Science topic
Urology - Science topic
Urology is the medical and surgical specialty that focuses on the urinary tracts of males and females, and on the reproductive system of males. The organs covered by urology include the kidneys, adrenal glands, ureters, urinary bladder, urethra, and the male reproductive organs (testes, epididymis, vas deferens, seminal vesicles, prostate and penis).
Publications related to Urology (10,000)
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Introduction
Robotic Radical Prostatectomy using the Da-Vinci Single-Port (SP) robot can provide comparable functional and oncological outcomes with potential advantages pertaining to peri-operative morbidity, especially in patients with an extensive history of prior abdominal surgeries (¹1 Ferguson EL, Ramos-Carpinteyro R, Soputro N, Chavali JS, G...
Introduction. Hypospadias is a common congenital abnormality. It may also be associated with other urogenital tract abnormalities. Literature has described more than 300 techniques being used. An objective evaluation is useful for attending doctor and parents to ensure both understands detection of complication and to assess post operative satisfac...
This article highlights the evolution, birth and legacy of the world’s first neonatal surgical unit established at Alder Hey Children’s Hospital Liverpool in 1953. Peter Paul Rickham, a creative pioneering and innovative surgeon, is credited here as a major driving force that helped shape and progress the modern day development of neonatal surgery....
Background: Nephrolithiasis is the formation of hard, crystalline mineral that originates in the kidney which may descends in the urinary tract. Objective: Objective of this study is to describe the management of left ureteric calculus in hospital setting. Setting: Department of Urology in Amina Hospital Cantt, Sialkot, Pakistan. Method: In this ca...
Objetivo: Determinar los factores de riesgo para cáncer de próstata en adultos del Hospital General de Zona No.8 de Córdoba, Ver. Material y métodos: Estudio transversal, observacional, prospectivo; realizado en el HGZ No. de 8 Córdoba, en 129 pacientes con diagnóstico de Cáncer de Próstata en seguimiento con Urología y Oncología Médica. Se aplicó...
Background/Objectives: Radical cystectomy (RC) represents one of the most complex and morbid surgical procedures in the field of Urology. Extraperitoneal open RC has emerged as an alternative to the traditional transperitoneal approach for the treatment of muscle-invasive bladder cancer. Frailty is one of the most important risk factors for periope...
Climate change poses a significant global health challenge, with medical procedures contributing substantially to CO2 emissions. Urology, as part of the broader healthcare sector, has begun integrating Planetary Health concepts to address this issue. While earlier studies have focused on Life Cycle Assessments (LCA) of urological procedures, these...
Background
We sought to examine the potential role of race and insurance status on the presentation, management, and outcomes of high-grade renal trauma (HGRT) in a large trauma registry.
Methods
A retrospective cohort study of a large, multi-center registry of high-grade pediatric renal trauma was performed. Patients < 18 years of age with HGRT (...
Introduction: Since percutaneous nephrolithotomy (PCNL) was introduced in 1976, it has been the standard procedure for large renal stones. Over time, the PCNL technique changed and developed into various techniques. We introduce single site multipuncture supine (SMS) PCNL to give cosmetic advantage due to less tissue injury in complex renal stone....
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It was a systematic review and meta-analysis that aimed to compare the efficiency and safety of robot-assisted urological surgery using both the KangDuo and da Vinci robotic systems. The PubMed, Embase, and Cochrane Library databases were searched for all papers published through September 1, 2024. The focus was on English-language papers comparing...
Zusammenfassung
Hintergrund
Die Antibiotikaverordnung bei stationären Patienten unterscheidet sich je nach Fachrichtung sowohl hinsichtlich der Intensität als auch bezüglich des Wirkstoffspektrums.
Ziel der Arbeit
Es wird eine Analyse und Bewertung der aktuellen Daten zur Antibiotikaverbrauchsdichte (AD) in deutschen urologischen Fachabteilungen...
Objective: To determine the long-term outcome of children with steroid-resistant nephrotic syndrome at a single center in Pakistan. Study Design: Retrospective, observational study. Place and Duration of Study: Pediatric Nephrology Department, Sindh Institute of Urology and Transplantation, Karachi, Pakistan from July 2008 to June 2014. Methodology...
Introduction
Workload and stress in excess can lead to work disability. The aim of our study was to determine whether commercially available “activity trackers” can be used to make statements about the work – or stress load of different occupational groups.
Material and methods
The study was conducted at the University Hospital Freiburg, Germany....
Urolithiasis, or urinary stone disease, is a common condition with potentially severe health implications if undetected or untreated. While computed tomography (CT) is the gold standard for detecting urolithiasis, ultrasonography (USG) is often preferred in clinical practice due to its accessibility, non-invasiveness, and lower cost. Evaluating the...
Escherichia coli and Proteus mirabilis are two of the most common causes of upper or lowermurinary tract infection. The purpose of this study was to compare demographic characteristics and antimicrobial susceptibility of chronic pyelonephritis (CPN) between E. coli and P. mirabilis, and conducted by taking clinical samples urine from 288 patients w...
Non-technical skills (NTS) are crucial in healthcare, encompassing cognitive and social skills that support technical ability. Traditional NTS training is evolving with the emergence of artificial intelligence (AI) models that can intelligently converse with their users, known as large language models (LLMs). This study investigated the capabilitie...
Objective
To present the most recent data on urinary calculi characteristics in the southern region of China and explore the effects of sociodemographic, clinical and laboratory characteristics on stone composition to fill the research gap.
Setting
A retrospective observational study was performed in Shenzhen between December 2019 and August 2022....
A Hiperplasia Prostática Benigna (HPB) é uma doença que afeta predominantemente homens com mais de 40 anos, sendo o principal fator de risco o envelhecimento. Dessa forma, a Hiperplasia Prostática Benigna pode impactar significativamente a qualidade de vida do paciente, apresentando, em seu quadro clínico, deficiências no funcionamento do trato uri...
This research evaluates the readability and quality of patient information material about female urinary incontinence (fUI) in ten popular artificial intelligence (AI) supported chatbots. We used the most recent versions of 10 widely-used chatbots, including OpenAI’s GPT-4, Claude-3 Sonnet, Grok 1.5, Mistral Large 2, Google Palm 2, Meta’s Llama 3,...
Objective
To identify latent clusters among urological patients by examining hospitalisation rate trajectories and their association with risk factors and outcome quality indicators.
Materials and methods
Victorian Admitted Episodes Dataset, containing information on all hospital admissions in Victoria from 2009 to 2019. The top twenty ICD-10 prim...
Wunderlich syndrome is an uncommon pathology that is characterized by spontaneous hemorrhage in the subcapsular and perirenal spaces. We present the case of a 76-year-old woman who developed abdominal pain associated with hypotension after undergoing percutaneous transluminal angioplasty (PTA), with stenting in the right renal artery by means of pu...
Introduction. One of the most critical medical and social challenges facing the male population globally is the prevalence of malignant tumors of the prostate gland. Cancer-related mortality ranks the second position in Ukraine and worldwide, following cardiovascular diseases. Therefore, early diagnosis remains the most promising and effective stra...
Background: Ureteral stents are one of the most used devices in Urology, allowing drainage of the upper urinary system, and can be used either in elective or emergency procedures. However, as a foreign body inside the urinary system, they are subject to encrustation. Encrustation is one of the burdens seen with double-J stents and, to date, there i...
Objectives
Hypospadias is the most common anomaly of the male genital system after undescended testis. More than 200 surgical repair techniques have been described for the treatment of hypospadias due to many different meatus localisations and other accompanying anomalies. Kutlay defined a new technique in 2010 with 10 patients with distal hypospad...
Objective
To compare the efficacy and safety of using a 7.5 Fr flexible ureteroscope (f-URS) with tip-flexible suctioning ureteral access sheath (TFS-UAS) versus a 9.2 Fr f-URS with traditional ureteral access sheath (T-UAS) in the treatment of kidney stones.
Methods
A retrospective analysis was conducted on 205 patients with kidney stones measuri...
Background
Malignant ureteral obstruction (MUO) is a serious health condition in which a malignant tumor compresses the ureter. The optimal decompressive intervention in MUO remains unclear. This study was conducted to assess and compare renal function, the occurrence of ureterohydronephrosis (UHN), intraoperative, and postoperative complications a...
Objectives
To investigate the prognostic value of visible hematuria in T1a renal cell carcinoma (RCC).
Materials and methods
In the RCC database of the Chinese People’s Liberation Army General Hospital Department of Urology, we assembled the records of patients with unilateral RCC over 18 years of age diagnosed between 2008 and 2019. The clinical...
AIM: To assess and compare the real-world management of catheters and catheter-associated urinary tract infections (CAUTI) among Swiss general practitioners and urologists, encompassing diagnosis, treatment and prophylaxis. METHODS: An anonymised online questionnaire was distributed among Swiss general practitioners and urologists between January a...
Background: Urethral stricture disease is a complex disease because of demanding procedures to treat and high recurrence rate. Proper selection of the patient for a particular procedure is needed. Complex procedures of urethroplasty however, have very good results in expert hands. Materials and methods: This was a retrospective study done at Urolog...
Background and Objectives: Radical prostatectomy (RP) stands as the predominant instigator of postoperative stress urinary incontinence. Techniques such as the preservation of the neurovascular bundles, bladder neck preservation, and ensuring longer postoperative urethral length have shown positive impacts on continence. The posterior reconstructio...
Economic and demographic developments in the past few decades have increased the pressure on efficiency in the healthcare industry. Modern management accounting and cost accounting techniques are a critical component in improving the efficiency and quality of care in urology. With the ever-increasing costs of healthcare, the need for a sophisticate...
Background
Antibody-drug conjugates (ADCs) have recently moved into the clinical focus for solid carcinomas. They enable targeted delivery of cytotoxic molecules by binding to tumor surface proteins. The ADC enfortumab vedotin (EV) targets the NECTIN4 protein and was approved for patients with metastatic urothelial carcinoma (mUC). EV-treatment has...
Samenvatting
Nierkanker kent een stijgende incidentie. Vanuit de vier deelnemende ziekenhuizen in de regio Rotterdam worden patiënten met (een verdenking op) een niertumor besproken op het multidisciplinaire overleg (MDO) nierkanker. In dit onderzoek hebben we de waarde van dit MDO geëvalueerd. In 2020 werden er tijdens dit MDO 252 patiënten vanuit...
La prostatectomía radical está indicada en pacientes con cáncer de próstata, enfermedad confinada en la próstata y una esperanza de vida superior a 10 años. Las técnicas mínimamente invasivas (cirugía laparoscópica y robótica) son las más empleadas en la actualidad al asociarse a menor tasa de complicaciones postoperatorias. Sin embargo, el riesgo...
Introdução: O câncer de próstata é uma das formas mais comuns de câncer entre homens, sendo a segunda neoplasia mais incidente no mundo, ficando atrás apenas do câncer de pulmão, e a quinta principal causa de morte. Cerca de 62% dos casos ocorrem em pacientes com 65 anos ou mais, sendo mais comum em homens afro-americanos e em certas regiões geográ...
The definition and diagnosis of functional hypogonadism (FH) remains challenging due to the nonspecific nature of symptoms and the inconsistency in normal testosterone thresholds. We conducted this single-center cross-sectional study on medical records of men aged 18 and above undergoing annual health check-ups to evaluate the correlation of age an...
Objective: This study aimed to investigate the correlations between the obstructive and irritative domain scores of the total AUA-SI and the uroflowmetric peak flow rate (Qmax) in Thai patients suspected of having benign prostatic hyperplasia (BPH). Materials and Methods: A retrospective observational study was conducted on 510 patients who present...
Objective: To compare early versus late catheter removal after Transurethral resection of prostate for benign prostatic hyperplasia in terms of postoperative complications. Study Design: Cross sectional Study. Place and Duration of Study: Urology Department, Armed Forces Institute of Urology, Rawalpindi Pakistan from Jan 2022 to Aug 2022. Methodolo...
Objective: Klinefelter syndrome (KS) represents a sex chromosome anomaly observed in approximately 1 in 500–600 phenotypic males. It is observed in 3% of infertile males and up to 11.9% of azoospermic males. KS manifests in either non-mosaic (47, XXY) or mosaic (47, XXY/46, XY) forms, with 85% of cases presenting as the non-mosaic 47, XXY karyotype...
Samenvatting
Voor u ligt het abstractnummer van de najaarsvergadering van de Nederlandse Vereniging voor Urologie in ‘s-Hertogenbosch op 8 november 2024.
Purpose: Bladder cancer (BC) is a heterogeneous disease with varying outcomes, influenced by disease heterogeneity and variability in treatment and follow-up. Risk groups have been established for non–muscle-invasive BC (NMIBC) to standardize therapy, and several quality control indicators (QCIs) monitor adherence to these risk group-based guidelin...
Background and Objectives: We sought to investigate whether the 2012 Briganti nomogram may represent a potential prognostic factor of prostate cancer (PCa) progression after surgical treatment beyond European Association of Urology (EAU) risk categories. Materials and Methods: From January 2013 to December 2021, data on PCa patients treated with ro...
Objectives The objectives are to determine the prevalence of urinary tract infection (UTI) and associated factors among patients diagnosed with benign prostatic hyperplasia and prostate cancer.
Design Hospital-based cross-sectional study.
Settings Urology clinic and urology ward at Muhimbili National Hospital, which is the main tertiary hospital in...
Introduction
Cystoscopy has revolutionised the process of diagnosing bladder cancer leading to better categorisation of risk levels and more precise treatment plans. Nonetheless, concerns arise about the lack of uniformity among observers in predicting tumour stage and grade. To address these concerns, artificial intelligence (AI) is being incorpor...
Background: For the management of proximal ureteric calculi modalities like Extracorporeal shockwave lithotripsy, mini-Percutaneous Nephrolithotomy, UreteroRenoscopic Lithotripsy, and Retrograde Intra-Renal Surgery have been commonly used. The objective of this study is to compare the efficacy and safety of mini-Percutaneous Nephrolithotomy and sem...
Background and Objectives: Bladder cancer in patients under 45 is poorly characterized and rarely described, with variabilities in clinical outcomes and tumor properties. Our study aimed to elucidate the clinical and pathological features and outcomes of bladder cancer in this younger demographic to better inform management strategies. Materials an...
Aim: To evaluate the effect of 5 alpha-reductase inhibitor (5-ARI) treatment on prostate cancer detection by multiparametric magnetic resonance imaging (mpMRI).
Methods: We retrospectively collected data on 429 patients who underwent mpMRI before prostate biopsy in the Urology Department of Giresun University Training and Research Hospital between...
![Comparison of clinical effects between the two groups [mean ± SD, n (%)]](publication/385233615/figure/tbl1/AS:11431281286203051@1729860035984/Comparison-of-clinical-effects-between-the-two-groups-mean-SD-n_Q320.jpg)
Objective: To explore and analyze the clinical application effect of high-quality nursing service in urology nursing. Methods: 400 patients who received treatment in the urology department of our hospital were selected as the study object and randomly divided into two groups. The control group and nursing group, had 200 patients in each group. The...
Context
There is an increasing number of medical school graduates opting for surgical specialties, and the osteopathic applicant match rate for urology is lower than that of allopathic applicants. Factors influencing this may include a lack of interest, perceived challenges in matching into urology, insufficient urology mentorship, limited research...
Objective
The primary objective of this clinical trial is to investigate the effect of low-intensity pulsed ultrasound (LIPUS) on patients suffering from comorbid erectile dysfunction (ED) and chronic prostatitis/chronic pelvic pain syndrome(CP/CPPS).
Methods
The clinical trial was conducted in the andrology outpatient treatment room of the Depart...
Bladder cancer (BC) is the most common malignancy of the urinary tract. About 75% of all BC patients present with non-muscle-invasive BC (NMIBC), of which up to 70% will recur, and 15% will progress in stage and grade. As the recurrence and progression rates of NMIBC are strongly associated with some clinical and pathological factors, several risk...
Objectives
Nerve damage and/or spinal cord injury in individuals with multiple sclerosis (MS) may result in the development of bladder and bowel problems. We wanted to gain insight into two issues: the prevalence of bladder and bowel problems among individuals with MS and the referral pathways for these problems to various physicians treating patie...
daVinci 登場を区切りとして、 その前後の３段階に分かれる。1980 年代後半から 2000 年代の daVinci 登場の前には、PROBOT や PUMA 200 などのプラットフォームが出現した。その中で 2000 年に Intuitive Surgical 社から daVinci が登場し、 ロボット手術は瞬間に手術領域に革命をもたらした。 その後、daVinci は長年に渡りロボット手術の市場 を独占しながら、独自の進化を止めなかった。そし て 2019 年に daVinci の主要な特許が切れたことによ り、多数のメーカーがこの市場に参入し、Senhance、 Revo-I、Versius、Avatera、Hinotori、HugoTM RAS などのロボット手術の新規機種...
Objective
This study aims to identify the risk factors associated with postoperative complications following standard percutaneous nephrolithotomy (PCNL) for better results with the emergence of mini-percutaneous nephrolithotomy (mini-PCNL)/retrograde intrarenal surgery (RIRS) in recent years.
Methodology
This retrospective study was conducted in t...
Introduction : male hypogonadism is defined by the European Association of Urology 2022 as being associated with reduced testicular function, reduced androgen production, and/or impaired sperm production. Male hypogonadism has many causes and accompanying diseases such as diabetes, varicocele, etc. Male hypogonadism hadsymptoms of varicocele and ha...
The global burden of urological diseases is rising, particularly in low- and middle-income countries (LMICs) undergoing rapid demographic and epidemiological changes [...]
Background: The aim of the study was to compare varicocelectomy efficacy in men with primary (PI) and secondary infertility (SI). Materials and methods: Men suffering from PI (n=22) and SI (n=28) and having varicocelectomy in the period of from January 2021 to December 2022 at Republican Specialized Scientific-Practical Medical Center of Urology we...
Background
For renal hilar angiomyolipoma, general surgical resection is often quite challenging. The aim of this study is to evaluate the safety and efficacy of an innovative robot-assisted laparoscopic strategy that combines tumor enucleation with tumor aspiration in the treatment of renal hilar angiomyolipoma.
Methods
The clinical data of 38 pa...
Background/Objectives: Radical cystectomy (RC) represents one of the most complex and morbid surgical procedures in Urology. Extraperitoneal open RC has emerged as an alternative to traditional transperitoneal approach for the treatment of muscle-invasive bladder cancer. Frailty is one of the most important risk factors for perioperative morbidity...
Purpose
Mirroring global trends, artificial intelligence advances in medicine, notably urolithiasis. It promises accurate diagnoses, effective treatments, and forecasting epidemiological risks and stone passage. This systematic review aims to identify the types of AI models utilised in urolithiasis studies and evaluate their effectiveness.
Methods...
Introduction: Urological conditions significantly impact global health, with increasing demand for urologists in both developed and developing countries. Disparities in access to surgical care between high-income countries (HICs) and low- and middle-income countries (LMICs) are evident. Despite advancements in urology, LMIC training programs often...
Objective
The objective of this study was to report the 12‐month oncological outcomes for patients with non‐muscle‐invasive bladder cancer (NMIBC) within the prospective, international COVIDSurg Cancer study.
Patients and methods
Eligible patients were aged ≥18 years and scheduled for elective surgical management of NMIBC with curative intent (tra...
Background
Urinary tract catheters, including Double-J or ureteral stents, are prone to bacterial colonization forming biofilms and leading to asymptomatic bacteriuria. In the context of asymptomatic bacteriuria, endourological procedures causing mucosa-inducing lesions can lead to severe infections. Antibiotic prophylaxis is warranted, yet its eff...
Our aim was to investigate the perception and future expectations of Single-Port (SP) surgery among urology trainees in the United States. A 34-item online survey was distributed to urological residency and fellowship programs across the US, covering demographic profiles, SP training opportunities, perceived educational impact, and future perspecti...
Background
A second transurethral resection of bladder tumour (Re‐TURBT) is recommended by European Association of Urology (EAU) Guidelines on non‐muscle‐invasive bladder cancers (NMIBCs) due to the risk of understaging and/or persistent disease following the primary resection. However, in many cases this may be unnecessary, potentially harmful, an...
Nesta nova edição da nossa revista RE.CET, apresentamos uma coleção de artigos que explora temas desafiadores. O primeiro artigo oferece uma análise integrativa dos desfechos e características epidemiológicas das fraturas penianas recorrentes, um tema que merece atenção aprofundada. Seguimos com um relato de caso intrigante sobre tumor de Wilms em...
Background
Providing patients with sufficient information about the planned procedure they will undergo, including the risks, benefits, and appropriate alternatives, forms a cornerstone of the high standards of care that a urologist provides. Our current standard for delivering information is printed patient information leaflets (PILs) following a...
Introdução: Fratura peniana é definida como perda da continuidade da túnica albugínea do corpo cavernoso que ocorre na maioria dos casos durante a ereção do pênis no intercurso da relação sexual. Há descrição de pacientes que apresentam fraturas recidivantes, no entanto os casos relatados sobre o tema são bastantes escassos, resultando em controvér...