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1. Efficacy of robot-assisted partial nephrectomy compared to conventional laparoscopic partial nephrectomy for completely endophytic renal tumor: a multicenter, prospective study

Author

Hinata, Nobuyuki, Murakami, Sae, Nakano, Yuzo, Hara, Isao, Kondo, Tsunenori, Hamamoto, Shuzo, Shiroki, Ryoichi, Nagayama, Jun, Kawakita, Mutsushi, Eto, Masatoshi, Ukimura, Osamu, Takenaka, Atsushi, Takagi, Toshio, Shimbo, Masaki, Azuma, Haruhito, Yoshida, Tetsuya, Furukawa, Junya, Kawamorita, Naoki, and Fujisawa, Masato

Published
2024
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2. Robotic versus open and laparoscopic pelvic exenterations for pelvic cancer: a multicenter propensity-matched analysis in Japan

Author

Yatabe, Yusuke, Hanaoka, Marie, Hanazawa, Ryoichi, Hirakawa, Akihiro, Mukai, Toshiki, Kimura, Kei, Yamanoi, Koji, Kono, Jin, Yokota, Mitsuru, Takahashi, Hiroki, Kobayashi, Akihiro, Kobayashi, Kenji, Ichikawa, Nobuki, Yasui, Masayoshi, Nakane, Keita, Yamamoto, Manabu, Takenaka, Atsushi, Nakamura, Yuya, Takemasa, Ichiro, Yabusaki, Norimitsu, Akamoto, Shintaro, Tatarano, Shuichi, Murata, Kohei, Manabe, Tatsuya, Fujimura, Tetsuya, Kawamura, Mikio, Egi, Hiroyuki, Yamaguchi, Shigeki, Terai, Yoshito, Inoue, Shigetaka, Ito, Akihiro, and Kinugasa, Yusuke

Published
2024
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4. Comparison of perioperative outcomes and complications between intracorporeal, extracorporeal, and hybrid ileal conduit urinary diversion during robot-assisted radical cystectomy: a comparative propensity score-matched analysis from nationwide multi-institutional study in Japan

Author

Morizane, Shuichi, Nakane, Keita, Tanaka, Toshiaki, Zennami, Kenji, Muraoka, Kentaro, Ebara, Shin, Miura, Noriyoshi, Uemura, Koichi, Sobu, Ryuta, Hoshi, Akio, Taoka, Rikiya, Sugimoto, Mikio, Noma, Hisashi, Sunada, Hiroshi, Nishiyama, Hiroyuki, Habuchi, Tomonori, Ikeda, Ichiro, Saika, Takashi, Makiyama, Kazuhide, Shiroki, Ryoichi, Masumori, Naoya, Koie, Takuya, and Takenaka, Atsushi

Published
2024
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6. Laparoscopic pelvic lymph node dissection in cadaver surgical training from the combined perspectives of urologists, gastroenterologists and gynecologists improves overall knowledge and technique: initial experience of multidisciplinary cadaver surgical training at a single institution in Japan

Author

Morizane, Shuichi, Honda, Masashi, Kihara, Kyoichi, Yamamoto, Manabu, Komatsu, Hiroaki, Sato, Shinya, Hikita, Katsuya, Tanishima, Shinji, Nakane, Hironobu, Kurosaki, Masamichi, Kaidoh, Toshiyuki, and Takenaka, Atsushi

Published
2022
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16. Supervised Pelvic Floor Muscle Training Improves Sexual Function and Diminishes Sexual Distress in Women with Relapsing–Remitting Multiple Sclerosis: A Randomised Controlled Study

Author

Zachariou, Athanasios, primary, Zikopoulos, Athanasios, additional, Sapouna, Vaia, additional, Skentou, Chara, additional, Kaltsas, Aris, additional, Giannakis, Ioannis, additional, Zachariou, Dimitrios, additional, Dimitriadis, Fotios, additional, Mamoulakis, Charalampos, additional, Mai, Dung Ba Tien, additional, Phuoc, Nguyen Ho Vinh, additional, Takenaka, Atsushi, additional, and Sofikitis, Nikolaos, additional

Published
2024
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17. Standardization of robot‐assisted pelvic lymph node dissection—Development of a common understanding of regional anatomy and surgical technique based on cross‐disciplinary discussion among colorectal surgery, urology, and gynecology

Author

Takemasa, Ichiro, primary, Hamabe, Atsushi, additional, Takenaka, Atsushi, additional, Kobayashi, Hiroaki, additional, Mandai, Masaki, additional, Kinugasa, Yusuke, additional, Saika, Takashi, additional, Shimbo, Masaki, additional, Morizane, Shuichi, additional, Sekiyama, Kentaro, additional, Togami, Shinichi, additional, Hanaoka, Marie, additional, Inoue, Sena, additional, Nagaishi, Kanna, additional, Sakai, Yoshiharu, additional, and Watanabe, Masahiko, additional

Published
2024
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18. Transvaginal closure of urinary bladder opening and Mitrofanoff technique in a neurologically impaired female with chronic indwelling catheter: a case presentation

Author

Zachariou Athanasios, Paschopoulos Minas, Kaltsas Aris, Dimitriadis Fotios, Zikopoulos Athanasios, Mamoulakis Charalampos, Takenaka Atsushi, and Sofikitis Nikolaos

Subjects
Urethral damage, Indwelling catheter, Transvaginal urethral closure, Mitrofanoff, Case report, Diseases of the genitourinary system. Urology, RC870-923
Abstract

Abstract Background Chronic catheterization remains the only attractive option in specific circumstances, especially in neurologically impaired patients. Complications produced by the indwelling catheters, like patulous urethra and bladder neck destruction, usually lead to severe incontinence and significant nursing difficulties. Here, we describe a rare case, a urinary bladder opening representing massive and extensive destruction of the urethra and bladder sphincter due to an indwelling catheter. Case presentation We present a 46-year-old paraplegic woman complaining of recurrent febrile urinary tract infections and severe urinary incontinence. She suffered from persistent malodorous urine and skin breakdowns from constant urine leakage. The vaginal examination revealed extensive destruction of the urethra and a 10 cm opening permitting the urinary bladder wall to prolapse into the vagina. The patient underwent a combined surgical approach; a transvaginal bladder closure with anterior colporrhaphy and a Mitrofanoff procedure to ensure a continent stoma for future clean intermittent self-catheterization (CISC). The patient is compliant with CISC and, remains continent twelve years after surgery. Conclusion This case demonstrates that in the era of CISC, there are still neurologically impaired females suffering from rare but critical adverse effects of indwelling catheters. The urethra and bladder neck erosion represent a demanding treatment assignment. The Mitrofanoff procedure for continent stoma and the transvaginal closure of urinary bladder opening produced a lifesaving potential treatment.

Published
2021
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19. Summary of the Clinical Practice Guidelines for Upper Tract Urothelial Carcinoma 2023 by the Japanese Urological Association

Author

Mori, Kazuyuki, primary, Hatakeyama, Shingo, additional, Enokida, Hideki, additional, Miyake, Hideaki, additional, Kikuchi, Eiji, additional, Nishiyama, Hiroyuki, additional, Ichikawa, Tomohiko, additional, Kamai, Takao, additional, Kaji, Yasushi, additional, Kume, Haruki, additional, Kondo, Tsunenori, additional, Matsuyama, Hideyasu, additional, Masumori, Naoya, additional, Kawauchi, Akihiro, additional, Takenaka, Atsushi, additional, Uemura, Hirotsugu, additional, Eto, Masatoshi, additional, Nonomura, Norio, additional, Fujii, Yasuhisa, additional, Hinotsu, Shiro, additional, and Ohyama, Chikara, additional

Published
2023
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20. Chronic kidney disease and Charlson comorbidity index predict complications after robot‐assisted radical cystectomy: A single‐center study in Japan

Author

Matsukawa, Atsuki, primary, Morizane, Shuichi, additional, Shimizu, Ryutaro, additional, Teraoka, Shogo, additional, Nishikawa, Ryoma, additional, Yamaguchi, Noriya, additional, Iwamoto, Hideto, additional, Hikita, Katsuya, additional, Honda, Masashi, additional, Nonomura, Norio, additional, and Takenaka, Atsushi, additional

Published
2023
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22. Comparison of perioperative outcomes and complications between intracorporeal, extracorporeal, and hybrid ileal conduit urinary diversion during robot-assisted radical cystectomy: a comparative propensity score-matched analysis from nationwide multi-institutional study in Japan

Author

Morizane, Shuichi, primary, Nakane, Keita, additional, Tanaka, Toshiaki, additional, Zennami, Kenji, additional, Muraoka, Kentaro, additional, Ebara, Shin, additional, Miura, Noriyoshi, additional, Uemura, Koichi, additional, Sobu, Ryuta, additional, Hoshi, Akio, additional, Taoka, Rikiya, additional, Sugimoto, Mikio, additional, Noma, Hisashi, additional, Sunada, Hiroshi, additional, Nishiyama, Hiroyuki, additional, Habuchi, Tomonori, additional, Ikeda, Ichiro, additional, Saika, Takashi, additional, Makiyama, Kazuhide, additional, Shiroki, Ryoichi, additional, Masumori, Naoya, additional, Koie, Takuya, additional, and Takenaka, Atsushi, additional

Published
2023
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30. Summary of the Clinical Practice Guidelines for Upper Tract Urothelial Carcinoma 2023 by the Japanese Urological Association.

Author

Mori, Kazuyuki, Hatakeyama, Shingo, Enokida, Hideki, Miyake, Hideaki, Kikuchi, Eiji, Nishiyama, Hiroyuki, Ichikawa, Tomohiko, Kamai, Takao, Kaji, Yasushi, Kume, Haruki, Kondo, Tsunenori, Matsuyama, Hideyasu, Masumori, Naoya, Kawauchi, Akihiro, Takenaka, Atsushi, Uemura, Hirotsugu, Eto, Masatoshi, Nonomura, Norio, Fujii, Yasuhisa, and Hinotsu, Shiro

Subjects
TRANSITIONAL cell carcinoma, EVIDENCE-based management, MEDICAL personnel
Abstract

This article is an English translation of the Clinical Practice Guidelines for Upper Tract Urothelial Carcinoma (2nd edition) published in June 2023. The Japanese Urological Association's (JUA) Guidelines Committee on Upper Tract Urothelial Carcinoma (UTUC) created a 2023 update guideline to support clinicians' current evidence‐based management of UTUC and to incorporate its recommendations into clinical practice. The new guideline adhered as closely as possible to the Minds Manual for Guideline Development 2020 ver. 3.0. Findings related to epidemiological, pathological, diagnosis, treatment, and follow‐up were reviewed. In addition, seven clinical questions (CQs) were set to determine the grade of recommendation and level of evidence. Preconceptions and biases were removed from the preparation process, the overall evidence was evaluated appropriately, and recommendations were made after fully considering the balance between benefits and harms. Although the evidence is still insufficient to be taken up as a CQ, the latest important information is described in seven columns, and clinical issues that should be resolved in the future related to the CQ are described as recommendations for tomorrow. We hope that these guidelines will help medical professionals, patients, and their families involved in the treatment of UTUC in their decision‐making, and hope that a critical review of these guidelines will lead to further refinements in the next edition. [ABSTRACT FROM AUTHOR]

Published
2024
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31. Chronic kidney disease and Charlson comorbidity index predict complications after robot‐assisted radical cystectomy: A single‐center study in Japan.

Author

Matsukawa, Atsuki, Morizane, Shuichi, Shimizu, Ryutaro, Teraoka, Shogo, Nishikawa, Ryoma, Yamaguchi, Noriya, Iwamoto, Hideto, Hikita, Katsuya, Honda, Masashi, Nonomura, Norio, and Takenaka, Atsushi

Subjects
CHRONIC kidney failure, SURGICAL complications, GLOMERULAR filtration rate, SURGICAL robots, CYSTECTOMY, ILEAL conduit surgery, URINARY diversion
Abstract

Objectives: To investigate preoperative patient factors that may predict the occurrence of perioperative complications following robot‐assisted radical cystectomy at a single center in Japan. Methods: From 2013 to 2022, 103 patients underwent RARC at our institution. Complications within 90 days after surgery were assessed using the Clavien–Dindo classification. Preoperative characteristics and surgical outcomes were compared between cohorts with and without complications ≥grade 3. Logistic regression analysis was used to identify the risk factors associated with perioperative complications. Results: Overall, 27% of patients (27/103) experienced grade 3 or higher complications. The cohort that developed complications ≥grade 3 exhibited significantly higher Charlson comorbidity index (p = 0.046) and significantly lower estimated glomerular filtration rate (p = 0.048). Charlson comorbidity index ≥2 (p = 0.037) and estimated glomerular filtration rate <53 (p = 0.008) were independent predictors for the occurrence of complications ≥grade 3. The incidence of complications ≥grade 3 was 61.5% in the group possessing both factors, which was significantly higher than those in the groups possessing neither factor nor only one of the two factors. Conclusions: Our results suggest that the Charlson comorbidity index and preoperative estimated glomerular filtration rate may be predictors of perioperative complications. It is important to evaluate the patient's preoperative characteristics and choose the surgical procedure accordingly. [ABSTRACT FROM AUTHOR]

Published
2024
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33. Evaluating the Predictive Value of Diagnostic Testicular Biopsy for Sperm Retrieval Outcomes in Men with Non-Obstructive Azoospermia

Author

Kaltsas, Aris, primary, Markou, Eleftheria, additional, Zachariou, Athanasios, additional, Dimitriadis, Fotios, additional, Symeonidis, Evangelos N., additional, Zikopoulos, Athanasios, additional, Mamoulakis, Charalampos, additional, Tien, Dung Mai Ba, additional, Takenaka, Atsushi, additional, and Sofikitis, Nikolaos, additional

Published
2023
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35. Characterization of Urate Metabolism and Complications of Patients with Renal Hypouricemia

Author

Miyazaki, Satoshi, primary, Hamada, Toshihiro, additional, Isoyama, Tadahiro, additional, Okada, Shinichi, additional, Tomita, Katsuyuki, additional, Endo, Yusuke, additional, Kuwabara, Masanari, additional, Sugihara, Shinobu, additional, Ogino, Kazuhide, additional, Ninomiya, Haruaki, additional, Ichida, Kimiyoshi, additional, Yamamoto, Kazuhiro, additional, Takenaka, Atsushi, additional, and Hisatome, Ichiro, additional

Published
2023
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36. Advanced Reconstruction of Vesicourethral Support May Improve Urinary Continence and Quality of Life After Non-nerve-sparing Robot-assisted Radical Prostatectomy

Author

HIKITA, KATSUYA, HONDA, MASASHI, SHIMIZU, RYUTARO, NISHIKAWA, RYOMA, TERAOKA, SHOGO, KIMURA, YUSUKE, YAMAGUCHI, NORIYA, IWAMOTO, HIDETO, MORIZANE, SHUICHI, and TAKENAKA, ATSUSHI

Subjects
Male, Prostatectomy, Pharmacology, Cancer Research, Urinary Incontinence, Urinary Bladder, Prostate, Quality of Life, Humans, Prostatic Neoplasms, Robotics, General Biochemistry, Genetics and Molecular Biology, Research Article
Abstract

Background/Aim: Postoperative urinary incontinence (UI) after robot-assisted radical prostatectomy (RARP) has a significant impact on patients’ quality of life (QOL). Several surgical techniques have been reported to improve postoperative UI. The aim of the study was to investigate the impact of advanced reconstruction of vesicourethral support (ARVUS) on urinary symptoms and QOL after non-nerve-sparing robot-assisted radical prostatectomy (RARP). Patients and Methods: Patients who underwent non-nerve-sparing RARP from October 2010 to October 2020 at the Division of Urology, Department of Surgery, Tottori University Faculty of Medicine were reviewed. Patients were divided into the ARVUS and non-ARVUS groups, and propensity score matching was performed. Patients were evaluated by the International Prostate Symptom Score (IPSS), Incontinence Modular Questionnaire Short Form (ICIQ-SF), QOL index, and number of pads used before and 1, 3, 6, and 12 months after RARP. Results: The number of patients in the ARVUS and non-ARVUS group were 41 and 41, respectively. On cystography, the distance of the symphysis pubis to the bladder neck was significantly shorter (p

Published
2023

44. A Comparison Between Laparoscopic and Robot-Assisted Laparoscopic Pyeloplasty in Patients with Ureteropelvic Junction Obstruction

Author

Lukkanawong, Niwat, Honda, Masashi, Teraoka, Shogo, Iwamoto, Hideto, Morizane, Shuichi, Hikita, Katsuya, and Takenaka, Atsushi

Subjects
body regions, pyeloplasty, robotic surgery, technology, industry, and agriculture, Original Article, General Medicine, laparoscopic surgery
Abstract

Background: The aim of this study is to compare the results of laparoscopic pyeloplasty and robot-assisted laparoscopic pyeloplasty in patients with ureteropelvic junction obstruction. Methods: Between March 2008 and May 2019, the patients who underwent retroperitoneal laparoscopic or robotic-assisted laparoscopic pyeloplasty in our institution were retrospectively reviewed. Results: Thirteen patients underwent laparoscopically, and 12 patients underwent robotic surgery. The significant difference was found in median operative time between laparoscopic group (296 minutes) and robotic group (199 minutes) (P = 0.001). The median time for drain removal in laparoscopic group was longer than robotic group (3 vs. 2 days, respectively, P = 0.029). Conclusion: Laparoscopic and robot-assisted laparoscopic pyeloplasty is safe and excellent success rates in patients with ureteropelvic junction obstruction. However, our experience study suggested that robotic surgery improves a total operative time, decreases drain removal time and less intraoperative blood loss than laparoscopic approach.

Published
2022

45. Impact of Advanced Paternal Age on Fertility and Risks of Genetic Disorders in Offspring

Author

Kaltsas, Aris, primary, Moustakli, Efthalia, additional, Zikopoulos, Athanasios, additional, Georgiou, Ioannis, additional, Dimitriadis, Fotios, additional, Symeonidis, Evangelos N., additional, Markou, Eleftheria, additional, Michaelidis, Theologos M., additional, Tien, Dung Mai Ba, additional, Giannakis, Ioannis, additional, Ioannidou, Eleni Maria, additional, Papatsoris, Athanasios, additional, Tsounapi, Panagiota, additional, Takenaka, Atsushi, additional, Sofikitis, Nikolaos, additional, and Zachariou, Athanasios, additional

Published
2023
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48. Endoscopic Ablation of Upper Tract Urothelial Carcinoma: A Report of Two Cases with Long Disease Recurrence-Free Periods

Author

Yamane, Hiroshi, Honda, Masashi, Shimizu, Ryutaro, Teraoka, Shogo, Kimura, Yusuke, Yumioka, Tetsuya, Iwamoto, Hideto, Morizane, Shuichi, Hikita, Katsuya, and Takenaka, Atsushi

Subjects
radical nephroureterectomy, kidney-sparing surgery, General Medicine, upper tract urothelial carcinoma, Patient Report, laser ablation therapy, urothelial carcinoma
Abstract

Upper tract urothelial carcinoma (UTUC) is a relatively rare disease that accounts for 5% to 10% of all urothelial carcinomas (UCs). Radical nephroureterectomy (RNU) with a bladder cuff is the current gold standard for the management of UTUC; however, endoscopic ablation is also an option for low-risk UTUC to preserve kidney function. Herein, we present two cases of solitary kidney with a right lower ureteral tumor. Both patients underwent left RNU in the past. An 82-year-old man with a right ureteral tumor whose histopathological examination revealed low-grade UC. Laser ablation was performed with ureteroscopy, and there was no recurrence for 7 years after treatment. A 67-year-old woman with a right lower ureteral tumor whose histopathological examination also revealed low-grade UC. Laser ablation was performed, and there was no recurrence for 5 years after the treatment. We closely followed-up our two patients after RNU. This allowed for early detection of tumor recurrence, after which we could perform laser ablation therapy.

Published
2022

49. Utility of the HYBRID Method Incorporating the Advantages of Both Extracorporeal and Intracorporeal Urinary Diversion in Robotic-Assisted Radical Cystectomy

Author

Iwamoto, Hideto, Morizane, Shuichi, Yamamoto, Atsushi, Shimizu, Ryutaro, Nishikawa, Ryoma, Yamaguchi, Noriya, Hikita, Katsuya, Honda, Masashi, and Takenaka, Atsushi

Subjects
intracorporeal urinary diversion, robotic-assisted radical cystectomy, Original Article, General Medicine, HYBRID method, extracorporeal urinary diversion
Abstract

Background: Robotic-assisted radical cystectomy (RARC) is a well-known standard procedure for muscle-invasive bladder cancer. However, it remains controversial whether extracorporeal urinary diversion (ECUD) or intracorporeal urinary diversion (ICUD) is superior in this technique. We have developed a HYBRID method that combines ECUD and ICUD to retain the advantages of each. The purpose of this study was to compare perioperative outcomes between HYBRID and ECUD in RARC and to evaluate the usefulness of the HYBRID method. Methods: We retrospectively analyzed the perioperative outcomes of 36 consecutive bladder cancer patients who underwent RARC with ileal conduit at our institution between March 2013 and December 2021. Propensity-score matching was used to align patient backgrounds between the HYBRID and ECUD groups. Results: After matching, 12 cases were selected for each group. There was no significant difference in patient demographics between the groups except for the rate of neoadjuvant chemotherapy. Mean console time was significantly longer in the HYBRID group due to intracorporeal manipulation; however, a relatively favorable trend of mean blood loss was observed in this group. There was no significant difference between the groups in terms of positive surgical margin, mean number of lymph node removed, or positive lymph node. The incidences of complications associated and non-associated with the urinary tract and grade ≥III complications at postoperative day (POD) 0–30 and 31–90 were similar between the groups. In the HYBRID group, no complications non-associated with the urinary tract or grade ≥III complications were observed at POD 31–90. Conclusion: The HYBRID method takes advantage of the benefits of both ICUD and ECUD and is a highly applicable technique that can be used in a variety of patient backgrounds.

Published
2022

50. List of Contributors

Author

Ahmad, Gulfam, primary, Alom, Manaf, additional, Alshahrani, Saad, additional, Alzweri, Laith, additional, Atala, Anthony, additional, Aubuchon, Mira, additional, Ayaz, Ahmet, additional, Badr, Fouad M., additional, Bakare, Tolulope O., additional, Bartolome, Alma R., additional, Bhattacharjee, Rudrarup, additional, Bishop, Colin, additional, Bivalacqua, Trinity, additional, Burnett, Arthur L., additional, Collica, Sarah, additional, Da Ros, Carlos T., additional, Dada, Rima, additional, DeLay, Kenneth, additional, Diao, Linley, additional, Dimitriadis, Fotios, additional, Drobnis, Erma Z., additional, El-Habit, Ola, additional, Evenson, Donald P., additional, Gabrielson, Andrew T., additional, Ghali, Fady, additional, Ghirelli-Filho, Milton, additional, Glina, Sidney, additional, Graziottin, Túlio M., additional, Gupta, Narmada P., additional, Gur, Serap, additional, Hallak, Jorge, additional, Haney, Nora M., additional, Harnisch, Brooke A., additional, Heidenberg, Daniel J., additional, Hellstrom, Wayne J.G., additional, Henkel, Ralf, additional, Hernandez, Antonio, additional, Honig, Stanton C., additional, Hotta, Yuji, additional, Kannady, Chris, additional, Kimura, Kazunori, additional, Kothandaraman, Narasimhan, additional, Kovac, Jason R., additional, Kumar, Shiv B., additional, La Nasa, Joseph A., additional, Lao, Michael, additional, Liu, James, additional, McAbee, Kara E., additional, Mohan, Chandra, additional, Parikh, Malhar J., additional, Pederzoli, Filippo, additional, Pendergraft, Samuel S., additional, Pressman, Angela, additional, Raheem, Omer A., additional, Rajasekaran, Mahadevan R., additional, Reddy, Amit, additional, Rehman, Ibraheem, additional, Rezk, Bashir M., additional, Roychoudhury, Shubhadeep, additional, Sadri-Ardekani, Hooman, additional, Saldiva, Paulo Hilário N., additional, Sikka, Suresh C., additional, Skouros, Sotirios, additional, Sofikitis, Nikolaos, additional, Takenaka, Atsushi, additional, Tolahunase, Madhuri, additional, Traish, Abdulmaged M., additional, Trost, Landon, additional, Tue Nguyen, Hoang M., additional, Veras, Mariana M., additional, Wang, Run, additional, and Wymer, Kevin, additional

Published
2018
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