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BJU International

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https://www.readbyqxmd.com/read/28749082/impact-of-warm-ischemia-time-on-postoperative-renal-function-after-partial-nephrectomy-for-clinical-t1-renal-cell-carcinoma-a-propensity-score-matched-study
#1
Hakmin Lee, Byung Do Song, Seok-Soo Byun, Sang Eun Lee, Sung Kyu Hong
OBJECTIVES: To preserve renal function, partial nephrectomy (PN) is recommended to patients with small renal masses. However, controversy still exists as to whether prolonged ischemia time adversely affects the incidence of chronic kidney disease (CKD) after PN. We analyzed the effect of prolonged warm ischemia time (WIT) on long-term renal function following PN. MATERIALS AND METHODS: We reviewed data from 1,816 patients who underwent PN for clinical T1 renal tumor...
July 27, 2017: BJU International
https://www.readbyqxmd.com/read/28749070/diagnostic-accuracy-of-magnetic-resonance-imaging-mri-5-point-likert-scoring-system-evaluated-by-the-result-of-mri-ultrasonography-image-fusion-targeted-biopsy-of-the-prostate
#2
Toshitaka Shin, Thomas B Smyth, Osamu Ukimura, Nariman Ahmadi, Andre Luis de Castro Abreu, Chisato Ohe, Masakatsu Oishi, Hiromitsu Mimata, Inderbir S Gill
OBJECTIVE: To evaluate the accuracy of MRI based Likert scoring system in detection of clinically significant prostate cancer (CSPC) using MRI/Ultrasonography (US) image-fusion targeted biopsy (FTB) as a reference standard. PATIENTS AND METHODS: We retrospectively reviewed 1218 MRI-lesions in 629 patients who underwent subsequent MRI/US FTB between 10/2012 and 8/2015. 3-Tesla MRI was independently reported by 1 of 8 radiologists with varying levels of experience and scored on a 5-point Likert scale...
July 27, 2017: BJU International
https://www.readbyqxmd.com/read/28749068/trifecta-outcomes-of-robot-assisted-partial-nephrectomy-in-solitary-kidney-a-vattikuti-collective-quality-initiative-vcqi-database-analysis
#3
Sohrab Arora, Ronney Abaza, James M Adshead, Rajesh K Ahlawat, Benjamin J Challacombe, Prokar Dasgupta, Giorgio Gandaglia, Daniel A Moon, T B Yuvaraja, Umberto Capitanio, Alessandro Larcher, Francesco Porpiglia, James R Porter, Alexander Mottrie, Mahendra Bhandari, Craig Rogers
OBJECTIVES: To analyze the outcomes of robot-assisted partial nephrectomy (RAPN) in patients with a solitary kidney in a large multi-institutional database. PATIENTS AND METHODS: A total of 2755 patients in the Vattikuti Collective Quality Initiative database underwent RAPN by 22 surgeons at 14 centers in nine 9 countries. Out of these patients, 74 underwent RAPN in solitary kidney between 2007 and 2016. A retrospective analysis of the functional and oncological outcomes was performed...
July 27, 2017: BJU International
https://www.readbyqxmd.com/read/28749039/ventral-onlay-buccal-mucosa-graft-substitution-urethroplasty-for-urethral-stricture-in-females
#4
Bashir M B Mukhtar, Marco Spilotros, Sachin Malde, Tamsin J Greenwell
OBJECTIVE: To present our outcomes of ventral-onlay buccal mucosa graft substitution urethroplasty (VOBMGSU) in treating female urethral stricture (FUS). PATIENTS AND METHODS: A review of a prospectively collected database of 22 consecutive women (median age 50 years, range 34-72) with urethral stricture having VOBMGSU since June 2012 and a minimum follow up of 6 months (median 21.5, range 6-51). Data was analysed for stricture recurrence, change in median peak free flow rate (Qmax) and median post-void residuals (PVR)...
July 27, 2017: BJU International
https://www.readbyqxmd.com/read/28749035/comparison-between-target-mri-in-gantry-and-cognitive-target-transperineal-or-transrectal-guided-prostate-biopsies-for-pirads-3-5-mri-lesions
#5
A J Yaxley, J W Yaxley, I Thangasamy, E Ballard, M Pokorny
OBJECTIVE: To compare the detection rates of prostate cancer in men with PIRADS 3-5 abnormalities on 3T mpMRI using in-bore MRI guided biopsy (MRGB) compared to cognitively directed transperineal biopsy (cTP) and transrectal (cTRUS). METHODS: This is a retrospective single centre study of consecutive men attending the private practice clinic of an experienced urologist performing MRGB and an experienced urologist performing cTP and cTRUS biopsy techniques for PIRADS 3-5 lesions identified on 3T mpMRI...
July 27, 2017: BJU International
https://www.readbyqxmd.com/read/28749017/large-institutional-variations-in-androgen-deprivation-therapy-utilization-with-definitive-radiotherapy-in-a-population-based-cohort-of-men-with-intermediate-and-high-risk-prostate-cancer
#6
Wee Loon Ong, Farshad Foroudi, Sue Evans, Jeremy Millar
OBJECTIVE: To evaluate the pattern of androgen deprivation therapy (ADT) utilization with definitive radiotherapy (RT) in men with prostate cancer (CaP) in a population-based study in Australia PATIENTS AND METHODS: This is a prospective cohort of men with intermediate and high-risk CaP captured in the population-based Prostate Cancer Outcome Registry Victoria (PCOR-Vic) treated with definitive prostate RT between January 2010 and December 2015. The primary outcome of interest is ADT utilization...
July 27, 2017: BJU International
https://www.readbyqxmd.com/read/28734080/transumbilical-laparoendoscopic-single-site-radical-prostatectomy-and-cystectomy-with-the-aid-of-transurethral-port-a-feasibility-study
#7
Jian Su, Qingyi Zhu, Lin Yuan, Yang Zhang, Qingling Zhang, Yunfei Wei
OBJECTIVE: Our aim was to describe the surgical technique and report early outcomes of transurethral assisted laparoendoscopic single-site radical prostatectomy (LESS-RP) and cystectomy (LESS-RC) in a single institution. MATERIALS AND METHODS: Between December 2014 and March 2016, 114 cases were performed LESS-RP and LESS-RC, including LESS-RP (n=68), LESS-RC with cutaneous ureterostomy (LESS-RC/CU) (n=38) and LESS-RC with orthotopic ileal neobladder (LESS-RC/OIN) (n=8)...
July 22, 2017: BJU International
https://www.readbyqxmd.com/read/28719043/implementation-rates-of-uro-oncology-multi-disciplinary-meeting-decisions
#8
Ned Kinnear, Riley Smith, Derek B Hennessey, Damien Bolton, Shomik Sengupta
OBJECTIVES: To assess implementation rates of the consensus plans made at the uro-oncology multidisciplinary meeting (MDM) of an Australian tertiary centre, and analyse obstacles to implementation. METHODS: A retrospective review was performed of all patients discussed at the uro-oncology MDM at our institution between 1 January to 30 June 2015. Rates of referral for MDM discussion following a new histological diagnosis of malignancy, categorised by tumour type, were assessed...
July 18, 2017: BJU International
https://www.readbyqxmd.com/read/28710901/baseline-and-longitudinal-plasma-caveolin-1-level-as-a-biomarker-in-active-surveillance-for-early-stage-prostate-cancer
#9
Spyridon P Basourakos, John W Davis, Brian F Chapin, John F Ward, Curtis A Pettaway, Louis L Pisters, Neema Navai, Mary F Achim, Xuemei Wang, Hsiang-Chun Chen, Seungtaek Choi, Deborah Kuban, Patricia Troncoso, Sam Hanash, Timothy C Thompson, Jeri Kim
OBJECTIVES: To evaluate the role of caveolin-1 as a predictor of disease reclassification in men with early prostate cancer undergoing active surveillance. PATIENTS AND METHODS: We analyzed archived plasma samples prospectively collected from men with early prostate cancer in a single-institution active surveillance study. Of 825 patients enrolled, 542 had 1 or more years of follow-up. Baseline and longitudinal plasma caveolin-1 levels were measured using an enzyme-linked immunosorbent assay...
July 15, 2017: BJU International
https://www.readbyqxmd.com/read/28710895/erectile-function-after-stereotactic-body-radiotherapy-for-localized-prostate-cancer
#10
Robert T Dess, Holly E Hartman, Nima Aghdam, William C Jackson, Payal D Soni, Ahmed E Abugharib, Simeng Suy, Neil B Desai, Zachary S Zumsteg, Rohit Mehra, Todd M Morgan, Felix Y Feng, Daniel A Hamstra, Matthew J Schipper, Sean P Collins, Daniel E Spratt
OBJECTIVE: To elucidate the functional erection rate following prostate stereotactic body radiotherapy (SBRT) and to develop a comprehensive prognostic model of outcomes following treatment. PATIENTS AND METHODS: Between 2008 and 2013, 373 consecutive men with localized prostate cancer were treated with SBRT at a single academic institution as part of a prospective clinical trial or prospective registry. Prospective longitudinal patient-reported quality of life (HRQOL) was collected using the Expanded Prostate Cancer Index Composite (EPIC-26)...
July 15, 2017: BJU International
https://www.readbyqxmd.com/read/28710888/chronic-spinal-cord-injury-causes-up-regulation-of-serotonin-5-ht-2a-and-2c-receptors-in-lumbosacral-cord-motoneurons
#11
Nailong Cao, Jianshu Ni, Xiaohu Wang, Hongjian Tu, Baojun Gu, Jiemin Si, Gang Wu, Karl-Erik Andersson
OBJECTIVES: To explore if the mechanism of the voiding dysfunction caused by spinal cord injury in rats can be improved by intravenous administration of the 5-HT2A/2C receptor agonist, DOI, and discuss whether it can be ascribed to serotonin 2A and 2C receptor up-regulation in lumbosacral cord motoneurons. MATERIALS AND METHODS: Female Sprague-Dawley rats were used, which were divided into two groups (Spinal cord injury group VS Normal control group). Under urethane anesthesia, cystometry was performed to examine the variation of urodynamic parameters before and after successive intrathecal administration of various doses of DOI into the lumbosacral cord...
July 15, 2017: BJU International
https://www.readbyqxmd.com/read/28710845/chitosan-membranes-application-on-the-prostatic-neurovascular-bundles-following-robot-assisted-radical-prostatectomy-a-phase-ii-study
#12
F Porpiglia, R Bertolo, C Fiori, M Manfredi, S De Cillis, S Geuna
OBJECTIVE: To evaluate the feasibility and the safety of the application of chitosan membranes on the neuro-vascular bundles after nerve-sparing Robot-Assisted Radical Prostatectomy (RARP). The secondary aim of the study was to report preliminary data and more particularly potency recovery data. MATERIALS AND METHODS: Single-center, single-arm prospective study. Enrolment from July 2015 to September 2016 of all patients with localized prostate cancer scheduled for RARP with IIEF-5 score > 17 after San Luigi Gonzaga Hospital Ethics Committee (Orbassano) approval (80/2015) and patient's acceptance...
July 15, 2017: BJU International
https://www.readbyqxmd.com/read/28710786/comparison-of-perioperative-and-functional-outcomes-of-robotic-partial-nephrectomy-for-ct1a-versus-ct1b-renal-masses
#13
Christopher R Reynolds, Joan C Delto, David Paulucci, Corey Weinstein, Ketan Badani, Daniel Eun, Ronney Abaza, James Porter, Akshay Bhandari, Ashok Hemal
OBJECTIVES: To compare perioperative and functional outcomes of patients with cT1a or cT1b renal masses undergoing robotic partial nephrectomy in a large multi-institutional study. PATIENTS AND METHODS: The present retrospective IRB approved multi-institutional study utilized a prospectively maintained database to identify patients undergoing robotic partial nephrectomy by 6 surgeons for a solitary cT1a (n=1307) or cT1b (n=377) renal mass from 2006 to 2016. Perioperative and renal function outcomes at discharge and median follow-up of 12...
July 15, 2017: BJU International
https://www.readbyqxmd.com/read/28710780/sleep-disorders-in-patients-with-erectile-dysfunction
#14
O Kalejaiye, Amr Abdel Raheem, A Moubasher, M Capece, S McNeillis, A Muneer, N Christopher, G Garaffa, D Ralph
OBJECTIVES: To assess the prevalence of OSA in men presenting with ED at a single centre. SUBJECTS AND METHODS: All men attending a specialised andrology outpatient department with a new diagnosis of erectile dysfunction were included in this prospective study. All patients completed 3 questionnaires: International Index of Erectile Function (IIEF) and 2 sleep questionnaires. The sleep questionnaires used were the 'OSA screening' questionnaire and the Insomnia severity index'...
July 15, 2017: BJU International
https://www.readbyqxmd.com/read/28692204/the-new-generation-super-mini-percutaneous-nephrolithotomy-smp-system-a-step-by-step-guide
#15
Guohua Zeng, Wei Zhu, Yang Liu, Junhong Fan, Zhijian Zhao, Chao Cai
OBJECTIVE: To present our novel miniaturized endoscopic system and describe a step-by-step guide for successful implementation of the super-mini percutaneous nephrolithotomy (SMP). METHODS: The new-generation SMP endoscopic system consists of (i) a 40,000-pixel super-mini nephroscope with an 8.0 F outer diameter and 7.5 F inner diameter dismountable sheath (ii) and a newly designed irrigation-suction sheath available in either 12 F or 14 F. The irrigation-suction sheath is a two-layered metal structure...
July 10, 2017: BJU International
https://www.readbyqxmd.com/read/28688143/first-line-vascular-endothelial-growth-factor-inhibitors-for-metastatic-renal-cell-carcinoma-and-the-impact-of-new-agents-entering-the-treatment-paradigm
#16
LETTER
Rohit Jain, Saby George
Clinical trials assessing the safety and efficacy of new therapies versus standard of care (SOC) for advanced RCC (aRCC), which includes locally advanced and metastatic RCC (mRCC), are ongoing. The current first-line standards of care for the treatment of aRCC with clear cell histology are the vascular endothelial growth factor receptor (VEGFR) tyrosine kinase inhibitors (TKIs) sunitinib and pazopanib[1,2]. This article is protected by copyright. All rights reserved.
July 8, 2017: BJU International
https://www.readbyqxmd.com/read/28672077/urological-complications-learning-from-the-past-and-preparing-for-the-future
#17
LETTER
Nick Simson, Thomas Stonier, Ben J Challacombe
Historically, the medical profession has been poor at discussing adverse events. A defensive, closed culture existed for many years, culminating in wide scale loss of public trust. Numerous NHS scandals have emerged, uncovering a culture with little transparency. Thankfully, via lessons from the aviation industry, we have made great strides in the way we discuss and learn from complications, but there remains room for improvement. Classification of complications via the Clavien-Dindo system has allowed surgeons to compare themselves to others more accurately...
July 3, 2017: BJU International
https://www.readbyqxmd.com/read/28670865/robotic-radical-perineal-cystectomy-and-extended-pelvic-lymphadenectomy-initial-investigation-using-a-purpose-built-single-port-robotic-system
#18
Matthew J Maurice, Jeremy Reese, Jihad H Kaouk
OBJECTIVES: To assess the feasibility of perineal radical cystoprostatectomy using the latest generation purpose-built single-port robotic surgical system. MATERIALS AND METHODS: In two male cadavers, the da Vinci SP1098 Surgical System was used to perform radical cystoprostatectomy and bilateral extended pelvic lymphadenectomy. New features in this model include enhanced high-definition three-dimensional optics, improved instrument maneuverability, and a real-time instrument tracking and guideance system...
July 3, 2017: BJU International
https://www.readbyqxmd.com/read/28670842/long-term-oncological-outcomes-and-toxicity-in-597-men-%C3%A2-60-years-of-age-at-time-of-low-dose-rate-brachytherapy-for-localised-prostate-cancer
#19
Stephen E M Langley, Ricardo Soares, Jennifer Uribe, Santiago Uribe-Lewis, Julian Money-Kyrle, Carla Perna, Sara Khaksar, Robert Laing
OBJECTIVES: To report oncological and functional outcomes of men treated with low dose rate (LDR) prostate brachytherapy who were 60 years old or younger at time of treatment. PATIENTS AND METHODS: Of 3,262 patients treated with LDR brachytherapy at our centre up to June 2016, we retrospectively identified 597 patients ≤60 years at treatment with at least three years post-implant follow-up and four PSA measurements of which one was the baseline. Overall disease-specific and relapse-free survival were analysed together with prospectively collected physician reported adverse events and patient reported symptom scores...
July 3, 2017: BJU International
https://www.readbyqxmd.com/read/28670786/comparative-assessment-of-efficacy-of-onabotulinumtoxina-and-oral-therapies-anticholinergics-and-mirabegron-for-overactive-bladder-a-systematic-review-and-network-meta-analysis
#20
REVIEW
Marcus J Drake, Victor W Nitti, David A Ginsberg, Benjamin M Brucker, Zsolt Hepp, Rachael McCool, Julie M Glanville, Kelly Fleetwood, Daniel James, Christopher R Chapple
OBJECTIVES: To compare the efficacy of onabotulinumtoxinA, mirabegron, and anticholinergics in adults with idiopathic overactive bladder (OAB) using network meta-analysis (NMA). SUBJECTS AND METHODS: Information sources were searched for randomized blinded controlled trials, of at least 2 weeks duration, comparing any dose of onabotulinumtoxinA, eligible oral/transdermal anticholinergics, or mirabegron, with each other or placebo, in adults with OAB. Bayesian random-effects models were used to synthesize the results at week 12: NMA for responder analyses and network meta-regression (NMR) for change from baseline analyses...
July 3, 2017: BJU International
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