BJU International最新文献

{"title":"Transperineal prostate biopsy under local vs general anaesthesia: a cost-effectiveness analysis","authors":"Matthew J. Roberts, Shiksha Arora, Henry H. Yao, Donnacha Hogan, Brendan Dias, Helen E. O'Connell, David Wetherell, Homayoun Zargar, Michael Kwok, Stephen P. McGeorge, Adam Pearce, John Yaxley, Haitham Tuffaha","doi":"10.1111/bju.16722","DOIUrl":"https://doi.org/10.1111/bju.16722","url":null,"abstract":"To estimate the cost effectiveness of local anaesthetic (LA) transperineal prostate biopsy (TPB) compared to general anaesthetic (GA) TPB, considering both hospital/health system and societal perspectives.","PeriodicalId":8985,"journal":{"name":"BJU International","volume":"23 1","pages":""},"PeriodicalIF":4.5,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143784669","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":"The diagnostic value of MRI for persistent prostate cancer following irreversible electroporation focal therapy","authors":"Kai Zhang, Jeremy Teoh, Pilar Laguna, Jose Dominguez-Escrig, Eric Barret, Juan Casanova Ramon-Borja, Gordon Muir, Julia Bohr, Paula Pelechano Gomez, Theo M. de Reijke, Chi-Fai Ng, Chi-Ho Leung, Rafael Sanchez-Salas, Jean de la Rosette","doi":"10.1111/bju.16720","DOIUrl":"https://doi.org/10.1111/bju.16720","url":null,"abstract":"To investigate the diagnostic value of magnetic resonance imaging (MRI) for persistent prostate cancer after irreversible electroporation (IRE) therapy.","PeriodicalId":8985,"journal":{"name":"BJU International","volume":"22 1","pages":""},"PeriodicalIF":4.5,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143776027","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":"Use of a microdebrider for epithelial excision during vaginectomy/colpocleisis in patients undergoing metoidioplasty","authors":"Elizabeth N. Bearrick, Guanqun Li, Connor Policastro, Martha Caicedo, Gustavo de la Roza, Dmitriy Nikolavsky","doi":"10.1111/bju.16725","DOIUrl":"10.1111/bju.16725","url":null,"abstract":"","PeriodicalId":8985,"journal":{"name":"BJU International","volume":"135 6","pages":"1058-1059"},"PeriodicalIF":3.7,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143778760","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":"Lutetium‐177 PSMA – the new snake oil? An Australian experience","authors":"Kieran Sandhu, Marlon Perera, Nathan Lawrentschuk","doi":"10.1111/bju.16731","DOIUrl":"https://doi.org/10.1111/bju.16731","url":null,"abstract":"","PeriodicalId":8985,"journal":{"name":"BJU International","volume":"22 1","pages":""},"PeriodicalIF":4.5,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143757785","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":"Use of bulbospongiosus muscle for repair of traumatic posterior urethral stenosis combined with urethrorectal fistulas","authors":"Changhao Hou,&nbsp;Jianwen Huang,&nbsp;Weidong Zhu,&nbsp;Kaile Zhang,&nbsp;Nailong Cao,&nbsp;Tao Liang,&nbsp;Guoping Song,&nbsp;Jiong Zhang,&nbsp;Qiang Fu,&nbsp;Lujie Song","doi":"10.1111/bju.16709","DOIUrl":"10.1111/bju.16709","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To evaluate the efficacy and functional outcomes of bulbospongiosus muscle (BSM) flap interposition in the repair of urethral stenosis combined with urethrorectal fistula (USURF) or anterior rectal wall weakness (USRW).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Patients and Methods</h3>\u0000 \u0000 <p>Between January 2016 and December 2023, 36 patients underwent transperineal posterior urethroplasty with BSM flap interposition. 36 patients with traumatic posterior urethral stenosis who underwent perineal urethroplasty without interposition of the BSM as the control group, matched by propensity score analysis during the same period. Pre- and intra-operative clinical data were collected. Functional outcomes, including voiding, erectile, and ejaculatory function, were compared between the two groups.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 36 males were included, of whom 19 (52.8%) had USURF and 17 (47.2%) had USRW. The mean follow-up time was 31.3 ± 17.7 months. The overall success rate was 94.4%. The median operating time was 3.0 (2.0, 3.0) h. The mean stricture length was 4.2 ± 1.2 cm. The mean postoperative maximum urinary flow rate was 24.2 ± 12.9 mL/s. Postoperative functional outcomes did not significantly differ between BSM interposition and BSM non-interposition group as assessed by Incontinence Questionnaire Male Lower Urinary Tract Symptoms (5.0 vs 3.0; <i>P</i> = 0.399), the International Index of Erectile Function 5 (3.0 vs 6.5; <i>P</i> = 0.183), Erection Hardness Score (<i>P</i> = 0.801), the Male Sexual Health Questionnaire 4 (1.0 vs 1.0; <i>P</i> = 1.00), European Quality of Life-5 Dimensions (0.9 ± 0.1 vs 0.9 ± 0.1; <i>P</i> = 0.139), EQ-VAS scores (75.9 ± 20.0 vs 79.9 ± 18.7; <i>P</i> = 0.428), urine dribbling (2.0 vs 1.5, <i>P</i> = 0.727), ejaculation volume (2.0 vs 2.0, <i>P</i> = 0.631) and ejaculation intensity (3.0 vs 4.0, <i>P</i> = 0.645).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Transperineal BSM flap interposition combined with anastomosis urethroplasty and urethrorectal fistula repair is a safe and effective treatment. BSM can strengthen the anterior rectal wall and separate the urethral anastomosis from the repaired rectal fistula, which should improve the success rate of fistula repair.</p>\u0000 </section>\u0000 </div>","PeriodicalId":8985,"journal":{"name":"BJU International","volume":"135 6","pages":"1049-1057"},"PeriodicalIF":3.7,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143771336","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":"Caval thrombectomy a urological leap into the unknown – a call for action","authors":"Martin John Connor,&nbsp;David Nicol,&nbsp;Walter Cazzanigna,&nbsp;Faiz Mumtaz,&nbsp;Axel Bex,&nbsp;Peter Hill,&nbsp;Archie Hughes-Hallett","doi":"10.1111/bju.16717","DOIUrl":"10.1111/bju.16717","url":null,"abstract":"","PeriodicalId":8985,"journal":{"name":"BJU International","volume":"135 6","pages":"918-920"},"PeriodicalIF":3.7,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143757973","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":"British Association of Urological Surgeons (BAUS) consensus document on post-prostatectomy incontinence-stress urinary incontinence","authors":"Nikita R. Bhatt,&nbsp;Suzanne Biers,&nbsp;Arun Sahai,&nbsp;Mohammed Belal,&nbsp;Andy Kozan,&nbsp;Magda Kujawa,&nbsp;Steven MacLennan,&nbsp;James Moore,&nbsp;Mehwash Nadeem,&nbsp;Nadir Osman,&nbsp;Mahreen Pakzad,&nbsp;Ruth Doherty,&nbsp;Hashim Hashim,&nbsp;the BAUS Section of Female, Neurological and Urodynamic Urology","doi":"10.1111/bju.16726","DOIUrl":"10.1111/bju.16726","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>To report the British Association of Urological Surgeons (BAUS) consensus document on the assessment and management of post-prostatectomy incontinence-stress urinary incontinence (PPI-SUI).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We conducted a contemporary literature search to identify the current evidence base. A guideline development group was formed by the Female, Neurological and Urodynamic Urology (FNUU) Section of BAUS to formulate and review the recommendations. Where a lack of evidence was identified, expert opinion of the FNUU Executive Committee and a modified Delphi approach was utilised.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>This consensus addresses several knowledge gaps in the current literature on PPI-SUI, in addition to tackling areas not addressed by the current international guidelines, e.g., prostate cancer survivorship. Of the initial draft, the modified Delphi consensus methodology was applied to 65 statements split into seven broad categories: terminology, assessment, conservative management, surgical treatment, perioperative care, complication management, and follow-up after PPI-SUI surgery. This is applicable to general and specialist Urologists worldwide. After three rounds, consensus was achieved with 63/65 statements.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>We provide a modified Delphi consensus on the assessment and management of PPI-SUI to help guide and standardise the assessment and management pathway of these patients.</p>\u0000 </section>\u0000 </div>","PeriodicalId":8985,"journal":{"name":"BJU International","volume":"135 6","pages":"887-901"},"PeriodicalIF":3.7,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143758667","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":"Level setting: a history and illustrative clarification of the Mayo Clinic tumour thrombus levels","authors":"Daniel S. Roberson, Stephen A. Boorjian, Vidit Sharma, Bradley C. Leibovich","doi":"10.1111/bju.16730","DOIUrl":"https://doi.org/10.1111/bju.16730","url":null,"abstract":"","PeriodicalId":8985,"journal":{"name":"BJU International","volume":"26 1","pages":""},"PeriodicalIF":4.5,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143744753","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":"Surveillance for individuals with a strong family history of kidney cancer but no identified heritable disease: a UK consensus","authors":"James Whitworth,&nbsp;Helen Hanson,&nbsp;Alice Youngs,&nbsp;Terri McVeigh,&nbsp;the UK Cancer Genetics Group renal surveillance meeting","doi":"10.1111/bju.16667","DOIUrl":"10.1111/bju.16667","url":null,"abstract":"&lt;p&gt;Genetic assessment for renal cell carcinoma (RCC) 31 frequently results in an uninformative result, namely, non-identification of a recognised heritable causative genetic variant. In many of these cases, there is a lack of the key features of a syndromic clinical phenotype suggestive of a specific hereditary condition. In this scenario, it is possible that either a combination of shared environmental and genetic risk factors or as yet unidentified monogenetic susceptibility may be responsible for the RCC; thus, the optimal surveillance strategy for the affected person (after RCC follow-up has ceased) and for their relatives in particular, is unclear.&lt;/p&gt;&lt;p&gt;Early detection of RCC is associated with a better prognosis, with 5-year survival of stage I disease in the order of 88.3% compared to 14% for those with stage 4 disease [&lt;span&gt;1&lt;/span&gt;]. Imaging tests enabling early detection are widely available and are associated with a shift in stage at diagnosis [&lt;span&gt;2&lt;/span&gt;]. For most RCC subtypes, the characteristics of identified renal masses, such as the size and complexity of renal cysts (Bosniak classification), can be used to decide the point at which to intervene. In middle-aged individuals in the general population, the sojourn time between radiologically evident (screen-detectable) kidney cancer and clinically meaningful diagnosis is estimated to be in the order of 3.7–5.8 years, [&lt;span&gt;3&lt;/span&gt;] although growth is more rapid, and metastatic potential higher at smaller sizes, in individuals with certain monogenic syndromes predisposing to kidney cancer – most notably FH tumour predisposition syndrome [&lt;span&gt;4&lt;/span&gt;].&lt;/p&gt;&lt;p&gt;There is a paucity of data regarding the incidence of RCC in relatives following comprehensive negative genetic assessment in a proband. However, a number of studies have been conducted that estimate the relative risk of RCC in individuals with a family history compared to those without. The largest of these utilised 8513 RCC cases in the Swedish Family Cancer Database [&lt;span&gt;5&lt;/span&gt;] and showed a standardised incidence ratio of 1.75 (95% CI 1.49–2.04) in individuals with an affected parent; 2.61 (95% CI 2.00–3.34) in those with an affected sibling and 10.98 (95% CI 4.42–22.63) if both a parent and sibling had RCC. A limitation of estimates such as these is that they may be influenced by the inclusion of individuals with known hereditary conditions. In the aforementioned study, steps were taken to exclude von Hippel-Lindau syndrome (the most common RCC predisposition condition) from analysis, which did not result in a significant difference in findings. These relative risks exceed those observed for other known RCC risk factors, such as smoking (relative risk 1.31 (95% CI 1.22–1.4) for all smokers) [&lt;span&gt;6&lt;/span&gt;] and obesity (relative risk 1.77 (95% CI 1.68–1.87)) [&lt;span&gt;7&lt;/span&gt;].&lt;/p&gt;&lt;p&gt;Concern over RCC risk in family members of RCC patients assessed by genetics services frequently prompts the suggestion of radiolog","PeriodicalId":8985,"journal":{"name":"BJU International","volume":"135 6","pages":"926-928"},"PeriodicalIF":3.7,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/bju.16667","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143723650","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}

{"title":"Monitoring and reporting sexual health adverse events for genitourinary cancer therapies","authors":"David J. Benjamin,&nbsp;Charles A. Loeb,&nbsp;Robert R. Torrey,&nbsp;Jeffrey C. Bassett,&nbsp;Omid Yazdanpanah,&nbsp;Arash Rezazadeh Kalebasty","doi":"10.1111/bju.16729","DOIUrl":"10.1111/bju.16729","url":null,"abstract":"","PeriodicalId":8985,"journal":{"name":"BJU International","volume":"135 6","pages":"921-922"},"PeriodicalIF":3.7,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143723648","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}