Investigating the effects of tilting the postural drainage lithotripsy system on cerebral blood flow, intracranial pressure, heart rate, and blood pressure
ConclusionsThe significant alterations in cerebral blood flow, intracranial pressure, and hemodynamics induced during the treatment of renal residual fragments with postural drainage should be used with caution in individuals with cerebrovascular accidents.China Clinical Trials RegistryChiCTR2300070671; Registration date: 2023-04-18. (Source: World Journal of Urology)
Source: World Journal of Urology - February 20, 2024 Category: Urology & Nephrology Source Type: research
Modified Y-V plasty based on MRU evaluation for iatrogenic bladder outlet obliteration: a multicentre experience in China
ConclusionsLaparoscopic modified Y-V plasty based on MRU evaluation is a promising approach for iatrogenic BOO, with a high patency rate and a low incontinence rate. (Source: World Journal of Urology)
Source: World Journal of Urology - February 19, 2024 Category: Urology & Nephrology Source Type: research
The association between patient and disease characteristics, and the risk of disease progression in patients with prostate cancer on active surveillance
ConclusionIn AS patients with low-risk or favorable intermediate-risk PCa, diameter of index lesion, MRI (m)T-stage, height of the PI-RADS score and the PSA level at baseline are significant predictors of disease progression to first repeat biopsy. (Source: World Journal of Urology)
Source: World Journal of Urology - February 19, 2024 Category: Urology & Nephrology Source Type: research
Correction: The use of Versius CMR for pelvic surgery: a multicentric analysis of surgical setup and early outcomes
(Source: World Journal of Urology)
Source: World Journal of Urology - February 19, 2024 Category: Urology & Nephrology Source Type: research
PI-RADS upgrading as the strongest predictor for the presence of clinically significant prostate cancer in patients with initial PI-RADS-3 lesions
ConclusionPatients with stable PI-RADS 3 findings may not require a follow-up biopsy. Instead, it is advisable to schedule an MRI, considering that PI-RADS upgrading serves as an independent predictor for csPCa. (Source: World Journal of Urology)
Source: World Journal of Urology - February 16, 2024 Category: Urology & Nephrology Source Type: research
Old for young kidney transplantation: a responsible option for our patients to reduce waiting time?
ConclusionThis analysis clearly demonstrates the effectiveness of the"old for young" approach, enabling favorable perioperative results as well as comparable data of graft- and overall survival, while reducing waiting time for eligible patients. (Source: World Journal of Urology)
Source: World Journal of Urology - February 16, 2024 Category: Urology & Nephrology Source Type: research
Autonomic dysreflexia in urological practice: pathophysiology, prevention and treatment considerations
ConclusionsThe most common triggers of AD are those arising from LUT, such as bladder distention and urinary tract infections. Furthermore, AD is commonly observed in individuals with SCI during urological procedures, including catheterization, cystoscopy and urodynamics. Although significant progress in the clinical assessment of AD has been made in recent decades, effective approaches for its prevention and treatment are currently lacking. (Source: World Journal of Urology)
Source: World Journal of Urology - February 15, 2024 Category: Urology & Nephrology Source Type: research
Salvage vesiculectomy for local prostate cancer recurrence: surgical technique and early post-operative outcomes
ConclusionSalvage vesiculectomy for PCa recurrence limited to the SV is a safe procedure with excellent PSA response and is a potential curative treatment in a subset of patients. A concomitant lymphadenectomy can best be performed in all patients that did not underwent one at primary treatment. (Source: World Journal of Urology)
Source: World Journal of Urology - February 15, 2024 Category: Urology & Nephrology Source Type: research
Transperitoneal versus retroperitoneal robot-assisted partial nephrectomy: a systematic review and meta-analysis
ConclusionsRP approach, compared to TP, has significantly lower complication rates, EBL, need for BT and LOS. However, due to the lack of randomized studies on the topic, further data is required. (Source: World Journal of Urology)
Source: World Journal of Urology - February 15, 2024 Category: Urology & Nephrology Source Type: research
Clinical and economic impact of the introduction of pre-biopsy MRI-based assessment on a large prostate cancer centre diagnostic population and activity: 10 years on
ConclusionOur evaluation shows the mpMRI-based pathway has improved early detection of csPCa and reduction of repeat biopsies, resulting in significant financial benefits for the local healthcare system. (Source: World Journal of Urology)
Source: World Journal of Urology - February 15, 2024 Category: Urology & Nephrology Source Type: research
The significance of clinically insignificant residual fragments after percutaneous nephrolithotomy: an analysis into the relevance of complete stone clearance
ConclusionA complete stone-free status seems to be of fundamental importance for decreasing stone-related morbidity. Further developments and research should focus on optimizing the full clearance of stone material during PCNL. (Source: World Journal of Urology)
Source: World Journal of Urology - February 14, 2024 Category: Urology & Nephrology Source Type: research
Experts ’ recommendations in laser use for the treatment of bladder cancer: a comprehensive guide by the European Section of Uro-Technology (ESUT) and Training and Research in Urological Surgery and Technology (TRUST)-Group
ConclusionTFL seems to have replaced Ho:YAG and Tm:YAG. Most laser settings do not differ significantly among laser sources. For experts, continuous flow irrigation is the most commonly applied measure to reduce complications. (Source: World Journal of Urology)
Source: World Journal of Urology - February 14, 2024 Category: Urology & Nephrology Source Type: research
Focused UTUC pathways with a risk-stratified approach to diagnostic ureteroscopy: is it the need of the hour? A retrospective cohort analysis
ConclusionIn this series, we illustrate the effectiveness of integrating a multidisciplinary approach with specialised personnel, ring-fenced clinics, efficient diagnostic assessment and optimised theatre capacity. By adopting a risk-stratified approach to diagnostic ureteroscopy, we have achieved a significant reduction in time to RNU. (Source: World Journal of Urology)
Source: World Journal of Urology - February 10, 2024 Category: Urology & Nephrology Source Type: research
Ureteral stent after PCNL: is leaving the threads through the percutaneous tract safe and better tolerated?
ConclusionThe removal of the JJ stent with exteriorized threads through the percutaneous tract after PCNL in the office is a feasible and safe procedure if it is removed before 8 days and has better tolerance regarding the urinary symptoms. (Source: World Journal of Urology)
Source: World Journal of Urology - February 10, 2024 Category: Urology & Nephrology Source Type: research
Semirigid ureteroscopy and tamsulosin therapy as dilatation methods before flexible ureteroscopy: evaluation and benefits
ConclusionUsing tamsulosin therapy and semirigid ureteroscopy as dilatation methods before flexible ureteroscopy increased the success of primary flexible ureteroscopy advancement to renal collecting system. (Source: World Journal of Urology)
Source: World Journal of Urology - February 8, 2024 Category: Urology & Nephrology Source Type: research
