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Best article in CEJU

The article entitled "Multiparametric MRI and targeted prostate biopsy: improvements in cancer detection, localization and risk assessment", authored by James S. Wysock, Marc A. Bjurlin, Neil Mendhiratta, and Samir S. Tanejam, was the most frequently cited article during the time period 06.2016-06.2017.

Tomasz Drewa, Editor-in-Chief

2016 Vol. 69 No. 4

Original Basic Research And Clinical Articles2016-10-05
doi: 10.5173/ceju.2016.902
Extent of lymphadenectomy in patients with bladder cancer undergoing radical cystectomy - a multi-institutional analysis
Sebastian Piotrowicz, Sławomir Poletajew, Stefan W. Czarniecki, Filip Kowalski, Grzegorz Nowak, Maciej Oszczudłowski, Marta Sochaj, Jakub Dobruch, Piotr Radziszewski
Lymph node dissection (LND) performed at radical cystectomy (RC) has therapeutic and staging significance. However, the extent of LND remains controversial. The aim of this study was to analyze surgical patterns and results of LND in a contemporary series of patients with bladder cancer. This is a retrospective analysis of 113 consecutive patients subjected to RC in seven urological centres in the year 2013. The mean age of the cohort was 66.6 years. There were 49 cases of organ confined and 64 cases of locally advanced disease


Original Basic Research And Clinical Articles2016-11-30
doi: 10.5173/ceju.2016.886
Urological procedures in Central Europe and the current reality based on the national registries of Czech Republic, Hungary, and Poland (2012 status)
Przemysław Adamczyk, Kajetan Juszczak, Tomasz Drewa, Milan Hora, Péter Nyirády, Marek Sosnowski
In recent years, the laparoscopic approach in oncologic urology seems more attractable to the surgeons. It is considered to have the same oncologic quality as open surgery, but is less invasive in patients. It is used widely in all of Europe, but with various frequency. The aim of the study was to present a various amount of oncourological procedures from three neighbouring countries – Poland, Czech Republic and Hungary. Prostatectomy, cystectomy, nephrectomy and tumorectomy (Nephron Sparing Procedures – NSS) were presented as a list of procedures prepared from the national registry.


Original Basic Research And Clinical Articles2016-11-30
doi: 10.5173/ceju.2016.896
Concurrent bladder cancer in patients undergoing photodynamic diagnostic ureterorenoscopy: how many lesions do we miss under white light cystoscopy?
Sławomir G. Kata, Abdullah Zreik, Sarfraz Ahmad, Piotr Chłosta, Omar Aboumarzouk
There is an ongoing debate on panurothelial changes in the upper and lower urinary tract as multifocal presentation of urothelial cancer is well recognised. Concurrent bladder cancer impacts the outcome of the upper urinary tract urothelial cancer treatment, while its detection still relies on the white light cystoscopy.


Original Basic Research And Clinical Articles2016-08-30
doi: 10.5173/ceju.2016.845
Surgical treatment of kidney tumors – contemporary trends in clinical practice
Milan Hora, Viktor Eret, Ivan Trávníček, Kristýna Procházková, Tomáš Pitra, Olga Dolejšová, Ondřej Hes, Fredrik Petersson
The aim of this article is to generally describe the roles of main surgical modalities in treatment of renal tumors, especially in the CT1a category in clinical practice. Surgical modalities include the following: laparoscopic or open resection (LR, OR) and laparoscopic or open nephrectomy (LN, ON). Representation of these methods has been changing over years due to improved operative skills and equipment and due to a shift of tumors to the lower T categories.


Original Basic Research And Clinical Articles2016-11-30
doi: 10.5173/ceju.2016.910
The meaning of sampling density in multiple repeat prostate biopsies
Jan Hrbáček, Otakar Capoun, Ivo Minárik, Michal Kyr, Tomas Hanus, Marek Babjuk, Roman Sobotka
Extended transrectal ultrasound-guided prostate biopsy is a state-of-the-art tool for prostate cancer detection. Nevertheless, approximately 1/3 of cancers are missed when using this method and repeat biopsy sessions are often required. The aim of this study was to investigate how sampling density (a compound variable reflecting the number of biopsy cores and prostate volume) impacts on detection rate in multiple repeat TRUS-biopsies.


Original Basic Research And Clinical Articles2016-10-15
doi: 10.5173/ceju.2016.874
Necessity of routine histopathological evaluation subsequent to bladder neck contracture resection
Mehmet Kaynar, Murat Gul, Mustafa Kucur, Esin Çelik, M. Serdar Bugday, Serdar Goktas
Bladder neck contracture is a well-known complication following some urologic surgical procedures. Regardless of the surgical procedure, any specimen resected should be submitted for histopathological evaluation worldwide. However, the charges of histopathological evaluation may bring a heavy burden to the hospital and health care system. Also, waiting the period of the pathological evaluation process can be an anxious time for patients. Hence, we aimed to investigate the necessity of routine histopathological evaluation of bladder neck contracture bladder neck contraction specimens.


Editorial Referring2016-11-30
doi: 10.5173/ceju.2016.942
Histopathological evaluation is still useful after bladder
neck resection
Cristian Persu


Original Basic Research And Clinical Articles2016-11-30
doi: 10.5173/ceju.2016.893
Contrast enhanced ultrasound in urothelial carcinoma of urinary bladder: An underutilized staging and grading modality
Vijayant Govinda Gupta, Santosh Kumar, Shrawan Kumar Singh, Anupam Lal, Nandita Kakkar
To evaluate contrast enhanced ultrasound (CEUS) as a modality to predict T stage of cancer of urinary bladder (CAUB) and to predict the grade of the tumor preoperatively.


Short Communications (Preliminary Results And Mini-Reviews)2016-10-05
doi: 10.5173/ceju.2016.883
Role of cigarette smoking in urological malignancies and clinical interventions for smoking cessation
Roman Sosnowski, Marc A. Bjurlin, Paolo Verze, Cosimo De Nunzio, Shahrokh F. Shariat, Maurizio Brausi, Nicholas M. Donin
Cigarette smoking is the single greatest preventable cause of disease and death. Our literature review highlights the increased risk of cigarette smoking and kidney cancer, bladder cancer and prostate cancer.


Review Paper2016-10-13
doi: 10.5173/ceju.2016.880
How to lower postoperative complications after radical cystectomy - a review
Wojciech Krajewski, Romuald Zdrojowy, Krzysztof Tupikowski, Bartosz Małkiewicz, Anna Kołodziej
Lowering morbidity and mortality after RC is subject of considerable interest. Lately, many evidence-based data on improvements in operative technique, anesthetic management, and patient care have been published. In this article, we present a review of literature on how to lower postoperative complications after RC.


Review Paper2016-09-12
doi: 10.5173/ceju.2016.890
Primary penile cancer organ sparing treatment
Roman Sosnowski, Marcin Kuligowski, Olga Kuczkiewicz, Katarzyna Moskal, Jan Karol Wolski, Marc A. Bjurlin, James S. Wysock, Piotr Pęczkowski, Chris Protzel, Tomasz Demkow
Surgical treatment of penile cancer is usually associated with mutilation; alterations in self-esteem and body image; affecting sexual and urinary functions; and declined health-related quality of life. Recently, organ sparing treatment has appeared and led to limiting these complications. An extensive review of the literature concerning penile-preserving strategies was conducted. The focus was put on indications, general principles of management, surgical options and reconstructive techniques, the most common complications, as well as functional and oncological outcomes


Review Paper2016-11-30
doi: 10.5173/ceju.2016.834
Current role of lymphadenectomy in the upper tract urothelial carcinoma
Mario Alvarez-Maestro, Juan Gómez Rivas, Sergio Alonso y Gregorio, Cristina de Castro Guerin, Angel Tabernero Gómez, Jesús Cisneros Ledo
Lymphadenectomy (LND) has recently attracted considerable interest from urological surgeons, as extended lymphadenectomy might have a role in accurate staging or improving patient survival in those patients with urological malignancies. Upper tract urothelial carcinoma (UTUC) is a relatively rare neoplasm, accounting for about 5% of all urothelial cancers. Up to 30% of patients with muscle-invasive UTUC have metastasis in the regional lymph nodes (LNs), which represents a well-established poor prognostic factor.


Original Basic Research And Clinical Articles2016-11-30
doi: 10.5173/ceju.2016.859
A prospective, randomized trial comparing the use of KTP (GreenLight) laser versus electroresection-supplemented laser in the treatment of benign prostatic hyperplasia
Cezary Torz, Sławomir Poletajew, Piotr Radziszewski
Photoselective laser vaporization of the prostate (PVP) is one of the most popular techniques of treatment of benign prostatic hyperplasia (BPH). The aim of this study was to assess the risk of thermal damage to the external urethral sphincter during PVP at distal part of prostatic urethra.


Editorial Referring2016-11-30
doi: 10.5173/ceju.2016.939
Laser and the prostate
Stefan Buntrock


Commentaries On Medical Innovations, New Technologies, and Clinical Trials2016-11-30
doi: 10.5173/ceju.2016.944
Author's reply
Sławomir Poletajew, Cezary Torz, Piotr Radziszewski


Review Paper2016-10-16
doi: 10.5173/ceju.2016.879
Current drug therapy of patients with BPH-LUTS with the special emphasis on PDE5 inhibitors
Konstantin Kolontarev, Alexander Govorov, George Kasyan, Diana Priymak, Dmitry Pushkar
Benign prostatic hyperplasia (BPH) is the most common cause of lower urinary tract symptoms (LUTS) development in men [1]. The intensity of the symptoms may vary from mild to severe, significantly affecting quality of life. Erectile dysfunction (ED) is one of the most challenging issues in modern urology that significantly influences the quality of life of men worldwide. The objective of this literature review was to determine the current drug therapy of patients with BPH-LUTS with the special emphasize on PDE5 inhibitors.


Review Paper2016-09-27
doi: 10.5173/ceju.2016.871
The role of toll-like receptors (TLRs) in urinary tract infections (UTIs)
Elham Behzadi, Payam Behzadi
Urinary Tract Infections (UTIs) are caused by different types of microbial agents such as uropathogenic Escherichia coli (UPEC) and Candida albicans. The presence of strong physical barriers may prevent the breach of pathogens into the urinary tract. However, sometimes the pathogenic microorganisms may pass through the barriers and stimulate the innate and adaptive responses. Among a variety of innate immune responses, Toll-Like Receptors (TLRs) are one of the most unique and interesting molecules regarding UTIs


Original Basic Research And Clinical Articles2016-11-30
doi: 10.5173/ceju.2016.888
The effectiveness of extra-scrotal fixation following manual detorsion for testicular torsion: a pilot study in a rabbit model
Mustafa Güneş, Muammer Altok, Özlem Özmen, Bumin Degirmenci, Zafer Ozyildiz, Ercan Baş, Mustafa Kara, Cevdet Kaya
To investigate the effectiveness of manual detorsion (MD) and applicability of extra-scrotal fixation for testicular torsion in a rabbit model.


Original Basic Research And Clinical Articles2016-09-26
doi: 10.5173/ceju.2016.808
'Real-time sonoelastography' in anterior urethral strictures: A novel technique for assessment of spongiofibrosis
Shyam Manoharlal Talreja, Sher Singh Yadav, Vinay Tomar, Neeraj Agarwal, Usha Jaipal, Shivam Priyadarshi
Spongiofibrosis assessment is critically important in the evaluation of anterior urethral strictures as its severity is directly proportional to stricture recurrence and thus affects management. Retrograde urethrography (RGU) is ineffective in the evaluation of spongiofibrosis. Sonourethrography (SUG) delineates it but does not accurately estimate its depth. Real-time elastography (RTE), a newer technique that not only attempts a qualitative but also quantitative estimation of spongiofibrosis (tissue stiffness) which results due to underlying pathological processes.


Original Basic Research And Clinical Articles2016-09-26
doi: 10.5173/ceju.2016.875
Single vs. double layer suturing method repair of the urethral plate in the rabbit model of hypospadias
Mehdi Shirazi, Mohammad Rahimi, Ali Noorafshan
There are different methods of urethroplasty in hypospadias. The present study aimed to compare the repair of the urethral plate by single vs. double layer suturing.


Case Report2016-09-26
Pregnancy and delivery in a patient with a Studer orthotopic ileal neobladder
Anna Kołodziej, Wojciech Krajewski, Krzysztof Tupikowski, Bartosz Małkiewicz, Janusz Dembowski, Mariusz Zimmer, Tomasz Szydełko, Romuald Zdrojowy
Pregnancies in patients after cystectomy with urinary diversion, especially after the construction of a continent urinary reservoir, are rare. Experience in this field is limited and mainly concerns patients with congenital disorders, neurogenic diseases or trauma. In this paper, we report the outcome of pregnancy, delivery and the postpartum period in a 27-year old woman with a Studer ileal orthotopic neobladder after radical cystectomy, performed after the diagnosis of a malignant tumor at the age of 14.


Cystoscopic light assisted mucosa sparing laparoscopic urachal cyst excision
Pawan Vasudeva, Gaurav Kumar, Harbinder Singh, Niraj Kumar, Mikir Patel
Urachus is the embryological remnant of the allantois that connects the fetal bladder to the umbilicus. It usually obliterates in the 5th month of gestation, giving rise to the median umbilical ligament.. Several types of urachal anomalies have been described including urachal cyst, patent urachus, diverticulum, and sinus, of which urachal cysts is the most common anomaly, occuring in approximately 1/5,000 births. The patient was placed in the dorsal lithotomy and Trendelenberg position..


Dear Colleagues!

Please forgive me for this somewhat reflective mood, but it is caused by the up- coming end of the 2015-2018 term of the PUA Executive Board. As you probably know, the Editor-in-Chief of the Central European Journal of Urology is appointed by the PUA Executive Board, which is why this introductory article is somewhat of a summary.

So then, for this reason, I would like to share some information about the development of the journal. The journal is developing very well. When analyzing the names of the authors, we can see that we are recognizable not only in Europe but also around the world. Urologists from large academic centers publish their articles in our journal. We operate on an "open access" basis and therefore do not charge any fees. This is undoubtedly an asset. An expression of this is the growing number of our citations. The CiteScore coefficient for the Central European Journal of Urology is currently 1.11, while last year it was 0.70. The systematic increase in citations year by year sets the stage to move us from Emerging Cites Sources and promote us to the Science Citation Index Expanded, managed by Clarivate Analytics, formerly Thomson Reuters, which is associated with the granting of the socalled "Impact Factor". I first submitted our journal in 2015 and the assessment, at that time made by Thomson Reuters, was that we should remain in the "waiting room", and therefore we were included in Emerging Sources Citation Index. I submitted my second request for re-assessment at the end of 2017 and I am currently awaiting an answer. I hope to get a positive decision.

Building a urological journal in Europe is not a simple task. We already have journals of recognized position and reputation, such as European Urology, European Urology Focus, as well as World Journal of Urology, Urologia Internationalis, Scandinavian Journal of Urology and International Urology and Nephrology. There are also newly created journals such as European Urology Oncology which has very strong support from the European Association of Urology. We must show that we are needed in Central Europe! We do not have anything to prove!

The standing of a scientific journal depends firstly on the quality of the materials submitted, that is from the authors' workshops. However, this is only one side of the coin!

The team of people who verifies submitted scientific materials is also very crucial. This is probably the most important thing that I would like to convey. Usually, I do not officially direct words of thanks to my colleagues, because I think that they consciously chose the tasks they carry out in their lives. At this point, however, at the end of the 2015-2018 term of the PUA Executive Board, I would like to thank Dr. Bartosz Dybowski, my assistant Editor-in-Chief, for the enormous amount of work and time devoted to the extremely professional preparation of each issue. His ex- pert knowledge and availability could be the envy of many a manager. Without the hard work of Dr. Dybowski, this journal would not look like it does today, and the choice of his person for this position was certainly the right one.

I would also like to personally thank our section editors for their hard work and input. Przemysław Adamczyk, Ewa Bres-Niewada, Stefan Buntrock, Abdullah Erdem Canda, Michał Ciszek, Olga Dolejšová, Simona Di Francesco, Jan Hrbáček, Kajetan Juszczak, George Kasyan, Daimantas Milonas, Maciej Salagierski and Przemysław Waliszewski have always stood up to the task. Dear Colleagues, I know how much you have done for the journal, I appreciate it, and I will always remember your commitment.

Nothing could be done without the huge backing of internationally recognized professionals, without which the magazine would not be in the right form and would not grow. The Consulting Editors and the Editorial Board are these advisory bodies that I would like to thank for their knowledgeable comments and support in making difficult decisions.

Also, I would like to recognize the Reviewers, who often work "behind the scenes" but are nonetheless extremely helpful. Their complete independence allows them to give us their wise and unbiased opinions. Thank you for your support during the entire 2015-2018 term.

In conclusion, it is my sincere hope that the journal will continue to develop even better and even more vigorously in the coming years.

Tomasz Drewa


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The Editorial Office would like to inform all interested parties that in Central European Journal of Urology an article entitled "Efficacy of holmium laser urethrotomy and intralesional injection of Santosh PGI tetra-inject (Triamcinolone, Mitomycin C, Hyaluronidase and N-acetyl cysteine) on the outcome of urethral strictures" [Kumar S, Kishore L, Sharma AP, Garg N, Singh SK. Cent European J Urol. 2015; 68: 462-465] was published which is very similar to the article entitled "Efficacy of Optical Internal Urethrotomy and Intralesional Injection of Vatsala-Santosh PGI Tri-Inject (Triamcinolone, Mitomycin C, and Hyaluronidase) in the Treatment of Anterior Urethral Stricture" published in Advances in Urology [Kumar S, Garg N, Singh SK, Mandal AK. Adv Urol. 2014; 2014: 192710. doi: 10.1155/2014/192710. Epub 2014 Oct 1].

The authors of these articles did not inform the CEJU Editorial Office about the prior publication of an article with a similar subject matter nor did they refer to it in their References section.

The Editorial Office regrets the existing situation.