Timing of radical cystectomy influences patients’ survival, however, the surgery in Central Europe is very often unnecessarily delayed in every fourth case [1]. Moreover, five-year postoperative survival in this region does not exceed 32% and definitively needs improvement [2]. Prediction of the stage of bladder cancer at the time of primary transurethral resection of the tumor (TUR) can potent...

PURPOSE We investigated the effects of BTX-A on visceral afferent nerve transmission by measuring bladder tissue NGF levels in patients with neurogenic detrusor overactivity before and after intravesical treatment with BTX-A. We also compared the bladder tissue NGF content with clinical and urodynamic data. MATERIALS AND METHODS A total of 23 patients underwent clinical evaluation and urodyna...

uretero-pelvic junction obstruction (upjo) is a common congenital anomaly that may need pyeloplasty to prevent renal function deterioration. the purpose of this study was to describe a modified use of jj stent catheter in pyeloplasty for infant with upjo. a series of 12 children, between 3 and 10 months, underwent stenting open pyeloplasty. in each patient a 6 french foley catheter was placed w...

BACKGROUND Bladder cancer is the fourth most common malignancy in men, with a recurrence rate of 33-64%. Tumor documentation during cystoscopy of the bladder is suboptimal and might play a role in these high recurrence rates. OBJECTIVE In this project, a bladder registration and navigation system was developed to improve bladder tumor documentation and consequently increase reproducibility of...

INTRODUCTION There is an ongoing debate on panurothelial changes in the upper and lower urinary tract as multifocal presentation of urothelial cancer is well recognised. Concurrent bladder cancer impacts the outcome of the upper urinary tract urothelial cancer treatment, while its detection still relies on the white light cystoscopy. MATERIAL AND METHODS We retrospectively reviewed all patien...

BACKGROUND AND PURPOSE Surgical stapling devices are often used to secure the distal ureter along with a cuff of bladder during laparoscopic nephroureterectomy. As the viability of cells within the stapled tissue would be important in patients with upper urinary-tract transitional-cell carcinoma, we determined the viability of cells within the lines of various commercially available staplers in...

A 36-year-old woman presented with features of acute cholangitis. Ultrasonography showed distended gall bladder and mildly dilated common bile duct (CBD). Endoscopic ultrasound (EUS) [Figure 1] prior to therapeutic ERCP showed the tail of a roundworm jutting out of the ampulla of Vater. In addition there was choledocholithiasis. The worm escaped into the CBD during EUS. ERCP revealed a mild dis...

juvenile nasopharyngeal angiofibroma (jna) is a rare, benign and locally invasive tumor. massive bleeding because of vascularity of tumor and postoperative recurrence are potential problems of management. endonasal approach reduces the rate of postoperative recurrence, intraoperative bleeding, and complications of surgery, time of operation and duration of hospitalization. in this article, we r...

The article by Drs. Baselli and Greenberg is a concise review of recent information supporting the use of maintenance therapy for patients with superficial bladder cancer. The decision to initiate intravesical therapy in patients with superficial disease is determined by the risk assessment of each patient’s particular disease. Tumor characteristics obtained at the time of endoscopic resection,...

A 42-year-old male presented to the urology department, complaining of frequency and dysuria. A large number of calculi were revealed on IVU and USS. On endoscopic investigation, there were 3 stones (1.5 × 1 cm) found in the bladder and 5 more (1.5 × 0.8 cm) in the diverticulum of the posterior urethra. All of the stones were successfully broken down via a transurethral approach. This paper con...