Central European Journal of Urology最新文献

{"title":"Urethral management after artificial urinary sphincter explantation due to cuff erosion.","authors":"Łukasz Białek, Mikołaj Frankiewicz, Jan Adamowicz, Felix Campos-Juanatey, Andrea Cocci, Guglielmo Mantica, Clemens M Rosenbaum, Wesley Verla, Marjan Waterloos, Malte W Vetterlein","doi":"10.5173/ceju.2023.132","DOIUrl":"10.5173/ceju.2023.132","url":null,"abstract":"<p><strong>Introduction: </strong>The artificial urethral sphincter (AUS) is the gold standard treatment in cases of moderate-to-severe stress urinary incontinence in males. Cuff erosions are one of the most important distant complications of AUS implantation. The optimal urethral management has still not been established.</p><p><strong>Material and methods: </strong>Search terms related to 'urethral stricture', 'artificial urinary sphincter', and 'cuff erosion' were used in the PubMed database to identify relevant articles.</p><p><strong>Results: </strong>In this mini review we identified 6 original articles that assessed the urethral management after AUS explantation due to cuff erosion and included urinary diversion by transurethral and/or suprapubic catheterization, urethrorrhaphy, and <i>in situ</i> urethroplasty. We summarized the results of different management methods and their efficacy in terms of preventing urethral stricture formation. We highlight the need for better-quality evidence on this topic.</p><p><strong>Conclusions: </strong>The available data do not provide a clear answer to the question of optimal urethral management during AUS explantation. There is a great need to provide higher-quality evidence on this topic.</p>","PeriodicalId":9744,"journal":{"name":"Central European Journal of Urology","volume":"76 4","pages":"322-324"},"PeriodicalIF":1.2,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10789282/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139477348","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Inflection Points in Urology as Witnessed by Mark Soloway Part 1: Bladder cancer","authors":"","doi":"10.5173/ceju.2023.002e","DOIUrl":"https://doi.org/10.5173/ceju.2023.002e","url":null,"abstract":"","PeriodicalId":9744,"journal":{"name":"Central European Journal of Urology","volume":"41 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135550680","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The influence of the operator's experience on the outcomes of fusion prostate biopsy","authors":"","doi":"10.5173/ceju.2023.142","DOIUrl":"https://doi.org/10.5173/ceju.2023.142","url":null,"abstract":"","PeriodicalId":9744,"journal":{"name":"Central European Journal of Urology","volume":"27 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135602429","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pathological report and prognostic meaning of Bosniak IV cysts: results from a contemporary cohort","authors":"","doi":"10.5173/ceju.2023.083r","DOIUrl":"https://doi.org/10.5173/ceju.2023.083r","url":null,"abstract":"","PeriodicalId":9744,"journal":{"name":"Central European Journal of Urology","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135550682","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comprehensive overview of ureteral stents based on clinical aspects, material and design.","authors":"Valentina Bernasconi,&nbsp;Marco Tozzi,&nbsp;Amelia Pietropaolo,&nbsp;Vincent De Coninck,&nbsp;Bhaskar K Somani,&nbsp;Thomas Tailly,&nbsp;Ewa Bres-Niewada,&nbsp;Ioannis Mykoniatis,&nbsp;Andrea Gregori,&nbsp;Michele Talso","doi":"10.5173/ceju.2023.218","DOIUrl":"https://doi.org/10.5173/ceju.2023.218","url":null,"abstract":"<p><p>Ureteral stents are useful devices in urological surgery. The main objective of a ureteric stent is to allow passage of urine and reduce early or late complications related to obstruction in the urinary tract. Despite their widespread use, there is a general lack of knowledge and awareness in stent composition and indication of application. We represented a synthesis of our extensive research over materials, coatings and shapes available on the market and then analyzed the main characteristics and peculiarities of ureteral stents. We have also focused our attention over the side effects and complication that must be considered when placing a ureteral stent. Encrustation, microbial colonization, stent-related symptoms and patient's history must always be evaluated when there is the need for a ureteral stent. The perfect stent should have many characteristics including easy insertion and removal, easy manipulation, resistance to encrustation and migration, lack of complications, biocompatibility, radio-opacity, biodurability, affordability (cost-effectiveness), tolerability and optimal flow characteristics. Nevertheless, further research and studies need to be done to provide more information about stent composition and efficacy in vivo. In this narrative review, we covered the basic information and main characteristics of ureteral stents, in order to help clinicians choose the appropriate device needed for a given situation.</p>","PeriodicalId":9744,"journal":{"name":"Central European Journal of Urology","volume":"76 1","pages":"49-56"},"PeriodicalIF":1.2,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/1b/f3/CEJU-76-218.PMC10091895.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9309523","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Recurrent miscarriage and male factor infertility: diagnostic and therapeutic implications. A narrative review.","authors":"Kristiana Gkeka, Evangelos N Symeonidis, Georgios Tsampoukas, Mohammad Moussa, Hussein Issa, Elena Kontogianni, Murtadha Almusafer, Antigoni Katsouri, Ioannis Mykoniatis, Fotios Dimitriadis, Athanasios Papatsoris, Noor Buchholz","doi":"10.5173/ceju.2023.74","DOIUrl":"10.5173/ceju.2023.74","url":null,"abstract":"<p><strong>Introduction: </strong>Recurrent miscarriage is defined as 2 or more failed clinical pregnancies, typically known as repeated pregnancy loss, occurring before 20 gestational weeks, and further categorized into primary and secondary types. It represents a common and distressing condition to deal with in the field of reproductive medicine, usually affecting <5% of couples, with up to 50% of cases lacking a clearly defined aetiology. The epidemiology also varies depending on maternal age. Remarkably, the situation significantly afflicts expecting parents, whereas maternal factors, such as age and previous pregnancy loss rate, are commonly reported as risk factors. Although previously underestimated, existing evidence suggests the male factor is a possible cause of recurrent pregnancy loss.</p><p><strong>Material and methods: </strong>A non-systematic literature review was conducted in the PubMed and Scopus databases for articles written in English investigating the possible association of the male factor in recurrent pregnancy loss. The eligible studies were synthesized in a narrative review format upon discussion and consensus among the authors after being previously independently assessed and selected.</p><p><strong>Results: </strong>Lifestyle, obesity, genetic predisposition, chromosomal anomalies, endocrine dysfunction, anatomical abnormalities, immunological factors, infections, and oxidative stress can result in poor embryo development and recurrent miscarriage. Although professional organizations currently recognize male gender as a possible risk factor, specific recommendations on the diagnostic and therapeutic field are still lacking, and the condition necessitates a high level of suspicion and case-by-case management.</p><p><strong>Conclusions: </strong>In this review, we delve deeper into the contribution of the male factor in the concept of recurrent miscarriage.</p>","PeriodicalId":9744,"journal":{"name":"Central European Journal of Urology","volume":"76 4","pages":"336-346"},"PeriodicalIF":1.2,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10789276/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139477251","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Step-by-step robotic technique to manage an extensive retroperitoneal fibrosis.","authors":"Fabrizio Di Maida, Antonio Andrea Grosso, Anna Cadenar, Maria Lucia Gallo, Sofia Giudici, Daniele Paganelli, Laura Olivera, Andrea Mari, Lorenzo Masieri, Andrea Minervini","doi":"10.5173/ceju.2023.193","DOIUrl":"https://doi.org/10.5173/ceju.2023.193","url":null,"abstract":"","PeriodicalId":9744,"journal":{"name":"Central European Journal of Urology","volume":"76 4","pages":"347-348"},"PeriodicalIF":1.2,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10789281/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139477260","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Local solutions to shorten treatment delays in bladder cancer. Results of a survey among CEJU authors.","authors":"Bartosz Dybowski","doi":"10.5173/ceju.2023.004E","DOIUrl":"10.5173/ceju.2023.004E","url":null,"abstract":"","PeriodicalId":9744,"journal":{"name":"Central European Journal of Urology","volume":"76 4","pages":"280-282"},"PeriodicalIF":1.2,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10789278/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139478314","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sarcopenia is an independent predictor of survival in patients undergoing radical cystectomy for bladder cancer: a single-centre, retrospective study.","authors":"Anil Erdik,&nbsp;Haci Ibrahim Cimen,&nbsp;Yavuz Tarik Atik,&nbsp;Deniz Gul,&nbsp;Osman Kose,&nbsp;Fikret Halis,&nbsp;Hasan Salih Saglam,&nbsp;Omer Faruk Ates","doi":"10.5173/ceju.2023.14","DOIUrl":"https://doi.org/10.5173/ceju.2023.14","url":null,"abstract":"<p><strong>Introduction: </strong>This study aimed to determine whether sarcopenia is a predictor of overall survival (OS) and cancer-specific survival (CSS) in patients with bladder cancer (BC) undergoing radical cystectomy (RC).</p><p><strong>Material and methods: </strong>Patients who underwent radical cystectomy for BC between September 2016 and June 2022 were retrospectively reviewed. Patients underwent digital computed tomography (CT) scans of the abdomen and pelvis. The skeletal muscle index (SMI) was used to assess sarcopenia using CT images. OS and CSS were estimated using Kaplan-Meier curves. Predictors of CSS and OS were analysed using univariate and multivariate Cox regression models.</p><p><strong>Results: </strong>Of the 84 reviewed patients, 45 (53.6%) had sarcopenia. The median follow-up period for survivors was 70 months. Patients with sarcopenia were older and had a lower BMI, but other preoperative clinical and laboratory parameters were similar to those of patients without sarcopenia. During follow-up, 57 (67.9%) patients died, 39 (46.4%) due to BC. In addition, patients with sarcopenia had worse 5-year OS (24.4% vs 41.0%, p = 0.036) and CSS (35.6% vs 61.5%, p = 0.012) than non-sarcopenic patients. The findings indicate that sarcopenia is an independent predictor of increased CSS (HR, 2.841; p = 0.003) and overall mortality (HR, 2.465; p = 0.004) in multivariate analysis.</p><p><strong>Conclusions: </strong>The results of this study support the view that sarcopenia is an important risk factor for predicting CSS and OS in BC patients undergoing RC.</p>","PeriodicalId":9744,"journal":{"name":"Central European Journal of Urology","volume":"76 2","pages":"81-89"},"PeriodicalIF":1.2,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/36/ae/CEJU-76-14.PMC10357826.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9860921","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The definition of ideal training of a urology resident from two different perspectives: trainees vs professors. Is there agreement in their idea of good training?","authors":"Guglielmo Mantica,&nbsp;Diego M Carrion,&nbsp;Karl H Pang,&nbsp;Taha Ucar,&nbsp;Stefano Parodi,&nbsp;Stefano Tappero,&nbsp;Lazaros Lazarou,&nbsp;Ioannis Glykas,&nbsp;Christos Zabaftis,&nbsp;Mario Lourenco,&nbsp;Daniel A González Padilla,&nbsp;Luis Enrique Ortega Polledo,&nbsp;Irene Paraboschi,&nbsp;Alfredo Berrettini,&nbsp;Carlo Terrone,&nbsp;Juan Gomez Rivas,&nbsp;Francesco Esperto","doi":"10.5173/ceju.2023.019","DOIUrl":"10.5173/ceju.2023.019","url":null,"abstract":"<p><strong>Introduction: </strong>At the end of their residency program, urology trainees should reach the minimum skills required to be able to work by themselves and within a team. To achieve this objective, it is fundamental that the training involves not only surgical activities, but also theoretical, academic, and relational ones. What is the perfect balance between these activities within the ideal urological training? This study aims to evaluate the concordance in different concepts of good urological training between different perspectives (trainees vs professors).</p><p><strong>Material and methods: </strong>Between January and December 2020 the same survey was distributed via email to 967 urology trainees and urology tutors. The survey investigated 5 educational fields: theoretical, clinical, surgical, relational, and simulation. For each field, specific questions investigated the importance of different activities and the training outcomes considered fundamental to be reached by a resident. The questions were evaluated by responders through a Likert 10-point scale.</p><p><strong>Results: </strong>The survey was completed by 155 trainees (58.9%, Group A) and 108 tutors (41.1%, Group B) from 26 different countries. Relative to the tutors, residents assigned statistically significantly lower scores to prostate biopsy (median score 9.11 vs 9.24), robotic simulator training (5.66 vs 5.93), on-call duties with consultants (6.85 vs 7.99), as well as all aspects of relational training (e.g., proper dialogue with colleagues: 7.95 vs 8.88). Conversely, residents assigned statistically significantly higher scores, albeit below sufficiency, to the performance of robotic prostatectomy as a first operator (4.45 vs 4.26). Finally, no discrepancies between residents' and tutors' scores were recorded regarding the remaining items of clinical training (e.g., urodynamics, outpatient clinic, ward duties) and surgical training (e.g., major open, laparoscopic and endoscopic surgical training; all p values >0.05).</p><p><strong>Conclusions: </strong>There was partial concordance between trainees and tutors regarding the activities that should be implemented and the skills that should be achieved during a urological residency. The residents aimed for more surgical involvement, while the tutors and professors, although giving importance to surgical and theoretical training, considered clinical practice as the fundamental basis on which to train future urologists.</p>","PeriodicalId":9744,"journal":{"name":"Central European Journal of Urology","volume":"76 2","pages":"162-166"},"PeriodicalIF":1.2,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/e7/07/CEJU-76-19.PMC10357832.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9864206","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}