Most Read Articles
Roshini Claire Anthony, 24 Mar 2016

Salvage radical prostatectomy (SRP) after radiation produces good long-term survival rates in men with prostate adenocarcinoma, according to a recent study.

18 Mar 2017
Prior pregnancies appear to carry an increased risk of developing nephrolithiasis in women of reproductive age, a study suggests.
01 Apr 2013

Erectile dysfunction (ED), previously and less precisely called impotence, is the most common sexual problem in men1,2. ED is defined as the “inability to achieve or maintain an erection sufficient for satisfactory sexual performance”3. A minimum period of three months of such inability is required to establish a definite diagnosis of ED, with the exception of known cases of trauma or surgically induced ED4,5. ED should be distinguished from other kinds of sexual dysfunctions such as loss of libido, premature ejaculation or anorgasmia, although some patients might also experience a combination of these disorders5. ED causes a significant impact on the quality of life, self-esteem, and mental wellbeing of men as well as on their interpersonal relationships6-8.

Professor Anthony Chi-Fai Ng, 30 Sep 2016

Doxazosin:

Experience-sharing interview with Professor Anthony Chi-Fai Ng

BMI, UTI predict ureteroenteric strictures after robot-assisted radical cystectomy

30 Aug 2017

Ureteroenteric anastomotic strictures following robot-assisted radical cystectomy are associated with several modifiable factors, a recent study suggests.

Researchers retrospectively reviewed the quality assurance, robot-assisted radical cystectomy database to identify patients who developed ureteroenteric strictures. Data on demographics, perioperative outcomes and ureteroenteric stricture characteristics were reviewed.

Researchers used the Kaplan-Meier method to calculate time to ureteroenteric strictures and performed multivariable stepwise regression to assess predictors of ureteroenteric strictures.

At 1, 3 and 5 years after robot-assisted radical cystectomy, ureteroenteric strictures developed in 12, 16 and 19 percent of 51 patients (13 percent), respectively. All patients initially underwent endoscopic or percutaneous treatment, including 57 percent treated only endoscopically or percutaneously and 43 percent who required surgery, which was open repair in six and robot-assisted repair in 16.

A total of 33 patients (65 percent) were disease-free at a median follow-up of 23 months, including 13 after endoscopic or percutaneous treatment, 15 after robot-assisted repair and five after open revision. There were similar perioperative outcomes between open and robot-assisted revisions.

Multivariable analyses revealed that body mass index (BMI: odds ratio [OR], 1.07; 95 percent CI, 1.01 to 1.13; p=0.02), intracorporeal urinary diversion (OR, 3.28; 1.41 to 7.61; p=0.006), length of the right resected ureter (OR, 0.66; 0.50 to 0.88; p=0.004), estimated glomerular filtration rate 30 days after assisted radical cystectomy (OR, 0.85; 0.74 to 0.98; p=0.03), urinary tract infection (OR, 2.68; 1.31 to 5.49; p=0.007) and leakage (OR, 3.85; 1.05 to 14.1; p=0.04) predicted ureteroenteric strictures.

Male gender (OR, 0.19; 0.04 to 0.96; p=0.04) and higher BMI (OR, 0.85; 0.72 to 0.996; p=0.05) correlated with lower odds of successful endoscopic management.

“Surgical revision can provide a definitive management with comparable outcomes for open and robotic repairs,” according to researchers.

Editor's Recommendations
Most Read Articles
Roshini Claire Anthony, 24 Mar 2016

Salvage radical prostatectomy (SRP) after radiation produces good long-term survival rates in men with prostate adenocarcinoma, according to a recent study.

18 Mar 2017
Prior pregnancies appear to carry an increased risk of developing nephrolithiasis in women of reproductive age, a study suggests.
01 Apr 2013

Erectile dysfunction (ED), previously and less precisely called impotence, is the most common sexual problem in men1,2. ED is defined as the “inability to achieve or maintain an erection sufficient for satisfactory sexual performance”3. A minimum period of three months of such inability is required to establish a definite diagnosis of ED, with the exception of known cases of trauma or surgically induced ED4,5. ED should be distinguished from other kinds of sexual dysfunctions such as loss of libido, premature ejaculation or anorgasmia, although some patients might also experience a combination of these disorders5. ED causes a significant impact on the quality of life, self-esteem, and mental wellbeing of men as well as on their interpersonal relationships6-8.

Professor Anthony Chi-Fai Ng, 30 Sep 2016

Doxazosin:

Experience-sharing interview with Professor Anthony Chi-Fai Ng