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Editorial Comment: Effect of 3-Dimensional, Virtual Reality Models for Surgical Planning of Robotic Partial Nephrectomy on Surgical Outcomes: Qualitative Data from a Randomized Clinical Trial 编辑评论:用于机器人肾部分切除术手术规划的三维虚拟现实模型对手术结果的影响:来自随机临床试验的定性数据
Pub Date : 2024-02-01 DOI: 10.1097/ju9.0000000000000111
Nina Kar, Firas G. Petros
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引用次数: 1
Editorial Comment: Practice Patterns and Patient Experience of Care Among US Veterans with Prostate Cancer: A 10-Year Scoping Review 编辑评论:美国退伍军人前列腺癌患者的诊疗模式和护理体验:十年范围回顾
Pub Date : 2024-02-01 DOI: 10.1097/ju9.0000000000000116
Reno P. Maldonado, Granville L. Lloyd
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引用次数: 0
Saw Palmetto Treatment for Prostatitis: A Systematic Review of the Literature 锯棕榈治疗前列腺炎:文献系统回顾
Pub Date : 2024-02-01 DOI: 10.1097/ju9.0000000000000108
Ananth Punyala, C. Sze, Joshua Winograd, Alia Codelia-Anjum, Ernesto Morfin Montes de Oca, Naeem Bjohani, D. Elterman, K. Zorn, Bilal Chughtai
This systematic review was conducted to determine the safety and efficacy of Serenoa repens extract (saw palmetto extract) in treating chronic prostatitis, as compared with existing treatment regimens and placebo. Adhering to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, a systematic query was performed across multiple databases in December 2021 to identify relevant studies. The selection criteria focused on studies evaluating the treatment regimens, safety, and efficacy of saw palmetto in treating chronic prostatitis/chronic pelvic pain syndrome. Of 259 references, 21 studies encompassing 1666 patients were selected. These studies included a range of trial types, with a mean follow-up period of approximately 6.975 months. Saw palmetto extract showed improved symptom relief compared with placebo, with mixed results when compared with alpha-blockers or 5-ARIs. Multimodal treatments, especially those including saw palmetto extract alongside antibiotics, displayed better efficacy in managing both Category II and Category III prostatitis. Saw palmetto extract provides symptom relief in patients with chronic prostatitis. Although monotherapy exhibited certain benefits over placebo, its best efficacy was observed when integrated into multimodal treatment regimens, particularly with antibiotics for Category II prostatitis. Future research may unveil specific adjuncts that enhance the therapeutic outcomes of regimens containing saw palmetto extract.
本系统综述旨在确定锯棕榈提取物(Serenoa repens extract)治疗慢性前列腺炎的安全性和有效性,并与现有治疗方案和安慰剂进行比较。 根据系统综述和元分析首选报告项目(PRISMA)指南,2021 年 12 月在多个数据库中进行了系统查询,以确定相关研究。选择标准侧重于评估锯棕榈治疗慢性前列腺炎/慢性盆腔疼痛综合征的治疗方案、安全性和有效性的研究。 在 259 篇参考文献中,选取了 21 项研究,涉及 1666 名患者。这些研究包括各种试验类型,平均随访时间约为 6.975 个月。与安慰剂相比,锯棕榈提取物能更好地缓解症状;与α-受体阻滞剂或5-ARIs相比,结果不一。多模式疗法,尤其是将锯棕榈提取物与抗生素同时使用的疗法,在治疗 II 类和 III 类前列腺炎方面显示出更好的疗效。 锯棕榈提取物可缓解慢性前列腺炎患者的症状。虽然单药治疗比安慰剂有一定疗效,但将锯棕榈提取物纳入多模式治疗方案,尤其是与抗生素一起用于治疗第二类前列腺炎时,疗效最佳。未来的研究可能会揭示出一些特定的辅助疗法,以提高含有锯棕榈提取物的治疗方案的疗效。
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引用次数: 1
Prone Split-Leg vs Galdakao-Modified Supine Valdivia Position During Endoscopic Combined Intrarenal Surgery: A Noninferiority Design Randomized Controlled Trial 内镜联合肾内手术中的俯卧分腿位与 Galdakao 改良仰卧瓦尔迪维亚位:非劣效性设计随机对照试验
Pub Date : 2024-02-01 DOI: 10.1097/ju9.0000000000000102
Teruaki Sugino, S. Hamamoto, K. Taguchi, Takaaki Inoue, S. Okada, T. Yanase, Yasuhito Sue, K. Kawase, R. Unno, R. Ando, A. Okada, T. Yasui
Endoscopic combined intrarenal surgery (ECIRS) combines percutaneous nephrolithotomy and ureteroscopy. This procedure has become common with the development of the prone split-leg (PRO) and Galdakao-modified supine Valdivia (GMSV) positions. In this study, we evaluated the surgical outcomes of these positions during ECIRS. A noninferior randomized controlled trial was performed in accordance with the Consolidated Standards of Reporting Trials. The eligibility criteria were age 20 to 80 years and presence of > 15-mm renal and/or ureteral stones. They were assigned to the PRO or GMSV groups and underwent ECIRS in the PRO or GMSV position, respectively. The primary outcome was stone-free rate (SFR) 3 months after surgery. The secondary outcomes were surgical outcomes—surgery time, percutaneous access time, and complication rate. A noninferiority margin of 30% was used. Eighty-six patients (46 in the PRO group and 43 in the GMSV group) were analyzed. The SFR was 91.3% and 90.7% in the PRO and GMSV groups, respectively. No between-group differences were observed regarding the overall complication rates. Percutaneous access time was longer in the PRO group than in the GMSV group for upper calyx punctures, whereas surgery and percutaneous access times were shorter in the PRO group for those with a middle calyx puncture. Surgical position did not affect the success rates. There was no difference in complications between the groups, except for perinephric hematoma formation.
内镜联合肾内手术(ECIRS)结合了经皮肾镜碎石术和输尿管镜检查。随着俯卧分腿式(PRO)和Galdakao-modified仰卧瓦尔迪维亚式(GMSV)体位的发展,这种手术已变得很常见。在本研究中,我们评估了 ECIRS 期间这些体位的手术效果。 根据《试验报告综合标准》,我们进行了一项非劣效随机对照试验。研究对象的资格标准是:年龄在20至80岁之间,肾结石和/或输尿管结石大于15毫米。他们被分配到PRO组或GMSV组,分别以PRO或GMSV体位接受ECIRS检查。主要结果是术后3个月的无结石率(SFR)。次要结果是手术结果--手术时间、经皮入路时间和并发症发生率。非劣效边际为 30%。 对 86 名患者(PRO 组 46 人,GMSV 组 43 人)进行了分析。PRO组和GMSV组的SFR分别为91.3%和90.7%。在总体并发症发生率方面,没有观察到组间差异。对于上萼穿刺,PRO 组的经皮穿刺时间长于 GMSV 组,而对于中萼穿刺,PRO 组的手术和经皮穿刺时间较短。 手术位置对成功率没有影响。除肾周血肿形成外,两组的并发症没有差异。
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引用次数: 1
Editorial Comment: Effect of 3-Dimensional, Virtual Reality Models for Surgical Planning of Robotic Partial Nephrectomy on Surgical Outcomes: Qualitative Data from a Randomized Clinical Trial 编辑评论:用于机器人肾部分切除术手术规划的三维虚拟现实模型对手术结果的影响:来自随机临床试验的定性数据
Pub Date : 2024-02-01 DOI: 10.1097/ju9.0000000000000111
Nina Kar, Firas G. Petros
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引用次数: 1
Editorial Comment: Effect of 3-Dimensional, Virtual Reality Models for Surgical Planning of Robotic Partial Nephrectomy on Surgical Outcomes: Qualitative Data From a Randomized Clinical Trial 编辑评论:用于机器人肾部分切除术手术规划的三维虚拟现实模型对手术结果的影响:来自随机临床试验的定性数据
Pub Date : 2024-02-01 DOI: 10.1097/ju9.0000000000000110
Mikolaj Filon, Bogdana Schmidt
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引用次数: 1
From the Editor—January 2024 AUA Publications Committee Meeting 编辑的话--2024 年 1 月 AUA 出版委员会会议
Pub Date : 2024-02-01 DOI: 10.1097/ju9.0000000000000126
John W. Davis
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引用次数: 0
Editorial Comment: Prevalence, Incidence, and Determinants of Kidney Stones in a Nationally-representative Sample of US Adults 编辑评论:具有全国代表性的美国成年人样本中肾结石的流行率、发病率和决定因素
Pub Date : 2024-02-01 DOI: 10.1097/ju9.0000000000000117
Alfred Krebs, Mario I. Fernandez
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引用次数: 0
Reply to Editorial Comment: Effect of 3-Dimensional, Virtual Reality Models for Surgical Planning of Robotic Partial Nephrectomy on Surgical Outcomes: Qualitative Data from a Randomized Clinical Trial 回复社论评论:用于机器人肾部分切除术手术规划的三维虚拟现实模型对手术结果的影响:来自随机临床试验的定性数据
Pub Date : 2024-02-01 DOI: 10.1097/ju9.0000000000000120
Joseph D. Shirk
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引用次数: 0
Reply to Editorial Comment: Effect of 3-Dimensional, Virtual Reality Models for Surgical Planning of Robotic Partial Nephrectomy on Surgical Outcomes: Qualitative Data from a Randomized Clinical Trial 回复社论评论:用于机器人肾部分切除术手术规划的三维虚拟现实模型对手术结果的影响:来自随机临床试验的定性数据
Pub Date : 2024-02-01 DOI: 10.1097/ju9.0000000000000120
Joseph D. Shirk
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引用次数: 0
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