PMID- 34115242
OWN - NLM
STAT- MEDLINE
DCOM- 20210624
LR  - 20210625
IS  - 1534-6285 (Electronic)
IS  - 1527-2737 (Linking)
VI  - 22
IP  - 8
DP  - 2021 Jun 11
TI  - How I Handle Retreatment of LUTS Following a Failed MIST.
PG  - 40
LID - 10.1007/s11934-021-01054-w [doi]
AB  - PURPOSE OF REVIEW: The goal of this paper is to review retreatment management 
      after failed minimally invasive treatment (MIST) of various technologies. RECENT 
      FINDINGS: A failed MIST can be defined by the return, persistence, or worsening 
      of LUTS, as documented by symptom scores. Persistence, development, or recurrence 
      of comorbidities such as recurrent urinary tract infection (UTI), retention, 
      stones, hematuria, and incontinence can also signal a failed MIST. The common 
      etiology for MIST failure is the preoperative consequence of long-term bladder 
      outlet obstruction (BOO) on the bladder function. Close monitoring of therapies 
      with antimuscarinics or beta-agonists can be empirically utilized if post-void 
      bladder residual (PVR) is low. If there is a high PVR, urodynamic studies and 
      cystoscopy can be used to determine overactive bladder (OAB), BOO, or necrosis. 
      Depending on the timing of the observed BOO/OAB, subsequent retreatments 
      involving transurethral debridement, medical and behavioral therapies, or repeat 
      surgical debulking can be employed.
FAU - Te, Alexis E
AU  - Te AE
AUID- ORCID: 0000-0002-5815-7196
AD  - Department of Urology, Weill Cornell Medical College of Cornell University, 425 
      East 61st street, 12th floor, New York, NY, 10065, USA. aet2005@med.cornell.edu.
FAU - Cho, Ahra
AU  - Cho A
AD  - Department of Urology, Weill Cornell Medical College of Cornell University, 425 
      East 61st street, 12th floor, New York, NY, 10065, USA.
FAU - Chughtai, Bilal I
AU  - Chughtai BI
AD  - Department of Urology, Weill Cornell Medical College of Cornell University, 425 
      East 61st street, 12th floor, New York, NY, 10065, USA.
LA  - eng
PT  - Journal Article
PT  - Review
DEP - 20210611
PL  - United States
TA  - Curr Urol Rep
JT  - Current urology reports
JID - 100900943
SB  - IM
MH  - Cytoreduction Surgical Procedures
MH  - Humans
MH  - *Minimally Invasive Surgical Procedures
MH  - Recurrence
MH  - *Retreatment
MH  - Treatment Failure
MH  - Urinary Tract Infections/*surgery
OTO - NOTNLM
OT  - Complications
OT  - Failed minimally invasive surgical treatment
OT  - Limitations
OT  - Re-treatments
EDAT- 2021/06/12 06:00
MHDA- 2021/06/25 06:00
CRDT- 2021/06/11 12:25
PHST- 2021/05/22 00:00 [accepted]
PHST- 2021/06/11 12:25 [entrez]
PHST- 2021/06/12 06:00 [pubmed]
PHST- 2021/06/25 06:00 [medline]
AID - 10.1007/s11934-021-01054-w [pii]
AID - 10.1007/s11934-021-01054-w [doi]
PST - epublish
SO  - Curr Urol Rep. 2021 Jun 11;22(8):40. doi: 10.1007/s11934-021-01054-w.