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Urologia Internationalis

Axing Li, Pu Zhang, Mengzhao Zhang, Tao Yang, Yang Yue, Guanqiu Chen, Wei Li, Jinhai Fan
OBJECTIVES: To investigate the feasibility and initial surgical outcomes of transurethral enucleation for 6 patients with bladder leiomyoma. MATERIALS: Six patients (mean age 50.2, range [34-67]) with bladder leiomyoma underwent transurethral enucleation. In each case, the resectoscope was inserted into the bladder. A resecting loop was used to incise the urothelium along the surgical margin of the bladder tumor, and a push was given through the resecting loop to further separate the tumor until it was shelled off the bladder wall...
September 18, 2018: Urologia Internationalis
Matthias Maruschke, Dirk Koczan, Björn Ziems, Oliver W Hakenberg
OBJECTIVES: To detect chromosomal aberrations in a genome-wide manner with potential value for prognosis in groups of patients with different histopathological grading in clear cell renal carcinoma (ccRCC). MATERIAL AND METHODS: We performed a copy number alteration analysis using the Affymetrix platform and SNP 6.0 mapping arrays with samples from 48 ccRCC-patients. The data analysis was done using 3 different Software Platforms: Affymetrix Genotyping Console (version 4...
September 18, 2018: Urologia Internationalis
Marie C Hupe, Mario W Kramer, Tomasz Ozimek, Axel S Merseburger, Florian Imkamp
INTRODUCTION: Laparoendoscopic single-site surgery (LESS), robot-assisted (RA), and retroperitoneoscopic (R) surgery expand the armamentarium of minimally invasive surgery (MIS). As information on the use of these surgical approaches in daily routine is limited, we conducted a survey among German urologists. MATERIALS AND METHODS: In 2017, all urology departments in Germany received a questionnaire evaluating practice patterns of MIS in the retroperitoneum. Chi-Square test was performed for statistical analyses...
September 18, 2018: Urologia Internationalis
Wojciech Krajewski, Michal Matuszewski, Sławomir Poletajew, Jędrzej Grzegrzółka, Romuald Zdrojowy, Anna Kołodziej
PURPOSE: To evaluate if there are differences in toxicity and efficacy between different Bacillus Calmette-Guerin (BCG) stains used for intravesical immunotherapy in patients with non-muscle invasive bladder cancer. METHODS: We retrospectively analysed a group of 844 patients who received TICE, RIVM and Moreau BCG strains. The allocation of the strain to each patient was random, stemming from differences in supply and distribution. The patients were analysed in terms of toxicity, recurrence-free (RFS), progression-free (PFS), cancer-specific (CSS) and overall survival (OS)...
September 18, 2018: Urologia Internationalis
Franco Palmisano, Matteo Giulio Spinelli, Stefano Luzzago, Luca Boeri, Elisa De Lorenzis, Giancarlo Albo, Franco Gadda, Marco Gelosa, Fabrizio Longo, Paolo Guido Dell'Orto, Emanuele Montanari
OBJECTIVES: To assess the safety and efficacy of bromelain plus tamsulosin versus tamsulosin alone as medical expulsive therapy (MET) for promoting spontaneous stone passage (SSP) of symptomatic distal ureter stones. PATIENTS AND METHODS: One-hundred-fourteen patients with a 4-10 mm distal ureteral stone were enrolled (Group A). Patients self-administered daily bromelain with tamsulosin for 30 days or until SSP or intervention was mandatory. Patients were compared to those from a control group taking tamsulosin as MET (Group B) and matched for the following factors: sex, age ±10%, stone diameter...
September 18, 2018: Urologia Internationalis
Jia-Mo Zhang, Juan Liu, Ke Wang, Xuan Zhang, Tao Zhao, Hua-Ming Luo
OBJECTIVE: This study aims to observe the morphological characteristics of bacterial biofilm on the surface of ureteral stents and analyze distribution characteristics of pathogens on the bacterial biofilm and drug resistance. METHODS: Ureteral stents were sampled from 129 patients. A scanning electron microscope was used to observe the morphological characteristics of bacterial biofilms, and the Congo red medium was applied to screen bacterial biofilm strains on the renal pelvis section, ureter section, and bladder section respectively...
September 13, 2018: Urologia Internationalis
Kristýna Procházková, Hynek Mírka, Ivan Trávníček, Tomáš Pitra, Jirí Kolár, Milena Roušarová, Petr Hošek, Kristýna Bajcurová, Jiří Ferda, Michael Staehler, Sabine D Brookman May, Ondřej Hes, Milan Hora
AIM: The aim of this study was to determine the proportion of cystic tumors according to preoperative CT (Bosniak III, IV) among surgically treated patients with histologically confirmed papillary renal cell carcinoma (pRCC) and to assess progression rates among patients with and without cystic appearance on imaging. METHODS: A total of 138 patients with pRCC histology surgically treated in the period of January 2007-March 2017 were included. Clinical and radiological characteristics, type of surgery, histopathology results, and follow-up data were recorded and statistically evaluated...
September 10, 2018: Urologia Internationalis
Arkadiusz Miernik, Rodrigo Suarez-Ibarrola, Andreas Bourdoumis, Noor Buchholz
PURPOSE: The study aimed to assess the impact of the Memokath 051 stent (MK) on glomerular filtration rate (GFR) and split renal function in the management of ureteroileal anastomotic strictures. MATERIALS AND METHODS: We treated 6 patients in the ages of 66-77 years, 2 of whom had bilateral strictures, with a total of 8 ureteroileal strictures using the MK stent. Five patients had chronic kidney disease (CKD) prior to MK insertion. Mean time between conduit surgery and MK insertion was 28...
September 7, 2018: Urologia Internationalis
Song Bo, Shang Donghao, Kong Guangqi, Tian Ye
OBJECTIVE: The study aimed to investigate the role of chemokine (C-C motif) ligand 18 (CCL18) in the progression of urothelial carcinoma (UC) after renal transplants (RT). METHODS: Tissues were collected from 60 patients with UC in which 24 were after RT. The tissues were all obtained from patients after radical cystectomy. Expression levels of CCL18 were examined by immunohistochemistry, RT-polymerase chain -reaction (RT-PCR), and quantitative RT-PCR, respectively...
September 6, 2018: Urologia Internationalis
Wen Cai, Jiwei Huang, Yichu Yuan, Xiaoyi Hu, Mingyang Li, Wen Kong, Jin Zhang, Jianming Guo, Yonghui Chen, Yiran Huang
OBJECTIVES: The purpose of this work was to investigate the effect of sorafenib or sunitinib as neoadjuvant therapy on the survival outcomes of renal cell carcinoma (RCC) with tumor thrombus. METHODS: A total of 92 RCC patients with tumor thrombus were included in this 2-center retrospective research from January 2007 to December 2014. Sorafenib and sunitinib were administered as neoadjuvant therapy in 9 patients and 14 patients, respectively, and 69 patients constituted non-neoadjuvant therapy groups...
September 5, 2018: Urologia Internationalis
Sung Jin Kim, Wook Nam, Dalsan You, In Gab Jeong, Cheryn Song, Bumsik Hong, Choung-Soo Kim, Hanjong Ahn, Jun Hyuk Hong
INTRODUCTION: Primary carcinoma in situ (P-CIS) of the bladder is rare and its clinical behavior and predictive features have not been well described. The purpose of this study was to evaluate the effects of various factors including angiotensin-2 converting enzyme inhibitors/angiotensin II receptor blockers (ACEIs/ARBs) on recurrence-free survival (RFS)-related prognosis in patients with P-CIS. MATERIALS AND METHODS: In our medical center, 5,945 patients were diagnosed with bladder cancer from January 1999 to January 2014...
September 4, 2018: Urologia Internationalis
Afsaneh Gächter, Thorsten Halling, Shahrokh F Shariat, Friedrich H Moll
The middle of the 19th century marks the beginning of a global process of science and knowledge transfer from -Europe to the rest of the world. During the phase of globali-zation, Austrian physician and ethnographer Jacob E. Polak (1818-1891) played a key role in the transmission of practical and scientific reasoning, leading to the development of medical science and clinical care in Persia. In 1851, Polak was commissioned by the Persian court to work as an academic teacher at the first secular institution of higher learning in Teheran, the Dār al-Fonūn...
September 3, 2018: Urologia Internationalis
Ulrike Heberling, Rainer Koch, Matthias Hübler, Gustavo B Baretton, Oliver W Hakenberg, Manfred P Wirth, Michael Froehner
BACKGROUND: Data on the impact of gender on mortality after radical cystectomy is conflicting. We investigated a large single center sample with long-term follow-up in order to determine the relationship between gender and outcome. PATIENTS AND METHODS: A total of 1,184 consecutive patients who underwent radical cystectomy for high risk superficial or muscle-invasive urothelial or undifferentiated bladder cancer between 1993 and 2015 were stratified by gender. Demographic data was compared using Mann-Whitney U test, chi-square test, or Fisher exact test...
August 31, 2018: Urologia Internationalis
Akihiro Kosoku, Junji Uchida, Hisao Shimada, Kazuya Kabei, Shunji Nishide, Tomoaki Iwai, Nobuyuki Kuwabara, Toshihide Naganuma, Keiko Maeda, Norihiko Kumada, Yoshiaki Takemoto, Tatsuya Nakatanti
A unipapillary kidney is a very rare anomaly in humans. In this paper, we report on a case of a 47-year-old woman with end-stage kidney disease (ESKD) due to unipapillary kidney, who had been on hemodialysis for 20 years and who had successfully received deceased-donor kidney transplantation. The aim of this report is to present a case of a rare unipapillary kidney patient who underwent kidney transplantation without any urological complications. Our results suggest that kidney transplantation may be an effective renal replacement therapy for patients with ESKD due to unipapillary kidney...
August 31, 2018: Urologia Internationalis
Saddam Al Demour, Hanan Jafar, Sofia Adwan, Abedallatif AlSharif, Hussam Alhawari, Adel Alrabadi, Ayman Zayed, Ahmad Jaradat, Abdalla Awidi
OBJECTIVES: This open label, phase I clinical trial (NCT02945462) using 2 consecutive intracavernous autologous bone marrow-derived mesenchymal stem cells (BM-MSCs) for the first time in the treatment of diabetic patients with erectile dysfunction (ED). The primary outcome is to assess the safety and tolerability of intracavernous autologous BM-MSCs, the secondary outcome is to assess efficacy of the procedure. PATIENTS AND METHODS: Four diabetic patients with refractory ED were included...
August 31, 2018: Urologia Internationalis
Rodrigo Suarez-Ibarrola, Arturo Cortes-Telles, Arkadiusz Miernik
PURPOSE: To assess the impact of primary surgery, partial and total penectomy, and of inguinal lymphadenectomy on health-related quality of life (HRQoL) and the sexual function of penile cancer patients. MATERIALS AND METHODS: We invited 15 patients surgically treated for penile cancer in the Regional Hospital of Specialized Medicine of the Yucatan Peninsula between 2012 and 2016 to complete the SF-36 quality of life and International Index of Erectile Function (IIEF-5) sexual function questionnaires...
August 27, 2018: Urologia Internationalis
Angelika Borkowetz, Theresa Renner, Ivan Platzek, Marieta Toma, Roman Herout, Martin Baunacke, Christer Groeben, Johannes Huber, Michael Laniado, Gustavo Baretton, Michael Froehner, Stefan Zastrow, Manfred P Wirth
OBJECTIVES: We compared the transperineal MRI/ultrasound-fusion biopsy (fusPbx) to transrectal systematic biopsy (sysPbx) in patients with previously negative biopsy and investigated the prediction of tumour aggressiveness with regard to radical prostatectomy (RP) specimen. MATERIAL AND METHODS: A total of 710 patients underwent multiparametric magnetic resonance imaging (mpMRI), which was evaluated in accordance with Prostate Imaging Reporting and Data System (PI-RADS)...
August 27, 2018: Urologia Internationalis
Jalil Hosseini, Amirhossein Rahavian, Farzen Soleimanzadeh
Chordee - a variety of penile deviations with or without hypospadias - is a relatively prevalent condition. This is quite a unique kind of chordee and peno-scrotal transposition with a considerable tension effect on the ventral side of the penis due to an additional corpus cavernosum, and this condition is confirmed by histopathologic evaluation. We treated the patient by wide resection of the third corpus cavernosum with scrotoplasty and postponed the urethroplasty for a second stage repair. It was interesting that we did not come across a similar report as a result of our deep literature search...
August 27, 2018: Urologia Internationalis
Philip Zeuschner, Stefan Ueberdiek, Alexey Pryalukhin, Christian Veith, Matthias Saar, Sigrun Smola, Rainer Maria Bohle, Kerstin Junker, Michael Stöckle, Julia Heinzelbecker
Human papilloma virus (HPV) infections are one of the most common sexually transmitted diseases. We present the case of a 77-year-old Caucasian male with enormous genital warts of the penis, scrotum, groins and anus. Lesions were excised by electrosurgery. The histological examination revealed Condylomata gigantea as well as an invasive perianal squamous cell carcinoma. Mucosal "low-risk" HPV type 6 was detected. The patient had a history of an immunosuppressing disease. During the 4-year follow-up, multiple relapses occurred...
August 21, 2018: Urologia Internationalis
Nicola Santoni, Angela Ng, Rachel Skews, Omar M Aboumarzouk
Background/Aims/Objectives: Women with recurrent urinary tract infections (UTIs) are commonly referred to urology outpatient clinics. However, there is no clear consensus in existing guidelines as to if, or how, these should be investigated. The primary outcome was to evaluate all available literature to determine the percentage of abnormal findings in non-pregnant women with recurrent simple UTIs. Secondary outcomes were to determine the percentage that were serious, consequential or incidental findings. METHODS: A full literature search was performed of the following databases: MEDLINE; Pubmed; Cochrane Central Register of Controlled Trials-CENTRAL; and ClinicalTrials...
July 17, 2018: Urologia Internationalis
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