39 results match your criteria: "University of Yamanashi Graduate School of Medical Sciences[Affiliation]"

Objectives: Seated voiding may be an attempt to obviate voiding dysfunction, improve physical stability during voiding, and prevent messy bathroom contamination. Therefore, we hypothesized that seated voiders had a higher prevalence of lower urinary tract symptoms (LUTS), deteriorating health conditions, and a higher marriage rate than standing voiders.

Methods: Of the participants from the 2023 Japan Community Health Survey conducted by the Japanese Continence Society, 2936 men (mean age: 53.

View Article and Find Full Text PDF

While preventing renal damage and symptomatic urinary tract infection are of paramount importance to persons with a spinal cord lesion (SCL), patient-reported outcomes (PROs) are receiving much more attention than ever before. We performed a cross-sectional internet survey of 282 adult members of SCL patient advocacy groups and investigated, for the first time, the impact of different types of urinary catheter, including a Japanese reusable silicone catheter and a reusable intermittent balloon catheter, on PROs of persons with SCL. Intermittent self-catheterization (ISC) did not surpass continuous indwelling catheterization in terms of a disease-specific urinary quality of life.

View Article and Find Full Text PDF

Underactive bladder as defined by the International Continence Society in the 2023 Japan Community Health Survey.

Int J Urol

October 2024

Epidemiological Survey Executive Committee, the Japanese Continence Society, Chiyoda, Tokyo, Japan.

Article Synopsis
  • The study aimed to investigate underactive bladder (UAB) characteristics in participants of the 2023 Japan Community Health Survey, involving 6,210 people aged 20-99.
  • Results showed a higher prevalence of UAB in men (9.3%) compared to women (4.0%), with increased prevalence correlating with age and a greater occurrence of storage symptoms in those with UAB.
  • The findings suggested that frailty and certain comorbidities were independently linked to UAB, highlighting its significant impact on health in the community.
View Article and Find Full Text PDF

Purpose: Metastatic non-clear cell renal cell carcinoma (nccRCC) is a heterogeneous disease with a poor prognosis and is treated with immunotherapy (IO)-based combinations according to the clear cell renal cell carcinoma. Tyrosine-kinase inhibitors (TKIs), such as cabozantinib and axitinib, are commonly used as the 2nd line therapy after 1st line IO combination therapy, but their efficacy as 2nd line TKI therapy for nccRCC is unknown. In this study, we performed a retrospective multicenter analysis of nccRCC patients who were previously treated with IO combination therapy and received 2nd line TKIs.

View Article and Find Full Text PDF
Article Synopsis
  • This study compared the effectiveness of two second-line treatments, cabozantinib and axitinib, for patients with metastatic clear cell renal cell carcinoma (ccRCC) who previously received nivolumab-ipilimumab therapy.
  • A total of 48 patients were treated with cabozantinib and 60 with axitinib, revealing a median progression-free survival (PFS) of 11.0 months for cabozantinib and 9.5 months for axitinib, with overall response rates being quite similar (37.5% vs. 38.3%).
  • Although both treatments had comparable safety profiles, cabozantinib showed improved efficacy in patients considered to have poor-risk characteristics, suggesting it
View Article and Find Full Text PDF

Objectives: In a primary analysis of data from the BRIGHT study (UMIN000035712), photodynamic diagnosis-assisted transurethral resection of bladder tumor (PDD-TURBT) using oral 5-aminolevulinic acid hydrochloride reduced residual tumors in high-risk non-muscle invasive bladder cancer (NMIBC). We aimed to evaluate the effectiveness of PDD-TURBT for intravesical recurrence after a second transurethral resection for high-risk NMIBC.

Methods: High-risk NMIBC patients initially treated with PDD-TURBT (PDD group) were prospectively registered between 2018 and 2020.

View Article and Find Full Text PDF

Objectives: To investigate factors associated with symptomatic urinary tract infection (sUTI) in persons with chronic spinal cord lesion (SCL) who were using single-use catheters for intermittent self-catheterization (ISC).

Methods: Among respondents to an internet survey on the burden of illness on persons with SCL who were considered to be able to perform ISC, 111 persons using single-use catheters were included to examine factors associated with self-reported sUTI by univariate as well as multivariable analysis.

Results: The incidence of sUTI was significantly higher in males than in females (56.

View Article and Find Full Text PDF

Introduction: Several studies have compared the safety and effectiveness of general and regional anaesthesia in percutaneous nephrolithotomy (PCNL). This study aimed to compare the perioperative and postoperative outcomes of general anaesthesia and regional anaesthesia for patients undergoing PCNL.

Material And Methods: For relevant articles, three electronic databases, including PubMed, Scopus, and Web of Science, were searched from their inception until March 2023.

View Article and Find Full Text PDF
Article Synopsis
  • - A nationwide survey in Japan in 2023 found that 77.9% of participants aged 20 and older reported lower urinary tract symptoms (LUTS), with prevalence increasing to 82.5% among those 40 and older.
  • - The study included 6,210 participants (3088 females and 3122 males) and revealed that conditions like overactive bladder (OAB) affected 11.9% of the younger age group (≥20) and 13.8% of those 40 and older.
  • - Despite the high prevalence and negative impact of LUTS on daily life, few participants sought medical treatment, highlighting the need for increased awareness and education on the subject.
View Article and Find Full Text PDF

Acquired cystic disease-associated renal cell carcinoma (ACD-RCC) is a common subtype of renal cell carcinoma (RCC) in end-stage renal disease (ESRD) patients. The current systematic review and meta-analysis was performed to evaluate the clinicopathological, and genetic characteristics of patients with ACD-RCC. A systematic search on three electronic databases including the Pubmed, Scopus, and Web of Science databases were performed until December 31, 2022.

View Article and Find Full Text PDF
Article Synopsis
  • Robot-assisted nephroureterectomy is becoming more common for treating upper tract urothelial carcinoma, but there are concerns about its effectiveness in complicated cases with significant scar tissue.
  • An 86-year-old woman experienced hematuria and was diagnosed with a right renal pelvic tumor one year after undergoing robot-assisted pelvic surgery.
  • This case suggests that despite the presence of dense tissue adhesions from previous surgeries, robot-assisted nephroureterectomy can be safely performed with a successful outcome.
View Article and Find Full Text PDF

Introduction: We aimed to investigate the expression and prognostic role of NAA10 in clear cell renal cell carcinoma (ccRCC).

Material And Methods: We performed a gene expression and survival analysis based on the human cancer genome atlas database of ccRCC patients (TCGA-KIRC).

Results: The patients in the TCGA-KIRC (n = 537) were divided into two subgroups: NAA10-low and NAA10-high expression groups.

View Article and Find Full Text PDF

The aims of this study were to determine the prevalence and predictors of nocturnal polyuria (NP) in Japanese patients. This multicentral, observational study enrolled patients with the chief complaint of nocturia at 17 Japanese institutions between January 2018 and December 2022. The frequency of daily voiding and volume of urination were evaluated using bladder diaries.

View Article and Find Full Text PDF

Introduction: Data on the long-term management of neurogenic bladder (NGB) are scarce. We evaluated the current status of NGB management in Japanese children over 24-month follow-up using the JMDC database.

Methods: In this descriptive, observational, retrospective cohort study, patients (≤ 17 years) with NGB were included.

View Article and Find Full Text PDF

Ureteral stenting is a common procedure to relieve ureteral obstructions. There are few reports regarding the proper migration of the proximal coil of a double-J ureteral stent into the ureter. Herein, we report a case of proximal stent migration after stent placement for ureteral stenosis caused by a malignant tumor in the gastrointestinal tract.

View Article and Find Full Text PDF

Objectives: To investigate hygiene management and catheter maintenance of reusable silicone catheters for intermittent self-catheterization (ISC) in Japan and examine their relationship with symptomatic urinary tract infection (sUTI).

Methods: We conducted a cross-sectional Internet survey of people performing ISC using reusable silicone catheters owing to spinal cord lesions in Japan. Hygiene management and catheter maintenance of reusable silicone catheters and the incidence and frequency of sUTI were evaluated.

View Article and Find Full Text PDF

Study Design: Cross-sectional study by members of patient advocacy groups.

Objectives: To evaluate the incidence and frequency of symptomatic urinary tract infection (sUTI) in persons with spinal cord lesion (SCL) using different types of catheters based on an internet survey in Japan.

Setting: An internet survey.

View Article and Find Full Text PDF

(Objectives) To develop Japanese translations of the standard and short forms of the Neurogenic Bladder Symptom Score (Subjects and methods) The questionnaires were forward translated by a Japanese healthcare professional and non-medical professional and backward translated by two native English-speaking translators. Then, the products were harmonized by the participants involved in the translational processes. Finally, 15 persons with spinal cord lesions were interviewed to improve the provisional Japanese translations based on their suggestions.

View Article and Find Full Text PDF

This study aimed to reveal the prognostic role of the Hippo pathway in different histopathological subtypes of renal cell carcinoma (RCC). The TCGA-KIRC (n = 537), TCGA-KIRP (n = 291) and TCGA-KICH (n = 113), which contain data about clear cell (ccRCC), papillary (pRCC) and chromophobe RCC (chRCC), respectively, were investigated. Gene Set Variation Analysis was used to compare the activity of many pathways within a single sample.

View Article and Find Full Text PDF

Objectives: To estimate the surgical and quality-of-life outcomes of artificial urinary sphincter implantation in patients with diabetes mellitus (DM). Subanalyses were performed using the same population as that in our previous multicenter, prospective, observational study.

Methods: A total of 135 male patients who underwent primary artificial urinary sphincter implantation were divided into two groups: those with and without DM.

View Article and Find Full Text PDF

Neuroendocrine prostate cancer (NEPC) is rare, with short overall survival, and no established standard therapy. Therefore, the management of NEPC is often challenging. We report a case of a 63-year-old male diagnosed with NEPC and treated with multimodal examinations and therapies.

View Article and Find Full Text PDF