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BMC Urology

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https://www.readbyqxmd.com/read/28705210/transcutaneous-electrical-stimulation-of-somatic-afferent-nerves-in-the-foot-relieved-symptoms-related-to-postoperative-bladder-spasms
#1
Chanjuan Zhang, Zhiying Xiao, Xiulin Zhang, Liqiang Guo, Wendong Sun, Changfeng Tai, Zhaoqun Jiang, Yuqiang Liu
BACKGROUND: Bladder spasm is a common side effect of urological surgery. Main treatment modalities include opioids or anticholinergic medication; however, bladder spasms still occur even after these interventions. Recent studies indicate that transcutaneous stimulation of the foot can result in 50% increase in bladder capacity in healthy adults, and inhibit bladder detrusor overactivity in spinal cord injured patients. In this study, we examined the effects of transcutaneous electrical stimulation of the foot on bladder spasms related symptoms...
July 13, 2017: BMC Urology
https://www.readbyqxmd.com/read/28697805/the-influence-of-prior-laparoscopic-experience-on-learning-laparoendoscopic-single-site-surgery-a-prospective-comparative-preliminary-study-using-cystorraphy-in-a-live-porcine-model
#2
U-Syn Ha, Kyu Won Lee, Sun Wook Kim, Seung Hyun Jeon, Tae Gyun Kwon, Hyung Keun Park, Sung-Hoo Hong
BACKGROUND: The purpose of this study is to assess the impact of prior laparoscopic experience on the ability to learn laparoendoscopic single site surgery (LESS) skills. METHODS: A total of 33 urologists who completed a training program in LESS surgery were recruited for this study. After completing the educational course and training, the study participants demonstrated LESS suturing and knot-tying via a 2-cm cystotomy in a live porcine model for 15 min. An objective structured assessment of technical skills (OSATS) was used to evaluate videos of each participant's procedure...
July 12, 2017: BMC Urology
https://www.readbyqxmd.com/read/28693554/patient-driven-care-in-the-management-of-prostate-cancer-analysis-of-the-united-states-military-healthcare-system
#3
Muhammad Ali Chaudhary, Jeffrey J Leow, Matthew Mossanen, Ritam Chowdhury, Wei Jiang, Peter A Learn, Joel S Weissman, Steven L Chang
BACKGROUND: Patient preferences are assumed to impact healthcare resource utilization, especially treatment options. There is limited data exploring this phenomenon. We sought to identify factors associated with patients transferring care for prostatectomy, from military to civilian facilities, and the receipt of minimally invasive radical prostatectomy (MIRP). METHODS: Retrospective review of 2006-2010 TRICARE data identified men diagnosed with prostate cancer (ICD-9 185) receiving open radical prostatectomy (ORP; ICD-9: 60...
July 11, 2017: BMC Urology
https://www.readbyqxmd.com/read/28693464/polypoid-arteriovenous-malformation-of-the-ureter-mimicking-a-fibroepithelial-polyp-a-case-report
#4
C S Ten Donkelaar, A C Houwert, F J W Ten Kate, M T W T Lock
BACKGROUND: Arteriovenous malformations (AVM) of the urinary tract are extremely rare. To the best of our knowledge, only three case of AVM of the ureter have been described in the literature so far. CASE PRESENTATION: We present an additional, fourth case of an AVM of the ureter, clinically presented as asymptomatic haematuria and an obstructive process in the left ureter. Ureteroscopic evaluation revealed a fibroepithelial polypoid-like lesion in the proximal ureter...
July 10, 2017: BMC Urology
https://www.readbyqxmd.com/read/28687079/expression-and-function-of-phosphodiesterases-pdes-in-the-rat-urinary-bladder
#5
Xiaofei Zhu, Kui Zhai, Yue Mi, Guangju Ji
BACKGROUND: It has been shown that hosphodiesterases (PDEs) play an important role in mediating the smooth muscle tone of rat urinary bladder. However, the gene expression profiles of them were still unknown. METHODS: Urinary bladder Strips were obtained from both neonatal and adult Sprague-Dawley rats. RT-PCR/western blot and organ bath were used to measure the expression and function of PDEs. RESULTS: Adult rat urinary bladder expressed various PDE mRNA with the following rank order: PDE5A ≈ PDE9A ≈ PDE10A > PDE2A ≈ PDE4A ≈ PDE4D > PDE4B ≈ PDE3B ≈ PDE8B ≈ PDE7A ≈ PDE7B > PDE1A...
July 7, 2017: BMC Urology
https://www.readbyqxmd.com/read/28679384/transperineal-ultrasound-guided-prostate-biopsy-is-safe-even-when-patients-are-on-combination-antiplatelet-and-or-anticoagulation-therapy
#6
Kimitoshi Saito, Satoshi Washino, Yuhki Nakamura, Tsuzumi Konishi, Masashi Ohshima, Yoshiaki Arai, Tomoaki Miyagawa
BACKGROUND: To assess whether hemorrhagic complications associated with transperineal prostate biopsy increased in patients on antiplatelet and/or anticoagulant therapy. METHODS: In total, 598 consecutive patients underwent transperineal prostate biopsy. The medication group comprised patients who took anti-thromboembolic agents, and the control group comprised those who did not take these agents. No anti-thromboembolic agent was stopped before, during, or after prostate biopsy in the medication group...
July 5, 2017: BMC Urology
https://www.readbyqxmd.com/read/28679370/assessment-of-free-hand-transperineal-targeted-prostate-biopsy-using-multiparametric-magnetic-resonance-imaging-transrectal-ultrasound-fusion-in-chinese-men-with-prior-negative-biopsy-and-elevated-prostate-specific-antigen
#7
Huibo Lian, Junlong Zhuang, Wei Wang, Bing Zhang, Jiong Shi, Danyan Li, Yao Fu, Xuping Jiang, Weimin Zhou, Hongqian Guo
BACKGROUND: To evaluate the role of free-hand transperineal targeted prostate biopsy using multiparametric magnetic resonance imaging-transrectal ultrasound (mpMRI-TRUS) fusion in Chinese men with repeated biopsy. METHODS: A total of 101 consecutive patients suspicious of prostate cancer (PCa) at the mpMRI scan and with prior negative biopsy and elevated PSA values were prospectively recruited at two urological centers. Suspicious areas on mpMRI were defined and graded using PI-RADS score...
July 5, 2017: BMC Urology
https://www.readbyqxmd.com/read/28673277/impact-of-a-protein-based-assay-that-predicts-prostate-cancer-aggressiveness-on-urologists-recommendations-for-active-treatment-or-active-surveillance-a-randomized-clinical-utility-trial
#8
John W Peabody, Lisa M DeMaria, Diana Tamondong-Lachica, Jhiedon Florentino, M Czarina Acelajado, Othman Ouenes, Jerome P Richie, Trever Burgon
BACKGROUND: Of the more than 1.1 million men diagnosed worldwide annually with prostate cancer, the majority have indolent tumors. Distinguishing between aggressive and indolent cancer is an important clinical challenge. The current approaches for assessing tumor aggressiveness are recognized as insufficient. A validated protein-based assay has been shown to predict tumor aggressiveness from prostate biopsy. The main objective of this study was to measure the clinical utility of this new assay in the management of early-stage prostate cancer...
July 3, 2017: BMC Urology
https://www.readbyqxmd.com/read/28662713/the-neutrophil-to-lymphocyte-ratio-nlr-predicts-adrenocortical-carcinoma-and-is-correlated-with-the-prognosis
#9
Taku Mochizuki, Takashi Kawahara, Daiji Takamoto, Kazuhide Makiyama, Yusuke Hattori, Jun-Ichi Teranishi, Yasuhide Miyoshi, Yasushi Yumura, Masahiro Yao, Hiroji Uemura
BACKGROUND: The neutrophil-to-lymphocyte ratio (NLR) is reported as a biomarker for some solid malignant diseases. Thus far, however, no reports of the relationship between the NLR and adrenal tumors have been published. We analyzed the utility of the preoperative NLR as a biomarker for predicting the prognosis or diagnosis of malignant disease. METHODS: A total of 59 patients with adrenal tumors (13 cases of malignant disease and 46 with benign disease) were analyzed in this study from February 2004 to June 2015 at our institute...
June 29, 2017: BMC Urology
https://www.readbyqxmd.com/read/28662708/comparison-of-the-efficacy-and-safety-of-ursl-rplu-and-mpcnl-for-treatment-of-large-upper-impacted-ureteral-stones-a-randomized-controlled-trial
#10
Yunyan Wang, Bing Zhong, Xiaosong Yang, Gongcheng Wang, Peijin Hou, Junsong Meng
BACKGROUND: There are three minimally invasive methods for the management of large upper impacted ureteral stones: mini-percutaneous nephrolithotomy (MPCNL), transurethral ureteroscope lithotripsy (URSL), and retroperitoneal laparoscopic ureterolithotomy (RPLU). This study aimed to compare MPCNL, URSL, and RPLU, and to evaluate which one is the best choice for large upper impacted ureteral stones. METHODS: Between January 2012 and December 2015, at the Department of Urology, Huai'an First People's Hospital, 150 consecutively enrolled patients with a large upper impacted ureteral stone (>15 mm) were included...
June 29, 2017: BMC Urology
https://www.readbyqxmd.com/read/28655317/intraoperative-and-postoperative-feasibility-and-safety-of-total-tubeless-tubeless-small-bore-tube-and-standard-percutaneous-nephrolithotomy-a-systematic-review-and-network-meta-analysis-of-16-randomized-controlled-trials
#11
Joo Yong Lee, Seong Uk Jeh, Man Deuk Kim, Dong Hyuk Kang, Jong Kyou Kwon, Won Sik Ham, Young Deuk Choi, Kang Su Cho
BACKGROUND: Percutaneous nephrolithotomy (PCNL) is performed to treat relatively large renal stones. Recent publications indicate that tubeless and total tubeless (stentless) PCNL is safe in selected patients. We performed a systematic review and network meta-analysis to evaluate the feasibility and safety of different PCNL procedures, including total tubeless, tubeless with stent, small-bore tube, and large-bore tube PCNLs. METHODS: PubMed, Cochrane Central Register of Controlled Trials, and EMBASE™ databases were searched to identify randomized controlled trials published before December 30, 2013...
June 27, 2017: BMC Urology
https://www.readbyqxmd.com/read/28645325/performance-characteristics-of-prostate-specific-antigen-density-and-biopsy-core-details-to-predict-oncological-outcome-in-patients-with-intermediate-to-high-risk-prostate-cancer-underwent-robot-assisted-radical-prostatectomy
#12
Masahiro Yashi, Akinori Nukui, Yuumi Tokura, Kohei Takei, Issei Suzuki, Kazumasa Sakamoto, Hideo Yuki, Tsunehito Kambara, Hironori Betsunoh, Hideyuki Abe, Yoshitatsu Fukabori, Yoshimasa Nakazato, Yasushi Kaji, Takao Kamai
BACKGROUND: Many urologic surgeons refer to biopsy core details for decision making in cases of localized prostate cancer (PCa) to determine whether an extended resection and/or lymph node dissection should be performed. Furthermore, recent reports emphasize the predictive value of prostate-specific antigen density (PSAD) for further risk stratification, not only for low-risk PCa, but also for intermediate- and high-risk PCa. This study focused on these parameters and compared respective predictive impact on oncologic outcomes in Japanese PCa patients...
June 23, 2017: BMC Urology
https://www.readbyqxmd.com/read/28629351/assessing-health-related-quality-of-life-in-urology-a-survey-of-4500-german-urologists
#13
A Schmick, M Juergensen, V Rohde, A Katalinic, A Waldmann
BACKGROUND: Urological diseases and their treatment may negatively influence continence, potency, and health-related quality of life (HRQOL). Although current guidelines recommend HRQOL assessment in clinical urology, specific guidance on how to assess HRQOL is frequently absent. We evaluated whether and how urologists assess HRQOL and how they determine its practicality. METHODS: A random sample of 4500 (from 5200 identified German urologists) was drawn and invited to participate in a postal survey (an initial letter followed by one reminder after six weeks)...
June 19, 2017: BMC Urology
https://www.readbyqxmd.com/read/28619091/the-usefulness-of-flexible-cystoscopy-for-preventing-double-j-stent-malposition-after-laparoscopic-ureterolithotomy
#14
Jae-Yoon Kim, Seok-Ho Kang, Jun Cheon, Jeong-Gu Lee, Je-Jong Kim, Sung-Gu Kang
BACKGROUND: The aim of this study was to evaluate the role of flexible cystoscopy in preventing malpositioning of the ureteral stent after laparoscopic ureterolithotomy in male patients. METHODS: From April 2009 to June 2015, 97 male patients with stones >1.8 cm in the upper ureter underwent intracorporeal double-J stenting of the ureter after laparoscopic ureterolithotomy performed by four different surgeons. In the last 50 patients who underwent laparoscopic ureterolithotomy flexible cystoscopy was performed through the urethral route to confirm the position of the double-J stent, while in the first 47 correct positioning of the stent was confirmed through postoperative KUB...
June 15, 2017: BMC Urology
https://www.readbyqxmd.com/read/28619019/life-after-prostate-cancer-treatment-a-mixed-methods-study-of-the-experiences-of-men-with-sexual-dysfunction-and-their-partners
#15
Jeffrey A Albaugh, Nat Sufrin, Brittany R Lapin, Jacqueline Petkewicz, Sandi Tenfelde
BACKGROUND: Prostate cancer is the most common non-skin cancer in men and sexual dysfunction is the most frequently reported long-term side effect of prostate cancer surgery or radiation. The aim of this study was to examine the experiences of men with sexual dysfunction and their partners following prostate cancer treatment. METHODS: Men with sexual dysfunction from either surgical removal or radiation therapy 1-5 years after treatment were interviewed, as well as their partners...
June 15, 2017: BMC Urology
https://www.readbyqxmd.com/read/28615052/intravenous-misplacement-of-the-nephrostomy-catheter-following-percutaneous-nephrostolithotomy-two-case-reports-and-literature-review
#16
Weijin Fu, Zhanbin Yang, Zhibin Xie, Haibiao Yan
BACKGROUND: Intravenous misplacement of a nephrostomy tube after percutaneous nephrostolithotomy (PCNL) is very rare in clinical experiences. This report summarizes the characteristics and management of intravenous misplacement. CASE PRESENTATION: We present two uncommon cases of intravenous nephrostomy catheter misplacement after PCNL from among 4220 patients who underwent PCNL between January 2009 and December 2015. The tip of the tube was located in the inferior vena cava in one case and in the renal vein in the other...
June 14, 2017: BMC Urology
https://www.readbyqxmd.com/read/28610556/toileting-behaviors-and-overactive-bladder-in-patients-with-type-2-diabetes-a-cross-sectional-study-in-china
#17
Dongjuan Xu, Ran Cheng, Aixia Ma, Meng Zhao, Kefang Wang
BACKGROUND: Overactive bladder is more prevalent in patients with type 2 diabetes than in those without diabetes. Unhealthy toileting behaviors may be associated with the development and worsening of overactive bladder symptoms. However, little is known about the relationships between toileting behaviors and overactive bladder in patients with diabetes. This study aimed to identify unhealthy toileting behaviors that patients with type 2 diabetes adopted to empty their bladders and investigate the relationships between toileting behaviors and overactive bladder...
June 13, 2017: BMC Urology
https://www.readbyqxmd.com/read/28606069/when-to-perform-bone-scintigraphy-in-patients-with-newly-diagnosed-prostate-cancer-a-retrospective-study
#18
Yiwei Lin, Qiqi Mao, Bin Chen, Liujiang Wang, Ben Liu, Xiangyi Zheng, Liping Xie
BACKGROUND: To determine when a bone scintigraphy investigation is appropriate in patients with newly diagnosed prostate cancer (PCa). METHODS: We retrospectively reviewed 703 newly diagnosed PCa patients who were referred for bone scintigraphy. The association between age, prostate specific antigen (PSA), Gleason score (GS) and bone scintigraphy result were investigated by series of crude or stratified analysis. RESULTS: Overall, 15.08% (106/703) patients had bone metastases...
June 12, 2017: BMC Urology
https://www.readbyqxmd.com/read/28583110/jack-stone-in-the-bladder-case-report-of-a-rare-entity
#19
Duminda Subasinghe, Serozsha Goonewardena, Vickneswaran Kathiragamathamby
BACKGROUND: Jackstone is a bladder stone that has a similar appearance to toy jacks. However review of the English language medical literature revealed only a few previous reports of jackstone calculus. CASE PRESENTATION: We report a case in which a large jackstone calculus was incidentally detected during the evaluation of 67 year old male presenting with lower urinary tract symptoms. X-Ray kidney, ureter, bladder showed a large irregular shaped radio-opaque shadow in the pelvic region...
June 5, 2017: BMC Urology
https://www.readbyqxmd.com/read/28558685/predictors-of-survival-outcomes-in-native-sub-saharan-black-men-newly-diagnosed-with-metastatic-prostate-cancer
#20
Jibril Oyekunle Bello
BACKGROUND: Though it is well established that black men are at higher risk of prostate cancer (PCa) very little is known about the disease in native sub Saharan black men. Newly diagnosed metastatic PCa patients treated with primary androgen deprivation therapy were identified and predictors of progression-free survival (PFS) assessed. METHODS: Patients diagnosed with metastatic PCa between 2010 and 2015 in a sub Saharan black population were included in the study...
May 30, 2017: BMC Urology
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