Publications by authors named "I B de Angst"

Introduction: Dysfunctional voiding (DV) is a habitual voiding disorder caused by involuntary contraction or non-relaxation of the external urethral sphincter (EUS) during voiding. This contraction causes high post-void residuals (PVR), urinary incontinence and urinary tract infections (UTIs). Various treatments for DV are available, but some children do not respond.

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Context: Each year the European Association of Urology (EAU) produce a document based on the most recent evidence on the diagnosis, therapy, and follow-up of testicular cancer (TC).

Objective: To represent a summarised version of the EAU guidelines on TC for 2023 with a focus on key changes in the 2023 update.

Evidence Acquisition: A multidisciplinary panel of TC experts, comprising urologists, medical and radiation oncologists, and pathologists, reviewed the results from a structured literature search to compile the guidelines document.

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Article Synopsis
  • The study examines the outcomes of the psoas hitch procedure, involving 166 patients who had ureteral issues between 1993 and 2017, with a median follow-up of 15 months.
  • The procedure is mainly effective for restoring ureteral continuity but has a failure rate of 8%, especially in patients with radiation-induced fibrosis.
  • Overall, while the psoas hitch is considered safe, there are identified risks and complications to monitor, particularly in patients with a history of radiation therapy.
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Purpose: With the increasing interest in treatment decision-making based on risk prediction models, it is essential for clinicians to understand the steps in developing and interpreting such models.

Methods: A retrospective registry of 20 Dutch hospitals with data on patients treated for castration-resistant prostate cancer was used to guide clinicians through the steps of developing a prediction model. The model of choice was the Cox proportional hazard model.

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Article Synopsis
  • The study aimed to assess how a web-based decision aid (DA) influences treatment preferences in patients with lower urinary tract symptoms related to benign prostatic hyperplasia (LUTS/BPH).
  • A total of 126 patients participated, with a significant number undecided about their treatment options before using the DA; half of these decisional patients established a preference after using it.
  • Most patients who had an initial treatment preference reaffirmed it after using the DA, and healthcare providers expressed positive views on the DA’s usability and effectiveness in guiding treatment choices.
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