Central European Journal of Urology最新文献

{"title":"Active surveillance for low-risk prostate cancer: well established, yet avoided?","authors":"Roman Sosnowski, Hubert Kamecki, Jakub Dobruch, Monique J Roobol, Lionne D F Venderbos, Łukasz Nyk, Wojciech Krajewski, Tomasz Drewa","doi":"10.5173/ceju.2022.0141","DOIUrl":"https://doi.org/10.5173/ceju.2022.0141","url":null,"abstract":"1Department of Urogenital Cancer, Maria Skłodowska-Curie National Research Institute of Oncology, Warsaw, Poland 22nd Department of Urology, Centre of Postgraduate Medical Education, Warsaw, Poland 3Department of Urology, Center of Postgraduate Medical Education, Warsaw, Poland 4Department of Urology, Erasmus MC Cancer Institute, Erasmus University Medical Center, Rotterdam, The Netherlands 5Department of Minimally Invasive and Robotic Urology, University Center of Excellence in Urology, Wrocław Medical University, Wrocław, Poland 6Department of General and Oncologic Urology, Nicolaus Copernicus Hospital, Toruń, Poland","PeriodicalId":9744,"journal":{"name":"Central European Journal of Urology","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/db/6a/CEJU-75-0141.PMC9628721.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40465612","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":"Preliminary trial of 24 vs 72 hour perioperative meropenem in patients with ESBL-producing <i>Enterobacterales</i> bacteriuria scheduled for urological procedures.","authors":"Marcin Radko,&nbsp;Aneta Guzek,&nbsp;Tomasz Syryło,&nbsp;Zbigniew Rybicki,&nbsp;Henryk Zieliński","doi":"10.5173/ceju.2022.0109","DOIUrl":"https://doi.org/10.5173/ceju.2022.0109","url":null,"abstract":"<p><strong>Introduction: </strong>Antimicrobial prophylaxis is an important issue in positive urine culture patients undergoing endourological procedures or extracorporeal shock wave lithotripsy (ESWL). It is especially recognized in asymptomatic bacteriuria patients of alarm pathogen etiology. We designed a preliminary study to determine optimal duration of antibiotic prophylaxis in patients undergoing endourological procedures or ESWL with asymptomatic bacteriuria caused by <i>Enterobacterales</i> with extended spectrum beta-lactamase positive (ESBL+) type resistance.</p><p><strong>Material and methods: </strong>A total of 60 patients with confirmed ESBL+ <i>Enterobacterales</i> bacteriuria were admitted for endourological procedures or ESWL. The patients were randomized into two groups - a one-day (n = 33) and a three-day (n = 27) period of perioperative antibiotic prophylaxis with meropenem. In both groups on the following day after the procedure (24 hours after the procedure) and 7 days after the procedure serum inflammation markers were assessed.</p><p><strong>Results: </strong>Values of white blood count, C-reactive protein and procalcitonin prior to, 24 hours and seven days after the procedure clearly showed no statistically significant differences between groups that have received a one-day and three-day antibiotic regimen.</p><p><strong>Conclusions: </strong>In patients with ESBL+ <i>Enterobacterales</i> asymptomatic bacteriuria undergoing endourological procedures or ESWL a 72-hour perioperative meropenem prophylaxis showed no superiority over a 24-hour regimen. Further studies will be carried out to establish optimal prophylaxis for specific endourological procedures and to test safety of a single dose regimen.</p>","PeriodicalId":9744,"journal":{"name":"Central European Journal of Urology","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/ad/bd/CEJU-75-0109.PMC9326705.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40593017","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":"Robotic reconstruction of vesico-urethral anastomosis stenosis: a descriptive technique and short-term results.","authors":"Antonio Andrea Grosso,&nbsp;Fabrizio Di Maida,&nbsp;Luca Lambertini,&nbsp;Maria Lucia Gallo,&nbsp;Agostino Tuccio,&nbsp;Andrea Mari,&nbsp;Lorenzo Masieri,&nbsp;Andrea Minervini","doi":"10.5173/ceju.2022.0048","DOIUrl":"https://doi.org/10.5173/ceju.2022.0048","url":null,"abstract":"Robotic reconstruction of vesico-urethral anastomosis stenosis: a descriptive technique and short-term results Antonio Andrea Grosso, Fabrizio Di Maida, Luca Lambertini, Maria Lucia Gallo, Agostino Tuccio, Andrea Mari, Lorenzo Masieri, Andrea Minervini Department of Experimental and Clinical Medicine, University of Florence,Unit of Oncologic Minimally-invasive Urology and Andrology, Careggi Hospital, Florence, Italy","PeriodicalId":9744,"journal":{"name":"Central European Journal of Urology","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/ad/51/CEJU-75-0048.PMC9326696.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40689085","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":"Clinical cure vs a novel trifecta system for evaluating long-term outcomes of minimally-invasive partial or total adrenalectomy for unilateral primary aldosteronism: results of a multicentric series.","authors":"Umberto Anceschi,&nbsp;Antonio Tufano,&nbsp;Rocco Simone Flammia,&nbsp;Marilda Mormando,&nbsp;Cristian Fiori,&nbsp;Orazio Zappalà,&nbsp;Bernardino De Concilio,&nbsp;Alessandro Carrara,&nbsp;Ferriero Maria Consiglia,&nbsp;Gabriele Tuderti,&nbsp;Aldo Brassetti,&nbsp;Leonardo Misuraca,&nbsp;Alfredo Maria Bove,&nbsp;Riccardo Mastroianni,&nbsp;Marialuisa Appetecchia,&nbsp;Giuseppe Tirone,&nbsp;Francesco Porpiglia,&nbsp;Antonio Celia,&nbsp;Michele Gallucci,&nbsp;Giuseppe Simone","doi":"10.5173/ceju.2022.147","DOIUrl":"https://doi.org/10.5173/ceju.2022.147","url":null,"abstract":"<p><strong>Introduction: </strong>Several predictive scores to evaluate outcomes of adrenal surgery for unilateral primary aldosteronism (UPA), have been conceived. We compared a novel trifecta that summarizes outcomes of adrenal surgery for UPA with the clinical cure proposed by Vorselaars.</p><p><strong>Material and methods: </strong>Between March 2011 and January 2022, a multi-institutional dataset was queried for UPA. Baseline, perioperative and functional data were collected. Clinical and biochemical complete and partial success rates according to Primary Aldosteronism Surgical Outcome (PASO) criteria were assessed for the overall cohort. Clinical cure was defined either as normotension without antihypertensive medications or normotension with lower or equal use of antihypertensive medications. Trifecta was defined as the coexistence of ≥50% antihypertensive therapeutic intensity score (TIS) reduction (ΔTIS), no electrolyte impairment at 3-months and no Clavien-Dindo (2-5) complications. Cox regression analyses were used to identify predictors of long-term clinical and biochemical success. For all analyses, a two-sided p <0.05 was considered significant.</p><p><strong>Results: </strong>Baseline, perioperative and functional outcomes were analyzed. Out of 90 patients, at a median follow-up of 42 months (IQR 27-54) a complete and partial clinical success was observed in 60% and 17.7% of cases while a complete and partial biochemical success was achieved in 83.3% and 12.3% of cases, respectively. Overall trifecta and clinical cure rates were 21.1% and 58.9%, respectively. On multivariable Cox regression analysis, trifecta achievement (HR 2.87; 95% CI 1.45-5.58; p = 0.02) was the only independent predictor of complete clinical success at long-term follow-up.</p><p><strong>Conclusions: </strong>Despite its complex estimation and more restrictive criteria, trifecta but not clinical cure allows to independently predict composite PASO endpoints on the long run.</p>","PeriodicalId":9744,"journal":{"name":"Central European Journal of Urology","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/d8/ec/CEJU-75-147.PMC9903164.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9304274","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":"Is it possible to predict spontaneous passage of a ureteral stone? An up-to-date comment on the current problem with new concepts concerning the patient and the stone.","authors":"Alper Coşkun,&nbsp;Utku Can","doi":"10.5173/ceju.2022.0029","DOIUrl":"https://doi.org/10.5173/ceju.2022.0029","url":null,"abstract":"<p><strong>Introduction: </strong>The aim of this article was to determine a predictive factor by examining the patient's characteristics and the stone to predict the ureteral stone spontaneous passage.</p><p><strong>Material and methods: </strong>A total of 200 patients aged 18-55 who were referred with middle and distal ureter ureteral stones between 5-7 mm were analyzed retrospectively. Patients were randomized as 50 spontaneous stone passage positive (SSPP) and 50 negative patients. Body mass index (BMI), waist-to-hip ratio (WHR), stone size, ureter length, ureter diameter, stone Hounsfield unit value (SHU), ureteral wall thickness (UWT), kidney parenchymal thickness (KPT), kidney parenchymal density, neutrophil-lymphocyte ratio (NLR) and thrombocyte-lymphocyte ratio (TLR) values were recorded.</p><p><strong>Results: </strong>The average SHU of the SSPP group was 579 and 970 in the negative group (p: 0.000). While the mean was 1.7 mm in the UWT SSPP group, it was 2.4 mm in the negative group (p: 0.000). SHU and UWT were statistically significantly different in univariate and multivariate logistic regression analyses. WHR values were 39.6 and 29.3 for SSPP and the negative group, respectively (p: 0.032). The ureter diameter was 7.6 mm for the SSPP group and 8.9 mm in the negative group (p: 0.01).</p><p><strong>Conclusions: </strong>Low SHU value is related to the ureteral stone's positive spontaneous passage, and the increase of UWT is inversely related to the spontaneous passage. WHR is higher in people who can passage ureteral stones. A narrow ureter diameter is correlated with spontaneous stone passage. Ureter length, KPT, and kidney parenchymal density were not associated with spontaneous passage.</p>","PeriodicalId":9744,"journal":{"name":"Central European Journal of Urology","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/82/b3/CEJU-75-0029.PMC9628730.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40465613","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":"Visceral adiposity index in kidney stone patients who have undergone surgery.","authors":"Mehmet Giray Sönmez,&nbsp;Muzaffer Tansel Kılınç,&nbsp;İbrahim Göksoy,&nbsp;Betül Kozanhan,&nbsp;Arif Aydın,&nbsp;Mehmet Balasar,&nbsp;Selçuk Güven","doi":"10.5173/ceju.2022.0175","DOIUrl":"https://doi.org/10.5173/ceju.2022.0175","url":null,"abstract":"<p><strong>Introduction: </strong>The visceral adiposity index (VAI) is a gender-specific metabolic index that indirectly measures visceral adipose function and distribution using waist circumference, body mass index (BMI), and triglyceride and high-density lipoprotein (HDL) cholesterol values. To assess visceral fat in the diagnostic pathway of urinary stone patients, we investigated the relationship between the VAI and nephrolithiasis as well as the relationship between the VAI and stone and surgery-related parameters.</p><p><strong>Material and methods: </strong>Patients who underwent percutaneous nephrolithotomy and retrograde intrarenal surgery for kidney stones were included in the study. The control group comprised of healthy individuals who volunteered to take part in study and did not have urolithiasis as confirmed by abdominal computed tomography imaging. A total of 148 patients were divided into the nephrolithiasis (n = 103) and the control (n = 45) groups. Weight, height, BMI, waist circumference measurements, and VAI were among the metabolic parameters measured. Stone and surgical parameters were evaluated.</p><p><strong>Results: </strong>VAI (4.57 vs 2.76), waist circumference (92.1 vs 87.1), and BMI (28.31 vs 26.51) values were higher in the nephrolithiasis group(p = 0.02,p = 0.04, p <0.001,respectively). The VAI was statistically significant in the multivariate analysis for the presence of nephrolithiasis (p <0.001). The VAI negatively correlated with the stone Hounsfield unit (HU) and positively correlated with very-low-density lipoprotein (VLDL), blood creatinine, and calcium levels. The relationship between VAI and surgical parameters was not significant.</p><p><strong>Conclusions: </strong>A significant relationship was detected between nephrolithiasis and VAI, a new gender-specific metabolic index that distinguishes between subcutaneous and visceral adipose mass and demonstrates metabolic syndrome. No significant effect of this relationship on surgical parameters was demonstrated in the present study.</p>","PeriodicalId":9744,"journal":{"name":"Central European Journal of Urology","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/6e/63/CEJU-75-0175.PMC9326693.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40689086","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":"Single-suture knotless vesicourethral anastomosis.","authors":"Alexander Kheifets,&nbsp;Masha Ben Zvi,&nbsp;Ragaee Atamna,&nbsp;Ami Sidi,&nbsp;Alexander Tsivian","doi":"10.5173/ceju.2022.0088","DOIUrl":"https://doi.org/10.5173/ceju.2022.0088","url":null,"abstract":"single-suture knotless vesicourethral anastomosis Alexander Kheifets, Masha Ben Zvi, Ragaee Atamna, Ami Sidi, Alexander Tsivian Edith Wolfson Medical Center, Department of Urology, Holon, Israel","PeriodicalId":9744,"journal":{"name":"Central European Journal of Urology","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/cf/d2/CEJU-75-0088.PMC9903169.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9282176","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":"How does symptom severity impact clinical outcomes of men with lower urinary tract symptoms after holmium laser enucleation or transurethral resection of the prostate?","authors":"Alexander Tamalunas,&nbsp;Melanie Schott,&nbsp;Patrick Keller,&nbsp;Michael Atzler,&nbsp;Benedikt Ebner,&nbsp;Alexander Buchner,&nbsp;Christian G Stief,&nbsp;Giuseppe Magistro","doi":"10.5173/ceju.2022.161","DOIUrl":"https://doi.org/10.5173/ceju.2022.161","url":null,"abstract":"<p><strong>Introduction: </strong>International Prostate Symptom Score (IPSS) is a validated outcome measure for the evaluation of patients with lower urinary tract symptoms (LUTS) secondary to benign prostatic obstruction (BPO). When treating patients with transurethral resection of the prostate (TURP) or holmium laser enucleation of the prostate (HoLEP), patient selection is key to achieve the best clinical outcome. Therefore, we analyzed how the severity of LUTS as determined by IPSS influenced postoperative functional outcomes.</p><p><strong>Material and methods: </strong>We conducted a retrospective, matched-pair analysis of 2,011 men who underwent HoLEP or TURP for LUTS/BPO between 2013-2017. We included 195 patients in the final analysis (HoLEP n = 97; TURP n = 98), who were matched for prostate size (50 cc), age, and body mass index. Patients were then stratified by IPSS. Groups were compared for perioperative parameters, safety and short-term functional outcomes.</p><p><strong>Results: </strong>While preoperative symptom severity was a significant predictor of postoperative clinical improvement, patients who received HoLEP showed superior postoperative functional results with higher peak flow rates and 2-fold greater improvement in IPSS. In patients presenting with severe symptoms, we observed 3- to 4-fold less Clavien-Dindo grade ≥II and overall complications after receiving HoLEP compared to TURP.</p><p><strong>Conclusions: </strong>Patients with severe LUTS were more likely to experience clinically significant improvement after surgery than patients with moderate LUTS, and HoLEP showed superior functional outcomes than TURP. However, patients with moderate LUTS should not be denied surgery, but may warrant a more comprehensive clinical work-up.</p>","PeriodicalId":9744,"journal":{"name":"Central European Journal of Urology","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/b1/32/CEJU-75-161.PMC9903167.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9304279","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":"Current management of renal colic across Europe and its compliance to the European Association of Urology Guidelines on Urolithiasis: a survey from the European Section of Uro-technology, European Section of Urolithiasis, Young Academic Urologists study groups.","authors":"Selçuk Güven,&nbsp;Mehmet Giray Sönmez,&nbsp;Bhaskar Kumar Somani,&nbsp;Ali Serdar Gözen,&nbsp;Kemal Sarica,&nbsp;Juan Gómez Rivas,&nbsp;Udo Nagele,&nbsp;Theodoros Tokas","doi":"10.5173/ceju.2022.0046","DOIUrl":"https://doi.org/10.5173/ceju.2022.0046","url":null,"abstract":"<p><strong>Introduction: </strong>Renal colic due to ureteral stones represents the primary acute condition in urology. Although guideline recommendations are available the institution, urologist, and patient preferences in diagnosis and treatment may differ. We aimed to evaluate the adherence of different European countries to the European Association of Urology (EAU) guidelines of urolithiasis and demonstrate trends in diagnostic and treatment approaches.</p><p><strong>Material and methods: </strong>We used a survey including 33 questions clustered in four sections. The survey was circulated to the representatives of the main urological centers in Europe using the European Section of Uro-technology (ESUT), the European Section of Urolithiasis (EULIS), the Young Academic Urologists (YAU), and the European Urology Residents Education Programme (EUREP) mailing lists. The first section included participant and institution demographics, the second assessed the common diagnostic and treatment pathways, the third discussed the advantages and disadvantages of treatment strategies and the fourth investigated treatment preferences in different clinical scenarios. A descriptive analysis was performed.</p><p><strong>Results: </strong>Of all participants, 84.21% stated that their departments follow specific guidelines, with no significant differences between institutions (p = 0.18). Preferred treatment practice difference in the case scenarios was significantly influenced by the Department bed capacities (p = 0.01), and complications varied between institutions (p = 0.02). Interestingly, 37-45% of participants were unaware of the different treatment costs.</p><p><strong>Conclusions: </strong>Although urologists generally decide according to local or international guidelines when approaching renal colic patients, there are deviations in clinical practice due to 'doctor preference' and 'bed availability'. Many urologists are unaware of treatment costs.</p>","PeriodicalId":9744,"journal":{"name":"Central European Journal of Urology","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/df/5a/CEJU-75-0046.PMC9326703.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40593016","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":"Quality of bladder cancer information on YouTube.","authors":"Alba Maria García-Cano-Fernández,&nbsp;Juliusz Jan Szczesniewski-Dudzik,&nbsp;Ana García-Tello,&nbsp;Victoria Diego-García,&nbsp;Juan Boronat-Catalá,&nbsp;Luis Llanes-González","doi":"10.5173/ceju.2022.151","DOIUrl":"https://doi.org/10.5173/ceju.2022.151","url":null,"abstract":"<p><strong>Introduction: </strong>YouTube is one of the social networks most widely used as a source of information. However, there are doubts about the scientific quality of the information available. This study aims to characterise this by analysing videos about bladder cancer posted on YouTube.</p><p><strong>Material and methods: </strong>This was a cross-sectional descriptive study of the first 50 Spanish-language videos published on YouTube, leaving 38 for analysis. The videos were evaluated by three urologists using two validated questionnaires: Patient Education Materials Assessment Tool (PEMAT) and DISCERN (quality criteria for consumer health information), classifying them according to the score of the latter, in poor quality (1-2 points) and moderate/good quality (3-5 points).</p><p><strong>Results: </strong>The median PEMAT score was 71.6% (16-5-100%) for understanding and 35.5% (0-100%) for action. According to DISCERN, 26 videos (66.7%) were of poor quality and 12 (30.8%) of moderate/good quality. We found significant differences in terms of PEMAT of understanding (p = 0.004) and action (p = 0.000). In total, 90.9% of those involving medical staff were of low quality, which is paradoxical, but statistically significant (p = 0.01). Furthermore, 52.4% of those describing relevant information were of moderate/good quality, and 94.1% of those not describing relevant information were of poor quality (p = 0.02).</p><p><strong>Conclusions: </strong>More than 60% of the videos published on YouTube about bladder cancer in Spanish are of low quality. This represents an important risk of misinformation for the general public to whom most of them are addressed.</p>","PeriodicalId":9744,"journal":{"name":"Central European Journal of Urology","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/79/5d/CEJU-75-0151.PMC9628723.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40476441","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}