Central European Journal of Urology最新文献

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Contrast-enhanced ultrasound in the diagnosis of neoplastic lesions of the urinary bladder. 超声造影对膀胱肿瘤病变的诊断价值。
IF 1.9
Central European Journal of Urology Pub Date : 2025-01-01 Epub Date: 2025-11-30 DOI: 10.5173/ceju.2025.0086
Jakub Kufel, Adam Mitręga, Mikołaj Magiera, Michał Bielówka
{"title":"Contrast-enhanced ultrasound in the diagnosis of neoplastic lesions of the urinary bladder.","authors":"Jakub Kufel, Adam Mitręga, Mikołaj Magiera, Michał Bielówka","doi":"10.5173/ceju.2025.0086","DOIUrl":"https://doi.org/10.5173/ceju.2025.0086","url":null,"abstract":"<p><strong>Introduction: </strong>Cystoscopy remains the gold standard of diagnosis and follow-up for bladder cancer (BC); however, it is an invasive procedure associated with discomfort and potential complications. Contrastenhanced ultrasound (CEUS) emerges as an alternative, utilizing real-time assessment of tumor vascularization and perfusion. The aim of this systematic review was to evaluate its diagnostic performance for BC detection.</p><p><strong>Material and methods: </strong>MEDLINE (PubMed), Scopus, Web of Science Core Collection and Embase databases were queried through July, 2024. We included studies reporting on the diagnostic accuracy of CEUS for the detection of BC.</p><p><strong>Results: </strong>Out of 883 individual records, we identified 6 reports of prospective and retrospective studies, comprising 894 patients. The included studies indicate that CEUS demonstrates high diagnostic sensitivity, and specificity in discriminating malignant from benign bladder tumors. Moreover, CEUS has been shown promising performance in the preoperative prediction of tumor grade and stage, offering diagnostic capabilities comparable to well-established non-invasive imaging techniques.</p><p><strong>Conclusions: </strong>Our findings support the utilization of CEUS as adjunct to existing BC diagnostic protocols. It represents an alternative for BC diagnosis and could benefit patients contraindicated for conventional imaging modalities or at high-risk of cystoscopy-related complications. Scant amount of standardized, large-scale, prospective, comparative investigations are available, thus further research is necessary to validate the clinical utility of CEUS in BC detection.</p>","PeriodicalId":9744,"journal":{"name":"Central European Journal of Urology","volume":"78 4","pages":"483-493"},"PeriodicalIF":1.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12924067/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147269814","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}
引用次数: 0
Ureteral stents with extraction strings - a review on infection risk and prevention. 输尿管取出管支架-感染风险及预防综述。
IF 1.4
Central European Journal of Urology Pub Date : 2025-01-01 Epub Date: 2025-02-28 DOI: 10.5173/ceju.2024.0222
Patryk Osiński, Jakub Bartłomiej Kawecki, Martyna Zofia Stachoń, Izabela Teresa Zawadzka, Ewa Bres-Niewada, Bartosz Dybowski
{"title":"Ureteral stents with extraction strings - a review on infection risk and prevention.","authors":"Patryk Osiński, Jakub Bartłomiej Kawecki, Martyna Zofia Stachoń, Izabela Teresa Zawadzka, Ewa Bres-Niewada, Bartosz Dybowski","doi":"10.5173/ceju.2024.0222","DOIUrl":"https://doi.org/10.5173/ceju.2024.0222","url":null,"abstract":"<p><strong>Introduction: </strong>This review aims to determine whether the use of ureteral stents with extraction strings in adult patients undergoing upper urinary tract endoscopic procedures results in a higher incidence of urinary tract infections (UTIs) compared to stents without strings.</p><p><strong>Material and methods: </strong>A systematic literature search was conducted using PubMed, Scopus, and Google Scholar. Studies evaluating differences in UTI rates among adult patients with ureteral stents with or without extraction strings were included. Data on UTI rates, antibiotic prophylaxis protocols, and stent dwell time were extracted.</p><p><strong>Results: </strong>The review included 11 trials published between 2015 and 2023. One multicenter retrospective study involving 4,392 patients reported a significantly higher UTI rate in patients with extraction strings (2.1% vs 1.1%, p = 0.006). In the remaining 10 studies, including four randomized controlled trials, the differences were not statistically significant. Antibiotic prophylaxis was described in five studies. In two studies, a single perioperative antibiotic dose was administered, with a total UTI rate of 6.8% (28/410). In contrast, three studies using prolonged prophylactic antibiotic regimens reported a total UTI rate of 3.2% (13/403). The impact of stent dwell time on UTI risk could not be determined. The risk of bias was high in 10 studies and moderate in one retrospective study.</p><p><strong>Conclusions: </strong>Based on low-quality evidence, the difference in UTI risk between ureteral stents with and without extraction strings appears to be minimal and statistically insignificant. Well-designed studies with standardized methodologies are needed to clarify these findings.</p>","PeriodicalId":9744,"journal":{"name":"Central European Journal of Urology","volume":"78 1","pages":"94-99"},"PeriodicalIF":1.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12073513/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144076223","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}
引用次数: 0
Influence of pre-stenting on flexible and navigable suction (FANS) access sheath outcomes. Results of a prospective multicentre study by the EAU Section of Endourology and the global FANS collaborative group. 预支架植入对柔性和可导航吸力(FANS)通路鞘结果的影响。一项多中心前瞻性研究的结果,由泌尿外科的EAU部门和全球fan合作小组。
IF 1.4
Central European Journal of Urology Pub Date : 2025-01-01 Epub Date: 2024-11-28 DOI: 10.5173/ceju.2024.0197
Victoria Jahrreiss, Vineet Gauhar, Olivier Traxer, Khi Yung Fong, Saeed Bin Hamri, Karl Tan, Vigen Malkhasyan, Satyendra Persaud, Mohamed Elshazly, Wissam Kamal, Steffi Yuen, Vikram Sridharan, Daniele Castellani, Mehmet Ilker Gökce, Nariman Gadzhiev, Deepak Ragoori, Boyke Soebhali, Chu Ann Chai, Azimdjon N Tursunkulov, Yiloren Tanidir, Tzevat Tefik, Anil Shrestha, Marek Zawadzki, Mohamed Amine Lakmichi, Christian Seitz, Bhaskar K Somani
{"title":"Influence of pre-stenting on flexible and navigable suction (FANS) access sheath outcomes. Results of a prospective multicentre study by the EAU Section of Endourology and the global FANS collaborative group.","authors":"Victoria Jahrreiss, Vineet Gauhar, Olivier Traxer, Khi Yung Fong, Saeed Bin Hamri, Karl Tan, Vigen Malkhasyan, Satyendra Persaud, Mohamed Elshazly, Wissam Kamal, Steffi Yuen, Vikram Sridharan, Daniele Castellani, Mehmet Ilker Gökce, Nariman Gadzhiev, Deepak Ragoori, Boyke Soebhali, Chu Ann Chai, Azimdjon N Tursunkulov, Yiloren Tanidir, Tzevat Tefik, Anil Shrestha, Marek Zawadzki, Mohamed Amine Lakmichi, Christian Seitz, Bhaskar K Somani","doi":"10.5173/ceju.2024.0197","DOIUrl":"https://doi.org/10.5173/ceju.2024.0197","url":null,"abstract":"<p><strong>Introduction: </strong>Pre-stenting remains a subject of debate, and its influence on FANS assisted ureteroscopy is unclear. The global FANS collaborative group aims to address the influence of pre-stenting on FANS-assisted ureterorenoscopy (URS).</p><p><strong>Material and methods: </strong>This prospective multicentre study assesses the outcomes of 394 patients undergoing FANS-assisted ureteroscopy for renal stones. Patients were stratified into a non-pre-stented (group 1, n = 163) and pre-stented group (group 2, n = 231). Data on demographics, stone characteristics, operative parameters, and postoperative 30-day outcomes were analysed. Statistical analyses, including multivariate regression, were performed for stone-free rates (SFR) and complications. SFR was defined by bone window on non-contrast computed tomography (CT).</p><p><strong>Results: </strong>Pre-stented patients had a higher prevalence of positive urine culture treated with preoperative antibiotics (23.8% vs 12.3%, p = 0.006). Larger stone volumes were noted (1,306 mm<sup>3</sup> vs 1,200 mm<sup>3</sup>, p = 0.027) in group 1. Postoperative complications were minor. Sepsis was not reported in either group. Group 1 had a higher incidence of low-grade Traxer grade 1 ureteric injuries (4.3% vs 0.4%, p = 0.021). FANS resulted in high overall SFRs of 97.5% and 97.0% in groups 1 and group 2. Multivariate analysis showed no statistical difference in SFR between the groups (63.2% vs 53.2%, p = 0.063). Only thulium fibre laser (TFL) and stone volume were significant predictors of residual fragments (RF).</p><p><strong>Conclusions: </strong>Pre-stenting for FANS is not mandatory irrespective of stone location and volume. The use of TFL and stone volume significantly influenced SFR, while FANS itself proved highly effective in achieving high SFR.</p>","PeriodicalId":9744,"journal":{"name":"Central European Journal of Urology","volume":"78 1","pages":"85-93"},"PeriodicalIF":1.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12073519/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144076292","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}
引用次数: 0
The relationship between erectile dysfunction and blood urea nitrogen/creatinine and blood urea nitrogen/albumin ratios: A case-control study. 勃起功能障碍与血尿素氮/肌酐和血尿素氮/白蛋白比值的关系:一项病例对照研究。
IF 1.9
Central European Journal of Urology Pub Date : 2025-01-01 Epub Date: 2025-08-31 DOI: 10.5173/ceju.2024.0220
Ahmet Yuce, Ahmet Anil Acet, Erdal Benli, Abdullah Cirakoglu, Ayhan Arslan
{"title":"The relationship between erectile dysfunction and blood urea nitrogen/creatinine and blood urea nitrogen/albumin ratios: A case-control study.","authors":"Ahmet Yuce, Ahmet Anil Acet, Erdal Benli, Abdullah Cirakoglu, Ayhan Arslan","doi":"10.5173/ceju.2024.0220","DOIUrl":"10.5173/ceju.2024.0220","url":null,"abstract":"<p><strong>Introduction: </strong>Blood urea nitrogen (BUN)/creatinine (Cr) and BUN/albumin ratios are used in the evaluation of many diseases that can be associated with ED. The aim of this study was to examine the relationship between ED and BUN/Cr and BUN/albumin ratios and compare them to healthy peers.</p><p><strong>Material and methods: </strong>Total of 1,664 patients diagnosed with ED between January 2020 and August 2024 were accessed and retrospectively examined. Six hundred and seventy-two male patients with IIEF-5 score below 22 and complaining of ED were included in the study. Ninety-six patients without ED complaints were selected as the control group. Control and ED groups were compared in terms of BUN/Cr and BUN/Albumin ratio values and other biochemical and hormonal parameters.</p><p><strong>Results: </strong>BUN/Cr value was calculated as 27.63 ±12.3 in the ED group and 17.52 ±5.1 in the control group (p <0.001). The AUC value of this ratio was calculated as 0.745 and its sensitivity was found to be 32% and specificity was found to be 98%. BUN/albumin ratio was calculated as 6.03 ±5.8 in the ED group and 3.54 ±1.2 in the control group (p <0.001). The AUC value of this ratio was found to be 0.718, its sensitivity was 43% and its specificity was 98%. The BUN/Cr ratio of all ED subgroups was significantly higher than control group, and BUN/albumin value was significantly higher in mild, moderate and severe groups.</p><p><strong>Conclusions: </strong>In this study, it was calculated that the risk of ED was higher in patients with BUN/Cr ratio >33.92 and BUN/albumin ratio >5.80, and both values had high specificity.</p>","PeriodicalId":9744,"journal":{"name":"Central European Journal of Urology","volume":"78 3","pages":"422-428"},"PeriodicalIF":1.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12663802/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145647440","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}
引用次数: 0
The clinical utility of urolithiasis morphology assessment for perioperative stone composition determination. 尿石形态评估在围手术期结石成分测定中的临床应用。
IF 1.9
Central European Journal of Urology Pub Date : 2025-01-01 Epub Date: 2025-08-31 DOI: 10.5173/ceju.2025.0162
Wojciech Tomczak, Katarzyna Grunwald, Klaudia Molik, Joanna Chorbińska, Łukasz Nowak, Jan Łaszkiewicz, Patryk Patrzałek, Mikołaj Przydacz, Magdalena Krajewska, Bartosz Małkiewicz, Tomasz Szydełko, Wojciech Krajewski
{"title":"The clinical utility of urolithiasis morphology assessment for perioperative stone composition determination.","authors":"Wojciech Tomczak, Katarzyna Grunwald, Klaudia Molik, Joanna Chorbińska, Łukasz Nowak, Jan Łaszkiewicz, Patryk Patrzałek, Mikołaj Przydacz, Magdalena Krajewska, Bartosz Małkiewicz, Tomasz Szydełko, Wojciech Krajewski","doi":"10.5173/ceju.2025.0162","DOIUrl":"10.5173/ceju.2025.0162","url":null,"abstract":"<p><strong>Introduction: </strong>Urolithiasis is a highly prevalent disease influenced by a wide range of factors multifactorial etiology results in the formation of urinary stones with diverse mineral compositions. Accurate identification of stone constituents is crucial for effective prevention of recurrence. Gold-standard methods for stone analysis are not always readily available in clinical practice. To address this, Daudon proposed a morphological classification system aimed at identifying stone types based on their surface characteristics. However, existing literature reports suboptimal accuracy of this method, largely due to technical limitations of endoscopic equipment. The primary objective of this study was to evaluate the reliability of morphological assessment in predicting stone mineral composition. Secondary aims included the identification of factors contributing to the consistently poor accuracy reported in previous studies.</p><p><strong>Material and methods: </strong>An online quiz consisting of 20 single-choice questions was developed, each accompanied by a high-resolution image of a urinary stone and five predefined answer options. The reference stone composition for each image was determined using Fourier-transform infrared spectroscopy. Participants' performance was evaluated based on the percentage of correct responses per individual and per question. The results of specialists and residents were compared using the two-proportion Z-test, with statistical significance set at p <0.05.</p><p><strong>Results: </strong>A total of 779 responses were collected, with an overall accuracy rate of 33.7%. The most commonly selected answers were respectively oxalates, phosphates, uric acid, cystine, and infectious stones. Subgroup analysis revealed accuracy rates of 36% among attending physicians and 32% among residents, with no statistically significant difference. Notably, two participants achieved a perfect score (100%), supporting the internal validity of the test.</p><p><strong>Conclusions: </strong>Detailed analysis revealed a wide distribution of scores, ranging from participants with only one correct response to those who completed the quiz with full accuracy. These results suggest that the consistently low diagnostic accuracy reported in the literature is more likely due to limited familiarity and lack of experience with the morphological classification, rather than inherent shortcomings of the system itself. The findings highlight the need for comprehensive endourology training programs focused on improving stone morphology recognition skills.</p>","PeriodicalId":9744,"journal":{"name":"Central European Journal of Urology","volume":"78 3","pages":"401-405"},"PeriodicalIF":1.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12663811/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145647477","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}
引用次数: 0
Measurement and comparison of intrarenal pressures during retrograde intrarenal surgery using novel flexible ureteroscopes with integrated direct in-scope suction: An experimental ex vivo study. 使用新型柔性输尿管镜进行逆行肾内手术时的测量和比较:一项实验性离体研究。
IF 1.9
Central European Journal of Urology Pub Date : 2025-01-01 Epub Date: 2025-08-31 DOI: 10.5173/ceju.2025.0092
Arman Tsaturyan, Begoña Ballesta Martinez, Laurian Dragos, Hakob Sargsyan, Arthur Grabsky, Armen Muradyan, Sergey Fanarjyan, Artak Madatyan, Eugenio Ventimiglia, Angelis Peteinaris, Evangelos Liatsikos, Panagiotis Kallidonis, Steffi Kar Kei Yuen, Vineet Gauhar, Olivier Traxer, Bhaskar Somani, Amelia Pietropaolo
{"title":"Measurement and comparison of intrarenal pressures during retrograde intrarenal surgery using novel flexible ureteroscopes with integrated direct in-scope suction: An experimental <i>ex vivo</i> study.","authors":"Arman Tsaturyan, Begoña Ballesta Martinez, Laurian Dragos, Hakob Sargsyan, Arthur Grabsky, Armen Muradyan, Sergey Fanarjyan, Artak Madatyan, Eugenio Ventimiglia, Angelis Peteinaris, Evangelos Liatsikos, Panagiotis Kallidonis, Steffi Kar Kei Yuen, Vineet Gauhar, Olivier Traxer, Bhaskar Somani, Amelia Pietropaolo","doi":"10.5173/ceju.2025.0092","DOIUrl":"10.5173/ceju.2025.0092","url":null,"abstract":"<p><strong>Introduction: </strong>To evaluate the intrarenal pressure parameters of the 9.2 Fr (5.1 Fr working channel) and 7.5 Fr (3.6 Fr working channel) flexible ureteroscopes with direct-in-scope suction (DISS) in an <i>ex vivo</i> experimental setting.</p><p><strong>Material and methods: </strong>We performed an experimental study using an <i>ex vivo</i> porcine model using two DISS single-use digital videoureteroscopes: a 7.5 Fr PU3033AH and 9.2 Fr PU400A (Pusen, Zhuhai, China). Intrarenal pressures (IRPs) were measured with an automated irrigation pump set at 40, 60, 80, 100 mmHg, manual hand pumping and gravity fed-irrigation, with suction applied continuously and intermittently at 3-second intervals.</p><p><strong>Results: </strong>Higher IRPs were documented when the 9.2 Fr flexible ureteroscope was used compared to the 7.5 Fr scope, regardless of the irrigation setup. The highest IRP (45 mmHg) was documented with the 9.2 Fr scope, using manual pump irrigation and intermittent pumping with no suction. In contrast, the lowest IRP was reported with the 7.5 Fr scope and the automated pump at 40 mmHg. The pressure difference following 1second of suctioning was more pronounced with 9.2 Fr compared to 7.5 Fr. The 9.2 Fr ureteroscope with the 5.1 Fr working channel resulted in significantly shorter time to regain the initial IRP.</p><p><strong>Conclusions: </strong>For the first time in experimental studies we noted that irrigation through a wider 5.1 Fr working channel raises the baseline IRP faster than the classic 3.6 Fr working channel. Although these findings should be further investigated in a clinical setting, they should be taken into consideration to select the optimal strategy, to keep IRP at safe levels, and avoid complications.</p>","PeriodicalId":9744,"journal":{"name":"Central European Journal of Urology","volume":"78 3","pages":"394-400"},"PeriodicalIF":1.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12663809/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145647504","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}
引用次数: 0
Robotic-assisted artificial urinary sphincter implant complicated by ureteric obstruction. 机器人辅助人工尿道括约肌植入并发输尿管梗阻。
IF 1.9
Central European Journal of Urology Pub Date : 2025-01-01 Epub Date: 2025-08-25 DOI: 10.5173/ceju.2025.0088
Tim Brits, Sam Tilborghs, Cindy Mai, Stefan de Wachter
{"title":"Robotic-assisted artificial urinary sphincter implant complicated by ureteric obstruction.","authors":"Tim Brits, Sam Tilborghs, Cindy Mai, Stefan de Wachter","doi":"10.5173/ceju.2025.0088","DOIUrl":"10.5173/ceju.2025.0088","url":null,"abstract":"<p><p>Robotic-assisted surgery is gaining popularity for the implantation of artificial urinary sphincters (AUS) in female patients. We present a case of a 76-year-old woman with refractory stress urinary incontinence. She underwent an uncomplicated robotic-assisted AUS implant. Post activation of the system, she experienced right-sided flank pain and developed urosepsis shortly thereafter. On imaging with an activated system, grade 3 hydro-ureteronephrosis (HUN) was seen. Robotic-assisted revision showed a right-sided ectopic ureter draining towards the bladder neck, which was compressed on activation of the system. A new cuff was successfully placed distal to the orifice with complete continence 3 months after the procedure.</p>","PeriodicalId":9744,"journal":{"name":"Central European Journal of Urology","volume":"78 3","pages":"419-421"},"PeriodicalIF":1.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12663803/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145647507","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}
引用次数: 0
Prostate-specific membrane antigen radioguided surgery in prostate cancer: A narrative review. 前列腺特异性膜抗原放射引导前列腺癌手术:叙述回顾。
IF 1.9
Central European Journal of Urology Pub Date : 2025-01-01 Epub Date: 2025-11-27 DOI: 10.5173/ceju.2025.0121
Piotr Chuchra, Jakub Karwacki, Akihiro Matsukawa, Bartłomiej Borek, Tomasz Rynkiewicz, Omar Tayara, Bartosz Małkiewicz, Paweł Rajwa, Andrzej Paradysz, Marcin Zyczkowski
{"title":"Prostate-specific membrane antigen radioguided surgery in prostate cancer: A narrative review.","authors":"Piotr Chuchra, Jakub Karwacki, Akihiro Matsukawa, Bartłomiej Borek, Tomasz Rynkiewicz, Omar Tayara, Bartosz Małkiewicz, Paweł Rajwa, Andrzej Paradysz, Marcin Zyczkowski","doi":"10.5173/ceju.2025.0121","DOIUrl":"https://doi.org/10.5173/ceju.2025.0121","url":null,"abstract":"<p><strong>Introduction: </strong>Prostate-specific membrane antigen (PSMA) radioguided surgery (RGS) is being tested to personalize lymph node dissection at radical prostatectomy and in the salvage settings.</p><p><strong>Material and methods: </strong>We conducted a narrative review using the MEDLINE database (via PubMed), selecting key publications on the intravenous administration of PSMA to investigate lymph node involvement during surgery.</p><p><strong>Results: </strong>This review provides an overview of the PSMA-RGS methodology and outcomes. The technique demonstrates high specificity, particularly in <i>ex vivo</i> settings, with a median ranging from 93.5% to 100%. However, sensitivity varies widely, with a median range of 50% to 100%, often limited by reduced detection of micrometastases. Detailed preoperative, perioperative, and oncological evaluations are summarized in tables.</p><p><strong>Conclusions: </strong>PSMA-RGS is feasible and safe in both primary and salvage settings. In appropriately selected patients, it may contribute to longer therapy-free survival (36 months) and prolonged biochemical recurrence-free survival (19 months).</p>","PeriodicalId":9744,"journal":{"name":"Central European Journal of Urology","volume":"78 4","pages":"470-482"},"PeriodicalIF":1.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12924063/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147269849","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}
引用次数: 0
Robotic-assisted partial nephrectomy with the Hugo-RAS system: Initial experience, surgical outcomes, and learning-curve assessment. 机器人辅助部分肾切除术与Hugo-RAS系统:初步经验,手术结果和学习曲线评估。
IF 1.9
Central European Journal of Urology Pub Date : 2025-01-01 Epub Date: 2025-11-27 DOI: 10.5173/ceju.2025.0063
Nuno Vinagre, Guilherme Gonçalves, Sofia Mesquita, João Vital, Miguel Marques-Monteiro, Maria Carmo-Pinto, Beatriz Oliveira, Martinha Magalhães, Avelino Fraga, Miguel Silva-Ramos
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引用次数: 0
Robotic retrocaval ureter repair. 机器人腔静脉后输尿管修复。
IF 1.4
Central European Journal of Urology Pub Date : 2025-01-01 Epub Date: 2025-01-28 DOI: 10.5173/ceju.2024.0251
Maxwell Sandberg, Randall Bissette, Ashok Hemal
{"title":"Robotic retrocaval ureter repair.","authors":"Maxwell Sandberg, Randall Bissette, Ashok Hemal","doi":"10.5173/ceju.2024.0251","DOIUrl":"https://doi.org/10.5173/ceju.2024.0251","url":null,"abstract":"","PeriodicalId":9744,"journal":{"name":"Central European Journal of Urology","volume":"78 1","pages":"102"},"PeriodicalIF":1.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12073510/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144074959","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}
引用次数: 0
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