Publications by authors named "M Wyndaele"
Article Synopsis
- Robot-assisted (RA) surgery shows potential benefits for urinary tract and pelvic floor reconstruction (UTPFR), but research on its use is limited and needs to grow.
- An International Consultation on Incontinence-Research Society (ICI-RS) meeting suggested prioritizing multicenter studies to assess RA UTPFR's clinical effectiveness, safety, and training needs.
- The proposal emphasizes the need for cost-utility models, improved surgeon training, and embracing new technologies like digitalization to enhance surgical outcomes.
Article Synopsis
- Ketamine is increasingly used recreationally, leading to health issues like ketamine-induced uropathy (KIU), which has lower urinary tract symptoms and may affect the upper urinary tract.
- The 2024 ICI-RS meeting focused on KIU, employing literature reviews, expert talks, and group discussions to examine its clinical and research aspects comprehensively.
- Research highlights include bladder fibrosis mechanisms, the potential for reversing fibrosis, and the relationship between ketamine use and urinary symptoms, suggesting the need for further studies on the systemic effects and psychological dependency of users.
Introduction: Defining "high-risk bladder" or "high-pressure bladder" involves recognizing the potential for an unsafe lower urinary tract, where dysfunction in storage and micturition can threaten upper urinary tract health, leading to unfavorable outcomes like dialysis, recurrent infections, systemic impact, or mortality.
Methods: ICI-RS was held in Bristol in June 2024, and Think Tank 2 aimed to define research priorities including identifying clinical predictors and developing prevention and monitoring strategies.
Results: Risk factors encompass both congenital and neurogenic lower urinary tract dysfunction, bladder outlet obstruction, vascular diseases, and inflammatory disorders, but a validated stratification risk is lacking.
Introduction: A continent catheterizable channel (CCC) may be a solution for patients with impaired bladder emptying and difficult transurethral access. Leakage of the CCC is a common complication. To prevent leakage, the pressure in the CCC has to be higher than the reservoir (bladder/pouch) pressure in at least one location.
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