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Urology

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https://www.readbyqxmd.com/read/27894979/-comparison-of-white-light-photodynamic-diagnosis-and-narrow-band-imaging-in-detection-of-carcinoma-in-situ-cis-or-flat-dysplasia-at-transurethral-resection-of-the-bladder-the-dablaca-8-study
#1
Ditte Drejer, Sami Béji, Recep Oezeke, Anna Munk Nielsen, Søren Høyer, Truls Erik Bjerklund Johansen, Gitte W Lam, Jørgen B Jensen
: Photodynamic diagnosis (PDD) and narrow band imaging (NBI) are two different modalities used to improve detection of tumors, carcinoma in situ (CIS) and flat dysplasia compared to white light (WL) cystoscopy. OBJECTIVES: To compare findings in NBI to findings in WL and PDD in a high risk patient population. DESIGN, SETTING, AND PARTICIPANTS: 171 patients were included in the study from four different urological departments in Denmark and Norway...
November 25, 2016: Urology
https://www.readbyqxmd.com/read/27894978/an-arterial-perihepatic-enhancement-caused-by-spontaneous-bladder-rupture
#2
Taku Harada, Yasuhiro Suyama, Yusuke Hiratsuka, Taro Shimizu
Spontaneous bladder rupture (SBR) is a rare but life threatening condition. Its diagnosis is challenging; symptoms might present solely as ascites during onset or with features of frank peritonitis. When SBR causes peritonitis, arterial perihepatic enhancement can be detected on a contrast computed tomography scan. SBR should be suspected when patients have acute abdominal pain and risk factors including previous pelvic irradiation, urethral catheterization, and binge alcohol drinking. We present the first case report of arterial perihepatic enhancement due to SBR...
November 25, 2016: Urology
https://www.readbyqxmd.com/read/27894977/granular-cell-tumor-of-the-bladder-a-rare-neoplasm-managed-with-robotic-partial-cystectomy-using-near-infrared-filter-guidance
#3
Vidhush K Yarlagadda, Daniel G Benson, Jennifer B Gordetsky, Soroush Rais-Bahrami
No abstract text is available yet for this article.
November 25, 2016: Urology
https://www.readbyqxmd.com/read/27894976/comparison-of-the-clinical-outcomes-of-intracytoplasmic-sperm-injection-between-spermatozoa-retrieved-from-testicular-biopsy-and-from-ejaculate-in-cryptozoospermia-patients
#4
Xianfeng Cui, Pan Ding, Ge Gao, Yunshan Zhang
OBJECTIVE: To compare the clinical outcomes of intracytoplasmic sperm injection (ICSI) between spermatozoa retrieved from testicular biopsy and from ejaculate in cryptozoospermia patients. METHODS: The clinical data of 285 cryptozoospermia patients, who underwent ICSI treatment in our center during the period from March 2009 to November 2013, were retrospectively analyzed. Within them, ejaculated sperms were used in 214 cases (group 1) and testicular sperms extracted by testicular sperm aspiration (TESA) or conventional testis dissection sperm extraction (TESE) were used in 71 cases (group 2)...
November 25, 2016: Urology
https://www.readbyqxmd.com/read/27894975/zero-ischemia-nephron-sparing-surgery-using-parenchymal-compression
#5
LETTER
Denis A Cozzi, Silvia Ceccanti, Francesco Cozzi
No abstract text is available yet for this article.
November 25, 2016: Urology
https://www.readbyqxmd.com/read/27894974/ccp-score-might-improve-the-current-risk-assessment-in-newly-diagnosed-prostate-cancer-patients
#6
Marco Oderda, Gabriele Cozzi, Lorenzo Daniele, Anna Sapino, Stefania Munegato, Giuseppe Renne, Ottavio De Cobelli, Paolo Gontero
OBJECTIVE: To assess whether cell-cycle progression (CCP)-score (Prolaris) can improve the current risk assessment in newly diagnosed PCa patients. CCP-score is a well validated prognostic assay predictive of PCa death, biochemical recurrence (BCR) and progression. METHODS: We evaluated CCP-score at biopsy in 52 patients newly diagnosed with PCa who underwent radical prostatectomy. CCP-score was calculated as average RNA expression of 31 CCP genes, normalized to 15 housekeeping genes...
November 25, 2016: Urology
https://www.readbyqxmd.com/read/27890687/revisiting-sports-precautions-in-children-with-solitary-kidneys-and-cakut-congenital-anomalies-of-the-kidney-and-urinary-tract
#7
REVIEW
Dimitri Papagiannopoulos, Edward Gong
This review article explores sports and recreational precautions in children with solitary kidneys. In 2001, the American Academy of Pediatrics published recommendations for activity in children with medical conditions. Those with solitary kidneys were graded a "qualified yes": no restriction in non-contact sports, and individual assessment for limited-contact, contact, and collision sports. Recent trauma data suggests that classification according to degree of contact is inaccurate. We propose an updated, data-driven classification of sports/recreation according to risk of high-grade renal trauma or loss of renal unit...
November 24, 2016: Urology
https://www.readbyqxmd.com/read/27890686/cardiac-and-skeletal-muscles-metastases-from-squamous-cell-carcinoma-of-the-bladder-pet-ct-findings
#8
Luis Gorospe, Ernesto García-Santana, Pablo Jane-Soler, María Del Val Gómez-Martínez, Victoria Gómez-Dos-Santos, Isabel García-Gómez-Muriel, Raquel García-Latorre
We describe the PET/CT findings of a patient who underwent a radical cystectomy six months earlier because of a squamous cell carcinoma of the bladder (SCCB) that presented to the ER with chest pain and palpitations. Cardiac catheterization ruled out coronary artery occlusion, but PET/CT showed multiple FDG-avid lesions involving multiple skeletal muscles and the heart, consistent with metastases. A CT-guided biopsy of one skeletal muscle lesion confirmed a metastasis with the same pathologic features as the SCCB...
November 24, 2016: Urology
https://www.readbyqxmd.com/read/27890685/bilateral-transvesicoscopic-cross-trigonal-ureteric-reimplantation-in-children-surgical-subtleties-and-a-prospective-summary
#9
M S Ansari, Priyank Yadav, Sohrab Arora, Prempal Singh, Virender Sekhon
OBJECTIVE: To prospectively evaluate the surgical technique and results of bilateral transvesicoscopic cross-trigonal ureteric reimplantation (TVUR) in children with vesicoureteric reflux (VUR) and compare the results and surgical subtleties with the existing literature. MATERIALS AND METHODS: From January 2010 to December 2015, children between 2-14 years of age with bilateral primary VUR grade II-IV underwent bilateral TVUR at a tertiary referral centre in Northern India...
November 24, 2016: Urology
https://www.readbyqxmd.com/read/27890684/authors-reply
#10
LETTER
Roberto Iglesias Lopes, Armando J Lorenzo
No abstract text is available yet for this article.
November 24, 2016: Urology
https://www.readbyqxmd.com/read/27890683/the-effect-of-obesity-on-perioperative-outcomes-for-open-and-minimally-invasive-prostatectomy
#11
Scott C Johnson, Vignesh T Packiam, Shay Golan, Andrew J Cohen, Charles U Nottingham, Norm D Smith
OBJECTIVES: To compare the impact of obesity on perioperative outcomes between open radical prostatectomy (ORP) and minimally invasive prostatectomy (MIP). METHODS: Using the National Surgical Quality Improvement Program (NSQIP) public use files for 2008-2013, we identified patients undergoing prostatectomy using current procedural terminology codes. Those without BMI or comorbidity information were excluded. BMI was treated as a categorical variable according to the World Health Organization classification...
November 24, 2016: Urology
https://www.readbyqxmd.com/read/27890682/implementation-of-dynamically-updated-prediction-models-at-the-point-of-care-at-a-major-cancer-center-making-nomograms-more-like-netflix
#12
Andrew J Vickers, Mathew Kent, Peter T Scardino
No abstract text is available yet for this article.
November 24, 2016: Urology
https://www.readbyqxmd.com/read/27890681/continent-anal-urinary-diversion-in-classic-bladder-exstrophy-45-year-experience
#13
Peter Rubenwolf, Christian Hampel, Frederik Roos, Raimund Stein, Sebastian Frees, Joachim W Thüroff, Christian Thomas
OBJECTIVE: To evaluate the long-term outcomes in patients with classic bladder exstrophy (CBE) and continent anal urinary diversion (CAD) for continence, upper urinary tract status, secondary malignancies and sexual function. PATIENTS AND METHODS: The medical records of 82 exstrophy patients having undergone CAD in our department between 1970 and 2015 were reviewed. Patients were invited for follow-up examinations and asked to complete validated questionnaires relating to sexual function...
November 24, 2016: Urology
https://www.readbyqxmd.com/read/27889493/partial-versus-radical-nephrectomy-for-t1-t2-renal-masses-in-the-elderly-comparison-of-complications-renal-function-and-oncologic-outcomes
#14
Julie Y An, Mark W Ball, Michael A Gorin, Jiwon J Hong, Michael H Johnson, Christian P Pavlovich, Mohamad E Allaf, Phillip M Pierorazio
OBJECTIVE: To compare outcomes of partial nephrectomy (PN) and radical nephrectomy (RN) in patients 65 years and older. METHODS: Our institutional renal mass registry was queried for patients 65 and older with solitary cT1-T2 renal mass resected by PN or RN. Clinicopathologic features and perioperative outcomes were compared between groups. Renal function outcomes measured by change in eGFR and freedom from eGFR < 45 ml/minute/1.73m(2) were analyzed. Multvariate Cox proportional hazards models for overall survival (OS) and cancer-specific survival (CSS) were analyzed...
November 23, 2016: Urology
https://www.readbyqxmd.com/read/27889492/surgical-complications-following-early-genitourinary-reconstructive-surgery-for-congenital-adrenal-hyperplasia-interim-analysis-at-6-years
#15
Pankaj Dangle, Andy Lee, Rajeev Chaudhry, Francis X Schneck
OBJECTIVE: To review the intermediate to long-term surgical complications following feminizing reconstructive surgery for patients with congenital adrenal hyperplasia (CAH), at a single tertiary center. Genitourinary reconstructive surgery is pivotal for favorable cosmetic and functional outcome for patients with CAH. MATERIAL AND METHODS: We conducted a retrospective review identifying 26 patients from April 2003 to April 2015 who underwent genitourinary reconstructive surgeries...
November 23, 2016: Urology
https://www.readbyqxmd.com/read/27888151/examining-paediatric-cases-from-the-croes-ureteroscopy-global-study
#16
Selcuk Guven, Abbas Basiri, Anil Kumar Varshney, Ibrahim Atilla Aridogan, Hiroyasu Miura, Mark White, Mehmet Kilinc, Jean de la Rosette
OBJECTIVE: To evaluate the characteristics and outcomes of ureteroscopy (URS) in children treated in several hospitals participating in the Clinical Research Office of the Endourological Society (CROES) Study. Moreover, to present the overall results of pediatric URS compared with adults. SUBJECTS AND METHODS: The CROES Study collected data on consecutive patients treated with URS for urolithiasis at each participating center over a 1-year period. The collected prospective global database includes data for 11,885 patients who received URS at 114 centers in 32 countries...
November 22, 2016: Urology
https://www.readbyqxmd.com/read/27888150/coenzyme-q10-intake-from-foods-and-semen-parameters-in-a-subfertile-population
#17
Bruno C Tiseo, Audrey J Gaskins, Russ Hauser, Jorge E Chavarro, Cigdem Tanrikut
OBJECTIVE: To assess the association between coenzyme Q10 (CoQ10) intake from food sources and semen quality. We assessed this association in a prospective cohort of men attending a fertility clinic. CoQ10 supplementation has been associated with improvements in semen parameters. However, impact of CoQ10 intake from food sources on semen quality has not been investigated. METHODS: Subfertile couples seeking fertility evaluation at the Massachusetts General Hospital Fertility Center were invited to participate in an ongoing study of environmental factors and fertility...
November 22, 2016: Urology
https://www.readbyqxmd.com/read/27888149/in-patients-with-obstructive-azoospermia-testicular-spermatozoa-are-of-better-quality-than-epididymal-spermatozoa
#18
I Hammoud, M Bailly, M Bergere, R Wainer, V Izard, F Vialard, J Selva, F Boitrelle
OBJECTIVE: To assess sperm quality as a function of the sampling site (testis or epididymis) in obstructive azoospermia (OA). MATERIALS AND METHODS: DNA fragmentation rates in spermatozoa sampled from the testis and epididymis (from patients with different aetiologies of OA) were assessed in a dUTP nick end labelling (TUNEL) assay. RESULTS: Twenty-one OA patients were included: 5 had congenital bilateral absence of the vas deferens, 8 had genital tract infections and 8 had idiopathic OA...
November 22, 2016: Urology
https://www.readbyqxmd.com/read/27888148/a-pilot-study-of-a-multimodal-treatment-paradigm-to-accelerate-drug-evaluations-in-early-stage-metastatic-prostate-cancer
#19
Matthew J O'Shaughnessy, Sean M McBride, Hebert Alberto Vargas, Karim A Touijer, Michael J Morris, Daniel C Danila, Vincent P Laudone, Bernard H Bochner, Joel Sheinfeld, Erica S Dayan, Lawrence P Bellomo, Daniel D Sjoberg, Glenn Heller, Michael J Zelefsky, James A Eastham, Peter T Scardino, Howard I Scher
OBJECTIVE: To evaluate a multimodal strategy aimed at treating all sites of disease that provides a rapid readout of success or failure in men presenting with noncastrate metastatic prostate cancers that are incurable with single modality therapy. PATIENTS AND METHODS: Twenty selected men with oligometastatic M1a (extrapelvic nodal disease) or M1b (bone disease) at diagnosis were treated using a multimodal approach that included androgen deprivation, radical prostatectomy plus pelvic lymphadenectomy (retroperitoneal lymphadenectomy in the presence of clinically positive retroperitoneal nodes), and stereotactic body radiotherapy to osseous disease and/or the primary site...
November 22, 2016: Urology
https://www.readbyqxmd.com/read/27884597/prediction-of-competing-mortality-for-decision-making-between-surgery-or-observation-in-elderly-patients-with-t1-kidney-cancer
#20
Alessandro Larcher, Vincent Trudeau, Paolo Dell'Oglio, Zhe Tian, Katharina Boehm, Nicola Fossati, Umberto Capitanio, Alberto Briganti, Francesco Montorsi, Pierre Karakiewicz
OBJECTIVES: To predict of the risk of cancer-specific [CSM] or other-cause mortality [OCM] for T1 kidney cancer patients aiming at identifying those who would benefit from surgery over observation. PATIENTS AND METHODS: 11,192 T1 kidney cancer patients treated with surgery or observation in the SEER-Medicare database were assessed. A competing risk regression [CRR] model was fitted to predict CSM and OCM after surgery or observation. Covariates consisted of age, gender, race, Charlson comorbidity index [CCI], history of acute kidney injury [AKI] or chronic kidney disease [CKD], tumour size and year of diagnosis...
November 21, 2016: Urology
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