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Article ; Online: Surgical Approach for Partial Nephrectomy in the Management of Small Renal Masses: A Systematic Review and Network Meta-Analysis.

Naughton, Ailish / Ryan, Éanna J / Keenan, Robert / Thomas, Arun Z / Smyth, Lisa G / Manecksha, Rustom P / Flynn, Robert J / Casey, Rowan G

Journal of endourology

2024 Volume 38, Issue 4, Page(s) 358–370

Abstract: Background: ...

Abstract	Background:
MeSH term(s)	Humans ; Kidney Neoplasms/surgery ; Kidney Neoplasms/pathology ; Treatment Outcome ; Network Meta-Analysis ; Neoplasm Recurrence, Local/surgery ; Laparoscopy/methods ; Nephrectomy/methods
Language	English
Publishing date	2024-03-18
Publishing country	United States
Document type	Meta-Analysis ; Systematic Review ; Journal Article
ZDB-ID	356931-7
ISSN	1557-900X ; 0892-7790
ISSN (online)	1557-900X
ISSN	0892-7790
DOI	10.1089/end.2023.0107
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Zs.A 2628: Show issues			Location: Je nach Verfügbarkeit (siehe Angabe bei Bestand) bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular Jg. 1995 - 2021: Lesesall (2.OG) ab Jg. 2022: Lesesaal (EG)
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Article: Venous thromboembolism and bleeding risk in bladder cancer.

Thomas, Arun Z / Kamat, Ashish M

Oncology (Williston Park, N.Y.)

2014 Volume 28, Issue 10, Page(s) 854–5, 861

MeSH term(s)	Hemorrhage/etiology ; Humans ; Thromboembolism/etiology ; Urinary Bladder Neoplasms/complications
Language	English
Publishing date	2014-10
Publishing country	United States
Document type	Comment ; Journal Article
ZDB-ID	1067950-9
ISSN	0890-9091
ISSN	0890-9091
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Article ; Online: Primitive neuroectodermal tumour with synchronous ipsilateral clear cell carcinoma of the kidney.

Taha, Mohamed / Mohammed, Nur M / Crowther, Stephen / Manecksha, Rustom P / Thomas, Arun Z

BMJ case reports

2018 Volume 11, Issue 1

Abstract: We report the first case of a synchronous ipsilateral primitive neuroectodermal tumour (PNET) and clear cell renal cell carcinoma of the kidney. A 37-year-old man presented to the emergency department with a 24-hour history of colicky abdominal pain and ... ...

Abstract	We report the first case of a synchronous ipsilateral primitive neuroectodermal tumour (PNET) and clear cell renal cell carcinoma of the kidney. A 37-year-old man presented to the emergency department with a 24-hour history of colicky abdominal pain and visible haematuria. He had no relevant surgical or medical history. Physical examination was unremarkable apart from mild left flank tenderness. Triphasic CT of the abdomen and pelvis showed two solid lesions in the left kidney. Further staging CT of the chest showed no evidence of local or distal metastasis. He subsequently underwent laparoscopic radical nephrectomy. Pathological analysis of the kidney showed two synchronous renal tumours, a clear cell carcinoma and PNET of the kidney. The patient received adjuvant chemotherapy according to Ewing's sarcoma chemotherapy protocol. Surveillance CT scans at 3, 6 and 12 months showed no evidence of disease recurrence or metastasis.
MeSH term(s)	Abdominal Pain/etiology ; Adenocarcinoma, Clear Cell/diagnosis ; Adenocarcinoma, Clear Cell/therapy ; Adult ; Chemotherapy, Adjuvant ; Combined Modality Therapy ; Hematuria/etiology ; Humans ; Kidney/diagnostic imaging ; Kidney/pathology ; Kidney Neoplasms/diagnosis ; Kidney Neoplasms/therapy ; Male ; Neoplasms, Multiple Primary/diagnosis ; Neoplasms, Multiple Primary/surgery ; Neoplasms, Multiple Primary/therapy ; Nephrectomy ; Neuroectodermal Tumors, Primitive/diagnosis ; Neuroectodermal Tumors, Primitive/therapy ; Tomography, X-Ray Computed ; Treatment Outcome
Language	English
Publishing date	2018-12-09
Publishing country	England
Document type	Case Reports ; Journal Article
ISSN	1757-790X
ISSN (online)	1757-790X
DOI	10.1136/bcr-2018-224273
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Article ; Online: Paratesticular myositis ossificans of the spermatic cord.

Hintze, Justin M / O'Hare, Kevin / McDermott, Ted / Thomas, Arun Z

BMJ case reports

2018 Volume 2018

Abstract: A 56-year-old man presented with a painless scrotal lump, enlarging over the preceding 1 month. The lump was roughly 1 cm in size, and located in his left hemiscrotum and separate from the testis. An ultrasound revealed an echogenic focus with dystrophic ...

Abstract	A 56-year-old man presented with a painless scrotal lump, enlarging over the preceding 1 month. The lump was roughly 1 cm in size, and located in his left hemiscrotum and separate from the testis. An ultrasound revealed an echogenic focus with dystrophic tissue calcification. Subsequent surgical excision and histopathological analysis revealed it to be late-stage myositis ossificans, a benign, extraosseous formation of the bone or cartilage. We report of only the second described case of myositis ossificans of the spermatic cord in the literature to date.
MeSH term(s)	Genital Diseases, Male/pathology ; Humans ; Male ; Middle Aged ; Myositis Ossificans/pathology ; Spermatic Cord/pathology ; Testis/pathology
Language	English
Publishing date	2018-01-04
Publishing country	England
Document type	Case Reports ; Journal Article
ISSN	1757-790X
ISSN (online)	1757-790X
DOI	10.1136/bcr-2017-223178
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Article ; Online: Mixed collecting duct and renal cell carcinoma presenting with spinal cord compression.

Hennessey, Derek B / Thomas, Arun Z / Lynch, Thomas H

BMJ case reports

2013 Volume 2013

Abstract: Collecting duct carcinoma (CDC) is a rare renal malignancy thought to develop from the collecting duct epithelium of the kidney. CDC tends to have a more aggressive clinical course than conventional renal cell carcinoma (RCC), with early metastases. The ... ...

Abstract	Collecting duct carcinoma (CDC) is a rare renal malignancy thought to develop from the collecting duct epithelium of the kidney. CDC tends to have a more aggressive clinical course than conventional renal cell carcinoma (RCC), with early metastases. The occurrence of a mixed CDC and conventional RCC is infrequently reported in the literature. We report the first case of a metastatic mixed CDC and RCC presenting as back pain in a young adult. In addition we discuss the epidemiology of and current adjuvant therapies for CDC.
MeSH term(s)	Biopsy ; Carcinoma, Renal Cell/pathology ; Carcinoma, Renal Cell/surgery ; Decompression, Surgical ; Diagnosis, Differential ; Humans ; Kidney Neoplasms/pathology ; Kidney Neoplasms/surgery ; Magnetic Resonance Imaging ; Male ; Nephrectomy ; Spinal Cord Compression/pathology ; Spinal Cord Compression/surgery ; Spinal Neoplasms/secondary ; Spinal Neoplasms/surgery ; Tomography, X-Ray Computed ; Ultrasonography, Interventional ; Young Adult
Language	English
Publishing date	2013-04-19
Publishing country	England
Document type	Case Reports ; Journal Article
ISSN	1757-790X
ISSN (online)	1757-790X
DOI	10.1136/bcr-2013-008987
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Article: Urinary catheters in the emergency department: a prospective audit to improve quality control.

Bhatt, Nikita R / Mohammed, Waleed / Wagner, Pedro / Elkhalifa, Ayeda / Flynn, Robert J / Thomas, Arun Z / Manecksha, Rustom P

Central European journal of urology

2019 Volume 72, Issue 1, Page(s) 62–65

Abstract: Introduction: The best way to prevent urinary catheter related complications is to avoid unnecessary insertions of catheters and removing the catheters when they are no longer necessary. Previous studies have shown 47% documentation rate of urinary ... ...

Abstract	Introduction: The best way to prevent urinary catheter related complications is to avoid unnecessary insertions of catheters and removing the catheters when they are no longer necessary. Previous studies have shown 47% documentation rate of urinary catheter (UC) insertion in the Emergency Department (ED) and have found one-sixth of patients in the ED have no indication for UC insertion. The aim of this audit was to record the indications and documentation of UC insertion in the ED and to propose an intervention to improve the quality of these processes. Material and methods: A prospective audit was conducted in a tertiary university teaching hospital in Ireland over an eight-week period. A week-long intervention was conducted in the ED to educate staff, an ED doctor was involved in directly communicating this to the staff thereafter and concise labels were introduced to document relevant details about each UC insertion. The pre-intervention and post-intervention data was compared using Chi-Square tests. Results: A total of 103 (50 pre-intervention and 53 post-intervention) consecutive age and gender matched patients were recruited in the audit over 8 weeks. The documentation for UC insertion improved by 22% (8% to 30%, (p <0.001, chi-square) while the non-indication for UC insertion reduced by 6% (36% to 30%, p = 0.53, chi-square). Conclusions: A simple intervention achieved significantly improved documentation of UC insertion and a trend toward increased appropriateness of UC insertion. This audit serves as an example to improve quality control around UC insertion which could be adopted in other institutions.
Language	English
Publishing date	2019-01-22
Publishing country	Poland
Document type	Journal Article
ZDB-ID	2672528-9
ISSN	2080-4873 ; 2080-4806
ISSN (online)	2080-4873
ISSN	2080-4806
DOI	10.5173/ceju.2019.1731
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Article ; Online: The utility of stent on strings in clinical practice.

Lynch, Olwyn E / Redmond, Elaine J / Inder, Mohammud S / Flynn, Robert J / Thomas, Arun Z / Smyth, Lisa G / Manecksha, Rustom P

Irish journal of medical science

2019 Volume 189, Issue 1, Page(s) 283–287

Abstract: Introduction: Various types of ureteric stents are used in the management of ureteric stones. Stents on strings (SOS) are an attractive option as they may be removed without the need for instrumentation. There is some hesitation using SOS due to ... ...

Abstract	Introduction: Various types of ureteric stents are used in the management of ureteric stones. Stents on strings (SOS) are an attractive option as they may be removed without the need for instrumentation. There is some hesitation using SOS due to perceived complications and the risk of premature dislodgement. The aim of this study was to evaluate the utility of SOS compared with the conventional stent (CS). Methods: A retrospective review was performed on all ureteric stents removed in the urology department over a 7-month period. Only stents inserted during the endoscopic management of ureteric stones were included in analysis. Patients were contacted to identify the incidence of those seeking medical attention while the stent was in situ or within 2 weeks of stent removal. A basic cost analysis was performed. Results: One hundred and sixty cases were identified (98 CS, 62 SOS). No SOS was dislodged prematurely. One SOS was removed cystoscopically due to a broken string. There was no significant difference in the number of patients with SOS seeking medical attention following stent placement compared with those with CS (38.1% (12/51) vs 25.6% (22/86), p = 0.48). There was an estimated cost saving of €23,790 associated with the use of SOS during the study period (€390/case). The use of SOS created additional capacity which was utilised for diagnostic cystoscopy. Conclusion: The SOS appeared to be well tolerated and showed similar complication rates as the CS. The use of SOS resulted in a significant cost saving and increased the availability of cystoscopy for other indications.
MeSH term(s)	Device Removal/methods ; Female ; Humans ; Male ; Retrospective Studies ; Stents/adverse effects ; Ureter/surgery
Language	English
Publishing date	2019-08-11
Publishing country	Ireland
Document type	Journal Article ; Review
ZDB-ID	390895-1
ISSN	1863-4362 ; 0021-1265
ISSN (online)	1863-4362
ISSN	0021-1265
DOI	10.1007/s11845-019-02079-4
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Article: Cytoreductive surgery in the era of targeted molecular therapy.

Thomas, Arun Z / Adibi, Mehrad / Borregales, Leonardo D / Karam, Jose A / Wood, Christopher G

Translational andrology and urology

2016 Volume 4, Issue 3, Page(s) 301–309

Abstract: Cytoreductive nephrectomy (CN) was regarded standard of care for patients with metastatic renal cell carcinoma (mRCC) in the immunotherapy era. With the advent of targeted molecular therapy (TMT) for the treatment of mRCC, the routine use of CN has been ... ...

Abstract	Cytoreductive nephrectomy (CN) was regarded standard of care for patients with metastatic renal cell carcinoma (mRCC) in the immunotherapy era. With the advent of targeted molecular therapy (TMT) for the treatment of mRCC, the routine use of CN has been questioned. Up to date evidence continues to suggest that CN remains an integral part of treatment in appropriately selected patients. This review details the original context in which the efficacy of CN was established and rationale for the continued use of cytoreductive surgery in the era of TMT.
Language	English
Publishing date	2016-01-19
Publishing country	China
Document type	Journal Article ; Review
ZDB-ID	2851630-8
ISSN	2223-4691 ; 2223-4691 ; 2223-4683
ISSN (online)	2223-4691
ISSN	2223-4691 ; 2223-4683
DOI	10.3978/j.issn.2223-4683.2015.04.09
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Article ; Online: Management of the Incidental Adrenal Mass.

Thomas, Arun Z / Blute, Michael L / Seitz, Christian / Habra, Mouhammed Amir / Karam, Jose A

European urology focus

2016 Volume 1, Issue 3, Page(s) 223–230

Abstract: Context: Incidentally discovered adrenal masses are becoming more common in clinical practice.: Objective: To review the management of the incidental adrenal mass, including initial evaluation, surveillance, medical therapy, and surgical therapy.: ... ...

Abstract	Context: Incidentally discovered adrenal masses are becoming more common in clinical practice. Objective: To review the management of the incidental adrenal mass, including initial evaluation, surveillance, medical therapy, and surgical therapy. Evidence acquisition: A literature search of English-language publications that included the keywords adrenal incidentaloma and incidental adrenal mass was performed through July 2015 using PubMed. Relevant original articles and guidelines on the management of the incidental adrenal mass were ultimately selected for analysis, with the consensus of all authors. Evidence synthesis: Data from the manuscripts included in this review were synthesized, and findings were categorized into metabolic evaluation, imaging, biopsy, surgical considerations, and follow-up recommendations. Conclusions: Ideally, management of patients with adrenal incidentalomas should involve a multidisciplinary approach with experienced surgeons, radiologists, and endocrinologists to determine whether such lesions are benign or malignant and functional or nonfunctional and/or whether they require surgical resection. Patient summary: Management of patients with adrenal incidentalomas should involve a multidisciplinary approach with surgeons, radiologists, and endocrinologists to determine whether such lesions are benign or malignant and functional or nonfunctional and/or whether they require surgical resection.
Language	English
Publishing date	2016-02-03
Publishing country	Netherlands
Document type	Journal Article ; Review
ISSN	2405-4569
ISSN (online)	2405-4569
DOI	10.1016/j.euf.2015.12.006
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Article ; Online: Urological service provision during the COVID-19 period: the experience from an Irish tertiary centre.

Collins, Patrick M / Madden, Aideen / O'Connell, Clare / Omer, Shawgi Abdelrazig / Shakeel Inder, Mohammud / Casey, Rowan G / Flynn, Robert J / Thomas, Arun Z / Smyth, Lisa G / Manecksha, Rustom P

Irish journal of medical science

2020 Volume 190, Issue 2, Page(s) 455–460

Abstract: Purpose: Urological service provision has changed dramatically with the advent of the SARS-CoV-2, necessitating restructuring and reorganization. The aim of this study was to review the reorganization of our unit, map the change in volume of ... ...

Abstract	Purpose: Urological service provision has changed dramatically with the advent of the SARS-CoV-2, necessitating restructuring and reorganization. The aim of this study was to review the reorganization of our unit, map the change in volume of departmental activities and discuss potential solutions. Methods: Departmental activities over the months of April and May 2020 and 2019 were analysed. Details of admissions, operations, diagnostic procedures, outpatient reviews, morbidities and mortalities were recorded. Operations were performed on two sites, with elective operation transferred to an offsite, COVID-free hospital. Results: Seventy-four emergency operations were performed onsite, with 85 elective operations outsourced. A total of 159 operations were performed, compared with 280 in the same period in 2019. Five (5.0%) of 101 admitted patients to the COVID hospital contracted COVID-19. No patients outsourced to the COVID-free hospital were infected there. Outpatient referrals to urology service decreased from 928 to 481. There was a 66% decrease in new cancer diagnoses. A virtual review clinic was established, with remaining outpatients reviewed through a telephone clinic platform. Conclusion: Compared with 2019, we performed fewer operations and outpatient procedures, had fewer admissions and diagnosed fewer patients with new cancers. However, outsourcing elective operation to designated non-COVID hospitals prevented the infection of any patient with COVID-19 in the post-operative period. The use of virtual clinic and telephone clinic has had some success in replacing traditional outpatient visits. The overall significant decrease in operative volume will likely precipitate a mismatch between demand and service provision in the coming months, unless capacity is increased.
MeSH term(s)	COVID-19/epidemiology ; Female ; Humans ; Infection Control ; Ireland/epidemiology ; Male ; SARS-CoV-2/isolation & purification ; Tertiary Care Centers ; Urologic Diseases/pathology ; Urologic Diseases/therapy ; Urology/methods ; Urology/standards ; Urology Department, Hospital/organization & administration ; Urology Department, Hospital/standards
Keywords	covid19
Language	English
Publishing date	2020-08-27
Publishing country	Ireland
Document type	Journal Article
ZDB-ID	390895-1
ISSN	1863-4362 ; 0021-1265
ISSN (online)	1863-4362
ISSN	0021-1265
DOI	10.1007/s11845-020-02352-x
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