Is the History of Erectile Dysfunction a Reliable Risk Factor for New Onset Acute Myocardial Infarction? A Systematic Review and Meta-Analysis
Acute myocardial infarction (AMI) occurs as a manifestation of coronary atherosclerotic disease. The occurrence of erectile dysfunction (ED) following AMI is well documented and this association and pathophysiology is often interrelated. Few studies have objectively assessed the diagnostic value of ED as a risk factor for AMI, in general. In this review, we aimed to better outline the diagnostic predictability of ED as a precursor for ‘first/new onset' AMI. This review was performed using selective search terms, in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-analysis guidelines. The Coch...
Source: Current Urology - October 12, 2020 Category: Urology & Nephrology Source Type: research

Evaluation of Alpha 1 Adrenoceptor Antagonist Dose Increase Therapy: An Essential Strategy for Patients with Lower Urinary Tract Symptoms Associated with Benign Prostatic Hyperplasia
Conclusions: DI-T with α1-blockers has high potential as an essential treatment strategy for lower urinary tract symptoms associated with benign prostatic hyperplasia.Curr Urol 2020;14:113-121 (Source: Current Urology)
Source: Current Urology - October 12, 2020 Category: Urology & Nephrology Source Type: research

High Riding Prostate: Epidemiology of Genitourinary Injury in Motorcyclists from a UK Register of over 12,000 Victims
Conclusions:A significant proportion of motorcyclists brought to accident and emergency department have GUI, most commonly renal trauma. Pelvic fracture is more common in pillion passengers than riders, and associated with urethral and bladder injuries, but it does not predict severity of renal trauma. External genital injuries are rare, but we recommend examination in the tertiary survey, as consequences of missed injury are severe. Further research is needed to explore protective effects of motorcyclist clothing.Curr Urol 2020;14:105-112 (Source: Current Urology)
Source: Current Urology - June 22, 2020 Category: Urology & Nephrology Source Type: research

Predictive Ability for Disease-Free Survival of the GRade, Age, Nodes, and Tumor (GRANT) Score in Patients with Resected Renal Cell Carcinoma
Conclusion:The GRANT score might be a useful tool that is user-friendly and easy to perform in clinical practice.Curr Urol 2020;14:98-104 (Source: Current Urology)
Source: Current Urology - June 22, 2020 Category: Urology & Nephrology Source Type: research

Evaluation of Testicular Self Examination and Testicular Partner Examination in Medical versus Non-Medical Students
This study was designed to analyze whether medical students have a possible knowledge advantage over students of other faculties concerning TC and to compare male and female cancer screening demeanor and mentality.Methods:Male and female students of various faculties at the Goethe University Frankfurt/Main, Germany were invited to participate in this internet-based anonymous questionnaire with questions about TC awareness/knowledge, testicular (self) examination, and cancer screening behavior.Results:In total 1,049 students (329 medical and 716 non-medical students) completed the questionnaire. In general, medical students...
Source: Current Urology - June 22, 2020 Category: Urology & Nephrology Source Type: research

Experience of a Tertiary-Level Urology Center in Clinical Urological Events of Rare and Very Rare Incidence. V. Urological Tumors: 1. Adrenal Myelolipoma
Conclusions:Adrenal myelolipoma is a rare non-functioning benign tumor. Laparoscopic excision seems to be a promising alternative approach to the traditional open adrenalectomy, even in the context of large tumors and obesity.Curr Urol 2020;14:85-91 (Source: Current Urology)
Source: Current Urology - June 22, 2020 Category: Urology & Nephrology Source Type: research

Focus on Characteristics of COVID-19 with the Special Reference to the Impact of COVID-19 on the Urogenital System
Coronavirus disease 2019 (COVID-19) is a new infectious disease that first emerged in December 2019. It has infected more than 4,890,000 people in more than 200 countries. This virus can cause progressive respiratory symptoms and severe diseases such as organ failure and death. The complete genomic sequence of SARS-CoV-2 was determined after the virus's identification, and the sequence analysis showed that SARS-CoV-2 strains are genetically similar to SARS-CoV. Angiotensin converting enzyme II is an entry receptor for SARS-CoV-2, which is highly expressed in the kidney, so some patients had symptoms of kidney damage. Here ...
Source: Current Urology - June 22, 2020 Category: Urology & Nephrology Source Type: research

Penoscrotal Incision for the Primary Implantation of an Artificial Urinary Sphincter
Conclusions:AUS implantation via a single penoscrotal approach is not inferior to the perineal approach and has several advantages. The operating time is shorter and the procedure requires only 1 incision which both reduce the risk of infections, while the continence results are similar for both approaches.Curr Urol 2020;14:74-78 (Source: Current Urology)
Source: Current Urology - June 22, 2020 Category: Urology & Nephrology Source Type: research

Survival Outcomes of Early versus Deferred Cystectomy for High-Grade Non-Muscle-Invasive Bladder Cancer: A Systematic Review
Conclusions:This study provides systematically gathered evidence showing benefit of early cystectomy. Despite this result, radical cystectomy greatly impairs quality of life and represents overtreatment for a significant minority. This result highlights the importance of a decisive treatment plan to minimize treatment delay.Curr Urol 2020;14:66-73 (Source: Current Urology)
Source: Current Urology - June 22, 2020 Category: Urology & Nephrology Source Type: research

The Role of Exenterative Surgery in Advanced Urological Neoplasms
Pelvic exenterative surgery is both complex and challenging, especially in the setting of locally recurrent disease. In recent decades, improved surgical techniques have facilitated more extensive resection of both locally advanced and recurrent pelvic malignancies, but its role in urological cancer surgery is highly selective. However, it remains an important part of the armamentarium for the management of bladder and prostate cancer cases where there is local invasion into adjacent organs or localized recurrence. Better diagnostics, reconstructive options and centralized care have reduced associated morbidity considerabl...
Source: Current Urology - June 22, 2020 Category: Urology & Nephrology Source Type: research

“In-Bore” MRI-Guided Prostate Biopsy for Prostate Cancer Diagnosis: Results from 140 Consecutive Patients
Conclusions: Our study conducted on 142 patients confirmed the greater DR of csPCa by MRI-GB, with a very low number of cores needed and a negligible incidence of complications, especially in patients with a previous negative biopsy. MRI-GB is optimal for the diagnosis of anterior and central lesions.Curr Urol 2020;14:22-31 (Source: Current Urology)
Source: Current Urology - March 19, 2020 Category: Urology & Nephrology Source Type: research

Is Non-Chlamydial Non-Gonococcal Urethritis Associated with Significant Clinical Complications in Men? A Systematic Review
Background: It is estimated that between 50 and 89% of non-gonococcal urethritis is not caused byChlamydia trachomatis. Associations between non-chlamydial non-gonococcal urethritis (NCNGU) with balanoposthitis, epididymo-orchitis and reactive arthritis have been suggested, but evidence to support these often-theoretical relationships is sparse and further investigation is called for. Concerns over increasing antimicrobial resistance has rendered the need for clarity over this question ever more pressing in recent years. A review of the current evidence on the complications of NCNGU in men is therefore urgently warranted.O...
Source: Current Urology - March 19, 2020 Category: Urology & Nephrology Source Type: research

Petechia of the Penis: Sexual Habits or Adverse Drug Reaction?
To the best of our knowledge, we report the first case of recurring small red macules (petechia), exclusively localized on the gland secondary to fellatio in an adult man, who is on therapy with acetylsalicylic acid. No previous studies have been ever conducted on the possible onset of penis petechia after oral sex. Petechia are nonspecific cutaneous lesions appearing as circumscribed sub-epithelial hemorrhages, or appearing as small dark red or purplish spots as a result of capillaries rupture.Curr Urol 2018;12:167-168 (Source: Current Urology)
Source: Current Urology - May 10, 2019 Category: Urology & Nephrology Source Type: research

Pheochromocytoma of the Urinary Bladder with Recurrence 10 Years Later
We report a case of an 80-year-old female who presents with recurrent bladder tumors consistent with pheochromocytoma of the bladder, discovered 10 years post-resection of a prior pheochromocytoma of the urinary bladder. She was treated with partial cystectomy and was found to be symp tom free at 6-month follow-up.Curr Urol 2018;12:164-166 (Source: Current Urology)
Source: Current Urology - May 10, 2019 Category: Urology & Nephrology Source Type: research

Comparison of Turkish Primary, Recurrent, and Non Stone-Forming Patients Using Hounsfield Unit Measurements: How Useful Is It?
Conclusion:This study implied that HU values reflect the severity of the stone disease, although they could not discriminate controls from primary stone formers whose stone forming risk is lower compared to recurrent stone formers.Curr Urol 2018;12:158-163 (Source: Current Urology)
Source: Current Urology - May 10, 2019 Category: Urology & Nephrology Source Type: research