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BACKGROUND: To assess the efficacy and safety of holmium laser enucleation of the prostate (HoLEP) and transurethral resection of the prostate (TURP) for patients with prostate volume less than 100 mL or 100 g. METHODS: We searched PubMed, Embase, Cochrane Library and Web of Science from inception to July 2021 to collect randomized controlled trials. Two reviewers independently screened the literature, extracted data, and assessed the risk of bias of the included studies by using the Cochrane risk of bias tool. Review Manager 5.3 software was used for meta-analysis. We synthesised effect estimates using risk ratios (RR), mean difference (MD), and standardized mean differences (SMD). RESULTS: A total of eight studies were included, involving 764 patients, 384 patients in the HoLEP group and 380 patients in the TURP group. The meta-analysis showed that the catheterization time (SMD =−1.44; 95% CI: −2.17 to −0.70; P=0.0001), hospital stay (SMD =−1.01; 95% CI: −1.58 to −0.44; P=0.0005), haemoglobin loss (MD =−0.29; 95% CI: −0.52 to −0.07; P=0.01), and transfusion rate (RR =0.16; 95% CI: 0.05–0.49; P=0.001) in the HoLEP group were lower than those in the TURP group. In addition, the 12-month postvoid residual volume (PVR) of the HoLEP group (MD =−9.93 95% CI: −18.59 to −1.27; P=0.02) were superior to the TURP group. Although the operation time of the HoLEP group was longer (MD =17.89; 95% CI: 9.18–26.60; P

In the current work, Cu(I)1.28Cu(II)0.36Se nanoparticles were synthesized via a simple procedure and were applied for the first time for recognition, adsorption, enrichment, and detection of Hg(II) ions. The experimental results show that 99.9% Hg(II) could be adsorbed by Cu(I)1.28Cu(II)0.36Se nanoparticles within just 30 s, and the Hg(II) concentration could be lowered down to a super-low level of 0.01 ppb. Cu(I)1.28Cu(II)0.36Se nanoparticles also demonstrate high selectivity to Hg(II) and Ag(I) among nine representative metal ions. The enrichment experiments show that Hg(II) of ultratrace concentration could be enriched significantly by Cu(I)1.28Cu(II)0.36Se nanoparticles, and thus, the detection limit of Hg(II) based on inductively coupled plasma emission spectroscopy-mass spectrometry would be pushed down by 2 orders of magnitude. These outstanding features of Cu(I)1.28Cu(II)0.36Se nanoparticles could be well accounted for in terms of the solubility product principle and the high affinity between selenium and mercury. Cu(I)1.28Cu(II)0.36Se nanoparticles were also found to have peroxidase-like activity, which could be inhibited by Hg(II) but not by Ag(I). This unique characteristic coupled with the solubility product principle successfully allows recognition and detection of Hg(II) even in the presence of Ag(I), which has a similar pKsp to Hg(II). As a result, the qualitative and quantitative analyses of Hg(II) could be performed by the naked eye and UV-visible spectroscopy, respectively. The current results indicate that Cu(I)1.28Cu(II)0.36Se nanoparticles not only have great potential in various aspects of dealing with Hg(II) pollution but would also shed light on discovering new nanomaterials to address other heavy metal ions.

In both fundamental studies and practical applications, materials with superior properties are of great importance. In general, bulk materials cannot fully meet the requirements of actual applications due to poor performance. Scientists and engineers have long been devoted to finding various strategies towards better material performance. Surface engineering, an easy and economic approach, is widely used to improve material performance through a thin layer of both new composition and structure. This paper reviews the methods of surface engineering used to improve material properties, including surface pretreatment, surface modification, surface deposition, coating, surface structuring and electrochemical surface engineering. Then, the principle and operation process of various methods are highlighted. Meanwhile, the advantages and disadvantages of those methods are compared and discussed. We have also given several examples of surface engineering in recent years. Finally, we have presented and discussed current challenges and future perspectives of surface engineering.

We report a portable and highly sensitive Hg2+ nanosensor, where the CuS nanozyme functions as an Hg2+ recognition unit, a Hg2+ enrichment/preconcentration carrier, and a signal amplifier/output unit. The as-designed enrichment-detection integration strategy is customizable and endows the sensor with both a wide detection range from 50 ppt to 400 ppb and a high sensitivity with a minimum detectable Hg2+ concentration of 50 ppt. In order to make the Hg2+ nanosensor portable and cost-effective, a commercial RGB sensor is employed here in conjunction with the Hg2+-dependent colorimetric reaction. More importantly, the as-developed Hg2+ nanosensor is feasible for analysis of real samples with satisfactory accuracy (deviation

Two-dimensional (2D) porous graphene is attractive as a high-permeability membrane for ionic and molecular separation. Here, we propose a sulfur, nitrogen dual-doped 2D porous graphene (SNPG) nanohybrid by adopting a facile one-step process. The resulting sandwich-like porous nanohybrid features uniform ion-gated nanopores for efficient transport of target heavy metal ions while blocking undesired ions, as well as abundant multi-binding ligands for selectively chelating permeated heavy metal ions. We show from systematic experiments that this SNPG nanohybrid exhibits outstanding selectivity and ability to separate Hg(ii) ions in mixtures with eight other metal ions. An excellent uptake capability (803 mg g-1) and high removal ability (>99%) within the entire pH range of 2-10 can be obtained. Given the specific 2D porous nanostructure and specific binding ligands, SNPG exhibits an ultrahigh separation factor towards Hg(ii) that is up to four orders of magnitude higher than those of Pb(ii), Cd(ii) and Cu(ii) ions, significantly higher than those of most reported adsorbents. These findings provide a new opportunity to develop selective materials and devices for applications such as efficient recognition, extraction and separation of target metal ions in complex aqueous environments.

The air-conditioner (AC) system consumes much of the power of electric vehicles (EVs), which limits the EVs’ operating mileage. Automobile glasses coated with multifunctional thin films, which are antifogging, thermochromic, and self-healing, would hold a great promise for improving the EVs’ performance by reducing the AC load. In this work, a novel multifunctional multilayer thin film was designed and simply deposited by dip-coating method. The coating was composed of four layers in the following order: antireflective hollow SiO2 layer (HSi), thermochromic VO2 layer (V), protective fluorosilane–SiO2 layer (FSi), and antifogging cross-linked poly(vinyl alcohol) and poly(acrylic acid) layer (P). The multilayer coating shows excellent solar regulation efficiency (ΔTsol = 16.4%), an appropriate luminous transmittance (Tlum-a = 54.0%), and excellent antifogging and self-healing properties, as well as impressive stability. This work presents an inexpensive and reliable approach for preparing highly stable ener...

R-spondin 3 (RSPO3) is a secreted protein that associates directly with Wnt/β-catenin signaling. However, its functional contribution and prognostic value in human bladder cancer remain unclear. Here, we showed that RSPO3 is upregulated in bladder cancer tissues and cells, and high expression of RSPO3 correlates with advanced clinicopathological features, poor prognosis and disease progression in bladder cancer patients. Furthermore, we observed that ectopic expression or knockdown of RSPO3 profoundly promoted or inhibited, respectively, the invasive ability of bladder cancer cells. Mechanistically, RSPO3 promoted bladder cancer progression via mediating the Wnt/β-catenin and Hedgehog signaling pathways. These findings demonstrate, for the first time, that RSPO3 exhibited a tumor-promoting effect in bladder cancer cells through activation of Wnt/β-catenin and Hedgehog signaling pathways. Thus, RSPO3 may be served as a potential therapeutic target for bladder cancer treatment.

We report a portable and highly sensitive Hg

This study aimed to provide evidence of persistent uropathogenic Escherichia coli (UPEC) in female patients with recurrent urinary tract infection (UTI) after antibiotic therapy. We collected biopsies of the bladder, and clean-catch urine samples from 32 women who had episodes of recurrent UTI and were given antibiotic therapy. Urine samples and biopsies were analyzed by conventional bacteriological techniques. Phylogenetic group and 16 virulence factors (VFs) of UPEC were determined using polymerase chain reaction (PCR). The infection capability of UPEC was confirmed in a mouse model. Immunofluorescence and electron microscopy were used to detect intracellular bacterial communities (IBCs) in the mouse model. The results showed that all urine specimens were detected sterile. E. coli was found in 6 of 32 biopsies (18.75%), and was identified to be UPEC by PCR. Different VFs associated with the formation of IBCs were identified in all six UPEC isolates. Each UPEC isolate was capable of forming IBCs within the bladder epithelial cells of mice. In conclusion, UPEC with distinctive pathological traits and the capability of IBC formation was first found in the bladders of women after antibiotic therapy, suggesting that the IBC pathogenic pathway may occur in humans and it plays an important role in UTI recurrence.

In this study, a well-controlled interfacial engineering method for the synthesis of SiO2 /TiO2 /VO2 three-layered hollow nanospheres (TLHNs) and TLHNs-based multifunctional coatings is reported. The as-prepared coatings allow for an outstanding integration of thermochromism from the outer VO2 (M) layer, photocatalytic self-cleaning capability from the middle TiO2 (A) layer, and antireflective property from internal SiO2 HNs. The TLHNs coatings exhibit excellent optical performance with ultrahigh luminous transmittance (Tlum-l = 74%) and an improved solar modulation ability (ΔTsol = 12%). To the best knowledge, this integrated optical performance is the highest ever reported for TiO2 /VO2 -based thermochromic coatings. An ingenious computation model is proposed, which allows the neff of nanostructured coatings to be rapidly obtained. The experimental and calculated results reveal that the unique three-layered structure significantly reduces the refractive index (from 2.25 to 1.33 at 600 nm) and reflectance (Rave, from 22.3 to 5.3%) in the visible region as compared with dense coatings. Infrared thermal imaging characterization and self-cleaning tests provide valid evidence of SiO2 /TiO2 /VO2 TLHNs coatings' potential for energy-saving and self-cleaning smart windows. The exciting inexpensive and universal fabrication process for well-defined structures may inspire various developments in processable and multifunctional devices.

The objectives of the study were to evaluate changes in ureteral stent-related symptoms and urinary glycosaminoglycan (GAG) excretion after alfuzosin treatment, and to further investigate the relationship between stent-related symptoms and loss of urinary GAGs. Seventy consecutive patients scheduled for unilateral retrograde ureteroscopy with stent placement were recruited. Patients were randomly assigned to treatment with alfuzosin 10 mg/day or placebo for 3 weeks starting on the third postoperative day. The ureteral stent was removed when treatment stopped. International Prostate Symptom Score (IPSS), visual analog scale (VAS) score, and urinary GAG excretion were determined before treatment at 1, 2, and 3 weeks after treatment, and at 3 weeks after stent removal. Fifty-nine patients completed the study. IPSS, VAS score, and urinary GAG excretion were significantly lower in the alfuzosin group, compared with the placebo group, at 1, 2, and 3 weeks after treatment (P0.01). In both groups, IPSS, VAS score, and urinary GAG excretion were significantly lower at 3 weeks after stent removal compared with those before stent removal. No significant differences in IPSS, VAS score, or urinary GAG excretion were observed between the two groups at baseline and 3 weeks after stent removal (P0.05). Positive correlations were found between urinary GAG excretion (R(2) = 0.65, P0.001) and IPSS and between urinary GAG excretion and VAS score (R(2) = 0.33, P0.001). Stent placement contributes to loss of urinary GAGs. However, alfuzosin effectively reduces such loss and improves ureteral stent-related symptoms. Loss of urinary GAGs plays a role in these symptoms.

The epithelial-mesenchymal transition (EMT) promotes cancer invasion and metastasis, however, the integrative mechanisms that coordinate the process are incompletely understood. In this study, we defined a pivotal functional role for the Forkhead transcription factor FOXQ1 in regulating EMT in bladder cancer. We initially investigated the expression of FOXQ1, TGF-β1 and EMT biomarkers E-cadherin, Vimentin in 65 cases of bladder transitional cell carcinoma (BTCC) specimens by reverse transcription-polymerase chain reaction (RT-PCR), western blot analysis and immunohistochemistry. Search results indicated that FOXQ1 expression was inversely correlated to E-cadherin, but positively to TGF-β1 and Vimentin in patients with BTCC (P

Objective To perform a systematic comparison of transurethral plasmakinetic resection of the prostate (PKRP) to conventional transurethral resection of the prostate for treating benign prostate hyperplasia (BPH) in aged high-risk patients. Methods Three hundred twenty-nine symptomatic patients diagnosed with BPH underwent endourological treatment by transurethral resection of the prostate (n = 136) or PKRP (n = 193). Preoperative and postoperative assessments were conducted for the International Prostate Symptom Scores, quality of life (QoL), postvoid residual urine (PVRU) volumes, maximal urine flow rates (Q max. ), and prostate-specific antigen. Perioperative data were collected for operative time, weight of resected tissue, blood loss, cases of open surgery, duration of bladder irrigation, and duration of catheter use. Patients were re-evaluated at postoperative months 3, 6, 12, 18, and 24. Postoperative complications were recorded. Results In the perioperative period, no significant differences were found between the 2 surgery groups for weight of resected tissue or cases of open surgery. However, PKRP was associated with significantly shorter operative time, duration of bladder irrigation, and duration of catheter use, as well as less blood loss. At the 2-year follow-up, both procedures were found to have significantly improved International Prostate Symptom Scores, QoL, Q max. , PVRU, and prostate-specific antigen. In addition, each procedure was associated with some postoperative complications, some of which were significantly reduced in one over the other, such as secondary hemorrhage in PKRP. Conclusion The currently available endourological treatments, transurethral resection of the prostate, and PKRP, are safe and effective therapies for treating aged high-risk patients with benign prostatic hyperplasia (BPH), although PKRP is superior in many aspects, including perioperative outcomes.

Objective To investigate the feasibility of erectile function restoration by genital branch of genitofemoral nerve (GN) to cavernous nerve (CN) transfer in rats. Materials and Methods Thirty adult (3 months) male Sprague-Dawley rats were divided into 3 groups (n = 10 per group). Rats in sham group underwent sham operation, rats in nerve resection (NR) group underwent bilateral GN and CN resection to make a 2.5-mm gap, and rats in nerve transfer (NT) group underwent nerve anastomosis bilaterally between proximal stump of GN and distal stump of CN after nerve resection. Results Three months postoperatively, mating test observed 70% rats with intromission behaviors in NT group but only 10% rats in NR group. Electrostimulating the GN of NT group rats resulted in a significant increase in intracavernous pressure, and the ratio of intracavernous pressure increase to mean arterial pressure in NT group was significantly higher than that in NR group. Seven days after Fluoro-Gold injection into the penile crus, Fluoro-Gold–labeled neurons were found in ventral horn of L1 and L2 in NT group, indicating that a new erectile efferent pathway might be established. Axon counting and ultrastructure observation confirmed axonal regeneration in NT group. Furthermore, NT group had a higher expression of nitric oxide synthase in the dorsal penile nerve than that in NR group. Conclusion The results have demonstrated that nerve regeneration can be obtained, and erectile function may be restored after GN to CN nerve transfer in bilateral CN resection rats, which provides an innovative and promising treatment for neurogenic erectile dysfunction.

This study presented our experience in the treatment of testicular torsion, which may help achieve early diagnosis and improve therapeutic effects. A retrospective analysis was conducted in 71 patients with testicular torsion who were treated in our hospital from October 2007 to April 2011. The age of the patients ranged from 16 days to 34 years. All the patients had unilateral testicular torsion, which took place on the left side in 43 cases and on the right side in 28 cases. The course of the disease varied between three hours to 30 days. Post-operative follow-up was conducted until October 2011. Items examined included signs and symptoms at their first clinical visit, ultrasound findings, treatment in emergency surgery, and post-operative follow-up. In this study, the 71 patients were diagnosed with testicular torsion by color Doppler sonography, 7 had testicular fixation, 63 patients received orchiectomy, while 1 patient did not undergo surgery due to pressure from family members. Post-operative follow-up showed that the one patient’s testicle, which had been reserved, atrophied, while all the other survived. No recurrence was found during the follow-up visits. It is concluded that an early diagnosis and surgery is important in improving the survival rate of testicular torsion, and the diagnosis and treatment by the first attending clinician is of critical importance.

This study examined the effect of nicotine on the expression of mutant p53 (mt-p53) in bladder cancer rats. The rat models of bladder cancer were established by infusing N-methyl-nitroso-urea (MNU, 10 mg/kg every 2 weeks for 8 weeks) into the bladder. Pathological examination on the bladder was conducted to confirm the establishment of the model. All the bladder cancer rats were randomly divided into an MNU group and 3 nicotine groups. In the nicotine groups, the rats were intragastrically administered nicotine at different concentrations (25, 15, 5 mg/kg respectively) 3 times per week for 8 weeks. The mt-p53 expression was detected by the immunohistochemical method. The results showed that rat bladder cancer models developed histopathological changes of bladder transitional cell carcinoma. The positive rate of mt-p53 expression in the 3 nicotine groups (25, 15, 5 mg/kg) was 75.00%, 58.33% and 41.67% by the 14th week, respectively, significantly higher than that in the MNU group (33.33%) (all P