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1.
J Urol ; 207(6): 1357-1358, 2022 06.
Artículo en Inglés | MEDLINE | ID: mdl-35532062
2.
J Healthc Eng ; 2022: 4373416, 2022.
Artículo en Inglés | MEDLINE | ID: mdl-35494509

RESUMEN

Objective: To analyze the effect of ureteroscopy and retrolaparoscopy on urinary calculi and infection. Method: A total of 64 patients with urinary calculi and infection who received treatment in our hospital from June 2018 to January 2018 were selected. According to the different treatment methods, they were divided into two groups: a control group and a study group. The study group was treated with laparoscopic ureteroscopy, and the control group was treated with ureteroscopy. The surgical results, complications, renal function, stress response, and inflammatory reaction were compared between the two groups. Results: Compared with the control group, the study group stone clearance rate was higher, the surgical time was shorter (P < 0.05); the incidence of complications in the study group (23.3%) was lower than that in the control group (5.9%) (P < 0.05); there was no significant difference in kidney function indicators before treatment (P > 0.05); after treatment, the SCR, BUN, NGAL, and Cys-C indicators of the two groups were significantly increased. Compared with the control group, the study group change was more obvious, and the difference was statistically significant (P < 0.05); after treatment, the two sets of stress response indicators were significantly increased, but relative to the control group, the study group stress response indicator was lower (P < 0.05); before treatment, there was no significant difference in inflammatory factors (P > 0.05); after treatment, the two sets of inflammatory factor levels were significantly increased, but relative to the control group, the study group was lower (P < 0.05). Conclusion: In the clinical treatment of urinary stones, ureteroscopy technology and the laparoscopic technique have played an important role. But the laparoscopic technique is shorter, the stone clearance is higher, and the patient's renal function can be improved, and the patient is postoperative. The stress reaction should be small. Therefore, in the clinical treatment of urinary stones and infection, laparoscopic technical treatment is worth promoting.


Asunto(s)
Cálculos Ureterales , Cálculos Urinarios , Urología , Femenino , Humanos , Masculino , Tecnología , Cálculos Ureterales/cirugía , Ureteroscopía/métodos
4.
J Healthc Eng ; 2022: 4674959, 2022.
Artículo en Inglés | MEDLINE | ID: mdl-35432827

RESUMEN

Due to the rapid development of medical engineering, massive amounts of data are recorded and preserved by various medical instruments. Therefore, finding relationships among data and summarizing clinical manifestations are of great significance to the diagnosis, treatment, and medical research of various diseases. The key to studying the nursing diagnosis support system, particularly in the urological operating room, is to select an effective classification algorithm, which is suitable for the characteristics of urological diseases. Initially, we have analyzed characteristics of urological diseases through medical data mining. Secondly, based on the traditional data mining classification method and urological disease diagnosis research, we have introduced the urological disease experimental source dataset and analyzed characteristics of the disease. Furthermore, classification algorithm and steps were introduced such as decision tree (including ID3, C4.5), Bayesian classification, BP neural network, and association rule classification algorithms. These algorithms are used to make relevant comparative experiments on the urological disease dataset. Finally, based on the diagnosis of urological diseases, a new association classification algorithm (ACCF), which is based on frequent closed item sets, is proposed along with suitable explanation. In order to verify the operational capabilities, the proposed algorithms are implemented in C++ and compared with the classification effect of traditional association classification algorithms and data mining methods. Both theoretical analysis and experiment results show that the proposed algorithm has resolved various deficiencies of the existing data mining algorithms and equally improved the accuracy of urological disease classification and prediction.


Asunto(s)
Diagnóstico de Enfermería , Urología , Algoritmos , Teorema de Bayes , Humanos , Quirófanos
6.
PLoS One ; 17(4): e0267410, 2022.
Artículo en Inglés | MEDLINE | ID: mdl-35446917

RESUMEN

PURPOSE: In the context of the COVID-19 outbreak, the European Association of Urology (EAU) guidelines Rapid Reaction Group provided recommendations to manage muscle invasive bladder cancer (MIBC) based on priority levels: neoadjuvant chemotherapy (NAC) should be avoided for patients with T2-3N0M0 MIBC. This meta-analysis aims to evaluate the efficacy of NAC compared with radical cystectomy (RC) alone in improving the overall survival (OS) of patients with T2-4aN0M0 MIBC. MATERIALS AND METHODS: A systematic review was performed according to the PRISMA guidelines. The PubMed/Medline, EMBASE, and Cochrane Library databases were searched. The primary outcome was OS of patients with T2-4aN0M0 MIBC, and the secondary outcome was OS of patients with only T2N0M0 MIBC. RESULTS: Eight studies were included in this meta-analysis. Overall, the quality of all studies was relatively high, and little publication bias was demonstrated. The OS was significantly better in the NAC with RC group than in RC alone (HR, 0.79; 95% CI, 0.68-0.92; p = 0.002). A subgroup analysis was performed on only patients with T2N0M0 MIBC, and five studies were included. There was no difference in the OS between the NAC with RC and the RC alone groups (HR, 0.83; 95% CI, 0.69-1.01 p = 0.06). CONCLUSIONS: As recommended by the EAU guidelines Rapid Reaction Group, patients with T2N0M0 MIBC should strongly consider omitting NAC until the end of the COVID-19 pandemic. Whether to omit NAC in T3-4aN0M0 MIBC needs further discussion, and studies targeting only T2-3N0M0 MIBC are expected to proceed further.


Asunto(s)
COVID-19 , Neoplasias de la Vejiga Urinaria , Urología , Cistectomía , Femenino , Humanos , Masculino , Terapia Neoadyuvante , Invasividad Neoplásica , Pandemias , Estudios Retrospectivos , Neoplasias de la Vejiga Urinaria/tratamiento farmacológico , Neoplasias de la Vejiga Urinaria/cirugía
9.
J Urol ; 207(5): 1167-1168, 2022 05.
Artículo en Inglés | MEDLINE | ID: mdl-35393894
11.
Urologe A ; 61(4): 441-442, 2022 Apr.
Artículo en Alemán | MEDLINE | ID: mdl-35412117
12.
Arch Esp Urol ; 75(3): 215-218, 2022 Apr.
Artículo en Español | MEDLINE | ID: mdl-35435165

RESUMEN

Desde que el 31 de diciembre de 2019, se informó el primer caso de neumonía de etiología desconocida en la ciudad de Wuhan (China), la humanidad desconocía cómo iba a cambiar la vida tal cual la conocíamos y los profundos cambios que se iban a suscitar. La Organización Mundial de la Salud (OMS) el 12 de enero de 2020 reporta una nueva cepa de coronavirus que causaba el Síndrome Respiratorio Agudo Severo CoronaVirus 2 (SARS-CoV-2) (1) caracterizado por un cuadro clínico que variaba desde el portador asintomático hasta casos mortales de neumonía, insuficiencia respiratoria y fallo multiorgánico...


Desde que el 31 de diciembre de 2019, se informó el primer caso de neumonía de etiología desconocida en la ciudad de Wuhan (China), la humanidad desconocía cómo iba a cambiar la vida tal cual la conocíamos y los profundos cambios que se iban a suscitar. La Organización Mundial de la Salud (OMS) el 12 de enero de 2020 reporta una nueva cepa de coronavirus que causaba el Síndrome Respiratorio Agudo Severo CoronaVirus 2 (SARS-CoV-2) (1)caracterizado por un cuadro clínico que variaba desde el portador asintomático hasta casos mortales de neumonía, insuficiencia respiratoria y fallo multiorgánico...


Asunto(s)
COVID-19 , Urología , Humanos , SARS-CoV-2
13.
Urol Clin North Am ; 49(2): 263-272, 2022 May.
Artículo en Inglés | MEDLINE | ID: mdl-35428432

RESUMEN

Onabotulinumtoxin A is an effective therapeutic tool for urologic treatment. The toxin exerts multiple effects in the urinary tract system, which contributes to its utility. The toxin can be used to alleviate a variety of pathologic conditions if administered in the appropriate patient population.


Asunto(s)
Toxinas Botulínicas Tipo A , Bloqueo Nervioso , Fármacos Neuromusculares , Vejiga Urinaria Neurogénica , Vejiga Urinaria Hiperactiva , Urología , Toxinas Botulínicas Tipo A/uso terapéutico , Femenino , Humanos , Masculino , Fármacos Neuromusculares/uso terapéutico , Vejiga Urinaria Hiperactiva/tratamiento farmacológico
14.
Urol Clin North Am ; 49(2): 323-334, 2022 May.
Artículo en Inglés | MEDLINE | ID: mdl-35428437

RESUMEN

Cancer immunotherapy has transformed urologic oncology by expanding the arsenal of available treatment options and improving outcomes. The number of patients eligible for immune-based cancer treatment continues to increase as indications for currently approved therapies expand with new agents being developed and studied. In this review the authors discuss the major recent clinical developments in immunotherapy for the treatment of urologic cancers.


Asunto(s)
Neoplasias Urológicas , Urología , Femenino , Humanos , Inmunoterapia , Masculino , Neoplasias Urológicas/tratamiento farmacológico
16.
Urol Clin North Am ; 49(2): xv, 2022 May.
Artículo en Inglés | MEDLINE | ID: mdl-35428441
17.
Can J Urol ; 29(2): 11042-11044, 2022 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-35429420
18.
Can J Urol ; 29(2): 11101-11110, 2022 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-35429429

RESUMEN

INTRODUCTION: Utilizing a physician-reported survey, we assessed general surgeons (GS) comfort level in the management of bladder trauma, from a GS and urologist's perspective. MATERIALS AND METHODS: Online questionnaires were distributed electronically to physicians of the American College of Surgeons and American Urological Association. This survey queried demographic data, clinical factors that may influence urology consultations, and bladder injury scenarios of varying severities. Two questions were presented for each scenario, the first querying GS comfort level in bladder trauma management, the second assessing the likelihood of obtaining urology consultations in such scenarios. Responses were graded on a Likert scale. RESULTS: Overall, 108 (51%) GS and 104 (49%) urologists responded. When compared to managing Grade I injuries, the comfort level of GS decreased as the severity of bladder trauma increased, while the likelihood of obtaining a urology consultation increased. While the perceived comfort of GS by urologists decreased from 84% to 5% for Grade I to Grade V injuries, GS reported a significantly higher comfort level (Grade I: 92%, p = 0.09; Grade V: 31%, p < 0.001). Majority of GS indicated that preoperative diagnosis on imaging (56%), intraoperative diagnosis (62%), and timing of patient presentation (76%), did not affect their decision to consult urology for assistance in bladder trauma (p < 0.001). CONCLUSIONS: GS-reported comfort levels for bladder trauma management remains higher than urology-perceived comfort levels. Contrary to urologists' perception, most peri-injury factors did not affect GS decision to consult urology for bladder trauma. We hope this study can foster discussion and improve interdisciplinary collaboration in bladder trauma management.


Asunto(s)
Cirujanos , Urología , Humanos , Pautas de la Práctica en Medicina , Derivación y Consulta , Encuestas y Cuestionarios , Vejiga Urinaria/lesiones , Vejiga Urinaria/cirugía , Urólogos , Urología/métodos
19.
Ir Med J ; 115(2): 538, 2022 Feb 17.
Artículo en Inglés | MEDLINE | ID: mdl-35416472

RESUMEN

Introduction Intern is the first postgraduate year of training and gives interns the opportunity to practice skills in real-life settings. We aim to examine the undergraduate exposure to urology across all Irish Medical Schools and assess the impact of a mandatory urology training skills session delivered during induction on the preparedness of interns ahead of starting their intern year. Methods In July 2020 all interns mandated to attend the Dublin/Mid-Leinster (DML) network intern induction underwent a 120-minute urology teaching session. The session comprised of formal teaching, followed by practical training and an informal question and answer session. All interns were asked to complete a survey before and after the session that examined undergraduate urology exposure and confidence around practical skills. Results All interns (n=74) who attended induction completed the survey. Less than half [43% (n=32]) reported a compulsory urology placement in medical school and 57% (n=42) reported previous practical training sessions in urology. There was low level of confidence in the management of urological scenarios with only 45 % (n = 33) reporting confidence in the management of urosepsis and 26 % (n = 19) in the insertion of a male catheter. There was a significant increase in self-reported confidence following the teaching session with 78 % (n = 58) interns reporting confidence in the management of urosepsis and 81 % (n = 60) in the insertion of a male catheter. Conclusion To ensure best patient care interns need to be trained in the management of common urology presentations, but our results suggest the current undergraduate curriculum is not sufficient. A dedicated theory and practical urology teaching session during intern induction was able to improve self-reported confidence and better prepare interns. Therefore we support inclusion of practical urology skills session in network intern induction.


Asunto(s)
Internado y Residencia , Urología , Competencia Clínica , Curriculum , Humanos , Masculino , Proyectos Piloto , Urología/educación
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