Vesicoureteral reflux (VUR) is a significant risk factor for pyelonephritis and renal scarring. VUR can occur through a defective ureterovesical junction (UVJ) or an overwhelmed normal UVJ mechanism such as in bladder dysfunction of congenital, acquired, or behavioral etiology. There are numerous causes for the development of a neurogenic bladder from spinal dysraphisms to spinal cord trauma an...

BACKGROUND Health-related quality of life (HRQOL) has not been adequately measured in bladder cancer. A recently developed reliable and disease-specific quality of life instrument (Bladder Cancer Index, BCI) was used to measure urinary, sexual, and bowel function and bother domains in patients with bladder cancer managed with several different interventions, including cystectomy and endoscopic-...

INTRODUCTION The standard treatment for upper urinary tract urothelial cell carcinoma (UUT-UCCs) is radical nephroureterectomy with bladder cuff excision. The endoscopic treatment was introduced with promising results in selected cases. The purpose of this study was the retrospective analysis of the factors that can influence the prognosis of the patients with UUT-UCCs who underwent endoscopic ...

We report our early experience with a new device for endoscopic stone disintegration: the Swiss lithoclast. This device was used to treat 200 patients with stones in kidney, ureter, and bladder. Its effectiveness was 100% when the stone could be approached irrespective of size or composition, and no complication was encountered. Prof. A. Kostakopoulos, Department of Urology, Sismanoglion Genera...

INTRODUCTION We report our experience with endoscopic ablation of Hunner's lesions in women with interstitial cystitis (IC). METHODS A chart review was performed on 14 patients with IC symptoms who were identified to have bladder lesions and underwent endoscopic ablation. A Hunner's lesion was identified as an area of erythema that reproduced the patients' pain when touched by the cystoscope....

INTRODUCTION Stress urinary incontinence (SUI) is a condition of social dimension which generally pertains to women of various age. The only effective treatments of SUI are surgical procedures. The use of tension-free vaginal tape (TVT) ensures low invasiveness but also carries the risk of complications. One of the complications may be migration of the tape into the urinary bladder creating con...

Neurogenic bladder dysfunction due to spinal cord injury poses a significant threat to the well-being of patients. Incontinence, renal impairment, urinary tract infection, stones, and poor quality of life are some complications of this condition. The majority of patients will require management to ensure low pressure reservoir function of the bladder, complete emptying, and dryness. Management ...

Bladder cancer is a significant cause of morbidity and mortality today. Histopathological staging [1,2] and adequate tumor clearance is critical in prognosticating and assessing adequacy of treatment. Obtaining detrusor muscles during transurethral resection of bladder tumours (TURBT) is vital for cancer staging [3]. Deep cold-cup biopsy at transurethral resection of bladder tumors (TURBT) is n...

Urothelial carcinoma of the upper urinary tract represents only 5% of all urothelial cancers. The 5-year cancer-specific survival in the United States is roughly 75% with grade and stage being the most powerful predictors of survival. Nephroureterectomy with excision of the ipsilateral ureteral orifice and bladder cuff en bloc remains the gold standard treatment of the upper urinary tract uroth...

A 65-year old man presented with a six-month history of loss of appetite. Clinical examination was unremarkable. Initial endoscopy was reported to be normal. Ultrasound scan of the abdomen showed a dilated common bile duct with no gall bladder calculi. Serum alkaline phosphatase was raised (630.2 U/L). Duodenoscopy with a side-viewing scope (TJF-160R Olympus) revealed a periampullary growth han...