Publications by authors named "K Hieda"

Article Synopsis
  • - Utilizing a multidisciplinary team meeting (MDTM) before robot-assisted radical prostatectomy (RARP) for pT2 prostate cancer significantly reduces the rate of positive surgical margins (PSM), indicating improved surgical outcomes.
  • - In cases reviewed by the MDTM, the PSM rate was notably lower (11.1%) compared to those that weren't evaluated (24.0%), with key predictors for PSM including PSA levels and nerve-sparing procedures.
  • - The MDTM's effectiveness in lowering PSM rates appears consistent regardless of the surgeon's experience level, suggesting that collaborative evaluation before surgery is beneficial for patient outcomes.
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Introduction: Fungal balls in the urinary tract are rare but dangerous complications of candiduria. Here, we report a case of a urinary tract fungal ball in a single kidney after total nephroureterocystectomy.

Case Presentation: The patient was an 80-year-old male.

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Objectives: This study aimed to elucidate the clinical characteristics and predictors of long-term postoperative urinary incontinence (PUI) after robot-assisted radical prostatectomy (RARP).

Methods: This study included patients who underwent RARP at our institution and were stratified into PUI (≥1 pad/day) and continence (0 pad/day) groups at 60 months after RARP. A propensity score-matched analysis with multiple preoperative urinary status (Expanded Prostate Cancer Index Composite urinary subdomains, total International Prostate Symptom Score (IPSS), and IPSS-quality of life scores) was performed to match preoperative urinary status in these groups.

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Objective: To assess the association among preoperative total testosterone levels, postoperative sexual function, and prognosis after robot-assisted radical prostatectomy.

Methods: Patients who underwent robot-assisted radical prostatectomy in our institution were included in the study. Based on preoperative total testosterone levels, they were divided into low (<3.

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Article Synopsis
  • - Recent research indicates the need to understand how hydronephrosis (HN) affects muscle-invasive bladder cancer (MIBC), as previous studies showed mixed results regarding its significance and molecular characteristics.
  • - An analysis of 108 MIBC patients revealed that those with HN had a higher occurrence of the luminal papillary subtype and increased FGFR3 mutations compared to those without HN.
  • - Ultimately, while MIBC with HN shows increased FGFR3 mutations, it's the reduced renal function, not HN itself, that is linked to poor overall survival in patients.
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