keyword
https://read.qxmd.com/read/38053419/is-artificial-intelligence-the-key-to-revolutionizing-benign-prostatic-hyperplasia-diagnosis-and-management
#21
REVIEW
Mohamed A A A Hegazi, Gianluigi Taverna, Fabio Grizzi
Benign prostatic hyperplasia (BPH) is a prevalent condition among older men that is characterized by the enlargement of the prostate gland and compression of the urethra, which often results in lower urinary tract symptoms, such as frequent urination, difficulty in starting urination, and incomplete bladder emptying. The development of BPH is thought to be primarily due to an imbalance between cell proliferation and apoptosis, underlying inflammation, epithelial-to-mesenchymal transition, and local paracrine and autocrine growth factors, although the exact molecular mechanisms are not yet fully understood...
November 2023: Archivos Españoles de Urología
https://read.qxmd.com/read/38042687/how-we-select-our-surgical-approach-for-cloacal-reconstruction
#22
JOURNAL ARTICLE
Briony K Varda, Marc A Levitt
During cloacal reconstruction, we consider both common channel (CC) and urethral length when deciding between total urogenital mobilization (TUM) and a urogenital separation (UGS). Our concern about TUM in the case of a short urethra is resultant bladder neck incompetence, while conversion to UGS after completing the TUM dissection may result in urethral injury. Use of an interposition flap harvested from the ischiorectal fossa is another measure we use to prevent potential complications.
November 18, 2023: Journal of Pediatric Urology
https://read.qxmd.com/read/38036219/robotic-management-of-complex-vesicourethral-anastomosis-stenosis-with-transperineal-urethral-advancement-a-step-by-step-technique
#23
Veronica I Rodriguez, Valeria Celis, Aref Sayegh, Luis G Medina, Desiree Sanchez, Rene Sotelo
BACKGROUND: Vesicourethral anastomosis stenosis (VUAS) refers to the diameter narrowing of a vesicourethral anastomosis (VUA). It is a known complication after radical prostatectomy that nowadays presents in less than 1% of these cases [1,2]. When the lumen narrows sufficiently to impede urine flow, obstructive symptoms arise [2]. While the incidence of VUAS used to be notably higher prior to the widespread use of the robotic approach, traditional procedures still fail in up to 42% of cases [1,3]...
November 28, 2023: Urology
https://read.qxmd.com/read/38020521/risk-of-urological-cancer-among-boys-and-men-born-with-hypospadias-a-swedish-population-based-study
#24
JOURNAL ARTICLE
Lottie Phillips, Cecilia Lundholm, Catarina Almqvist, Anna Skarin Nordenvall, Agneta Nordenskjöld
BACKGROUND: Hypospadias is a common genital malformation among boys. Studies indicate that hypospadias is associated with a higher risk of testicular cancer. Other forms of urological cancer may be linked to hypospadias via a mutual aetiology, hormonal dysfunction, or hypospadias complications, but this has not yet been studied. OBJECTIVE: To investigate the association between hypospadias and testicular cancer and the risk of other urological cancers among individuals born with hypospadias...
November 2023: European urology open science
https://read.qxmd.com/read/37975491/urological-oncology-bladder-penis-and-urethra-cancer-and-basic-principles-of-oncology
#25
JOURNAL ARTICLE
Sam S Chang
No abstract text is available yet for this article.
November 17, 2023: Journal of Urology
https://read.qxmd.com/read/37950252/assessing-the-prognostic-impact-of-prostatic-urethra-involvement-and-developing-a-nomogram-for-t1-stage-bladder-cancer
#26
JOURNAL ARTICLE
Hao Wan, Xiangpeng Zhan, Xuwen Li, Tao Chen, Xinxi Deng, Yang Liu, Jun Deng, Bin Fu, Yu Li
PURPOSE: To investigate prognostic values of prostatic urethra involvement (PUI) and construct a prognostic model that estimates the probability of cancer-specific survival for T1 bladder cancer patients. METHOD AND MATERIALS: We investigated the national Surveillance, Epidemiology, and End Results (SEER) database (2004-2015) to get patients diagnosed with T1 bladder cancer. An external validation cohort was obtained from the First Affiliated Hospital of Nanchang University...
November 10, 2023: BMC Urology
https://read.qxmd.com/read/37937374/which-parameters-related-to-the-female-urethra-and-pelvic-floor-determine-therapy-selection-for-recurrent-female-stress-urinary-incontinence-ici-rs-2023
#27
REVIEW
Jeremy Ockrim, Rohna Kearney, D Carolina Ochoa, Hashim Hashim, Gommert Van Koeveringe, Christopher Chermansky, Linda Cardozo, Alan Wein, Paul Abrams
INTRODUCTION: The evidence basis for therapy selection in women who have failed primary stress urinary incontinence (SUI) surgery is limited. The ICI-RS group discussed the available data at its meeting in June 2023, particularly the anatomical characteristics as assessed using magnetic resonance imaging (MRI) and ultrasound (US) modalities, functional characteristics associated with storage and voiding urodynamic assessment, as well as the patient characteristics that might influence outcomes...
November 8, 2023: Neurourology and Urodynamics
https://read.qxmd.com/read/37933676/should-endoscopic-laser-excision-be-offered-as-the-first-line-management-for-patients-with-eroded-mesh-outcomes-of-a-systematic-review-of-literature
#28
JOURNAL ARTICLE
Francesco Ripa, Dmitry Enikeev, Ali Talyshinskii, Patrick Juliebø-Jones, Lazaros Tzelves, Panagiotis Kallidonis, Bhaskar Somani
PURPOSE OF REVIEW: Mesh erosions following previous synthetic sling/mesh surgery for stress urinary incontinence (SUI) have become increasingly common. This systematic review provides evidence for the role of laser excision as a first-line management in patients with eroded mesh. RECENT FINDINGS: Fourteen articles (173 patients) were included for the final review. Among these, 138 patients (79.8%) were submitted to trans-urethral laser excision of eroded urethral/bladder mesh over a median time to presentation of 36...
November 7, 2023: Current Opinion in Urology
https://read.qxmd.com/read/37928310/a-case-of-neuroendocrine-tumor-at-the-external-urethral-meatus-after-total-cystectomy
#29
Koji Miki, Kazutoshi Fujita, Ken Kuwahara, Shogo Adomi, Takafumi Minami, Masahiro Nozawa, Kazuhiro Yoshimura, Misa Kojima, Osamu Maenishi, Hirotsugu Uemura
INTRODUCTION: The histological types of urethral cancer are mainly squamous cell or transitional cell carcinoma. Neuroendocrine tumor is extremely a rare type of urethral cancer. CASE PRESENTATION: A 72-year-old man visited with an erythema at the external urethral meatus. After 3 months, a 1-cm reddish solid tumor was found on the external urethral meatus. He had a history of bladder cancer (pTa with carcinoma in situ), including the prostatic urethra, and underwent radical cystectomy with urethrectomy and ileal conduit construction 11 years ago...
November 2023: IJU case reports
https://read.qxmd.com/read/37923633/repeat-transurethral-resection-tur-bacillus-calmette-gu%C3%A3-rin-bcg-versus-upfront-induction-bcg-after-tur-in-high-risk-non-muscle-invasive-bladder-cancer-feasibility-phase-of-a-randomized-controlled-study
#30
JOURNAL ARTICLE
Francesco Soria, Matteo Rosazza, Simone Livoti, Daniele Dutto, Fulvia Colucci, Richard J Sylvester, Shahrokh F Shariat, Marek Babjuk, Joan Palou, Paolo Gontero
BACKGROUND: High-level evidence supporting the role of repeat transurethral resection (reTUR) in non-muscle-invasive bladder cancer (NMIBC) is lacking. A randomized controlled trial (RCT) assessing whether immediate reTUR has an impact on patient prognosis is essential. However, since such a RCT will require enrollment of a high number of patients, a preliminary feasibility study is appropriate. OBJECTIVE: To assess the feasibility of an RCT investigating the impact of immediate reTUR + adjuvant bacillus Calmette-Guérin (BCG) versus upfront induction BCG after initial TUR in NMIBC...
November 1, 2023: European Urology Focus
https://read.qxmd.com/read/37913758/robot-assisted-extraperitoneal-radical-prostatectomy-for-giant-multilocular-prostatic-cystadenoma-a-case-report-and-literature-review
#31
Marcello Scarcia, Stefano Moretto, Michele Zazzara, Stefano Alba, Alba Fiorentino, Luigia Ciampi, Elena Ludovico, Roberto Calbi, Giuseppe M Ludovico
A 48-year-old man with a medical history of hypertension and no family history of prostate cancer presented with abdominal distension, lower abdominal pain, and lower urinary symptoms. Physical examination revealed a palpable mass in the lower abdomen, and a digital rectal examination detected a firm mass on the anterior side of the rectum. Laboratory tests showed an elevated PSA level (7.9 ng/mL). Imaging studies indicated a solid mass connected to the prostate's posterior and rectum's anterior walls, along with bladder compression...
November 1, 2023: Urologia Internationalis
https://read.qxmd.com/read/37903968/a-case-of-sacrococcygeal-teratoma-associated-with-antenatally%C3%A2-acquired%C3%A2-urethrovaginal-fistula-and-hydrocolpos
#32
JOURNAL ARTICLE
Yuichi Shibui, Satoshi Obata, Ryuichiro Hirose, Ryo Nakano, Takashi Setoue, Takeshi Miyazaki, Hirofumi Matsuoka, Toshihiko Sato
BACKGROUND: Sacrococcygeal teratomas (SCTs) are known to cause urological complications, but urethrovaginal (UV) fistula as a complication of SCT is rare. We herein report a case of SCT with UV fistula and hydrocolpos. CASE PRESENTATION: A 1-day-old female neonate presented to our department with prominent swelling in the sacrococcygeal region. She was born at 37 gestational weeks via spontaneous vaginal delivery from a 39-year-old woman. The weight of the baby was 2965 g, and her Apgar scores were 4/10 (at 1 and 5 min)...
October 31, 2023: Surgical Case Reports
https://read.qxmd.com/read/37903477/mid-perineal-scrotal-flap-for-the-repair-of-urorectal-fistulas-a-new-technique
#33
Luis Martinez-Piñeiro
Rectourethral fistula (RUF) is an infrequent but severe complication of the treatment of prostate cancer. Herein, we describe a new surgical approach used successfully in 3 patients that incorporates a partially de-epithelialized mid-perineal scrotal flap (MPSF), used as interposition flap, that can be used in almost every patient with RUF after radiotherapy, regardless of having or not a concomitant posterior urethra or bladder neck stricture or contracture that might require a simultaneous urethroplasty. The interposition flap includes well vascularized subcutaneous fat tissue by distal vascular branches of the internal pudendal vessels that reaches without tension the deep perineum up to the posterior bladder neck...
October 30, 2023: Urologia Internationalis
https://read.qxmd.com/read/37866821/association-between-voiding-lower-urinary-tract-symptoms-and-findings-on-dynamic-magnetic-resonance-imaging-with-regard-to-pelvic-organs-and-their-supportive-structures
#34
JOURNAL ARTICLE
Shoutarou Watanabe, Kurenai Kinno, Yasuharu Takeuchi, Yoshitomo Sawada, Noritoshi Sekido
OBJECTIVES: Pelvic organ prolapse (POP) causes voiding lower urinary tract symptoms (vLUTS). In the present study, we investigated the association between vLUTS and pelvic organ mobility (POM), including relevant supportive structures, on dynamic magnetic resonance imaging (dMRI). METHODS: We included 118 patients who had POP of stage II or less before straining and stage III or more when straining during dMRI. The presence of vLUTS and overactive bladder (OAB) was determined by a voiding subscore of the International Prostate Symptom Score (vIPSS) ≥5 and the OAB symptom score, respectively...
October 22, 2023: Lower Urinary Tract Symptoms
https://read.qxmd.com/read/37866650/minimally-invasive-management-of-posterior-urethral-stricture-stenosis-with-dviu-and-mitomycin-c-injection
#35
Roger Klein, Robin Vasan, Cailey Guercio, Paul Rusilko
BACKGROUND: Bladder outlet obstruction due to stenosis or stricture of the posterior urethra is a common urologic diagnosis whose etiology can often be traced to prior urethral manipulation or iatrogenic trauma1 . Urologic procedures that can precipitate scar formation at the bladder neck or posterior urethra include simple or radical prostatectomies, endoscopic bladder outlet procedures, and repeated instrumentation for management of recurrent stone disease2 . Obstruction at the level of the bladder outlet often presents as one or more lower urinary tract symptoms (LUTS...
October 20, 2023: Urology
https://read.qxmd.com/read/37858453/european-association-of-urology-guidelines-on-muscle-invasive-and-metastatic-bladder-cancer-summary-of-the-2023-guidelines
#36
REVIEW
J Alfred Witjes, Harman Max Bruins, Albert Carrión, Richard Cathomas, Eva Compérat, Jason A Efstathiou, Rainer Fietkau, Georgios Gakis, Anja Lorch, Alberto Martini, Laura S Mertens, Richard P Meijer, Matthew I Milowsky, Yann Neuzillet, Valeria Panebianco, John Redlef, Michael Rink, Mathieu Rouanne, George N Thalmann, Sæbjørn Sæbjørnsen, Erik Veskimäe, Antoine G van der Heijden
CONTEXT: We present an overview of the updated 2023 European Association of Urology (EAU) guidelines for muscle-invasive and metastatic bladder cancer (MMIBC). OBJECTIVE: To provide practical evidence-based recommendations and consensus statements on the clinical management of MMIBC with a focus on diagnosis and treatment. EVIDENCE ACQUISITION: A broad and comprehensive scoping exercise covering all areas of the MMIBC guidelines has been performed annually since 2017...
January 2024: European Urology
https://read.qxmd.com/read/37806833/urethro-urethrostomy-for-urethral-duplication-type-iia1-in-a-3-years-old-boy-surgical-approach
#37
JOURNAL ARTICLE
Zhiwei Peng, Yichen Huang, Yan Chen, Yiqing Lyu, Min Wu, Hua Xie, Fang Chen
INTRODUCTION: To report a novel maneuver of end-to-side urethro-urethrostomy for managing Type IIA1 urethral duplication (UD). MATERIALS AND METHODS: A 3-years-old boy was referred to our institute for abnormal appearance of genitalia. Physical examination revealed an epispadiac meatus on the dorsum of the penile shaft, in addition to the orthotopic meatus at the tip of glans. He can void through both urethrae with continence (grade I). Voiding cystourethrography and the cystoscopy confirmed the Type IIA1 UD with two urethrae arising independently from the bladder neck...
September 22, 2023: Journal of Pediatric Urology
https://read.qxmd.com/read/37805049/the-posterior-sagittal-approach-provides-optimal-exposure-for-urethral-reconstruction-in-children-with-a-history-of-anorectal-malformations
#38
JOURNAL ARTICLE
Athanasios Tyraskis, Jana El-Sayed, Laura Tiusaba, Shimon E Jacobs, Teresa L Russell, Christina Feng, Erin Teeple, Christina P Ho, Hans G Pohl, Andrea T Badillo, Marc A Levitt, Briony K Varda
OBJECTIVE: To present a unique series of children with previously repaired anorectal malformations (ARM) with subsequent urethral pathology repaired via a posterior sagittal exposure and highlight the associated technical advantages. METHODS: Using a retrospective review of all procedures performed in our pediatric colorectal and pelvic reconstruction program from January 2020 through December 2022, we compiled a case series of patients with a history of ARM and prior PSARP who had urethral pathology and concurrent indication for redo-PSARP...
October 5, 2023: Urology
https://read.qxmd.com/read/37803438/an-innovative-method-for-occluding-the-urethral-meatus-and-accessing-urethra-strictures-in-retrograde-urethrography-in-males
#39
JOURNAL ARTICLE
Wei Li, Libo Man, Guanglin Huang
OBJECTIVES: To observe and evaluate the effectiveness and safety of using a sponge plug method to occlude the urethral meatus during retrograde urethrography (RUG) for accessing male urethral strictures. METHODS: 40 male patients with a mean age of 51.4 years and a history of urethral injury were primarily diagnosed with urethral stricture using a urethrocystoscope. RUG was performed using a ureteral catheter with a sponge plug inserted into the external meatus...
October 6, 2023: BMC Urology
https://read.qxmd.com/read/37721189/effects-of-a-new-selective-%C3%AE-3-adrenoceptor-agonist-vibegron-on-bladder-and-urethral-function-in-a-rat-model-of-parkinson-s-disease
#40
JOURNAL ARTICLE
Mio Togo, Takeya Kitta, Hiroki Chiba, Madoka Higuchi, Naohisa Kusakabe, Mifuka Ouchi, Yui Abe-Takahashi, Hidehiro Kakizaki, Nobuo Shinohara
OBJECTIVES: Parkinson's disease caused by the loss of dopaminergic neurons induces not only motor dysfunction but also lower urinary tract dysfunction. Patients with Parkinson's disease have recently been reported to experience both urge urinary incontinence (overactive bladder) and stress urinary incontinence, the latter of which occurs when the pressure of the bladder exceeds that of the urethra. Vibegron is a highly selective novel β3 -adrenoceptor agonist approved for the treatment of overactive bladder...
September 18, 2023: Lower Urinary Tract Symptoms
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