Table of Contents Table of Contents
Previous Page  FM7 860 Next Page
Information
Show Menu
Previous Page FM7 860 Next Page
Page Background

e u r o p e a n u r o l o g y , vo l . 7 2 , n o . 5 , No v emb e r 2 0 1 7

757

Medical Treatment of Nocturia in Men with Lower Urinary Tract Symptoms: Systematic Review by the European Association of Urology Guidelines Panel for Male Lower Urinary Tract Symptoms

V.I. Sakalis, M. Karavitakis, D. Bedretdinova, T. Bach, J.L.H.R. Bosch, M. Gacci, C. Gratzke,

T.R. Herrmann, S. Madersbacher, C. Mamoulakis, K.A.O. Tikkinen, S. Gravas, M.J. Drake

Antidiuretic therapy using dose titration was more effective than placebo in relation

to nocturnal voiding frequency and duration of undisturbed sleep; baseline sodium is

a key selection criterion. Medications to treat lower urinary tract dysfunction were

generally not significantly better than placebo in short-term use. Other medications

(diuretics, agents to promote sleep, nonsteroidal anti-inflammatories) were

sometimes associated with response or quality of life improvement.

770

Anything New for Nocturia?

S.J. Kim, O. Al Hussein Alawamlh, R.K. Lee

772

What are the Benefits and Harms of Ureteroscopy Compared with Shock-wave Lithotripsy in the Treatment of Upper Ureteral Stones? A Systematic Review

T. Drake, N. Grivas, S. Dabestani, T. Knoll, T. Lam, S. Maclennan, A. Petrik, A. Skolarikos, M. Straub,

C. Tuerk, C.Y. Yuan, K. Sarica

Both ureteroscopy and shock wave lithotripsy are safe and effective treatments for

proximal ureteric stones. However, ureteroscopy appears to result in superior short-

term stone-free rates and a lower rate of retreatment, but associated with more

adjunctive procedures, higher complication rate, and longer hospital stay.

787

Endoluminal versus Extracorporeal Endourology: Which is Better and atWhat Cost?

J.M. Patterson, W.J.G. Finch

789

Understanding and Improving Recruitment to Randomised Controlled Trials: Qualitative Research Approaches

D. Elliott, S. Husbands, F.C. Hamdy, L. Holmberg, J.L. Donovan

Recruitment to randomised controlled trials (RCTs) is difficult. Qualitative research

can provide important insights into the complexities of recruiting to RCTs, which can

inform support and training initiatives, and improve recruitment.

799

Maximising Recruitment to Randomised Controlled Trials: The Role of Qualitative Research to Inform Recruitment Challenges

P. Wright

801

Prognostic Performance and Reproducibility of the 1973 and 2004/2016 World Health Organization Grading Classification Systems in Non–muscle-invasive Bladder Cancer: A European Association of Urology Non-muscle Invasive Bladder Cancer Guidelines Panel Systematic Review

V. Soukup, O. Cˇ apoun, D. Cohen, V. Hernández, M. Babjuk, M. Burger, E. Compérat, P. Gontero,

T. Lam, S. MacLennan, A.H. Mostafid, J. Palou, B.W.G. van Rhijn, M. Rouprêt, S.F. Shariat,

R. Sylvester, Y. Yuan, R. Zigeuner

All available data were collected and the prognostic performance and reproducibility of

the 1973 and 2004/2016World Health Organization (WHO) grading systems for

non–muscle-invasive bladder cancer (NMIBC) were compared in the systematic review.

We found that current grading classifications in NMIBC are suboptimal. The 1973

system identifies more aggressive tumours. In each category of the 1973WHO

classification (grade [G] G1, G2, G3), the risks of recurrence and progression were higher

than in the corresponding category of the 2004/2016WHO classification (papillary

urothelial neoplasms with lowmalignant potential, low grade, and high grade [HG]). We

confirmed the tendency to classifymost patients as G2 in the 1973WHO classification.

On the contrary, a significant weakness of the 2004/2016WHO classification is that it

gives almost no prognostic information in T1 patients, nearly all of whomare classified

as HG. Intra- and interobserver variability was slightly less in the 2004/2016WHO

classification. We could not confirm that the 2004/2016WHO classification outperforms

the 1973WHO classification in the prediction of recurrence and progression. Current

Stone Disease

Education

Guidelines

Voiding

Dysfunction