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Urologia Internationalis

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https://www.readbyqxmd.com/read/28531902/evaluation-of-prostate-imaging-reporting-and-data-system-classification-in-the-prediction-of-tumor-aggressiveness-in-targeted-magnetic-resonance-imaging-ultrasound-fusion-biopsy
#1
Angelika Borkowetz, Ivan Platzek, Marieta Toma, Theresa Renner, Roman Herout, Martin Baunacke, Michael Laniado, Gustavo B Baretton, Michael Froehner, Stefan Zastrow, Manfred P Wirth
OBJECTIVES: The study aimed to evaluate the prediction of Prostate Imaging Reporting and Data System (PI-RADS) with respect to the prostate cancer (PCa) detection rate and tumor aggressiveness in magnetic resonance imaging (MRI)/ultrasound-fusion-biopsy (fusPbx) and in systematic biopsy (sysPbx). MATERIALS AND METHODS: Six hundred and twenty five patients undergoing multiparametric MRI were investigated. MRI findings were classified using PI-RADS v1 or v2. All patients underwent fusPbx combined with sysPbx (comPbx)...
May 23, 2017: Urologia Internationalis
https://www.readbyqxmd.com/read/28514776/predictive-factors-for-developing-venous-thrombosis-during-cisplatin-based-chemotherapy-in-testicular-cancer
#2
Isabel Heidegger, Daniel Porres, Nica Veek, Axel Heidenreich, David Pfister
BACKGROUND: Malignancies and cisplatin-based chemotherapy are both known to correlate with a high risk of venous thrombotic events (VTT). In testicular cancer, the information regarding the incidence and reason of VTT in patients undergoing cisplatin-based chemotherapy is still discussed controversially. Moreover, no risk factors for developing a VTT during cisplatin-based chemotherapy have been elucidated so far. PATIENTS AND METHODS: We retrospectively analyzed 153 patients with testicular cancer undergoing cisplatin-based chemotherapy at our institution for the development of a VTT during or after chemotherapy...
May 18, 2017: Urologia Internationalis
https://www.readbyqxmd.com/read/28494441/different-successful-management-strategies-for-obstructing-renal-parapelvic-cysts
#3
Sabrina H Rossi, Brendan Koo, Antony Riddick, Nimish Shah, Grant D Stewart
Parapelvic cysts originate in the renal parenchyma and extend into the renal sinus. A series of 3 patients with symptomatic obstructing parapelvic cysts is described, 2 with acute presentations, and 1 with chronic symptoms. In 2 of the 3 cases, there was a significant delay in establishing a diagnosis. Although one individual was successfully managed by image-guided cyst aspiration, the second patient required repeated aspiration due to cyst re-accumulation. A high index of clinical suspicion and a combination of imaging modalities, including serial ultrasound, excretory-phase CT, and MAG3 renogram, are necessary to establish the diagnosis and monitor response to treatment...
May 12, 2017: Urologia Internationalis
https://www.readbyqxmd.com/read/28490036/fractured-penis-not-so-rare
#4
Ashwin S Tamhankar, Prakash W Pawar, Ajit S Sawant, Gaurav V Kasat, Abhishek Savaliya, Shankar Mundhe, Sunil Patil, Sayalee Narwade
INTRODUCTION: Penile fracture is a relatively common phenomenon. The main problem associated with this condition is the lack of patients' awareness on the urgency of the situation. This study reports the different modes of presentations and treatment results. MATERIALS AND METHODS: We reviewed 21 cases of penile fracture over 5 years. Parameters were mode of injury, age group, time interval before presentation, management, site of injury, urethral involvement, results, complications and erectile function at follow-up...
May 11, 2017: Urologia Internationalis
https://www.readbyqxmd.com/read/28486233/renal-autotransplantation-with-autologous-saphenous-vein-graft-in-a-patient-with-takayasu-arteritis-and-existing-renal-artery-stent-in-her-solitary-kidney
#5
Hakan Bahadir Haberal, Senol Tonyali, Bora Peynircioğlu, Mustafa Arici, Metin Demircin, Fazıl Tuncay Aki
Takayasu arteritis is a disease that results in the granulomatous inflammation of large vessel walls. Takayasu arteritis is generally observed in young females during the second or third decades of life. This disease is treated by the revascularization of the affected organs either by surgery or by endovascular interventions. In this study, we present a case where renal autotransplantation was performed on a lady with an autologous saphenous vein graft subsequent to numerous previous endovascular interventions for her solitary kidney due to Takayasu arteritis-induced renal artery stenosis...
May 10, 2017: Urologia Internationalis
https://www.readbyqxmd.com/read/28486228/clinical-factors-predicting-bilateral-lymph-node-invasion-in-high-risk-prostate-cancer
#6
Antonio Benito Porcaro, Nicolò De Luyk, Paolo Corsi, Marco Sebben, Alessandro Tafuri, Tania Processali, Daniele Mattevi, Marco Pirozzi, Maria Angela Cerruto, Nelia Amigoni, Riccardo Rizzetto, Matteo A Brunelli, Filippo Migliorini, Salvatore Siracusano, Walter Artibani
BACKGROUND: In high-risk prostate cancer (HR-PCA), it is important to consider the factors associated with extensive lymph node invasion (LNI) before planning treatment methods. OBJECTIVE: To investigate clinical predictors of bilateral LNI in HR-PCA. MATERIALS AND METHODS: The study evaluated 261 consecutive patients who underwent radical prostatectomy with extended pelvic lymph node dissection. The multivariate multinomial logistic regression model was computed...
May 10, 2017: Urologia Internationalis
https://www.readbyqxmd.com/read/28482350/does-transfer-capacitive-resistive-energy-has-a-therapeutic-effect-on-peyronie-s-disease-randomized-single-blind-sham-controlled-study-on-96-patients-fast-pain-relief
#7
Carlo Pavone, Salvatore Romeo, Francesco D'Amato, Manuela Usala, Giulia Letizia Mauro, Giovanni Caruana
Background/Aims/Objectives: We have investigated the clinical and physiological effects of Transfer Capacitive Resistive Energy (TCARE) therapy on men with Peyronie's disease (PD). METHODS: Ninety-six men with PD have been randomized in a 2:1 ratio to receive 3 sessions of TCARE therapy or sham therapy. Pain, penile curvature and erectile function have been assessed before the first treatment and up to 9 months after the end of treatment, using the Visual Analogue Scale for the pain, a goniometer to measure the degree of curvature using at-home photography and an International Index of Erectile Function (IIEF-5) questionnaire...
May 9, 2017: Urologia Internationalis
https://www.readbyqxmd.com/read/28478446/the-impact-of-duration-of-complaints-on-successful-outcome-of-sacral-neuromodulation
#8
Ranjana Jairam, Jamie Drossaerts, Gommert van Koeveringe, Philip van Kerrebroeck
OBJECTIVES: The study aimed to evaluate whether the duration of complaints in patients with overactive bladder syndrome or non-obstructive urinary retention predicts the outcome of sacral neuromodulation (SNM). METHODS: All patients that underwent a SNM test period evaluation between 2011 and 2014, were included in this study. The duration of complaints was listed in 3 categories: (a) 0-5 years, (b) 5-10 years and (c) 10 years or longer. Analyses with chi square tests were performed to evaluate whether the duration of complaints are associated with outcome of SNM...
May 6, 2017: Urologia Internationalis
https://www.readbyqxmd.com/read/28472804/evaluation-with-decision-trees-of-efficacy-and-safety-of-semirigid-ureteroscopy-in-the-treatment-of-proximal-ureteral-calculi
#9
Eyup Burak Sancak, Muhammet Fatih Kılınç, Sait Can Yücebaş
PURPOSE: The decision on the choice of proximal ureteral stone therapy depends on many factors, and sometimes urologists have difficulty in choosing the treatment option. This study is aimed at evaluating the factors affecting the success of semirigid ureterorenoscopy (URS) using the "decision tree" method. MATERIALS AND METHODS: From January 2005 to November 2015, the data of consecutive patients treated for proximal ureteral stone were retrospectively analyzed...
May 5, 2017: Urologia Internationalis
https://www.readbyqxmd.com/read/28427078/a-case-of-adult-metastatic-rhabdomyosarcoma-of-the-prostate-cured-by-long-term-chemotherapy-with-local-radiation
#10
Masato Konno, Koji Mitsuzuka, Shigeyuki Yamada, Shinichi Yamashita, Yasuhiro Kaiho, Akihiro Ito, Mika Watanabe, Yoichi Arai
A 32-year-old man visited our hospital due to urinary retention. Prostate-specific antigen was 13.7 ng/mL. Imaging examinations showed a large prostatic tumor and lung and internal iliac lymph node metastases. Transrectal biopsy confirmed embryonal rhabdomyosarcoma of the prostate classified as cT2bN1M1 (stage IV) by the International Rhabdomyosarcoma Study (IRS) Group staging system. Systemic chemotherapy was started according to the IRS III regimen 36, which consisted of 16 weeks of induction chemotherapy with radiation...
April 21, 2017: Urologia Internationalis
https://www.readbyqxmd.com/read/28407634/minimally-invasive-approach-for-treatment-of-seminal-vesicle-cyst-associated-with-ipsilateral-renal-agenesis
#11
Eyal Kord, Amnon Zisman, Abd Elhalim Darawsha, Nasib Dally, Paul H Noh, Amos Neheman
OBJECTIVES: We reviewed the clinical presentation and approach for the treatment of symptomatic seminal vesicle cyst associated with ipsilateral renal agenesis while presenting our experience with a series of 5 patients treated with minimally invasive surgery for Zinner syndrome. MATERIALS AND METHODS: Between the years 2008 and 2016, we operated on 5 patients who presented with symptomatic seminal vesicle cyst and ipsilateral renal agenesis. Patients' charts and medical records were reviewed and compared with past published minimally invasive series...
April 14, 2017: Urologia Internationalis
https://www.readbyqxmd.com/read/28407628/super-selective-artery-embolization-before-laparoscopic-partial-nephrectomy-in-treating-renal-angiomyolipoma
#12
Chao Qin, YiChun Wang, Pengchao Li, Pu Li, Jun Tao, Pengfei Shao, Qiang Lv
INTRODUCTION: To investigate the feasibility and efficiency of super-selective artery embolization (SAE) before laparoscopic partial nephrectomy (LPN) in treating renal angiomyolipoma (RAML). MATERIALS AND METHODS: A retrospective analysis was conducted on 36 consecutive patients who underwent SAE before LPN (group A, n = 16) or LPN directly (group B, n = 20) from June 2010 to March 2016. Intraoperative blood loss, blood transfusion, operation time, warm ischemia time (WIT), and prognosis were compared between groups...
April 14, 2017: Urologia Internationalis
https://www.readbyqxmd.com/read/28395285/characteristics-of-prostate-cancer-by-opportunistic-screening-in-korean-men-with-a-prostate-specific-antigen-level-less-than-4-0-ng-per-milliliter
#13
Hoon Choi, Seok Cho, Jae Hyun Bae, Sang Eun Lee, Sung Kyu Hong, Du Geon Moon, Jun Cheon, Seok-Soo Byun, Jae Young Park
Background/Aims/Objectives: We studied the detection rate of prostate cancer (PCa) among Korean men with a prostate-specific antigen (PSA) level of less than 4.0 ng/mL. METHODS: A total of 1,680 men with PSA ≤4 ng/mL had a prostate biopsy from January 2004 to December 2014. The differences in clinical factors were analyzed and their independent predictive implications were evaluated. RESULTS: PCa was diagnosed in 331 (19.6%) and 99 of these 331 cancers (14.9%) had a Gleason score of 7 or higher...
April 11, 2017: Urologia Internationalis
https://www.readbyqxmd.com/read/28391284/gleason-score-within-prostate-abnormal-areas-defined-by-multiparametric-magnetic-resonance-imaging-did-not-vary-according-to-the-pirads-score
#14
Hakim Slaoui, Yann Neuzillet, Tarek Ghoneim, Mathieu Rouanne, Abdelali Abdou, Pierre Marie Lugagne-Delpon, Antoine Scherrer, Camelia Radulescu, Christian Delancourt, Vincent Molinié, Thierry Lebret
BACKGROUND: We aim to correlate multiparametric magnetic resonance imaging (mpMRI) of the prostate reporting (Prostate Imaging Reporting and Data System [PI-RADS] version 2) with the Gleason score into both radical prostatectomy (RP) specimen and MRI fusion-targeted biopsies (FTB). METHODS: mpMRI of 74 patients who underwent an RP after FTB were retrospectively reviewed. The Gleason score distribution was compared according to the PI-RADS score using the Kruskal-Wallis test...
April 8, 2017: Urologia Internationalis
https://www.readbyqxmd.com/read/28384637/dose-dutasteride-reduce-surgical-blood-loss-for-benign-prostatic-hyperplasia-patients-more-information-is-needed
#15
Zheng-Yan Gao
No abstract text is available yet for this article.
April 7, 2017: Urologia Internationalis
https://www.readbyqxmd.com/read/28380492/comparison-of-monopolar-and-bipolar-transurethral-resection-of-non-muscle-invasive-bladder-cancer
#16
Melih Balci, Altug Tuncel, Tanju Keten, Ozer Guzel, Utku Lokman, Ersin Koseoglu, Yilmaz Aslan, Ali Atan
OBJECTIVE: We aimed to compare the safety and efficacy of monopolar and bipolar transurethral resection (TUR) of bladder tumors (TURBTs). MATERIAL AND METHODS: A total of 240 patients who underwent TURBT were prospectively included in the study from May 2011 to May 2014. All patients with suspected bladder tumors were eligible for study inclusion. Those who refused consent and those undergoing routine restaging TURBT were excluded from analysis. Patients were divided on the basis of the monopolar arm and the bipolar arm...
April 6, 2017: Urologia Internationalis
https://www.readbyqxmd.com/read/28380483/off-clamp-versus-on-clamp-robotic-partial-nephrectomy-a-multicenter-match-paired-case-control-study
#17
Benoit Peyronnet, Zine-Eddine Khene, Benjamin Pradère, Thomas Seisen, Grégory Verhoest, Alexandra Masson-Lecomte, Yohann Grassano, Mathieu Roumiguié, Jean-Baptiste Beauval, Hervé Baumert, Stéphane Droupy, Nicolas Doumerc, Jean-Christophe Bernhard, Christophe Vaessen, Franck Bruyère, Alexandre de la Taille, Morgan Rouprêt, Karim Bensalah
INTRODUCTION: The aim of this study was to compare the outcomes of on-clamp and off-clamp robotic partial nephrectomy (RPN). MATERIALS AND METHODS: The charts of all patients who underwent an RPN at 8 institutions between 2010 and 2014 were retrospectively reviewed. The patients who underwent an off-clamp RPN were matched to on-clamp RPN in a 1-4 fashion according to the following variables: RENAL score, tumor size and surgeon's experience. Pre-, intra-, and postoperative data were compared between both groups...
April 6, 2017: Urologia Internationalis
https://www.readbyqxmd.com/read/28355603/glomerular-morphology-and-renal-function-after-warm-ischemia-by-main-artery-or-selective-clamping-in-a-porcine-model
#18
Gustavo R Bechara, José A Damasceno-Ferreira, Leonardo A S Abreu, Waldemar S Costa, Francisco J B Sampaio, Marco A Pereira-Sampaio, Diogo B de Souza
OBJECTIVE: The study aimed to evaluate the ischemic and non-ischemic areas after selective arterial occlusion by using stereological analysis of glomeruli, and to compare them with main arterial clamping and sham-operated animals. MATERIALS AND METHODS: Twenty-four male pigs were used in the study. The animals were divided into 3 groups with 8 animals in each as follows: group sham, submitted to laparoscopic dissection of the renal pedicle but not submitted to ischemia; group arterial (A), submitted to left renal artery clamping; and group selective (S), submitted to left renal artery caudal branch occlusion...
March 30, 2017: Urologia Internationalis
https://www.readbyqxmd.com/read/28355599/urinary-infections-in-patients-with-catheters-in-the-upper-urinary-tract-microbiological-study
#19
Alba Lara-Isla, José Medina-Polo, Manuel Alonso-Isa, Raúl Benítez-Sala, Raquel Sopeña-Sutil, Juan Justo-Quintas, Javier Gil-Moradillo, Daniel A González-Padilla, Esther García-Rojo, Juan Bautista Passas-Martínez, Ángel Tejido-Sánchez
BACKGROUND: Infections related to catheters in the upper urinary tract (CUUT) are associated with specific characteristics. METHODS: A prospective observational study was carried out from 2012 to 2015 to evaluate infections in patients with CUUT. RESULTS: A total of 209 infections were included (99 with double-J, 81 with nephrostomy, and 29 with internal/external nephroureteral stents). Among nephrostomy tube carriers, the most frequently isolated microorganisms were Pseudomonas and Enterococcus...
March 30, 2017: Urologia Internationalis
https://www.readbyqxmd.com/read/28346915/safety-and-efficacy-of-flexible-ureteroscopy-in-combination-with-holmium-laser-lithotripsy-for-the-treatment-of-bilateral-upper-urinary-tract-calculi
#20
Bing Yang, Hao Ning, Zheng Liu, Yi Zhang, Chengfan Yu, Xianghua Zhang, Dongliang Pan, Kejia Ding
OBJECTIVE: To retrospectively evaluate the safety and efficacy of flexible ureteroscopy (FURS) in combination with holmium laser lithotripsy for the treatment of bilateral upper urinary calculi. MATERIALS AND METHODS: The stone-free status was defined as the absence of any stones or asymptomatic status, or the presence of clinically insignificant residual fragments <4 mm, and was assessed by plain kidney, ureter, and bladder X-ray. The operative time, stone-free rates (SFRs), serum creatinine (SCr), and complications were recorded...
March 28, 2017: Urologia Internationalis
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