6,476 results match your criteria Urethral Cancer


Analysis of the factors influencing retrograde removal of double J ureteral stents using a simple snare technique in female patients.

Ann Transl Med 2021 Apr;9(8):674

Department of Interventional Radiology, Seventh Affiliated Hospital, Sun Yat-sen University, Shenzhen, China.

Background: To identify the factors related to the effectiveness of retrograde removal of double J ureteral stents using a simple snare technique in female patients.

Methods: It was a retrospective observational study. From 2012 to 2017, 128 female patients underwent fluoroscopy-guided, retrograde double J stent removal with or without replacement using a simple snare technique. Read More

View Article and Full-Text PDF

Racial Variation in Membranous Urethral Length and Postprostatectomy Urinary Function.

Eur Urol Open Sci 2021 May 23;27:61-64. Epub 2021 Mar 23.

Department of Urology, New York Presbyterian Hospital, Weill Cornell Medicine, New York, NY, USA.

Urinary incontinence remains a significant post-prostatectomy sequalae. While many patient and technical factors have been found to contribute to post-prostatectomy incontinence, the impact of anatomical differences by races has not been studied . Shorter preoperative membranous urethral length (MUL) on prostate MRI has been associated with higher risk of post-prostatectomy incontinence. Read More

View Article and Full-Text PDF

Prostate minimally invasive procedures: complications and normal vs. abnormal findings on multiparametric magnetic resonance imaging (mpMRI).

Abdom Radiol (NY) 2021 May 11. Epub 2021 May 11.

Department of Radiological Sciences, University of California, Irvine, Orange, CA, 92868-3201, USA.

Minimally invasive alternatives to traditional prostate surgery are increasingly utilized to treat benign prostatic hyperplasia and localized prostate cancer in select patients. Advantages of these treatments over prostatectomy include lower risk of complication, shorter length of hospital stay, and a more favorable safety profile. Multiparametric magnetic resonance imaging (mpMRI) has become a widely accepted imaging modality for evaluation of the prostate gland and provides both anatomical and functional information. Read More

View Article and Full-Text PDF

Vesico-urethral anastomosis sampling: a forgotten tool for guiding salvage radiation after radical prostatectomy.

BJU Int 2021 May;127 Suppl 1:23-29

Department of Urology, Austin Health, Heidelberg, Vic., Australia.

Objective: To review the utility of vesicourethral anastomosis (VUA)-directed biopsy in the setting of biochemical recurrence (BCR) after radical prostatectomy (RP) for prostate cancer (PCa) in patients who have undergone evaluation by gallium-68 prostate-specific membrane antigen positron emission tomography with computed tomography ( Ga-PSMA PET/CT).

Methods: We completed a retrospective review of a prospectively maintained dataset from January 2015 to August 2020. Patient demographics were recorded for those who experienced BCR, as defined by a rise in prostate-specific antigen (PSA) level to above 0. Read More

View Article and Full-Text PDF

A population-based analysis of risk factors and outcomes of prostatic abscess.

Prostate Cancer Prostatic Dis 2021 May 10. Epub 2021 May 10.

Columbia University Irving Medical Center, Department of Urology, New York, NY, USA.

Background: Prostate abscess is a severe complication of acute bacterial prostatitis. To date, a population-based analysis of risk factors and outcomes of prostatic abscess has not been performed.

Methods: Using the National Inpatient Sample from 2010 to 2015, we identified rates of prostatic abscess among non-elective hospitalizations for acute prostatitis. Read More

View Article and Full-Text PDF

Patient- and Tumour-related Prognostic Factors for Urinary Incontinence After Radical Prostatectomy for Nonmetastatic Prostate Cancer: A Systematic Review and Meta-analysis.

Eur Urol Focus 2021 May 6. Epub 2021 May 6.

Department of Urology, Antonius Hospital, Utrecht, The Netherlands.

Context: While urinary incontinence (UI) commonly occurs after radical prostatectomy (RP), it is unclear what factors increase the risk of UI development.

Objective: To perform a systematic review of patient- and tumour-related prognostic factors for post-RP UI. The primary outcome was UI within 3 mo after RP. Read More

View Article and Full-Text PDF

Contemporary and Emerging Approaches to Bladder-Preserving Trimodality Therapy for Muscle-Invasive Bladder Cancer.

Hematol Oncol Clin North Am 2021 Jun 15;35(3):567-584. Epub 2021 Apr 15.

Department of Radiation Oncology, Dana-Farber Cancer Institute, Brigham & Women's Hospital, Harvard Medical School, 450 Brookline Avenue, HIM 328, Boston, MA 02215, USA. Electronic address:

Bladder-preserving trimodality therapy (TMT), consisting of trans-urethral bladder tumor resection followed by concurrent chemoradiotherapy, is an established standard of care for patients with muscle-invasive bladder cancer. For appropriately selected patients, TMT offers oncologic outcomes comparable to radical cystectomy while preserving the patient's native bladder. Optimal TMT outcomes require careful patient selection, which is currently based on clinical and pathologic factors. Read More

View Article and Full-Text PDF

Transvaginal primary layered repair of postsurgical urethrovaginal fistula.

Int Urogynecol J 2021 May 5. Epub 2021 May 5.

ASST Monza, Ospedale San Gerardo, via G.B. Pergolesi, 33 20900, Monza, Italy.

Introduction And Hypothesis: Urethrovaginal fistula (UVF) is a rare disorder, which implies the presence of an abnormal communication between the urethra and the vagina.

Methods: Surgical repair options include transurethral, transabdominal and transvaginal procedures, either with or without tissue interposition. The vaginal route is considered a safe and effective option to correct UVF. Read More

View Article and Full-Text PDF

Case report of life-threatening complications following cystectomy in a woman with neurogenic lower urinary tract dysfunction treated with indwelling bladder catheter for about 30 years.

Acta Biomed 2021 Apr 30;92(S1):e2021086. Epub 2021 Apr 30.

Neuro-urology Unit, ASST Grande Ospedale Metropolitano Niguarda, Milan, Italy.

Patients with neurogenic lower urinary tract dysfunction (NLUTD), specially with indwelling bladder catheter (iBC), have an increased risk of developing bladder stones, incomplete bladder emptying, recurrent urinary tract infections, sepsis, urethral trauma and bladder cancer. We present the case of a patient with a large bladder stone in iatrogenic NLUTD treated with iBC for about 30 years, who underwent a cystectomy followed by several life-threatening complications. Read More

View Article and Full-Text PDF

Intraoperative complications during laparoscopic total mesorectal excision.

Minerva Surg 2021 May 4. Epub 2021 May 4.

Department of Colorectal Surgery, Haut-Levèque Hospital, University of Bordeaux, Pessac, France -

Intraoperative complication during laparoscopic mesorectal excision for rectal cancer is a common complication occurring in 11% to 15% of the cases. They are probably underestimated because not systematically reported. The most frequent intraoperative complications are haemorrhage (3-7%), tumour perforation (1-4%), bowel injury (1-3%), ureter injury (1%), urogenital injury (2%), other organ injury (<1%), and anastomotic complications (1%). Read More

View Article and Full-Text PDF

Giant dumbbell-shaped prostatic cystadenoma presenting as pelvic and scrotal mass.

J Pak Med Assoc 2021 Feb;71(2(B)):759-762

School of the Second Clinical Medcinel College, Zhejiang Chinese Medical University, Hangzhou, China.

This study reports the case of an elderly man with a large tumour of the pelvic cavity and scrotum which was once diagnosed as a prostate cyst. Imaging studies considered the source of the tumour to be prostate, and the tumour was ultimately diagnosed by confirmed tissue expression of prostate specific antigen (PSA) and prostate acid phosphatase (PSAP) after surgery. This is the first report about dumbbell-shaped prostatic cystadenoma with invasive growth and even urethral damage, but there was no evidence of clear malignancy. Read More

View Article and Full-Text PDF
February 2021

Primary vaginal malignant melanoma: A rare case report of successful treatment with nivolumab.

Authors:
Na Guo Jiawen Zhang

Medicine (Baltimore) 2021 Apr;100(17):e25691

The Department of Obstetrics and Gynecology, West China Second University Hospital of Sichuan University, Chengdu, Sichuan.

Rationale: Primary vaginal malignant melanoma is a sporadic and very aggressive tumor that is treated through surgery or radiotherapy combined with chemotherapy. Since most cases are diagnosed at an advanced stage, the operation range is extensive, the quality of life is poor, and the prognosis is gloomy.

Patient Concerns: A 58-year-old woman presented irregular water-like leukorrhea for 1 month after 6 years of menopause. Read More

View Article and Full-Text PDF

Reduction of toxicity in brachytherapy using a new technique.

Brachytherapy 2021 Apr 22. Epub 2021 Apr 22.

Department of Radiology, Wakayama Medical University, Wakayama.

Purpose: The purpose of the study was to elucidate the usefulness of a dose evaluation method for reducing late genitourinary (GU) toxicity in high-dose-rate brachytherapy (HDR-BT) of prostate cancer.

Methods And Materials: GU toxicity was scored in accordance with the Common Terminology Criteria for Adverse Events version 4.0. Read More

View Article and Full-Text PDF

Urine leak after robotic radical prostatectomy: not all urine leaks come from the anastomosis.

J Robot Surg 2021 Apr 24. Epub 2021 Apr 24.

USC Institute of Urology, University of Southern California, 1441 Eastlake Ave., Suite 7416, Los Angeles, CA, 90089-9178, USA.

Radical prostatectomy is the gold standard in patients that are surgical candidates with localized prostate cancer. While most postoperative urine leaks are from vesico-urethral anastomosis, urologists must be aware that a small percentage of patients may have a urine leak from other sites that may have been inadvertently injured during the procedure. We propose a systematic workup to evaluate the source of the urinary leak as well as appropriate management of such injuries. Read More

View Article and Full-Text PDF

Secondary Vulvar Reconstruction Using Bilateral Gluteal Fold Flaps after Radical Vulvectomy with Direct Closure.

Plast Reconstr Surg Glob Open 2021 Apr 20;9(4):e3550. Epub 2021 Apr 20.

Department of Plastic and Reconstructive Surgery, The University of Tokyo, Tokyo, Japan.

Although primary vulvovaginal reconstruction after vulvectomy has high potential to improve patients' outcomes, flap reconstruction is not an established part of the current standard treatment for vulvar cancer. We report a patient with successful secondary vulvar reconstruction 3 years after radical vulvectomy with direct wound closure. A 69-year-old woman presented with chronic, burning vulvar pain 3 years after radical vulvectomy without reconstruction for stage IB vulvar cancer. Read More

View Article and Full-Text PDF

Urethral clear cell carcinoma - Case report and review of litrature.

Urol Case Rep 2021 Sep 29;38:101659. Epub 2021 Mar 29.

King Faisal Specialist Hospital and Research Center, College of Medicine, Alfaisal University, Riyadh, Saudi Arabia.

Urethral clear cell carcinoma is very rare disease affecting both sexes, however it is mostly described in female urethra. The origin of this cancer is yet to be discovered. We report a 57 years old lady who presented to our clinic with obstructive lower urinary tract symptoms and found to have a urethral diverticulum containing a soft tissue lesion found to be a clear cell carcinoma after excision. Read More

View Article and Full-Text PDF
September 2021

Adenocarcinoma of the urethra: A rare subtype of urethral cancer.

Urol Case Rep 2021 Jul 23;37:101654. Epub 2021 Mar 23.

UWA Medical School, The University of Western Australia, Crawley, WA, Australia.

Urethral adenocarcinoma (UA) is a rare type of urethral cancer with a poor prognosis. We present a case of UA of intestinal subtype in a 57-year-old patient who initially had lower urinary tract symptoms and was subsequently found to have a urethral lesion in a urethral diverticulum on pelvic MRI which was confirmed on biopsy. She had neoadjuvant chemotherapy followed by open anterior pelvic exenteration, complete urethrectomy and ileal conduit urinary diversion. Read More

View Article and Full-Text PDF

Novel anatomical apical dissection utilizing puboprostatic "open-collar" technique: Impact on apical surgical margin and early continence recovery.

PLoS One 2021 15;16(4):e0249991. Epub 2021 Apr 15.

Department of Urology, Tokyo Metropolitan Cancer and Infectious Diseases Center, Komagome Hospital, Tokyo, Japan.

Purpose: To evaluate the impact of modifications to anatomical apical dissection including a puboprostatic open-collar technique, which visualizes the lateral aspect of the apex and dorsal vein complex (DVC) covering the rhabdosphincter while preserving the puboprostatic collar, on positive surgical margin (PSM) and continence recovery.

Methods: One-hundred-and-sixty-seven patients underwent gasless single-port retroperitoneoscopic radical prostatectomy using a three-dimensional head-mounted display system. Sequentially modified surgical techniques comprised puboprostatic open-collar technique, sutureless transection of the DVC, retrograde urethral dissection, and anterior reconstruction. Read More

View Article and Full-Text PDF

Stress urinary incontinence after urethral diverticulum repair without concomitant anti-incontinence procedure.

Urology 2021 Apr 11. Epub 2021 Apr 11.

Department of Urology, UT Southwestern Medical Center, 5323 Harry Hines Blvd, Dallas, TX, 75390-9110. Electronic address:

Objective: To review the rates of persistent and de novo stress urinary incontinence (SUI) following urethral diverticulum (UD) repairs performed without concomitant SUI surgical procedures.

Methods: Following IRB approval, charts of women who underwent UD excision by three FPMRS surgeons were reviewed. Data collected from the electronic medical record included demographic information, preoperative symptoms and evaluation (validated questionnaires [UDI-6, QoL]), imaging studies, operative details, post-operative symptoms, and subsequent surgical interventions. Read More

View Article and Full-Text PDF

Transurethral Foley catheter misplacement into the upper urinary tract in a patient with a history of lung cancer and chemotherapy: a case report and considerations to keep in mind.

Transl Androl Urol 2021 Mar;10(3):1347-1351

Department of Urology, Chonnam National University Medical School, Gwangju, Korea.

Indwelling urethral catheter placement is a common and comparatively safe procedure. Misplacement of a urethral catheter into the upper urinary tract is unusual, and only a few cases have been reported. We describe the case of a 43-year-old man who presented with oliguria and had a history of chemotherapy for known metastatic lung cancer. Read More

View Article and Full-Text PDF

Unusual presentation of castrate-resistant prostate cancer with urethral and inguinal nodal metastasis.

Indian J Urol 2021 Jan-Mar;37(1):95-96. Epub 2021 Jan 1.

Department of Uro-Oncology, Tata Medical Centre, Kolkata, West Bengal, India.

Metastatic involvement of the urethra is a rare finding in patients with carcinoma prostate. The signs and symptoms overlap with those of a primary urethral malignancy. The diagnosis is made following a biopsy of the suspected lesions. Read More

View Article and Full-Text PDF
January 2021

FACTORS ASSOCIATED WITH URETHRAL AND BLADDER NECK STRICTURE AFTER TURP.

J Endourol 2021 Apr 13. Epub 2021 Apr 13.

Universidad de Monterrey, 27808, Dirección de Especialidades Médicas, San Pedro Garza Garcia, Nuevo León, Mexico;

Introduction: Urethral and bladder neck stricture (U/BNS) is a complication that occurs in up to 9% of patients following transurethral resection of the prostate (TURP). The most relevant risk factors reported are prolonged surgical duration and prostatic volume. The purpose of this study is to analyze risk factors associated with the development of U/BNS following TURP. Read More

View Article and Full-Text PDF

Holmium LASER in Comparison with Transurethral Resection of the Bladder Tumor for Non-muscle Invasive Bladder Cancer: Randomized Clinical Trial with 18-month Follow-up.

Urol J 2021 Apr 11. Epub 2021 Apr 11.

LASER Application in Medical Sciences Research Center (LAMSRC), Shahid Beheshti University of Medical Sciences.

Purpose: To evaluate the safety and efficacy of holmium LASER resection of the bladder tumor (HoLRBT) vs. transurethral resection of bladder tumor (TURBT) as the first treatment modality for non-muscle-invasive bladder cancer (NMIBC).

Materials And Methods: Eighty-eight patients with primary non-muscle invasive bladder cancer were allocated randomly in two groups who were treated with HoLRBT or TURBT. Read More

View Article and Full-Text PDF

Y90 Radioembolization to the Prostate Gland: Proof of Concept in a Canine Model and Clinical Translation.

J Vasc Interv Radiol 2021 Apr 8. Epub 2021 Apr 8.

Purpose: The feasibility, safety and absorbed dose distribution of prostate artery (PA) radioembolization (RE) was investigated in a canine model.

Materials And Methods: 14 male castrated beagles received dihydroandrosterone/estradiol to induce prostatic hyperplasia for the duration of the study. Each dog underwent fluoroscopic PA catheterization. Read More

View Article and Full-Text PDF

A Novel Neobladder-Urethral Drag-and-Bond Anastomosis Technique During Laparoscopic Radical Cystectomy for Ileal Orthotopic Neobladder: Surgical Technique and Initial Research.

Cancer Manag Res 2021 30;13:2909-2915. Epub 2021 Mar 30.

Department of Urology, The Second Affiliated Hospital of Nanchang University, Nanchang, 330006, People's Republic of China.

Purpose: To explore the application of the neobladder-urethral drag-and-bond anastomosis technique in laparoscopic radical cystectomy (LRC) with ileal orthotopic neobladder (IONB) reconstruction.

Patients And Methods: This is a retrospective cohort study on a procedure performed by a single surgeon. From January 2014 to December 2018, we identified 43 male bladder cancer patients who received LRC with IONB reconstruction. Read More

View Article and Full-Text PDF

Preoperative exercise interventions to optimize continence outcomes following radical prostatectomy.

Nat Rev Urol 2021 May 8;18(5):259-281. Epub 2021 Apr 8.

Specialty of Surgery, Sydney Medical School, The University of Sydney, Sydney, New South Wales, Australia.

Urinary incontinence is a common and predictable consequence among men with localized prostate cancer who have undergone radical prostatectomy. Despite advances in the surgical technique, urinary continence recovery time remains variable. A range of surgical and patient-related risk factors contributing to urinary incontinence after radical prostatectomy have been described, including age, BMI, membranous urethral length and urethral sphincter insufficiency. Read More

View Article and Full-Text PDF