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Scandinavian Journal of Urology

Mef Nilbert, Mats Bläckberg, Jeanette Ceberg, Oskar Hagberg, Rebecca Stenhoff, Fredrik Liedberg
OBJECTIVE: This study assessed a national healthcare intervention launched in Sweden in 2015 to reduce the time between macroscopic haematuria, diagnosis and treatment of urinary tract cancer. METHODS: The outcome of the first 11 months was evaluated in 1697 individuals referred to a standardized care pathway for urinary tract cancer compared with 174 patients with conventionally diagnosed urothelial carcinoma. RESULTS: Among the referred individuals, 317 (19%) were diagnosed with cancer, 1034 (61%) had a benign diagnosis and 345 (20%) had a negative evaluation...
November 9, 2018: Scandinavian Journal of Urology
Antti Pöyhönen, Jonne Åkerla, Jukka T Häkkinen, Juha Koskimäki, Teuvo L J Tammela, Anssi Auvinen
OBJECTIVE: The aim of this study was to determine the severity and bother of lower urinary tract symptoms (LUTS) and evaluate the burden of each symptom in a male population. MATERIALS AND METHODS: Postal questionnaires were sent to 7470 men aged 30-80 years. The Danish Prostatic Symptom Score (DAN-PSS-1) was used to determine the severity, bother and total symptom score for each symptom. To assess the total burden of each symptom at the population level, the total symptom scores were weighted by the prevalence they represented...
November 1, 2018: Scandinavian Journal of Urology
Teresa Olsen Ekerhult, Klas Lindqvist, Lars Grenabo, Christina Kåbjörn Gustafsson, Ralph Peeker
OBJECTIVE: The aim of this study was to assess whether sclerosis in histology following bulbar urethroplasty is a predictive factor for failure of surgery. MATERIALS AND METHODS: Resected stricture specimens from 45 patients undergoing open urethroplasty with excision and anastomosis were collected prospectively during 2011-2014. Histopathological characteristics, including fibrosis (grade I-III), inflammation and sclerosis, were evaluated using different routine staining...
November 1, 2018: Scandinavian Journal of Urology
Marie Schmidt Erikson, Astrid Christine Petersen, Klaus Kaae Andersen, Anne Helms Andreasen, Søren Friis, Karin Mogensen, Gregers Gautier Hermann
OBJECTIVE: To estimate national relative survival of low and high grade non-invasive papillary urothelial carcinoma (Ta LG and Ta HG) and urothelial carcinoma in situ (CIS). MATERIALS AND METHODS: All Danish citizens (17,941 patients) with a primary urothelial bladder tumour diagnosis in the period 2000- 2010 were followed until 1 January 2016 and recorded in the Danish Bladder Cancer Cohort database. Survival was compared to the background population matched on age and gender and adjusted by civil status, income, education, and comorbidity...
November 1, 2018: Scandinavian Journal of Urology
Hampus Nugin, Yasin Folkvaljon, Jan-Erik Damber, Jan Adolfsson, David Robinson, Pär Stattin
BACKGROUND AND OBJECTIVES: In 2007, the Swedish National Board of Health and Welfare published the first Swedish guidelines on prostate cancer (PCa) to improve care and decrease geographical and social inequalities. The aim of this analysis was to assess how these guidelines affected PCa care. MATERIALS AND METHODS: Work-up and treatment for men diagnosed with PCa between 1998 and 2014 were assessed by use of data in the Prostate Cancer data Base Sweden (PCBaSe) with information from the National Prostate Cancer Register (NPCR) and other healthcare registries and demographic databases...
October 26, 2018: Scandinavian Journal of Urology
Lauri Rantaniemi, Teuvo L J Tammela, Paula Kujala, Teemu J Murtola
OBJECTIVE: The effects of blood cholesterol levels on prostate cancer (PCa) prognosis are unclear. This study explored the associations between blood cholesterol levels and PCa clinical characteristics, including Gleason score and tumor, node, metastasis stage, as well as risk of PCa recurrence and death after radical prostatectomy. The association between statin-induced cholesterol decline and PCa prognosis was also studied. MATERIALS AND METHODS: The study cohort consisted of 1314 PCa patients who underwent radical prostatectomy as primary management at the Tampere University Hospital between 1995 and 2009...
October 26, 2018: Scandinavian Journal of Urology
Giovanni Cacciamani, Nicolò De Luyk, Vincenzo De Marco, Marco Sebben, Leonardo Bizzotto, Davide De Marchi, Maria Angela Cerruto, Salvatore Siracusano, Antonio Benito Porcaro, Walter Artibani
OBJECTIVE: The aim of this study was to evaluate the feasibility of robotic extravesical posterior surgical bladder diverticulectomy for treatment of symptomatic bladder diverticula (BD). MATERIALS AND METHODS: Data from patients with posterior BD who consecutively underwent robotic bladder diverticulectomy (RBD) from 2013 to 2016 in Azienda Ospedaliera Universitaria Integrata, Verona, were retrospectively reviewed. Baseline characteristics, perioperative outcomes including operative time (OT), estimated blood loss (EBL), postoperative transfusion rate and length of hospital stay (LOS), and early (30 days) and late (90 days) postoperative complications were recorded and analysed...
October 19, 2018: Scandinavian Journal of Urology
Alessandro Crestani, Gianluca Giannarini, Marta Rossanese, Mattia Calandriello, Vito Palumbo, Claudio Valotto, Vincenzo Ficarra
INTRODUCTION: the aim of this work is to assess whether renorrhaphy with the sliding-clip technique improves perioperative and early functional outcomes compared with traditional renorrhaphy in a contemporary series of patients undergoing open partial nephrectomy (PN). MATERIAL AND METHODS: A single-center single-surgeon cohort of 107 consecutive patients treated with open PN between July 2013 and March 2017 was analyzed. A study group of 48 patients undergoing renorrhaphy with the sliding-clip technique was compared with a control group of 59 patients receiving traditional renorrhaphy...
October 19, 2018: Scandinavian Journal of Urology
Rongsheng Zhou, Conghui Han, Lin Hao, Bo Chen, Guanghui Zang, Tao Fan, Jiahe Zhou, Yang Dong, Weiming Ma, Kun Pang
OBJECTIVE: To introduce a new position for ureteroscopic holmium laser lithotripsy for patients with upper ureteral calculi. MATERIALS AND METHODS: Between June 2014 and May 2017, 192 patients were enrolled in this study. Patients were randomly assigned to one of two groups: group A, ureteroscopic lithotripsy (URSL) in the Trendelenburg position; or group B, URSL in the standard position. Baseline information, including gender, age, body mass index (BMI), stone side, stone size and hydronephrosis grade, was collected and determined preoperatively...
October 18, 2018: Scandinavian Journal of Urology
Ibrahim Halil Bozkurt, Ismail Basmaci, Ertugrul Sefik, Serkan Yarimoglu
No abstract text is available yet for this article.
October 12, 2018: Scandinavian Journal of Urology
Mark Faurholt Aagaard, Yasmine Khayyami, Frank Bohn Hansen, Hans Peter Tofft, Jørgen Nordling
INTRODUCTION: Awareness of prostate cancer is growing in the Western population, and an increasing number of patients are being referred to prostate surgery. This is a significant contributor to male stress urinary incontinence (SUI). Implantation of an artificial sphincter (AUS) is considered the gold standard treatment of SUI. This study investigates the role of minimally invasive treatment with the Argus sling in a heterogenic hard-to-treat patient group. METHOD: The study was a retrospective follow-up study with patients as their own controls...
October 9, 2018: Scandinavian Journal of Urology
Maria Frånlund, Rebecka Arnsrud Godtman, Sigrid V Carlsson, Hans Lilja, Marianne Månsson, Johan Stranne, Jonas Hugosson
OBJECTIVE: To evaluate the long-term outcome of men with an initial prostate-specific antigen (PSA) level below 3 ng/mL and whether the free-to-total (F/T PSA) ratio is a useful prognostic marker in this range. MATERIALS AND METHODS: This study is based on 5,174 men aged 50-66 years, who in 1995-1996 participated in the first round of the Göteborg randomized screening trial (initial T-PSA level <3 ng/mL). These men were subsequently invited biennially for PSA and F/T PSA screening until they reached the upper age limit (on average 69 years)...
September 21, 2018: Scandinavian Journal of Urology
Pernille Skjold Kingo, Thormod Mønsted Rasmussen, Lotte Kaasgaard Jakobsen, Johan Palmfeldt, Rikke Nørregaard, Michael Borre, Jørgen Bjerggaard Jensen
OBJECTS: To compare surgical inflammatory response (SIR) after radical cystectomy (RC) in a porcine model using minimal invasive techniques. Additionally we aimed to investigate the potential immunosuppressive ability of preoperative CO2 -pneumoperitoneum (CO2 P). MATERIALS AND METHODS: Forty female landrace pigs were randomized to five groups: Three intervention groups all having a cystectomy and an ileal conduit either done by robot-assisted laparoscopic technique with intracorporeal urinary diversion (RALC) or an open mini-laparotomy with or without prior CO2 P (OMC ± CO2 P)...
September 6, 2018: Scandinavian Journal of Urology
Abolfazl Hosseini, Linda Dey, Oscar Laurin, Cristofer Adding, Jonas Hoijer, Jan Ebbing, Justin W Collins
OBJECTIVE: Benign ureterointestinal anastomosis (BUIA) stricture is a recognized complication after open radical cystectomy. The evidence for stricture rates following robot-assisted radical cystectomy (RARC) is limited. This article reports stricture rates from a single high-volume RARC centre. MATERIALS AND METHODS: Between December 2003 and December 2015, 371 patients underwent RARC with a totally intracorporeal urinary diversion. All patients received a ureteric anastomosis utilizing the 'Wallace plate' with a running suture technique...
August 14, 2018: Scandinavian Journal of Urology
Sean F Mungovan, Henk B Luiting, Petra L Graham, Jaspreet S Sandhu, Oguz Akin, Lewis Chan, Manish I Patel
OBJECTIVE: To compare preoperative membranous urethral length (MUL) measurements using magnetic resonance imaging (MRI) with two-dimensional transperineal ultrasound imaging (TPUS) in two supine positions on two separate days in men prior to radical prostatectomy. MATERIALS AND METHODS: MUL was prospectively measured in 18 male volunteers using MRI and on two separate occasions in two different patient positions using TPUS; the patient supine with the knees extended (Supine) and supine with the knees flexed to 70 degrees (Supine KF)...
July 25, 2018: Scandinavian Journal of Urology
Maximilian Burger
No abstract text is available yet for this article.
July 4, 2018: Scandinavian Journal of Urology
Beata Grabowska, Emma Ulvskog, Jessica Carlsson, Michelangelo Fiorentino, Francesca Giunchi, Per Lindblad, Pernilla Sundqvist
OBJECTIVE: The aims of this study were to create a cohort of retrospectively collected renal cell carcinoma (RCC) specimens to be used a basis for prognostic molecular studies, and to investigate the outcome and time trends in patients surgically treated for RCC in a single-centre cohort. MATERIALS AND METHODS: Patients undergoing surgery for RCC between 1986 and 2010 were included in the study. Medical records were reviewed, and the diagnostic tissue was re-evaluated according to a modern classification...
July 4, 2018: Scandinavian Journal of Urology
Seiji Kato, Shuichi Kamijima, Tsutomu Inaoka, Naoto Kamiya, Daisuke Sasai, Hitoshi Terada, Nobuyuki Hiruta, Hiroyoshi Suzuki
INTRODUCTION: Apparent diffusion coefficient (ADC) values on multiparametric magnetic resonance imaging (mpMRI) have been reported to correlate with high-Gleason score (GS) prostate cancer. However, the relative ADC values between tumor lesions and normal tissue have been suggested as more suitable than the absolute ADC values for evaluation of diffusion abnormalities, because absolute ADC values are susceptible to differences in scanners or scanner settings. The present study evaluated the usefulness of the relative assessment of ADC values between tumor lesions and normal tissue on preoperative mpMRI for the prediction of high-risk prostate cancer on radical prostatectomy specimens...
June 25, 2018: Scandinavian Journal of Urology
David G Bratt, Ata Jaffer, Lizzie Chandra, Chirag Patel, Chandra S Biyani
No abstract text is available yet for this article.
June 17, 2018: Scandinavian Journal of Urology
Carin Sjöström, Andreas Thorstenson, Viveka Ströck, Abolfazl Hosseini-Aliabad, Firas Aljabery, Fredrik Liedberg, Amir Sherif, Per-Uno Malmström, Johan Rosell, Truls Gårdmark, Staffan Jahnson
OBJECTIVE: The aim of this investigation was to study differences between male and female patients with stage T1 urinary bladder cancer (UBC) regarding intravesical instillation therapy, second resection and survival. MATERIALS AND METHODS: This study included all patients with non-metastatic primary T1 UBC reported to the Swedish National Register of Urinary Bladder Cancer (SNRUBC) from 1997 to 2014, excluding those treated with primary cystectomy. Differences between groups were evaluated using chi-squared tests and logistic regression, and survival was investigated using Kaplan-Meier and log-rank tests and Cox proportional hazards analysis...
April 20, 2018: Scandinavian Journal of Urology
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