The current use of human cadaveric models in urology: a systematic review.
CONCLUSIONS: The quality of the materials and methods described in most studies is often characterized by poor detail with regards to the preservation and preparation of the bodies and the satisfaction of use, which might affect training and testing. PMID: 31726819 [PubMed - as supplied by publisher] (Source: Minerva Urologica e Nefrologica)
Source: Minerva Urologica e Nefrologica - November 19, 2019 Category: Urology & Nephrology Tags: Minerva Urol Nefrol Source Type: research

Implant of ATOMS ® system for the treatment of postoperative male stress urinary incontinence: an Italian multicentric study.
CONCLUSIONS: The ATOMS system seems to be an effective and safe surgical treatment for postoperative male SUI. PMID: 31692302 [PubMed - as supplied by publisher] (Source: Minerva Urologica e Nefrologica)
Source: Minerva Urologica e Nefrologica - November 7, 2019 Category: Urology & Nephrology Tags: Minerva Urol Nefrol Source Type: research

Epidemiology and unmet needs of bladder cancer in Italy: a critical review.
CONCLUSIONS: Bladder cancer represents a health burden in Italy, with high incidence and prevalence rates, and important unmet needs for patients, including the limited therapeutic options for advanced/metastatic cancers, the low quality of life after radical cystectomy, the lack of widespread clinical pathway schemes, and the low patients empowerment. PMID: 31692303 [PubMed - as supplied by publisher] (Source: Minerva Urologica e Nefrologica)
Source: Minerva Urologica e Nefrologica - November 7, 2019 Category: Urology & Nephrology Tags: Minerva Urol Nefrol Source Type: research

The concealed penis: the "two corners" surgical technique.
CONCLUSIONS: The "two-corners" technique allows easy and effective correction of the concealed penis in both congenital and acquired conditions. It can be performed as outpatient procedure and results are stable at long-term follow-up. PMID: 31692304 [PubMed - as supplied by publisher] (Source: Minerva Urologica e Nefrologica)
Source: Minerva Urologica e Nefrologica - November 7, 2019 Category: Urology & Nephrology Tags: Minerva Urol Nefrol Source Type: research

Laparoscopic ureterolithotomy versus ureteroscopic laser lithotripsy for large proximal ureteral stones: a systematic review and meta-analysis.
CONCLUSIONS: LU could provide a higher stone-free rate and fewer severe complications compared with URSL with holmium laser for large proximal ureteral stones. More importantly, LU could also reduce the postoperative ureteral stricture rate. PMID: 31692305 [PubMed - as supplied by publisher] (Source: Minerva Urologica e Nefrologica)
Source: Minerva Urologica e Nefrologica - November 7, 2019 Category: Urology & Nephrology Tags: Minerva Urol Nefrol Source Type: research

Lower urinary tract and gastrointestinal dysfunction in sportswomen: systematic review and meta-analysis of observational studies.
CONCLUSIONS: All the analysed studies showed bias. This meta-analysis indicated that competitive sport activities represent a risk factor for urinary incontinence and gastrointestinal disorders. To prevent urinary leakage athletes should be instructed to strengthen the pelvic floor muscles. PMID: 31692306 [PubMed - as supplied by publisher] (Source: Minerva Urologica e Nefrologica)
Source: Minerva Urologica e Nefrologica - November 7, 2019 Category: Urology & Nephrology Tags: Minerva Urol Nefrol Source Type: research

What urologists need to know about female to male genital confirmation surgery (phalloplasty and metoidioplasty): techniques, complications, and how to deal with them.
Authors: Jun MS, Crane CN, Santucci RA Abstract Transmasculine gender-affirming surgery (GAS) is technically challenging, and in the past associated with a high but improving complication rate. Few surgical centers are performing this surgery, which can include metoidioplasty and phalloplasty, and patients often travel great distances for their surgery. While many will continue care with their original surgeons, others cannot due to social/geographic factors, or because emergencies arise. Thus, patients may seek care with their local urologist for relief of delayed complications, the most common of which i...
Source: Minerva Urologica e Nefrologica - November 7, 2019 Category: Urology & Nephrology Tags: Minerva Urol Nefrol Source Type: research

Ejaculation disorders in prostate surgery.
Authors: De Nunzio C, Tabatabaei S, Tubaro A Abstract PMID: 31646849 [PubMed - in process] (Source: Minerva Urologica e Nefrologica)
Source: Minerva Urologica e Nefrologica - October 25, 2019 Category: Urology & Nephrology Tags: Minerva Urol Nefrol Source Type: research

Risk of Gleason Score 3 + 4 = 7 prostate cancer upgrading at radical prostatectomy is significantly reduced by target biopsy compared to standard biopsy technique.
CONCLUSIONS: We demonstrated that TBx technique significantly reduced the risk of GS 3+4 upgrading at RP, compared to SBx one. The rate of upgrading wassignificantly associated with GP4>16%, mostly when cribriform sub-type was present at biopsy specimens. PMID: 31619029 [PubMed - as supplied by publisher] (Source: Minerva Urologica e Nefrologica)
Source: Minerva Urologica e Nefrologica - October 18, 2019 Category: Urology & Nephrology Tags: Minerva Urol Nefrol Source Type: research

Which patients with clinical localized renal mass would achieve the trifecta after partial nephrectomy? The impact of surgical technique.
CONCLUSIONS: ASA score, UCS involvement and the surgical technique were independent predictors of trifecta outcome. Our nomogram could facilitate the preoperative counselling and to choose the best surgical approach for PN. PMID: 31619030 [PubMed - as supplied by publisher] (Source: Minerva Urologica e Nefrologica)
Source: Minerva Urologica e Nefrologica - October 18, 2019 Category: Urology & Nephrology Tags: Minerva Urol Nefrol Source Type: research

How many surgically-treated angiomyolipomas are related to tuberous sclerosis complex? Insights from a retrospective multicenter study.
CONCLUSIONS: A non-negligible proportion of surgically-treated, putative sporadic AMLs were reclassified as potentially hereditary (TSC-related). As TSC patients may be treated with targeted therapies, our findings may increase urologists' awareness of TSC-related AML and prompt the design of future studies evaluating targeted diagnostic pathways for these patients. PMID: 31619031 [PubMed - as supplied by publisher] (Source: Minerva Urologica e Nefrologica)
Source: Minerva Urologica e Nefrologica - October 18, 2019 Category: Urology & Nephrology Tags: Minerva Urol Nefrol Source Type: research

Laparoscopic simple prostatectomy: complications and functional results after 5 years of follow-up.
CONCLUSIONS: The present findings confirm that LSP carries a low rate of early and late complications, and it offers good functional outcomes at 5 years. PMID: 31619032 [PubMed - as supplied by publisher] (Source: Minerva Urologica e Nefrologica)
Source: Minerva Urologica e Nefrologica - October 18, 2019 Category: Urology & Nephrology Tags: Minerva Urol Nefrol Source Type: research

A systematic review and meta-analysis comparing the outcomes of open and robotic assisted radical cystectomy.
CONCLUSIONS: RARC does exhibit known benefits of minimally invasive surgery, although the impact of an enhanced recovery pathway is probably more important than the surgical approach in determining post-operative morbidity. To date, well designed prospective studies have found that RARC yields non- inferior oncologic outcomes compared to ORC. PMID: 31619033 [PubMed - as supplied by publisher] (Source: Minerva Urologica e Nefrologica)
Source: Minerva Urologica e Nefrologica - October 18, 2019 Category: Urology & Nephrology Tags: Minerva Urol Nefrol Source Type: research

Combined reporting of surgical quality, cancer control and functional outcomes of Robot-assisted radical cystectomy with intracorporeal orthotopic neobladder into a novel Trifecta.
CONCLUSIONS: Learning curve in RARC-iON has a significant impact on achievement of Trifecta. This tool combines accurate measurement of surgical proficiency with an independent predictive value in assessing 3-yr OS probabilities. PMID: 31619034 [PubMed - as supplied by publisher] (Source: Minerva Urologica e Nefrologica)
Source: Minerva Urologica e Nefrologica - October 18, 2019 Category: Urology & Nephrology Tags: Minerva Urol Nefrol Source Type: research

What is the standard surgical approach to large volume BPE? Systematic review of existing randomized clinical trials.
CONCLUSIONS: According to our review no technique may be considered better than the other when treating large adenomas. Studies are still lacking to prove long term efficacy and future studies should clarify the role of prostatic artery embolization and minimally invasive simple prostatectomy in the management of prostates larger than 80 ml. PMID: 31619035 [PubMed - as supplied by publisher] (Source: Minerva Urologica e Nefrologica)
Source: Minerva Urologica e Nefrologica - October 18, 2019 Category: Urology & Nephrology Tags: Minerva Urol Nefrol Source Type: research