Abstract:
PURPOSE:To provide a comprehensive update of the joint consultation of the International Consultation on Urological Diseases (ICUD) for the diagnosis and management of non-urothelial cancer of the urinary bladder. METHODS:A detailed analysis of the literature was conducted reporting on the epidemiology, etiology, diagnosis, treatment and outcomes of non-urothelial cancer of the urinary bladder. An international, multidisciplinary expert committee evaluated and graded the evidence according to the Oxford System of Evidence-based Medicine modified by the ICUD. RESULTS:The major non-urothelial cancers of the urinary bladder are squamous cell carcinoma, adenocarcinoma, and neuroendocrine tumors. Several other non-urothelial tumors are rare but important to identify because of their aggressive behavior when compared to urothelial bladder tumors. Radical cystectomy and urinary diversion, preceded by neoadjuvant radiation or chemotherapy in some of these tumors, is the main method or treatment for resectable disease. Adjuvant therapy is not usually successful and no novel targeted or immunotherapeutic agents have been identified to provide benefit. Patients with small cell neuroendocrine tumors of the bladder should be offered chemotherapy before surgery. Because non-urothelial cancers are usually locally advanced and/or metastatic at the time of diagnosis, 5-year survival is generally poor. CONCLUSIONS:Non-urothelial cancers of the urinary bladder are rare and mostly lack established protocols for treatment. The prognosis of most of these tumors is poor because they are usually advanced at the time of diagnosis. A multimodal treatment approach should be considered to improve outcomes.
journal_name
World J Uroljournal_title
World journal of urologyauthors
Alanee S,Alvarado-Cabrero I,Murugan P,Kumar R,Nepple KG,Paner GP,Patel MI,Raspollini MR,Lopez-Beltran A,Konety BRdoi
10.1007/s00345-018-2421-5subject
Has Abstractpub_date
2019-01-01 00:00:00pages
107-114issue
1eissn
0724-4983issn
1433-8726pii
10.1007/s00345-018-2421-5journal_volume
37pub_type
杂志文章,评审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:To analyze and compare preoperative patient characteristics and postoperative results in men with stress urinary incontinence (SUI) selected for an adjustable male sling system or an artificial urinary sphincter (AUS) in a large, contemporary, multi-institutional patient cohort. METHODS:658 male patients who u...
journal_title:World journal of urology
pub_type: 杂志文章
doi:10.1007/s00345-018-2523-0
更新日期:2019-07-01 00:00:00
abstract:PURPOSE:Lymph node dissection (LND) is not routinely performed during radical nephroureterectomy (RNU) in upper tract urothelial carcinomas (UTUC), and its clinical relevance is unclear. The purpose of the present study was to evaluate the impact of LND on clinical outcomes in a large multicenter series of RNU for UTUC...
journal_title:World journal of urology
pub_type: 杂志文章,多中心研究
doi:10.1007/s00345-011-0705-0
更新日期:2011-08-01 00:00:00
abstract::Ileal conduits have long been accepted as a standard method for urinary diversion, but conventional ileal conduits are not always suitable for patients whose ureters are for the greater part compromised by neoplasm or preoperative irradiation, resulting in a shortening of the ureters. Bowel migration into the large ca...
journal_title:World journal of urology
pub_type: 杂志文章
doi:10.1007/s003450050092
更新日期:1998-01-01 00:00:00
abstract::The aim of this cross-sectional study was to compare single with repeated high-intensity focused ultrasound (HIFU) treatment in patients with localized prostate cancer, regarding treatment-related morbidity. A number of 223 consecutive patients with localized prostate cancer were treated with HIFU. Among them, 174 (78...
journal_title:World journal of urology
pub_type: 杂志文章
doi:10.1007/s00345-006-0107-x
更新日期:2006-11-01 00:00:00
abstract:OBJECTIVES:Monopolar transurethral resection of the prostate (TURP) is the gold standard surgical treatment for bothersome moderate to severe lower urinary tract symptoms (LUTS) secondary to benign prostate obstruction. The aim of the study is to compare monopolar versus bipolar TURP focusing on operative and functiona...
journal_title:World journal of urology
pub_type: 杂志文章,随机对照试验
doi:10.1007/s00345-017-2023-7
更新日期:2017-10-01 00:00:00
abstract::This review paper highlights the important health issue of orchialgia and the chronic pelvic pain syndrome. There are a number of specific and non-specific etiologies and different treatment options based on the sub-categorization of orchialgia. The focus of this article is on the specific etiologies of chronic orchia...
journal_title:World journal of urology
pub_type: 杂志文章,评审
doi:10.1007/s00345-013-1092-5
更新日期:2013-08-01 00:00:00
abstract::The treatment of clinically locally advanced prostate cancer (cT3-4) is subject to controversies. Patients with lymph node metastases as well as patients with overstaged localized and thus curable disease fall into this category. Radical prostatectomy, external beam radiotherapy and early or deferred hormonal therapy ...
journal_title:World journal of urology
pub_type: 杂志文章,评审
doi:10.1007/s00345-007-0158-7
更新日期:2007-04-01 00:00:00
abstract::The most important phosphates involved in urinary stone disease are carbonate apatite, brushite, and struvite. Overall, phosphate stones account for 12-20% of all stones, with a downward trend for struvite and an increase in carbonate apatite being observed in the last decade. The physicochemical basis for the formati...
journal_title:World journal of urology
pub_type: 杂志文章,评审
doi:10.1007/s003450050152
更新日期:1999-10-01 00:00:00
abstract:PURPOSE:Management of prostate cancer following radiation therapy remains challenging, especially for younger men or those with life expectancy greater than 10 years. We outline the efficacy, safety and adequacy of radical prostatectomy for the treatment of radiorecurrent localized prostate cancer. METHODS:A systemati...
journal_title:World journal of urology
pub_type: 杂志文章,评审
doi:10.1007/s00345-013-1029-z
更新日期:2013-12-01 00:00:00
abstract:OBJECTIVE:To assess treatments and survival of patients with muscle invasive bladder cancer (MIBC) in the Comprehensive Cancer Center Northern Netherlands (CCCN) region. STUDY DESIGN AND SETTING:Retrospective cohort analysis. Data of 548 patients with MIBC diagnosed between 1997 and 2002 were collected from the CCCN c...
journal_title:World journal of urology
pub_type: 杂志文章
doi:10.1007/s00345-010-0546-2
更新日期:2010-08-01 00:00:00
abstract::The aim of this study was to determine the long-term clinical efficacy and complications of neuromodulation with a unilateral sacral foramen electrode in 36 patients with chronic voiding dysfunction. Following a positive effect of a percutaneous nerve evaluation test, patients underwent open surgery. A permanent elect...
journal_title:World journal of urology
pub_type: 杂志文章
doi:10.1007/s003450050074
更新日期:1998-01-01 00:00:00
abstract:PURPOSE:To identify factors predicting the risk of inguinal metastasis in squamous cell carcinoma of the penis. The therapeutic advantages of early lymphadenectomy in squamous cell carcinoma of the penis must be counterbalanced against its post-operative morbidity. Loss to follow up is a major problem in developing cou...
journal_title:World journal of urology
pub_type: 杂志文章
doi:10.1007/s00345-009-0421-1
更新日期:2010-02-01 00:00:00
abstract:PURPOSE:Testicular torsion is the most concerning underlying cause of acute scrotal pain that can lead to loss of the affected testicle. Whether a torted testicle can be salvaged surgically is directly affected by prompt presentation and diagnosis. This study aims to evaluate the awareness of testicular torsion amongst...
journal_title:World journal of urology
pub_type: 杂志文章
doi:10.1007/s00345-018-2269-8
更新日期:2018-09-01 00:00:00
abstract:OBJECTIVES:While the coronavirus disease 2019 (COVID-19) pandemic captures healthcare resources worldwide, data on the impact of prioritization strategies in urology during pandemic are absent. We aimed to quantitatively assess the global change in surgical and oncological clinical practice in the early COVID-19 pandem...
journal_title:World journal of urology
pub_type: 杂志文章
doi:10.1007/s00345-020-03333-6
更新日期:2020-07-04 00:00:00
abstract::Urinary bladder cancer (UBC) is a common disease worldwide. At any point in time 2.7 million people have a history of UBC. The incidence of UBC varies over the world with highest rates in developed communities. But the burden of UBC will increase in less developed areas of the world. These changes can be attributed to...
journal_title:World journal of urology
pub_type: 杂志文章
doi:10.1007/s00345-009-0383-3
更新日期:2009-06-01 00:00:00
abstract::The postnatal management of prenatally detected hydronephrosis mainly involves a close follow-up with ultrasound, renal isotopic scan and URO-MRI. In some cases, there is an indication for either a pyeloplasty or, more exceptionally, nephrectomy of a non-functioning obstructed kidney. In this chapter, we review the in...
journal_title:World journal of urology
pub_type: 杂志文章
doi:10.1007/s00345-004-0458-0
更新日期:2004-12-01 00:00:00
abstract:PURPOSE:We compared perioperative and long-term renal functional outcomes of robot-assisted partial nephrectomy (RAPN) with laparoscopic partial nephrectomy (LPN) for small renal masses. MATERIALS AND METHODS:A total of 1,032 patients were included for evaluation; propensity score matching was performed to adjust for ...
journal_title:World journal of urology
pub_type: 杂志文章,多中心研究
doi:10.1007/s00345-015-1488-5
更新日期:2015-10-01 00:00:00
abstract:PURPOSE:To evaluate whether stone dust can be obtained from all prevailing stone composition types using the thulium fiber laser (TFL) for lithotripsy. Where applicable, stone dust was further characterized by morpho-constitutional analysis. METHODS:Human urinary stones were submitted to in vitro lithotripsy using a F...
journal_title:World journal of urology
pub_type: 杂志文章
doi:10.1007/s00345-020-03217-9
更新日期:2020-05-03 00:00:00
abstract::The landscape has dramatically changed for patients seeking treatment for rapid ejaculation. Previously, psychotherapy or behavioral treatment was considered to be the treatment of choice for this troubling sexual dysfunction. Since the early 1990s, an efficacious alternative treatment has emerged-the off-label admini...
journal_title:World journal of urology
pub_type: 杂志文章,评审
doi:10.1007/s00345-004-0489-6
更新日期:2005-06-01 00:00:00
abstract:: ...
journal_title:World journal of urology
pub_type: 社论
doi:10.1007/s00345-019-02659-0
更新日期:2019-02-01 00:00:00
abstract::Noncontrast helical computed tomography (CT) has recently been found to be superior to excretory urography (IVU) in the evaluation of patients with suspected ureterolithiasis. Noncontrast helical CT does not require the use of intravenous contrast material with its associated cost and risk of adverse reactions and can...
journal_title:World journal of urology
pub_type: 杂志文章,评审
doi:10.1007/s003450050020
更新日期:1998-01-01 00:00:00
abstract:PURPOSE:To investigate a potential correlation between the achievement of a cut-off of nadir PSA (nPSA) after brachytherapy (BRT) with biochemical Disease-Free Survival (bDFS) and to define the rate of post-BRT PSA bounces. METHODS:Retrospective analysis was carried out in 105 consecutive patients affected with early-...
journal_title:World journal of urology
pub_type: 杂志文章
doi:10.1007/s00345-012-0932-z
更新日期:2013-04-01 00:00:00
abstract:OBJECTIVE:Bladder cancer (BC) has the highest lifetime treatment costs per patient of all cancers. The high recurrence rate and ongoing invasive monitoring requirement are the key contributors to the economic and human toll of this disease. The purpose of this paper was to utilize the recent literature to identify oppo...
journal_title:World journal of urology
pub_type: 杂志文章,评审
doi:10.1007/s00345-009-0395-z
更新日期:2009-06-01 00:00:00
abstract::Local recurrent prostate cancer after radical treatment is found in the majority of men with a rising PSA. Salvage treatment procedures for recurrent disease, such as radiation therapy and ablative procedures, can provide long-term responses in well-selected cases. Prostate magnetic resonance imaging (MRI) allows diag...
journal_title:World journal of urology
pub_type: 杂志文章,评审
doi:10.1007/s00345-019-02677-y
更新日期:2019-08-01 00:00:00
abstract:PURPOSE:To evaluate histological changes in stenotic urethral tissue post-radiation therapy. Treatment of prostate cancer by radiation therapy carries a risk of off-target injury to the membranous urethra causing urethral stenosis. Limited characterization of post-radiation urethral stenosis exists in the literature. W...
journal_title:World journal of urology
pub_type: 杂志文章
doi:10.1007/s00345-019-03031-y
更新日期:2020-09-01 00:00:00
abstract:PURPOSE:This study aimed to identify non-neoplastic pathologic changes in partial nephrectomy specimens of patients without a known history of medical comorbidities. Routine analysis of this tissue may allow the clinician to identify subclinical renal disease. METHODS:We retrospectively reviewed our database of patien...
journal_title:World journal of urology
pub_type: 杂志文章
doi:10.1007/s00345-011-0720-1
更新日期:2013-08-01 00:00:00
abstract:PURPOSE:Salvage radiotherapy (SRT) for biochemical recurrence (BCR) following radical prostatectomy (RP) should if possible be added at a prostate-specific antigen (PSA) level of <1-2 ng/mL. The value of positron emission tomography combined with computed tomography (PET/CT) at such low PSA values is not defined. The p...
journal_title:World journal of urology
pub_type: 杂志文章
doi:10.1007/s00345-015-1547-y
更新日期:2015-11-01 00:00:00
abstract::Gastrin releasing peptide (GRP) is a neuropeptide that has been suggested to play a role in the development of some malignancies. Our aim was: (1) to identify the expression of GRP in cancerous prostate glands, and (2) to correlate its expression to various pathological parameters and to the patient's clinical outcome...
journal_title:World journal of urology
pub_type: 杂志文章
doi:10.1007/s00345-003-0339-y
更新日期:2003-08-01 00:00:00
abstract:PURPOSE:To propose a new coating to silicone implants using Manganese dioxide. We present bacterial adhesion and proliferation when implants are challenged with Escherichia coli. METHODS:Coated and control silicon implants were placed in two independent subcutaneous pouches in the dorsum of Wistar rats. After skin clo...
journal_title:World journal of urology
pub_type: 杂志文章
doi:10.1007/s00345-019-02856-x
更新日期:2020-03-01 00:00:00