Scandinavian Journal of Urology

Prospective validation study of a combined urine and plasma test for predicting high-grade prostate cancer in biopsy naïve men
Brøchner Pedersen T, Hvid Poulsen M, Lund M, Feddersen S, Albitar M, Aaberg Poulsen C and Lund L
Early and accurate diagnosis of prostate cancer (PC) is crucial for effective treatment. Diagnosing  clinically insignificant cancers can lead to overdiagnosis and overtreatment, highlighting the importance of accurately selecting patients for further evaluation based on improved risk prediction tools. Novel biomarkers offer promise for enhancing this diagnostic process. In this study, we aimed to externally validate a previously developed urine and plasma biomarker test in a biopsy-naïve population.
Early experience of prostate artery embolization: a retrospective single-centre study
Majbar E, Swanberg J, Alamdari F, Peeker R and Chabok A
The aim of this study was to evaluate the early experiences of prostate artery embolization (PAE) in patients with benign prostatic hyperplasia (BPH).
Primary and revision artificial urinary sphincter for stress urinary incontinence post-radical prostatectomy: a surgery with high rewards but high risks?
Roth I, Hjelle KM, Johansen CJ, Moen CA, Beisland C and Juliebø-Jones P
To evaluate the efficacy of artificial urinary sphincter (AUS) implantation in men with stress urinary incontinence post-radical prostatectomy and the complication burden with a focus on identifying potential risk factors for reoperation as well as determining the fate of revision surgeries.
Exercise in primary care after robot-assisted radical cystectomy for urinary bladder cancer - effects on postoperative complications: a secondary analysis of a randomised controlled trial
Porserud A, Aly M, Steinertz H, Rydwik E and Hagströmer M
An exercise programme in primary care soon after radical cystectomy for urinary bladder cancer was previously evaluated regarding its effects on physical function. A secondary aim, presented herein, was to evaluate the programme in terms of its effect on postoperative complications.
How to improve cancer care by use of guidelines and quality registers
Stattin Md PhD P
N/A.
Time trends for the use of active surveillance and deferred treatment for localised prostate cancer in Sweden: a nationwide study
Maljkovic J, Bill-Axelson A, Hållberg H, Berglund A, Stattin P and Bratt O
Active surveillance (AS) is recommended for low-risk and some favourable intermediate-risk prostate cancers, but criteria for AS and deferred treatment have changed over time. We assessed time trends for the use of AS and deferred treatment.
Assessment of variability in life expectancy in older men by use of new comorbidity indices. A nationwide population-based study
Westerberg M, Ahlberg M, Orrason AW and Gedeborg R
N/A.
2023/2024 update of the national prostate cancer guidelines in Sweden
Stranne J
N/A.
The Stockholm Spinal Cord Uro Study: Changing patterns of urological surgery in a regional prevalence group through 50 years - Outcomes and lessons learned
Farrelly E, Lindbo L and Seiger Å
To examine the number and types of urological surgical procedures carried out in a regional prevalence population of patients with traumatic spinal cord injury (SCI) during five decades, evaluate objective and patient-reported outcomes and to consider lessons learned for further improvement of surgical treatment in this patient group.
The difficulty of studying the association between pathway delays and survival in cancer - an example from bladder cancer
Russell B, Hagberg O, Häggstrom C, Holmberg L, Van Hemelrijck M and Liedberg F
N/A.
Evaluation of data quality in the Swedish National Penile Cancer Register
Warnolf Å, Glombik D, Sandin F, Lambe M, Baseckas G, Gerdtsson A, Kohestani K and Kirrander P
The National Penile Cancer Register (NPECR) in Sweden was initiated in year 2000 and currently contains more than 3,900 men diagnosed with penile cancer. The aim of this study was to evaluate data quality in the NPECR in terms of completeness, timeliness, comparability, and validity.
Thermo-expandable intraprostatic nitinol stents in the treatment of bladder outlet obstruction: a consecutive case series
Arch A, Thamsborg A, Winck-Flyvholm L, Seifert R and Fode M
In high-risk patients, prostatic stents may alleviate obstruction at the prostate level. Since 2020 we have used thermo-expandable intraprostatic nitinol stents. Here we document outcomes through the first years with the procedure.
A population-based registry cohort study on the correlation between bladder-intact event-free survival and overall survival in cystectomy-ineligible/refusal muscle-invasive bladder cancer patients in Sweden
Laurin O, Baculea S, Côté S, Spigelman S, Szulkin R, Kwok KH, Schain F, Jones CV and Aly M
N/A.
Diagnostic accuracy and safety of renal tumour biopsy in patients with small renal masses and its impact on treatment decisions
Mazin Hashim B, Chabok A, Ljungberg B, Östberg E and Alamdari F
To assess the safety and diagnostic accuracy of renal tumour biopsy (RTB) in patients with small renal masses (SRM) and to assess if RTB prevents overtreatment in patients with benign SRM.
Urinary stone assessment in a single-phase may replace the unenhanced and multiphase computed tomography protocol in painless visible haematuria
Galtung KF, Lauritzen PM, Sandbæk G, Bay D, Baco E and Rud E
Painless visible haematuria (VH) necessitates a computed tomography (CT) usually consisting of one unenhanced and two to three contrast enhanced acquisitions to detect urinary tract stones and malignancy. Recently, we demonstrated that a single nephrographic phase (NP) CT sufficed in detecting malignancy in patients with painless VH. Now, we aim to evaluate the diagnostic performance of single NP CT in stone detection and size measurements in the same cohort.
Study design and procedures in the incontinence post robot-assisted radical prostatectomy: anatomical and functional causes (IPA) - a prospective observational clinical trial
Modig KK, Arnsrud Godtman R, Langkilde F, Månsson M, Wallström J and Stranne J
To describe the study design and procedures of the incontinence post robot- assisted radical prostatectomy, anatomical and functional causes (IPA) trial. This trial aims to identify and study patient and procedure specific factors leading to urinary incontinence post robot-assisted laparoscopic radical prostatectomy (RALP).
Cutaneous adverse reactions associated to apalumide: two case reports of DRESS syndrome and maculopapular exanthema
Hallamies S, Auvinen R, Junkkari H and Kluger N
Reduction of lower urinary tract symptoms in prostate cancer patients treated with robot assisted laparoscopic prostatectomy
Qvigstad LF, Eri LM, Lien MD, Fosså SD, Aas K and Berge V
The aim of this study was to evaluate the change in LUTS in patients treated with RALP and to assess factors that may predict an improvement of LUTS.
Minimising warm ischaemia time during robot-assisted partial nephrectomy. A video-based assessment of tumour excision, kidney reconstruction and intermediate time
Barnoiu OS, Yazdani Arazi HR and Andersen AV
Surgical video review is an emerging tool for assessing patient outcomes, especially in complex surgeries such as robot-assisted partial nephrectomy (RAPN). Assessing and measuring warm ischaemia time (WIT) during RAPN by dividing it into the time used for tumour excision time (ExcT), time used for kidney reconstruction time (RecT) and intermediate time (IntT) has not been performed before. This study aimed to analyse the factors that can influence all surgical times and assess their impact on positive surgical margins (PSMs) and complication rates.
Violation of onco-surgical principles is associated with survival outcomes in upper tract urothelial carcinomas after radical nephroureterectomy
Patras I, Abrahamsson J, Gerdtsson A, Nyberg M, Saemundsson Y, Ståhl E, Sörenby A, Warnolf Å, Bobjer J and Liedberg F
Disease recurrence, particularly intravesical recurrence (IVR) after radical nephroureterectomy (RNU) for upper tract urothelial carcinoma (UTUC), is common. We investigated whether violations of onco-surgical principles before or during RNU, collectively referred to as surgical violation (SV), were associated with survival outcomes.  Material and methods: Data from a consecutive series of patients who underwent RNU for UTUC 2001-2012 at Skåne University Hospital Lund/Malmö were collected. Preoperative insertion of a nephrostomy tube, opening the urinary tract during surgery or refraining from excising the distal ureter were considered as SVs. Survival outcomes in patients with and without SV (IVR-free [IVRFS], disease-specific [DSS] and overall survival [OS]) were assessed using multivariate Cox regression analyses (adjusted for tumour stage group, prior or concomitant bladder cancer, comorbidity and preoperative urinary cytology).
End-stage renal disease after renal cancer surgery: risk factors and overall survival
Åkerlund J, Ljungberg B, Lundstam S, Peeker R, Holmberg E, Månsson M and Grenabo Bergdahl A
Several risk factors for end-stage renal disease (ESRD), in patients undergoing surgical treatment for renal cell carcinoma (RCC), have been suggested by others. This study aimed to investigate such risk factors and disclose the effect of developing ESRD, postoperatively, on overall survival. The risk of developing ESRD after RCC diagnosis was also evaluated.