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Incidental finding of Zinner syndrome in a Greek military recruit: a case report of a rare clinical entity

Military Medical Research 2019年第3期6卷 263-268页

作者： evangelos nsymeonidis Chrysovalantis Gkekas Ioannis Tsifountoudis Asterios Symeonidis ChristosGeorgiadis Vasileios Kalyvas Apostolos Malioris Michail Papathanasiou Department of Urology 424 General Military Hospital of Thessaloniki56429 ThessalonikiGreece Department of Radiology 424 General Military Hospital of Thessaloniki56429 ThessalonikiGreece.

Background: Zinner syndrome represents a rare congenital malformation of the urinary tract. It comprises a constellation of Wolffian duct anomalies and is almost exclusively encountered as a classic triad of seminal vesicle cysts, ejaculatory duct obstruction and renal agenesis. Patients can be either asymptomatic or symptomatic. Recently, minimally invasive surgical techniques have emerged, superseding traditional surgery for select symptomatic cases. Our case highlights the finding of a rare clinical syndrome that was incidentally detected during a routine mass screening of military recruits in the Greek Armed *** presentation: Herein, we present a case of a 19-year-old male who reported having a solitary right kidney when examined in a military training center of Northern Greece. No additional clinical information was available;thus, referral to a tertiary urology department for further investigation ensued. Imaging studies, namely, computed tomography and magnetic resonance imaging, revealed left renal aplasia, multiple left seminal vesicle cysts, and ejaculatory duct obstruction. Laboratory values and urinalysis were within normal range. Semen analysis was significant for cryptozoospermia. Our patient remained asymptomatic during the entire hospitalization. Long-term follow-up was recommended. Nevertheless, he declined further investigation and sought treatment in a private practice ***: This article aims to present the incidental diagnosis of a rare syndrome in a military setting. Population screening conducted in the armed forces permits the identification of undiagnosed diseases that warrant further investigation. To the best of our knowledge, this was the first report of Zinner syndrome in a military recruit and the second case cited of a Greek patient in the published literature. Regular follow-up is the key to timely intervention in conservatively managed cases.

关键词： Zinner syndrome Seminal vesicle cyst Renal agenesis Greek Military recruit Youth

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Transforming urinary stone disease management by artificial intelligence-based methods:A comprehensive review

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Asian Journal of Urology 2023年第3期10卷 258-274页

作者： Anastasios Anastasiadis Antonios Koudonas Georgios Langas Stavros Tsiakaras Dimitrios Memmos Ioannis Mykoniatis evangelos nsymeonidis Dimitrios Tsiptsios Eliophotos Savvides Ioannis Vakalopoulos Georgios Dimitriadis Jean de la Rosette 1st Department of Urology Aristotle University of ThessalonikiSchool of Medicine“G.Gennimatas”General HospitalThessalonikiGreece Neurology Department Democritus University of ThraceAlexandroupolisGreece Department of Urology Main Kinzig KlinikenGelnhausenGermany Department of Urology Istanbul Medipol Mega University HospitalIstanbulTurkey

Objective:To provide a comprehensive review on the existing research and evidence regarding artificial intelligence(AI)applications in the assessment and management of urinary stone ***:A comprehensive literature review was performed using PubMed,Scopus,and Google Scholar databases to identify publications about innovative concepts or supporting applications of AI in the improvement of every medical procedure relating to stone *** terms“endourology”,“artificial intelligence”,“machine learning”,and“urolithiasis”were used for searching eligible reports,while review articles,articles referring to automated procedures without AI application,and editorial comments were excluded from the final set of *** search was conducted from January 2000 to September 2023 and included manuscripts in the English ***: A total of 69 studies were *** main subjects were related to the detection of urinary stones,the prediction of the outcome of conservative or operative management,the optimization of operative procedures,and the elucidation of the relation of urinary stone chemistry with various ***: AI represents a useful tool that provides urologists with numerous amenities,which explains the fact that it has gained ground in the pursuit of stone disease management *** effectiveness of diagnosis and therapy can be increased by using it as an alternative or adjunct to the already existing ***,little is known concerning the potential of this vast *** patient records,containing big data,offer AI the opportunity to develop and analyze more precise and efficient diagnostic and treatment ***,the existing applications are not generalizable in real-life practice,and high-quality studies are needed to establish the integration of AI in the management of urinary stone disease.

关键词： Artificial intelligence Urolithiasis Endourology Machine learning Stone disease

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