Giant seminal vesicle cystadenoma diagnosed on imagery after acute urinary retention in a middle-aged man: A case report with brief literature review.

Seminal vesicle cystadenomas (SVC) are exceedingly rare benign tumors, with only 22 cases reported in the literature up to 2018. Here, we present the case of a 40-year-old man who presented with acute urinary retention secondary to a giant pelvic mass. Radiological imaging diagnosed a retrovesical well-delimited multicystic tumor, initially suspected to arise from the left lobe of the prostate but ultimately confirmed to originate from left seminal vesicle. Despite inconclusive biopsy results and normal tumor markers, surgical removal was recommended to confirm diagnosis. The patient initially opted for conservative management but eventually underwent open surgery due to the tumor's significant enlargement on the follow-up imagery. The procedure, though challenging due to the mass's size and proximity to adjacent structures, was successfully completed with minimal blood loss and uncomplicated postoperative phase. Histopathological evaluation confirmed the diagnosis of SVC, marking the largest reported case of its kind and the first to be discovered upon investigation of an acute urinary retention. This case highlights importance of considering SVC in the differential diagnosis of pelvic masses and underscores the role of imagery and surgery together for definitive diagnosis.

Validation of use of the International Consultation on Incontinence Questionnaire-Urinary Incontinence-Short Form (ICIQ-UI-SF) for impairment rating: a transversal retrospective study of 120 patients.

AIMS: A urinary incontinence impairment rating must be a highly accurate, non-invasive exploration of the condition using International Classification of Functioning (ICF)-based assessment tools. The objective of this study was to identify the best evaluation test and to determine an impairment rating model of urinary incontinence. METHODS: In performing a cross-sectional study comparing successive urodynamic tests using both the International Consultation on Incontinence Questionnaire-Urinary Incontinence-Short Form (ICIQ-UI-SF) and the 1-hr pad-weighing test in 120 patients, we performed statistical likelihood ratio analysis and used logistic regression to calculate the probability of urodynamic incontinence using the most significant independent predictors. Subsequently, we created a template that was based on the significant predictors and the probability of urodynamic incontinence. RESULTS: The mean ICIQ-UI-SF score was 13.5 ± 4.6, and the median pad test value was 8 g. The discrimination statistic (receiver operating characteristic) described how well the urodynamic observations matched the ICIQ-UI-SF scores (under curve area (UDA):0.689) and the pad test data (UDA: 0.693). Using logistic regression analysis, we demonstrated that the best independent predictors of urodynamic incontinence were the patient's age and the ICIQ-UI-SF score. The logistic regression model permitted us to construct an equation to determine the probability of urodynamic incontinence. Using these tools, we created a template to generate a probability index of urodynamic urinary incontinence. CONCLUSIONS: Using this probability index, relative to the patient and to the maximum impairment of the whole person (MIWP) relative to urinary incontinence, we were able to calculate a patient's permanent impairment.

[A qualitative assessment of the impact of a specialist nurse in outpatient urology consultations]. / Objectivation de l'impact qualitatif d'une infirmière référente en consultation d'urologie.

AIM: This paper presents the results of a prospective study of outpatient urology consultations designed to provide evidence of the benefits of using a specialist nurse to improve quality of care. METHODS: 135 patients (95 men and 40 women) were included in the study. Urinary disorders were defined using the International Classification of Functioning, Disability and Health (ICF), developed by the World Health Organization (WHO). The activity/ participation component was studied from a communication perspective before and after the urology consultation. Scores were obtained using a visual analogue scale (VAS). The VAS was also used to assess the role of the nurse as a facilitator (environmental factors component). A statistical analysis was performed on the population, as was an analysis of variance (ANOVA) of the activity/participation component. RESULTS: The participants were aged between 4years 10 months and 96years (m = 63.29; standard deviation (SD) = 19.71). The median score for the urological disorders was 2. An analysis of variance of the two questions relating to the activity/participation component indicated a significant difference between the two groups (F = 6.4172; p < 0.001). A third question was used to assess the environmental factors component (nurse as facilitator), with a mean VAS score of97.79% (SD= 4.67). CONCLUSION: The purpose of this prospective study was to conduct a qualitative assessment of the impact of involving a specialist nurse in outpatient urology consultations. The study demonstrated that the qualitative impact of using a specialist nurse as a facilitator (environmental factors component) is extremely important for the participatory dimension of communication, particularly in terms of understanding medical information.

Use of the International Consultation on Incontinence Questionnaire-Urinary Incontinence-Short Form (ICIQ-UI-SF) for an objective assessment of disability determination according to the Modified Katz Scale: a prospective longitudinal study.

BACKGROUND: The aim of this study was to demonstrate that the International Consultation on Incontinence Questionnaire-Urinary Incontinence-Short Form (ICIQ-UI-SF) tool can be applied for a factual score determining urinary incontinence in the Katz-6 Scale, and it is effective to identify score 2 from score 3. METHODS: Functional capacity of 63 patients (14 M, 49 F aged from 70 to 99 years old) was evaluated with a Mini Mental State Examination (MMSE), Katz Index for Activities of Daily Living, and ICIQ-UI-SF questionnaire. Mean comparative analysis was performed. ICIQ-UI-SF scores were then entered as variables. These data observed in Katz continence item scored 2 and Katz continence item scored 3 were compared in a combined box-and-whisker and dot plot. Sensitivity and specificity of each variable were tested and results were evaluated using a receiver operating characteristic (ROC) curve. The best variable (ICIQ-UI-SF Score) was retained as a breach permitting to distinguish patients to be scored 2 or 3 over continence Katz item. RESULTS: Statistical analysis demonstrated significant difference between the sample of Katz continence item scored 2 and the sample of Katz continence item scored 3 over the ICIQ-UI-SF Score and the Katz global Score, but the difference was not significant concerning the MMSE Score. Using ROC analysis, we compared the discriminant power of the ICIQ-UI-SF Score for continence Katz item Score. Criterion values and coordinates of the ROC curve were studied and the ICIQ-UI-SF score of 13 was considered the best one. CONCLUSIONS: We demonstrated that the best variable (ICIQ-UI-SF Score) to retain as a breach permitting to distinguish patients to be scored 2 or 3 over continence Katz item is 13.