Pub Date : 2025-12-01DOI: 10.23736/S2724-6051.25.06794-1
Igino A Magli, Giovanni B Clemente, Francesco Chiaramonti, Stefano Masciovecchio, Vincenzo Iossa, Alfonso B DI Pasquale
{"title":"Comment on \"Robotic retrohepatic inferior vena cava thrombectomy using the caudate lobectomy technique: indications and initial outcomes\".","authors":"Igino A Magli, Giovanni B Clemente, Francesco Chiaramonti, Stefano Masciovecchio, Vincenzo Iossa, Alfonso B DI Pasquale","doi":"10.23736/S2724-6051.25.06794-1","DOIUrl":"10.23736/S2724-6051.25.06794-1","url":null,"abstract":"","PeriodicalId":53228,"journal":{"name":"Minerva Urology and Nephrology","volume":"77 6","pages":"897-899"},"PeriodicalIF":4.2,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145776393","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-12-01DOI: 10.23736/S2724-6051.25.06773-4
Pierluigi Russo, Maria C Sighinolfi, Francesco P Bizzarri, Filippo Gavi, Bernardo Rocco
{"title":"Comment on \"The anesthesia impact of regionalized insufflation with trans-vesical single port robot-assisted radical prostatectomy\".","authors":"Pierluigi Russo, Maria C Sighinolfi, Francesco P Bizzarri, Filippo Gavi, Bernardo Rocco","doi":"10.23736/S2724-6051.25.06773-4","DOIUrl":"10.23736/S2724-6051.25.06773-4","url":null,"abstract":"","PeriodicalId":53228,"journal":{"name":"Minerva Urology and Nephrology","volume":"77 6","pages":"873-875"},"PeriodicalIF":4.2,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145776406","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: Bilateral complex ureteral strictures pose a significant challenge to all urologists. Conventional reconstructive techniques, such as oral mucosal grafts or Boari flap, have limited ability to repair extensive ureteral damage. This study aims to evaluate the feasibility and outcomes of bilateral ileal ureteral replacement with Y-shaped configuration for the treatment of bilateral complex ureteral strictures.
Methods: In this prospective study, eleven patients underwent bilateral ileal ureteral replacement with Y-shaped configuration at two medical centers from June 2020 to March 2024. Perioperative data were collected, and clinical outcomes were systematically assessed.
Results: All patients successfully underwent bilateral ileal ureteral replacement with Y-shaped configuration. The median length of the harvested ileal segment was 40 (range 20-85) cm, the operative duration was 390 (range 240-660) min, the estimated blood loss was 200 (range 50-600) mL, and the duration of postoperative hospitalization was 21 (range 10-33) days. At a median follow-up of 32 (11-50) months, the subjective and function success rates were 100% and 72.7%.
Conclusions: Our findings indicate that bilateral ileal ureteral replacement with Y-shaped configuration (even with ileocystoplasty) is a safe, feasible, and effective approach to manage bilateral complex ureteral strictures.
{"title":"Bilateral ileal ureteral replacement with Y-shaped configuration for bilateral complex ureteral strictures: the initial dual-center experience.","authors":"Guanpeng Han, Xiang Wang, Zhihua Li, Wencong Han, Liqing Xu, Silu Chen, Chen Huang, Peng Zhang, Kunlin Yang, Liqun Zhou, Hongjian Zhu, Xuesong Li","doi":"10.23736/S2724-6051.25.06574-7","DOIUrl":"10.23736/S2724-6051.25.06574-7","url":null,"abstract":"<p><strong>Background: </strong>Bilateral complex ureteral strictures pose a significant challenge to all urologists. Conventional reconstructive techniques, such as oral mucosal grafts or Boari flap, have limited ability to repair extensive ureteral damage. This study aims to evaluate the feasibility and outcomes of bilateral ileal ureteral replacement with Y-shaped configuration for the treatment of bilateral complex ureteral strictures.</p><p><strong>Methods: </strong>In this prospective study, eleven patients underwent bilateral ileal ureteral replacement with Y-shaped configuration at two medical centers from June 2020 to March 2024. Perioperative data were collected, and clinical outcomes were systematically assessed.</p><p><strong>Results: </strong>All patients successfully underwent bilateral ileal ureteral replacement with Y-shaped configuration. The median length of the harvested ileal segment was 40 (range 20-85) cm, the operative duration was 390 (range 240-660) min, the estimated blood loss was 200 (range 50-600) mL, and the duration of postoperative hospitalization was 21 (range 10-33) days. At a median follow-up of 32 (11-50) months, the subjective and function success rates were 100% and 72.7%.</p><p><strong>Conclusions: </strong>Our findings indicate that bilateral ileal ureteral replacement with Y-shaped configuration (even with ileocystoplasty) is a safe, feasible, and effective approach to manage bilateral complex ureteral strictures.</p>","PeriodicalId":53228,"journal":{"name":"Minerva Urology and Nephrology","volume":"77 6","pages":"828-839"},"PeriodicalIF":4.2,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145776409","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-11-27DOI: 10.23736/S2724-6051.25.06747-3
Fernando Munoz
{"title":"Are we ready for stereotactic body radiotherapy in unfavorable intermediate and high-risk prostate patient cancer?","authors":"Fernando Munoz","doi":"10.23736/S2724-6051.25.06747-3","DOIUrl":"https://doi.org/10.23736/S2724-6051.25.06747-3","url":null,"abstract":"","PeriodicalId":53228,"journal":{"name":"Minerva Urology and Nephrology","volume":" ","pages":""},"PeriodicalIF":4.2,"publicationDate":"2025-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145642571","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-11-25DOI: 10.23736/S2724-6051.25.06802-8
Roberto Passera, Lorenzo Monasta, Giulia Zamagni
{"title":"The burden of prostate cancer in Italy from 1990 to 2023, compared to the European Union and the Socio-Demographic Index (SDI) quintile countries: results from the Global Burden of Disease Study 2023.","authors":"Roberto Passera, Lorenzo Monasta, Giulia Zamagni","doi":"10.23736/S2724-6051.25.06802-8","DOIUrl":"https://doi.org/10.23736/S2724-6051.25.06802-8","url":null,"abstract":"","PeriodicalId":53228,"journal":{"name":"Minerva Urology and Nephrology","volume":" ","pages":""},"PeriodicalIF":4.2,"publicationDate":"2025-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145598009","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-11-18DOI: 10.23736/S2724-6051.25.06633-9
Katharina Lederer, Orestis Briasoulis, Antonio Olivieri
{"title":"Comment on: \"From nocturnal awakenings to nocturnal voiding: the relationship between insomnia and nocturia: a systematic review\".","authors":"Katharina Lederer, Orestis Briasoulis, Antonio Olivieri","doi":"10.23736/S2724-6051.25.06633-9","DOIUrl":"https://doi.org/10.23736/S2724-6051.25.06633-9","url":null,"abstract":"","PeriodicalId":53228,"journal":{"name":"Minerva Urology and Nephrology","volume":" ","pages":""},"PeriodicalIF":4.2,"publicationDate":"2025-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145543870","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-11-06DOI: 10.23736/S2724-6051.25.06669-8
Miguel A Arrabal-Polo, Alberto Zambudio-Munuera, Miguel Arrabal-Martin
{"title":"Management of urinary fistula after partial nephrectomy using a Pleur-evac drainage system with ureteral catheter.","authors":"Miguel A Arrabal-Polo, Alberto Zambudio-Munuera, Miguel Arrabal-Martin","doi":"10.23736/S2724-6051.25.06669-8","DOIUrl":"https://doi.org/10.23736/S2724-6051.25.06669-8","url":null,"abstract":"","PeriodicalId":53228,"journal":{"name":"Minerva Urology and Nephrology","volume":" ","pages":""},"PeriodicalIF":4.2,"publicationDate":"2025-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145460737","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-10-01DOI: 10.23736/S2724-6051.25.06713-8
Marco Finati, Pierluigi Russo, Benjamin Pradere
{"title":"Comment on: \"Enhanced prognostic value of four-tier hybrid grading system in Ta non-muscle-invasive bladder cancer\".","authors":"Marco Finati, Pierluigi Russo, Benjamin Pradere","doi":"10.23736/S2724-6051.25.06713-8","DOIUrl":"https://doi.org/10.23736/S2724-6051.25.06713-8","url":null,"abstract":"","PeriodicalId":53228,"journal":{"name":"Minerva Urology and Nephrology","volume":"77 5","pages":"724-726"},"PeriodicalIF":4.2,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145349894","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-10-01Epub Date: 2025-04-09DOI: 10.23736/S2724-6051.25.06170-1
Lazaros Tzelves, Elizabeth Day, Amit Bhudia, Mark Markov, Osama Al-Bermani, Joanna Olphert, Zafer Tandogdu, Ashwin Sridhar, John Kelly, Anthony Ta
Background: Organ sparing radical cystoprostatectomy in males is being considered with skepticism due to fear of compromising oncological safety; however, sacrifice of erectile nerves can lead to quality of life deterioration due to erectile dysfunction.
Methods: Data from men with muscle-invasive bladder cancer (MIBC) who were potent and wish to preserve potency were collected prospectively. Both nerve-sparing and capsule-sparing approach (with or without seminal vesicle preservation) was performed in a high-volume center. Baseline characteristics, oncological and sexual outcomes were collected. International Index for Erectile Function-5 (IIEF-5) was used both preoperatively and at last follow-up. Potency was defined as a score ≥3 in question 2.
Results: Twenty-five patients were included in capsule-sparing and 15 in nerve-sparing group. Patients in the former group were younger (55 vs. 66 years old) but no other significant difference in baseline characteristics was noted. Perioperative outcomes were similar among groups, whilst no difference was found regarding overall survival, recurrence rate, incidental prostate cancer and positive surgical margins. Postoperative IIEF-5 score was higher in capsule-sparing group (14 vs. 7, P=0.016) and more patients were potent (18 vs. 3, P=0.004). In regression analysis, the only significant predictor of potency was capsule-sparing surgery (odds ratio: 8.58, 95% CI: 1.30-81.5, P=0.034).
Conclusions: Capsule-sparing and nerve-sparing approaches during robotic radical cystectomy are feasible techniques among carefully selected patients, with improved sexual and non-inferior oncological outcomes compared with standard approach.
{"title":"Organ-sparing robotic-assisted radical cystectomy in men: description of technique and outcomes.","authors":"Lazaros Tzelves, Elizabeth Day, Amit Bhudia, Mark Markov, Osama Al-Bermani, Joanna Olphert, Zafer Tandogdu, Ashwin Sridhar, John Kelly, Anthony Ta","doi":"10.23736/S2724-6051.25.06170-1","DOIUrl":"10.23736/S2724-6051.25.06170-1","url":null,"abstract":"<p><strong>Background: </strong>Organ sparing radical cystoprostatectomy in males is being considered with skepticism due to fear of compromising oncological safety; however, sacrifice of erectile nerves can lead to quality of life deterioration due to erectile dysfunction.</p><p><strong>Methods: </strong>Data from men with muscle-invasive bladder cancer (MIBC) who were potent and wish to preserve potency were collected prospectively. Both nerve-sparing and capsule-sparing approach (with or without seminal vesicle preservation) was performed in a high-volume center. Baseline characteristics, oncological and sexual outcomes were collected. International Index for Erectile Function-5 (IIEF-5) was used both preoperatively and at last follow-up. Potency was defined as a score ≥3 in question 2.</p><p><strong>Results: </strong>Twenty-five patients were included in capsule-sparing and 15 in nerve-sparing group. Patients in the former group were younger (55 vs. 66 years old) but no other significant difference in baseline characteristics was noted. Perioperative outcomes were similar among groups, whilst no difference was found regarding overall survival, recurrence rate, incidental prostate cancer and positive surgical margins. Postoperative IIEF-5 score was higher in capsule-sparing group (14 vs. 7, P=0.016) and more patients were potent (18 vs. 3, P=0.004). In regression analysis, the only significant predictor of potency was capsule-sparing surgery (odds ratio: 8.58, 95% CI: 1.30-81.5, P=0.034).</p><p><strong>Conclusions: </strong>Capsule-sparing and nerve-sparing approaches during robotic radical cystectomy are feasible techniques among carefully selected patients, with improved sexual and non-inferior oncological outcomes compared with standard approach.</p>","PeriodicalId":53228,"journal":{"name":"Minerva Urology and Nephrology","volume":" ","pages":"700-707"},"PeriodicalIF":4.2,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143813055","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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