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BMC Urology

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https://www.readbyqxmd.com/read/29162085/association-of-lower-urinary-tract-symptoms-and-oab-severity-with-quality-of-life-and-mental-health-in-china-taiwan-and-south-korea-results-from-a-cross-sectional-population-based-study
#1
Kyu-Sung Lee, Tag Keun Yoo, Limin Liao, Jianye Wang, Yao-Chi Chuang, Shih-Ping Liu, Romeo Chu, Budiwan Sumarsono
BACKGROUND: Lower urinary tract symptoms (LUTS) and overactive bladder (OAB) symptoms have a substantial effect on quality of life (QoL). We report QoL and mental health results from a LUTS prevalence study in three Asian countries. METHODS: A cross-sectional, population-representative, internet-based study among individuals aged ≥40 years in China, Taiwan and South Korea. Instruments included: Overactive Bladder Symptom Score (OABSS); International Prostate Symptom Score (IPSS); other International Continence Society (ICS) symptom questions; health-related QoL 12-item short-form (HRQoL-SF12v2); Work Limitations Questionnaire (WLQ); Hospital Anxiety and Depression Scale (HADS)...
November 21, 2017: BMC Urology
https://www.readbyqxmd.com/read/29162070/the-r-i-r-s-scoring-system-an-innovative-scoring-system-for-predicting-stone-free-rate-following-retrograde-intrarenal-surgery
#2
Yinglong Xiao, Deng Li, Lei Chen, Yaoting Xu, Dingguo Zhang, Yi Shao, Jun Lu
BACKGROUND: To establish and internally validate an innovative R.I.R.S. scoring system that allows urologists to preoperatively estimate the stone-free rate (SFR) after retrograde intrarenal surgery (RIRS). METHODS: This study included 382 eligible samples from a total 573 patients who underwent RIRS from January 2014 to December 2016. Four reproducible factors in the R.I.R.S. scoring system, including renal stone density, inferior pole stone, renal infundibular length and stone burden, were measured based on preoperative computed tomography of urography to evaluate the possibility of stone clearance after RIRS...
November 21, 2017: BMC Urology
https://www.readbyqxmd.com/read/29162068/new-steps-of-robot-assisted-radical-prostatectomy-using-the-extraperitoneal-approach-a-propensity-score-matched-comparison-between-extraperitoneal-and-transperitoneal-approach-in-japanese-patients
#3
Satoshi Kurokawa, Yukihiro Umemoto, Kentaro Mizuno, Atsushi Okada, Akihiro Nakane, Hidenori Nishio, Shuzo Hamamoto, Ryosuke Ando, Noriyasu Kawai, Keiichi Tozawa, Yutaro Hayashi, Takahiro Yasui
BACKGROUND: Robot-assisted radical prostatectomy (RARP) is commonly performed using the transperitoneal (TP) approach with six trocars over an 8-cm distance in the steep Trendelenburg position. In this study, we investigated the feasibility and the benefit of using the extraperitoneal (EP) approach with six trocars over a 4-cm distance in a flat or 5° Trendelenburg position. We also introduced four new steps to the surgical procedure and compared the surgical results and complications between the EP and TP approach using propensity score matching...
November 21, 2017: BMC Urology
https://www.readbyqxmd.com/read/29162067/necrotizing-fasciitis-after-high-dose-rate-brachytherapy-and-external-beam-radiation-for-prostate-cancer-a-case-report
#4
Shimpei Yamashita, Yasuo Kohjimoto, Akinori Iba, Kazuro Kikkawa, Isao Hara
BACKGROUND: In recent years, the delayed side effects associated with radiotherapy for prostate cancer have drawn the interest of urologists. Although urosymphyseal fistula is one of these delayed side effects, this serious complication is rarely described in literature and is poorly recognized. CASE PRESENTATION: We report our experience in treating a 77-year-old male patient with necrotizing fasciitis after high-dose rate brachytherapy plus external beam radiation for prostate cancer...
November 21, 2017: BMC Urology
https://www.readbyqxmd.com/read/29145836/clinical-utility-of-computed-tomography-hounsfield-characterization-for-percutaneous-nephrolithotomy-a-cross-sectional-study
#5
Andrea Gallioli, Elisa De Lorenzis, Luca Boeri, Maurizio Delor, Stefano Paolo Zanetti, Fabrizio Longo, Alberto Trinchieri, Emanuele Montanari
BACKGROUND: Computed Tomography (CT) is considered the gold-standard for the pre-operative evaluation of urolithiasis. However, no Hounsfield (HU) variable capable of differentiating stone types has been clearly identified. The aim of this study is to assess the predictive value of HU parameters on CT for determining stone composition and outcomes in percutaneous nephrolithotomy (PCNL). METHODS: Seventy seven consecutive cases of PCNL between 2011 and 2016 were divided into 4 groups: 40 (52%) calcium, 26 (34%) uric acid, 5 (6%) struvite and 6 (8%) cystine stones...
November 16, 2017: BMC Urology
https://www.readbyqxmd.com/read/29145832/upper-urinary-tract-stone-disease-in-patients-with-poor-performance-status-active-stone-removal-or-conservative-management
#6
Shimpei Yamashita, Yasuo Kohjimoto, Yasuo Hirabayashi, Takashi Iguchi, Akinori Iba, Masatoshi Higuchi, Hiroyuki Koike, Takahito Wakamiya, Satoshi Nishizawa, Isao Hara
BACKGROUND: It remains controversial as to whether active stone removal should be performed in patients with poor performance status because of their short life expectancy and perioperative risks. Our objectives were to evaluate treatment outcomes of active stone removal in patients with poor performance status and to compare life prognosis with those managed conservatively. METHODS: We retrospectively reviewed 74 patients with Eastern Cooperative Oncology Group performance status 3 or 4 treated for upper urinary tract calculi at our four hospitals between January 2009 and March 2016...
November 16, 2017: BMC Urology
https://www.readbyqxmd.com/read/29132348/extraperitoneal-laparoscopic-resection-for-retroperitoneal-lymphatic-cysts-initial-experience
#7
Yichun Wang, Chen Chen, Chuanjie Zhang, Chao Qin, Ninghong Song
BACKGROUND: To assess the safety and efficacy of laparoscopic retroperitoneal resection for retroperitoneal lymphatic cysts. METHODS: A retrospective analysis was conducted based on clinical data from eight patients with hydronephrosis caused by retroperitoneal lymphatic cysts. All patients underwent laparoscopic retroperitoneal lymphatic cyst resection and received postoperative follow-up. A follow-up ultrasound was performed postoperatively every 6-12 months to evaluate the recovery of the hydronephrosis...
November 13, 2017: BMC Urology
https://www.readbyqxmd.com/read/29132344/tubeless-versus-standard-percutaneous-nephrolithotomy-an-update-meta-analysis
#8
Yang Xun, Qing Wang, Henglong Hu, Yuchao Lu, Jiaqiao Zhang, Baolong Qin, Yudi Geng, Shaogang Wang
BACKGROUND: To update a previously published systematic review and meta-analysis on the efficacy and safety of tubeless percutaneous nephrolithotomy (PCNL). METHODS: A systematic literature search of EMBASE, PubMed, Web of Science, and the Cochrane Library was performed to confirm relevant studies. The scientific literature was screened in accordance with the predetermined inclusion and exclusion criteria. After quality assessment and data extraction from the eligible studies, a meta-analysis was conducted using Stata SE 12...
November 13, 2017: BMC Urology
https://www.readbyqxmd.com/read/29100509/correction-to-robot-assisted-laparoscopic-reconstructed-management-of-multiple-aneurysms-in-renal-artery-primary-bifurcations-a-case-report-and-literature-review
#9
Hai-Bin Wei, Xiao-Long Qi, Feng Liu, Jie Wang, Xiao-Feng Ni, Qi Zhang, En-Hui Li, Xuan-Yu Chen, Da-Hong Zhang
After publication of this work [1] it was noticed the author - Jie Wang's name was in the wrong order. The original article was corrected. The publisher apologises for this error.
November 3, 2017: BMC Urology
https://www.readbyqxmd.com/read/29084530/role-of-calcifying-nanoparticles-in-the-development-of-testicular-microlithiasis-in-vivo
#10
Xia-Cong Lin, Xiang Gao, Gen-Sheng Lu, Bo Song, Qing-Hua Zhang
BACKGROUND: Calcifying nanoparticles (NPs) have been proven to be associated with a variety of pathological calcification and previously detected in semen samples from patients with testicular microlithiasis (TM). The present study was designed to test the hypothesis if human-derived NPs could invade the seminiferous tubules and induce TM phenotype. METHODS: The animals were divided into three groups. Normal saline (0.2 mL) was injected into the proximal right ductus deferens in group A as a control group...
October 30, 2017: BMC Urology
https://www.readbyqxmd.com/read/29078772/canadian-men-s-perspectives-about-active-surveillance-in-prostate-cancer-need-for-guidance-and-resources
#11
Margaret Fitch, Kittie Pang, Veronique Ouellet, Carmen Loiselle, Shabbir Alibhai, Simone Chevalier, Darrel E Drachenberg, Antonio Finelli, Jean-Baptiste Lattouf, Simon Sutcliffe, Alan So, Simon Tanguay, Fred Saad, Anne-Marie Mes-Masson
BACKGROUND: In prostate cancer, men diagnosed with low risk disease may be monitored through an active surveillance. This research explored the perspectives of men with prostate cancer regarding their decision-making process for active surveillance to identify factors that influence their decision and assist health professionals in having conversations about this option. METHODS: Focus group interviews (n = 7) were held in several Canadian cities with men (N = 52) diagnosed with prostate cancer and eligible for active surveillance...
October 27, 2017: BMC Urology
https://www.readbyqxmd.com/read/29058592/ureteral-reconstruction-using-a-tapered-non-vascularized-bladder-graft-an-experimental-study-in-a-canine-animal-model
#12
Lujia Zou, Shanhua Mao, Shenghua Liu, Limin Zhang, Tian Yang, Yun Hu, Qiang Ding, Haowen Jiang
BACKGROUND: Reconstruction of ureteral defects and strictures remains problematic for urologists. We aimed to investigate the possibility of a tapered non-vascularized bladder graft as a novel substitute for ureteral reconstruction. METHODS: This experimental study was conducted on nine beagles. Under general anesthesia, a full-thickness graft with 5-6 cm in length was disassociated from the anterior upper wall of the bladder, and tapered into 1/3 to 1/2 thickness, remaining the urothelial surface...
October 23, 2017: BMC Urology
https://www.readbyqxmd.com/read/29037183/robot-assisted-laparoscopic-reconstructed-management-of-multiple-aneurysms-in-renal-artery-primary-bifurcations-a-case-report-and-literature-review
#13
Hai-Bin Wei, Xiao-Long Qi, Feng Liu, Wang Jie, Xiao-Feng Ni, Qi Zhang, En-Hui Li, Xuan-Yu Chen, Da-Hong Zhang
BACKGROUND: Renal artery aneurysm (RAA) is rare and its incidence in the general population remains elusive. There have been few reports on the repair of multiple aneurysms conducted with the Da Vinci robot-assisted surgical platform (Intuitive Surgical Inc., Sunnyvale, CA, USA), especially for those located in renal artery primary bifurcations. CASE PRESENTATION: We report our experience in the surgical management of two expanding right-sided RAAs in a 64-year-old man using a robot-assisted laparoscopic approach...
October 16, 2017: BMC Urology
https://www.readbyqxmd.com/read/29017517/traumatic-penile-amputation-a-case-report
#14
Tushar Patial, Girish Sharma, Pamposh Raina
BACKGROUND: Traumatic amputation of the penis is a rare surgical emergency. Although repair techniques have been well described in literature, failure of replantation and its causes are poorly understood and reported. Herein, we report the case of a 9 year old boy who underwent replantation of his amputated penis with delayed failure of the surgery, along with a discussion of recent advances in the management of this condition. CASE  PRESENTATION: A 9-year-old boy was referred to our hospital for traumatic amputation of the penis...
October 10, 2017: BMC Urology
https://www.readbyqxmd.com/read/29017509/acceptability-of-dietary-and-physical-activity-lifestyle-modification-for-men-following-radiotherapy-or-radical-prostatectomy-for-localised-prostate-cancer-a-qualitative-investigation
#15
Lucy E Hackshaw-McGeagh, Eileen Sutton, Raj Persad, Jonathan Aning, Amit Bahl, Anthony Koupparis, Chris Millett, Richard M Martin, J Athene Lane
BACKGROUND: The experience and acceptability of lifestyle interventions for men with localised prostate cancer are not well understood, yet lifestyle interventions are increasingly promoted for cancer survivors. We explored the opinions, experiences and perceived acceptability of taking part in nutritional and physical activity interventions amongst men with prostate cancer and their partners; with the ultimate plan to use such information to inform the development of nutritional and physical activity interventions for men with prostate cancer...
October 10, 2017: BMC Urology
https://www.readbyqxmd.com/read/29017505/study-protocol-patient-reported-outcomes-for-bladder-management-strategies-in-spinal-cord-injury
#16
Darshan P Patel, Sara M Lenherr, John T Stoffel, Sean P Elliott, Blayne Welk, Angela P Presson, Amitabh Jha, Jeffrey Rosenbluth, Jeremy B Myers
BACKGROUND: The majority of spinal cord injury (SCI) patients have urinary issues, such as incontinence, retention, and frequency. These problems place a significant burden on patients' physical health and quality of life (QoL). There are a wide variety of bladder management strategies available to patients with no clear guidelines on appropriate selection. Inappropriate bladder management can cause hospitalizations and serious complications, such as urosepsis and renal failure. Patients believe that both independence and ability to carry out daily activities are just as important as physical health in selecting the right bladder-management strategy but little is known about patient's QoL with different bladder managements...
October 10, 2017: BMC Urology
https://www.readbyqxmd.com/read/28974201/effects-of-increasing-the-psa-cutoff-to-perform-additional-biomarker-tests-before-prostate-biopsy
#17
Tobias Nordström, Jan Adolfsson, Henrik Grönberg, Martin Eklund
BACKGROUND: Multi-step testing might enhance performance of the prostate cancer diagnostic pipeline. Using PSA >1 ng/ml for first-line risk stratification and the Stockholm 3 Model (S3M) blood-test >10% risk of Gleason Score > 7 prostate cancer to inform biopsy decisions has been suggested. We aimed to determine the effects of changing the PSA cutoff to perform reflex testing with S3M and the subsequent S3M cutoff to recommend prostate biopsy while maintaining the sensitivity to detect Gleason Score ≥ 7 prostate cancer...
October 3, 2017: BMC Urology
https://www.readbyqxmd.com/read/28969608/positive-surgical-margins-and-biochemical-recurrence-following-minimally-invasive-radical-prostatectomy-an-analysis-of-outcomes-from-a-uk-tertiary-referral-centre
#18
Ashwin Sachdeva, Rajan Veeratterapillay, Antonia Voysey, Katherine Kelly, Mark I Johnson, Jonathan Aning, Naeem A Soomro
BACKGROUND: Positive surgical margins are a strong prognostic marker of disease outcome following radical prostatectomy, though prior evidence is largely from a PSA-screened population. We therefore aim to evaluate the biochemical recurrence in men with positive surgical margins (PSM) after minimally-invasive radical prostatectomy (MIRP) in a UK tertiary centre. METHODS: Retrospective study of men undergoing laparoscopic or robotic-assisted radical prostatectomy between 2002 and 2014...
October 2, 2017: BMC Urology
https://www.readbyqxmd.com/read/28950849/bacteriophages-for-treating-urinary-tract-infections-in-patients-undergoing-transurethral-resection-of-the-prostate-a-randomized-placebo-controlled-double-blind-clinical-trial
#19
Lorenz Leitner, Wilbert Sybesma, Nina Chanishvili, Marina Goderdzishvili, Archil Chkhotua, Aleksandre Ujmajuridze, Marc P Schneider, Andrea Sartori, Ulrich Mehnert, Lucas M Bachmann, Thomas M Kessler
BACKGROUND: Urinary tract infections (UTI) are among the most prevalent microbial diseases and their financial burden on society is substantial. The continuing increase of antibiotic resistance worldwide is alarming. Thus, well-tolerated, highly effective therapeutic alternatives are urgently needed. Although there is evidence indicating that bacteriophage therapy may be effective and safe for treating UTIs, the number of investigated patients is low and there is a lack of randomized controlled trials...
September 26, 2017: BMC Urology
https://www.readbyqxmd.com/read/28946874/design-of-a-single-arm-clinical-trial-of-regenerative-therapy-by-periurethral-injection-of-adipose-derived-regenerative-cells-for-male-stress-urinary-incontinence-in-japan-the-adresu-study-protocol
#20
Shinobu Shimizu, Tokunori Yamamoto, Shinobu Nakayama, Akihiro Hirakawa, Yachiyo Kuwatsuka, Yasuhito Funahashi, Yoshihisa Matsukawa, Keisuke Takanari, Kazuhiro Toriyama, Yuzuru Kamei, Kazutaka Narimoto, Tomonori Yamanishi, Osamu Ishizuka, Masaaki Mizuno, Momokazu Gotoh
BACKGROUND: Male stress urinary incontinence is a prevalent condition after radical prostatectomy. While the standard recommendation for the management of urine leakage is pelvic floor muscle training, its efficacy is still unsatisfactory. Therefore, we have focused on regenerative therapy, which consists of administering a periurethral injection of autologous regenerative cells from adipose tissue, separated using the Celution® system. Based on an interim data analysis of our exploratory study, we confirmed the efficacy and acceptable safety profile of this treatment...
September 25, 2017: BMC Urology
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