Risk factors for benign uretero-enteric anastomotic strictures after open radical cystectomy and ileal conduit DOI
Francesco Pio Bizzarri, Marco Campetella, Pierluigi Russo

et al.

Urologia Journal, Journal Year: 2024, Volume and Issue: unknown

Published: Dec. 18, 2024

Introduction and objective: Radical Cystectomy (RC) is one of the most common complex surgical procedures in urologic surgery, benign ureteroenteric anastomosis strictures (UAS) are complications described about 15% patients undergoing RC with different urinary diversion (UD). The aim this study to evaluate analyze risk factors related development ureteral stenosis after RC. Materials methods: All consecutive who underwent ileal conduit from December 2019 2022 were included. According guidelines hydronephrosis investigates CT-scan or Ultrasound blood tests at 3–6–12 months then early. UAS was confirmed eventually treated nephrostomies (with without descendent pyelography). Several potential factor releated analyzed by univariate analysis including preoperative, intraoperative postoperative variables. Results: In total 116 At 30 mean follow up, 21 (19%) diagnosed UAS. Median time diagnosis 6 (IQR: 4–9). univariable previous abdominal surgery (OR 13.5 CI 3.4–63.4, p < 0.001) had strongest association shorter stricture six-fold highest 6.41, IC 95%; 2.16–21.1, 0.001). Also, gender, age, body mass index, lower albumin serum level, higher fibrinogen level showed statistically significant ( 0.05). Conclusion: Patients preoperative albumin/fibrinogen ratio more likely develop Moreover, having a history PAS significantly increases formation.

Language: Английский

Relationship Between Loss of Y Chromosome and Urologic Cancers: New Future Perspectives DOI Open Access
Pierluigi Russo, Francesco Pio Bizzarri, Giovanni Battista Filomena

et al.

Cancers, Journal Year: 2024, Volume and Issue: 16(22), P. 3766 - 3766

Published: Nov. 8, 2024

The Y chromosome (ChrY) is essential for male sex determination and spermatogenesis. However, recent studies have revealed its broader role in various physiological processes disease susceptibility, including cancer.

Language: Английский

Citations

9

Elderly and bladder cancer: The role of radical cystectomy and orthotopic urinary diversion DOI Creative Commons
Francesco Pio Bizzarri, Eros Scarciglia, Pierluigi Russo

et al.

Urologia Journal, Journal Year: 2024, Volume and Issue: 91(3), P. 500 - 504

Published: March 29, 2024

The incidence of bladder cancer (BC) depends on advancing age and other risk factors, significantly impacting surgical, functional oncological outcomes. Radical cystectomy (RC) with urinary diversion is the gold standard therapy for muscle invasive cancer; however, it remains a complex surgery requires careful analysis factors in order to potentially decrease post-surgical complication rates. Age limiting factor that can modify surgical outcomes, correlated high rate post-dimssion hospital readmissions. reconstruction intestine represents crucial point radical derivation (UD) at center many debates. A non-continent UD seems be best choice elderly patients (>75 years old), while orthotopic neobladder (ON) poorly practiced. We reviewed literature identify studies reporting complications, patient- selection criteria, quality-of-life data patients, who underwent ON following cystectomy. Reviewing there no clear evidence use as an exclusion criterion. Certainly, patient multiple comorbidities not eligible ON, preferring or rescue therapies. preoperative could greatly improve clinical, giving chance selected receive ON.

Language: Английский

Citations

8

Previous maximal transurethral resection of bladder tumor lead to unfavorable perioperative outcomes following radical cystectomy DOI
Wentao Ma, Yuan Shui, Guilin Wang

et al.

International Urology and Nephrology, Journal Year: 2025, Volume and Issue: unknown

Published: Jan. 9, 2025

Language: Английский

Citations

0

SIRI as a biomarker for bladder neoplasm: Utilizing decision curve analysis to evaluate clinical net benefit DOI Creative Commons
Pierluigi Russo, Nazario Foschi, Giuseppe Palermo

et al.

Urologic Oncology Seminars and Original Investigations, Journal Year: 2025, Volume and Issue: unknown

Published: Feb. 1, 2025

This analysis aimed to evaluate the clinical relevance of presurgical systemic inflammation response index (SIRI) in individuals undergoing radical cystectomy (RC). In this retrospective study, 228 were categorized into 2 cohorts depending on their SIRI levels using best cut-off determined by Youden Index. The association between and lymph node metastasis (N), advanced pT stage (pT3/pT4), loco-regional extended state analyzed at time surgery. Multivariate Cox regression was performed impact relapse, tumor-specific survival, survival rates. additional medical advantage evaluated through decision curve (DCA). High low group obtained value (1.71×109/l). On multivariate logistic analysis, elevated significantly associated with (P = 0.003) 0.003). multivariable models based clinicopathological factors, an augmented linked poorer relapse-free (RFS) 0.035), improvement concordance just for RFS. DCAs, incorporating yielded results equal or better than those model without all outcomes models. It demonstrated improvements net benefit probability thresholds up 50% adjusted preoperative factors RFS postoperative CSS OS. is innovative prognostic indicator a potential biomarker that can enhance conventional pathological evaluation improve personalization treatment strategies bladder cancer patients following RC.

Language: Английский

Citations

0

The genetic associations of lipidome on bladder cancer: a Mendelian randomization study DOI Creative Commons

Jing Jin,

Weihao Wang, Keyuan Zhao

et al.

Discover Oncology, Journal Year: 2025, Volume and Issue: 16(1)

Published: April 22, 2025

Multiple epidemiological studies have demonstrated a correlation between the lipidome and bladder cancer (BC). Nonetheless, current literature lacks consensus on causal link BC. We utilise two-sample Mendelian randomisation approach to meticulously evaluate two variables. A (MR) analysis was performed utilising publically accessible genome-wide association research data. The principal technique utilised for inquiry inverse variance-weighted (IVW) meta-analysis. Furthermore, Bayesian weighted (BWMR) employed corroborate findings. Supplementary validation conducted Cochran's Q test methodologies including MR-Egger. MR analysis, in conjunction with BWMR revealed genetic prediction of risk Sterol ester (SE) 27:1/16:0 (OR: 1.148, 95% CI: 1.020-1.293, p = 0.022), 27:1/20:3 1.132, 1.006-1.274, 0.040), Phosphatidylcholine (PC) 18:0_20:3 1.257, 1.101-1.436, 0.001), Sphingomyelin (SM) d38:1 1.120, 1.016-1.235, 0.023), d40:2 1.156, 1.033-1.295, 0.012), Triacylglycerol (TAG) 46:1 1.178, 1.013-1.369, 0.034), 49:2 1.219, 1.031-1.442, 0.021), 50:5 1.173, 1.038-1.326, 0.011), 52:6 1.161, 1.007-1.339, 0.040) exhibited positive an elevated Genetic projections suggest reciprocal BC, offering theoretical support basis future clinical research.

Language: Английский

Citations

0

Integrating analysis of multi-omics summary data identifies novel plasma protein biomarkers and drug targets for bladder cancer DOI Creative Commons
Jinlong Cao, Siyu Chen, Jirong Wang

et al.

Discover Oncology, Journal Year: 2025, Volume and Issue: 16(1)

Published: May 2, 2025

The plasma proteins are an important source of therapeutic targets. This study aims to address the diagnostic and challenges bladder cancer (BC) by using Mendelian randomization (MR) with a large sample size from multiple centers identify which causally related pathogenesis BC. Followed merging nine protein datasets six studies, total 5538 three BC (ieu-b-4874, ukb-b-8193, FinnGen_R11_C3_ BLADDER_EXALL) were used perform proteome‑wide MR estimate contribution BC, separately. To ensure robustness results, Veen intersection operation on results revealed that 14 meaningful candidate pathogenic (ANKRD27, BIN1, FAHD1, IL17RB, MRPL21, PPT1, PSCA, SLC16A3, SLURP1, SPON2, TACSTD2, TMEM87B, YWHAB) obtain datasets. Then, we validated these through various methods, including meta-analysis, reverse MR, Bayesian co-localization analysis summary-data-based (SMR), divided into layers according validation confidence. We then performed single-cell transcriptome (Registration number: GSE222315), showed 13/14 expressed 12 differentially in at least one cell type. Finally, protein-protein interactions (PPI) druggability evaluation explore relationship between interaction markers existing drug Summarily, our research uncovered biomarkers linked risk, offering novel perspectives etiology potential targets for developing screening drugs

Language: Английский

Citations

0

Systemic immune-inflammation and prognostic immune nutritional index in oral squamous cell carcinoma patients DOI
Zhenzhen Li,

Shaowen Ge,

Chi Song

et al.

Biomarkers in Medicine, Journal Year: 2024, Volume and Issue: unknown, P. 1 - 12

Published: Sept. 13, 2024

To investigate the systemic immune-inflammation index and prognostic immune nutritional in evaluation of oral squamous cell carcinoma.

Language: Английский

Citations

2

The role of alternative medicine and complimentary therapies in urologic disease: New horizons DOI
Francesco Pio Bizzarri, Marco Campetella, Mauro Ragonese

et al.

Urologia Journal, Journal Year: 2024, Volume and Issue: 91(4), P. 641 - 646

Published: July 24, 2024

The world of complementary and alternative medicine (CAM) encompasses a wide range practices, treatments, products that fall outside the realm conventional (mainstream) medicine. use CAM has become increasingly popular in Western nations. People are turning to for variety reasons, including managing chronic diseases, relieving symptoms various conditions, improving their overall health well-being. There's growing trend people using showing interest therapies, especially countries. some offering complete alternatives medicine, while others aim complement existing medical approaches. Urologists should stay informed about guide patients effectively treat modern personalized way. review is analyze scenario complimentary with specific focus urological field.

Language: Английский

Citations

1

Derived Neutrophils to Lymphocyte Ratio Predicts Survival Benefit from TPF Induction Chemotherapy in Local Advanced Oral Squamous Cellular Carcinoma DOI Open Access
Fangxing Zhu, Xinyu Zhou,

Yiyi Zhang

et al.

Cancers, Journal Year: 2024, Volume and Issue: 16(15), P. 2707 - 2707

Published: July 30, 2024

This study aimed to evaluate the derived neutrophil lymphocyte ratio (dNLR) in predicting prognosis of patients with locally advanced oral squamous cell carcinoma (LAOSCC) and assess survival benefits from docetaxel, cisplatin, 5-fluorouracil (5-FU) (TPF) induction chemotherapy (IC).

Language: Английский

Citations

0

Prognostic impact of lymph node invasion levels in patients with bladder cancer undergoing radical cystectomy and pelvic lymphadenectomy DOI Open Access
Junichi Ikeda, Chisato Ohe, Takashi Yoshida

et al.

Oncology Letters, Journal Year: 2024, Volume and Issue: 28(5)

Published: Aug. 29, 2024

Extranodal extension in metastatic lymph nodes (LNs) is a poor prognostic factor bladder cancer (BC). Furthermore, invasion levels sentinel LNs are associated with prognosis melanoma. The present study aimed to evaluate the LN level, defined as extent of anatomical and immunological substructures, compare it pathological node (pN) stage tumor‑node‑metastasis staging system BC. A total 98 patients BC who underwent radical cystectomy pelvic lymphadenectomy were retrospectively assessed. level was classified follows: Level 0, no cell within resected LNs; 1, cells confined intracapsular vessels subcapsular or transverse sinuses; 2, infiltrating cortex, paracortex medulla; 3, beyond capsule. proportion Levels 2 3 70.4% (69/98), 8.2% (8/98), 14.3% (14/98) 7.1% (7/98), respectively. Kaplan‑Meier survival curves recurrence‑free (RFS), cancer‑specific (CSS) overall (OS) better stratified outcome patient when using 1‑3 compared pN1‑3. In addition, predicted RFS, CSS OS, comparison pN (c‑index 0.672 vs. 0.646, 0.688 0.665, 0.702 0.661, respectively). Finally, multivariate analysis revealed that predictive accuracy model integrating tumor (pT) OS greater than conventional included pT 0.723 0.703, 0.710 0.694, 0.725 0.692, conclusion, accurately after lymphadenectomy.

Language: Английский

Citations

0