keyword
https://read.qxmd.com/read/38481864/optimizing-aesthetics-in-gender-affirming-vaginoplasty-and-vulvoplasty-a-narrative-review-and-discussion-based-on-over-600-cases-of-transfeminine-vulvar-construction
#21
REVIEW
Blair R Peters, Jourdan A Carboy, Holden Richards, Geolani W Dy, Daniel Dugi
BACKGROUND AND OBJECTIVE: The vulva is the external portion of a gender-affirming vaginoplasty or vulvoplasty procedure-the "visible" result of surgery. The vulvar appearance can play a major role in how individuals feel about their surgical results and new genital anatomy. Therefore, optimizing the aesthetics of the vulva is an important component of surgical care. Although there is no one "ideal" vulvar appearance, aesthetics are optimal when each major sub-unit of the vulva is reconstructed to create a proportional and cohesive vulvar unit...
February 29, 2024: Translational Andrology and Urology
https://read.qxmd.com/read/38481863/clay-modeling-as-a-learning-tool-for-medical-trainees-in-urology-a-narrative-review-and-pilot-study
#22
REVIEW
Shannon J Leung, Minna Blottner, Sydney Wheeler, Rebecca S Zee, J Tyler Roseman, Adam P Klausner, Sarah C Krzastek
BACKGROUND AND OBJECTIVE: Coronavirus disease 2019 (COVID-19) necessitated a transition to virtual education which limits hands-on opportunities and student engagement. To adapt, a pilot study investigating clay modeling as an alternative educational tool for medical students was incorporated in a virtual and in-person sub-internship for prospective urology applicants. We aim to review the literature supporting the use of clay modeling in medical education as well as describe our experience with the activity as a way to engage trainees and evaluate early surgical skills...
February 29, 2024: Translational Andrology and Urology
https://read.qxmd.com/read/38481860/treatment-of-male-stress-urinary-incontinence-at-time-of-inflatable-penile-prosthesis-placement-a-review-of-contemporary-literature
#23
REVIEW
Amr A Elbakry, Luke P O'Connor, Faysal A Yafi, John T Barnard
BACKGROUND AND OBJECTIVE: Male stress urinary incontinence (SUI) and erectile dysfunction (ED) are well established diagnoses within Men's Health, often more specifically within the prostate cancer survivorship cohort. Taken individually, well defined treatment algorithms exist with which many surgeons are comfortable; however, treatment of both in a single setting or staged fashion introduces complexity. Emerging treatment options also exist, and there is immature or minimal data when these are combined with inflatable penile prosthesis (IPP) insertion, radiation history, and/or variable degrees of incontinence...
February 29, 2024: Translational Andrology and Urology
https://read.qxmd.com/read/38481857/a-narrative-review-of-management-of-muscle-invasive-bladder-cancer-perioperative-period-will-continuous-and-combined-treatment-be-the-new-trend
#24
REVIEW
Tianhang Lan, Shengming Ran, Mingchao Gao, Wenjie Li, Wang He
BACKGROUND AND OBJECTIVE: With the emergence of immunotherapy and targeted therapies, there are more options for the perioperative period management of muscle-invasive bladder cancer (MIBC), and various types of clinical studies are emerging, leading to the need to explore ways to choose the optimal treatment modality. This review aims to synthesize past and present treatment modalities and to explore future trends in the perioperative period cares of MIBC for the benefit of clinical practitioners...
February 29, 2024: Translational Andrology and Urology
https://read.qxmd.com/read/38481412/risk-factors-for-penile-prosthesis-infection-an-umbrella-review-and-meta-analysis
#25
REVIEW
Konstantin Menshchikov, Mikhail Menshchikov, Dmitry Yurasov, Anton Artamonov
BACKGROUND: As available data on implantation-related infections is contradictory, the aim was to identify the predictors of penile prosthesis infection. METHODS: We performed an umbrella review and meta-analysis including systematic reviews with extractable data. Literature search was done in two databases: PubMed and Google Scholar. The participants were males with erectile dysfunction regardless of etiology who underwent penile implant surgery. Using a standardized form, three trained researchers reviewed each reference (systematic review) by title and abstract...
2024: Arab Journal of Urology
https://read.qxmd.com/read/38481410/comparing-the-risk-factors-of-nephrolithiasis-in-asian-countries-population-a-systematic-review-and-meta-analysis
#26
REVIEW
Zulfikar Ali, Reginald Rustandi, Mohammad Sulchan, Ponco Birowo, Tri Indah Winarni
This systematic review and meta-analysis aims to identify the main risk factors for nephrolithiasis in Asian populations, with comparisons to European and American populations. Using a comprehensive literature search across PubMed, Science Direct, and ResearchGate, in accordance with the Preferred Reporting Items of Systematic reviews and Meta-Analysis (PRISMA) guidelines, we synthesized data from 11 geographically diverse studies. Our findings reveal substantial population-specific differences in nephrolithiasis risk factors, particularly familial history, water consumption, and smoking patterns...
2024: Arab Journal of Urology
https://read.qxmd.com/read/38480898/robotic-kidney-transplantation
#27
REVIEW
Giuseppe Basile, Alessio Pecoraro, Andrea Gallioli, Angelo Territo, Camille Berquin, Jorge Robalino, Alejandra Bravo, Jorge Huguet, Óscar Rodriguez-Faba, Pavel Gavrilov, Carmen Facundo, Lluis Guirado, Josep Maria Gaya, Joan Palou, Alberto Breda
Kidney transplantation is the best treatment option for patients with end-stage renal disease owing to improved survival and quality of life compared with dialysis. The surgical approach to kidney transplantation has been somewhat stagnant in the past 50 years, with the open approach being the only available option. In this scenario, evidence of reduced surgery-related morbidity after the introduction of robotics into several surgical fields has induced surgeons to consider robot-assisted kidney transplantation (RAKT) as an alternative approach to these fragile and immunocompromised patients...
March 13, 2024: Nature Reviews. Urology
https://read.qxmd.com/read/38480062/screening-for-asymptomatic-nephrolithiasis-in-primary-hyperparathyroidism-patients-is-warranted
#28
JOURNAL ARTICLE
Taryn Zabolotniuk, Michael Guo, Michelle Kwon, Akie Watanabe, Joel M H Teichman, Sam M Wiseman
BACKGROUND: We aimed to investigate the prevalence, characteristics, and management of nephrolithiasis in primary hyperparathyroidism (PHPT) patients. METHODS: Medical records of patients who underwent parathyroidectomy at a tertiary care hospital in British Columbia from January 2016 to April 2023 were retrospectively reviewed. Demographic data, laboratory results, imaging reports, and urologic consultations were examined. Descriptive statistics and relevant statistical tests, including logistic regressions, were utilized for data analysis...
March 5, 2024: American Journal of Surgery
https://read.qxmd.com/read/38479426/predicting-stone-free-status-based-on-quadruple-d-and-triple-d-scores-after-extracorporeal-shock-wave-lithotripsy-and-comparing-with-broad-spectrum-population
#29
JOURNAL ARTICLE
Alper Coşkun, Utku Can
PURPOSE: To compare the Triple-D and Quadruple-D scores in predicting the success of shock-wave lithotripsy (SWL). MATERIAL AND METHODS: We retrospectively reviewed a total of 328 patients who had undergone SWL for stones with an average size of 10-15 mm in the renal pelvis, lower, middle, and upper calyces at the Urology Clinic of Kartal Dr. Lütfi Kırdar City Hospital between 2021 and 2023. Patients were divided into two groups - stone-free and residual - based on pre-and post-SWL imaging...
March 13, 2024: Aktuelle Urologie
https://read.qxmd.com/read/38478803/association-of-timp2-418-g-c-and-mmp-gene-polymorphism-with-risk-of-urinary-cancers-systematic-review-and-meta-analysis
#30
JOURNAL ARTICLE
Pemula Gowtham, Koyeli Girigoswami, Anbazhagan Thirumalai, Karthick Harini, Pragya Pallavi, Agnishwar Girigoswami
Aim: The matrix metalloproteinases (MMPs) inhibit tissue inhibitors of metalloproteinases (TIMPs), playing a notable role in various biological processes, and mutations in TIMP2 genes impact a variety of urinary cancers. In this study, we analyze and evaluate the potential involvement of the TIMP2 418 G/C and MMP gene polymorphism in the etiology of urinary cancer. Methodology: For suitable case-control studies, a literature search was undertaken from various database sources such as PubMed, EMBASE, and Google Scholar...
March 13, 2024: Genetic Testing and Molecular Biomarkers
https://read.qxmd.com/read/38478767/reviewer-of-the-month
#31
JOURNAL ARTICLE
Christopher E Bayne
No abstract text is available yet for this article.
March 13, 2024: Journal of Urology
https://read.qxmd.com/read/38478092/comparison-of-metabolic-parameters-between-pure-uric-acid-and-mixed-uric-acid-kidney-stone-formers
#32
JOURNAL ARTICLE
Anna Ricapito, Kavita Gupta, Jacob Zipkin, Samuel Yim, Christopher Connors, Raymond Khargi, Alan J Yaghoubian, Johnathan A Khusid, William M Atallah, Mantu Gupta
PURPOSE: We seek to compare clinical and 24-h urine parameters between pure-uric acid (UA) and UA-CaOx stone formers in our practice and explore how any differences in metabolic profiles could suggest different prevention strategies between the two groups. METHODS: We retrospectively reviewed patients with either pure- or mixed-UA nephrolithiasis from 2020 to 2023 at a tertiary care center. We included patients with a 24-h urine collection and a stone analysis detecting any amount of UA...
March 13, 2024: World Journal of Urology
https://read.qxmd.com/read/38477339/is-immobilization-technique-associated-with-postoperative-pubic-rami-diastasis-following-bladder-exstrophy-closure
#33
JOURNAL ARTICLE
Lucas Annabell, Ted Lee, Samuel Barnett, Katelyn Ralston, Richard Lee, Joseph G Borer, Young-Jo Kim
OBJECTIVE: Pelvic osteotomies relieve tension of the bladder and fascial closures during bladder exstrophy repair. Multiple techniques for postoperative immobilization of the pelvis and lower extremities have been described. The primary aim of this study was to assess differences in short and long-term changes in pubic rami diastasis when comparing Bryant traction to spica cast immobilization. Secondary aims included a comparison of length of stay, skin-related complications, and urologic outcomes...
March 13, 2024: Journal of Pediatric Orthopedics
https://read.qxmd.com/read/38477173/surgical-outcomes-and-predictive-value-for-major-complications-of-robot-assisted-radical-cystectomy-of-real-world-data-in-a-single-institution-in-japan
#34
JOURNAL ARTICLE
Yosuke Yasuda, Noboru Numao, Ryo Fujiwara, Kosuke Takemura, Yusuke Yoneoka, Tomohiko Oguchi, Shinya Yamamoto, Junji Yonese
OBJECTIVE: The objective of the study was to describe the surgical outcome of robot-assisted radical cystectomy and predictive factors for major complications in real-world clinical practice at a single institution in Japan. METHODS: We retrospectively analyzed 208 consecutive patients undergoing robot-assisted radical cystectomy at our institution between 2019 and 2023. Patient and disease characteristics, intraoperative details, and perioperative outcomes were reviewed...
March 13, 2024: International Journal of Urology: Official Journal of the Japanese Urological Association
https://read.qxmd.com/read/38477158/recent-advances-in-the-treatment-of-renal-stones-using-flexible-ureteroscopys
#35
JOURNAL ARTICLE
Min He, Yonghui Dong, Wansong Cai, Jiale Cai, Yaming Xie, Mingke Yu, Changjiu Li, Liping Wen
Upper urinary tract stones are a common urological disease that can be treated by flexible ureteroscopy (FURS) through the natural urinary tract, in addition to extracorporeal shock wave lithotripsy (ESWL) and percutaneous nephrolithotomy (PCNL). The advantages of FURS are less trauma, faster recovery, and fewer complications, while its disadvantages include poor results of lithotripsy and stone extraction when dealing with larger stones, and prolonged operation time. Over the last two decades, the emergence of new technologies such as FURS combined with negative pressure suction, robot-assisted FURS, and artificially intelligent FURS, coupled with improvements in laser technology (the use of thulium fiber lasers (TFL) and the invention of single-use flexible ureteroscopes (su-fURS) suitable for primary level application, have significantly increased the global adoption of FURS...
March 12, 2024: International Journal of Surgery
https://read.qxmd.com/read/38475865/current-evidence-regarding-alternative-techniques-for-enterocystoplasty-using-regenerative-medicine-methods-a-systematic-review
#36
REVIEW
Razman Arabzadeh Bahri, Maral Peisepar, Saba Maleki, Fatemeh Esmaeilpur Abianeh, Fatemeh A Basti, Ali Kolahdooz
Enterocystoplasty is the most commonly used treatment for bladder reconstruction. However, it has some major complications. In this study, we systematically reviewed the alternative techniques for enterocystoplasty using different scaffolds. A comprehensive search was conducted in PubMed, Embase, and Cochrane Library, and a total of 10 studies were included in this study. Five different scaffolds were evaluated, including small intestinal submucosa (SIS), biodegradable scaffolds seeded with autologous bladder muscle and urothelial cells, dura mater, human cadaveric bladder acellular matrix graft, and bovine pericardium...
March 12, 2024: European Journal of Medical Research
https://read.qxmd.com/read/38474319/pathophysiology-and-main-molecular-mechanisms-of-urinary-stone-formation-and-recurrence
#37
REVIEW
Flavia Tamborino, Rossella Cicchetti, Marco Mascitti, Giulio Litterio, Angelo Orsini, Simone Ferretti, Martina Basconi, Antonio De Palma, Matteo Ferro, Michele Marchioni, Luigi Schips
Kidney stone disease (KSD) is one of the most common urological diseases. The incidence of kidney stones has increased dramatically in the last few decades. Kidney stones are mineral deposits in the calyces or the pelvis, free or attached to the renal papillae. They contain crystals and organic components, and they are made when urine is supersaturated with minerals. Calcium-containing stones are the most common, with calcium oxalate as the main component of most stones. However, many of these form on a calcium phosphate matrix called Randall's plaque, which is found on the surface of the kidney papilla...
March 6, 2024: International Journal of Molecular Sciences
https://read.qxmd.com/read/38472633/artificial-intelligence-in-the-diagnosis-and-treatment-of-acute-appendicitis-a-narrative-review
#38
REVIEW
Valentina Bianchi, Mauro Giambusso, Alessandra De Iacob, Maria Michela Chiarello, Giuseppe Brisinda
Artificial intelligence is transforming healthcare. Artificial intelligence can improve patient care by analyzing large amounts of data to help make more informed decisions regarding treatments and enhance medical research through analyzing and interpreting data from clinical trials and research projects to identify subtle but meaningful trends beyond ordinary perception. Artificial intelligence refers to the simulation of human intelligence in computers, where systems of artificial intelligence can perform tasks that require human-like intelligence like speech recognition, visual perception, pattern-recognition, decision-making, and language processing...
March 12, 2024: Updates in Surgery
https://read.qxmd.com/read/38471636/tubularized-bladder-flap-as-a-continent-catheterizable-channel-in-adults
#39
JOURNAL ARTICLE
P D Polm, M I A Wyndaele, P Dik, L M O de Kort
OBJECTIVE: To describe a modified, less invasive, surgical technique to create a continent catheterizable channel (CCC) in adults: the tubularized bladder flap (TBF). MATERIALS AND METHODS: We retrospectively reviewed records of patients in whom a TBF CCC was constructed at adult age between 2019 and 2023. We reported on demographics, operative outcomes, and 30-day and post-30-day complications. RESULTS: A total of 11 patients (10 female) were described...
March 10, 2024: Urology
https://read.qxmd.com/read/38470547/evaluation-of-current-surgical-bph-interventions-for-young-and-elderly-men
#40
REVIEW
Timothy W Brandt, Jacqueline M Luizzi, Ronald J Caras
PURPOSE OF REVIEW: Benign prostatic hyperplasia affects the quality of life of a significant number of men, especially as they age. There are continuous innovations in the surgical management of benign prostatic hyperplasia, but many of these innovations are studied in the core population of men 50-70 years of age. This review focuses on the outliers of men aged 18-50 and 70 and older. RECENT FINDINGS: Older populations have more comorbidities, higher rates of antithrombotic medications, and advanced symptoms...
March 12, 2024: Current Urology Reports
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