Treatment Options and Outcomes in Nonmetastatic Muscle Invasive Bladder Cancer.

Muscle-invasive bladder cancer (MIBC) represents 25% of newly diagnosed bladder cancer. MIBC is aggressive and requires timely management. The current standard of care is neoadjuvant chemotherapy followed by radical cystectomy, an approach that could result in significant morbidities. Modifications in the chemotherapy regimens, as well as in perioperative care and surgical approach, have resulted in […]

Self-management of stress urinary incontinence: effectiveness of two treatment programmes focused on pelvic floor muscle training, one booklet and one Internet-based.

Objectives: In a previous study, self-management of stress urinary incontinence (SUI), via an Internet-based programme or a booklet improved symptoms and quality of life. We wanted to evaluate the effectiveness of these programmes when implemented for free use, as well as to characterize the users. Design: Pragmatic prospective cohort study. Setting and subjects: Information about […]

Vaginal flap for urethral neomeatus reconstruction after radical surgery for vulvar cancer: a retrospective cohort analysis.

Partial urethrectomy during radical surgery for vulvar cancer may help avoid adjuvant radiotherapy in some patients. This study aimed to evaluate surgical, oncologic, and urinary outcomes of a new surgical technique based on vaginal flap to perform neomeatus reconstruction after distal urethral resection in radical surgery for vulvar cancer. Retrospective cohort study between January 2005 […]

A critical outcome analysis of Asopa single-stage dorsal inlay substitution urethroplasty for penile urethral stricture.

To critically report outcomes from a contemporary series of patients undergoing single-stage Asopa dorsal inlay urethroplasty for penile stricture. First, we retrospectively evaluated patients who underwent Asopa urethroplasty for penile stricture between 2009 and 2016 at our department. Clinical and surgical characteristics were compared across treatment groups (proximal penile, mid-penile, distal penile). Recurrence-free survival was […]

Domain Comparison Between 6 Validated Questionnaires Administered to Women with Urinary Incontinence.

To compare patients’ questionnaire-reported UI symptoms to determine which have the best concordance. Women with self-reported MUI were asked to report QoL due to urinary problems on a visual analog scale and complete 6 standardized validated questionnaires with questions on MUI (MESA, UDI-6, IIQ-7, ICIQ-SF, KHQ, PGI-S). Specific questions related to SUI, UUI, UI severity […]

Evaluation of an accelerometer-based digital health system for the treatment of female urinary incontinence: A pilot study.

To assess the effectiveness and patient satisfaction of pelvic floor muscle training (PFMT) guided by an intravaginal accelerometer-based system for the treatment of female urinary incontinence (UI). Premenopausal women with mild-to-moderate stress or mixed UI were recruited to participate in PFMT with an accelerometer-based system for 6 weeks with supervision. Objective outcomes included pelvic floor […]

The cost effectiveness of vaginal versus abdominal repair of vesicovaginal fistulae.

The objective was to assess the comparative provider costs of vaginal and open abdominal repair of vesicovaginal fistula (VVF) and to determine the most cost-effective means of managing VVF. A prospectively acquired database of all women undergoing VVF repair by a single surgeon between 2007 and 2015 was retrospectively reviewed to determine operating time, perioperative […]

“Single Port Robot-assisted Laparoscopic Radical Prostatectomy: Initial Experience and Technique With the da Vinci SP Platform”.

To assess the safety and feasibility of the da Vinci SP (Intuitive Surgical, Sunnyvale, CA, USA) robotic platform for a consecutive series of patients who underwent single port robot-assisted laparoscopic radical prostatectomy (SP-RALP). Ten consecutive patients with biopsy-confirmed prostate cancer underwent SP-RALP at our institution. Pre, peri, and postoperative data were prospectively collected regarding key […]

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