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Fluoroscopic Placement of Double-Pigtail Ureteral StentsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Purpose: Double-pigtail ureteral stent is placed cystoscopically after ureteroscopy. We describe a technique for fluoroscopic placement of ureteral stents and demonstrate its use in a non-randomized prospective study. (Source: Diagnostic and Therapeutic Endoscopy)
Source: Diagnostic and Therapeutic Endoscopy - November 3, 2009 Category: Surgery Source Type: journals

Placenta percreta: urologic complication after successful conservative management by uterine arterial embolization: a case reportEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report a case of placenta accreta that was managed conservatively by uterine arterial embolization and subsequently was complicated by hematuria. Ultrasound revealed a calcified mass at the posterior bladder wall. A careful resection under cystoscopy was carried out without hemorrhagic complication. Pathologic examination showed placental tissue that confirmed placenta percreta. (Source: American Journal of Obstetrics and Gynecology)
Source: American Journal of Obstetrics and Gynecology - October 31, 2009 Category: OBGYN Authors: Abdoulaye N. Diop, Sébastien Bros, Pascal Chabrot, Denis Gallot, Louis Boyer Tags: Case Reports Source Type: journals

Presenting manifestations of eosinophilic cystitis in two Filipino childrenEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report two cases of Filipino children with eosinophilic cystitis who presented with irritative voiding symptoms, gross hematuria, peripheral eosinophilia, and hydroureteronephrosis and urinary bladder wall thickening visualized on ultrasonography and CT urography. Cystoscopy and transurethral biopsy confirmed the diagnosis. Both patients were started with corticosteroid with or without an antihistamine. Resolution from the signs and symptoms were observed in both patients as documented by disappearance of peripheral eosinophilia, normal urinalysis results, and resolution of the hydroureteronephrosis and urinary bla...
Source: International Urology and Nephrology - October 29, 2009 Category: Urology & Nephrology Tags: International Urology and Nephrology Source Type: journals

Two-Year Efficacy and Safety of Botulinum a Toxin Intravesical Injections in Patients Affected by Refractory Painful Bladder Syndrome.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Intravesically injected BoNT/A is effective and safe in the medium-term management of patients with PBS. As the beneficial effect decreased progressively within a few months after treatment, repeat injections of the neurotoxin were needed over time. PMID: 19863481 [PubMed - as supplied by publisher] (Source: Current Drug Delivery)
Source: Current Drug Delivery - October 29, 2009 Category: Drugs & Pharmacology Authors: Giannantoni A, Mearini E, Del Zingaro M, Proietti S, Porena M Tags: Curr Drug Deliv Source Type: journals

Flexible And Rigid Cystoscopy In WomenEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
UroToday.com - In this single blinded, prospective study, 36 women requiring cystoscopy were randomized to either rigid or flexible cystoscopy; all patients were placed in the dorsal lithotomy position and were given 2% local lidocaine urethral jelly. Questionnaires were completed prior, just after, and one week after the cystoscopy. (Source: Health News from Medical News Today)
Source: Health News from Medical News Today - October 26, 2009 Category: Consumer Health News Tags: Urology / Nephrology Source Type: news

Rupture of the male membranous urethraEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions If the patient is stable and requires emergency laparotomy for other abdominal injuries, he should have immediate realignment of the urethra. Early realignment of the urethra at taparotomy at 1–2 weeks can be combined with orthopaedic fixation of pelvic fractures. Patients who remain unstable due to associated injuries should have delayed urethroplasty at three months. Content Type Journal ArticleCategory Original PaperDOI 10.1007/BF03167698Authors M. S. Khan, The Adelaide & Meath Hospital, Incorporating The National Children’s Hospital Urology Department Tallaght, Dublin IrelandJ. A. ...
Source: Irish Journal of Medical Science - October 23, 2009 Category: Journals (General) Tags: Irish Journal of Medical Science Source Type: journals

A 31-year-old woman with urethral duplication, stress urinary incontinence, uterovaginal prolapse, and rectal prolapseEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report a case of urethral duplication in a woman with uterovaginal and rectal prolapse but without other associated congenital anomalies. On urodynamic and cystoscopic evaluation, an accessory urethra was noted to emerge from beneath the clitoral hood. The patient underwent exploratory laparotomy and transabdominal excision of the rudimentary urethral orifice with concurrent transvaginal prolapse repair and rectopexy. At 5-year follow-up, the patient continued to be continent and without prolapse. Content Type Journal ArticleCategory Case ReportDOI 10.1007/s00192-009-1022-7Authors John A. Occhino, Mayo Clinic D...
Source: International Urogynecology Journal - October 23, 2009 Category: OBGYN Tags: International Urogynecology Journal Source Type: journals

Sexually transmitted papillomavirus infections: epidemiology pathogenesis, clinic, morphology, important differential diagnostic aspects, current diagnostic and treatment optionsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The family of human papilloma viruses (HPV) comprises more than 100 genotypes. Approximately 30 of the genotypes are responsible for infections in the human anogenital area. A precisely defined algorithm with the goal of diagnosing and removing HPV for a prolonged or indefinite length of time, as well as to protect the patient from any malignant ransformation, does not currently exist. The identification of HPV strains by PCR or DNA hybridization in lesional tissue provides higher security for the patients. In high-risk patients additional colposcopy, rectoscopy, and rethroscopy/cystoscopy increase the probability of prope...
Source: Anais Brasileiros de Dermatologia - October 23, 2009 Category: Dermatology Source Type: journals

AUA NY 2009 - Fluorescence cystoscopy for detection of initial and recurrent bladder cancer - ...Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
SEWARD, AK, USA - Presented by Ihor S. Sawczuk, MD (http://www.urotoday.com/5/meet_the_expert/meet_the_experts/meet_the_expert__ihor_s_sawczuk.html?s_cid=invite_2009_auany_expertpg_t) at the 107th Annual Meeting of the AUA -... (Source: UroToday)
Source: UroToday - October 22, 2009 Category: Urology & Nephrology Tags: Browse Categories - Bladder Cancer Source Type: info

Urinary biomarkers in bladder cancerEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Introduction: Single urinary biomarkers have not achieved the sensitivity and specificity required to replace cystoscopy for diagnosis and follow-up for patients with bladder cancer. Combinations of biomarkers may increase diagnostic accuracy. (Source: British Journal of Medical and Surgical Urology)
Source: British Journal of Medical and Surgical Urology - October 22, 2009 Category: Urology & Nephrology Authors: H.F. O’Kane, F. Abogunrin, B. Duggan, M. Ruddock, D. O’Rourke, K. Williamson Tags: Abstracts Source Type: journals

Ventral vesical cyst causing outflow obstructionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
A 36-year-old gentleman presented with a 2-month history of frequency, hesitancy and poor stream. Abdominal and genital examination were normal. Urinalysis revealed red blood cells. Urinary tract ultrasound revealed a thin walled 1.1cm×0.9cm×1.7cm cystic structure arising from the bladder, immediately adjacent to the midline and ventral to the urethral opening [a and b]. It contained a single septation and demonstrated no Doppler colour flow. Cystoscopy revealed the ventral bladder neck cyst, demonstrating outlet obstruction and a ‘ball-valve effect’ with irrigation turned off [a and b]. Transurethral resection was p...
Source: British Journal of Medical and Surgical Urology - October 22, 2009 Category: Urology & Nephrology Authors: Sachin Agrawal, Siew-Ling Harrison, Pardeep Kumar, Robin S. Cole Tags: Case Reports Source Type: journals

Differential Diagnosis of Overactive Bladder in MenEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Overactive bladder is a complex diagnosis with many underlying, contributing urological pathologies. It should be considered a symptom complex and not a syndrome. Knowledge of the differential diagnosis in men with overactive bladder symptoms would hopefully provide clinicians with a diagnostic rubric to more specifically treat such patients with improved success. (Source: The Journal of Urology)
Source: The Journal of Urology - October 19, 2009 Category: Urology & Nephrology Authors: Jerry G. Blaivas, Brian K. Marks, Jeffrey P. Weiss, Georgia Panagopoulos, Chandra Somaroo Tags: Voiding Dysfunction Source Type: journals

Urethral and bladder injuries with mid-urethral sling procedures - do we always need to cystoscope? Authors' Reply.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
H PMID: 19832758 [PubMed - in process] (Source: BJOG : An International Journal of Obstetrics and Gynaecology)
Source: BJOG : An International Journal of Obstetrics and Gynaecology - October 18, 2009 Category: OBGYN Authors: Authors' Reply. Tags: BJOG Source Type: journals

Urethral and bladder injuries after mid-urethral sling procedures - do we always need to cystoscope?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19832759 [PubMed - in process] (Source: BJOG : An International Journal of Obstetrics and Gynaecology)
Source: BJOG : An International Journal of Obstetrics and Gynaecology - October 18, 2009 Category: OBGYN Authors: Smith P Tags: BJOG Source Type: journals

Urodynamic testing and interstitial cystitis/painful bladder syndromeEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion UDT may be a useful adjunctive test in the evaluation of patients with irritative voiding symptoms. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s00192-009-1015-6Authors Deeptha N. Sastry, University of Medicine and Dentistry of New Jersey Robert-Wood Johnson Medical School, Cooper University Hospital Camden NJ USAKrystal M. Hunter, University of Medicine and Dentistry of New Jersey Robert-Wood Johnson Medical School, Cooper University Hospital Camden NJ USAKristene E. Whitmore, Drexel University College of Medicine Philadelphia PA USA Journal International Urogynec...
Source: International Urogynecology Journal - October 15, 2009 Category: OBGYN Tags: International Urogynecology Journal Source Type: journals

AUA MA 2009 - Hexaminolevulinate fluorescence cystoscopy improves detection and resection of ...Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
WILLIAMSBURG, VA, USA (UroToday.com) - Hexaminolevulinate (HAL) enhanced cystoscopy has the potential to identify bladder tumors not apparent on white... (Source: UroToday)
Source: UroToday - October 13, 2009 Category: Urology & Nephrology Tags: Browse Categories - Bladder Cancer Source Type: info

Cellvizio Helps Urologists Differentiate Cells in the Bladder in Real TimeEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PARIS, Oct. 13, 2009 (GLOBE NEWSWIRE) -- Urologic surgeons from Stanford University reported that Cellvizio(R) has been used to differentiate benign inflammation in bladder tissue from cancerous tissue in real time. Cellvizio(R), the world's smallest flexible microscope, was used during routine cystoscopy examinations to produce the findings, according to a study published and featured on the October cover issue of The Journal of Urology. (Source: Medical News (via PRIMEZONE))
Source: Medical News (via PRIMEZONE) - October 13, 2009 Category: Pharmaceuticals Source Type: news

Hexylaminolaevulinate fluorescence cystoscopy in patients previously treated with intravesical bacille Calmette-GuérinEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
To determine if hexylaminolaevulinate fluorescence cystoscopy (HAL-FC) has the potential to improve the diagnosis of bladder cancer in patients who have been treated with bacille Calmette-Guérin (BCG). Patients scheduled for rigid cystoscopy after BCG therapy were recruited prospectively between April 2005 and February 2006. Patients received HAL (HexvixTM, PhotoCure ASA, Oslo, Norway) and the D-light system (Storz, Tuttlingen, Germany) was used to detect fluorescence. The bladder was mapped and biopsies taken under white light and then using HAL-FC. The main outcome was the frequency and nature of additional pathology de...
Source: BJU International - October 12, 2009 Category: Urology & Nephrology Authors: Eleanor R. Ray, Kathryn Chatterton, M. Shamim Khan, Ashish Chandra, Kay Thomas, Prokar Dasgupta, Tim S. O'Brien Source Type: journals

Hydrodistension under local anesthesia for patients with suspected painful bladder syndrome/interstitial cystitis: Safety, diagnostic potential and therapeutic efficacyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Objectives: To evaluate the safety, diagnostic potential and therapeutic efficacy of cystoscopy with hydrodistension under local anesthesia in patients with suspected painful bladder syndrome/interstitial cystitis (PBS/IC).Methods: Thirty-six patients with frequency, urgency or bladder pain for [ge]6 months and an average voided volume of (Source: International Journal of Urology)
Source: International Journal of Urology - October 10, 2009 Category: Urology & Nephrology Authors: Kinue Aihara, Akihide Hirayama, Nobumichi Tanaka, Kiyohide Fujimoto, Kastunori Yoshida, Yoshihiko Hirao Source Type: journals

Lipiodol injection for target volume delineation and image guidance during radiotherapy for bladder cancerEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract: A technique was developed for bladder tumour demarcation with lipiodol injection through a flexible cystoscope. The technique proved to be simple and useful for image-guided radiotherapy in bladder cancer as well as a helpful aid in the tumour delineation process. (Source: Radiotherapy and Oncology)
Source: Radiotherapy and Oncology - October 5, 2009 Category: Radiology Authors: Floris Pos, Axel Bex, Hermina Maria Dees-Ribbers, Anja Betgen, Marcel van Herk, Peter Remeijer Tags: Original articles Source Type: journals

Straddle injuries to the bulbar urethra: management and outcome in 53 patientsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Suprapubic cystostomy is better than urethral realignment and catheterization as primary management after straddle injury to the bulbar urethra. Stricture excision and re-anastomosis is better than VIU as delayed management for strictures that develop after straddle injury to the bulbar urethra. (Source: International Braz J Urol)
Source: International Braz J Urol - October 2, 2009 Category: Urology & Nephrology Source Type: journals

Botulinum toxin: An emerging therapy in female bladder outlet obstructionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions:</b> Botulinum toxin proved successful in improving the voiding characteristics. It possibly acts at the zone of hypertonicity at the bladder neck or midurethra. The only disadvantage is the high cost of the drug. (Source: Indian Journal of Urology)
Source: Indian Journal of Urology - October 1, 2009 Category: Urology & Nephrology Authors: Pradhan Aditya A Source Type: journals

Antegrade urethrogram: A technique to visualize the proximal bulbous urethral segment in anterior urethral strictureEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Goel Apul, Gupta Ankush, Dalela DivakarIndian Journal of Urology 2009 25(3):415-416In patients of stricture urethra that are on suprapubic catheter if the proximal bulbous urethral segment is not visualized at the time of voiding cystourethrography, antegrade urethrogram can be done. Through the suprapubic tract ureteric catheter is passed cystoscopically into the proximal urethra and contrast instilled to visualize the proximal urethra. (Source: Indian Journal of Urology)
Source: Indian Journal of Urology - October 1, 2009 Category: Urology & Nephrology Authors: Goel Apul, Gupta Ankush, Dalela Divakar Source Type: journals

Photodynamic diagnosis (PDD) in non-muscle invasive bladder cancer. Literature review.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Non-muscle invasive bladder cancer is one of the most prevalent and incident neoplastic conditions in the Western world. Its clinical management involves significant costs for health systems. Diagnosis and treatment are based on direct visualization of the disease and on detection of flat forms having no specific morphology and which are sometimes overlooked. Prognosis of NMIBC often depends on quality of transurethral resection and on early detection of undifferentiated flat forms. Cystoscopy using photosensitive substances such as 5-aminolevulinic acid (5-ALA) or hexyl aminolevulinic acid (HAL) achieves overdetection...
Source: Actas Urologicas Espanolas - October 1, 2009 Category: Urology & Nephrology Authors: Oliva Encina J, Rioja Sanz C Tags: Actas Urol Esp Source Type: journals

Editorial CommentEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Bladder cancer is usually detected by cystoscopy. However, this highly sensitive test can miss both carcinoma in situ and papillary disease. The 2008 EAU guidelines on non-muscle-invasive urothelial carcinoma state that fluorescence cystoscopy is more sensitive than conventional white-light cystoscopy for detecting bladder cancer. Obvious limitations to this exciting new technology are the added expenses for equipment and drug and the increased potential for false-positive results. The authors report their large experience with 5-aminolevulinic acid (ALA)-induced fluorescence cystoscopy focusing on potential causes of fals...
Source: Urology - September 30, 2009 Category: Urology & Nephrology Authors: H. Barton Grossman Tags: Oncology Source Type: journals

ReplyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Fluorescence cystoscopy improves the detection of occult bladder tumors and carcinoma in situ (CIS). In our series, about 60% of the CIS lesions, which are associated with poor prognosis, were detected by fluorescence cystoscopy only. (Source: Urology)
Source: Urology - September 30, 2009 Category: Urology & Nephrology Authors: Ronald O.P. Draga, Matthijs C.M. Grimbergen, Esther T. Kok, Trudy N. Jonges, J.L.H. Ruud Bosch Tags: Oncology Source Type: journals

Transitional cell carcinoma in a remnant ureter after retroperitoneoscopic simple nephrectomy for benign renal disease.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
A 70-yr-old man presented with painless gross hematuria. He underwent right nephrectomy for benign disease 9 yr ago. Computed tomography and cystoscopy showed a mass in the distal region of the right ureteral stump. He underwent right ureterectomy and bladder cuff resection. Pathological examination showed T1 and WHO grade 2 transitional cell carcinoma. At 6 months postoperatively, the patient is alive without any evidence of recurrence. PMID: 19795009 [PubMed - in process] (Source: J Korean Med Sci)
Source: J Korean Med Sci - September 30, 2009 Category: Journals (General) Authors: Park JY, Park J, Ku JH, Kim HH Tags: J Korean Med Sci Source Type: journals

Lipiodol injection for target volume delineation and image guidance during radiotherapy for bladder cancer.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
A technique was developed for bladder tumour demarcation with lipiodol injection through a flexible cystoscope. The technique proved to be simple and useful for image-guided radiotherapy in bladder cancer as well as a helpful aid in the tumour delineation process. PMID: 19800703 [PubMed - as supplied by publisher] (Source: Radiotherapy and Oncology : journal of the European Society for Therapeutic Radiology and Oncology)
Source: Radiotherapy and Oncology : journal of the European Society for Therapeutic Radiology and Oncology - September 30, 2009 Category: Radiology Authors: Pos F, Bex A, Dees-Ribbers HM, Betgen A, van Herk M, Remeijer P Tags: Radiother Oncol Source Type: journals

Intermittent self-catheterization and the risk of squamous cell cancer of the bladder: An emerging clinical entity?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report on an eighth case, and the first case described in a patient with a Mitrofanoff continent appendicovesicostomy. A description of the case and review of the literature are presented. Risk factors for squamous cell cancer include recurrent urinary tract infections, keratinising squamous metaplasia (leukoplakia) and local mucosal trauma from intermittent self-catheterization. There is no recognized or validated monitoring program for patients performing ISC who may also have these risk factors. Reasonable protocols may include regular urinary cytology and cystoscopy with random or targeted bladder biopsies. Squamous...
Source: Canadian Urological Association Journal - September 30, 2009 Category: Urology & Nephrology Authors: Casey RG, Cullen IM, Crotty T, Quinlan DM Tags: Can Urol Assoc J Source Type: journals

Composite paraganglioma-ganglioneuroma of the urinary bladder: a rare neoplasm causing hemodynamic crisis at tumour resection.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
A 64-year-old man presented with gross painless hematuria. Cystoscopy revealed a submucosal bladder neck mass covered by normal urothelium. During transurethral resection, the patient developed hemodynamic crisis including sinus bradycardia. Histopathologic examination revealed a primary bladder composite paraganglioma-ganglioneuroma (CPG). The patient underwent partial cystectomy and is symptom-free after one year. Bladder CPGs are extremely rare neoplasms that may result in life-threatening catecholamine secretion, especially during tumour manipulation. These tumours require complete surgical excision and should be i...
Source: Canadian Urological Association Journal - September 30, 2009 Category: Urology & Nephrology Authors: Chen CH, Boag AH, Beiko DT, Siemens DR, Froese A, Isotalo PA Tags: Can Urol Assoc J Source Type: journals

Narrow-band imaging cystoscopy to evaluate the response to bacille Calmette-Guérin therapy: preliminary resultsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
To evaluate whether narrow-band imaging cystoscopy (NBIC) can identify bladder tumour suspected on follow-up white-light cystoscopy (WLC) after intravesical bacille Calmette-Guérin (BCG) therapy, as BCG causes an intense reaction in the bladder, appearing as red lesions on WLC, which might be residual tumour or BCG-induced inflammation. Sixty-one patients with high-risk non-muscle-invasive bladder tumours were evaluated 3 months after starting induction BCG therapy. All patients had abnormal erythematous lesions on WLC, suspected to be residual carcinoma in situ. After WLC, they were evaluated by NBIC, urine cytology and ...
Source: BJU International - September 28, 2009 Category: Urology & Nephrology Authors: Harry W. Herr Source Type: journals

Oral analgesia by non-steroidal anti-inflammatory drug zaltoprofen to manage cystoscopy-related pain: A prospective studyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Pre-emptive zaltoprofen is able to control cystoscopy-associated pain, which translates into better quality of life for patients. Thus, its use is recommended in the management of these patients. (Source: International Journal of Urology)
Source: International Journal of Urology - September 24, 2009 Category: Urology & Nephrology Authors: Akira Komiya, Takumi Endo, Masayuki Kobayashi, Woojin Kim, Kazuhiro Araki, Yukio Naya, Hiroyoshi Suzuki, Toyofusa Tobe, Tomohiko Ichikawa, Hideki Fuse Source Type: journals

Cystoscopy and bladder biopsies in patients with bladder pain syndrome carried out following ...Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Department of Urology, Faculty of Medicine, University Antwerp and University Hospital, Antwerp, Belgium. (Source: UroToday)
Source: UroToday - September 23, 2009 Category: Urology & Nephrology Tags: Browse Categories - IC/PBS/BPS/HBS Source Type: info

Editorial - Flexible and rigid cystoscopy in womenEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
BERKELEY, CA (UroToday.com) - In this single blinded, prospective study, 36 women requiring cystoscopy were randomized to either rigid or... (Source: UroToday)
Source: UroToday - September 22, 2009 Category: Urology & Nephrology Tags: Browse Categories - Bladder Cancer Source Type: info

Transurethral Cystolithotripsy With Holmium Laser Under Local Anesthesia in Selected PatientsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Transurethral holmium:YAG laser lithotripsy under local anesthesia appears to be a safe and effective technique for the large bladder calculi. Thus, it may be used as an alternative treatment option in selected patients. (Source: Urology)
Source: Urology - September 22, 2009 Category: Urology & Nephrology Authors: Cengiz Kara, Berkan Resorlu, Izzet Cicekbilek, Ali Unsal Tags: Endourology and Stones Source Type: journals

Flexible and rigid cystoscopy in women - AbstractEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Department of Urology, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin 53792, USA (Source: UroToday)
Source: UroToday - September 20, 2009 Category: Urology & Nephrology Tags: Browse Categories - Bladder Cancer Source Type: info

Successful Treatment with Hydrodistension in a Boy with Refractory Overactive Bladder with GlomerulationEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
A 9-year-old boy was referred because of daytime incontinence, urgency, urinary frequency, nocturnal enuresis, and intermittent bladder pain for 5 years. Although he had been prescribed several medications, the symptoms had not improved. Ultrasonography and voiding cystourethrography showed no abnormality in the kidney, bladder, and urethra. Uroflow measurements showed that the maximum flow rate was 16.9 mL/s with a voided volume of 69 mL. No postvoid residual urine was found. Cystometry and pressure flow study revealed normal bladder compliance, no detrusor overactivity, and no detrusor-sphincter dyssynergia. Cystoscopy s...
Source: The Journal of Pediatrics - September 18, 2009 Category: Pediatrics Authors: Kazuhiro Niimi, Yoshiyuki Kojima, Makoto Imura, Kentaro Mizuno, Kenjiro Kohri, Yutaro Hayashi Tags: Insights Source Type: journals

A girl of Klippel-Trenaunay Weber syndrome coexistence of recurrent bloody vaginal dischargeEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In conclusion, we have emphasized that the girls with recurrent vaginal discharge might be KTWS. Angiokeratoma may be considered as a dermatological finding of KTWS. KTWS may also have enlarged kidney and enlargement in venous structures of the kidney in hypertrophied side. Content Type Journal ArticleCategory Urology - Case ReportDOI 10.1007/s11255-009-9640-zAuthors Mehmet Turkmen, Dokuz Eylul University Hospital Department of Pediatrics Mithatpasa cad 665/4 Kucukyali 35280 Izmir TurkeySalih Kavukçu, Dokuz Eylul University Hospital Department of Pediatrics Mithatpasa cad 665/4 Kucukyali 35280 Izmir TurkeyHandan Ç...
Source: International Urology and Nephrology - September 18, 2009 Category: Urology & Nephrology Tags: International Urology and Nephrology Source Type: journals

Robotic ureteroureterostomy in children with a duplex collecting systemEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract Duplex collecting system pathology can be handled using an ablative procedure or reconstructive procedure even in the light of a poorly functioning moiety. We propose that, when a reconstructive procedure is an option, a robotic ureteroureterostomy is safe and feasible. Fifteen children between the ages of 6 months and 10 years (mean 31.26 months) underwent transperitoneal robotic ureteroureterostomy for duplex collecting system pathology. The surgical procedure included transperitoneal robotic approach. Outcome measures included operative time, length of hospital stay, and resolution...
Source: Journal of Robotic Surgery - September 17, 2009 Category: Surgery Tags: Journal of Robotic Surgery Source Type: journals

Decreased nanobacteria levels and symptoms of nanobacteria-associated interstitial cystitis/painful bladder syndrome after tetracycline treatmentEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions A high prevalence of NB was observed in female IC/PBS, and anti-NB treatment effectively improved the symptoms, which suggest that NB may cause some cases of IC/PBS. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s00192-009-0994-7Authors Qing-hua Zhang, Third Military Medical University Urological Research Institute of PLA, Southwest Hospital Chongqing 400038 People’s Republic of ChinaXue-cheng Shen, Third Military Medical University Urological Research Institute of PLA, Southwest Hospital Chongqing 400038 People’s Republic of ChinaZhan-song Zhou, Third Military Medica...
Source: International Urogynecology Journal - September 17, 2009 Category: OBGYN Tags: International Urogynecology Journal Source Type: journals

Pure Natural Orifice Translumenal Endoscopic Surgery Partial Cystectomy: Intravesical Transurethral and Extravesical Transgastric Techniques in a Porcine ModelEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: NOTES partial cystectomy could potentially reduce morbidity of conventional methods of partial cystectomy. Transurethral NOTES may be the least invasive method possible for partial cystectomy. Potential advantages of a transgastric NOTES approach include visualization of adjacent structures, access to sites difficult to reach transurethrally, and lymph node sampling. However, a gastrotomy could be a source of morbidity. Further investigation is required to assess safety, efficacy, and adequate bladder healing. (Source: Urology)
Source: Urology - September 16, 2009 Category: Urology & Nephrology Authors: Mark D. Sawyer, Edward E. Cherullo, B. Joseph Elmunzer, Steve Schomisch, Lee E. Ponsky Tags: Laparoscopy and Robotics Source Type: journals

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The Atlas of Urogynecological Endoscopy serves as a welcome practice manual for cystoscopy and laparoscopy. This text presents the integral components of endoscopy in urogynecology. The author has drawn upon his own archive of visual images, which surely demonstrates impressive depth, to fill the pages with astute observations and high-yield information. As proof of the author's long experience in the field and its leaders, he has utilized the expertise of many internationally renowned specialists to construct this thorough, yet succinct atlas. Although some overlap occurs, all chapters are informative and stand on their o...
Source: Urology - September 16, 2009 Category: Urology & Nephrology Authors: Farzeen Firoozi, Sandip P. Vasavada Tags: Book Reviews Source Type: journals

A Novel Approach to Using Matrix Metalloproteinases for Bladder CancerEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: A noninvasive urine diagnostic assay that uses metalloproteinases with the Clinical Intervention Determining Diagnostic could lead to more efficient treatment in bladder cancer survivors by decreasing the number of negative cystoscopies (42%), allowing physicians to more selectively monitor those at high risk. (Source: The Journal of Urology)
Source: The Journal of Urology - September 15, 2009 Category: Urology & Nephrology Authors: Cecilia A. Fernández, Matthew F. Wszolek, Kevin R. Loughlin, John A. Libertino, Ian C. Summerhayes, Anthony P. Shuber Tags: Oncology: Adrenal/Renal/Upper Tract/Bladder Source Type: journals

Editorial CommentEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The ultimate goal of novel tests for bladder carcinoma is to replace cystoscopy. Unfortunately while there are many interesting candidates, none is accurate enough. To ensure that a tumor is not missed 100% NPV is needed and to our knowledge no test comes close to date. These authors report 98% NPV for MMP-9 using a novel analysis called CIDD. Patients with high MMP-9 have cancer and patients with low MMP-9 do not. Only patients with middle values require cystoscopy. This seems like the perfect test, catches all cancers and saves many patients the cost and inconvenience of cystoscopy. (Source: The Journal of Urology)
Source: The Journal of Urology - September 15, 2009 Category: Urology & Nephrology Authors: Adam S. Kibel Tags: Oncology: Adrenal/Renal/Upper Tract/Bladder Source Type: journals

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While cystoscopy, cytology and upper urinary tract imaging remain the standard of care for patients with bladder cancer, our novel approach of using urinary markers of bladder cancer with high positive and negative predictive values is more consistent with the way physicians practice diagnostics. CIDD is based on multiple MMP biomarkers with 98% NPR to identify patients who do not have primary or recurrent bladder cancer. We agree that 100% NPV is clearly the preferred result. However, even current standard of care procedures do not achieve such performance characteristics. (Source: The Journal of Urology)
Source: The Journal of Urology - September 15, 2009 Category: Urology & Nephrology Tags: Oncology: Adrenal/Renal/Upper Tract/Bladder Source Type: journals

Increased frequency and nocturia in a middle aged male may not always be due to benign prostatic hypertrophy: a case reportEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report a case of 58 year old Caucasian male who presented with a 5 month history of increased frequency of urination, nocturia and weight loss without any fever or hematuria. He was found to have an increased creatinine of 2.8mg/dl and a prostate specific antigen level of 0.18 ng/ml. His azotemia was thought to be secondary to BPH. A Foley catheter was initially placed with a plan for outpatient follow up. On removal of the catheter his problems persisted and he returned to the hospital. Diagnostic work up including abdominal ultrasonography, computed tomography scan, retrograde pyelogram, cystography and cystoscopic bi...
Source: Cases Journal - September 14, 2009 Category: Journals (General) Source Type: journals

Bladder recurrence after surgery for upper urinary tract urothelial cell carcinoma: Frequency, risk factors, and surveillance.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONCLUSION: Prior histories of bladder cancer and upper tract tumor multifocality are the most frequently reported risk factors for bladder tumors following UUT-UCCs. Surveillance regimen is based on cystoscopy and on urinary cytology for at least 5 years. PMID: 19762256 [PubMed - as supplied by publisher] (Source: Urologic Oncology)
Source: Urologic Oncology - September 14, 2009 Category: Urology & Nephrology Authors: Azémar MD, Comperat E, Richard F, Cussenot O, Rouprêt M Tags: Urol Oncol Source Type: journals

Office Cystoscopy And Transrectal Ultrasound-guided Prostate Biopsies Pose Minimal Risk: Prospective Evaluation Of 921 ProceduresEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
UroToday.com - The Institute of Medicine has drawn professional and public attention to the safety of patients in our health care system through two prominent publications. The Joint Commission has responded by developing a series of National Patient Safety Goals that must be followed to achieve accreditation. (Source: Health News from Medical News Today)
Source: Health News from Medical News Today - September 10, 2009 Category: Consumer Health News Tags: Prostate / Prostate Cancer Source Type: news

Commentary: the role of cytologic analysis of voided urine in the work-up of asymptomatic microhematuriaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Microscopic hematuria is a common finding in patients presenting to both primary care doctors as well as urologists. Sources of microscopic hematuria include infection, stones, inflammatory disorders as well as cancer of the genitourinary tract, particularly urothelial cancer. A primary focus in the urologic workup of hematuria is to rule out cancer. This is done using radiographic studies as well as procedures such as cystoscopy and bladder biopsy. As the authors state in their article titled "The utility of serial urinary cytology in the initial evaluation of the patient with microscopic hematuria", cytologic analysis of...
Source: BMC Urology - Latest articles - September 9, 2009 Category: Urology & Nephrology Authors: Deep TrivediEdward Messing Source Type: journals

Posttraumatic ventral urethral fistula: case report and review of literatureEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: Self retraction of the urethral catheter with balloon may result with clinically important urethral fistula. A wide range of possible options such as complete excision of the fistula tract and primary closure may be considered for individual cases. (Source: Cases Journal)
Source: Cases Journal - September 8, 2009 Category: Journals (General) Source Type: journals