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Delayed Morbidity Associated With Surgical Management of Urosymphyseal Fistula.
Urology
November 2024
Mayo Clinic Department of Urology, Rochester, MN. Electronic address:
Objective: To characterize and identify factors associated with long-term morbidity of definitive urosymphyseal fistula (USF) treatment.
Methods: Retrospective chart review of a single institution database identified 57 patients who underwent operative treatment of USF between 2009 and 2022 with at least 90 days of follow-up. Delayed complications were considered those occurring ≥90 days following surgery.
Conservative Resolution of a Vesicovaginal Fistula Including Laser Therapy in a Patient Who Underwent Recurrent Surgery After Prior Radiotherapy for Endometrial Cancer.
Cancer Rep (Hoboken)
November 2024
Division of Gynecologic Oncology, Michele and Pietro Ferrero Hospital, Verduno, Italy.
Article Synopsis
- Isolated vaginal vault recurrence of endometrial cancer can sometimes be treated effectively with rescue radiotherapy, but surgery is often preferred for patients who have previously undergone radiation.
- Vesicovaginal fistulas (VVFs) can develop following surgical interventions due to damaged pelvic tissue from prior treatments, complicating the patient's recovery and management.
- The case study presents a woman who experienced a VVF after robotic surgery for endometrial cancer, ultimately benefiting from a conservative treatment approach involving prolonged catheterization and laser therapy, which successfully resolved the fistula.
International Alliance of Urolithiasis (IAU) consensus on miniaturized percutaneous nephrolithotomy.
Mil Med Res
October 2024
Department of Urology, University College Hospital of London, London, NW1 2BU, UK.
Article Synopsis
- - Over the last 30 years, miniaturized percutaneous nephrolithotomy (mPCNL) has gained popularity due to its potential to reduce complications compared to standard procedures, but there's still debate over best practices and management strategies that hinders wider use.
- - An international panel of urology experts developed a consensus document on mPCNL to provide a comprehensive framework for practice, which included reviewing literature, identifying research gaps, and conducting surveys to gather expert opinions.
- - The study revealed 58 key questions on mPCNL practices, and consensus was achieved on 30 questions, affirming mPCNL as an effective technique for treating upper urinary tract stones in both adults and children.
Muscle-Invasive Bladder Cancer in Non-Curative Patients: A Study on Survival and Palliative Care Needs.
Cancers (Basel)
September 2024
Department of Urology, Hospital Universitario 12 de Octubre, Avenida de Córdoba s/n, 28041 Madrid, Spain.
Objective: To assess the survival outcomes of patients diagnosed with muscle-invasive bladder cancer (MIBC) who are not candidates for curative treatment and to identify the factors influencing these outcomes.
Methods: We conducted an analysis of patients diagnosed with MIBC who were either unable or unwilling to undergo curative therapy. We evaluated overall survival (OS) and cancer-specific survival (CSS) and examined their associations with various clinical variables.
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