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Current Urology Reports

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https://www.readbyqxmd.com/read/27796653/sacrocolpopexy-surgical-technique-outcomes-and-complications
#1
REVIEW
Elizabeth B Takacs, Karl J Kreder
PURPOSE OF REVIEW: Pelvic organ prolapse is a non-life-threatening condition that has a wide variety of symptoms. Sacrocolpopexy has been the "gold standard" for management of apical pelvic organ prolapse with reported high success rates for anatomic correction. Herein, we review the surgical procedure, anatomic, and functional outcomes, as well as the intraoperative and postoperative complications. RECENT FINDINGS: Findings suggest that the ASC has an acceptably low overall complication rate comparable between open and minimally invasive approach...
December 2016: Current Urology Reports
https://www.readbyqxmd.com/read/27787749/renal-complex-cystic-masses-usefulness-of-contrast-enhanced-ultrasound-ceus-in-their-assessment-and-its-agreement-with-computed-tomography
#2
REVIEW
Enrique Sanz, Vital Hevia, Victoria Gómez, Sara Álvarez, Jose-Javier Fabuel, Laura Martínez, Rafael Rodriguez-Patrón, Cristina González-Gordaliza, Francisco-Javier Burgos
INTRODUCTION: Around 10 % of renal cell carcinomas (RCC) are cystic, while some benign cysts have complex appearance in conventional diagnostic tests such as computed tomography (CT) or magnetic resonance imaging (MRI). These renal complex cystic masses (RCCMs) are a challenging entity in urological practice and sometimes have a difficult management, requiring surgical removal. Contrast-enhanced ultrasound (CEUS) is a very sensitive test detecting microvascularization in real time, and it has been used in the diagnostic workup of these kinds of lesions...
December 2016: Current Urology Reports
https://www.readbyqxmd.com/read/27771854/a-complete-world-literature-review-of-quality-of-life-qol-in-patients-with-kidney-stone-disease-ksd
#3
REVIEW
Francesca New, Bhaskar K Somani
PURPOSE OF REVIEW: The purpose of this study was to review the current evidence for quality of life (QOL) in patients with kidney stone disease (KSD). RECENT FINDINGS: A review of literature from inception to May 2016 for all prospective English language articles on QOL in patients with KSD was done. QOL studies post urological procedures or ureteric stents were excluded. Nine studies (1570 patients) were included of which most (n = 6) used the SF-36 QOL tool...
December 2016: Current Urology Reports
https://www.readbyqxmd.com/read/27771853/failure-of-expectations-in-vaginal-surgery-lack-of-appropriate-consent-goals-and-expectations-of-surgery
#4
REVIEW
Debjyoti Karmakar, Peter L Dwyer
INTRODUCTION AND BACKGROUND: Vaginal surgery for the treatment of urinary stress incontinence (USI) and pelvic organ prolapse (POP) using a synthetic polypropylene mesh is going through a time of unprecedented turmoil and debate. This review focuses on vaginal surgery for vaginal prolapse and looks at the current scientific literature on issues surrounding surgery including consent and expectations. SAFETY AND EFFECTIVENESS OF SURGICAL OPTIONS: Synthetic mesh has been used both abdominally and vaginally to improve the effectiveness of POP surgery...
December 2016: Current Urology Reports
https://www.readbyqxmd.com/read/27761805/focal-therapy-for-prostate-cancer-pending-questions
#5
REVIEW
Xavier Cathelineau, Rafael Sanchez-Salas
Focal therapy (FT) represents a potential shift in clinical practice by featuring a tissue-sparing approach for prostate cancer (PCa) treatment. It stands midway between active surveillance (AS) and more aggressive options like radical prostatectomy (RP) or radiotherapy. The field has enormously evolved in the last few years but there are still pending questions to answer in the future. The manuscript overlooks FT in terms of indications, available energies, situation of tumor microenvironment, follow-up, re-interventions, and the future of this approach for PCa...
December 2016: Current Urology Reports
https://www.readbyqxmd.com/read/27752942/concomitant-heart-ovaries-and-renal-neoplasms-atypical-findings-during-hypertension-evaluation
#6
REVIEW
Igor Duquesne, Rafael Sanchez-Salas, Konstantinos Zannis, Richard Berry, Lee Nguyen, Eric Barret, Aude Fregeville, Pierre Validire, Xavier Cathelineau
Multiple primary tumors is defined as the occurrence of two or more primary lesions, benign or malignant, where each tumor occur in separate sites and is neither an extension, recurrence, nor metastasis [1]. The occurrence of multiple primary tumors is extremely rare with an incidence of less than 4 % [2] of the total tumor cases. We present a case of synchronous heart, ovaries, and kidney tumors in a 63-year-old Caucasian female patient whom primarily attended our institution for a hypertension evaluation...
December 2016: Current Urology Reports
https://www.readbyqxmd.com/read/27696248/influences-of-the-results-from-strive-trial-on-the-combination-androgen-depletion-therapy-for-advanced-prostate-cancer
#7
REVIEW
Hideyuki Akaza
The clinical efficacy of combined therapy (CAB) has been clearly recognized by the results of the STRIVE trial. Although enzalutamide has shown a stronger effect on CRPC, bicultamide, a classical anti-androgen, has shown a significant effect. In addition, it can be deduced that CAB is a strong tool for hormone naïve advanced prostate cancer. Cost-effective evaluation for CAB with bicultamide or enzalutamide is warranted, especially for the resource-limited cohort.
November 2016: Current Urology Reports
https://www.readbyqxmd.com/read/27678391/post-sling-urinary-retention-in-women
#8
REVIEW
Dominique R Malacarne, Victor W Nitti
As many as 80 % of all women who complain of urine leakage will be diagnosed with stress urinary incontinence (SUI). As the population ages and SUI becomes more widespread, it is imperative to understand how to manage potential complications of the therapies used to treat this condition. As the mid-urethral sling has become the "gold standard" of SUI treatment, it is important to be aware of post-operative complications associated with this procedure. One significant complication of the MUS is subsequent urinary retention...
November 2016: Current Urology Reports
https://www.readbyqxmd.com/read/27665577/urinary-catheterization-a-paradigm-shift-in-difficult-urinary-catheterization
#9
REVIEW
Kristofer R Wagner, Erin T Bird, K Scott Coffield
BACKGROUND: The urinary catheter is an ancient device for urinary drainage in patients. Placement of a urethral catheter is a common medical procedure that may have led to morbidity and mortality. Urethral catheterization is commonly performed by a nurse. Difficult catheter placement generates urology consultation. Difficult catheterization with a vision-guided urinary catheter may provide expedited and successful catheter placement by nursing personnel. METHODS: A PubMed...
November 2016: Current Urology Reports
https://www.readbyqxmd.com/read/27659697/minimally-invasive-sacrocolpopexy-how-to-avoid-short-and-long-term-complications
#10
REVIEW
Catherine A Matthews
Sacrocolpopexy remains the "gold standard" procedure for management of posthysterectomy vaginal vault prolapse with improved anatomic outcomes compared to native tissue vaginal repair. Despite absence of clinical data, sacrocolpopexy is increasingly being offered to women as a primary treatment intervention for uterine prolapse. While reoperation rates remain low, recurrent prolapse and vaginal mesh exposure appear to increase over time. The potential morbidity associated with sacrocolpopexy is higher than for native tissue vaginal repair with complications including sacral hemorrhage, discitis, small bowel obstruction, port site herniation, and mesh erosion...
November 2016: Current Urology Reports
https://www.readbyqxmd.com/read/27659696/newly-proposed-prognostic-grade-group-system-for-prostate-cancer-genesis-utility-and-its-implications-in-clinical-practice
#11
REVIEW
Makarand Khochikar
We know about the Gleason pattern and Gleason score which are of paramount importance in tailoring the treatment of a prostate cancer. However, there are certain deficiencies in this current scoring system. To simplify the treatment options and have a better idea about the prognosis, a new grade group system has been proposed by ISUP/WHO in 2015. This has been validated in the clinical practice. This commentary takes you through its genesis, utility and its implications on the clinical practice.
November 2016: Current Urology Reports
https://www.readbyqxmd.com/read/27629495/specific-tips-for-general-controversies-in-sacral-neuromodulation
#12
REVIEW
Ahmed S El-Azab, Steven W Siegel
The field of Sacral Neuromodulation is continually evolving and still in its infancy. Common dilemmas experienced with this therapy will be discussed in this article, including ways to avoid and manage them. The focus will be on test evaluations performed with either peripheral nerve evaluation (PNE) or staged procedure, the clinical effectiveness and safety of unilateral versus bilateral test stimulation for both the PNE and staged procedures, and best methods to determine the success of the trial phase. We will also discuss how to deal with the problem of declining efficacy of the device over time...
November 2016: Current Urology Reports
https://www.readbyqxmd.com/read/27613410/overview-of-dietary-supplements-in-prostate-cancer
#13
REVIEW
Aline Yacoubian, Rana Abu Dargham, Raja B Khauli, Bassel G Bachir
Prostate cancer is a key health concern for men with its etiology still under investigation. Recently, the role of dietary supplements has been noted to have a major inhibitory effect on prostate cancer and numerous studies have been conducted in this regard. This review provides a summary on numerous recent studies conducted in this field. Some of the studies reviewed revealed a protective role for supplements, and others showed no correlation while some even had an adverse effect. The mechanism of how these supplements act on the prostate is still not clear...
November 2016: Current Urology Reports
https://www.readbyqxmd.com/read/27595997/nocturia
#14
REVIEW
Mark S Soloway, Jeffrey P Weiss, Alan J Wein
A 52-year-old man complains of minor urgency and frequency during the day and nocturia × 3-5. His DRE reveals a 30-g benign prostate. He is started on tamsulosin, and his daytime symptoms resolve entirely; however, he still has nocturia × 2-4. He is counseled on lifestyle modifications and to decrease fluid consumption including caffeine but has no improvement in nocturia. Cystoscopy is normal with no evident visual obstruction. A urinalysis is normal. The PVR is 40 ml. He has a normal-sized neck and does not snore...
October 2016: Current Urology Reports
https://www.readbyqxmd.com/read/27586511/opioid-induced-androgen-deficiency-opiad-diagnosis-management-and-literature-review
#15
REVIEW
Timothy K O'Rourke, Matthew S Wosnitzer
Opioid-induced androgen deficiency (OPIAD) was initially recognized as a possible consequence of opioid use roughly four decades ago. Long-acting opioid use carries risks of addiction, tolerance, and systemic side effects including hypogonadotropic hypogonadism with consequent testosterone depletion leading to multiple central and peripheral effects. Hypogonadism is induced through direct inhibitory action of opioids on receptors within the hypothalamic-pituitary-gonadal (HPG) and hypothalamic-pituitary-adrenal (HPA) axes as well as testosterone production within the testes...
October 2016: Current Urology Reports
https://www.readbyqxmd.com/read/27566646/challenging-case-stones
#16
REVIEW
Mark S Soloway, Justin B Ziemba, Brian R Matlaga, Manoj Monga
A 40-year-old woman presents to the emergency department after a motor vehicle accident, and a CT scan revealed no injuries but incidentally notes three non-obstructing stones in the left kidney of 3, 4, and 5 mm in size. She is completely asymptomatic and has no history of urolithiasis.
October 2016: Current Urology Reports
https://www.readbyqxmd.com/read/27539291/molecular-targeted-fluorescence-guided-intraoperative-imaging-of-bladder-cancer-nodal-drainage-using-indocyanine-green-during-radical-and-partial-cystectomy
#17
REVIEW
Manish N Patel, Ashok K Hemal
Optical imaging is a relatively inexpensive, fast, and sensitive addition to a surgeon's arsenal for the non-invasive detection of malignant dissemination. Optical cameras in the near infrared spectrum are able to successfully identify injected indocyanine green in lymphatic channels and sentinel lymph nodes. The use of this technology is now being used in the operating room to help with lymph node dissection and improve the prognosis of patients diagnosed with muscle invasive bladder cancer. Indocyanine green has the potential for many more applications due to its versatility...
October 2016: Current Urology Reports
https://www.readbyqxmd.com/read/27535043/the-use-of-urodynamics-assessment-before-the-surgical-treatment-of-bph
#18
REVIEW
Ahmed El-Zawahry, Shaheen Alanee, Angela Malan-Elzawahry
Lower urinary tract symptoms (LUTS) are a common problem in men especially with aging. The International Continence Society (ICS) revealed an overall prevalence of LUTS of about two-thirds of men age 40 years and above. The treatment approach depends on accurate determination of the underlying etiology. LUTS is not unique to benign prostate enlargement (BPE) and can be secondary to other causes. In the era where quality of care is important, accurate diagnosis and counseling to meet patients' expectations is of extreme paramount...
October 2016: Current Urology Reports
https://www.readbyqxmd.com/read/27535042/novel-uses-for-the-anabolic-androgenic-steroids-nandrolone-and-oxandrolone-in-the-management-of-male-health
#19
REVIEW
Christopher Wu, Jason R Kovac
There has recently been renewed interest in novel clinical applications of the anabolic-androgenic steroid (AAS) testosterone and its synthetic derivatives, particularly given with the rising popularity of testosterone supplementation therapy (TST) for the treatment of male hypogonadism. In this manuscript, we provide a brief review of the history of AAS and discuss clinical applications of two of the more well-known AAS: nandrolone and oxandrolone. Both agents exhibit favorable myotrophic/androgenic ratios and have been investigated for effectiveness in numerous disease states...
October 2016: Current Urology Reports
https://www.readbyqxmd.com/read/27517862/transitional-urology-for-male-adolescents-what-adult-urologists-should-know
#20
REVIEW
Kristina D Suson
In recent years, there has been increasing interest in transitional urology, or how to best prepare patients with major congenital urologic diseases, such as bladder exstrophy and neuropathic bladder, to manage their own health care with adult urologists. However, common pediatric urologic conditions may be encountered by the adult urologist with more regularity. This review focuses on three relatively common conditions which may be identified in childhood, the consequences from which a patient may seek help from an adult urologist: cryptorchidism, varicocele, and Klinefelter syndrome...
October 2016: Current Urology Reports
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