BJU International最新文献

{"title":"Key ingredients for running a randomised controlled trial in a surgical day unit","authors":"Patrick Juliebø-Jones, Mathias S. Æsøy, Christian Beisland, Øyvind Ulvik","doi":"10.1111/bju.16702","DOIUrl":"https://doi.org/10.1111/bju.16702","url":null,"abstract":"Click on the article title to read more.","PeriodicalId":8985,"journal":{"name":"BJU International","volume":"47 1","pages":""},"PeriodicalIF":4.5,"publicationDate":"2025-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143575262","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 perioperative outcomes of papillary versus non-papillary access in percutaneous nephrolithotomy","authors":"Mohammed Lotfi Amer, Sameh ElNasharty, Ahmed Essam Elhalaby, Mohamed Elbendary Elnady, Mohamed Hasan Radwan","doi":"10.1111/bju.16694","DOIUrl":"https://doi.org/10.1111/bju.16694","url":null,"abstract":"To compare the perioperative outcomes of papillary versus non-papillary access in percutaneous nephrolithotomy (PCNL), which is the ‘gold standard’ for managing large renal calculi.","PeriodicalId":8985,"journal":{"name":"BJU International","volume":"8 1","pages":""},"PeriodicalIF":4.5,"publicationDate":"2025-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143570341","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":"Understanding patient perspectives in the management of their muscle-invasive bladder cancer","authors":"Deepro Chowdhury, Andrea B. Apolo, Di Maria Jiang, Eila C. Skinner, Stephanie Chisolm, Rick Bangs, Manjula Maganti, Gary D. Steinberg, Matthew Kaag, Jason A. Efstathiou, Srikala S. Sridhar","doi":"10.1111/bju.16695","DOIUrl":"https://doi.org/10.1111/bju.16695","url":null,"abstract":"To evaluate the impact of advocacy efforts by organisations such as the Bladder Cancer Advocacy Network (BCAN) to increase awareness about the signs, symptoms, diagnosis, treatment and need for a multidisciplinary approach to the care of patients with muscle-invasive bladder cancer (MIBC).","PeriodicalId":8985,"journal":{"name":"BJU International","volume":"191 1","pages":""},"PeriodicalIF":4.5,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143560931","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":"Functional outcomes of robot-assisted partial nephrectomy in patients with a solitary kidney","authors":"Nicolas A. Soputro, Carter D. Mikesell, Salim K. Younis, Samarpit Rai, Lin Wang, Annaliese C. Ionson, Adriana M. Pedraza, Christopher J. Weight, Jihad Kaouk","doi":"10.1111/bju.16677","DOIUrl":"https://doi.org/10.1111/bju.16677","url":null,"abstract":"To evaluate the long-term functional outcomes of robot-assisted partial nephrectomy (RAPN) in patients with and without a solitary kidney.","PeriodicalId":8985,"journal":{"name":"BJU International","volume":"67 1","pages":""},"PeriodicalIF":4.5,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143569365","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":"Bladder EpiCheck clinical utility to predict BCG response in non-muscle-invasive bladder cancer","authors":"Fiorella L. Roldán, Mercedes Ingelmo-Torres, Claudia Mercader, Marcel Figueras, Bernat Padullés, María Angeles Durán, Josep L. Carrasco, María José Ribal, Agustín Franco, Laura Izquierdo, Antonio Alcaraz, Lourdes Mengual","doi":"10.1111/bju.16697","DOIUrl":"https://doi.org/10.1111/bju.16697","url":null,"abstract":"To evaluate the performance of Bladder Epicheck® (BE; Nucleix Ltd., Rehovot, Israel) in predicting tumour recurrence and bacillus Calmette–Guérin (BCG) failure during the first year after induction treatment.","PeriodicalId":8985,"journal":{"name":"BJU International","volume":"25 1","pages":""},"PeriodicalIF":4.5,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143560932","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":"Reduced prostate cancer screening has a negative impact on stage migration: the Australian experience","authors":"Jonathan Kam,&nbsp;Venu Chalasani,&nbsp;Ahmed S. Goolam,&nbsp;Philip Bergersen,&nbsp;Melanie Edwards,&nbsp;Warick Delprado,&nbsp;Maxwell Dias","doi":"10.1111/bju.16654","DOIUrl":"10.1111/bju.16654","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>To determine if Australian prostate cancer screening has declined since the Royal Australasian College of General Practitioners (RACGP) recommended against prostate cancer screening in 2009 and correlate screening trends with more advanced disease at radical prostatectomy (RP) in Australia.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Patients and methods</h3>\u0000 \u0000 <p>Histopathology of patients undergoing RP from 2007 to 2018 in the state of New South Wales (NSW), Australia was accessed from a prospectively maintained pathology database by Douglass Hanly Moir, the largest pathology provider in NSW. Prostate-specific antigen (PSA) testing rates were obtained via the Medicare Statistics database (Australian Government). Population data were obtained from the Australian Institute of Health and Welfare and Bureau of Statistics.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Prostate-specific antigen testing decreased significantly in NSW, Australia dropping from 8470 to 4910 tests per 100 000 males from 2009 to 2018, approximately a 5% annual percentage decrease. Histopathology of 17 375 patients who underwent RP during this time showed a 5.4% annual increase in non-organ-confined disease at RP, which was irrespective of Gleason Grade. There was a strong correlation between the decrease in PSA testing with an increase in non-organ-confined disease at RP.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>In conclusion, the RACGP guidelines recommending against prostate cancer screening in 2009 correlates strongly with more advanced disease found at RP. This could indicate that patients were presenting later with more advanced disease. However, the increasing use of surveillance of low-grade and favourable intermediate-risk disease and also the potential increasing use of surgery for higher-volume or -grade prostate cancer at diagnosis could impact on the interpretation of our findings. Most international guidelines, as well as the Prostate Cancer Foundation of Australia Guidelines, have now recommended prostate cancer screening in men aged 50–69 years and it is commendable that the latest 2024 RACGP guidelines have been updated to reflect the new evidence supporting prostate cancer screening.</p>\u0000 </section>\u0000 </div>","PeriodicalId":8985,"journal":{"name":"BJU International","volume":"135 6","pages":"987-993"},"PeriodicalIF":3.7,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/bju.16654","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143569418","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":"Pelvic organ-sparing robot-assisted radical cystectomy in women with bladder cancer","authors":"Juhana Rautiola, Johan Björklund, Reuben Ben-David, Viktor Skokic, Giovanni Cacciamani, Mihir Desai, Linda Dey, Reza Mehrazin, Gus Miranda, John Sfakianos, Neeraja Tillu, Peter Wiklund","doi":"10.1111/bju.16691","DOIUrl":"https://doi.org/10.1111/bju.16691","url":null,"abstract":"To investigate the oncological and complication outcomes in women who have undergone pelvic organ-sparing robot-assisted radical cystectomy (RARC).","PeriodicalId":8985,"journal":{"name":"BJU International","volume":"18 1","pages":""},"PeriodicalIF":4.5,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143545934","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":"Does surgical skill rely on surgical specialty or training method? A randomised controlled trial","authors":"Ruben De Groote, Stefano Puliatti, Marco Amato, Elio Mazzone, Giuseppe Rosiello, Rui Farinha, Artur Paludo, Liesbeth Desender, Ben Van Cleynenbreugel, Wouter Everaerts, Brendan P. Bunting, Alexandre Mottrie, Anthony G. Gallagher","doi":"10.1111/bju.16689","DOIUrl":"https://doi.org/10.1111/bju.16689","url":null,"abstract":"Click on the article title to read more.","PeriodicalId":8985,"journal":{"name":"BJU International","volume":"67 1","pages":""},"PeriodicalIF":4.5,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143538440","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":"Stone volume instead of maximum stone diameter: results from an international survey.","authors":"Frédéric Panthier, Eduarda Alvarez, Vineet Gauhar, Hugh Crawford-Smith, Sian Allen, Saeed Bin Hamri, Eugenio Ventimiglia, Olivier Traxer, Etienne Xavier Keller, Daron Smith","doi":"10.1111/bju.16693","DOIUrl":"https://doi.org/10.1111/bju.16693","url":null,"abstract":"<p><strong>Objectives: </strong>To evaluate Urologists' perception regarding stone volume (SV) to assess the stone burden in current practice. Whilst SV might be considered as the most accurate measure of stone burden, international guidelines are to date based on maximum stone diameter (MSD).</p><p><strong>Subjects and methods: </strong>An on-line survey (four parts, 22 multiple choice questions) designed by international Endourology experts was submitted to the urological community between December 2023 and January 2024. In addition to questions on clinical practice, stone burden reporting and lithotripsy methods, participants were asked to intuitively estimate the spherical SV equivalent of several stone sizes and situations. Interest in SV overall, including knowledge about SV measurement tools were also investigated.</p><p><strong>Results: </strong>A total of 218 participants completed the survey, of whom 83% were male and 43% were aged 30-40 years. Approximately two thirds were European (63%), consultant Urologists (66%) and worked in a university hospital (66%). In all, 79% had specialist Endourology training and 44% declared more than half of their surgical activity was dedicated to Endourology. Although MSD was preferred to SV (67% vs 3%) for preoperative stone burden estimation, 64% of respondents were 'very keen' to have a tool to provide SV in future. The rate of correct intuitive SV estimations decreased with case complexity (from 40% to 20%). Endourology experts and academic Urologists were keener to adopt SV in practice but their ability to estimate SV was similar to those who were not Endourology trained or in non-academic posts.</p><p><strong>Conclusions: </strong>Urologists agree that SV provides a better estimation for stone burden than MSD. However, intuitive SV estimation based on stone diameters seems insufficient, hence readily accessible SV estimation tools are warranted for using SV in routine practice.</p>","PeriodicalId":8985,"journal":{"name":"BJU International","volume":" ","pages":""},"PeriodicalIF":3.7,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143522623","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 urinary outcomes in classic bladder exstrophy: results of an extensive follow-up","authors":"Sarah Abdellaoui,&nbsp;Fabiana Cazzorla,&nbsp;Nicolas Morel-Journel,&nbsp;Valeska Bidault,&nbsp;Paul Neuville,&nbsp;Alain Ruffion,&nbsp;Pierre D.E. Mouriquand,&nbsp;Delphine Demède","doi":"10.1111/bju.16680","DOIUrl":"10.1111/bju.16680","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>To evaluate long-term outcomes and predictive factors of urinary continence (UC) and fecal continence (FC) after surgery for classic bladder exstrophy (CBE) using validated questionnaires.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Patients and Methods</h3>\u0000 \u0000 <p>This study is part of the QUALEXSTRO study, a retrospective, observational, single-centre cohort study assessing through questionnaires UC, FC, sexuality, fertility, and quality of life in patients treated for CBE, who were aged of at least 15 years at evaluation. Herein, UC and FC were assessed using the International Consultation on Incontinence Questionnaire-Urinary Incontinence Short Form (ICIQ-UI SF) and the Fecal Incontinence Quality of Life Scale (FIQL), respectively.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Of the 63 eligible patients, 42 patients responded to the study  (response rate 66.7%). Most patients were treated using the modern staged repair exstrophy technique (88.1%) with pelvic osteotomy (95.2%). A total of 69% of patients underwent continent urinary diversion, 61.9% underwent augmentation enterocystoplasty (AEC), and 7.1% underwent bladder neck closure. Additional endourological procedures were performed in 45.2% of patients. The median (interquartile range [IQR]) age and follow-up were 26 (18–35) years and 22 (17–32) years, respectively. Regarding the voiding mode, 21.4% of patients were able to void spontaneously per urethra without intermittent catheterisation, while 76.2% performed clean intermittent self-catheterisation (CISC). All patients who underwent AEC performed intermittent catheterisation. The median (IQR) ICIQ-UI SF score was 8 (0–13) and was significantly better in women (<i>P</i> = 0.002). A total of 13 patients (30.9%) were continent (ICIQ-UI SF score = 0). Of these, three were able to void spontaneously per urethra, 10 used CISC, and seven underwent AEC. Most patients (66.7%) did not respond to the FIQL questionnaire since they had no concerns regarding FC.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Achieving UC depends on both initial and subsequent surgeries, with few patients able to void per urethra during adulthood. Women have better urinary outcomes than men.</p>\u0000 </section>\u0000 </div>","PeriodicalId":8985,"journal":{"name":"BJU International","volume":"135 6","pages":"1018-1024"},"PeriodicalIF":3.7,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/bju.16680","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143514417","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}