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https://www.readbyqxmd.com/read/29333514/what-is-the-fate-of-artificial-urinary-sphincters-among-men-undergoing-repetitive-bladder-cancer-treatment
#1
S Mitchell Heiner, Boyd R Viers, Marcelino E Rivera, Brian J Linder, Daniel S Elliott
Purpose: Functional characteristics and durability of the artificial urinary sphincter (AUS) among patients who develop bladder cancer has been poorly characterized. We sought to evaluate AUS outcomes among patients subsequently diagnosed with bladder cancer, in order to describe device survivability when subject to diagnostic and therapeutic procedures such as cystoscopy, transurethral resection, and cystectomy. Materials and Methods: We retrospectively reviewed 1,803 male patients treated with AUS surgery at a single institution between 1983-2014...
January 2018: Investigative and Clinical Urology
https://www.readbyqxmd.com/read/29330267/case-of-acute-severe-postpartum-urinary-incontinence-an-extravesical-subsphincteric-prolapsed-ureterocoele
#2
Jai H Seth, Roger Walker
A 32-year-old woman presents to outpatients 10 days postpartum, with symptoms of an intermittent vaginal lump and urinary incontinence. Vaginal examination revealed no demonstrable prolapse or stress incontinence. A swelling in the bladder was noted during an antenatal scan suggesting a ureterocoele. She was referred for pelvic floor physiotherapy in the first instance. Forty-eight hours later, she represented to casualty with discomforting vaginal lump symptoms and continuous urinary incontinence. At this stage on vaginal inspection, there was an evident dusky lump emerging from the urethra with continuous incontinence...
January 12, 2018: BMJ Case Reports
https://www.readbyqxmd.com/read/29327120/readmission-and-reoperation-after-midurethral-sling
#3
Erik D Hokenstad, Amy E Glasgow, Elizabeth B Habermann, John A Occhino
INTRODUCTION AND HYPOTHESIS: We aimed to determine the rate of readmission and reoperation for patients undergoing midurethral sling (MUS) placement for stress urinary incontinence (SUI). METHODS: The American College of Surgeons National Surgical Quality Improvement Program (NSQIP) database was queried to identify all isolated MUS placed from 2012 through 2015 using the Current Procedural Terminology 4 (CPT-4) code for MUS with or without cystoscopy (57,288 ± 52,000)...
January 11, 2018: International Urogynecology Journal
https://www.readbyqxmd.com/read/29312842/bladder-neck-collagen-injection-in-the-treatment-of-congenital-retrograde-ejaculation-a-case-report
#4
Basri Cakiroglu, Orhun Sinanoglu, Ersan Arda
The present study describes the first successful treatment of a congenital retrograde ejaculation case with a submucosal collagen injection to the bladder neck. A 28-year-old male (height 170 cm, weight 80 kg) attended to the urology outpatient clinic with complaints of scattered urine stream and absence of ejaculation. The laboratory tests, including hormone profile (follicle stimulating hormone, luteinizing hormone, and testosterone) and the routine blood count were within normal ranges, whereas semen analysis demonstrated a total absence of ejaculation...
November 3, 2017: Curēus
https://www.readbyqxmd.com/read/29305200/ultrasound-for-intraoperative-confirmation-of-antegrade-ureteral-stent-placement-during-laparoscopic-pyeloplasty
#5
David B Bayne, Manint Usawachintachit, Thomas Chi
OBJECTIVE: To describe our ultrasound technique for confirming intraoperative, antegrade-placed ureteral stent position during laparoscopic pyeloplasty. BACKGROUND: Disadvantages of retrograde stent placement include the need to reposition the patient into and out of the lithotomy position. Antegrade stent placement can reduce procedure time but requires confirming appropriate distal placement into the bladder with cystoscopy, percutaneous drain placement, or instillation of methylthioninium chloride or indigo carmine...
January 2, 2018: Urology
https://www.readbyqxmd.com/read/29300258/effectiveness-of-assessing-ureteral-patency-using-preoperative-phenazopyridine
#6
Elizabeth M Strom, Zaid Q Chaudhry, Rong Guo, Axeline J Maisonet, Christine H Holschneider, Cecilia K Wieslander
OBJECTIVES: The aims of this study were to determine the efficacy of phenazopyridine when used intraoperatively to assess ureteral patency and to investigate factors that may influence its efficacy. METHODS: This is a retrospective chart review performed at the Olive View-UCLA Medical Center, a Los Angeles County teaching hospital, from January 2014 through July 2016. Patients undergoing cystoscopy at the time of gynecologic surgery were identified via department case logs...
January 3, 2018: Female Pelvic Medicine & Reconstructive Surgery
https://www.readbyqxmd.com/read/29299889/effects-of-anastomotic-posterior-urethroplasty-simple-or-complex-on-erectile-function-a-prospective-study
#7
Jalil Hosseini, Farzen Soleimanzadeh Ardebili, Behrouz Fadavi, Hamidreza Haghighatkhah
PURPOSE: Although improvements in urological function have been less challenged, concern about andrological problems following urethral stricture surgeries has been growing in recent years. The aim of this study is to evaluate the role of the anastomotic urethroplasty itself on erectile function in patients with posterior urethral injuries. MATERIALS AND METHODS: In this prospective cohort study, patients with urethral strictures referring to Tajrish Hospital during October 2013 to August 2016 for anastomotic urethroplasty, were included...
January 3, 2018: Urology Journal
https://www.readbyqxmd.com/read/29297169/clinical-decision-making-in-surveillance-of-non-muscle-invasive-bladder-cancer-the-evolving-roles-of-urinary-cytology-and-molecular-markers
#8
Tahlita C M Zuiverloon, Florus C de Jong, Dan Theodorescu
Cystoscopy and urine cytology are the gold-standard tests for detection of recurrent disease during follow-up in patients with a history of non-muscle-invasive bladder cancer (NMIBC). High associated costs, as well as side effects, have driven the desire for inexpensive, noninvasive, accurate, and easy-to-use urine markers to detect bladder cancer recurrence. While many urine markers have been developed, very few have been clinically implemented. In this article, we discuss the requirements for development and validation of urine markers and the factors that hamper their clinical implementation...
December 15, 2017: Oncology (Williston Park, NY)
https://www.readbyqxmd.com/read/29290317/histiocytic-sarcoma-with-bladder-involvement-case-report-and-literature-review
#9
Mª Jesús Fernández-Aceñero, Pablo Pérez Alonso, Cristina Díaz Del Arco
We report an unusual case of histiocytic sarcoma with bladder involvement. An 80 year-old man with a previous history of diffuse large B-cell malignant lymphoma presented with hematuria and back pain. Serial urine cytologies revealed no urothelial malignant cells, but cystoscopy showed a large intravesical mass. The patient underwent transurethral resection (TUR) of the tumor. The bladder TUR specimen showed a widely infiltrating epithelioid neoplasm, with intense immunohistochemical positivity for CD45 and histiocytic markers (CD68, lysozime and fascin)...
January 2018: Revista Española de Patología
https://www.readbyqxmd.com/read/29288007/overexpression-of-semaphorin-3a-in-patients-with-urothelial-cancer
#10
Zahava Vadasz, Jacob Rubinstein, Jacob Bejar, Hilla Sheffer, Sarel Halachmi
OBJECTIVE: A highly sensitive and specific urine marker for the detection of recurrent urothelial cancer and for screening healthy population or people at risk for urothelial cancer has not been found yet. As urine cytology is not sensitive enough, patients with non-muscle-invasive bladder cancer need lifelong follow-up involving multiple invasive cystoscopies. Our aims of study were to examine the expression of semaphorin 3A in urothelial cancer patients and to evaluate semaphorin 3A as a potential marker for urothelial cancer...
December 26, 2017: Urologic Oncology
https://www.readbyqxmd.com/read/29288006/advancements-in-optical-techniques-and-imaging-in-the-diagnosis-and-management-of-bladder-cancer
#11
REVIEW
Tracy L Rose, Yair Lotan
Accurate detection and staging is critical to the appropriate management of urothelial cancer (UC). The use of advanced optical techniques during cystoscopy is becoming more widespread to prevent recurrent nonmuscle invasive bladder cancer. Standard of care for muscle-invasive UC includes the use of computed tomography and/or magnetic resonance imaging, but staging accuracy of these tests remains imperfect. Novel imaging modalities are being developed to improve current test performance. Positron emission tomography/computed tomography has a role in the initial evaluation of select patients with muscle-invasive bladder cancer and in disease recurrence in some cases...
December 26, 2017: Urologic Oncology
https://www.readbyqxmd.com/read/29287519/isolated-red-patches-seen-during-endoscopic-surveillance-of-bladder-cancer-when-should-we-biopsy
#12
Nkwam Nkwam, Shaun Trecarten, Stefan Momcilovic, Alvaro E Bazo, Gurminder S Mann, Benedict Sherwood, Richard Parkinson
OBJECTIVE: To establish whether the regular biopsy of red patches seen during endoscopic surveillance for bladder cancer is worthwhile and determine a suitable time frame for repeat biopsy of prior histologically benign persistent red patches in patients on endoscopic surveillance for bladder cancer. PATIENTS AND METHODS: 4,805 flexible cystoscopy reports over a 12-month period were retrospectively reviewed at a UK tertiary teaching hospital and those undergoing cystoscopic surveillance for bladder cancer and found to have solitary red patches at flexible cystoscopy were included in the study...
December 29, 2017: Journal of Endourology
https://www.readbyqxmd.com/read/29279869/bilateral-renal-anastomosing-hemangiomas-a-tale-of-two-kidneys
#13
Hamid Abboudi, Benjamin Tschobotko, Christopher Carr, Ranan DasGupta
Background: Renal anastomosing hemangioma (RAH) is an extremely rare benign vascular tumor first described in 2009. Making this diagnosis is fraught with challenges. Radiologically they share features consistent with renal cell carcinomas (RCCs). Their vascular nature poses risks if considering preoperative biopsy and histologically they share characteristics akin to angiosarcomas. The few reports published in the literature suggest presentation with hematuria, flank pain, and polycythemia although the majority are diagnosed at postnephrectomy histologic examination...
2017: Journal of Endourology Case Reports
https://www.readbyqxmd.com/read/29279584/immunohistochemical-expression-of-nanog-in-urothelial-carcinoma-of-the-bladder
#14
M K A Md Akhir, H Hussin, A Veerakumarasivam, C S Choy, M A Abdullah, F Abd Ghani
Urothelial carcinoma is a common malignant neoplasm that has a poor prognosis and a high frequency of recurrence and metastasis. Constant disease surveillance with periodic and long term cystoscopy examination is necessary for management of the disease. However, the monitoring and therapy regimen is expensive, incurring a massive burden to patients and the government. Therefore, the development of specific biomarkers for urothelial carcinoma at an early stage and recurrence detection becomes a priority. Homeobox genes are a family of genes that are involved in tumourigenesis...
December 2017: Malaysian Journal of Pathology
https://www.readbyqxmd.com/read/29275402/hand-holding-during-cystoscopy-decreases-patient-anxiety-pain-and-dissatisfaction-a-pilot-randomized-controlled-trial
#15
Whi-An Kwon, Jae Whan Lee, Ho Kyung Seo, Tae Hoon Oh, Seung Chol Park, Hee Jong Jeong, Ill Young Seo
OBJECTIVE: Often a sick or an anxious person can experience pain or anxiety relief if another person holds his or her hand. In this study, we conducted investigations to determine whether hand-holding during cystoscopy decreases patient anxiety, pain, and dissatisfaction while at the same time increasing patient comfort and tolerance during the procedure. PATIENTS AND METHODS: Eighty-six male patients who underwent flexible cystoscopy between November 2015 and March 2017 were randomized as follows: hand-holding (group I, n = 43) or non-hand-holding (group II, n = 43) during the procedure...
December 22, 2017: Urologia Internationalis
https://www.readbyqxmd.com/read/29274202/-very-low-risk-bladder-tumours-a-new-entity
#16
Ofer N Gofrit, Dov Pode, Galina Pizov, Mordechai Duvdevani, Ezekiel H Landau, Guy Hidas, Vladimir Yutkin
OBJECTIVE: To evaluate the homogeneity of the "low-risk" bladder cancer group in an attempt to optimize follow-up protocols. PATIENTS AND METHODS: Between June 1998 and December 2008, 211 patients (mean age of 66.7 years, S.D 12.8) underwent transurethral resection of low-risk bladder cancer. Post-operative follow-up included cystoscopy at 3 and 12 months after surgery and then annually for a total of 5 years and then annual ultrasonography indefinitely. RESULTS: After a median follow-up of 10 years, 65 patients (30...
December 23, 2017: BJU International
https://www.readbyqxmd.com/read/29250578/symptomatic-urinary-tract-infections-in-renal-transplant-recipients-after-cystoscopy-for-ureteral-stent-removal
#17
Justin R Gregg, Caroline L Kang, Thomas R Talbot, Derek Moore, S Duke Herrell, Roger Dmochowski, Daniel A Barocas
Introduction: Symptomatic urinary tract infection (UTI) is a known complication of cystoscopy with ureteral stent removal. However, little is known about the incidence and risk factors for post-cystoscopy UTI in renal transplant recipients, who likely represent a high-risk cohort. Our aim was to determine the infection rate following cystoscopy with stent removal in this population and identify opportunities for care improvement. Methods: We performed a retrospective cohort study of office cystoscopies with stent removal in renal transplant recipients performed at a single institution from April 2012 through May 2014...
September 2017: Urology Practice
https://www.readbyqxmd.com/read/29241311/a-larger-detrusor-wall-thickness-increases-the-risk-of-non-muscle-invasive-bladder-cancer-recurrence-and-progression-result-from-a-multicenter-observational-study
#18
Antonio Cicione, Stefano Manno, Giuseppe Ucciero, Francesco Cantiello, Rocco Damiano, Estevao Lima, Alessandro Posti, Filippo Balloni, Cosimo DE Nunzio
BACKGROUND: Recent experimental study showed a higher incidence of bladder cancer in presence of bladder detrusor muscle thickening. The aim of this study is to assess whether a higher detrusor muscle thickness (DWT) may be a risk factor of recurrence of non-muscle invasive urothelial bladder cancer (NMIBC). METHODS: Men with histologically-confirmed diagnosis of NMIBC were prospectively enrolled in 4 centers between December 2015 and April 2017. DWT was measured by ultrasound and DWT>2...
December 14, 2017: Minerva Urologica e Nefrologica, the Italian Journal of Urology and Nephrology
https://www.readbyqxmd.com/read/29238702/clinical-usefulness-of-urine-cytology-in-the-detection-of-bladder-tumors-in-patients-with-neurogenic-lower-urinary-tract-dysfunction
#19
Jürgen Pannek, Franziska Rademacher, Jens Wöllner
Introduction: Screening for bladder cancer in patients with neurogenic lower urinary tract dysfunction is a challenge. Cystoscopy alone is not sufficient to detect bladder tumors in this patient group. We investigated the usefulness of combined cystoscopy and urine cytology. Materials and methods: By a systematic chart review, we identified all patients with neurogenic lower urinary tract dysfunction who underwent combined cystoscopy and urine cytology testing. In patients with suspicious findings either in cytology or cystoscopy, transurethral resection was performed...
2017: Research and Reports in Urology
https://www.readbyqxmd.com/read/29234836/trans-urethral-ureteral-stent-replacement-technique-trust-10-year-experience-in-1168-patients
#20
Gianpaolo Carrafiello, Andrea Coppola, Giuseppe De Marchi, Federico Fontana, Filippo Piacentino, Mario Petrillo, Alessandro Taborelli, Salvatore Alessio Angileri, Genti Xhepa, Nicola Macchione, Alessandro Bacuzzi, Alberto Marconi, Anna Maria Ierardi
OBJECTIVES: To affirm technical success, clinical success and safety of fluoroscopically guided transurethral replacement of double-J (DJ) ureteral stents. METHODS: From January 2005 to December 2015, in a follow-up period ranging from 9 to 73 months, we replaced 6167 DJ ureteral stents in 3221 procedures in 1168 patients. All the procedures were performed in the angiography suite under fluoroscopic control. RESULTS: Technical success was achieved in 97...
December 12, 2017: Cardiovascular and Interventional Radiology
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