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Central European Journal of Urology

Jennifer Kranz, Daniel Schlager, Petra Anheuser, Sandra Mühlstädt, Benedict Brücher, Tanja Frank, Dimitri Barski, Roman Mayr, Andreas Lunacek, Eric Francis Macharia-Nimietz, Joachim A Steffens, Johannes Grolle, Alexandre Pelzer, Laila Schneidewind
Introduction: To compare earlier and later patient groups with Fournier's gangrene, specifically with the incidence of rising antibiotic resistance rates in mind. Primary endpoints were to compare therapy, outcomes, and resistance rates. Material and methods: A multicentric, retrospective, multi-national study was performed. Two groups with different time frames of treatment were defined: Group 1 (n = 50) and Group 2 (n = 104). Demographics and outcomes were analysed using Student-t test, chi-square test, or Fisher exact test...
2018: Central European Journal of Urology
Carlos Gasanz, Carles Raventós, Jordi Temprana-Salvador, Marielle Esteves, Carla Fonseca, Inés de Torres, Juan Morote
Introduction: Bladder reconstruction without using the intestine remains a challenge to this day despite the development of new biomaterials and cell cultures. Human bladder engineering is merely anecdotic, and mostly in vitro and animal studies have been conducted. Material and methods: In our study using a porcine model, we performed a bladder augmentation using an autologous parietal peritoneum graft (peritoneocystoplasty) and determined whether the attachment of an acellular collagen-elastin matrix (Group 1) or lack of (Group 2) had better histologic and functional results...
2018: Central European Journal of Urology
Lavanya Anandan, Aza Mohammed
Introduction: Buried penis is a condition that causes the penis to become hidden beneath the skin. It has a significant impact on quality of life and can present in a variety of ways, with lower urinary tract symptoms and erectile dysfunction being common. Whilst there are several causes, obesity is the most common in adults. Due to the burden that obesity is increasingly presenting to healthcare, buried penis may become more common in the future.The purpose of this article is to provide an overview of the causes, presentation and surgical management of this condition in adults...
2018: Central European Journal of Urology
Mohamed Gadelmoula, Mohammad S Abdel-Kader, Mahmoud Shalaby, Mostafa Abdelrazek, Ahmed Mohamed Moeen, Mohamed Ali Zarzour, Nasreldin Mohammed, Paolo Fornara
Introduction: To prospectively compare the perioperative and functional outcomes of laparoscopic (LP) and open pyeloplasty (OP) in three academic institutions. Material and methods: Between September 2012 and September 2016, 102 patients with primary uteropelvic junction obstruction (UPJO) underwent pyeloplasty (51 LP and OP for the other 51 patients). Demographic data, perioperative parameters, including operative time, estimated blood loss, complications, length of hospital stay, and functional outcome were compared, and SF-8 Health Survey scoring was recorded for each group...
2018: Central European Journal of Urology
Aleksander Lukasiewicz
An adequate and timely diagnosis is crucial in the treatment of renal artery aneurysms during pregnancy since the risk of rupture and its catastrophic consequences are high. Clinical symptoms, laboratory results, and B-mode abdominal ultrasonography may mimic renal colic. In this report, a case of a pregnant 26-year-old woman with a large, symptomatic renal aneurysm is presented. The diagnostic pathway and the treatment are described. Potential pitfalls in the diagnosis are discussed.
2018: Central European Journal of Urology
Peter Petros, Burghard Abendstein
The mechanism for urinary continence is not obstructive. Ultrasound and video data indicate that 3 striated muscle forces contract in opposite directions around a competent pubourethral ligament (PUL) to close the distal urethra and bladder neck. If PUL is loose, both mechanisms are invalidated, because striated muscles need a firm insertion point to function efficiently. The patient now loses urine on effort. Referring back to original research, the various steps involved in a midurethral sling operation are analysed with a view to optimizing surgical results...
2018: Central European Journal of Urology
Alpaslan Caliskan, Mehmet Ozeren, Klaus Goeschen
Introduction: High failure and recurrent prolapse remains an important issue for pelvic organ prolapse (POP) surgery. The posterior intravaginal slingplasty (PIVS) is a minimally invasive, transperineal technique providing level I support, by creating neo-sacrouterine ligaments using a mesh. In order to reduce the POP recurrence rate, achieve a safer apical support and thereby better functional outcomes, we attached PIVS tape to the sacrospinous ligament bilaterally and compared the anatomical and functional outcomes for our modified technique versus the original PIVS...
2018: Central European Journal of Urology
Ireneusz Ostrowski, Janusz Ciechan, Emil Sledz, Wojciech Dys, Tomasz Golabek, Piotr L Chłosta
Introduction: The treatment of choice for patients who have iatrogenic urinary incontinence is the implantation of an artificial urinary sphincter. We performed a prospective study on the outcomes of men undergoing artificial urinary sphincter (AUS) implantation (ZSI 375; Zephyr Surgical Implants, Geneva, Switzerland). Material and methods: Patients with moderate-to-severe stress incontinence urinary were included. The ZSI 375 device is a one-piece device with a cuff and a pump unit...
2018: Central European Journal of Urology
Mehdi Shirazi, Zahra Jahnabadi, Pooya Hekmati
Introduction: The aims of the present study were to examine the effectiveness and safety of baclofen in children with dysfunctional voiding (DV). Material and methods: Thirty children with primary DV were enrolled. Patients underwent history taking, complete physical examination, urine analysis and culture, ultrasonography of the urinary system, a uroflowmetry study and post urine residue analysis. The Dysfunctional Voiding Symptom Score (DVSS) questionnaire was completed and other related symptoms were recorded...
2018: Central European Journal of Urology
Krzysztof Balawender, Stanisław Orkisz, Paweł Wisz
Introduction: Testicular microlithiasis is a finding incidental to the ultrasound examination of the scrotum. This article presents some new data regarding the etiopathology of testicular microliths. As there is a growing body of literature available, which associates testicular microlithiasis with a testicular germ cell tumor or male infertility, our review focuses on these relations (based on a new meta-analysis and retrospective follow-up programs). The purpose of this review is to summarize the knowledge about testicular microlithiasis and discuss the latest recommendations...
2018: Central European Journal of Urology
Muhammad Jamal Khan, Nish Bedi, Muhammad Naim Che Rahimi, Jas Kalsi
Introduction: We present our experience with patients who had suspected testicular masses, managed by a frozen section assessment and testicular sparing surgery. Material and methods: We performed a retrospective review of all patients over the last 5 years, who underwent a frozen section assessment and testicular sparing surgery for small testicular lesions. The frozen section assessment was compared with the final histology. Results: Twelve patients were identified...
2018: Central European Journal of Urology
Yulian Mytsyk, Victor Dosenko, Michał Andrzej Skrzypczyk, Yuriy Borys, Yuriy Diychuk, Askold Kucher, Vasyl Kowalskyy, Serhyi Pasichnyk, Oleh Mytsyk, Lubov Manyuk
Introduction: Renal cell carcinoma (RCC) accounts for 3% of adult malignancies and more than 90% of kidney neoplasms. High rates of undiagnostic percutaneous kidney biopsies and difficulties in reliable pre-operative differentiation between malignant and benign renal tumors using contemporary imaging techniques result in large numbers of redundant surgeries. Absence of specific biomarkers for early detection and monitoring complicates on-time diagnosis of the disease and relapse. For the patients followed up after having a nephrectomy, a noninvasive and sensitive biomarker enabling early detection of disease relapse would be extremely useful...
2018: Central European Journal of Urology
Anuj Deep Dangi, Ramani Manoj Kumar, Thomas Alex Kodiatte, Mahasampth Gowri, Santosh Kumar, Antony Devasia, Nitin Kekre
Introduction: Evidence for second transurethral resection of bladder tumour (TURBT) for pTa high-grade lesions is limited. This study aims to examine the role of a second TURBT in the pTa high-grade group and to generate recurrence and progression data for this group. Material and methods: We retrospectively studied the clinical profiles and outcomes of all patients diagnosed with high-grade pTa lesions at first TURBT, between the years 2006-2015. Firstly, in patients who underwent a complete first TURBT, we calculated the proportion of patients with positive findings on second TURBT...
2018: Central European Journal of Urology
Zofia Marchewka, Beata Szymańska, Janusz Dembowski, Anna Długosz, Agnieszka Piwowar
Introduction: A steady increase in cases of bladder cancer (BC) has been observed. Detection of unfavorable changes, especially in the early stages of disease, is crucial to medical procedure. There is still a need to search for new, non-invasive biomarkers of BC. The aim of this study was to estimate the levels of selected low molecular weight proteins (LMWP) and enzymes in the urine of patients at different BC stages and grades. Material and methods: Urine samples from 46 patients with BC and 16 healthy controls were examined...
2018: Central European Journal of Urology
Gülistan Gümrükcü, Burcu Onamay Celik, Selahattin Çalişkan, Selvinaz Ökzara, Orhan Koca, Cağatay Tosun, Ayse Mine Önenerk, Fügen Aker
Introduction: Prostate cancer is the second most common cancer and a major significant health problem amongst men in the world. Radical prostatectomy with open, laparoscopic and robotic techniques is the gold standard treatment for localized and local advanced disease. There are some risk factors including gleason score, T stage and prostate-specific antigen (PSA) level to predict the biochemical recurrence. We investigated the association with biochemical recurrence and TMPRSS2:ERG fusion in patients who were treated with open radical prostatectomy...
2018: Central European Journal of Urology
Pieter D'hulst, Pieter Mattelaer, Jochen Darras, Lorenzo Staelens, Hans Pottel, Diederik Ponette
Introduction: Low-dose-rate (LDR) brachytherapy is a widely used therapeutic option for localised prostate cancer. The aim of this study was to analyse the oncological and functional outcomes after 10 years of experience with brachytherapy for localised prostate cancer. Material and methods: All patients who underwent brachytherapy between April 2006 and September 2017 were included for analysis. Initial prostate-specific antigen (PSA) levels, tumour stages, Gleason scores, positive biopsies, prostate volumes, dosimetric parameters, and urinary symptoms were noted...
2018: Central European Journal of Urology
Herney Andrés García-Perdomo, Jose Jaime Correa-Ochoa, Ricardo Contreras-García, Siamak Daneshmand
Introduction: To determine the effectiveness and safety of extended pelvic lymphadenectomy compared with standard lymphadenectomy in the overall, cancer-specific survival and biochemical recurrence-free survival of patients with localized prostate cancer who underwent radical prostatectomy. Material and methods: Clinical trials and cohort studies were included without language restrictions with the following participants: men older than 40 years of age diagnosed with localized prostate cancer who received radical prostatectomy plus pelvic lymphadenectomy...
2018: Central European Journal of Urology
Peter Weibl, Rudi Hoelzel, Michael Rutkowski, Wilhelm Huebner
No abstract text is available yet for this article.
2018: Central European Journal of Urology
Erdal Benli, Abdullah Cirakoglu, Sema Nur Ayyıldız, Ahmet Yüce
Introduction: The aim of this study is to investigate whether the uric acid levels, measured in the serum of patients with a new prostate cancer diagnosis, differ from those in the healthy subjects. Material and methods: The study included 117 patients who applied to our clinic due to a high prostate specific antigen (PSA) with prostate cancer diagnosis from 2013-2016 and 114 patients applying in the same period for other reasons. The serum uric acid levels and inflammatory markers like c-reactive protein (CRP) and neutrophil count were compared between the groups...
2018: Central European Journal of Urology
Natalia S Zabegalina, Michaël M E L Henderickx, Veerle Lamotte, Bart Segers, Gaetane Stassijns, Stefan De Wachter, Lucien Hoekx
Introduction: To evaluate the effect of a six-month supervised physical exercise program on the physical and cardio-metabolic profile and quality of life in patients with prostate cancer on androgen deprivation therapy. Material and methods: Twenty-seven patients with prostate cancer on androgen deprivation therapy were included in a physical exercise program. The program consisted of supervised physical exercises during a six-month period (two hours, twice a week)...
2018: Central European Journal of Urology
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