A5045719117- Renal and Vascular Pathologies
- Organ Donation and Transplantation
- Renal Transplantation Outcomes and Treatments
- Neurological Complications and Syndromes
- Organ Transplantation Techniques and Outcomes
- Long-Term Effects of COVID-19
- Urinary Bladder and Prostate Research
- Anesthesia and Pain Management
- Renal Diseases and Glomerulopathies
- Prostate Cancer Diagnosis and Treatment
- Tryptophan and brain disorders
- Clostridium difficile and Clostridium perfringens research
- Cytomegalovirus and herpesvirus research
- Gut microbiota and health
- Urinary Tract Infections Management
- Prostate Cancer Treatment and Research
- COVID-19 Impact on Reproduction
- Autoimmune Bullous Skin Diseases
- Prenatal Screening and Diagnostics
- Urologic and reproductive health conditions
- COVID-19 Clinical Research Studies
Nara Medical University
2022-2025
Osaka Ekisaikai Hospital
2025
Urinary catheters often remain indwelling after transurethral surgery and can cause various symptoms, collectively known as catheter-related bladder discomfort (CRBD). CRBD primarily involves an urgent need to urinate suprapubic discomfort.1 The incidence of with urinary (IUC) is approximately over 50%.2 mechanism similar that overactive (OAB) mediated by muscarinic receptors. Muscarinic receptor antagonists have been shown improve CRBD, despite being associated side effects.1, 3 may...
Background/Aim: This study investigated the follow-up rate of living kidney donors and explored factors related to continuous remnant renal function, enabling optimal management donors. Patients Methods: We retrospectively evaluated 180 who underwent donor nephrectomies at our institute. Clinical information was obtained from medical charts, function defined as estimated glomerular filtration 12 months after nephrectomy. Results: Overall, 6/180 (3.3%) were lost within a year, gradually...
We investigated the diagnostic and therapeutic benefits of limited or extended pelvic lymph node dissection during a robot-assisted radical prostatectomy for localized prostate cancer.Diagnostic were assessed according to rates pN1 biochemical recurrence, respectively. The primary outcome was recurrence-free rate, secondary outcomes included dissection.A total 534 patients analyzed. Out patients, 207 (38.8%) received while 134 (25.1%) dissection. There 297 with Briganti index ≥5%. Extended...
症例は全身性エリテマトーデス（SLE）にループス腎炎と抗リン脂質抗体症候群（APS）を合併し26歳で血液透析導入となった31歳女性．19歳よりAPSに対して抗凝固薬を開始したがその後肺胞出血を合併したため内服を中止していた．SLEとAPSの病勢が落ち着いたことを確認し31歳で母親をドナーとする血液型不適合生体腎移植を施行した．APS合併レシピエントに対する生体腎移植では血栓症合併リスクが高く，抗血栓療法を行うことが一般的である．本症例では手術7日前から抗血栓療法を開始し術後は血栓症を含め大きな合併症なく経過した．出血合併症のリスクを考慮し術後67日目に抗血栓療法を終了した．しかし術後150日経過した頃から左上肢シャント部より末梢の血流途絶を認め，血栓症として抗血栓療法を再開した．APS合併レシピエントにおける血栓症発症リスクの層別化や抗凝固薬の終了時期に関するコンセンサスは得られておらず今後検討が必要である．
Background Pseudoaneurysm formation sometimes complicates transplant nephrectomy. We report a case of bleeding from pseudoaneurysm after transplantation nephrectomy that resulted in shock and emergency endovascular treatment. Case presentation A 56‐year‐old man underwent 3 years 9 months following for pyelonephritis‐related infection control. On postoperative day 7, he developed sudden pain the lower abdomen subsequently went into shock. at anastomosis was detected, urgent treatment...
BACKGROUND Despite its surgical complexity, kidney transplantation (KT) with multiple renal arteries (MRA) is comparable in performance to KT a single artery (SRA). This study aimed evaluate the effect of MRA and investigate risk factors for graft loss living-donor MRA. MATERIAL AND METHODS included recipients who underwent our hospital from February 2002 March 2023. The primary outcome was whether decreased prognosis transplanted kidneys. secondary outcomes were MRA, such as recipients'...