BJU International最新文献

{"title":"Percutaneous nephrolithotomy: wisdom, dogma, paradigm and myths surrounding puncture","authors":"Peter Alken","doi":"10.1111/bju.16740","DOIUrl":"https://doi.org/10.1111/bju.16740","url":null,"abstract":"<p>A non-transpapillary technique [<span>1</span>] seems to facilitate access to the kidney, the most crucial aspect of percutaneous nephrolithotomy, compared to the classic transpapillary method [<span>2</span>].</p>\u0000<p>In modern times, the godfathers of percutaneous access, Goodwin et al. [<span>3</span>], who illustrated a pyelostomy rather than a nephrostomy in Fig. 2 of their 1955 article, should be commended for their non-papillary puncture.</p>\u0000<p>From the contemporary first accounts of ‘experience with a central, noncalyceal puncture protocol for percutaneous nephrolithotripsy’ [<span>4</span>] in 2017, a myth has persisted that has carried through to all subsequent studies on the subject, including the study by Lotfi et al. [<span>1</span>], that the ‘Current understanding of anatomical background of percutaneous access is based mostly on the very extensive documentation by Sampaio’ [<span>4</span>].</p>\u0000<p>By the time of Sampaio's publications, 15 years after the introduction of endoscopic PNL in the late 1970s, several thousand PNLs had probably been performed worldwide based on the transpapillary principle. The first instruments specifically designed in 1980 for endoscopically controlled PNL [<span>2</span>] followed two principles: Access through the least vascularised part of the parenchyma and access with the nephrosocpe into the collecting system at the point where it is connected to the parenchyma, i.e. the collecting system itself should not be injured. The aim was to avoid vascular trauma and extravasation and also to reach even the most peripherally located calyceal stone.</p>\u0000<p>This was the reversal of the least traumatic way to place a nephrostomy tube into the collecting system from the point of view of a urologist influenced by having previously performed open surgery. In the times of open surgery, a forceps was pushed transpapillary from the calyx, an anatomically preformed tract, to the surface of the kidney in order to pull the nephrostomy tube into the collecting system. In the late 1960s, John Wickham [<span>5</span>] added the open transpapillary avascular multiple radial nephrotomies technique for the removal of staghorn calculi to this decades-old transpapillary technique. This was later refined by a team at the University of Mainz, who performed staghorn surgery without clamping the renal artery, utilising only transpapillary access.</p>\u0000<p>In PNL, I have not always hit the mark with a perfect transpapillary approach when carrying out PNL, but was sometimes happy simply to obtain access (Fig. 1). In one of his many articles on open stone surgery, Wickham described ‘Large venous anastomoses … like collars around the calyceal necks.’ In my experience and that of others (Tursunkulov AN, Akfamedline University Hospital, Central Asian University, Tashkent; personal communication), this description fits the annoying venous oozing frequently observed behind the nephroscope when using the non-papillary access method, whi","PeriodicalId":8985,"journal":{"name":"BJU International","volume":"136 1","pages":""},"PeriodicalIF":4.5,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143832018","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":"Investigation of whether renal tumours with caval thrombi induce particular risks: a multicentre study (UroCCR-174 CAVORISK)","authors":"Adrien Panis, Thibaut Waeckel, Karim Bensalah, Pierre Bigot, Louis Surlemont, Franck Bruyere, Nicolas Doumerc, Fayek Taha, Jonathan Olivier, Jean-Jacques Patard, Alexis Fontenil, Nicolas Branger, Romain Boissier, Pierre Merlin, Maxime Vallee, Clément Sarrazin, Norbert De Brek, Benjamin Rouget, Jean-Christophe Bernhard, Alexandre Ingels","doi":"10.1111/bju.16739","DOIUrl":"https://doi.org/10.1111/bju.16739","url":null,"abstract":"To compare outcomes of nephrectomy for left-sided (<i>n</i> = 70) vs right-sided (<i>n</i> = 118) renal tumours with caval thrombi.","PeriodicalId":8985,"journal":{"name":"BJU International","volume":"247 1","pages":""},"PeriodicalIF":4.5,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143832022","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":"Improving the pathway to correct treatment for patients with muscle-invasive bladder cancer: exploring the myths around the BladderPath trial","authors":"Richard T. Bryan, Prashant Patel, Steven J. Kennish, James W.F. Catto, Nicholas D. James","doi":"10.1111/bju.16728","DOIUrl":"https://doi.org/10.1111/bju.16728","url":null,"abstract":"Click on the article title to read more.","PeriodicalId":8985,"journal":{"name":"BJU International","volume":"27 1","pages":""},"PeriodicalIF":4.5,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143827565","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":"Case of the Month from the Icahn School of Medicine at Mount Sinai, New York, NY: MRI/TRUS fusion-guided biopsy of a local prostate cancer recurrence using the bladder for image registration","authors":"Patrick Ho,&nbsp;Basil Kaufmann,&nbsp;Michael A. Gorin","doi":"10.1111/bju.16698","DOIUrl":"10.1111/bju.16698","url":null,"abstract":"","PeriodicalId":8985,"journal":{"name":"BJU International","volume":"135 6","pages":"923-925"},"PeriodicalIF":3.7,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143827572","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":"A 10-year analysis of MRI-driven prostate cancer diagnosis and active surveillance: trends and implications","authors":"Nikita Sushentsev, Rosita Comune, Kazim Ayberk Sinci, Oleg Blyuss, Iztok Caglič, Christof Kastner, Tristan Barrett","doi":"10.1111/bju.16743","DOIUrl":"https://doi.org/10.1111/bju.16743","url":null,"abstract":"&lt;p&gt;Since the 2012 publication of the Prostate Imaging-Reporting and Data System (PI-RADS) recommendations [&lt;span&gt;1&lt;/span&gt;], pre-biopsy MRI has emerged as the first-line diagnostic test in patients with suspected clinically localised prostate cancer (PCa). Initially endorsed by European and British guidelines in 2019 [&lt;span&gt;2, 3&lt;/span&gt;] and subsequently reflected in the major North American guidelines [&lt;span&gt;4, 5&lt;/span&gt;], this approach is supported by Level-1 evidence showing MRI reduces unnecessary biopsies in patients without MRI-identified suspicious lesions, while maintaining acceptable detection rates for clinically significant PCa (csPCa). These guidelines also recommend MRI for eligibility assessment and subsequent follow-up of patients with PCa on active surveillance (AS), a management strategy with increasing global uptake [&lt;span&gt;6&lt;/span&gt;].&lt;/p&gt;\u0000&lt;p&gt;In October 2014, our centre was among the first to implement dedicated MRI-driven diagnostic and AS programmes. Here, we present their impact on csPCa detection and AS enrolment over a decade.&lt;/p&gt;\u0000&lt;p&gt;The local ethics committee approved this retrospective analysis of the local database, with consent taken from patients undergoing diagnostic procedures at our institution (Cambridge University Hospitals NHS Foundation Trust; Integrated Research Application System identifier [IRAS ID]: 313163 for pre-biopsy MRI data, Cambridge University Hospitals [CUH]/18/3592 for AS data). Data were analysed from all patients undergoing pre-biopsy prostate MRI during a 10-year period (October 2014 to October 2024) (Fig. 1A). csPCa was defined as biopsy-confirmed Grade Group (GG) ≥2 disease. Patients who commenced AS in our centre over the same period and had ≥12 months of follow-up were also included (Fig. 1D). AS misclassification was recorded if a patient showed either radiological progression to ≥rT3 stage or histological progression to GG ≥3 disease within 12 months of AS enrolment. Considering the COVID-19 disruption to imaging services, two observation periods were defined: pre-pandemic (Years 1–5) and post-pandemic (Years 7–10), with the latter also reflecting the impact of the 2019 national guidance recommending the omission of biopsies in patients without MRI-visible disease [&lt;span&gt;3&lt;/span&gt;]. A two-sample &lt;i&gt;z&lt;/i&gt;-test for proportions was used to compare the relevant csPCa diagnosis and AS progression rates between these two independent periods.&lt;/p&gt;\u0000&lt;figure&gt;&lt;picture&gt;\u0000&lt;source media=\"(min-width: 1650px)\" srcset=\"/cms/asset/cf9e1b78-6715-472e-82db-f8e07ab86c76/bju16743-fig-0001-m.jpg\"/&gt;&lt;img alt=\"Details are in the caption following the image\" data-lg-src=\"/cms/asset/cf9e1b78-6715-472e-82db-f8e07ab86c76/bju16743-fig-0001-m.jpg\" loading=\"lazy\" src=\"/cms/asset/f6de0524-9867-4db5-8fcf-f364ff24e016/bju16743-fig-0001-m.png\" title=\"Details are in the caption following the image\"/&gt;&lt;/picture&gt;&lt;figcaption&gt;\u0000&lt;div&gt;&lt;strong&gt;Fig. 1&lt;span style=\"font-weight:normal\"&gt;&lt;/span&gt;&lt;/strong&gt;&lt;div&gt;Open in figure viewer&lt;i aria-hidden=\"true","PeriodicalId":8985,"journal":{"name":"BJU International","volume":"183 1","pages":""},"PeriodicalIF":4.5,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143827571","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":"Long-term outcomes of active surveillance for Grade Group 1 prostate cancer and the impact of the use of MRI on overtreatment","authors":"Ivo I. de Vos, Cristina Marenghi, Fabio Badenchini, Egbert R. Boevé, Francisco Lozano-Uruñuela, Markus Graefen, Antti S. Rannikko, Frederic Staerman, Mikio Sugimoto, Takuma Kato, Diederik M. Somford, Mark Frydenberg, Chris H. Bangma, Sebastiaan Remmers, Monique J. Roobol","doi":"10.1111/bju.16727","DOIUrl":"https://doi.org/10.1111/bju.16727","url":null,"abstract":"To present the long-term outcomes of men with Grade Group (GG) 1 prostate cancer (PCa), included in the Prostate Cancer Research International Active Surveillance (PRIAS) study, and to assess the effect of the inclusion of magnetic resonance imaging (MRI) within the active surveillance (AS) protocol.","PeriodicalId":8985,"journal":{"name":"BJU International","volume":"6 1","pages":""},"PeriodicalIF":4.5,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143827564","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":"Why prompting matters: achieving clinically accurate and consistent responses with Chat GPT","authors":"Nethusan Sivanesan, Gabriela M. Diaz, Keervani Kandala, Wei Shen Tan, Preston C. Sprenkle","doi":"10.1111/bju.16738","DOIUrl":"https://doi.org/10.1111/bju.16738","url":null,"abstract":"Click on the article title to read more.","PeriodicalId":8985,"journal":{"name":"BJU International","volume":"42 1","pages":""},"PeriodicalIF":4.5,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143827569","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":"Radical cystectomy mortality in older patients: a systematic review and meta-analysis","authors":"Jake Tempo, Sulleyman Felemban, Kirby R. Qin, Marlon Perera, Joseph Ischia, Damien Bolton, Declan G. Murphy, Brian Kelly, David I. Watson, Michael O’Callaghan","doi":"10.1111/bju.16733","DOIUrl":"https://doi.org/10.1111/bju.16733","url":null,"abstract":"To perform a systematic review and meta-analysis of post-radical cystectomy (RC) mortality and complications in older people to aid decision-making pertinent to RC, as bladder cancer is typically a disease of older people, yet older people are less likely than their younger peers to undergo RC, predominantly due to concerns about morbidity and mortality of surgery.","PeriodicalId":8985,"journal":{"name":"BJU International","volume":"183 1","pages":""},"PeriodicalIF":4.5,"publicationDate":"2025-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143814112","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 key papers in prostate cancer","authors":"","doi":"10.1111/bju.16718","DOIUrl":"10.1111/bju.16718","url":null,"abstract":"","PeriodicalId":8985,"journal":{"name":"BJU International","volume":"135 5","pages":"710-711"},"PeriodicalIF":3.7,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143789527","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":"May's reviewers of the month","authors":"","doi":"10.1111/bju.16719","DOIUrl":"10.1111/bju.16719","url":null,"abstract":"<p>Like most journals, BJUI relies on the hard work and dedication of its peer reviewers and we are grateful to them all. Each month the Editorial Team nominates peer reviewers whose reviews have stood out for their quality and timeliness and those selected as the best are highlighted on this page in recognition of their exceptional work.</p><p>Dr Teele Kuusk, MD, PhD, is a highly accomplished urologist with a dedicated focus on kidney cancer. She graduated from the University of Tartu and has been a Consultant Urologist since 2016. She further developed her expertise in uro-oncology, particularly in renal cancer, during her fellowship at the Netherlands Cancer Institute. Additionally, she honed her surgical and clinical skills in London.</p><p>Dr Kuusk was awarded a PhD from Utrecht University for her research on lymphatic drainage in renal tumours. She is actively involved in shaping the future of kidney cancer management as an associate editor for the UROONCO platform on kidney cancer and as a member of the European Association of Urology (EAU) Kidney Cancer Guidelines Panel.</p>","PeriodicalId":8985,"journal":{"name":"BJU International","volume":"135 5","pages":"709"},"PeriodicalIF":3.7,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/bju.16719","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143789525","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}