Year : 2023 | Volume
: 34 | Issue : 1 | Page : 1--2
Department of Surgery, Cardinal Tien Hospital; College of Medicine, Fu Jen Catholic University, New Taipei, Taiwan
Department of Surgery, Cardinal Tien Hospital, New Taipei; College of Medicine, Fu Jen Catholic University, New Taipei
|How to cite this article:|
Liao CH. Editorial.Urol Sci 2023;34:1-2
|How to cite this URL:|
Liao CH. Editorial. Urol Sci [serial online] 2023 [cited 2023 Mar 26 ];34:1-2
Available from: https://www.e-urol-sci.com/text.asp?2023/34/1/1/371882
The current issue focuses on functional urology, which is a subspecialty of urology. It includes common benign urologic conditions of the lower genitourinary tract dysfunction, including lower urinary tract symptoms, urinary incontinence (UI), urinary retention, prostate enlargement, overactive bladder, pelvic pain conditions, strictures, infections, and sexual dysfunction. These conditions can be treated surgically, medically, or conservatively.
Neurogenic lower urinary tract dysfunction (NLUTD) commonly develops in patients with spinal cord injury (SCI). The Taiwan Continence Society SCI Study Group reported Clinical Guidelines for Patient-centered Bladder Management of NLUTD due to Chronic SCI. Their report discussed pathophysiology, treatment strategy, and priority in Part 1, while conservative and minimally invasive treatment was reported in Part 2. In addition, video urodynamics (VUDS) evaluation is crucial to assess the lower urinary tract status in these patients. Chang and Kuo reported the VUDS findings in patients with SCI and revealed that detrusor overactivity, detrusor underactivity, and detrusor sphincter dyssynergia varied in patients with different injury levels. They suggested that a precise VUDS is necessary for deciding the bladder management of patients with SCI and voiding dysfunction. This evidence is important in evaluating and managing NLUTD in SCI patients.
UI is a common complication after prostate surgery, which is usually conservatively managed by pelvic floor muscle training (PFMT) first. Khorrami et al. conducted a randomized controlled trial using single-session preoperative PFMT with biofeedback in patients who underwent radical prostatectomy (RP). Their findings revealed the significant short-term effects of a single session of preoperative PFMT with biofeedback on UI after RP. This intervention probably improves LUTS-related quality of life even 6 months after catheter removal. Another article reported by Chen et al. observed that an early intensive PFMT program could shorten the recovery time of UI in patients after prostate surgery.
The coronavirus disease 2019 (COVID-19) pandemic had a great impact on our health and life. When the virus enters the body, it binds to angiotensin-converting enzyme 2 (ACE2), establishing lung infection. ACE2 is also secreted in the small intestine, testicles, kidneys, heart, thyroid gland, and blood vessels. Karabiçak and Türk conducted a prospective study in married male patients aged between 25 and 70 who were hospitalized for COVID-19. They determined that COVID-19 affected the International Index of Erectile Function (IIEF) values in male patients causing erectile dysfunction (ED) by reducing erectile function values.
Chaliy determined the agreement between two diagnostic methods for ED, namely, the IIEF-15 questionnaire and the “Androscan MIT” night penile tumescence recorder. Furthermore, Kuo et al. evaluated the use of the holmium: yttrium-aluminum-garnet laser versus the conventional dorsal-slit procedure for adult male circumcision. These interesting articles provide important information for our daily clinical practice.
Generally, functional urologic disorders are not life-threatening. However, these disorders have impacts on the quality of life. Therefore, if we can spend more time managing the functional disorders of our patients, then they will enjoy more satisfied quality of life.