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Urologia Internationalis

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https://www.readbyqxmd.com/read/27924801/scrotum-melanoma-evolution-over-one-year-in-this-unusual-location
#1
Leopoldo José Marzullo Zucchet, Miguel Ángel Bonillo García, Laura Lorenzo Soriano, Enrique Broseta Rico
Genitourinary melanoma accounts for 0.1-0.2% of melanoma, the scrotum being its rarest location. We report about an 85-year-old patient who was referred to our outpatient clinic due to the presence of a scrotum black papule for 20 months. Wide local excision was performed, and histology revealed a malignant melanoma. Chest and abdominal CT revealed metastatic disease, so chemotherapy, immunotherapy and radiotherapy were administered. We describe the evolution over 1 year in this unusual location, as well as complications and the currently available therapeutic options to cure this disease...
December 8, 2016: Urologia Internationalis
https://www.readbyqxmd.com/read/27907923/association-between-the-surgical-apgar-score-and-perioperative-complications-after-radical-prostatectomy
#2
Matthias Orberger, Jüri Palisaar, Florian Roghmann, Ludger Mittelstädt, Petra Bischoff, Joachim Noldus, Björn Löppenberg
OBJECTIVE: To evaluate whether the Surgical Apgar Score (SAS) can identify patients who are at risk for perioperative adverse events (PAE) following radical prostatectomy for prostate cancer. PATIENTS AND METHODS: At a single academic institution, 994 patients undergoing radical prostatectomy between 2010 and 2013 were analyzed retrospectively. The SAS was calculated from anesthesia records, evaluated to predict PAE within a 30-day time period postoperatively; these events were classified according to standardized classification systems...
December 2, 2016: Urologia Internationalis
https://www.readbyqxmd.com/read/27894122/b-cell-lymphoma-2-modified-bone-marrow-derived-mesenchymal-stem-cells-transplantation-for-the-treatment-of-diabetes-mellitus-induced-erectile-dysfunction-in-a-rat-model
#3
Xiang Sun, Long-Hua Luo, Liang Feng, Dong-Shui Li, Ke-Zhao Zhong
OBJECTIVE: The study aimed to explore the effects of B cell lymphoma-2 (Bcl-2)-modified bone marrow-derived mesenchymal stem cells (BMSCs) transplantation for the treatment of diabetes mellitus-induced erectile dysfunction (DMED) in a rat model. METHODS: The DMED rat model was successfully established. Thirty-six DMED rats were assigned into the Bcl-2-BMSCs, null-BMSCs, BMSCs and phosphate buffered saline (PBS) groups. Meanwhile, 9 normal rats injected with PBS were taken as the normal control group...
November 29, 2016: Urologia Internationalis
https://www.readbyqxmd.com/read/27889781/striated-muscle-in-radical-prostatectomy-specimens-a-marker-of-apical-dissection-quality-and-an-independent-predictor-of-urinary-continence-after-endoscopic-extraperitoneal-radical-prostatectomy
#4
Daniel W Good, Andrew Wood, Laurence Stewart, Jens-Uwe Stolzenburg, Roman Ganzer, Jochen Neuhaus, Grant D Stewart, S Alan McNeill
INTRODUCTION: The study aimed to determine if the presence and amount of striated muscle on the apical sections of the cruciate sections of laparoscopic radical prostatectomy (LRP) specimens predict early and long-term urinary continence outcomes. PATIENTS AND METHODS: We conducted a retrospective review of our prospectively collected single surgeon LRP database. We identified patients based on their continence outcomes (continent (0 pads) or incontinent at 12 months), with an approximate even spread early continent and incontinent patients)...
November 26, 2016: Urologia Internationalis
https://www.readbyqxmd.com/read/27884015/joseph-fr%C3%A3-d%C3%A3-ric-beno%C3%A3-t-charri%C3%A3-re-how-to-explain-his-success-as-one-of-the-most-famous-surgical-instrument-makers-regarding-his-life-from-childhood-to-death
#5
Jasmin Katrin Badawi
INTRODUCTION: We use the name 'Charrière' every day as a unit of measurement. This article explains his success as one of the most famous instrument makers who ever lived. MATERIALS AND METHODS: A review of the literature was completed using PubMed. Additionally, material of historical sources like the museum of Bulle was used. RESULTS: Joseph-Frédéric-Benoît Charrière was born in Switzerland in 1803. At the age of 13, he moved to Paris and learned the profession of a cutler...
November 25, 2016: Urologia Internationalis
https://www.readbyqxmd.com/read/27880958/factors-influencing-repair-outcomes-of-vesicovaginal-fistula-a-retrospective-review-of-139-procedures
#6
Liang Zhou, Tong-Xin Yang, De-Yi Luo, Shu-Lian Chen, Bang-Hua Liao, Hong Li, Kun-Jie Wang, Hong Shen
INTRODUCTION: We aimed to report the outcomes of patients undergoing vesicovaginal fistula (VVF) repair to identify prognostic factors. MATERIALS AND METHODS: Patients who underwent VVF repair between January 2009 and October 2015 were reviewed. Primary outcome was fistula closure at 3 months. RESULTS: A total of 123 patients and 139 procedures of VVF repair were reviewed. The overall success rate was 85.6%. There were no significant differences in age (p = 0...
November 24, 2016: Urologia Internationalis
https://www.readbyqxmd.com/read/27871076/semi-rigid-ureteroscopy-for-proximal-ureteral-stones-does-adjunctive-tamsulosin-therapy-increase-the-chance-of-success
#7
Abul-Fotouh Ahmed, Aref Maarouf, Essam Shalaby, Saad Alshahrani, Mohamed El-Feky, Sabri Khaled, Abdullah Daoud, Ahmed Soliman, Esam Desoky, Hisham El-Helaly
OBJECTIVES: To assess the efficacy of adjunctive tamsulosin therapy in improving the success rate of laser-assisted semi-rigid ureteroscopy (URS) for removing proximal ureteral stones. PATIENTS AND METHODS: This prospective study included 165 patients with proximal ureteral stones ≥10 mm. The patients were randomly assigned to a tamsulosin group (Group I, n = 81) receiving tamsulosin 0.4 mg daily for 1 week pre-URS and a control group (Group II, n = 84) without tamsulosin therapy...
November 22, 2016: Urologia Internationalis
https://www.readbyqxmd.com/read/27842318/prevention-of-recurrent-bladder-tumors-after-nephroureterectomy-for-primary-upper-urinary-tract-urothelial-carcinoma-an-individualized-selection-strategy-based-on-patient-risk-stratification-is-needed
#8
Xingbo Long, Lin Qi, Xiongbing Zu, Yuan Li, Wei He, Shuohuang Pi, Xiang Chen, Kebing Zhou, Xiheng Hu, Minfeng Chen
OBJECTIVE: To evaluate the efficacies of different chemotherapy regimens in different risk sub-groups for the prevention of bladder recurrence after radical nephroureterectomy (RNU). MATERIALS AND METHODS: Between 2004 and 2012, we recruited 685 patients who underwent RNU for upper tract urothelial carcinoma at 4 Chinese institutions. We assessed whether the type of intravesical chemotherapy regimen affected the bladder recurrence rate in patients with different risk levels after RNU...
November 15, 2016: Urologia Internationalis
https://www.readbyqxmd.com/read/27806367/feasibility-and-efficacy-of-a-urologic-profession-campaign-on-cryptorchidism-using-internet-and-social-media
#9
Hendrik Borgmann, Sabine Kliesch, Stephan Roth, Mael Roth, Stephan Degener
INTRODUCTION: We performed a professional campaign in Germany intending to establish the urologic profession as a competent and helpful point of contact for patients with cryptorchidism. The aim of this study was to assess the feasibility of this campaign and to quantify the efficacy of using Internet vs. social media. MATERIALS AND METHODS: The strategic design of the campaign comprised a strategy meeting, creation of a landing page, and targeted advertisements on Google in the form of Adwords and on Facebook in the form of sidebar ads and sponsored posts...
November 3, 2016: Urologia Internationalis
https://www.readbyqxmd.com/read/27798945/comparison-of-yag-laser-lithotripsy-and-extracorporeal-shock-wave-lithotripsy-in-treatment-of-ureteral-calculi-a-meta-analysis
#10
Chao Yang, Shijun Li, Yingdong Cui
OBJECTIVE: To evaluate the clinical efficiency and safety of ureteroscopy lithotripsy (URSL) with holmium laser technology and extracorporeal shock wave lithotripsy (ESWL) on ureteral calculi using systematic reviews. METHODS: Randomized controlled trials and prospective controlled trials accorded with inclusion among PubMed Database, EmBase Database, Cochrane Library and China National Knowledge Infrastructure were collected. Review Manager 5.0 was adopted to estimate the effects of the results among selected articles...
November 1, 2016: Urologia Internationalis
https://www.readbyqxmd.com/read/27798942/clinical-factors-of-disease-reclassification-or-progression-in-a-contemporary-cohort-of-prostate-cancer-patients-elected-to-active-surveillance
#11
Antonio Benito Porcaro, Francesca Cavicchioli, Daniele Mattevi, Nicolò De Luyk, Paolo Corsi, Marco Sebben, Alessandro Tafuri, Tania Processali, Mattia Cerasuolo, Irene Tamanini, Giovanni Cacciamani, Maria A Cerruto, Matteo Brunelli, Giovanni Novella, Salvatore Siracusano, Walter Artibani
OBJECTIVES: To evaluate clinical predictors of disease reclassification or progression (DR/P) in prostate cancer patients elected to active surveillance (AS). MATERIAL AND METHODS: Patients were assessed on the basis of DR/P criteria. Predictors of DR/P were evaluated by multivariate logistic regression and Cox proportional hazards. RESULTS: The median DR/P free time was 16.5 months. DR/P was detected in 30 out of 84 cases (35.7%). In DR/P cases, the median prostate volume (PV) was significantly lower (34...
November 1, 2016: Urologia Internationalis
https://www.readbyqxmd.com/read/27794573/diagnosis-and-clinical-management-of-ruptured-ileocecal-pouches-for-continent-cutaneous-urinary-diversion
#12
Charis Kalogirou, Arkadius Kocot, Philipp Mulfinger, Elena Hartmann, Markus Krebs, Daniel Vergho, Hubertus Riedmiller
BACKGROUND AND OBJECTIVES: The study aimed to report on pouch ruptures in 5 patients with ileocecal reservoirs for continent cutaneous urinary diversion. PATIENTS AND METHODS: Five male patients aged 48-89 were referred to our department between 2000 and 2016 with a ruptured ileocecal pouch 16-175 months postoperatively. RESULTS: With an incidence of 0.95% in our series (5 ruptures in 529 pouch patients out of a pool of 1,182 radical cystectomies) a rupture of the ileocecal pouch is a rare but severe complication...
October 29, 2016: Urologia Internationalis
https://www.readbyqxmd.com/read/27784024/transrectal-ultrasound-guided-prostate-biopsy-for-cancer-detection-performance-of-2d-3d-and-3d-mri-fusion-targeted-techniques
#13
Jacques Klein, Arachk de Górski, Daniel Benamran, Jean-Paul Vallee, Thomas De Perrot, Gregory J Wirth, Christophe E Iselin
INTRODUCTION: The study aimed to evaluate 3 different modalities of transrectal ultrasound (TRUS)-guided prostate biopsies (PBs; 2D-, 3D- and targeted 3D-TRUS with fusion to MRI - T3D). Primary end point was the detection rate of prostate cancer (PC). Secondary end point was the detection rate of insignificant PC according to the Epstein criteria. PATIENTS AND METHODS: Inclusion of 284 subsequent patients who underwent 2D-, 3D- or T3D PB from 2011 to 2015. All patients having PB for initial PC detection with a serum prostate-specific antigen value ≤20 ng/ml were included...
October 27, 2016: Urologia Internationalis
https://www.readbyqxmd.com/read/27780167/do-jj-stents-increase-the-effectiveness-of-extracorporeal-shock-wave-lithotripsy-for-pediatric-renal-stones
#14
Metin Gündüz, Tamer Sekmenli, İlhan Ciftci, Ahmet Midhat Elmacı
PURPOSE: We aimed to evaluate the effects of preoperative urinary catheterization in nephrolithiasis treatment with extracorporeal shock wave lithotripsy (SWL). METHODS: Patients admitted to the Department of Pediatric Surgery for renal stones between June 2012 and June 2014 were evaluated retrospectively. Patients were divided into 2 groups based on JJ stent placements. Group 1 did not receive JJ stents, while group 2 did. The recorded demographic data for each group included age, gender, stone size, location, sessions, and complications...
October 26, 2016: Urologia Internationalis
https://www.readbyqxmd.com/read/27771724/association-between-recreational-physical-activity-and-the-risk-of-upper-urinary-calculi
#15
Jian-Xin Chen, Xiao-Xiang Yu, Yu Ye, Xiao-Bo Yang, Ai-Hua Tan, Xiao-Ying Xian, Su-Chun Wei, Jun Long, Zeng-Nan Mo
OBJECTIVE: Upper urinary calculi (UUC) is considered to be a comprehensive disease associated with many risk factors, but the role of physical activity (PA) is undefined. Here, we conducted a cross-sectional study to investigate this relationship in Asian populations. MATERIALS AND METHODS: Patients diagnosed with UUC were the subjects of study and those who participated in a health examination in local medical center were included as controls. Information was collected through the same standard questionnaire...
October 21, 2016: Urologia Internationalis
https://www.readbyqxmd.com/read/27760433/chronic-prostatitis-affects-male-reproductive-health-and-is-associated-with-systemic-and-local-epigenetic-inactivation-of-c-x-c-motif-chemokine-12-receptor-c-x-c-chemokine-receptor-type-4
#16
Undraga Schagdarsurengin, Lisa M Teuchert, Christina Hagenkötter, Nils Nesheim, Temuujin Dansranjavin, Hans-Christian Schuppe, Sabrina Gies, Adrian Pilatz, Wolfgang Weidner, Florian M E Wagenlehner
: Background/Aims/Objectives: Chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) has detrimental effects on the quality of life including the aspect of sexual dysfunction. The aim of the study was to identify if there was an adverse effect on the male genital compartment and if there are systemic or compartment-specific local signals for epigenetic dysregulation of inflammatory factors in CP/CPPS patients. METHODS: One hundred five NIH IIIb CP/CPPS patients and 41 healthy men were recruited and underwent investigations of urines, semen and blood...
October 20, 2016: Urologia Internationalis
https://www.readbyqxmd.com/read/27760432/the-efficacy-of-antimuscarinics-alone-or-in-combination-with-alpha-blockers-for-the-treatment-of-ureteral-stent-related-symptoms-a-systematic-review-and-meta-analysis
#17
Huilei Yan, Yunhui Wang, Rong Sun, Yuanshan Cui
INTRODUCTION AND AIM: The purpose of this meta-analysis was to evaluate the efficacy of antimuscarinics alone or in combination with alpha-blockers for the treatment of ureteral stent-related symptoms. METHODS: The databases MEDLINE, EMBASE, PubMed, the Cochrane Controlled Trial Register of Controlled Trials from 2000 to February 2016 were searched to identify randomized controlled trials that referred to the use of a combination of antimuscarinics and alpha-blockers for the treatment of ureteral stent-related symptoms...
October 20, 2016: Urologia Internationalis
https://www.readbyqxmd.com/read/27750248/clinical-usage-of-different-guidelines-in-routine-management-therapy-and-follow-up-of-patients-with-renal-cell-cancer-in-germany
#18
A Spek, B Szabados, B Ziegelmüller, C Stief, M D'Anastasi, M Staehler
OBJECTIVES: To evaluate the usage of different guidelines and to estimate the impact of changed recommendation in routine management, therapy and follow-up of patients with renal cell cancer (RCC). METHODS: An anonymous questionnaire was sent to 600 urologists in Germany. Twenty-seven percent of them were included in the analysis. The questions were about the practice setting, surgical and medical treatment of RCC, follow-up modalities, knowledge and usage of RCC guidelines...
October 18, 2016: Urologia Internationalis
https://www.readbyqxmd.com/read/27732982/is-extracorporeal-shock-wave-lithotripsy-really-safe-in-long-term-follow-up-a-nationwide-retrospective-6-year-age-matched-non-randomized-study
#19
Yen-Man Lu, Tsu-Ming Chien, Yii-Her Chou, Wen-Jeng Wu, Chun-Nung Huang
INTRODUCTION: Shock wave lithotripsy (SWL) is widely used. However, several studies have reported increased blood pressure immediately after SWL. Until now, the association between SWL and new-onset hypertension has been a topic of discussion. This study is aimed at determining whether SWL leads to new-onset hypertension. METHODS: Data were sourced from the Longitudinal Health Insurance Database 2000 of Taiwan, Republic of China, which was compiled from 1996 to 2010 using National Health Insurance data...
October 13, 2016: Urologia Internationalis
https://www.readbyqxmd.com/read/27732981/validation-of-the-preoperative-platelet-to-lymphocyte-ratio-as-a-prognostic-factor-in-a-european-cohort-of-patients-with-upper-tract-urothelial-carcinoma
#20
Orietta Dalpiaz, Daniel Krieger, Georg C Ehrlich, Kristof Pohlmann, Tatjana Stojakovic, Karl Pummer, Richard Zigeuner, Martin Pichler, Georg C Hutterer
INTRODUCTION: This study is aimed at investigating the potential prognostic impact of the preoperatively assessed platelet-to-lymphocyte ratio (PLR) in a European cohort of patients with non-metastatic upper tract urothelial carcinoma (UTUC). MATERIALS AND METHODS: Clinicopathological data from 180 consecutive non-metastatic UTUC patients, operated between 1990 and 2012 at a single tertiary academic center, were evaluated retrospectively. The preoperative PLR was assessed one day before surgery...
October 13, 2016: Urologia Internationalis
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