIUrl":"https://doi.org/10.1111/bju.16535","url":null,"abstract":"To characterise the effect of solitary and serial manual bolus irrigations on intrarenal pressures (IRPs) and observe the clinical consequences.","PeriodicalId":8985,"journal":{"name":"BJU International","volume":null,"pages":null},"PeriodicalIF":4.5,"publicationDate":"2024-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142448659","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":"Forging academic excellence: crafting an open academic curriculum for European Urologists","authors":"Daniel A. González-Padilla, Riccardo Campi, Juan Gomez Rivas","doi":"10.1111/bju.16550","DOIUrl":"https://doi.org/10.1111/bju.16550","url":null,"abstract":"&lt;p&gt;It has been reported that there is a limited amount of training on research/methodological skills during urological residency in Europe [&lt;span&gt;1&lt;/span&gt;]. The Young Academic Urologists (YAU) of the European Association of Urology (EAU) aims to promote and perform high-quality research to provide high-quality evidence for the best urological care, as well as to promote educational programmes to boost European training standards and forge a platform for close international cooperation for the future urology leaders in Europe and beyond.&lt;/p&gt;\u0000&lt;p&gt;One of the goals at the YAU is to develop an open academic curriculum accessible to all EAU members. This curriculum strives to be pan-European, impartial, and of the highest quality, covering from basic to advanced topics in research skills, and led by consolidated experts in the field. For this purpose, a survey was developed to build the foundations of the project.&lt;/p&gt;\u0000&lt;p&gt;We created an on-line survey made of 11 questions using the SurveyMonkey platform (http://www.surveymonkey.com/). This cross-sectional survey study aimed to assess the design of a training curriculum for academic research. As there is no validated survey in this regard, the YAU board reviewed the survey before its distribution. The survey was a self-administered questionnaire that collected demographic variables, including age, gender, country, years of experience post-residency, and work setting. No personally identifiable information was gathered. Respondents were tasked with evaluating the potential content of the YAU academic curriculum (full survey available in the Data S1). The survey was distributed in three rounds: initially on 17 and 20 April 2023, with a reminder in May 2023, via mailing lists of the YAU (&lt;i&gt;N&lt;/i&gt; = 186). Only complete surveys were included in the final analysis. We adhered to the Checklist for Reporting Results of Internet E-Surveys (CHERRIES) guidelines as recommended by the Enhancing the QUAlity and Transparency Of health Research (EQUATOR) network [&lt;span&gt;2&lt;/span&gt;]. As no identifiable personal information was collected, it was deemed exempt from formal Institutional Review Board approval [&lt;span&gt;3&lt;/span&gt;]. Descriptive statistics were used to summarise demographic characteristics and survey responses.&lt;/p&gt;\u0000&lt;p&gt;We obtained 127 complete responses out of 186 recipients (response rate of 68%). Respondents had a median (range) age of 35 (26–67) years, with 80% (&lt;i&gt;n&lt;/i&gt; = 102) being male. The sample represented 23 countries, predominantly Italy, Germany, and Spain, constituting 54% (&lt;i&gt;n&lt;/i&gt; = 69) of the respondents. Of the participants, 111 (87%) work in a University Hospital setting, and the median (interquartile range) years of experience post-residency were 4 (2–7) years.&lt;/p&gt;\u0000&lt;p&gt;Regarding the curriculum, 124 (97%) of respondents agreed that mentors should be evaluated by trainees at the programme's end, and 125 (98%) concurred that the programme itself should undergo evaluation. Concerning the programme's durati","PeriodicalId":8985,"journal":{"name":"BJU International","volume":null,"pages":null},"PeriodicalIF":4.5,"publicationDate":"2024-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142448651","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}