Performance of ChatGPT on the Taiwan urology board examination: insights into current strengths and shortcomings
ConclusionsChatGPT-4's high accuracy and consistent explanations in urology board examination demonstrate its potential in medical information processing. However, its limitations in self-assessment and overconfidence necessitate caution in its application, especially for inexperienced users. These insights call for ongoing advancements of urology-specific AI tools. (Source: World Journal of Urology)
Source: World Journal of Urology - April 23, 2024 Category: Urology & Nephrology Source Type: research
The role of urology and radiology in prostate biopsy: current trends and future perspectives
ConclusionThere is no evidence to suggest that prostate biopsy should be solely performed by a specific specialty. The most important factor remains knowledge of the relevant anatomy and sufficient volume of cases to develop and maintain skills. (Source: World Journal of Urology)
Source: World Journal of Urology - April 22, 2024 Category: Urology & Nephrology Source Type: research
Predicting contralateral extraprostatic extension in unilateral high-risk prostate cancer: a multicentric external validation study
ConclusionOur findings endorse the algorithm's commendable performance, supporting its utility in guiding treatment decisions for unilateral high-risk PCa patients. (Source: World Journal of Urology)
Source: World Journal of Urology - April 22, 2024 Category: Urology & Nephrology Source Type: research
The impact of mpMRI-targeted vs systematic biopsy on the risk of prostate cancer downgrading at final pathology
ConclusionsDowngrading rates are highest when PCa is present in TBx only and, especially when the highest grade PCa is diagnosed by TBx cores only. Conversely, downgrading rates are lowest when PCa is identified with the same ISUP through both SBx and TBx. The presence of clinically significant disease at SBx + TBx may indicate a more reliable assessment of the disease at the time of biopsy potentially reducing the risk of downgrading at final pathology. (Source: World Journal of Urology)
Source: World Journal of Urology - April 22, 2024 Category: Urology & Nephrology Source Type: research
Evaluation of the learning curve for Thulium laser enucleation of the prostate in a contemporary cohort
ConclusionsIn our single-surgeon experience, we observed a learning curve of nearly 60 cases for the ThuLEP procedure in presence of a well-trained surgeon. Complication rate was low from the beginning of surgical experience. (Source: World Journal of Urology)
Source: World Journal of Urology - April 20, 2024 Category: Urology & Nephrology Source Type: research
Single-port robot-assisted radical prostatectomy
ConclusionBased on the existing literature, the introduction of SP-RARP not only enriched the repertoire of minimally-invasive surgical treatment options for prostate cancer but also provided the opportunity for urologists to develop new techniques that can improve perioperative outcomes and postoperative quality of life. Given the limited number of patients and heterogeneity in the patient selection and reporting of postoperative outcomes, further research remains necessary to better understand the different benefits and improve patient selection algorithms for the different techniques. (Source: World Journal of Urology)
Source: World Journal of Urology - April 20, 2024 Category: Urology & Nephrology Source Type: research
A comparison between vapor tunnel and virtual basket for the treatment of proximal ureteral stones using holmium:YAG laser (Cyber Ho): which is the best tool to reduce retropulsion?
ConclusionsVT and VB are equally safe and effective tools in reducing retropulsion of ureteral stones. Operative time, dusting time and SFR were comparable. They also equally avoided stone push-up and prevented ureteral lesions, which may later occur in ureteral strictures. (Source: World Journal of Urology)
Source: World Journal of Urology - April 20, 2024 Category: Urology & Nephrology Source Type: research
Robot-assisted laparoscopic retroperitoneal donor nephrectomy: a safe and efficient improvement
ConclusionRobot-assisted laparoscopic retroperitoneal donor nephrectomy is a safe and efficient technique that offers advantages of shorter operation time and no abdominal organ interference. (Source: World Journal of Urology)
Source: World Journal of Urology - April 19, 2024 Category: Urology & Nephrology Source Type: research
Health-related quality of life following salvage radical prostatectomy for recurrent prostate cancer after radiotherapy or focal therapy
ConclusionssRP impacts HRQOL in patients with PCa after RT and FT with no significant differences. Comparison with HRQOL and BRFS of treatment alternatives is paramount to counsel patients for appropriate treatments. (Source: World Journal of Urology)
Source: World Journal of Urology - April 18, 2024 Category: Urology & Nephrology Source Type: research
Fluid dynamics within renal cavities during endoscopic stone surgery: does the position of the flexible ureteroscope and ureteral access sheath affect the outflow rate?
ConclusionsOur study showed that higher fluid outflow rates are observed from upper and middle calyces compared to lower calyx. This was true when the UAS was positioned 2 cm below the PUJ and at the iliac crest. Significant worsening of fluid dynamics from upper and middle calyces was observed when the UAS was placed distally at the level of the iliac crest. While the difference was statistically significant, the absolute change was not significant. In contrast, f or lower calyces, a statistically significant improvement was documented. (Source: World Journal of Urology)
Source: World Journal of Urology - April 17, 2024 Category: Urology & Nephrology Source Type: research
Impact of health and digital health literacy on quality of life following radical prostatectomy for prostate cancer: prospective single-center cohort study
ConclusionOur study showed a positive association between self-reported HL/e-HL and QoL, marking the first report on the impact of HL/e-HL on the QoL in men who underwent RP for clinically localized prostate cancer. (Source: World Journal of Urology)
Source: World Journal of Urology - April 17, 2024 Category: Urology & Nephrology Source Type: research
Multicenter evaluation of complex urinary diversion for renal transplantation: outcomes of complex surgical solutions
ConclusionThe mid-term kidney transplant function with complex urinary diversion appears to be comparable to transplants with regular urinary diversions. Hence, complex urinary diversion should always be considered as a surgical option, even during transplantation, if necessary. (Source: World Journal of Urology)
Source: World Journal of Urology - April 17, 2024 Category: Urology & Nephrology Source Type: research
UroAngel: a single-kidney function prediction system based on computed tomography urography using deep learning
ConclusionsWe proposed an automated 3D U-Net-based analysis system for direct prediction of single-kidney function stage from CTU images. UroAngel could accurately predict single-kidney function in ON patients, providing a novel, reliable, convenient, and non-invasive method. (Source: World Journal of Urology)
Source: World Journal of Urology - April 16, 2024 Category: Urology & Nephrology Source Type: research
Global burden of bladder cancer mortality in 2020 and 2040 according to GLOBOCAN estimates
ConclusionOpposite mortality trends by gender highlight the urgent need for immediate interventions to expand anti-tobacco strategies, especially for women. The implementation of more strict occupational health and safety regulations could also prevent exposures associated with BC. Improving the ability to detect BC earlier and access to treatment can have a significant positive impact on reducing mortality rates, minimizing economic costs, and enhancing the quality of life for patients. (Source: World Journal of Urology)
Source: World Journal of Urology - April 16, 2024 Category: Urology & Nephrology Source Type: research
Individualized center-based analysis of urinary and sexual functional outcome after radical prostatectomy based on the prostate cancer outcome study: a post hoc pathway to patient outcome measurement analysis for quality improvement
ConclusionsThe results show how using provider-specific data from a larger cohort study enables to develop institution-specific analysis for functional outcomes after RPE. These models can be used for internal quality improvement as well as enhanced and provider-specific patient communication and shared decision making. (Source: World Journal of Urology)
Source: World Journal of Urology - April 15, 2024 Category: Urology & Nephrology Source Type: research
