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https://www.readbyqxmd.com/read/29917273/catheterization-for-treating-neurogenic-lower-urinary-tract-dysfunction-in-patients-with-multiple-sclerosis-a-systematic-review-a-report-from-the-neuro-urology-promotion-committee-of-the-international-continence-society-ics
#1
REVIEW
Jure Tornic, Andrea M Sartori, Jerzy B Gajewski, Ashley Cox, Marc P Schneider, Nadim A Youssef, Livio Mordasini, Emmanuel Chartier-Kastler, Lucas M Bachmann, Thomas M Kessler
AIM: To systematically assess all available evidence on efficacy and safety of catheterization for treating neurogenic lower urinary tract dysfunction (NLUTD) in patients with multiple sclerosis (MS). METHODS: This systematic review was performed according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement. Studies were identified by electronic search of Embase, Medline, Scopus, Cochrane register (last search March 3, 2018) and by screening of reference lists and reviews...
June 19, 2018: Neurourology and Urodynamics
https://www.readbyqxmd.com/read/29915945/pressure-matters-intrarenal-pressures-during-normal-and-pathological-conditions-and-impact-of-increased-values-to-renal-physiology
#2
REVIEW
Theodoros Tokas, Thomas R W Herrmann, Andreas Skolarikos, Udo Nagele
PURPOSE: To perform a review on the latest evidence related to normal and pathological intrarenal pressures (IRPs), complications of incremented values, and IRP ranges during endourology. METHODS: A literature search was performed using PubMed, restricted to original English-written articles, including animal, artificial model, and human studies. Different keywords were: percutaneous nephrolithotomy, PCNL, ureteroscopy, URS, RIRS, irrigation flow, irrigation pressure, intrarenal pressure, intrapelvic pressure and renal pelvic pressure...
June 18, 2018: World Journal of Urology
https://www.readbyqxmd.com/read/29915944/pressure-matters-2-intrarenal-pressure-ranges-during-upper-tract-endourological-procedures
#3
REVIEW
Theodoros Tokas, Andreas Skolarikos, Thomas R W Herrmann, Udo Nagele
PURPOSE: To perform a review on the latest evidence related to intrarenal pressures (IRPs) generated during upper-tract endourology, and present different tools to maintain decreased values, to decrease complication rates. METHODS: A literature search was performed using PubMed, restricted to original English-written articles, including animal, artificial model and human studies. Different keywords were: percutaneous nephrolithotomy, PCNL, ureteroscopy, URS, RIRS, irrigation flow, irrigation pressure, intrarenal pressure, intrapelvic pressure and renal-pelvic pressure...
June 18, 2018: World Journal of Urology
https://www.readbyqxmd.com/read/29914841/novel-system-for-robotic-single-port-surgery-feasibility-and-state-of-the-art-in-urology
#4
REVIEW
Riccardo Bertolo, Juan Garisto, Matthew Gettman, Jihad Kaouk
Robotic urology has evolved in parallel with the development of new robotic systems. A recently conceived robotic platform, specifically designed for single-port (SP) surgery, has reignited the interest for the approach. In this review, the evolution of robotic SP surgery was analyzed. Since the first published experience with a robot-assisted SP urological procedure in 2010, despite technical adjustments, robotic SP has remained with limited diffusion. However, the limitations of the available instrumentation are going to be softened with an upcoming next-generation robotic platform...
June 15, 2018: European Urology Focus
https://www.readbyqxmd.com/read/29908633/sexual-function-after-shallow-and-full-depth-vaginoplasty-challenges-clinical-findings-and-treatment-strategies-urologic-perspectives
#5
REVIEW
Maurice M Garcia
This article presents an ordered review of the role of sexual function in discussion and planning before genital gender-affirming surgery and through recovery to initiation of sexual activity after surgery. Strategies are proposed to optimize sexual function postoperatively. Clinical observations are reviewed and genital and surgical anatomy is reviewed to explain the rationale for the treatment strategies proposed. The importance of offering shallow-depth vaginoplasty to all patients is discussed. Lastly, specific strategies to maximize and enhance recovery of erogenous sensation after surgery are focused on...
July 2018: Clinics in Plastic Surgery
https://www.readbyqxmd.com/read/29901722/genitourinary-surgical-workload-at-deployed-u-s-facilities-in-iraq-and-afghanistan-2002-2016
#6
Caryn A Turner, Jean A Orman, Zsolt T Stockinger, Steven J Hudak
Introduction: Genitourinary surgery constitutes approximately 1.15% of procedures performed for combat injuries. During forward deployment, surgeons usually deploy without urology support. To better understand the training and skills maintenance needs for genitourinary procedures by describing in detail the genitourinary surgical workload during 15 years of combat operations and compare our findings with those from previously published articles. Material and Methods: A retrospective analysis of the Department of Defense Trauma Registry (DoDTR) was performed for all Roles 2 and 3 medical treatment facilities in Iraq and Afghanistan, from January 2002 to May 2016...
June 13, 2018: Military Medicine
https://www.readbyqxmd.com/read/29901309/-current-prospects-for-improving-the-quality-of-life-of-patients-with-internal-stents
#7
A G Martov, D V Ergakov, A B Novikov
Internal drainage of the upper urinary tract by stenting is a common urological procedure. The use of stenting in modern urological practice is on the rise due to widespread adoption of modern endourological, laparoscopic, percutaneous and high-tech robotic interventions. The presence of a stent in the patients body may cause stent-related symptoms and negatively affect the quality of life, resulting in additional outpatient visits and hospitalizations. The review provides an analysis of the causes, diagnostic evaluation, prevention and treatment of stent-related symptoms...
May 2018: Urologii︠a︡
https://www.readbyqxmd.com/read/29900822/is-mesenteric-defect-closure-needed-in-urologic-surgery-using-ileum
#8
Michael A Avallone, Peter N Dietrich, Shanta T Shepherd, Mona Lalehzari, R Corey O'Connor, Michael L Guralnick
INTRODUCTION: Classic surgical teaching advocates for closure of the mesenteric defect (MD) after bowel anastomosis but the necessity is controversial. We sought to evaluate the necessity of MD closure at the time of harvest of ileum for genitourinary reconstructive surgery (GURS) by analyzing the incidence of early and late gastrointestinal adverse events (GIAE) in patients with and without MD closure. MATERIALS AND METHODS: A retrospective review was conducted on patients undergoing urologic reconstruction with ileum to identify incidence of ileus, small bowel obstruction (SBO), gastrointestinal (GI) fistula and stoma complications...
June 2018: Canadian Journal of Urology
https://www.readbyqxmd.com/read/29900817/feasibility-of-same-day-discharge-after-robotic-assisted-pelvic-floor-reconstruction
#9
Jessica C Lloyd, Juan Guzman-Negron, Howard B Goldman
INTRODUCTION: Robotic surgical procedures have become more common in female pelvic reconstruction. Purported benefits of robotic assisted pelvic floor reconstruction (RAPFR) procedures include shorter hospital stay, faster recovery, lower blood loss, and decreased postoperative pain. Following RAPFR procedures, the current accepted practice is discharge after a one-night hospitalization. We assessed whether same day discharge (SDD) affects the short term safety of and patient satisfaction with robotic assisted pelvic floor reconstructive procedures, relative to those who remain hospitalized overnight...
June 2018: Canadian Journal of Urology
https://www.readbyqxmd.com/read/29900816/varicella-zoster-virus-and-urologic-practice-a-case-based-review
#10
Khushabu Kasabwala, Gilbert J Wise
INTRODUCTION: Each year, varicella-zoster virus (VZV) affects nearly one million people in the United States, often in the form of herpes zoster, or shingles. The urologic system is a rare but often debilitating target. This paper reviews the epidemiology, symptomatology, diagnosis, and management of VZV as it relates to urologic practice. MATERIALS AND METHODS: We performed a PubMed search using the query "herpes zoster" and "varicella-zoster virus" combined with multiple urological terms...
June 2018: Canadian Journal of Urology
https://www.readbyqxmd.com/read/29899760/appraisal-of-the-role-of-radical-prostatectomy-for-rhabdomyosarcoma-in-children-oncological-and-urological-outcome
#11
Lorenzo Angelini, Gianni Bisogno, Ciro Esposito, Marco Castagnetti
The latest multimodal protocols for treatment of bladder/prostate rhabdomyosarcoma (RMS) have shifted the goal of treatment from patient survival to bladder preservation. Consistently, partial resections, such as radical prostatectomy (RP), are favoured when surgery is deemed necessary. We sought to determine the oncological risks - that is, failure to achieve disease control - and the possible benefits in terms of urinary continence associated with RP in RMS patients based on a review of our experience and the data reported in the literature...
June 2018: Therapeutic Advances in Urology
https://www.readbyqxmd.com/read/29897139/pathologic-staging-of-renal-cell-carcinoma-a-review-of-300-consecutive-cases-with-emphasis-on-retrograde-venous-invasion
#12
Kanika Taneja, Sohrab Arora, Craig G Rogers, Nilesh S Gupta, Sean R Williamson
AIMS: Pathologic staging of renal cell carcinoma (RCC) can be challenging compared to other cancer types, as invasion often manifests as finger-like protrusions into vascular spaces or renal sinus tissue. Although prior studies have shown larger tumour size to be highly correlated with renal sinus invasion, prospective data on evaluating pathologic stage are limited. We evaluated a large series reported by a single urologic pathologist. METHODS AND RESULTS: Three hundred consecutive specimens were reviewed...
June 13, 2018: Histopathology
https://www.readbyqxmd.com/read/29895098/urological-outcomes-following-pelvic-exenteration-for-advanced-pelvic-cancer-are-not-inferior-to-those-following-radical-cystectomy
#13
Edwin J Aslim, Min Hoe Chew, Ghee Kheng Chew, Lui Shiong Lee
BACKGROUND: Pelvic exenteration (PE) for locally advanced pelvic malignancy requires a multi-disciplinary approach and is associated with significant morbidity. Urinary reconstruction forms a major component of this procedure. The aim of the study is to review the urological outcomes following PE in a newly established pelvic oncology unit, to compare with those following radical cystectomy (RC) for bladder cancer. METHODS: Patients were identified from prospectively maintained PE and bladder cancer databases, inclusive of all cases performed between January 2012 and December 2016...
June 12, 2018: ANZ Journal of Surgery
https://www.readbyqxmd.com/read/29894266/do-urodynamic-findings-influence-the-approach-to-mid-urethral-sling-surgery-for-stress-urinary-incontinence
#14
Angela Clarke
Recent press coverage on vaginal mesh surgery has resulted in a change in how patients are counselled, managed and treated in the UK. For stress urinary incontinence surgical procedures such as insertion of tension-free vaginal tape are commonplace and generally performed as a day-case procedure. Effective and successful management of female urinary incontinence is difficult, even when using diagnostic testing where all conservative managements have failed, and this indicates a need to investigate further. Specialist texts in the fields of urology and urogynaecology argue that urodynamics can help inform the success of surgical intervention for stress urinary incontinence...
June 14, 2018: British Journal of Nursing: BJN
https://www.readbyqxmd.com/read/29892783/ureteral-stent-discomfort-and-its-management
#15
REVIEW
Katherine M Fischer, Michael Louie, Phillip Mucksavage
PURPOSE OF REVIEW: Ureteral stent placement is a very common urologic procedure and a necessary component of many minimally invasive surgeries including ureteroscopy. Despite its widespread use, stent placement results in bothersome urinary symptoms and pain in approximately 80% of patients. This review discusses the proposed mechanisms underlying ureteral stent-related symptoms and current approaches to symptom management and the evidence to support them. RECENT FINDINGS: Though it has been extensively studied, the exact cause of stent-related symptoms remains unknown but is likely related to irritation of the bladder by the distal curl of the stent and reflux of urine through the stent up to the renal pelvis and transmission of high pressures associated with this...
June 11, 2018: Current Urology Reports
https://www.readbyqxmd.com/read/29892489/influence-of-postnatal-hydroureter-in-determining-the-need-for-voiding-cystourethrogram-in-children-with-high-grade-hydronephrosis
#16
Amr Hodhod, John-Paul Capolicchio, Roman Jednak, Eid El-Sherif, Abd El-Alim El-Doray, Mohamed El-Sherbiny
Objective: To evaluate the utility of hydroureter (HU) to identify high-grade vesico-ureteric reflux (VUR) in patients with high-grade postnatal hydronephrosis (PH). Patients and methods: We retrospectively reviewed patients' charts that had antenatal hydronephrosis from 2008 to 2014. Patients were excluded if they presented with febrile urinary tract infection (fUTI), neurogenic bladder, posterior urethral valve, multi-cystic dysplastic kidney, and multiple congenital malformations...
June 2018: Arab Journal of Urology
https://www.readbyqxmd.com/read/29892487/twin-penile-skin-flap-is-it-the-answer-for-repair-of-long-anterior-urethral-strictures
#17
Diaaeldin Mostafa, Hisham Elshawaf, M Kotb, Abdelwahab Elkassaby
Objective: To present our twin ventral penile skin flap technique for the management of complex long anterior urethral strictures not caused by lichen sclerosis (LS), with evaluation of surgical outcome and complications. Patients and methods: We retrospectively reviewed patients diagnosed with long complex anterior urethral strictures who were all referred to Ain Shams University hospital and operated on by three reconstructive surgeons. The surgical procedure was carried out as follows: exposure of the urethra through a ventral longitudinal penile skin incision and another perineal incision; two ventral longitudinal dartos-based penile skin flaps are used for urethral augmentation as onlay flaps...
June 2018: Arab Journal of Urology
https://www.readbyqxmd.com/read/29891188/development-of-a-postoperative-care-pathway-for-children-with-renal-tumors
#18
A F Saltzman, J C Warncke, A N Colvin, A Carrasco, J P Roach, J L Bruny, N G Cost
PURPOSE: To identify the factors associated with a shorter postoperative stay, as an initial step to develop a care pathway for children undergoing extirpative kidney surgery. STUDY DESIGN: This study retrospectively reviewed patients managed with upfront open radical nephrectomy for renal tumors between 2005 and 2016 at a pediatric tertiary care facility. Univariate and multivariate logistic regression were performed to identify factors associated with early discharge (by postoperative day 4)...
May 31, 2018: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/29882451/renal-cell-carcinoma-diagnosed-during-pregnancy-a-case-report-and-literature-review
#19
Ercan Yilmaz, Fatih Oguz, Gorkem Tuncay, Rauf Melekoglu, Ali Beytur, Ebru Inci Coskun, Ali Gunes
Diagnosing cancer during pregnancy is uncommon. Although pregnancies with concomitant malignancies have been reported, urological tumours are possibly the most rarely identified tumours during pregnancy. Renal cell carcinoma appears to be the most common urological malignancy during pregnancy. In this case report, we discuss successful management of a patient who was diagnosed with renal cell carcinoma during the antenatal period.
January 1, 2018: Journal of International Medical Research
https://www.readbyqxmd.com/read/29882281/teaching-and-evaluation-of-basic-urodynamic-skills-in-urology-residency-programs-randomized-controlled-study
#20
Samer Shamout, Sero Andonian, Hani Kabbara, Jacques Corcos, Lysanne Campeau
AIMS: Considering the growing role of urodynamic studies (UDS) in urology, we aimed to determine the most effective teaching method with objective evaluation for urodynamic skills, to improve training and patient care. METHODS: Urology residents (n = 20) post-graduate years 3-5 were randomized to receive either a UDS video training module or a standard UDS teaching document one week prior to an objective structured clinical examination (OSCE). The OSCE was a validated visual recognition exam with interpretation of 12 UDS tracing scenarios...
June 8, 2018: Neurourology and Urodynamics
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