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World Journal of Urology

Maxim J McKibben, Alexander T Rozanski, Joceline S Fuchs, Varun Sundaram, Allen F Morey
PURPOSE: To present results of an algorithmic approach to perineal urethrostomy (PU) based on a midline perineal incision among men with complex urethral strictures. METHODS: A single surgeon retrospective review of consecutive patients who underwent PU between 2008 and 2017 was performed. Patient demographics and outcomes were collected via medical record review. After a midline perineal incision, the PU was matured either by (a) mobilization of the urethral plate (loop) alone in cases with distal strictures or low body mass index (BMI), or (b) with creation of a lateral perineal skin flap (7-flap) for those with longer urethra-to-skin distances...
October 17, 2018: World Journal of Urology
Amin Abolhasani Foroughi, Ehsan Yazdanpanah, Masoume Nazeri, Tannaz Eghbali, Peyman Arasteh, Ali Ariafar
OBJECTIVE: Inhere, we compared two of the most common grading systems based on color Doppler ultrasonography (CDU) and physical examination in patients suspected of varicocele. METHODS: This is a cross-sectional study. Overall, 66 patients clinically suspected of varicocele were visited by an attending urologist and a radiologist for physical examination and CDU. Varicocele was then graded according to the WHO criteria and Sarteschi criteria. For comparing the results of the two grading systems, each grading systems was then categorized into four scoring groups...
October 15, 2018: World Journal of Urology
Wolfgang M Thaiss, Jens Bedke, Stephan Kruck, Daniel Spira, Arnulf Stenzl, Konstantin Nikolaou, Marius Horger, Sascha Kaufmann
PURPOSE: To prospectively characterize computed tomography (CT)-indeterminate renal masses (CTIRM) using acoustic radiation force impulse (ARFI) elastography and contrast-enhanced ultrasound (CEUS) and to correlate quantitative imaging findings with histopathology or interim follow-up (FU). METHODS: 123 patients with CTIRM (longest diameter < 4 cm) underwent ARFI and CEUS with CT image fusion (IF). Exclusion criteria included all contraindications for CEUS and IF...
October 15, 2018: World Journal of Urology
Weiming Wang, Yan Liu, Shaoxin Sun, Baoyan Liu, Tongsheng Su, Jing Zhou, Zhishun Liu
PURPOSE: The efficacy and safety of electroacupuncture was compared to those of sham electroacupuncture for the treatment of postmenopausal women with stress urinary incontinence (SUI). METHODS: This study was a secondary analysis of a multicenter, randomized controlled trial that recruited 504 women with SUI and randomized 349 postmenopausal women to receive 18 treatment sessions of electroacupuncture or sham electroacupuncture over 6 weeks, with a 24-week follow-up assessment...
October 13, 2018: World Journal of Urology
Davide Campobasso, Stefania Ferretti, Antonio Frattini
No abstract text is available yet for this article.
October 12, 2018: World Journal of Urology
Felix Preisser, Sebastiano Nazzani, Elio Mazzone, Sophie Knipper, Marco Bandini, Zhe Tian, Alexander Haese, Fred Saad, Kevin C Zorn, Francesco Montorsi, Shahrokh F Shariat, Markus Graefen, Derya Tilki, Pierre I Karakiewicz
BACKGROUND: Robotically assisted radical prostatectomy (RARP) has become the most frequently used surgical approach for patients treated with radical prostatectomy (RP) for localized prostate cancer (PCa). Previous studies reported higher total hospital charges (THCs) for RARP than open RP (ORP). We hypothesized that based on increasing RARP surgical expertise, differences in THCs between RARP and ORP should have decreased or even disappeared in the United States in most contemporary years...
October 12, 2018: World Journal of Urology
Miroslav L Djordjevic, Marta Bizic, Borko Stojanovic, Marko Bencic, Vladimir Kojovic, Gradimir Korac
PURPOSE: Severe hypospadias repair still presents a great challenge. We evaluated a novel approach of using a specially shaped buccal mucosa graft for simultaneous ventral tunica grafting and new urethral plate creation, in combination with longitudinal dorsal island skin flap, as a one-stage repair of severe hypospadias. METHODS: Between July 2014 and September 2017, 26 patients (aged from 12 to 22 months) underwent scrotal hypospadias repair. Short and non-elastic urethral plate is divided...
October 10, 2018: World Journal of Urology
Michael W Sourial, Nathaly Francois, Geoffrey N Box, Bodo E Knudsen
INTRODUCTION AND OBJECTIVE: Supracostal access in percutaneous nephrolithotomy (PCNL) may be avoided due to concern for thoracic complications. The objective of the study is to report the safety and efficacy of supracostal access utilizing a tubeless (stent only) PCNL technique. PATIENTS AND METHODS: Retrospective review of perioperative outcomes of 70 patients (76 renal units) who underwent a supracostal tubeless PCNL. No nephrostomy tubes were left. All patients had a 7F ureteral stent and Foley catheter placed...
October 9, 2018: World Journal of Urology
Elsa Bey, Maria Brigitte Paucara Condori, Olivier Gaget, Philippe Solano, Susana Revollo, Christian Saussine, Simone Frédérique Brenière
PURPOSE: To describe and give an estimation of the prevalence of urinary disorders in chronic Chagas disease, since most clinical research has been centered on the description of the cardiac and digestive forms. METHODS: To explore this topic, a cross-sectional study was conducted in 137 Bolivian adults of both sexes suffering from symptomatic chronic Chagas disease. All patients presenting confirmed chagasic cardiomyopathy, megacolon or both underwent a urologic symptom questionnaire, uroflowmetry, urinary tract ultrasonography and a creatinine assay...
October 9, 2018: World Journal of Urology
Min Ho Lee, In Jae Lee, Tae Jin Kim, Sang Chul Lee, Chang Wook Jeong, Sung Kyu Hong, Seok-Soo Byun, Jong Jin Oh
OBJECTIVES: To evaluate the effect of preoperative ureteral stenting duration on the outcomes of retrograde intrarenal surgery (RIRS). PATIENTS AND METHODS: We reviewed our database of patients who underwent RIRS between May 2011 and April 2017 at our institution. The patients were divided into three groups according to preoperative ureteral stenting duration: group 1: no stenting, group 2: short preoperative stenting (< 7 days) and group 3: long preoperative stenting (≥ 7 days)...
October 8, 2018: World Journal of Urology
Thomas W Fuller, Kelly Pekala, Katherine M Theisen, Alexander Tapper, Frank Burks, Paul J Rusilko
PURPOSE: To describe the prevalence and surgical management of coexistent adult acquired buried penis (AABP) and urethral stricture disease. AABP patients often have urinary dribbling with resultant chronic local moisture, infection, and inflammation that combine to cause urethral stricture disease. To date, no screening or surgical management algorithms have been described. METHODS: A multi-institutional retrospective study was conducted of the surgical management strategies for patients with concurrent AABP and urethral stricture disease from 2010 to 2017...
October 8, 2018: World Journal of Urology
Sebastiano Nazzani, Felix Preisser, Elio Mazzone, Zhe Tian, Francesco A Mistretta, Shahrokh F Shariat, Denis Soulières, Fred Saad, Emanuele Montanari, Stefano Luzzago, Alberto Briganti, Luca Carmignani, Pierre I Karakiewicz
OBJECTIVES: To analyze the potential survival benefit of perioperative chemotherapy (CHT) in patients treated with nephroureterectomy (NU) for non-metastatic locally advanced upper tract urothelial carcinoma. METHODS: Within the Surveillance, Epidemiology, and End Results database (2004-2014), we identified 1286 patients with T3 or T4, N 0-3 M0 UTUC. Kaplan-Meier plots, as well as multivariable Cox regression models (MCRMs) relying on inverse probability after treatment weighting (IPTW) and landmark analyses, were used to test the effect of CHT vs no CHT on overall mortality (OM) in the overall population (n =1286), as well as after stratification according to lymph node invasion (LNI)...
October 8, 2018: World Journal of Urology
T Bach, I Giannakis, A Bachmann, C Fiori, Fernando Gomez-Sancha, T R W Herrmann, C Netsch, M Rieken, C M Scoffone, L Tunc, J J Rassweiler, E Liatsikos
PURPOSE: Aquablation of the prostate using the AquaBeam™ system promises equivalent functional outcomes, reduced learning curve, and improved sexual function compared to transurethral prostate resection as shown in prospective randomized trials. This prospective cohort study aims to evaluate if published results can be transferred into the clinical routine in a non-selected patient collective. METHODS: This study includes all patients treated between September 2017 and June 2018 with Aquablation of the prostate...
October 4, 2018: World Journal of Urology
Catriona Duncan, Daryl Lim Joon, Nathan Lawrentschuk, Trish Jenkins, Michal Schneider, Vincent Khoo, Michael Chao, Marita Lawlor, Rachel O'Meara, Colleen Berry, Angela Viotto, Kerryn Brown, Morikatsu Wada, Farshad Foroudi, Shomik Sengupta
INTRODUCTION: Radiotherapy to the bladder has a risk of toxicity to pelvic structures, which can be reduced by using fiducial markers for targeting. Injectable contrast offers an alternative marker to gold seeds, which may fall out or exacerbate scarring. Combining contrast agents with tissue glue can minimize dispersion through tissue, enhancing its utility. We evaluated combinations of contrast agents and tissue glue using porcine bladder, for feasibility and utility as fiducial markers to aid image-guided radiotherapy...
October 4, 2018: World Journal of Urology
Siri Drangsholt, Maria Juliana Arcila Ruiz, Benoit Peyronnet, Nirit Rosenblum, Victor Nitti, Benjamin Brucker
OBJECTIVE: To characterize the current evaluation, and efficacy of treatments in patients with the primary complaint of nocturia. METHODS: A retrospective chart review was performed of new patient encounters seen in a tertiary urology practice from May 2010 to September 2016 with the primary diagnosis of nocturia (ICD-9 788.43 and ICD-10 R35.1). RESULTS: 595 patients were identified. 403 met inclusion criteria. The median patient reported that nocturia episodes were 4 (1-20)...
October 4, 2018: World Journal of Urology
Tae Jin Kim, In Jae Lee, Jung Keun Lee, Hak Min Lee, Chang Wook Jeong, Sung Kyu Hong, Seok-Soo Byun, Jong Jin Oh
PURPOSE: To investigate the factors associated with hospital readmission (HR) after retrograde intrarenal surgery (RIRS) among renal stone patients. METHODS: The study included patients who underwent RIRS from June 2011 to December 2017. Patients who were readmitted due to surgery-related complications were evaluated retrospectively. Patient demographics including age, medical comorbidity, body mass indices, ASA score, perioperative parameters and stone factors were compared with total cohorts...
October 3, 2018: World Journal of Urology
Moritz Maas, Jens Bedke, Arnulf Stenzl, Tilman Todenhöfer
PURPOSE: Diagnosis and follow-up in patients with non-muscle invasive bladder cancer (NMIBC) rely on cystoscopy and urine cytology. The aim of this review paper is to give an update on urinary biomarkers and their diagnosis and surveillance potential. Besides FDA-approved markers, recent approaches like DNA methylation assays, mRNA gene expression assays and cell-free DNA (cfDNA) are evaluated to assess whether replacing cystoscopy with urine markers is a potential scenario for the future...
October 3, 2018: World Journal of Urology
Karl-Dietrich Sievert, Martin Schonthaler, Richard Berges, Patricia Toomey, Desiree Drager, Annika Herlemann, Florian Miller, Ulrich Wetterauer, Bjorn Volkmer, Christian Gratzke, Bastian Amend
INTRODUCTION: Successful outcomes have been reported for the treatment of lower urinary tract symptoms (LUTS) with the prostatic urethral lift (PUL) in a number of clinical investigations. Our aim was to investigate PUL outcomes in patients treated in a day-to-day clinical setting without the rigid exclusion criteria of clinical studies. MATERIALS AND METHODS: We investigated the outcome of the PUL procedure at five German departments during the initial period when PUL was approved for the clinic (10/2012-06/2014)...
October 3, 2018: World Journal of Urology
Marco Moschini, Emanuele Zaffuto, Pierre Karakiewicz, Agostino Mattei, Giorgio Gandaglia, Nicola Fossati, Francesco Montorsi, Alberto Briganti, Shahrokh F Shariat
INTRODUCTION: Bladder cancer (BCa) is three-to-four times more common in men than in women. To explain this gender gap, several theories have been proposed, including the impact of androgen hormones. The aim of this study was to investigate the differential impact of androgen deprivation therapy (ADT) on subsequent risk of developing BCa in men with prostate cancer (PCa). METHODS: A total of 196,914 patients diagnosed with histologically confirmed localized PCa between 2000 and 2009 were identified in the SEER-Medicare insurance program-linked database...
October 1, 2018: World Journal of Urology
Carmen Pozo, Virginia Hernández, Carlos Capitán, Enrique de la Peña, Guillermo Fernández-Conejo, María Del Mar Martínez, Silvia Del Riego, Elia Pérez-Fernández, Carlos Llorente
INTRODUCTION: Active surveillance (AS) seems to be a cost-effective strategy. However, most publications are based on simulation models of theoretical cohorts, and long-term implications are not usually considered. OBJECTIVE: To assess the real cost differences of two cohorts of men with low-risk prostate cancer (PCa) treated with AS or laparoscopic radical prostatectomy (LRP) in a public health system. MATERIALS AND METHODS: Patients diagnosed from 2005 to 2009 were included in an AS program (Group 1) or treated with LRP at diagnosis (Group 2), with a minimum follow-up of 5 years...
October 1, 2018: World Journal of Urology
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