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  • 1
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    Online Resource
    Testing sensation of gently squeezing the testes has diagnostic value in spinal cord injury men
    Springer Science and Business Media LLC ; 2021
    In:  Spinal Cord Series and Cases Vol. 7, No. 1 ( 2021-07-30)
    Details
    In: Spinal Cord Series and Cases, Springer Science and Business Media LLC, Vol. 7, No. 1 ( 2021-07-30)
    Type of Medium: Online Resource
    ISSN: 2058-6124
    URL: Article
    DOI: 10.1038/s41394-021-00430-5
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2021
    detail.hit.zdb_id: 2847002-3
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  • 2
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    Changes in bladder emptying during inpatient rehabilitation after spinal cord injury and predicting factors: data from the Dutch Spinal Cord Injury Database
    Springer Science and Business Media LLC ; 2023
    In:  Spinal Cord
    Details
    In: Spinal Cord, Springer Science and Business Media LLC
    Type of Medium: Online Resource
    ISSN: 1362-4393 , 1476-5624
    URL: Article
    DOI: 10.1038/s41393-023-00925-y
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2023
    detail.hit.zdb_id: 2011853-3
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  • 3
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    Do previous urethral endoscopic procedures and preoperative self‐dilatation increase the risk of stricture recurrence after urethroplasty?
    Wiley ; 2022
    In:  LUTS: Lower Urinary Tract Symptoms Vol. 14, No. 3 ( 2022-05), p. 163-169
    Details
    In: LUTS: Lower Urinary Tract Symptoms, Wiley, Vol. 14, No. 3 ( 2022-05), p. 163-169
    Abstract: To evaluate the relation between clinically relevant stricture recurrence after first urethroplasty and prior endoscopic treatments (dilatation and/or direct visual internal urethrotomy) or intermittent self‐dilatation (ISD). Methods Patients with bulbar urethral strictures treated with first urethroplasty between 2011 and April 2019 were included in a prospectively gathered database with standardized follow‐up. Stricture recurrence was defined as any need for reintervention. Primary outcome was the analysis of recurrence risk after first urethroplasty in relation with the number of prior endoscopic treatments or performance of ISD. Univariate and multivariate statistical analyses were performed. Results Overall, 106 patients were included with a median follow‐up of 12 months (interquartile range 8‐13]. Reintervention was necessary in 16 patients (15%). Recurrence was more prevalent in patients with ≥3 prior endoscopic treatments (28%, P  = .009). No increased risk of recurrence was found in patients with 1 or 2 prior endoscopic treatments. The prevalence of prior ISD was twice as high in the stricture recurrence group (56% vs 26%, P  = .014), and ISD was performed in 61% of the patients with ≥3 prior endoscopic treatments ( P   〈  .001). The number of prior endoscopic interventions and performance of ISD were no independent predictors for recurrence in the multivariable analysis. Conclusions This study shows that the risk of recurrence after first urethroplasty is increased in patients with ≥3 prior endoscopic treatments and in those who performed ISD. Patients performing ISD more often had ≥3 prior endoscopic treatments. Prior endoscopic treatment and performance of ISD were not independent predictors of stricture recurrence.
    Type of Medium: Online Resource
    ISSN: 1757-5664 , 1757-5672
    URL: Issue
    URL: Article
    DOI: 10.1111/luts.v14.3
    DOI: 10.1111/luts.12419
    Language: English
    Publisher: Wiley
    Publication Date: 2022
    detail.hit.zdb_id: 2509802-0
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  • 4
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    What should be next in lifelong posterior hypospadias: Conclusions from the 2023 ERN eUROGEN and EJP‐RD networking meeting
    Wiley ; 2024
    In:  Neurourology and Urodynamics Vol. 43, No. 5 ( 2024-06), p. 1097-1103
    Details
    In: Neurourology and Urodynamics, Wiley, Vol. 43, No. 5 ( 2024-06), p. 1097-1103
    Abstract: A congenital disease is for life. Posterior hypospadias, the severe form of hypospadias with a penoscrotal, scrotal, or perineal meatus, is a challenging condition with a major impact on lifelong quality of life. Aim Our network meeting is aimed to identify what is currently missing in the lifelong treatment of posterior hypospadias, to improve care, quality of life, and awareness for these patients. Methods The network meeting “Lifelong Posterior Hypospadias” in Utrecht, The Netherlands was granted by the European Joint Programme on Rare Diseases–Networking Support Scheme. There was a combination of interactive sessions (hackathons) and lectures. This paper can be regarded as the last phase of the hackathon. Results Surgery for hypospadias remains challenging and complications may occur until adulthood. Posterior hypospadias affects sexual function, fertility, and hormonal status. Transitional care from childhood into adulthood is currently insufficiently established. Patients should be more involved in defining desired treatment approach and outcome measures. For optimal outcome evaluation standardization of data collection and registration at European level is necessary. Tissue engineering may provide a solution to the shortage of healthy tissue in posterior hypospadias. For optimal results, cooperation between basic researchers from different centers, as well as involving clinicians and patients is necessary. Conclusions To improve outcomes for patients with posterior hypospadias, patient voices should be included and lifelong care by dedicated healthcare professionals guaranteed. Other requirements are joining forces at European level in uniform registration of outcome data and cooperation in basic research.
    Type of Medium: Online Resource
    ISSN: 0733-2467 , 1520-6777
    URL: Issue
    URL: Article
    DOI: 10.1002/nau.v43.5
    DOI: 10.1002/nau.25305
    Language: English
    Publisher: Wiley
    Publication Date: 2024
    detail.hit.zdb_id: 1500793-5
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  • 5
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    Continent catheterizable urinary channels: Lessons for lifelong urological care from a comparative analysis of very long‐term complications and revision‐free survival of three different types
    Wiley ; 2024
    In:  Neurourology and Urodynamics Vol. 43, No. 5 ( 2024-06), p. 1083-1089
    Details
    In: Neurourology and Urodynamics, Wiley, Vol. 43, No. 5 ( 2024-06), p. 1083-1089
    Abstract: Continent catheterizable channels (CCC) provide an alternative route to the bladder in both pediatric and adult patients. This study compared very long‐term complications and revision‐free survival of three different CCC techniques: appendicovesicostomy (AVS), ileum (Monti), and tubularized bladder flap (TBF). Materials and Methods A retrospective cohort study was performed. Data from adult patients with CCC under surveillance at our academic tertiary referral urological center in 2020 and 2021 were collected. Both patients who acquired the CCC as a child and as an adult were included. The primary outcome was revision‐free survival of the three CCC types. The secondary outcome was the prevalence of complications requiring surgical revision. Revisions were categorized as major (open subfascial or complete revisions) and minor (open suprafascial or endoscopic). Results We included 173 CCCs (AVS 90, Monti 51, TBF 32). Median follow‐up was 12.4 years (4.8–18). Mean revision‐free survival was 162 ± 13 months, with no significant difference between the three types. Ninety‐two individual CCCs (53%) required surgical revision and a total of 157 surgical revisions were performed. Seventy CCCs (40%) required major surgical revision: AVS (27/90%–30%), Monti (31/51%–61%), TBF (12/32%–38%). Conclusion Complications of CCCs are common; in this study with very long‐term follow‐up, more than half of CCCs required surgical revision. Revisions were more common in Monti channels compared with AVS and TBF. The mean revision‐free survival of 〉 13 years illustrates the sustained long‐term durability of CCCs which is important in the lifelong urological care of this population with high life expectancy.
    Type of Medium: Online Resource
    ISSN: 0733-2467 , 1520-6777
    URL: Issue
    URL: Article
    DOI: 10.1002/nau.v43.5
    DOI: 10.1002/nau.25350
    Language: English
    Publisher: Wiley
    Publication Date: 2024
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  • 6
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    Very long‐term follow‐up of Indiana Pouches proves durability
    Wiley ; 2024
    In:  Neurourology and Urodynamics Vol. 43, No. 5 ( 2024-06), p. 1090-1096
    Details
    In: Neurourology and Urodynamics, Wiley, Vol. 43, No. 5 ( 2024-06), p. 1090-1096
    Abstract: An Indiana Pouch (IP) is a heterotopic, continent, urinary diversion from an ileocolonic segment. Numerous studies have investigated its long‐term outcomes, albeit none extending beyond a 5‐year follow‐up period. IPs can be used as urinary diversion for benign indications and as such are constructed in typically young patients. As a consequence of their extended lifespan, there is a need for very long‐term ( 〉 5 years) IP outcome data and comprehensive complication analysis. Materials and Methods In this retrospective cohort study, the data of all patients attending our academic functional urology tertiary referral center for surveillance between 2015 and 2022 after an earlier IP procedure without uro‐oncological indication were analyzed. The primary objective was to identify the prevalence of complications associated with IP, including stomal stenosis, ureter‐pouch stenosis, pouch calculi, stomal leakage, pouch perforation, and parastomal herniation, and to determine the time span between creation of the IP and occurrence of complications. Results A cohort of 33 patients (23 female) was analyzed. Median age at IP creation was 38 (range 5–62) years. Median follow‐up was 258 (range 24–452) months. During follow‐up, 22 (67%) patients underwent at least one surgical revision. In total, 45 revision procedures were performed. The estimated mean revision‐free survival was 198 (95%‐CI 144–242) months. Conclusion Two‐thirds of our IP patients required surgical revision during very long‐term follow‐up. However, the mean revision‐free survival was 198 months. This establishes the IP as a durable and resilient option for urinary diversion, yet underlines the need for lifelong follow‐up as some of these complications and indication were subclinical. These results contribute significantly to patient counseling when discussing different options for urinary diversion, especially at a younger age.
    Type of Medium: Online Resource
    ISSN: 0733-2467 , 1520-6777
    URL: Issue
    URL: Article
    DOI: 10.1002/nau.v43.5
    DOI: 10.1002/nau.25344
    Language: English
    Publisher: Wiley
    Publication Date: 2024
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