Publications by authors named "Szczesniewski J"

: Male stress urinary incontinence (SUI) after surgical treatment of benign prostatic enlargement (BPE) is an infrequent but dreadful complication and constitutes a therapeutic challenge. The efficacy and safety of the adjustable trans-obturator male system (ATOMS) in these patients is rather unknown, mainly due to the rarity of this condition. We aimed to assess the results of ATOMS to treat SUI after transurethral resection (TURP) or holmium laser enucleation (HoLEP) of the prostate.

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Objectives: This study aimed to compare the effectiveness and safety of the adjustable trans-obturator male system (ATOMS®) to treat post-prostatectomy incontinence (PPI) in radiated patients compared with non-radiated patients, using propensity score-matching analysis to enhance the validity of the comparison.

Patients And Methods: Consecutive men with PPI treated with silicone-covered scrotal port ATOMS (A.M.

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Purpose: Bacteriuria may affect the response to adjuvant therapy in non-muscle invasive bladder cancer (NMIBC). The main aim of this study was to examine the effect of recurrent bacteriuria (RB) on the prognosis of NMIBC in women receiving intravesical therapy.

Materials And Methods: We designed a prospective observational study from 2012 to 2019.

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Introduction And Objective: Generative artificial intelligence makes it possible to ask about medical pathologies in dialog boxes. Our objective was to analyze the quality of information about the most common urological pathologies provided by ChatGPT (OpenIA), BARD (Google), and Copilot (Microsoft).

Methods: We analyzed information on the following pathologies and their treatments as provided by AI: prostate cancer, kidney cancer, bladder cancer, urinary lithiasis, and benign prostatic hypertrophy (BPH).

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Introduction And Objective: Next-generation imaging (NGI) tests, such as choline PET/CT and PSMA PET, have shown to increase sensitivity in the detection of nodal and metastatic disease in prostate cancer. However, their use implies an increase in diagnostic costs compared to conventional imaging (CI) tests such as CT and bone scan. The aim of our study was to determine which diagnostic pathway is more cost-effective in high-risk prostate cancer.

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Article Synopsis
  • The study investigates risk factors for developing postoperative overactive bladder (OAB) in patients who received an adjustable trans-obturator male system (ATOMS) for stress incontinence after prostate cancer treatment.
  • It involved 56 patients, collecting clinical and urodynamic data before and after ATOMS implantation to identify factors impacting OAB and treatment efficacy.
  • Key findings included that higher preoperative urinary incontinence intensity, poor ICIQ scores, and specific urodynamic measures (like bladder capacity and urethral resistance) are significant risk factors for developing OAB, with detrusor overactivity being a crucial element.
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Purpose: Artificial intelligence (AI) is a set of systems or combinations of algorithms, which mimic human intelligence. ChatGPT is software with artificial intelligence which was recently developed by OpenAI. One of its potential uses could be to consult the information about pathologies and treatments.

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(1) Background: Treatment of male stress incontinence in patients with prostate cancer treated with radical prostatectomy and adjuvant pelvic radiation is a therapeutic challenge. The efficacy and safety of the adjustable trans-obturator male system (ATOMS) in these patients is not well established, despite the general belief that outcomes are worse than in patients without radiation. (2) Methods: Retrospective multicenter study evaluating patients treated with silicone-covered scrotal port (SSP) ATOMS implant after radical prostatectomy and radiotherapy in nine different institutions between 2016 and 2022.

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Introduction: The vacuum-assisted access sheath is a new device for the treatment of kidney stones with percutaneous nephrolithotomy (PCNL).

Objective: Our aim was to compare the stone-free rate (SFR) and complications between standard mini percutaneous nephrolithotomy (Mini-PCNL) and vacuum-assisted PCNL (Va-PCNL).

Methods: Retrospective study of patients undergoing Mini-PCNL and Va-PCNL from January 2018 to June 2022.

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Article Synopsis
  • - The adjustable trans-obturator male system (ATOMS) is a surgical device designed to help manage post-prostatectomy incontinence (PPI) in men after prostate cancer treatment, with a focus on the silicone-covered scrotal port (SSP) version currently available.
  • - A review of 48 articles was conducted, excluding some studies based on specific criteria, ultimately assessing 30 studies that provided insights on the effectiveness and safety of the SSP ATOMS device, analyzing outcomes and complications.
  • - Results from 10 key studies involving 1,515 patients showed favorable outcomes, with dry rates between 63-82% and complication rates of 7-33%, indicating that while not compared in randomized studies, SSP AT
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(1) Background: Male stress incontinence in patients with previously treated urethral or bladder neck stricture is a therapeutic challenge. The efficacy and safety of the adjustable trans-obturator male system (ATOMS) in these patients is unknown. (2) Methods: All patients with primary ATOMS implants in our institution between 2014 and 2021 were included.

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