Abstract:
INTRODUCTION:The management of the regional lymph nodes in penile cancer patients, particularly when these lymph nodes are impalpable, remains controversial. Prophylactic bilateral inguinal lymphadenectomy is associated with high morbidity and is often unnecessary. However, there is no non-invasive or minimally invasive staging technique that can determine the lymph node status of penile cancer patients with 100% accuracy. METHODS:We reviewed the current literature to examine the role of non-invasive and minimally invasive techniques for staging regional lymph nodes in penile cancer with particular reference to clinically impalpable disease. RESULTS:Cross-sectional imaging (un-enhanced CT and MRI) modalities have a role in the assessment of patients with palpable inguinal basins and in locating distant metastases, but are unreliable in staging impalpable regional lymph nodes. The spatial resolution of lymphotropic nanoparticle enhanced MRI (LNMRI) and positron emission tomography (PET)/CT are limited to several millimetres and so these modalities cannot reliably detect micro-metastases (<2 mm). Ultrasound (US) and fine-needle aspiration cytology (FNAC) are indicated in staging palpable inguinal basins but are unreliable in isolation in the assessment of impalpable lymph nodes. They are, however, useful as an adjunct to dynamic sentinel lymph node biopsy (DSLNB) in lowering false-negative rates. CONCLUSIONS:While we await staging modalities that can equal the results of DSLNB with fewer disadvantages, histological staging in the form of DSLNB remains the best minimally invasive staging modality we can offer at risk patients presenting with clinically node negative groins.
journal_name
World J Uroljournal_title
World journal of urologyauthors
Hughes B,Leijte J,Shabbir M,Watkin N,Horenblas Sdoi
10.1007/s00345-008-0288-6subject
Has Abstractpub_date
2009-04-01 00:00:00pages
197-203issue
2eissn
0724-4983issn
1433-8726journal_volume
27pub_type
杂志文章,评审abstract:BACKGROUND:Making healthcare treatment decisions is a complex process involving a broad stakeholder base including patients, their families, health professionals, clinical practice guideline developers and funders of healthcare. METHODS:This paper presents a review of a methodology for the development of urological ca...
journal_title:World journal of urology
pub_type: 杂志文章,评审
doi:10.1007/s00345-011-0660-9
更新日期:2011-06-01 00:00:00
abstract:PURPOSE:The introduction of robotic surgical technology into urological reconstruction, particularly pediatrics, has introduced new horizons for reducing the morbidity and enhancing the efficacy of surgical repair of congenital conditions in children. In reviewing the evolution of pediatric urological applications of r...
journal_title:World journal of urology
pub_type: 杂志文章
doi:10.1007/s00345-019-02753-3
更新日期:2020-08-01 00:00:00
abstract:PURPOSE:The challenges in providing urologic care across borders and in resource-constrained settings are poorly understood. We sought to better characterize the impediments to the delivery of urological care in low- and middle-income countries (LMICs) compared to high-income countries (HICs). METHODS:A 70 question on...
journal_title:World journal of urology
pub_type: 杂志文章
doi:10.1007/s00345-020-03101-6
更新日期:2020-11-01 00:00:00
abstract:INTRODUCTION AND OBJECTIVES:Previous studies reported improved outcomes for bladder cancer patients who had radical cystectomy (RC) performed by surgeons and hospitals with high annual RC volumes. The objective of this study was to determine the effect of high hospital and surgeon volume on overall survival after RC fo...
journal_title:World journal of urology
pub_type: 杂志文章,多中心研究
doi:10.1007/s00345-014-1457-4
更新日期:2015-09-01 00:00:00
abstract::The effects of pelvic floor muscle contraction on rectal and vesical function were studied in 19 healthy volunteers with the aim of shedding light on some of the hitherto vague aspects of the mechanisms involved in micturition and defecation and their disorders. Rectal and vesical pressures were recorded during pubore...
journal_title:World journal of urology
pub_type: 杂志文章
doi:10.1007/s003450100218
更新日期:2001-08-01 00:00:00
abstract::The purpose of this study was to assess possible central side-effects of sildenafil (Viagra) on attention and memory functions. Sildenafil and placebo were administered in young male subjects in a double-blind balanced cross-over design. Behavioral patterns and event-related brain potentials (ERP) were recorded in a s...
journal_title:World journal of urology
pub_type: 杂志文章
doi:10.1007/pl00007092
更新日期:2001-02-01 00:00:00
abstract::The cost of urethral catheterisation injury (UCI) is significant, but the true incidence of patient care error is difficult to establish in the absence of specific hospital codes recording difficult urethral catheterisation (DUC) and UCI. For many years urologists are familiar passing a non-traumatic hydrophilic guide...
journal_title:World journal of urology
pub_type: 杂志文章
doi:10.1007/s00345-018-2499-9
更新日期:2019-04-01 00:00:00
abstract:PURPOSE:To compare the efficiency and safety of suctioning ureteral access sheath (UAS) and traditional UAS during flexible ureteroscopy (FURS) for treatment of renal stones. METHODS:Between January 2015 and December 2017, 165 patients who had renal stones successfully underwent FURS with suctioning UAS created by con...
journal_title:World journal of urology
pub_type: 杂志文章
doi:10.1007/s00345-018-2455-8
更新日期:2019-05-01 00:00:00
abstract:PURPOSE:To evaluate for the first time the prognostic significance of female invasive patterns in stage pT4a urothelial carcinoma of the bladder in a large series of women undergoing anterior pelvic exenteration. PATIENTS AND METHODS:Our series comprised of 92 female patients in total of whom 87 with known invasion pa...
journal_title:World journal of urology
pub_type: 杂志文章,多中心研究
doi:10.1007/s00345-014-1308-3
更新日期:2015-03-01 00:00:00
abstract::Upon feeling the urge to urinate, the urinary bladder contracts, the urethral sphincters relax and urine flows through the urethra. These actions are mediated by the micturition reflex. We investigated the hypothesis that vesical contraction is maintained by positive feedback through continuous flow of urine through t...
journal_title:World journal of urology
pub_type: 杂志文章
doi:10.1007/s00345-003-0340-5
更新日期:2003-08-01 00:00:00
abstract:PURPOSE:The lack of precedent in transitioning from pediatric to adult care poses a challenge to providers for patients with spina bifida (SB). The purpose of this study was to summarize perceptions about best practices for the care of adult spina bifida patients. MATERIALS AND METHODS:A national survey was electronic...
journal_title:World journal of urology
pub_type: 杂志文章
doi:10.1007/s00345-019-02635-8
更新日期:2019-04-01 00:00:00
abstract:INTRODUCTION AND OBJECTIVES:Standardization of hands-on training (HoT) has profoundly impacted the educational field in the last decade. To provide quality training sessions on a global scale, the European School of Urology Training group developed a teaching guide for tutors in 2015. Our study aims to understand wheth...
journal_title:World journal of urology
pub_type: 杂志文章
doi:10.1007/s00345-020-03161-8
更新日期:2020-03-21 00:00:00
abstract:PURPOSE:To critically review and synthesize data of ureteroscopy (URS) in different circumstances that all urologists may encounter during everyday clinical practice, such as pregnancy, obesity, bleeding diathesis, renal stones larger than 2 cm, calyceal diverticula, and kidney malformations. METHODS:According to PRIS...
journal_title:World journal of urology
pub_type: 杂志文章,评审
doi:10.1007/s00345-014-1345-y
更新日期:2015-02-01 00:00:00
abstract:OBJECTIVE:Robotic-assisted radical cystectomy (RARC) is a less invasive means of performing the radical cystectomy operation, which holds promise for improved patient morbidity. We review the history, technique and current literature pertaining to RARC and place the current results in context with the open procedure. ...
journal_title:World journal of urology
pub_type: 历史文章,杂志文章,评审
doi:10.1007/s00345-013-1053-z
更新日期:2013-06-01 00:00:00
abstract:PURPOSE:To examine patterns of crowdsourcing on the social media platform Twitter among urologists. METHODS:Urologists' public Twitter accounts were reviewed for original posts seeking clinical advice or feedback, and associated reply posts, before and after the 140-character-limit expansion in 2017. Predictors of res...
journal_title:World journal of urology
pub_type: 杂志文章
doi:10.1007/s00345-018-2405-5
更新日期:2019-03-01 00:00:00
abstract:PURPOSE:Accurate puncture of the renal collecting system is crucial to the success of percutaneous nephrolithotomy and presents a technical challenge for urologists. Here, we introduced the Surgical Approach Visualization and Navigation (SAVN) system, a novel navigation system to assist puncture and reduce intraoperati...
journal_title:World journal of urology
pub_type: 杂志文章
doi:10.1007/s00345-018-2496-z
更新日期:2019-06-01 00:00:00
abstract:INTRODUCTION:Kidney transplantation (KT) is the preferred treatment for patients with end-stage renal disease (ESRD). To reduce the morbidity of the open surgery, a robotic-assisted approach has been recently introduced. Our aim is to evaluate surgical and functional results on 17 cases of robotic-assisted kidney trans...
journal_title:World journal of urology
pub_type: 杂志文章
doi:10.1007/s00345-017-2006-8
更新日期:2017-10-01 00:00:00
abstract::Despite several new urine markers urinary cytology remains the gold standard for the non-invasive detection of bladder carcinoma. The use of monoclonal antibodies against tumor associated antigens offers a promising approach to improve urinary cytology. The aim of this study was to compare fluorescence immunocytology ...
journal_title:World journal of urology
pub_type: 杂志文章
doi:10.1007/s00345-003-0390-8
更新日期:2004-06-01 00:00:00
abstract:PURPOSE:The aim of the study is to evaluate the impact of having a nadir and persistently detectable ultrasensitive prostate-specific antigen (uPSA) between 0.01 and 0.1 ng/ml post-robot-assisted radical prostatectomy (RARP), on future biochemical recurrence (BCR). METHODS:We conducted a retrospective analysis of a pr...
journal_title:World journal of urology
pub_type: 杂志文章
doi:10.1007/s00345-020-03367-w
更新日期:2020-07-21 00:00:00
abstract::Many women develop stress urinary incontinence (SUI) after childbirth, but the exact neuronal changes are largely unknown. This study is designed to identify the neuronal changes associated with pregnancy, delivery and ovariectomy. A total of 10 virgin and 48 pregnant rats were used. Cystometry and stress/sneeze tests...
journal_title:World journal of urology
pub_type: 杂志文章
doi:10.1007/s00345-004-0444-6
更新日期:2004-10-01 00:00:00
abstract::The surgical complications encountered in 478 patients who underwent primary retroperitoneal lymph-node dissection for clinical stage A and B nonseminomatous testicular cancer during the period ranging from 1982 to 1992 were reviewed. There were 54 complications in 51 patients (10.6%), and there was no surgery-related...
journal_title:World journal of urology
pub_type: 杂志文章
doi:10.1007/BF00192272
更新日期:1994-01-01 00:00:00
abstract::A review of the current literature is conducted to explore the developmental aspects, animal and human experiences and the effects of pharmacological manipulation to explain the role androgens play in sexual function with special emphasis on erectile function and the erectile tissue. This review reveals that androgens...
journal_title:World journal of urology
pub_type: 杂志文章,评审
doi:10.1007/BF01275152
更新日期:1997-01-01 00:00:00
abstract:OBJECTIVES:To evaluate the impact of age, stone size, location, radiolucency, extraction of stone fragments, size of ureteroscope and presence and degree of hydronephrosis on the efficacy and safety of holmium:YAG (Ho:YAG) laser lithotripsy in the ureteroscopic treatment of ureteral stones in children. METHODS:Between...
journal_title:World journal of urology
pub_type: 杂志文章
doi:10.1007/s00345-013-1152-x
更新日期:2014-08-01 00:00:00
abstract:PURPOSE:To assess long-term clinical and oncological outcome in women undergoing radical cystectomy and ileal neobladder reconstruction for invasive bladder cancer. METHODS:From 1995 to 2010, a total of 121 women with clinically organ-confined urothelial carcinoma underwent radical cystectomy with an orthotopic ileal ...
journal_title:World journal of urology
pub_type: 杂志文章
doi:10.1007/s00345-012-0837-x
更新日期:2012-12-01 00:00:00
abstract:INTRODUCTION:The da Vinci Single-Port (SP) platform (Intuitive Surgical Inc, Sunnyvale CA) is a recently approved robotic surgical platform which features several novel modifications from previously available single trocar models including a flexible camera, articulating instruments, and navigator guidance for real-tim...
journal_title:World journal of urology
pub_type: 杂志文章,评审
doi:10.1007/s00345-019-02898-1
更新日期:2020-04-01 00:00:00
abstract:PURPOSE:Urinary tract infection (UTI) is the most common bacterial infection among infectious complications in kidney transplant recipients (KTR). After transplantation, infections can result from surgical complications, donor-derived infections, pre-existing recipient infections, and nosocomial infections. Post-transp...
journal_title:World journal of urology
pub_type: 杂志文章
doi:10.1007/s00345-020-03173-4
更新日期:2020-11-01 00:00:00
abstract:PURPOSE:Several disease characteristics have been identified as potential predictors for pathological node involvement (pN+) following radical cystectomy (RC). However, these have not been assessed in patients treated with neoadjuvant chemotherapy (NAC). We endeavored to assess factors predicting adverse pathology in c...
journal_title:World journal of urology
pub_type: 杂志文章,多中心研究
doi:10.1007/s00345-015-1667-4
更新日期:2016-05-01 00:00:00
abstract:OBJECTIVES:Bladder perforation is the second most common complication during transurethral resection of bladder tumours. It is unknown whether perforation affects the natural history of the tumour through cell seeding. The aim of this study was to study the impact of perforation on the oncologic outcomes of bladder car...
journal_title:World journal of urology
pub_type: 杂志文章
doi:10.1007/s00345-013-1197-x
更新日期:2014-10-01 00:00:00
abstract::Orthotopic urinary diversion via the Kock ileal neobladder is the preferred form of bladder reconstruction in men and, now, in women undergoing cystectomy at the University of Southern California. Through June of 1993, 266 men were diverted in this fashion. There were 3 perioperative mortalities (1.1%); early complica...
journal_title:World journal of urology
pub_type: 杂志文章
doi:10.1007/BF01836343
更新日期:1996-01-01 00:00:00
abstract:PURPOSE:To perform a feasibility phase study of a panel of putative protein biomarkers and determine whether it can identify and predict tumor recurrence in patients with non-muscle-invasive bladder cancer (NMIBC) on follow-up. METHODS:We prospectively analyzed the urine of 152 patients previously treated for NMIBC. Q...
journal_title:World journal of urology
pub_type: 杂志文章
doi:10.1007/s00345-020-03188-x
更新日期:2020-04-06 00:00:00