apparent diffusion coefficient values and ratios for the prediction of prostate cancer aggressiveness across different MRI acquisition settings.

Congenital scoliosis is caused by developmental abnormalities such as failure of segmentation, failure of formation, or a combination of these conditions. » The multi-organ nature of congenital scoliosis necessitates a team approach in which spinal and intraspinal deformities are treated by orthopaedic surgeons, neurosurgeons, and physical therapists, and associated anomalies are treated by pediatricians, pediatric surgeons, cardiologists, pulmonologists, and urologists. » At the initial time of diagnosis, observation is appropriate for most cases. Although early arthrodesis may be appropriate for select cases, delaying tactics that are nonoperative (bracing and casting) or operative (growing rod and growth guidance) may preserve (or even stimulate) spine and chest cage development while controlling the deformity. » Early hemivertebra resection and short-segment arthrodesis provide excellent outcomes. » Patients with a neurological deficit may require neurosurgical intervention, which may be performed either before a deformity correction surgical procedure or simultaneously with the procedure.

Objectives In this study, we aimed to evaluate the effect of HPL on different parameters by different centers and urologists.While doing this, we evaluated different parameters by comparing HPL(High Power laser) and LPL(Low power laser). Methods This is an observational, retrospective, comparative, multicentric study of prospectively organised database. A total of 217 patients who underwent RIRS for kidney stones smaller than 2 cm in three different centers were included in the study. The patients were divided into two groups; LPL used (Group1, n:121 patients) and HPL used (Group2, n:96). Propensity score matching was done in the data analysis part. After matching, a total of 192 patients, 96 patients in both groups, were evaluated. Results There was no difference between the groups regarding age, gender, stone side, and stone location. The stone-free rate on the first day was 80.3% in Group 1, it was 78.1% in Group 2 (p=0.9). In the third month, it was 90.7% in Group 1 and 87.5% in Group 2 (p:0.7).Hospitalization duration was significantly higher in Group 1. (2.35±2.27 days vs. 1.42±1.10 days; p<0.001).The operation duration was 88.70±29.72 minutes in Group1 and 66.17±41.02 minutes in Group2 (p<0.001). The fluoroscopy time (FT) was 90.73±4.79 seconds in Group 1 and 50.78±5.64 seconds in Group 2 (p<0.001).Complications according to Clavien Classification, were similar between the groups(p>0.05) (Table 2). Conclusion According to our study similar SFR and complication rates were found with HPL and LPL. In addition, patients who used HPL had lower operation time, hospital stay, and fluoroscopy time than the LPL group.Although high-power lasers are expensive in terms of cost, they affect many parameters and strengthen the hand of urologists thanks to the wide energy and frequency range they offer.