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Curr Urol Rep 2021 Jun 11;22(8):40. Epub 2021 Jun 11.

Department of Urology, Weill Cornell Medical College of Cornell University, 425 East 61st street, 12th floor, New York, NY, 10065, USA.

Purpose Of Review: The goal of this paper is to review retreatment management after failed minimally invasive treatment (MIST) of various technologies.

Recent Findings: A failed MIST can be defined by the return, persistence, or worsening of LUTS, as documented by symptom scores. Persistence, development, or recurrence of comorbidities such as recurrent urinary tract infection (UTI), retention, stones, hematuria, and incontinence can also signal a failed MIST. Read More

Res Rep Urol 2021 3;13:335-340. Epub 2021 Jun 3.

Urology Department, St. Luke's Clinical Hospital, Saint-Petersburg, Russia.

Cystic formations in the prostate are quite common, but the vast majority are benign. The cystic form of prostate adenocarcinoma can present unexpected symptoms, and management can be difficult because of the local advanced stage of the disease. A unique feature of this case is the surgical local cancer treatment. Read More

BMC Surg 2021 Jun 8;21(1):286. Epub 2021 Jun 8.

Department of Gynecology, The Obstetrics and Gynecology Hospital of Fudan University, 128 Shenyang RD, Shanghai, 200090, China.

Background: To describe the short-term outcomes of transvaginal natural orifice transluminal endoscopic surgery (vNOTES) for uterosacral ligament suspension (USLS) in patients with severe prolapse.

Methods: This was a retrospective study of patients with severe prolapse (≥ stage 3) who underwent vNOTES for USLS between May 2019 and July 2020. The Pelvic Organ Prolapse Quantification (POP-Q) score, Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire short form (PISQ-12) and Pelvic Floor Inventory-20 (PFDI-20) were used to evaluate physical prolapse and quality of life before and after vNOTES for USLS. Read More

Int J Urol 2021 Jun 8. Epub 2021 Jun 8.

Department of, Radiology, Addenbrooke's Hospital, University of Cambridge, Cambridge, UK.

Prostate cancer is the second most common male cancer, and radical prostatectomy is a highly effective treatment for intermediate and high-risk disease. However, post-prostatectomy urinary incontinence remains a major functional side-effect in patients undergoing radical prostatectomy. Despite recent improvements in preoperative imaging quality and surgical techniques, it remains challenging to predict or prevent occurrence of this complication. Read More

Acta Orthop Traumatol Turc 2021 May;55(3):277-280

Department of Orthopaedics, İstanbul University, İstanbul School of Medicine, İstanbul, Turkey.

Pudendal syndrome is primarily characterized by stress urinary incontinence, dysuria, sexual arousal syndrome, painful erections, and anal incontinence. The syndrome occurs when the pudendal nerve or one of its branches is compressed, stretched, or injured. Double crush is the compression of a peripheral nerve at two or more separate areas with various signs and symptoms. Read More

World J Urol 2021 Jun 6. Epub 2021 Jun 6.

Department of Urology, Menoufia University Hospitals, Shebeen el kom, Egypt.

Purpose: Transurethral resection of the prostate (TURP) can achieve highly satisfying symptomatic and functional outcomes but the loss of antegrade ejaculation represents a major reason for the avoidance of surgical treatment to preserve normal ejaculation and paternity. We present a novel technique to duplicate both bladder neck sparing and supramontanal sparing with resection of apical tissues to improve voiding and antegrade ejaculation.

Methods: A prospective study done from June 2018 to June 2020 on 60 consecutive male patients with normal sexual activity diagnosed with benign prostatic enlargement. Read More

Arch Esp Urol 2021 Jun;74(5):494-502

Servicio de Urología. Hospital Nacional de Parapléjicos. Toledo. España.

Objectives: To analyse the outcomes of Robotic Sacrocolpopexy (RSC) on resolution of Lower urinary tract Symptoms (LUTS) associated to pelvic organ prolapses (POP) and to determine the risk factors for preoperative LUTS presence.

Material And Methods: A longitudinal study was carried out on 51 females mean aged (± standard deviation) 66 ± 9 years, who underwent RSC. A preoperative evaluation was made on the degree and type of POP, and the presence of the LUTS stress urinary incontinence (SUI), urgency and voiding difficulty. Read More

J Clin Med 2021 May 14;10(10). Epub 2021 May 14.

Department of Surgery, University of Salamanca, 37007 Salamanca, Spain.

Background: When conservative management fails, patients with stress urinary incontinence (SUI) are considered for surgical treatment. Simpler, more economical and less invasive surgical techniques, such as the Remeex system, have been developed.

Objectives: To analyze the objective effectiveness of the Remeex system in the treatment of male stress urinary incontinence. Read More

Ont Health Technol Assess Ser 2021 6;21(3):1-155. Epub 2021 May 6.

Background: Pelvic organ prolapse (POP) is the downward descent of the female pelvic organs into or through the vagina. The symptom that most strongly correlates with and is most specific for POP is a feeling of vaginal bulging. Stress urinary incontinence (SUI) is an involuntary loss of urine upon physical exertion or sneezing or coughing. Read More

BJS Open 2021 May;5(3)

Department of Anaesthesiology/Hyperbaric Medicine, Amsterdam University Medical Centre, location AMC, Amsterdam, the Netherlands.

Background: Positive effects of hyperbaric oxygen (HBO) on perianal fistulas in Crohn's disease (CD) have been described, but the effect on rectovaginal fistulas (RVFs) has not yet been studied. The aim was to investigate the efficacy, safety and feasibility of HBO in patients with RVF in CD.

Methods: In this prospective study, consecutive CD patients between November 2018 and February 2020 presenting with RVF at the outpatient fistula clinic of the Amsterdam University Medical Centre were included and selected to receive treatment with 30 daily HBO sessions, if fistulas were actively draining and any concomitant treatment regimen was stable at least 6 weeks prior to start of HBO. Read More

Int Urogynecol J 2021 May 26. Epub 2021 May 26.

Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, Victoria, 3004, Australia.

Introduction And Hypothesis: The objective was to overview the literature on the existing pelvic floor procedure registries and databases and to identify patient demographic, clinical and/or patient-reported data items for inclusion in the Australasian Pelvic Floor Procedure Registry (APFPR) Minimum Data Set (MDS).

Methods: We conducted a literature search on the MEDLINE, Embase, CINAHL and PsycINFO databases in addition to Google Scholar and grey literature to identify studies in the period January 2008 to January 2020. All were English studies of registries and databases on female adults undergoing surgery for pelvic floor disorders including stress urinary incontinence (SUI) and pelvic organ prolapse (POP). Read More

Eur J Obstet Gynecol Reprod Biol 2021 May 13;262:142-146. Epub 2021 May 13.

Department of Obstetrics and Gynecology, Aalborg University Hospital, Denmark.

Objective: As the population ages, obliterative procedures (OP) are expected to become an increasingly important treatment option. The primary aim of this study was to evaluate vaginal and urinary symptoms 3 months after OP and peri- and postoperative complications. The secondary aim was to investigate long-term outcomes, including patient satisfaction, regret rate and the rate of symptomatic recurrent prolapse after OP. Read More

BMJ Case Rep 2021 May 21;14(5). Epub 2021 May 21.

Urology, King's College Hospital NHS Foundation Trust, London, UK.

The Stamey procedure was a popular procedure for female stress incontinence practiced widely in the 1980s before it was abandoned owing to high complication rates. The procedure aimed to suspend the bladder neck by placing two transvaginal Dacron buttress grafts either side of the bladder neck and suspending them with sutures passed through the retropubic space and tied suprapubically. Erosion of the graft into the bladder was a recognised complication. Read More

Aktuelle Urol 2021 Jun 21;52(3):237-244. Epub 2021 May 21.

Universitätsklinikum Bonn, Klinik und Poliklinik für Urologie und Kinderurologie, Abteilung Neuro-Urologie, Bonn.

Urinary incontinence causes significant limitations in quality of life and reduces mental and physical health. It is a widespread and chronic disease. About 200 million people are affected by urinary incontinence worldwide. Read More

Medicine (Baltimore) 2021 May;100(20):e25796

Key Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education, Chengdu, China.

Abstract: Stress urinary incontinence (SUI) is a common clinical postpartum complication. It is necessary to explore the risk factors of postpartum SUI in primiparas to provide evidence support for preventing and reducing the occurrence of SUI.Primiparas who were delivered in our hospital from March 2019 to October 2020 were identified, the personal information and related treatment details of SUI and no-SUI primiparas were collected and analyzed. Read More

Urology 2021 May 15. Epub 2021 May 15.

Department of Medicine, School of Medicine, University of California San Francisco; Department of Medicine, San Francisco Veterans Affairs Medical Center.

Objective: To describe the health characteristics and current treatment choices of male stress urinary incontinence (mSUI) patients to inform patient-centered decision-making.

Methods: We identified a cohort of mSUI patients aged ≥65 at UCSF and San Francisco VA. Using retrospective chart review and telephone interviews, we ascertained demographics, incontinence characteristics, Charlson Comorbidity Index (score ≥ 4 indicates significant morbidity), frailty with Timed Up and Go (TUG) test, functional dependence with activities of daily living (ADL), calculated life expectancy, and assessed mental health and quality of life (QOL). Read More

Neurourol Urodyn 2021 May 18. Epub 2021 May 18.

Department of Urology, IRCCS Ca' Granda Ospedale Maggiore Policlinico-University of Milan, Milan, Italy.

Objective: To evaluate the effects of psychotropic drugs on bladder function.

Materials And Methods: A systematic review was carried out by searching PubMed and Embase databases for randomized controlled trials enrolling patients treated with psychotropic drugs with available information on treatment-related urinary disorders.

Results: A total of 52 studies was selected. Read More

Eur Urol Open Sci 2021 May;27:43-52

Department of Uro-oncology, University College London Hospitals NHS Foundation Trust, London, UK.

Background: Salvage robot-assisted radical prostatectomy (sRARP) is a potential treatment option for locally recurrent prostate cancer (PCa) after nonsurgical primary treatment. There are minimal data comparing outcomes between propensity-matched sRARP and primary robot-assisted radical prostatectomy (RARP).

Objective: The primary objective is to compare perioperative, oncological, and functional outcomes of sRARP with primary RARP, and the secondary is to compare outcomes between sRARP after whole and focal gland therapy. Read More

Int Urogynecol J 2021 May 14. Epub 2021 May 14.

Division of Obstetrics and Gynaecology, Oslo University Hospital, Ullevål, PB 4950, Nydalen, 0424, Oslo, Norway.

Introduction And Hypothesis: Pregnancy and delivery are known risk factors for stress and mixed urinary incontinence. The most common surgical treatment is mid-urethral sling (MUS) surgery. This study evaluated the potential impact of the obstetrical history on the short-term subjective and objective failure rates after MUS surgery. Read More

J Med Case Rep 2021 May 12;15(1):266. Epub 2021 May 12.

Department of Parasitology, School of Medicine, Ahvaz Jundishapur University of Medical Sciences, P.O. Box 61357-15794, Ahvaz, Khuzestan, Iran.

Introduction: Spinal hydatidosis, a zoonotic disease caused by infection with Echinococcus spp. larvae, is rare, but its treatment remains a significant medical challenge. Approximately 70% of patients with spinal hydatidosis have lesions in their liver, 0-15% have lung involvement, and only 0. Read More

Urology 2021 May 8. Epub 2021 May 8.

University of Miami, Department of Urology, Miller School of Medicine-1400 NW 12th Ave, Miami, FL 33136. Electronic address:

Objective: To demonstrate technique of salvage thylium fiber laser enucleation of prostate in men with history of prior prostatic urethral lift (PUL) implant. PUL is an accepted treatment modality for benign prostatic hyperplasia (BPH) and is currently recommended for surgical management of prostates <80 g in size. However, in reality some patients with prostate >80 g also receive PUL. Read More

Vet Surg 2021 May 7. Epub 2021 May 7.

Department of Veterinary Science, University of Turin, Turin, Italy.

Objective: To describe the surgical treatment and outcome of a large cohort of dogs with sterile prostatic cysts (PCs).

Study Design: Retrospective study.

Animals: Forty-four client-owned dogs. Read More

Urologiia 2021 May(2):86-89

Novosibirsk Research Institute of Traumatology and Orthopedics n.a. Ya.L. Tsivyan, Novosibirsk, Russia.

Urethral destruction in women is a rare pathology which is result of traumatic damage of the urethra during pelvic fractures, sexual trauma, iatrogenic effects (operative vaginal delivery, prolonged catheterization of the bladder, complicated surgical interventions on the urethra, etc.). The main symptom of urethral destruction is involuntary urinary incontinence. Read More

Urologiia 2021 May(2):78-81

Ryazan State Medical University, Ryazan, Russia.

Aim: To suggest new method of surgical correction of hypospadias in girls.

Materials And Methods: For 50 years under our supervision there were 220 girls diagnosed with hypospadias of various forms. In the diagnosis used anamnesis, examination, catheterization and cystoscopy of the bladder, vaginoscopy, ultrasound and X-ray research methods. Read More

Int Urol Nephrol 2021 May 7. Epub 2021 May 7.

Department of Urology, West China Hospital, Sichuan University, Chengdu, Sichuan, People's Republic of China.

Fluids Barriers CNS 2021 May 6;18(1):22. Epub 2021 May 6.

Neurology Service, Internal Medicine Department, Hospital Clinics, Federal University of Paraná, Curitiba, Paraná, Brazil.

Background: Idiopathic normal pressure hydrocephalus (INPH) is characterized by gait disturbance, urinary incontinence and cognitive decline. Symptoms are potentially reversible and treatment is based on cerebrospinal fluid shunting. The tap test (TT) is used to identify patients that will benefit from surgery. Read More

J Urol 2021 May 6:101097JU0000000000001830. Epub 2021 May 6.

Department of Women's Health, Monash Medical Centre and Cabrini Hospital, Melbourne, Australia.

Purpose: Limited data exist regarding sexual function after single incision sling (SIS) surgery. We compared sexual function 36 months postoperatively between patients undergoing SIS and transobturator sling (TMUS) for treatment of stress urinary incontinence.

Materials And Methods: Assessment of sexual function was a planned secondary objective of this prospective, multi-center study that enrolled women to Solyx SIS or Obtryx II TMUS. Read More

Minerva Urol Nephrol 2021 May 5. Epub 2021 May 5.

Department of Obstetrics and Gynecology, EOC - Beata Vergine Hospital, Mendrisio, Switzerland -

Background: The management of recurrent female stress urinary incontinence (SUI) still needs worldwide standardization. Few data on the role of urethral bulking agents (UBA) for the treatment of recurrent stress urinary incontinence exist. The aim of this study is to assess the efficacy and safety of urethral bulking agents for the treatment of recurrent SUI. Read More

Arch Esp Urol 2021 May;74(4):435-440

Division of Urology. Città della Salute e della Scienza di Torino. University of Turin. Turin. Italy.

Objectives: To describe first clinical results in term of safety, complications and short term efficacy of temporary placement of UVENTA urethral stent in the treatment of urethral and bladder neck strictures.

Methods: UVENTA urethral stent (Taewoong Medical) is a temporary self expandable covered metallic stent. Anti-migration system and different radial force distribution are the two main innovations. Read More

Urologe A 2021 May 3. Epub 2021 May 3.

Klinik und Poliklinik für Urologie, LMU Klinikum, Campus Großhadern, München, Deutschland.

Surgery for urinary incontinence is indicated after failure of conservative treatment with pelvic floor therapy. Different sling systems are the established treatment option for urinary incontinence for female and male patients. Tension-free vaginal tapes represent the standard of care in the surgical treatment of female stress urinary incontinence. Read More