Science topics: MedicineUrology
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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).
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Publications related to Urology (10,000)
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Article
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In this article, we examine the adaptation of learning among scientists and healthcare professionals in conferences and symposia from face-to-face to fully virtual meetings accelerated in the last years. Advantages and limitations for both settings have been described in different research studies but the effectiveness of learning can be reflected...
Article
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The 2021 European Association of Urology recommendations for early prostate cancer detection included a risk-based algorithm. Risk assessment methods are proposed to prevent excessive use of prostate magnetic resonance imaging (MRI) and biopsy, simultaneously reducing overdiagnosis and overtreatment. However, the clinical implications of sequential...
Article
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Purpose of Review Direct-to-consumer telemedicine has vastly expanded in recent years, and urologic conditions are a common target for these companies. We aim to identify the urologic conditions being treated by direct-to-consumer telemedicine platforms and review the feasibility of adherence to evidence-based practice guidelines via this relativel...
Article
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Introduction Renal stones are a frequent cause of morbidity globally. The number of lumbotomies performed for benign lithiasis has been greatly decreased with the usage of Percutaneous Nephrolithotomy (PCNL). Further development is aimed at reducing tract size, leading to numerous advanced minimally invasive PCNL procedures like mini-PERC, ultra-mi...
Article
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Purpose American Urology Association guidelines recommend genetic testing for patients with recurrent stones and urine oxalate > 75 mg/day. The goal of this study was to examine the treatment of patients in this category in a large multidisciplinary adult stone clinic. Methods Patients were evaluated from a single institution between 2006 and 2019...
Preprint
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Introduction: Geriatric syndromes are associated with morbidity and poor quality of life (QOL). Urinary incontinence (UI) is one of the most prevalent geriatric syndromes. However, there is little research on the association of UI and UI-related QOL with other geriatric syndromes. The aim of this exploratory study were to examine the effect and coe...
Article
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Introduction Medical gas plasma therapy has been successfully applied to several types of cancer in preclinical models. First palliative tumor patients suffering from advanced head and neck cancer benefited from this novel therapeutic modality. The gas plasma-induced biological effects of reactive oxygen and nitrogen species (ROS/RNS) generated in...
Article
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Background: Guidelines on androgen deprivation therapy (ADT) for prostate cancer (PCa) arise from a critical appraisal of scientific evidence, which is a costly effort. Despite these efforts and the side effects of ADT, guidelines may not always be adhered to. Objective: To determine ADT overtreatment in PCa patients compared to the European Ass...
Article
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Metabolic syndrome (MetS) is significantly correlated with urolithiasis. However, few studies have evaluated the severity of urolithiasis. This study aimed to investigate the relationship of MetS with severe urolithiasis disease (SUD). The data of 910 patients with urolithiasis in the Department of Urology, Second Hospital of Tianjin Medical Univer...
Article
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Purpose We aimed to provide a detailed comparison between the American Urologic Association (AUA), Société Internationale d’Urologie (SIU), and the European Association of Urology (EAU) guidelines on the evaluation, management, and follow-up of the patients with anterior urethral stricture disease (USD). Methods The urethral stricture guidelines f...
Article
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Purpose To evaluate the current practice of percutaneous nephrolithotomy (PCNL), conducting a worldwide survey among urologists with a special interest in endo-urology. Methods A 22-question survey was specifically developed by the European Association of Urology (EAU) young academic urologists (YAU) and uro-technology (ESUT) groups and globally d...
Article
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Purpose Standard radiology reports (SRR) are designed to communicate information between doctors. With many patients having instantaneous access to SRRs on patient portals, interpretation without guidance from doctors can cause anxiety and panic. In this pilot study, we designed a patient-centred prostate MRI template report (PACERR) to address som...
Article
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Our study aimed to assess the methodological strengths and weaknesses of erectile dysfunction clinical practice guidelines (CPGs) for individuals using the AGREE II tool. Erectile dysfunction related CPGs were identified from three databases: the National Guideline Clearinghouse, the Guidelines International Network, and PubMed between 2000 and 202...
Article
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PurposeThe purpose of this article was to provide feasibility and safety results of robotic transabdominal preperitoneal inguinal hernia repair (Robotic TAPP).Methods We included 271 cases of robotic inguinal hernia TAPP repair using the Senhance® robotic platform from four different centers between March 2017 and March 2020. Key data points were i...
Article
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Purpose To establish whether the expression of markers of cell differentiation (CK7, CK14, CK20, GATA3), apoptosis (p53), proliferation (Ki67, STAG2) and peri-tumoural lymphocytes (CD3, CD8), provides specific information about urothelial carcinogenesis in neuro-urological patients with bladder cancer (NBC). Methods Tissue samples from NBC were re...
Article
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Purpose The current research is aimed at analyzing the relationship between kidney stone (KS) and abdominal aortic calcification (AAC) and the relationship between KS components and AAC. Methods This is a retrospective, case–control study. Kidney stone formers (KSFs) were treated at the Department of Urology, West China Hospital, Sichuan Universit...
Article
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Objective. A case-control study was conducted to compare the efficacy and prognostic factors of flexible ureteroscopic lithotripsy (FURL) and percutaneous nephrolithotomy (PCNL) when treating complex upper urinary tract renal calculi based on a retrospective cohort study. Methods. The study period was from October 2019 to December 2021. A retrospec...
Article
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Background Despite the well-established worldwide phenomenon of “the feminisation of medicine,” in Italy, Urology remains a male-dominated field. Objective The aims of our work are to assess data on medical students' choice of surgical specialty in Italy to investigate if a gender-biased trend exists and to find the key points that influence the d...
Article
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Background The efficient use of operating room is important to ensure optimum cost–benefit for the hospital and to reduce elective surgery waiting times. We introduced a concept of non-commissioned “Twilight” operating room to reduce patient waiting list and mitigate consequences of non-availability of elective operative time due to closure of an a...
Article
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Background: Bilateral single system ectopic ureter is a rare congenital anomaly, but bilateral ureteral ectopia with duplex collecting system with bladder hypoplasia is even rarer. Urinary incontinence in such cases is dealt with various reconstructive procedures. Case presentation: A 20-year-old female presented with continuous urinary incontinen...
Article
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Objective: At the time of diagnosis, approximately 16.5% of prostate cancer patients are metastatic. The main framework of metastatic prostate cancer treatment is androgen deprivation therapy, which is performed surgically or medically. The aim of this study is to evaluate the attitudes of medical oncologists and urologists about orchiectomy as an...
Book
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The practice of Urology has undergone evolutionary changes in the last few decades’ right from clinical signs symptoms to the recent investigation Era of Evidence Based Medicine, but still importance of clinical examination and bed side teaching will never fade. This book is envisaged to provide a range of learning avenues to reinforce the concepts...
Article
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The incidence rate of necrotizing fasciitis(NF) is low, but it has a high mortality rate. At present, it lacks experience in clinical treatment in municipal and county-level hospitals, insufficient awareness of disease risk, lack of experience in disease surgical intervention, and lack of a set of mature treatment norms and standards. Most patients...
Article
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Background Magnetic resonance imaging (MRI) is recommended by the European Urology Association guidelines as the standard modality for imaging-guided biopsy. Recently positron emission tomography with prostate-specific membrane antigen (PSMA PET) has shown promising results as a tool for this purpose. The aim of this study was to compare the accura...
Article
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Abstract Background Hypospadias is one of the most common congenital diseases of the genitourinary system in children. The European Association of Urology (EAU) Guidelines recommend that children undergoing hypospadias surgery should be between 6 and 18 months. In China, where many children have hypospadias, it remains unknown whether clinical char...
Article
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The problem of rationing nursing care is common and present all over the world, which is a direct threat to the health and life of patients. The aim of the study was to assess the level of rationing care, fatigue, job satisfaction and occupational burnout and to assess the relationship between them and age, length of service and the number of jobs....
Article
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Introduction and objectives In several urogenital cancers, organ-preserving surgery represents the preferred treatment approach, but in patients with testicular germ cell tumors (tGCTs), radical orchiectomy represents the standard of care. This study aimed to summarize published case series assessing oncological and functional outcomes after testis...
Article
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Background Reproducibility is essential for the integrity of scientific research. Reproducibility is measured by the ability of different investigators to replicate the outcomes of an original publication using the same materials and procedures. Unfortunately, reproducibility is not currently a standard being met by most scientific research. Metho...
Article
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Background Despite the undeniable diagnostic benefits of urodynamic studies (UDS), their adoption into clinical practice in Africa has been slow. This study aimed to review the use of invasive UDS in children at a tertiary paediatric hospital in South Africa. Methods A retrospective analysis of 1108 UDS was conducted. Patient demographic character...
Article
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Introduction: Patients with urinary tract infection (UTI) associated with vesicoureteric reflux (VUR) are prone to develop hypercalciuria and hyperuricosuria compared with UTI patients without VUR, which may lead to the formation of stones due to stasis, infection, and inflamed urinary mucosa. Objective: To assess calcium and uric acid excretion in...
Poster
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Feedback collated at University College London Medical School (UCLMS) during the pandemic identified that medical students felt unprepared for their summative Objective Structured Clinical Examinations (OSCEs), due to limited opportunities to interact with patients. While mock OSCEs have been shown to improve preparedness and confidence levels amon...
Article
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Background Active surveillance (AS) is a management option for men diagnosed with low-risk prostate cancer. Opinions differ on whether it is safe to include young men (≤60 yr) or men with intermediate-risk disease. Objective To assess whether reasons for discontinuation, treatment choice after AS, and adverse pathology at radical prostatectomy (RP...
Article
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Background Ectopic adrenal tissue is rare in adults, with an incidence of only about 1%. We report a rare case of ectopic adrenocortical adenoma in the left renal sinus. Case Preentation A 57-year-old woman was admitted to the Department of Urology due to “a left kidney tumor” on physical examination. Multislice helical computed tomography (CT) sh...
Article
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Fortis Gaba,1 Qassi Q Gaba,2 Dilini A Fernando3 1University of Edinburgh Medical School, University of Edinburgh, Edinburgh, UK; 2Department of Medical Sciences, University of Oxford, Oxford, UK; 3Ninewells Hospital and Medical School, University of Dundee, Dundee, UKCorrespondence: Fortis Gaba, University of Edinburgh Medical School, University of...
Article
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Nanotechnology represents an expanding area of research and innovation in almost every field of science, including Medicine, where nanomaterial-based products have been developed for diagnostic and therapeutic applications. Because of their small, nanoscale size, these materials exhibit unique physical and chemical properties that differ from those...
Article
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Background The risk of prostate cancer metastatic is correlated with its volume and grade. These parameters are now best estimated preoperatively with magnetic resonance imaging (MRI) and MRI-guided biopsy. Objective To estimate the risk of metastatic recurrence after radical prostatectomy (RP) in our model versus conventional clinical European As...
Article
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Background The European Association of Urology guidelines recommend the use of imaging, biomarkers, and risk calculators in men at risk of prostate cancer. Risk predictive calculators that combine multiparametric magnetic resonance imaging with prebiopsy variables aid as an individualized decision-making tool for patients at risk of prostate cancer...
Article
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Objective Perceptions are important and can affect efficacy of trainer-trainee interactions. Inherent bias toward other specialties may influence the perceived benefit of a multi-specialty learning environment. The aim of this work was to determine surgical resident perceptions regarding the utility of learning from faculty and with learners from o...
Article
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Benign prostatic enlargement (BPE) is a common disease in men over 50 years old. The phenotype of patients with BPE is heterogenous, regarding both baseline patient characteristics and disease-related parameters. Treatment can be either medical-conservative or surgical. A great variety of surgical techniques are available for surgical management, w...
Article
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Resumo: Diante de um problema de saúde pública como a Incontinência Urinária, este artigo possui o objetivo de potencializar as reflexões no ensino de Incontinência Urinária e subsidiar às/aos docentes da área da saúde a possibilidade de um material educativo que proporcione interações dinâmicas e colaborativas no processo de ensino e de aprendizag...
Article
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Objective: To assess the safety and efficacy of the application of self-made non-inflating suspension technique in video endoscopic inguinal lymph node dissection (ILND). Methods: We collected 8 patients with penile carcinoma who underwent noninflating video-endoscopic ILND in the Department of Urology, the First Affiliated Hospital of Anhui Med...
Chapter
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Urine as a by-product of the glomeruli ultra-filtrations has a lot of stories to tell about the urinary system, therefore a urologist being concerned with the surgical aspect of the genitourinary system will extract many important and useful information through studying the urine. The art of urine examination dated back to antiquates were the physi...
Conference Paper
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CT vs. Photon Counting Detector CT: Wie Tasten Handy vs. Smartphone. Was bringt das PCD CT für die Urologie?
Article
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We sought to describe the development of the robotic urology program at Sindh Institute of Urology and Transplantation (SIUT) and the feasibility of transitioning from the da Vinci to Versius robotic systems. The SIUT robotics program began in 2017 utilizing the da Vinci Si robotic system, transitioning to the Versius system in 2021. Retrospective...
Article
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Background Chronopharmacology takes into account, among other things, the circadian rhythm, a recurring, daily rhythm of biological functions that is significantly influenced by the day–night rhythm. Daily rhythm, diseases, and therapies influence each other: the circadian rhythm, among other factors, could influence the effect of pharmacological a...
Preprint
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Dear all, I read with interest an article of a pilot open label trial randomized clinical trial (RCT) that tested enzalutamide, an anti-androgen, in hospitalized COVID-19 patients (The ‘COVIDENZA’ trial [1]. I also read with interest the two letters to the editor [2,3] regarding this article and their respective responses from the authors of the...
Article
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Purpose Robot-assisted partial nephrectomy (RAPN) reduces morbidity, enabling development of Enhanced Recovery After Surgery (ERAS) and day-case protocols. Additional financial costs limit its integration into clinical practice. We evaluated the medico-economic impact of RAPN using a nurse-led coordinated pathway of care (NLC-RAPN). Methods All tu...
Article
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Background: The aim of this study was to evaluate the predictive and prognostic value of the systemic immune-inflammation index (SII) in patients with metastatic renal cell carcinoma (mRCC) treated with first-line ipilimumab plus nivolumab. Methods: This retrospective study included forty-nine mRCC patients treated with first-line ipilimumab plu...
Article
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Background: The insertion of a ureteral access sheath (UAS) is a frequent procedure during flexible ureteroscopy (fURS) to facilitate kidney stone treatment. The aim of this study was to investigate the influence of 12/14 French (F) UAS on fURS outcomes. Methods: We performed a retrospective monocentric analysis of fURS procedures conducted at t...
Article
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Kidney transplantation (KT) is a fascinating but challenging field that demands a complex dedicated pathway and a strong multidisciplinary mindset [1]. The European Association of Urology (EAU) has always stressed the importance of keeping KT expertise and knowledge within the urology community through the development of robust international colla...
Article
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Hombre 55 años. Derivado desde Urología por masa anal, asintomático. Al examen anal destaca abombamiento perianal izquierdo, TR: lesión tu-moral de 4 cm de diámetro en espesor esfinteriano, semimóvil, indoloro. RM pelvis (Figura 1) describe lesión sólida (*) centrada en el plano interesfinte-riano perianal izquierdo, abomba ambos esfínteres anales,...
Article
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Background: Standardized methods for reporting surgical quality have been described for all the major urological procedures apart from radical nephroureterectomy (RNU). Objective: To propose a tetrafecta criterion for assessing the quality of RNU based on a consensus panel within the Young Association of Urology (YAU) Urothelial Group, and to test...
Article
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Objective: This study aims to point out reliable diagnosis and correct treatment for rare benign perivaginal masses. Material and Methods: The diagnosis, treatment, histology, and postoperative management were summarized and analyzed by an operation due to benign AVM from the medical records of Sakarya University Training and Research Hospital Urol...
Article
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Purpose Varicocele is a common problem among infertile men. Varicocele repair (VR) is frequently performed to improve semen parameters and the chances of pregnancy. However, there is a lack of consensus about the diagnosis, indications for VR and its outcomes. The aim of this study was to explore global practice patterns on the management of varico...
Article
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Chylous ascites is the accumulation of chyle in the peritoneal cavity, a rare postoperative complication linked to a lesion of the abdominal or retroperitoneal lymphatic trunks. We report the case of a 68-year-old patient who underwent radical left total nephrectomy. Postoperative evolution was marked by chylous ascites, managed by conservative tre...
Article
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Objective The aim of this study is to evaluate a potential successful strategy for treating large renal hilar angiomyolipoma (RHAML) during the procedure of laparoscopic nephron-sparing surgery (NSS). Methods The total study population includes 12 patients with large RHAMLs who underwent laparoscopic NSS in the Department of Urology of Fujian Prov...
Article
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A rare case of cutaneous horn of the glans penis in a 60-year-old male is presented. Due to the rarity of this condition, not many surgeons are exposed to this condition. A 60-year-old male presented with a horn-like swelling over the glans penis of about 2-year duration and having disfig-urement and difficulty in sexual intercourse. The lesion was...
Article
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Background Although hepatitis B virus (HBV) is a recognized risk factor for renal diseases, little is known about HBV infection in individuals with upper urinary calculi (UUC). We investigated the relationship between chronic HBV infection and UUC. Methods We retrospectively analysed data from 1399 patients who were discharged from the Department...
Article
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Objective: This study was designed to evaluate the aspects that affect transfusion following percutaneous nephrolithotomy (PCNL). Patients and Methods. From 2016 to 2019, 665 patients underwent PCNL for the removal of renal calculi at our center (Department of Urology, Shanghai Xu-hui Central Hospital). Complications, including hemorrhages, have b...
Article
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Objective To investigate the clinical safety and efficacy of a modified early unclamping technique in robot-assisted laparoscopic partial nephrectomy (RAPN). Methods The clinical data of 38 patients with renal tumors who underwent the modified early unclamping technique in RAPN surgery admitted to the Department of Urology, the Third People's Hosp...
Article
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Objective To offer learning opportunities to medical students during the pandemic and address technical challenges for operating room involvement, the Scott Department of Urology at the Baylor College of Medicine designed and evaluated a 2-week virtual elective course. Materials and Methods A manual for a virtual sub-internship was created by memb...