The Impact of Metabolic Syndrome and Its Components on Female Sexual Dysfunction: A Narrative Mini-Review
Conclusion:Our study showed that in the clinical evaluation of women with metabolic syndrome routine inquiring about female sexual dysfunction should be recommended to ameliorate sexual function and quality of life. However more prospective and longitudinal studies on the sexual effects of metabolic syndrome should also be suggested to know the factors related to women's sexuality better.Curr Urol 2018;12:57-63 (Source: Current Urology)
Source: Current Urology - March 12, 2019 Category: Urology & Nephrology Source Type: research
Uretero-Arterial Fistula - Not So Rare?
The first uretero-arterial fistula (UAF) was reported in 1908 by Moschcowitz. In 2009, a systematic review identified 139 cases. Since then a further 23 cases were described with 19 cases originating from a single center. It has been recognized as a very rare condition in the past. However, more recently, the increasing incidence of UAF has led us to believe that this condition is more frequent than previously described. Aging population, improved cancer survival and extensive multimodal pelvic cancer treatments have been recognized as culprits for the increased incidence of UAFs. We have reviewed literature on UAFs, ident...
Source: Current Urology - October 5, 2018 Category: Urology & Nephrology Source Type: research
Scrotal Peripheral Primitive Neuroectodermal Tumor
We present a rare case of an 84-year-old man with a history of pPNET in the scrotal sac, to our knowledge not previously published in the literature. The presence of a large irreducible mass in the inguinal sac forced to exclude a tumor. Ultrasound and MRI are very useful modalities to assess the location of the mass, its dependency from any organ and the tumoral internal structure. Molecular imaging with the detection of EWS-FLI1 fusion transcripts is useful for the diagnosis and differential diagnosis of Ewing sarcoma/pPNETs.Curr Urol 2018;12:50-53 (Source: Current Urology)
Source: Current Urology - October 5, 2018 Category: Urology & Nephrology Source Type: research
Trans-Arterial Embolization of Renal Cell Carcinoma prior to Percutaneous Ablation: Technical Aspects, Institutional Experience, and Brief Review of the Literature
This report describes the technical aspects of trans-arterial embolization (TAE) of renal cell carcinoma prior to percutaneous ablation. All patients (n = 11) had a single renal mass (mean tumor diameter = 50.2 mm; range: 28-84 mm). Selective TAE was performed via the common femoral artery. Embolic materials included: particles alone (n = 4), coils alone (n = 1), particles + ethiodized oil (n = 2), particles + coils (n = 1), ethiodized oil + ethanol (n = 2), and particles + ethanol (n = 1). All embolizations were technically successful and no complications have been reported. After embolization, 10 patients underwent cryoa...
Source: Current Urology - October 5, 2018 Category: Urology & Nephrology Source Type: research
The Association between Metabolic Syndrome and High-Stage Primary Urothelial Carcinoma of the Bladder
Recently, metabolic syndrome (MetS) has become an important public health problem, and its prevalence is increasing. MetS is associated with multifactorial diseases. No reports have suggested a relationship between bladder cancer and high blood pressure, and hyperlipidemia has been reported as a possible risk factor. In the present study, we investigated the relationships between the stage and degree of malignancy of bladder cancer and MetS. Furthermore, we investigated the influence of the components of MetS on the results. We retrospectively analyzed the data of 169 patients who underwent transurethral resection of a bla...
Source: Current Urology - October 5, 2018 Category: Urology & Nephrology Source Type: research
Experience of a Tertiary-Level Urology Center in the Clinical Urological Events of Rare and Very Rare Incidence. I. Surgical Never Events: 3. Urological Electrosurgical Never Events
Conclusion:Urological electrosurgical never events are very rare incidents and were differentiated into 4 clinical subcategories. Human involvements varied from absence to major devastating complications. Reduction of these events depends on the adjusted use of electricity-based armamentarium.Curr Urol 2018;12:33-38 (Source: Current Urology)
Source: Current Urology - October 5, 2018 Category: Urology & Nephrology Source Type: research
Shock Wave Lithotripsy is More Effective for Residual Fragments after Percutaneous Nephrolithotomy than for Primary Stones of the Same Size: A Matched Pair Cohort Study
Aims:To compare the outcome of shock wave lithotripsy (SWL) on post-percutaneous nephrolithotomy (PCNL) residual fragments (RFs) versus primary stones of the same size through a matched pair study.Methods:Patients with a single 5-15 mm fragment 3 months after PCNL were enrolled (study group n = 59). The control group (n = 67) consisted of all adult patients with a single 5-15 mm renal stone.Results:The success rate of SWL was significantly higher in the study group (81.4 vs. 59.7%; p = 0.008; OR: 2.95). With a cutoff point of Hounsfield units (HU) 750: the success rate was significantly lower in patients with a stone HU â‰...
Source: Current Urology - October 5, 2018 Category: Urology & Nephrology Source Type: research
The LACE Score as a Tool to Identify Radical Cystectomy Patients at Increased Risk of 90-Day Readmission and Mortality
Introduction:Radical cystectomy for bladder cancer is associated with high rates of readmission. We investigated the LACE score, a validated prediction tool for readmission and mortality, in the radical cystectomy population.Materials amp; Methods:Patients who underwent radical cystectomy for bladder cancer were identified by ICD-9 codes from the Healthcare Cost and Utilization Project State Inpatient Database for California years 2007-2010. The LACE score was calculated as previously described, with components of L: length of stay, A: acuity of admission, C: comorbidity, and E: number of emergency department visits within...
Source: Current Urology - October 5, 2018 Category: Urology & Nephrology Source Type: research
Detecting Novel Urine Biomarkers for the Early Diagnosis of Prostate Cancer: Platelet Derived Growth Factor-BB as a Possible New Target
Conclusion:PDGF-BB showed a significant predictive ability for PCa. Detection of PDGF-BB in urine with Elisa was easy and improved our diagnostic accuracy in the diagnosis of PCa.Curr Urol 2018;12:13-19 (Source: Current Urology)
Source: Current Urology - October 5, 2018 Category: Urology & Nephrology Source Type: research
Clinical Considerations for Intravesical Prostatic Protrusion in the Evaluation and Management of Bladder Outlet Obstruction Secondary to Benign Prostatic Hyperplasia
Conclusion:Upon report of lower urinary tract symptoms, initial performance of TRUS along with digital rectal examination prevents delay in the appropriate evaluation and management of prostatic diseases.Curr Urol 2018;12:6-12 (Source: Current Urology)
Source: Current Urology - October 5, 2018 Category: Urology & Nephrology Source Type: research
Avoiding the Obturator Jerk during TURBT
Discussion:TURBT is a relatively common urological operation performed to remove tumors of the bladder. Every measure should be taken to avoid serious complications from both anesthesia and surgery. Surgical measures to reduce the likelihood of an obturator jerk include reducing the diathermy current, avoiding over-distention bladder, and using bipolar diathermy as opposed to monopolar diathermy (although there is conficting evidence for this in the literature). Anesthetists should consider the use of neuromuscular blockade or an obturator nerve block to reduce the incidence of obturator jerk and risk of bladder perforatio...
Source: Current Urology - October 5, 2018 Category: Urology & Nephrology Source Type: research
Comparison of Late Urinary Symptoms Following SBRT and SBRT with IMRT Supplementation for Prostate Cancer
Conclusion:Participants who received SBRT and supplemental IMRT experienced less severe late urinary flare 1 year after treatment compared to those who received higher dose SBRT alone. This information can be used by clinicians to provide patients with anticipatory counseling to mitigate any psychological burden that comes with unanticipated late urinary toxicities.Curr Urol 2017;11:218-224 (Source: Current Urology)
Source: Current Urology - June 5, 2018 Category: Urology & Nephrology Source Type: research
Microbiological Analysis of Urine Cultures in Women after Pelvic Reconstructive Surgery
Conclusion:The most common organism identified isE. coli. Almost 12% of patients will develop a UTI after pelvic reconstructive surgery. The results of this study can influence management of lower urinary tract symptoms in the postoperative period.Curr Urol 2017;11:212-217 (Source: Current Urology)
Source: Current Urology - June 5, 2018 Category: Urology & Nephrology Source Type: research
Assessing the Safety and Efficacy of the ClearRing â„¢ Implant for the Treatment of Benign Prostatic Hyperplasia in a Canine Model
Conclusion:The ClearRing â„¢ implant seems a feasible minimally invasive procedure for relieving lower urinary track symptoms due to BPH.Curr Urol 2017;11:206-211 (Source: Current Urology)
Source: Current Urology - June 5, 2018 Category: Urology & Nephrology Source Type: research
Prostate Cancer Detection with Multiparametric MRI: A Comparison of 1 M-Concentration Gadobutrol with 0.5 M-Concentration Gadolinium-Based Contrast Agents
Conclusion:Multiparametric MRI using 1 M gadobutrol may improve the accuracy of prostate cancer detection.Curr Urol 2017;11:201-205 (Source: Current Urology)
Source: Current Urology - June 5, 2018 Category: Urology & Nephrology Source Type: research
