Tijdschrift voor Urologie

https://link.springer.com/journal/13629

List of Papers (Total 125)

De FUTURE trial; een multicenter RCT naar MRI-geleide prostaatbiopten

The FUTURE trial is a multicenter RCT on 3 MRI-based target biopsy (TB) techniques among patients with negative systematic biopsies (SBs) and persisting suspicion of prostate cancer. Between 2014 and 2017 665 patients underwent multiparametric MRI. 234 (35%) patients with a PIRADS ≥3 lesion were randomised 1:1:1 for TB: in-bore MRI (MRI-TB), MRI/ultrasound fusion (FUS-TB), and...

Prostaatkankerrichtlijn: een routekaart in Oncoguide, beslisbomen en informatiestandaard

The Dutch prostate cancer guidelines have been converted as a route map into decision trees that will be implemented in a digital support system named Oncoguide in the autumn of 2018. Based on the decision trees an information standard can be constructed which creates unity of language and facilitates data sharing and reuse of data. By providing individual patient and disease...

Verwijden of verwijderen? De preputiumplastiek is een goed alternatief voor therapeutische circumcisie

For children who still have phimosis after using corticosteroids, often circumcision is performed. However, based on the Dutch guidelines, preputioplasty is a good alternative with little complications. This article shows the first results of the preputioplasties in our large teaching hospital. In this retrospective study design all children who underwent preputioplasty in our...

Case report. Buccal mucosa graft voor UPJ-reconstructie na een niet-geslaagde robotgeassisteerde pyelumplastiek

Reconstructive surgery for proximal ureteral strictures is challenging. Transureteroureterostomy, ureteroileal interposition and autotransplantation are the methods most described. In literature, a somewhat less known type of reconstruction, the usually successful buccal mucosa graft (BMG) ureteroplasty is described in small case-series. We describe a case in which a BMG was used...

Case report. Een patiënt met flankpijn na spontane graad III-nierlaceratie bij NOAC-gebruik

A spontaneous grade III kidney lesion is a rare phenomenon. The cause of a kidney laceration is often a trauma or a kidney tumor. We describe a case of a patient with a spontaneous grade III kidney lesion with NOAC use, with no demonstrable luxating moment or cause. The patient repeatedly stated that she didn’t experienced any fall, trauma or abuse. Both the initial CT scan and...

Een tweede transurethrale resectie bij niet-invasief (Ta) hooggradig urotheelcelcarcinoom? Een retrospectieve multicenteranalyse

Accurate staging is of importance in bladder cancer as it determines disease management. The most recent Dutch guidelines recommend re-TURT in case of all T1 and high-grade (HG) tumours (including Ta), where the most recent updated EAU guidelines only recommend a re-TURT for T1 bladder cancer, provided that musculus detrusor is found in the initial resection specimen. This...

Intraoperatieve detectie van het heldercellig niercelcarcinoom met 111In-girentuximab-IRDye800CW: proof-of-principlestudie

The aim of this study is to show the feasibility and safety of CAIX-targeted dual-modality imaging in ccRCC. Seven days before partial or radical nephrectomy, patients were injected with 100MBq 111In-girentuximab-IRDye800CW (5–50 mg). After 4 days a SPECT/CT was obtained. After 7 days surgery was performed with the use of intraoperative gamma probe detection and fluorescence...

Abstracts najaarsvergadering NVU, 2 november 2018, Nieuwegein

SamenvattingBiochemisch recidiverende prostaatkanker (BCR) is de belangrijkste indicatie voor het uitvoeren van prostaatspecifiek membraan antigeen PET/CT (PSMA PET/CT). Hoewel PSMA PET/CT een sensitief diagnosticum is, blijft het lokaliseren van BCR bij lage PSA-waarden problematisch.

Tien jaar expertise met aanpasbare continentietherapie voor post-prostatectomie urine-incontinentie

This study aimed to evaluate outcomes of ProACT™ balloons for the treatment of male stress urinary incontinence after radical prostatectomy. Included were 143 patients without a history of radiotherapy in whom these balloons were implanted between 2007 and 2016. Outcome was urinary continence: no pad or just one security pad per day was defined as successful. Preoperative...

Vroege oncologische uitkomsten van [68Ga]PSMA-PET/CT-gestuurde salvagetherapie bij mannen met biochemisch recidief na radicale prostatectomie

This study was performed to assess the value of [68Ga]PSMA PET/CT informed salvage therapy in men (n = 142) after radical prostatectomy with a rising prostate specific antigen PSA (0.05–0.5 ng/ml). [68Ga]PSMA PET/CT scan was positive for tumor activity in 84 men (36: prostate fossa, 31 pelvic lymph nodes ± prostate fossa; 17 distant metastases. 88 men underwent salvage therapy...

Case report. Size does matter: acuut nierfalen door een te groot pessarium

An 88-year-old patient presenting herself with acute renal failure was found to have an obstructive uropathy with bilateral hydronefrosis. This was caused by an oversized pessary blocking the distal ureters. After removal of the foreign body the kidney function recovered. In the literature there are five case reports about vaginal obstruction causing hydronephrosis. Three were...

Belangrijk werk

SamenvattingDeze voorjaarsvergadering doen Nederlandse onderzoekers een belangrijke (internationale) duit in de wetenschappelijke zak. De data van twee grote langer lopende studies zijn nu duidelijk. De FUTURE- en HoRRAD-studie, beide op het gebied van prostaatkanker, zullen in de internationale literatuur en richtlijnen medebepalend worden.

Case report. Prolaberend leiomyoom van de blaas

In this case report, the uncommon acute presentation of a leiomyoma of the bladder in a 62-year old female is discussed. The patient presented with severe pain and prolapse into the urethra. She had pushed the tumour outwards, resulting in a downward motion of the right ureteral orifice. The tumour is successfully resected, with immediate pain relief.