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BJU International

Takaaki Inoue, Shinsuke Okada, Shuzo Hamamoto, Takashi Yoshida, Takashi Murota, Tadashi Matsuda
OBJECTIVES: To evaluate the impact of ureteral stent removal by string in comparison with stent removal by cystoscope regarding with the pain at ureteral stent removal, complications, and quality of life as well as self-rated symptoms of patients after ureteroscopy for urolithiasis. PATIENTS AND METHODS: Of 328 patients who underwent ureteroscopy for upper urinary tract stones at our institution, 149 were randomly divided into a ureteral stent removal by string (string group) and by flexible cystoscope (cystoscope group) using gender as a stratification factor...
November 16, 2018: BJU International
D Veneziano, A Canova, M Arnolds, J D Beatty, S C Biyani, F Dehò, C Fiori, G Hellawell, H Langenhuijsen, G Pini, O Rodriguez Faba, G Siena, A Skolarikos, T Tokas, B Van Cleynenbreugel, C Wagner, G Tripepi, B Somani, E Lima
INTRODUCTION AND OBJECTIVES: Assessing performance improvement (Pi) is one of the most important roles of a tutor, but is usually based on subjective observation, personal judgement and expertise. Our study is aimed to evaluate the variability of subjective tutor Pi assessment and to compare it to a novel measurement algorithm: 'the Pi-score' MATERIALS AND METHODS: The Pi-score algorithm considers time measurement and number of errors from two different repetitions (first and fifth) of the same training task and compares them to the relative task goals, to produce an objective score...
November 15, 2018: BJU International
Francesca Kum, Oussama Elhage, Jed Maliyil, Kathie Wong, Nicholas Faure Walker, Meghana Kulkarni, Benjamin Challacombe, Paul Cathcart, Rick Popert
INTRODUCTION: Systematic transperineal (TP) and targeted prostate biopsies can be achieved using a freehand access system through perineal punctures, with the potential for reduced morbidity and enabling the procedure under local anesthesia (LA), particularly sepsis. OBJECTIVES: To evaluate the histopathological outcomes, morbidity and tolerability of freehand TP prostate biopsies using the PrecisionPoint™ access system under local anaesthetic (LA) in the day surgery and outpatient environments...
November 15, 2018: BJU International
Nik Zeps, Ian D Davis, Stephen Mark
No abstract text is available yet for this article.
November 13, 2018: BJU International
Joost M Blok, J Martijn Kerst, Erik Vegt, Oscar R Brouwer, Richard P Meijer, J L H Ruud Bosch, Axel Bex, Henk G van der Poel, Simon Horenblas
OBJECTIVES: To report the long-term results of the sentinel node approach in clinical stage I testicular tumour patients in our facility. PATIENTS AND METHODS: Analysis of 27 consecutive patients suspected of clinical stage I testicular germ cell tumour and treated with a sentinel node procedure at our tertiary referral centre. Sentinel nodes were identified using lymphoscintigraphy with or without single photo emission computed tomography with computed tomography...
November 11, 2018: BJU International
Niranjan J Sathianathen, Christopher A Warlick, Christopher J Weight, Maria A Ordonez, Benjamin Spilseth, Gregory J Metzger, Paari Murugan, Badrinath R Konety
OBJECTIVE: To develop a clinical prediction tool that characterizes the risk of missing significant prostate cancer by omitting systematic biopsy in men undergoing transrectal ultrasound/magnetic resonance imaging (TRUS/MRI) fusion guided biopsy. METHODS: A consecutive sample of men undergoing TRUS/MRI fusion guided biopsy with the UroNav system who also underwent concurrent systematic biopsy were included. By comparing the grade of cancer diagnosed on targeted and systematic biopsy cores, we identified cases where clinically significant disease (Gleason score ≥3+4) was only found on systematic and not targeted cores...
November 11, 2018: BJU International
Benjamin Press, Andrew B Rosenkrantz, Richard Huang, Samir S Taneja
PURPOSE: To determine whether the presence of an ultrasound hypoechoic region at the site of a MRI region of interest (ROI) results in improved prostate cancer (PCa) detection and predicts clinically significant PCa on MRI - ultrasound fusion targeted prostate biopsy (MRF-TB). MATERIALS AND METHODS: Between July 2011 and June 2017, 1058 men who underwent MRF-TB and systematic biopsy by a single surgeon were prospectively entered into an IRB-approved database. MRI ROI were identified and scored for suspicion by a single radiologist...
November 11, 2018: BJU International
Peter B Østergren, Caroline Kistorp, Mikkel Fode, Finn N Bennedbaek, Jens Faber, Jens Sønksen
OBJECTIVES: To compare the metabolic changes between men with advanced prostate cancer commenced on a gonadotropin-releasing hormone (GnRH) agonist and those treated with orchiectomy. PATIENTS AND METHODS: Fifty-eight hormone-naive men with advanced prostate cancer were randomly assigned (1:1) to either subcapsular orchiectomy or triptorelin 22.5 mg/24week depot injections. The participants were followed for 48 weeks, with study visits at baseline, 12, 24 and 48 weeks...
November 2, 2018: BJU International
Eric Chung, Michael Gillman, Derren Rushton, Chris Love, Darren Katz
OBJECTIVE: To evaluate the prevalence of penile curvature and health seeking behaviour in Australian men. PATIENTS AND METHODS: A population-based, cross-sectional anonymous web-based survey was designed and men aged between 35 and 75 across major and rural metropolitan cities across Australia were invited to participate. Respondents were screened for self-reported symptoms of penile curvature and the impact on various psychosexual domains. RESULTS: Of a total of 1,782 men who responded, 333 (19%) men reported a bend or curve in their penis and completed the main section of the questionnaire to address the impact on penile curvature on various psychosexual domains...
November 2, 2018: BJU International
Francesco Porpiglia, Cristian Fiori, Daniele Amparore, Gregor Kadner, Arya Manit, Massimo Valerio, Nicolaas Lumen, Brian Sh Ho, Sergio Alonso, Claude Schulman, Neil Barber
OBJECTIVES: To report the clinical experience with a second generation of temporary implantable nitinol device (iTind; Medi-Tate ltd, Israel) for the treatment of lower urinary tract symptoms (LUTS) due to benign prostatic hyperplasia (BPH) after 1 year of follow up. PATIENTS AND METHODS: 81 patients with LUTS, IPSS ≥10, Qmax < 12 ml/sec, prostate volume <75 ml were enrolled in this prospective REC-approved multi-center study. Main exclusion criteria were haemostatic disorders, post-void residual (PVR) volume >250 mL, obstructive median lobe and previous prostate surgery...
November 1, 2018: BJU International
Mohamad Habous, Simone Giona, Alaa Tealab, Mohammed Aziz, Hammoda Sherif, Osama Abdelwahab, Saleh Binsaleh, David Ralph, Carlo Bettocchi, John P Mulhall, Gordon Muir
INTRODUCTION: A common cause of patient dissatisfaction after penile implant (PI) is caused by patients' perception that surgery has shortened the penis. It has been suggested that stretched penile length preoperatively is almost the same after surgery when the prosthesis is in erect status. However, no comprehensive data supports this theory. This prospective study aimed to investigate penile size measured preoperatively and erect postoperatively. METHODS: Standardised measurements of stretched penile length and girth were performed in theatre before penile prosthesis implantation then re-measured at the end of the procedure with the penis in the erect position...
October 30, 2018: BJU International
Nikoo Aziminia, Marios Hadjipavlou, Yiannis Philippou, Shivkumar S Pandian, Sachin Malde, Mohamed Y Hammadeh
OBJECTIVES: To systematically review the evidence regarding the efficacy of vaccines or immunostimulants in reducing the recurrence rate of urinary tract infections (UTIs). MATERIAL AND METHODS: MEDLINE, EMBASE, PubMed, Cochrane Library, WHO International Clinical Trials Registry Platform Search Portal, and conference abstracts were searched up to January2018 for English-titled citations. Randomised placebo-controlled trials evaluating UTI recurrence rates in adult patients with recurrent UTIs treated with a vaccine were selected by two independent reviewers according to the population, interventions, comparators, and outcomes (PICO) criteria...
October 30, 2018: BJU International
Clement Orczyk, Arnauld Villers, Henry Rusinek, Vincent Lepennec, Céline Bazille, Francesco Giganti, Artem Mikheev, Myriam Bernaudin, Mark Emberton, Audrey Fohlen, Samuel Valable
PURPOSE: To undertake an early proof of concept study on a novel, semi-automated texture-based scoring system in order to enhance the association between MRI lesions and clinically significant cancer. PATIENTS AND METHODS: With ethics approval, 536 imaging volumes were generated from 20 consecutive patients who underwent mpMRI at time of biopsy. Volumes of interest (VOIs) included zonal anatomy segmentation and suspicious MRI lesion for cancer (Likert scale score greater than 2)...
October 30, 2018: BJU International
Anna Collins, Vijaya Sundararajan, Jeremy Millar, Jodie Burchell, Brian Le, Mei Krishnasamy, Sue Anne McLachlan, Peter Hudson, Linda Mileshkin, Jennifer Philip
OBJECTIVES: To describe health service use, symptom and survival characteristics in mPCA in order to outline usual care practices and identify future opportunities to improve the quality of care in this patient group. PATIENTS AND METHODS: This population cohort study, conducted in Victoria, Australia, used 10 years (2000-10) of linked hospital discharge, emergency visit and death registration data to track patients from their first inpatient admission with mPCA until death...
October 29, 2018: BJU International
Jiasian Teh, Stephanie Op't Hoog, Tatenda Nzenza, Catriona Duncan, Judy Wang, Matija Radojcic, Cheng Feng, Nathan Lawrentschuk
INTRODUCTION: Penile cancer is a disease with high morbidity and mortality and is rare in developed countries. In the developing world, the incidence is significantly higher, and accounts for 1-2% of malignant disease in men. Penile cancer is associated with delayed diagnosis, often due to psychological factors. Web based resources are especially important when obtaining information from health professionals is challenging, such as when symptoms are embarrassing or stigmatised. OBJECTIVE: To assess the quality of information about penile cancer on the internet and to compare the quality of information from developed countries with developing countries...
October 29, 2018: BJU International
François-Xavier Nouhaud, Michael Williams, Evyn Arnfield, Marlon Lakmal Perera, Jonathan Cho, Rachel Esler, Geoff Coughlin
OBJECTIVE: To assess the clinical utility of systematic Doppler ultrasonography (DUS) after robot-assisted partial nephrectomy (PN) for the detection of renal artery pseudoaneurysm (PA) and to allow pre-emptive arterial embolization to reduce the postoperative bleeding risk. MATERIALS AND METHODS: A retrospective study was conducted including all consecutive patients treated with robot-assisted PN for renal tumours between 2015 and 2017. Every patient underwent renal DUS in the early postoperative period...
October 29, 2018: BJU International
Ignacio Moncada, Pramod Krishnappa, Javier Romero, Josep Torremade, Agustin Fraile, Juan Ignacio Martinez-Salamanca, Hartmut Porst, Lawrence Levine
OBJECTIVES: To evaluate the efficacy and safety of a new penile traction device (PTD) 'Penimaster PRO' in a group of patients with stable Peyronie's disease (PD) compared to a non-intervention group in a multicentre study trial. MATERIAL AND METHODS: 93 patients with chronic stable PD (without ED, no significant pain, and with a unidirectional curvature of at least 45 degrees being stable for more than 3 months) were recruited and followed for a 12-week period. 47 patients were randomly assigned to 'PeniMaster PRO' group (PG) and 46 assigned to the non-intervention group (NIG)...
October 26, 2018: BJU International
Michael Ordon, Blayne Welk, Daniela Ghiculete, Jason Y Lee, Kenneth T Pace
OBJECTIVE: To determine if patients treated with extracorporeal shockwave lithotripsy (ESWL) are at a greater risk of developing diabetes mellitus (DM) than those treated with ureteroscopy (URS). PATIENTS AND METHODS: A retrospective population-based cohort study was performed of all ESWL and URS stone treatments done in Ontario between January 1994 and March 2014, utilising linked encoded healthcare databases. The primary outcome was the development of DM >90 days after treatment...
October 25, 2018: BJU International
Shu Wang, Xin Zhang, Bo Xiao, Weiguo Hu, Song Chen, Jianxing Li
OBJECTIVES: To evaluate the efficacy and safety of ultrasound guided percutaneous nephrolithotomy (PCNL) in managing upper urinary tract calculi in patients with spinal deformity based on our experience during the last decade. MATERIALS AND METHODS: A retrospective study was conducted on patients with spinal deformity who were admitted to Beijing Tsinghua Changgung Hospital and the collaborative hospitals from August 2004 to August 2017. Patients diagnosed as urolithiasis and underwent ultrasound guided PCNL performed by the same surgeon were included...
October 25, 2018: BJU International
Andrew J Hung, Paul J Oh, Jian Chen, Saum Ghodoussipour, Christianne Lane, Anthony Jarc, Inderbir S Gill
OBJECTIVES: To evaluate automated performance metrics (APMs) and clinical data of experts and super experts for the four cardinal steps of robot-assisted radical prostatectomy (RARP) - bladder neck dissection, pedicle dissection, prostate apex dissection, and the vesico-urethral anastomosis. SUBJECTS AND METHODS: APMs (motion tracking and system events data) and synchronized surgical video were captured during RARP. APMs were compared amongst two experience levels: experts (100-750 cases) and super experts (2100-3500 cases)...
October 25, 2018: BJU International
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