Robot-assisted single-port retroperitoneal partial nephrectomy with a novel purpose-built single-port robotic system with deformable surgical instruments
ConclusionsRetroperitoneal partial nephrectomy can be safely performed with this novel purpose-built single-port robotic system (SHURUI) with deformable surgical instruments. Further studies are needed to fully evaluate the role of this new platform. (Source: World Journal of Urology)
Source: World Journal of Urology - March 13, 2024 Category: Urology & Nephrology Source Type: research
Surgical procedure and recurrence of upper urinary tract stone: a national-wide study based on hospitalized patients
ConclusionsCompared with open surgery, ESWL, URS, and PCNL are associated with higher risks of surgical recurrence for upper urinary tract stone, while ESWL showed the least medical burden including both expenditure and hospital stay length. How to keep balance of intervention efficacy and medical expenditure is an important issue to be weighed cautiously in clinic practice and studied more in the future. (Source: World Journal of Urology)
Source: World Journal of Urology - March 13, 2024 Category: Urology & Nephrology Source Type: research
Impact of timing of urinary drainage on clinical outcomes in patients with obstructive pyelonephritis associated with upper urinary tract stones: a propensity score-matched analysis
ConclusionsThe timing of urinary drainage was only associated with the duration of high fever, but it did not affect the postdrainage course. Emergency urinary drainage is more likely to be performed in severe patients, such as high pretreatment CRP. (Source: World Journal of Urology)
Source: World Journal of Urology - March 13, 2024 Category: Urology & Nephrology Source Type: research
Robot-assisted vs open retropubic radical prostatectomy: a propensity score-matched comparative analysis based on 15 years and 18,805 patients
ConclusionBoth RARP and ORP yielded similar oncological outcomes. RARP offered a slight advantage in terms of continence recovery, but its clinical significance may be less meaningful. RARP resulted in significantly improved postoperative EF, suggesting a potential influence of both surgical experience and minimally invasive approach. (Source: World Journal of Urology)
Source: World Journal of Urology - March 13, 2024 Category: Urology & Nephrology Source Type: research
Cost-effectiveness of quality improvement intervention to reduce time between CT-detection and ureteroscopic laser fragmentation in acute symptomatic ureteric stones management
ConclusionsImplementation of quality improvement project based on a reduction in CT detection-to-laser fragmentation time interval in acute ureteric obstruction or symptoms caused by stones had similar clinical effectiveness compared to delayed ureteroscopic management, but more cost-effective. (Source: World Journal of Urology)
Source: World Journal of Urology - March 13, 2024 Category: Urology & Nephrology Source Type: research
A historical comparison of thulium fiber laser systems for stone lithotripsy: navigating toward safe and effective parameters
ConclusionBy reducing pulsed frequency, we improved laser efficiency, but smaller volumes lead to decreased efficiency due to increased retropulsion and fragment movement. Further studies are needed to identify and establish the appropriate laser settings for this new technology. (Source: World Journal of Urology)
Source: World Journal of Urology - March 13, 2024 Category: Urology & Nephrology Source Type: research
First prospective clinical assessment of the ILY ® robotic flexible ureteroscopy platform
ConclusionIn the first prospective clinical experience of the ILY® robotic FURS, we demonstrated its efficacy and safety. To further investigate its clinical practical value, additional investigations are warranted, including direct comparative analyses with manual flexible ureteroscopy techniques. (Source: World Journal of Urology)
Source: World Journal of Urology - March 13, 2024 Category: Urology & Nephrology Source Type: research
Transcutaneous tibial nerve stimulation in patients with multiple sclerosis and overactive bladder: a real-life clinical and urodynamic assessment
ConclusionTTNS improves OAB symptoms in PwMS, without significant changes on urodynamics. A high rate of strong or urgent need to void in daily life was associated with higher satisfaction. (Source: World Journal of Urology)
Source: World Journal of Urology - March 13, 2024 Category: Urology & Nephrology Source Type: research
Prevalence and repair patterns of vesicovaginal fistula: a large retrospective population-based cohort analysis
ConclusionsVVF repair and re-repair rates remained constant between 2005 and 2018. Iatrogenic injury and endoscopic repair predicted repair failure; combined intra-abdominal/trans-vaginal repair, and surgeon years in practice were protective. This suggests surgeon experience may protect against VVF repair failure. (Source: World Journal of Urology)
Source: World Journal of Urology - March 13, 2024 Category: Urology & Nephrology Source Type: research
Comparison of metabolic parameters between pure-uric acid and mixed-uric acid kidney stone formers
ConclusionsPure-UA kidney stone formers have different urinary metabolic parameters when compared with UA –CaOx stone formers, thus requiring different and tailored medical management. (Source: World Journal of Urology)
Source: World Journal of Urology - March 13, 2024 Category: Urology & Nephrology Source Type: research
Incorporating PHI in decision making: external validation of the Rotterdam risk calculators for detection of prostate cancer
ConclusionsThe RPCRC –PHI performed properly in a contemporary clinical setting, especially for prediction of csPCa. (Source: World Journal of Urology)
Source: World Journal of Urology - March 13, 2024 Category: Urology & Nephrology Source Type: research
Perioperative chemotherapy in bladder cancer: the more cisplatin, the best survival?
(Source: World Journal of Urology)
Source: World Journal of Urology - March 13, 2024 Category: Urology & Nephrology Source Type: research
Machine learning models for screening clinically significant nephrolithiasis in overweight and obese populations
ConclusionThis ML-based model was found able to effectively distinguish the overweight and obese subjects with clinically significant nephrolithiasis from those without. We believe that such a model can serve as an easily accessible and reliable screening tool for nephrolithiasis in overweight and obesity populations and make possible early intervention such as lifestyle modifications and medication for prevention stone complications. (Source: World Journal of Urology)
Source: World Journal of Urology - March 9, 2024 Category: Urology & Nephrology Source Type: research
Predicting the risk of failed trial without catheter following Rezum ™ therapy
ConclusionOver 10% of men undergoing Rezum ™ therapy for LUTS/BPH will experience TWOC failure and AUR after 7 days of catheterization. Preoperative PVR seems to be the only independent risk factor of unsuccessful catheter removal. (Source: World Journal of Urology)
Source: World Journal of Urology - March 9, 2024 Category: Urology & Nephrology Source Type: research
Association between chronic prostatitis and the subsequent benign prostatic hyperplasia: a population-based national cohort study
ConclusionThe Taiwan national health database indicated that CP patients had a significantly higher risk of developing BPH later than non-CP patients. Interestingly, the younger the CP is diagnosed (under 40), the greater the risk. (Source: World Journal of Urology)
Source: World Journal of Urology - March 9, 2024 Category: Urology & Nephrology Source Type: research
