Publications by authors named "Se Y Choi"

Background: Dehydrated human amnion/chorion membrane (dHACM) has shown potential in enhancing neurovascular recovery and functional outcomes in robot-assisted radical prostatectomy (RARP).

Aim: To evaluate the effects of dHACM on continence recovery, sexual function, and oncological outcomes in patients undergoing RARP.

Methods: A systematic review and meta-analysis were conducted following PRISMA guidelines, analyzing data from PubMed, Cochrane, and EMBASE.

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Objectives: This study aimed to evaluate the clinical efficacy and safety of silodosin in female patients with lower urinary tract symptoms (LUTSs), addressing the limited evidence supporting alpha-blocker use in this population.

Methods: A 12-week, single-arm, prospective, open-label study was conducted from May 2021 to January 2023. Female patients aged over 18 with an International Prostate Symptom Score (IPSS) ≥ 8 were enrolled and treated with silodosin (8 mg once daily).

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Restoration of postoperative urinary continence after robot-assisted radical prostatectomy (RARP) is affected by diverse factors. We compared the pad-free and positive margin rates of patients who underwent RARP with or without bladder neck sparing (BNS) for prostate cancer. During this systematic review and metaanalysis, we performed an electronic search of the Web of Science, Embase, Cochrane Central Register of Controlled Trials, and PubMed to find original articles comparing RARP with and without BNS for prostate cancer.

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Background: Coronary artery spasm (CAS) is a cause of variant angina. However, the understanding of CAS patterns in the presence of mild-to-moderate coronary artery stenosis is limited. This study aimed to evaluate the incidence and patterns of CAS in patients with insignificant coronary artery stenosis using intracoronary acetylcholine (ACH) provocation test.

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To compare the long-term prognostic effect of complete percutaneous coronary intervention (PCI) on cardiovascular events in chronic total occlusion (CTO) patients with the multi-vessel disease (MVD) compared with medical therapy (MT). We enrolled 441 patients with CTO and MVD who underwent PCI. The study population was divided into the CTO-PCI (n = 231) and the CTO-MT (n = 210) groups.

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Article Synopsis
  • - The study analyzes the oncologic outcomes for patients with biochemical recurrence (BCR) after radical prostatectomy (RP) who underwent either lymph node dissection (LND) or radiation therapy (RT) for positive lymph node recurrences detected by PET scans.
  • - It reviewed data from 2476 patients across 19 studies, finding that LND had higher rates of PSA and systemic progressions compared to RT, despite overall low mortality rates for both treatments.
  • - The authors emphasize the need for clearer trial designs in future research, particularly regarding the timing of PSMA PET scans and the use of concurrent systemic therapies alongside salvage treatments.
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Article Synopsis
  • Cigarette smoking significantly increases the risk of major adverse cardiovascular events (MACE) in patients with chronic total occlusion (CTO), especially those who undergo percutaneous coronary intervention (PCI).
  • A study involving 681 patients found that smokers experienced MACE at a rate of 29.5% compared to 18.5% in nonsmokers over a 5-year period.
  • The research highlights the need for targeted interventions for smokers in Asian populations, as smoking plays a crucial role in worsening cardiovascular outcomes, regardless of treatment type.
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Background: We assessed left ventricular ejection fraction (LVEF) to compare the effects of renin-angiotensin system inhibitors (RASI) in patients with non-ST-segment elevation myocardial infarction (NSTEMI).

Methods: We categorized 4558 patients with NSTEMI as either RASI users (3752 patients) or non-users (806 patients). The 3-year patient-oriented composite outcome (POCO), which included all-cause death, recurrent myocardial infarction, any repeat revascularization, or hospitalization for heart failure (HF), was the primary outcome.

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  • Erectile dysfunction (ED) is a frequent condition in older men, and while traditional treatments like phosphodiesterase 5 inhibitors exist, they may not work for everyone, leading to the exploration of topical gels as alternative therapies for ED.
  • A review of several studies found that topical agents, such as alprostadil and glyceryl trinitrate, showed effective results, with alprostadil leading to erections in 67-75% of patients and significant improvements in erectile function compared to placebo.
  • Overall, topical treatments for ED demonstrate promising efficacy and safety, offering a quicker onset of action and fewer side effects than traditional medications.
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  • An investigation was done to identify the best CNN-based AI model for classifying bladder tumors in cystoscopy images, comparing its performance to that of medical students and urologists using a dataset of 3,731 images.
  • The EfficientNetB0 model emerged as the top performer, achieving key diagnostic metrics: 81% balanced accuracy, 88% sensitivity, and 74% specificity, surpassing average results from medical students.
  • This AI technology could enhance diagnostic capabilities for less experienced urologists or non-specialists, showing promise for broader applications in medical image analysis.
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Background: Although metastatic hormone-sensitive prostate cancer (mHSPC) treatments have evolved, androgen deprivation therapy (ADT) remains a widely used regimen. Therefore, this study sought patients who did not progress to castration-resistant prostate cancer (CRPC) but received ADT monotherapy and factors affecting overall survival (OS) in de novo mHSPC.

Methods: De novo mHSPC patients who received ADT treatment were included.

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Background And Objectives: Ultimaster™, a third-generation sirolimus-eluting stent using biodegradable polymer, has been introduced to overcome long term adverse vascular events, such as restenosis or stent thrombosis. In the present study, we aimed to evaluate the 12-month clinical outcomes of Ultimaster™ stents in Korean patients with coronary artery disease.

Methods: This study is a multicenter, prospective, observational registry across 12 hospitals.

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Purpose: We developed immune checkpoint molecules to target recombinant dendritic cells (DCs) and verified their anti-tumor efficacy and immune response against prostate cancer.

Materials And Methods: DCs were generated from mononuclear cells in the tibia and femur bone marrow of mice. We knocked down the programmed death ligand 1 (PD-L1) on monocyte-derived DCs through siRNA PD-L1.

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Article Synopsis
  • This study compared the effectiveness of intravesical gemcitabine and BCG therapy for treating intermediate- or high-risk non-muscle invasive bladder cancer (NMIBC).
  • Data from 149 patients was analyzed, revealing no significant differences in complete remission rates, progression-free survival, or adverse event rates between the two treatments within the first year.
  • Gemcitabine showed comparable short-term efficacy to BCG, but the researchers noted that further long-term studies are needed to fully assess the treatments' effectiveness.
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Various guidelines recommend the first follow-up cystoscopy at 3 months; however, no data exist on the optimal timing for initial follow-up cystoscopy. We tried to provide evidence on the timing of the first cystoscopy after the initial transurethral resection of bladder tumor (TUR-BT) for patients with non-muscle invasive bladder cancer (NMIBC) using big data. This was a retrospective National Health Insurance Service database analysis.

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Background: A growing evidence on the correlation between hyperuricemia and cardiovascular disease (CVD) has been previously reported. However, there have been limited data on the impact of hyperuricemia on long-term clinical outcomes in patients with critical limb ischemia (CLI) who underwent percutaneous transluminal angioplasty (PTA).

Methods: A total of 425 peripheral artery disease patients who underwent PTA for CLI were enrolled.

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Previous studies have reported the association between myocardial infarction (MI) and air pollution (AP). However, limited information is available regarding the long-term effects of AP on the relative incidence rates of ST-elevation MI (STEMI) and Non-ST-elevation MI (NSTEMI). We investigated the association between long-term exposure to AP and the incidence of STEMI.

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Background: Although the correlation between hyperuricemia and cardiovascular disease (CVD) is well known, there have been limited data regarding the impact of hyperuricemia on long-term clinical outcomes in patients with peripheral arterial disease (PAD) after percutaneous transluminal angioplasty (PTA).

Methods: A total of 718 patients who underwent PTA for PAD were enrolled. The patients were divided into the hyperuricemia group (N = 168) and the normal group (N = 550).

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Chest pain is the most common symptom of coronary artery disease (CAD) and diabetes mellitus (DM) is a well-known single strongest risk factor for cardiovascular diseases. Thus, the impact of CAD nor DM on long-term clinical effects is reported widely, but the prognostic factors of non-DM patients presenting with chest pain without significant CAD are limited. A total of 1,046 patients with chest pain without DM and significant CAD who underwent coronary angiography (CAG) and acetylcholine (ACH) provocation tests were finally enrolled.

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ChatGPT is an advanced natural language processing technology that closely resembles human language. We evaluated whether ChatGPT could help patients understand kidney cancer and replace consultations with urologists. Two urologists developed ten questions commonly asked by patients with kidney cancer.

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Introduction: The role of lactate measurement in out-of-hospital cardiac arrest (OHCA) survivors remains controversial. We assessed the association between early lactate-related variables, OHCA characteristics, and long-term neurological outcome.

Methods: In OHCA patients who received targeted temperature management, lactate levels were measured at 0, 12, and 24 h after the return of spontaneous circulation.

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Objective: To compare the perioperative, oncological, and functional outcomes between single-port robot-assisted radical prostatectomy (SP-RARP) and multiport robot-assisted radical prostatectomy (MP-RARP) via a meta-analysis.

Methods: For relevant articles, three electronic databases, including PubMed, Scopus, and Web of Science, were searched from their inception until January 15, 2022. A meta-analysis has been reported in line with PRISMA 2020 and AMSTAR Guidelines.

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