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    - UROLOGY, NEPHROLOGY AND ANDROLOGY (155 journals)

UROLOGY, NEPHROLOGY AND ANDROLOGY (155 journals)                     

Showing 1 - 155 of 155 Journals sorted alphabetically
Acta Urológica Portuguesa     Open Access   (Followers: 1)
Actas Urológicas Españolas     Full-text available via subscription   (Followers: 3)
Actas Urológicas Españolas (English Edition)     Full-text available via subscription   (Followers: 1)
Advances in Chronic Kidney Disease     Full-text available via subscription   (Followers: 11)
Advances in Urology     Open Access   (Followers: 13)
African Journal of Nephrology     Open Access  
African Journal of Urology     Open Access   (Followers: 7)
AJP Renal Physiology     Hybrid Journal   (Followers: 8)
Aktuelle Urologie     Hybrid Journal   (Followers: 11)
American Journal of Kidney Diseases     Hybrid Journal   (Followers: 42)
American Journal of Men's Health     Open Access   (Followers: 9)
American Journal of Nephrology     Full-text available via subscription   (Followers: 36)
Andrologia     Hybrid Journal   (Followers: 2)
Andrology     Hybrid Journal   (Followers: 4)
Andrology & Gynecology : Current Research     Hybrid Journal   (Followers: 4)
Andrology and Genital Surgery     Open Access   (Followers: 7)
Andrology-Open Access     Open Access  
Annales d'Urologie     Full-text available via subscription  
Arab Journal of Nephrology and Transplantation     Open Access   (Followers: 1)
Arab Journal of Urology     Open Access   (Followers: 7)
Archives of Clinical Nephrology     Open Access   (Followers: 2)
Archivio Italiano di Urologia e Andrologia     Open Access   (Followers: 1)
Archivos Españoles de Urología     Open Access  
Asian Journal of Andrology     Open Access   (Followers: 1)
Asian Journal of Urology     Open Access   (Followers: 3)
Bangladesh Journal of Urology     Open Access   (Followers: 5)
BANTAO Journal     Open Access  
Basic and Clinical Andrology     Open Access  
BJU International     Hybrid Journal   (Followers: 35)
BMC Nephrology     Open Access   (Followers: 9)
BMC Urology     Open Access   (Followers: 15)
Canadian Journal of Kidney Health and Disease     Open Access   (Followers: 6)
Canadian Urological Association Journal     Open Access   (Followers: 2)
Cancer Urology     Open Access   (Followers: 2)
Cardiorenal Medicine     Full-text available via subscription   (Followers: 1)
Case Reports in Nephrology     Open Access   (Followers: 5)
Case Reports in Nephrology and Dialysis     Open Access   (Followers: 9)
Case Reports in Urology     Open Access   (Followers: 12)
Clinical and Experimental Nephrology     Hybrid Journal   (Followers: 4)
Clinical Journal of the American Society of Nephrology     Full-text available via subscription   (Followers: 19)
Clinical Medicine Insights : Urology     Open Access   (Followers: 3)
Clinical Nephrology     Full-text available via subscription   (Followers: 8)
Clinical Nephrology and Urology Science     Open Access   (Followers: 6)
Clinical Queries: Nephrology     Hybrid Journal   (Followers: 1)
Cuadernos de Cirugía     Open Access   (Followers: 3)
Current Opinion in Nephrology & Hypertension     Hybrid Journal   (Followers: 10)
Current Opinion in Urology     Hybrid Journal   (Followers: 12)
Current Urology     Open Access   (Followers: 10)
Current Urology Reports     Hybrid Journal   (Followers: 5)
Der Nephrologe     Hybrid Journal  
Der Urologe     Hybrid Journal   (Followers: 7)
EMC - Urología     Full-text available via subscription  
Enfermería Nefrológica     Open Access   (Followers: 1)
European Urology     Full-text available via subscription   (Followers: 38)
European Urology Focus     Hybrid Journal   (Followers: 6)
European Urology Supplements     Full-text available via subscription   (Followers: 15)
Forum Nefrologiczne     Full-text available via subscription  
Geriatric Nephrology and Urology     Hybrid Journal   (Followers: 7)
Giornale di Clinica Nefrologica e Dialisi     Open Access  
Herald Urology     Open Access   (Followers: 2)
Hong Kong Journal of Nephrology     Open Access   (Followers: 3)
Human Andrology     Partially Free   (Followers: 2)
IJU Case Reports     Open Access  
Indian Journal of Nephrology     Open Access   (Followers: 2)
Indian Journal of Urology     Open Access   (Followers: 5)
International Brazilian Journal of Urology     Open Access   (Followers: 5)
International Journal of Nephrology     Open Access   (Followers: 2)
International Journal of Nephrology and Renovascular Disease     Open Access   (Followers: 2)
International Journal of Urology     Hybrid Journal   (Followers: 12)
International Urology and Nephrology     Hybrid Journal   (Followers: 7)
Jornal Brasileiro de Nefrologia     Open Access  
Journal für Urologie und Urogynäkologie/Österreich     Hybrid Journal  
Journal of Clinical Nephrology     Open Access   (Followers: 1)
Journal of Clinical Urology     Hybrid Journal   (Followers: 14)
Journal of Endoluminal Endourology     Open Access  
Journal of Endourology     Hybrid Journal   (Followers: 2)
Journal of Endourology Case Reports     Hybrid Journal  
Journal of Genital System & Disorders     Hybrid Journal   (Followers: 3)
Journal of Integrative Nephrology and Andrology     Open Access   (Followers: 2)
Journal of Kidney Cancer and VHL     Open Access  
Journal of Lower Genital Tract Disease     Hybrid Journal  
Journal of Nephrology     Hybrid Journal   (Followers: 4)
Journal of Nephrology Research     Open Access   (Followers: 3)
Journal of Pediatric Nephrology     Open Access   (Followers: 3)
Journal of Renal Care     Hybrid Journal   (Followers: 8)
Journal of Renal Nursing     Full-text available via subscription   (Followers: 12)
Journal of Renal Nutrition     Hybrid Journal   (Followers: 28)
Journal of Renal Nutrition and Metabolism     Open Access   (Followers: 1)
Journal of the American Society of Nephrology     Full-text available via subscription   (Followers: 27)
Journal of The Egyptian Society of Nephrology and Transplantation     Open Access  
Journal of Translational Neurosciences     Open Access  
Journal of Urology     Full-text available via subscription   (Followers: 53)
Journal of Urology & Nephrology     Open Access   (Followers: 2)
Kidney Disease and Transplantation     Open Access   (Followers: 4)
Kidney Diseases     Open Access   (Followers: 3)
Kidney International     Hybrid Journal   (Followers: 44)
Kidney International Reports     Open Access   (Followers: 3)
Kidney Medicine     Open Access  
Kidney Research Journal     Open Access   (Followers: 6)
Kidneys (Počki)     Open Access   (Followers: 1)
Nature Reviews Nephrology     Full-text available via subscription   (Followers: 19)
Nature Reviews Urology     Full-text available via subscription   (Followers: 13)
Nefrología (English Edition)     Open Access  
Nefrología (Madrid)     Open Access  
Nephro-Urology Monthly     Open Access   (Followers: 1)
Nephrology     Hybrid Journal   (Followers: 12)
Nephrology Dialysis Transplantation     Hybrid Journal   (Followers: 25)
Nephron     Hybrid Journal   (Followers: 4)
Nephron Clinical Practice     Full-text available via subscription   (Followers: 4)
Nephron Experimental Nephrology     Full-text available via subscription   (Followers: 4)
Nephron Extra     Open Access   (Followers: 1)
Nephron Physiology     Full-text available via subscription   (Followers: 4)
Neurourology and Urodynamics     Hybrid Journal   (Followers: 1)
OA Nephrology     Open Access   (Followers: 2)
Open Access Journal of Urology     Open Access   (Followers: 6)
Open Journal of Nephrology     Open Access   (Followers: 5)
Open Journal of Urology     Open Access   (Followers: 7)
Open Urology & Nephrology Journal     Open Access  
Pediatric Urology Case Reports     Open Access   (Followers: 7)
Portuguese Journal of Nephrology & Hypertension     Open Access   (Followers: 1)
Progrès en Urologie     Full-text available via subscription  
Progrès en Urologie - FMC     Full-text available via subscription  
Prostate Cancer and Prostatic Diseases     Hybrid Journal   (Followers: 6)
Renal Failure     Open Access   (Followers: 12)
Renal Replacement Therapy     Open Access   (Followers: 4)
Research and Reports in Urology     Open Access   (Followers: 4)
Revista de Nefrología, Diálisis y Trasplante     Open Access   (Followers: 1)
Revista Mexicana de Urología     Open Access   (Followers: 1)
Revista Urologia Colombiana     Open Access  
Saudi Journal of Kidney Diseases and Transplantation     Open Access   (Followers: 2)
Scandinavian Journal of Urology     Hybrid Journal   (Followers: 8)
Seminars in Nephrology     Hybrid Journal   (Followers: 11)
The Prostate     Hybrid Journal   (Followers: 8)
Therapeutic Advances in Urology     Open Access   (Followers: 4)
Trends in Urology & Men's Health     Partially Free   (Followers: 1)
Ukrainian Journal of Nephrology and Dialysis     Open Access   (Followers: 1)
Uro-News     Hybrid Journal   (Followers: 2)
Urolithiasis     Hybrid Journal   (Followers: 2)
Urologia Internationalis     Full-text available via subscription   (Followers: 2)
Urologia Journal     Hybrid Journal  
Urologic Clinics of North America     Full-text available via subscription   (Followers: 4)
Urologic Nursing     Full-text available via subscription   (Followers: 4)
Urologic Radiology     Hybrid Journal  
Urological Science     Open Access  
Urologicheskie Vedomosti     Open Access  
Urologie in der Praxis     Hybrid Journal  
Urologie Scan     Hybrid Journal  
Urology     Hybrid Journal   (Followers: 34)
Urology Annals     Open Access   (Followers: 4)
Urology Case Reports     Open Access   (Followers: 3)
Urology Practice     Full-text available via subscription   (Followers: 2)
Urology Times     Free   (Followers: 3)
Urology Video Journal     Open Access   (Followers: 1)
World Journal of Nephrology and Urology     Open Access   (Followers: 15)
World Journal of Urology     Hybrid Journal   (Followers: 12)

           

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Urology Annals
Journal Prestige (SJR): 0.354
Citation Impact (citeScore): 1
Number of Followers: 4  

  This is an Open Access Journal Open Access journal
ISSN (Print) 0974-7796 - ISSN (Online) 0974-7834
Published by Medknow Publishers Homepage  [427 journals]
  • Applications of electromotive drug administration in urology

    • Authors: Safiya Hashemi, Arun Sahai, Sachin Malde
      Pages: 301 - 308
      Abstract: Safiya Hashemi, Arun Sahai, Sachin Malde
      Urology Annals 2020 12(4):301-308
      To review all published evidence regarding the use of Electromotive Drug Administration (EMDA) for the management of urological conditions, focusing on efficacy and safety, and highlighting areas that require further study. The PubMed and Medline databases were searched up to July 23, 2019. All studies reporting the use of EMDA to enhance the intravesical administration of therapeutic drugs for urological conditions were included. Two reviewers independently screened all articles, searched the reference lists of retrieved articles, and performed the data extraction. Thirty-two studies were included. The use of EMDA has been reported in the following urological conditions: (1) nonmuscle-invasive bladder cancer (NMIBC); (2) overactive bladder; (3) bladder pain syndrome; (4) radiation cystitis; (5) detrusor acontractility; and (6) for analgesia prior to transurethral procedures. Overall, most studies are nonrandomized trials with small numbers of patients. The use of EMDA is reported to be safe and effective in all these conditions, with the highest level of evidence in NMIBC in the neoadjuvant and adjuvant setting. However, the low overall quality of evidence limits the conclusions that can be reached. The use of EMDA to improve the efficacy of intravesical treatments is promising, but the low overall quality of the evidence base has limited its widespread use. Future studies should compare EMDA to passive diffusion and current standard of care in large, randomized, and long-term studies to determine the efficacy, safety, and cost-effectiveness of this modality.
      Citation: Urology Annals 2020 12(4):301-308
      PubDate: Thu,15 Oct 2020
      DOI: 10.4103/UA.UA_152_19
      Issue No: Vol. 12, No. 4 (2020)
       
  • A new and easy technique of double-J stenting after retroperitoneal
           laparoscopic ureterolithotomy: A discussion of other techniques

    • Authors: Jayanta Kumar Das, Gordon M Rangad
      Pages: 309 - 313
      Abstract: Jayanta Kumar Das, Gordon M Rangad
      Urology Annals 2020 12(4):309-313
      Aim: To summarize a new and easy technique of double-J stent (DJ stent) placement after retroperitoneal laparoscopic ureterolithotomy (RLU).Materials and Methods: RLU for upper and upper half of mid ureteric stones was performed successfully in 172 patients during the 8-year period between March 2011 and February 2019. In all the cases, a ureteric DJ stent was successfully placed by this new technique. A small-bore antral puncture needle is inserted into the retroperitoneal space to push down a DJ stent with a guidewire into the lower ureter. The tip of the antral puncture needle is manipulated to bring it near the ureterotomy site for easy insertion of the stent. The whole stent is pushed down leaving only the upper end in the ureterotomy area. Then, the guidewire is removed and the upper end is pushed up slowly into the renal pelvis.Results: DJ stents were successfully inserted by this technique in all the 172 cases. In most cases, the stent could be placed in <3 min (range between 2 and 8 min). In two patients, the upper end failed to fully coil in the renal pelvis, but as the stent was passed beyond the ureterotomy site, it served its purpose of an internal drain. None of our cases had any urinary leak. Stents were removed cystoscopically after 6–12 weeks.Conclusion: This technique provides an easy, fast, and safe antegrade method of inserting a DJ stent after RLU.
      Citation: Urology Annals 2020 12(4):309-313
      PubDate: Thu,15 Oct 2020
      DOI: 10.4103/UA.UA_48_19
      Issue No: Vol. 12, No. 4 (2020)
       
  • Cost burden of male infertility investigations and treatments: A survey
           study

    • Authors: Ahmed M Al-Kandari, Ahmad Alenezi
      Pages: 314 - 318
      Abstract: Ahmed M Al-Kandari, Ahmad Alenezi
      Urology Annals 2020 12(4):314-318
      Purpose: Male infertility represents 50% of all infertility problems. The management of male infertility is expensive, causing a huge burden on the patients. In this study, we aimed to calculate the cost burden of male infertility investigations and treatments.Methods: A total of 600 infertile male patients from a single center in Kuwait city were asked to fulfill an internet-based survey. The survey encompassed data about the cost of different investigations and treatments of male infertility. Patients were also asked about the preference of covering their condition either through government or by private insurance.Results: A total of 145 patients responded to the survey. Most of the patients earned 3295 United States Dollar (USD) to 6590 USD per month. The cost of the outpatient visit ranged from 131.7 to 263.4 USD. The cost of each hormonal test was 164.5 USD while the average cost of each imaging study was 131.8–164.7 USD. Most of the patients (62.8%) received medical therapy with an expense of >988.74 USD. Varicocelectomy cost ranged from 3295 to 6590 USD while the cost of testicular sperm extraction ranged from 1644 to 3294 USD. Most patients (96.3%) did not have health insurance coverage of infertility. On average, patients spent around 18% of their annual income on infertility care, excluding major surgeries.Conclusion: Male infertility is a worrisome medical condition that causes a huge burden on the Kuwait community. Effective management necessitates insurance coverage and public health support owing to the huge financial burden on the patients and their partners. Thus, policymakers should re-evaluate their protocols of spending on male infertility care.
      Citation: Urology Annals 2020 12(4):314-318
      PubDate: Thu,15 Oct 2020
      DOI: 10.4103/UA.UA_48_20
      Issue No: Vol. 12, No. 4 (2020)
       
  • A population-based study of the epidemiology and the risk factors for male
           infertility in Kuwait

    • Authors: Ahmed M Al-Kandari, Ahmad N Al-Enezi, Hamdy Ibrahim, Omar Alkandari
      Pages: 319 - 323
      Abstract: Ahmed M Al-Kandari, Ahmad N Al-Enezi, Hamdy Ibrahim, Omar Alkandari
      Urology Annals 2020 12(4):319-323
      Purpose: Infertility has become one of the foremost public health concerns, affecting a large number of couples. This research aimed to study and analyze the epidemiological data of male infertility including demographic characteristics and potential accountable factors.Materials and Methods: A population-based study was carried out among male patients of one center. Different factors have been investigated such as family history, smoking, and varicocele. Data were analyzed using the STATA statistical software package.Results: A total of 608 male patients aged between 22 and 56 years were included. Out of them, there were 544 (89.95%) married, 48 (7.9%) married more than once, and 10 (1.6%) divorced. Primary infertility was noted in 478 (78.6%) patients. The most commonly reported sexual disorder was erectile dysfunction 53 (8.7%), while decreased libido was detected in 8 (1.3%) patients. Varicocele was present among 507 (86%) patients. Semen analyses of infertile patients revealed that 43 (8.2%) cases had normal semen tests. In contrast, oligoasthenospermia was the most commonly reported semen abnormality 158 (30.2%). A total of 198 patients underwent assisted reproductive technique.Conclusion: This study concluded that primary infertility is the most common type among all infertile male patients who visited our center. The risk factors of male infertility include positive family history, smoking, and varicocele.
      Citation: Urology Annals 2020 12(4):319-323
      PubDate: Thu,15 Oct 2020
      DOI: 10.4103/UA.UA_50_20
      Issue No: Vol. 12, No. 4 (2020)
       
  • Validation of S.T.O.N.E nephrolithometry and Guy's stone score for
           predicting surgical outcome after percutaneous nephrolithotomy

    • Authors: Nasir Khan, Syed Muhammad Nazim, Muhammad Farhan, Basit Salam, Muhammad Hammad Ather
      Pages: 324 - 330
      Abstract: Nasir Khan, Syed Muhammad Nazim, Muhammad Farhan, Basit Salam, Muhammad Hammad Ather
      Urology Annals 2020 12(4):324-330
      Background: The aim of this study was to validate and compare Guy's and S.T.O.N.E. scoring systems in predicting perioperative and postoperative outcome following percutaneous nephrolithotomy (PCNL).Materials and Methods: From November 2015 to June 2017, 190 patients with renal stones who underwent single tract unilateral PCNL in the prone position were included in our study. Guy's and S.T.O.N.E. nephrolithometry scores were calculated in each case based on preoperative computed tomography images. The association of these scoring systems with stone-free status, length of hospital stay, operative time, and postoperative complications was studied. Regression analysis was done, and receiver operating characteristic curves were plotted.Results: Mean S.T.O.N.E. and Guy's stone scores were 8.76 ± 2.29 and 2.70 ± 1.0, respectively. When compared with patients with residual stones, stone-free (SF) patients had significantly lower mean Guy's score (2.58 ± 1.01 vs. 3.23 ± 0.77 [P < 0.001]) and S.T.O.N.E. scores (8.44 ± 2.24 and 10.17 ± 2.0 [P < 0.001]), respectively. On logistic regression analysis, both Guy's score (odds ratio [OR] = 0.48, P = 0.001) and S.T.O.N.E score (OR = 0.78, P = 0.001) were found to be significantly associated with SF status. Both of these scoring systems were also significantly associated with longer operative time (>90 min), prolonged hospital stay (>3 days) and overall complications. No significant difference was found in the area under curve for both scoring systems for stone clearance.Conclusion: Both the S.T.O.N.E and Guy's scoring systems were found to predict the outcome of PCNL, either of these could be used in the routine clinical practice for patients' counseling.
      Citation: Urology Annals 2020 12(4):324-330
      PubDate: Thu,15 Oct 2020
      DOI: 10.4103/UA.UA_136_19
      Issue No: Vol. 12, No. 4 (2020)
       
  • Failure of ureteral access sheath insertion in virgin ureters: A
           retrospective tertiary care center study

    • Authors: Mohammad Alkhamees, Ahmed Aljuhayman, Abdulmalik Addar, Yahya Ghazwani, Ahmed Alasker, Saeed Bin Hamri
      Pages: 331 - 334
      Abstract: Mohammad Alkhamees, Ahmed Aljuhayman, Abdulmalik Addar, Yahya Ghazwani, Ahmed Alasker, Saeed Bin Hamri
      Urology Annals 2020 12(4):331-334
      Objective: The objective of the study was to identify the failure rate of insertion of ureteral access sheath (UAS) during primary flexible ureteroscopy (FURS).Materials and Methods: This was a single-surgeon, single-tertiary care center retrospective study. All patients who underwent primary FURS for proximal ureteric or renal stones from November 2014 to May 2018 were included in the study. Patients with a stone burden of more than 20 mm were excluded from the study. A 10/12-Fr coaxial UAS (Bi-Flex, Rocamed) was used. Data collection included age, sex, body mass index (BMI), stone burden and location, previous spontaneous passage of stones, type of anesthesia, and preexisting congenital anomalies. The Chi-square test and t-test were used for the statistical analyses.Results: One hundred and twelve patients were included in the study. All patients underwent primary FURS. The failure rate of primary UAS insertion was 10.7% (n = 12). No statistically significant difference was found in age, BMI, type of anesthesia, previous history of spontaneous stone passage, and stone burden between the success and failure groups (P > 0.05).Conclusions: We believe that our study opens the door for a multicentric prospective trial. Identifying factors leading to a failed primary FURS and UAS insertion is crucial to properly counsel patients preoperatively about the number of procedures that they might need and to prevent the financial loss associated with failed UAS insertion.
      Citation: Urology Annals 2020 12(4):331-334
      PubDate: Thu,15 Oct 2020
      DOI: 10.4103/UA.UA_94_20
      Issue No: Vol. 12, No. 4 (2020)
       
  • Factors influencing urology physicians in Saudi Arabia for choosing their
           subspecialty program

    • Authors: Haithm I Alasim, Mostafa A Arafa, Danny M Rabah, Fahad K Alrawaf, Abdulaziz A Almanie, Abdullah S Alkhamshi, Abdulrhman I Almotairi
      Pages: 335 - 340
      Abstract: Haithm I Alasim, Mostafa A Arafa, Danny M Rabah, Fahad K Alrawaf, Abdulaziz A Almanie, Abdullah S Alkhamshi, Abdulrhman I Almotairi
      Urology Annals 2020 12(4):335-340
      Aim: The aim of the study was to identify factors that influence urology physicians for choosing subspecialty and to know the most competitive urology subspecialty among residents.Methodology: An online questionnaire was sent to all Saudi Urology residents, registrars, and fellows all over Saudi Arabia, during February 2019–June 2019. The survey included demographic data, level and location of training, a subspecialty of interest, as well as 15 influencing factors that could affect physicians' choice in the form of Likert scale, ranging from strongly disagree = 0 to strongly agree = 4.Results: Of the 193 urology Saudi physicians, 85 replied (44.1%). Their mean age was 29 + 3.2 years. The majority of them were male (98.8%). There were 66 (77.6%) residents, 12 (14.1%) were fellows, and 7 (8.2%) were registrars. Four factors were found to be significantly different across positions, i.e., personal interest in the subspecialty, patient's prognosis, potential to join a private hospital, and family/friend advice. Among residents, the highest score means of the impact factors were the patient's prognosis, potential to join a private hospital and family/friend advice. The most prominent factors that influence urology physicians to select their subspecialty were personal interest in the specialty (88.2%), followed by the patient prognosis and lifestyle (84.7%, 78.8%). About 28.2% of the participants have a desire of endourology, followed by infertility and pediatric urology (23.5% and 20%, respectively).Conclusion: The most influencing factors among urology physicians for choosing their subspecialty are the patient's prognosis and personal interest. Female medical graduates should be encouraged to join a urology residency.
      Citation: Urology Annals 2020 12(4):335-340
      PubDate: Thu,15 Oct 2020
      DOI: 10.4103/UA.UA_9_20
      Issue No: Vol. 12, No. 4 (2020)
       
  • Role of surgeon experience in the outcome of transurethral resection of
           bladder tumors

    • Authors: Mohamed Hassan Ali, Ahmed Eltobgy, Iman Yehia Ismail, Ammar Ghobish
      Pages: 341 - 346
      Abstract: Mohamed Hassan Ali, Ahmed Eltobgy, Iman Yehia Ismail, Ammar Ghobish
      Urology Annals 2020 12(4):341-346
      Purpose: The purpose of the study is to assess the quality of transurethral resection of bladder tumors (TURBTs) performed by “senior” and “junior” urologists in terms of detrusor muscle (DM) presence at the initial resection and presence of missed and residual tumors at second-look TURBT.Patients and Methods: An analytic prospective cohort study included 171 patients with stage T1 and Ta bladder cancer who had undergone an initial TURBT. Patients were divided into two groups according to surgeon experience. Group 1 (116 patients) operated on by senior surgeons (consultants and trainees in year 5 or 6) and Group 2 (55 patients) operated on by junior surgeons (trainees below year 5). All patients underwent second-look TURBT (by a senior urologist) within 2–6 weeks after the initial resection. The outcome of the initial and re-TURBT represented with regard to the surgeon experience.Results: There is a statistically significant difference between senior and junior surgeons regarding the presence or absence of DM in the initial resection (P = 0.001). A significant relation between the presence of residual tumors in re thermodynamic uncertainty relation (TUR) in relation to the initial operator was found (P = 0.03). Re-TURBT of patients in Group 1 (initially operated on by experienced surgeons) revealed that 57.7% had tumor-free resection while 36.2% had residual tumors, 5.2% had missed lesion and only 0.9% had concurrent residual and missed tumors. In contrast, from Group 2 (55 patients operated by junior surgeons) 47.3% had residual tumor, 21.8% had missed lesions, and 9.1% had concurrent residual and missed tumors in re-TUR.Conclusions: Nonmuscle invasive bladder cancer treated with TURBT should be managed as any other major oncologic procedure. TURBT should be performed by an experienced surgeon or with very close supervision when done by training urologist.
      Citation: Urology Annals 2020 12(4):341-346
      PubDate: Thu,15 Oct 2020
      DOI: 10.4103/UA.UA_138_19
      Issue No: Vol. 12, No. 4 (2020)
       
  • Plastibell circumcision: Comparison between neonates and infants

    • Authors: Osama A Bawazir, Wejdan Rubayyi S. Alsaiari
      Pages: 347 - 351
      Abstract: Osama A Bawazir, Wejdan Rubayyi S. Alsaiari
      Urology Annals 2020 12(4):347-351
      Background: The Plastibell circumcision technique has gained popularity worldwide. It has a low bleeding risk which makes it suitable for a vulnerable population and in late circumcision. However, several problems resulting from prolonged retention of the Plastibell ring were reported.Objectives: The objectives of this study were to assess the outcomes of circumcision performed using Plastibell devices, report ring-related complications, and compare the complications of the technique between neonates and infants.Methods: This was a retrospective cohort study that was conducted in a total of 989 male neonates and infants who had Plastibell circumcision performed by a single surgeon between June 2006 and February 2018. Postoperative complications were reported and compared between the two age groups. The indications of the Plastibell technique were religious in 988 patients and urinary tract infection in 1 patient.Results: During the study period, Plastibell circumcision was performed in 633 neonates and 356 infants. The average ages of neonates and infants were 14 ± 2 days and 3 ± 0.5 months, respectively. Complications developed in 89 cases, 4.4% in neonates and 17% in infants (P < 0.001). The retained ring was the most common complication in 46 cases (4.6%), followed by excess skin in 21 cases (2%). Bleeding occurred in 10 cases (1%), infection in 7 cases (0.7%), and hematoma in 2 cases (0.2%).Conclusion: Complications of Plastibell circumcision are significantly higher in infants than in neonates, and ring retention is the most common complication in both the groups. However, the risk of severe hemorrhage is low making it a good option for infants in the outpatient setting.
      Citation: Urology Annals 2020 12(4):347-351
      PubDate: Thu,15 Oct 2020
      DOI: 10.4103/UA.UA_146_19
      Issue No: Vol. 12, No. 4 (2020)
       
  • Trends of percutaneous nephrolithotomy in Saudi Arabia

    • Authors: Wissam Khalid Kamal, Ali Alhazmy, Majed Alharthi, Aiman Al Solumany
      Pages: 352 - 359
      Abstract: Wissam Khalid Kamal, Ali Alhazmy, Majed Alharthi, Aiman Al Solumany
      Urology Annals 2020 12(4):352-359
      Objective: The objective of the study was to present the current practice patterns on percutaneous nephrolithotomy (PCNL) in Saudi Arabia and to compare it with the international patterns and to observe the adherence to the guidelines.Materials and Methods: A survey consisting of 28 questions was sent to urologists working in Saudi Arabia using a Google Forms questionnaire. The questioner covered most aspects of performing PCNL starting from preparing the patient till discharging him.Results: One hundred and thirty-two replied to the survey. Almost 70.2% performed PCNL and 59.1% of them learned PCNL during residency. The access was obtained by the urologists in 80.3% from the participants, 68.2% of them uses fluoroscopic guidance for the puncture. The majority (80.3%) perform PCNL in the prone position. Nearly 69.7% use the balloon dilators and 16.7% use the Amplatz dilators. For kidney drainage, 60.6% place a nephrostomy tube and a double-J stent (DJ stent) together and 4.5% perform tubeless PCNL (DJ stent only). About 45.5% stated that the introduction of flexible ureteroscopy decreased the rate of doing PCNL for >20%.Conclusions: Data obtained from a group of urologists in Saudi Arabia showed that the majority of urologists practicing in Saudi Arabia perform PCNL. They usually learn PCNL during residency. We observe that the majority of urologists attach to the original patterns in PCNL, i.e., they predominantly prefer the prone position and use fluoroscopy to gain the PCNL access. Furthermore, the data showed that new trends in PCNL did not gain a lot of momentum as few practices miniaturized PCNL and tubeless PCNL. The majority use balloon dilators and combined ultrasonic/pneumatic lithotripters. The complication rate encountered by the participants is concomitance with the published international figures. The introduction of flexible ureteroscopy highly decreased the rate of doing PCNL for most urologists.
      Citation: Urology Annals 2020 12(4):352-359
      PubDate: Thu,15 Oct 2020
      DOI: 10.4103/UA.UA_100_19
      Issue No: Vol. 12, No. 4 (2020)
       
  • Single course of intravesical Bacillus Calmette–Guerin versus single
           course with maintenance therapy in the management of nonmuscle invasive
           bladder cancer: A prospective randomized study

    • Authors: Mohamed Bakr Mohamed, Mohamed Hassan Ali, Mostafa A Shamaa, Sami M Shaaban
      Pages: 360 - 365
      Abstract: Mohamed Bakr Mohamed, Mohamed Hassan Ali, Mostafa A Shamaa, Sami M Shaaban
      Urology Annals 2020 12(4):360-365
      Objective: The objective of the study was to compare maintenance versus single course of intravesical Bacillus Calmette–Guerin (BCG) in the management of high-risk nonmuscle invasive bladder cancer (NMIBC) regarding recurrence, progression, survival, and complications.Patients and Methods: After transurethral resection of bladder tumor (TURBT), Group I patients (33) received weekly doses of 90 mg of live attenuated Pasteur strain of BCG. The course was started 14 days after the second TURBT for 6 consecutive weeks. In Group II: 35 patients, the induction schedule was followed by 3 weekly instillations at months 3, 6, and 12 as a maintenance course. Recurrence, progression rates, survival, and toxicity were assessed in both the groups.Results: Patients with induction therapy alone had significantly higher recurrence rate than those received maintenance therapy (55.6% vs. 19.2%, P = 0.01). The 5-year recurrence-free survival rate was 41% and 78% in both the groups, respectively. There was no significant difference regarding the progression rate for both the groups. The mean 5-year progression-free time was comparable between the two groups. The 5-year progression-free survival was 69.8% for patients who underwent induction therapy alone compared to 70.7% for maintenance therapy. Overall local adverse events were significantly higher in patients who underwent maintenance treatment protocol.Statistical Analysis Used: SPSS package version 20 and Kaplan–Meier curves were used to evaluate the survival rate.Conclusions: Maintenance doses of BCG significantly decrease and delay the recurrence of high-risk NMIBC. However, there is no significant favor as regards tumor progression. Maintenance doses of BCG are significantly associated with a higher incidence of local adverse effects than induction doses alone.
      Citation: Urology Annals 2020 12(4):360-365
      PubDate: Thu,15 Oct 2020
      DOI: 10.4103/UA.UA_137_19
      Issue No: Vol. 12, No. 4 (2020)
       
  • Magnetic resonance imaging–ultrasound fusion-targeted biopsy
           combined with systematic 12-core ultrasound-guided biopsy improves the
           detection of clinically significant prostate cancer: Are we ready to
           abandon the systematic approach?

    • Authors: Christopher Antonio Febres-Aldana, Sarah Alghamdi, Thomas A Weppelmann, Emilio Lastarria, Akshay Bhandari, Yumna Omarzai, Robert J Poppiti
      Pages: 366 - 372
      Abstract: Christopher Antonio Febres-Aldana, Sarah Alghamdi, Thomas A Weppelmann, Emilio Lastarria, Akshay Bhandari, Yumna Omarzai, Robert J Poppiti
      Urology Annals 2020 12(4):366-372
      Background: Multiparametric (mp) magnetic resonance imaging (MRI)–ultrasound fusion-targeted biopsy (TB) has improved the detection of clinically significant prostate cancer (csCaP) using the Prostate Imaging Reporting and Data System (PI-RADS) reporting system, leading some authors to conclude that TB can replace the 12-core systematic biopsy (SB). We compared the diagnostic performance of TB with SB at our institution.Methods: Eighty-three men with elevated prostate-specific antigen levels (6.6 ng/mL, interquartile range [IQR] 4.5–9.2) and abnormal mp-MRI (127 lesions, PI-RADS ≥3, median size: 1.1 cm, IQR 0.8–1.6) underwent simultaneous TB and SB. Diagnosis of any CaP (Gleason score, [GS] ≥6) and csCaP (GS ≥7) was compared using the McNemar's exact test.Results: SB showed higher, but not statistically significant, detection rates of any CaP and csCaP (51.8% and 34.9%) versus TB (44.6% and 28.9%) (P = 0.286 and P = 0.359, respectively). TB outperformed SB in the quantification of 56.6% CaP and detecting cancer in anterior sectors (7.2%). Compared to SB, TB missed twice the amount of any CaP and csCaP. SB alone detected 22.2% of all csCaPs and upgraded 20.6% of TB-detected CaP. SB identified cancer invisible on mp-MRI (13.7% of all CaP) or missed by TB due to a small size (<1 cm) and sampling error (7% of lesions).Conclusion: A combination of SB with TB remained necessary for achieving the highest cancer detection rates. Limiting prostate biopsy to TB alone can miss csCaP due to the presence of synchronous high-grade cancer invisible on MRI or failure to hit the target. TB is the best approach for anterior lesions and tumor quantification.
      Citation: Urology Annals 2020 12(4):366-372
      PubDate: Thu,15 Oct 2020
      DOI: 10.4103/UA.UA_123_19
      Issue No: Vol. 12, No. 4 (2020)
       
  • Antibiotics are not necessary during routine cystoscopic stent removal: A
           randomized controlled trial at UC San Diego

    • Authors: Aaron W Bradshaw, Mark Pe, Seth K Bechis, Thomas Dipina, Paul Zupkas, Joel E Abbott, Dimitri Papagiannopoulos, Kaitlan D Cobb, Roger L Sur
      Pages: 373 - 378
      Abstract: Aaron W Bradshaw, Mark Pe, Seth K Bechis, Thomas Dipina, Paul Zupkas, Joel E Abbott, Dimitri Papagiannopoulos, Kaitlan D Cobb, Roger L Sur
      Urology Annals 2020 12(4):373-378
      Introduction: Current American Urological Association (AUA) Best Practice Statement recommends antibiotic prophylaxis for cystoscopy with manipulation, including stent removal; although no Level 1b trials explicitly address prophylaxis for stent removal. We sought to determine the efficacy of prophylactic antibiotics to prevent infectious complications after stent removal.Materials and Methods: Following institutional review board approval, patients undergoing removal of ureteral stent placed during stone surgery were recruited from July 2016 to March 2019. Patients were recruited at the time of stent removal and randomized to treatment (single dose 500 mg oral ciprofloxacin) or control group (no antibiotics). Telephone contact was attempted within 14 days of stent removal to assess for urinary tract infection (UTI) symptoms, antibiotic prescriptions, or Emergency Department visits. Primary outcome was UTI within 1 month of stent removal – defined by irritative voiding symptoms, fever or abdominal pain associated with positive urine culture (Ucx) (>100k colony-forming units/mL).Results: Seventy-seven patients were enrolled, with 58 meeting final inclusion criteria for the analysis (33 treatment, 25 controls). No differences were seen with clinical and demographic variables, except a higher body mass index in the treatment group (P = 0.007). Positive Ucx rate before stone surgery (16.7% vs. 11.8%, P = 0.819) and at the time of stent removal (16.0% vs. 11.1%, P = 0.648) was not significantly different in treatment versus control groups, respectively. Primary outcome: No patients in either cohort developed symptomatic culture-diagnosed UTI within 1 month of stent removal. Of patients with documented phone follow-up (treatment n = 29, control n = 22), only one patient (control) reported any positive response on phone survey.Conclusions: We found a low infectious complication rate regardless of antibiotic prophylaxis use during cystoscopic stent removal. The necessity of antibiotics during routine cystoscopic stent removal warrants possible reevaluation of the AUA best practice statement.
      Citation: Urology Annals 2020 12(4):373-378
      PubDate: Thu,15 Oct 2020
      DOI: 10.4103/UA.UA_130_19
      Issue No: Vol. 12, No. 4 (2020)
       
  • Agenesis of penis

    • Authors: Diya Pal, Dilip Kumar Pal
      Pages: 379 - 381
      Abstract: Diya Pal, Dilip Kumar Pal
      Urology Annals 2020 12(4):379-381
      Agenesis of penis is a very rare developmental anomaly, which is usually associated with scrotal hypoplasia or other urological developmental anomalies. Here we psesent such a case who presented to us with stenosis of newly constructed urethra.
      Citation: Urology Annals 2020 12(4):379-381
      PubDate: Thu,15 Oct 2020
      DOI: 10.4103/UA.UA_29_20
      Issue No: Vol. 12, No. 4 (2020)
       
  • Acute testicular ischemia following manual reduction of inguinoscrotal
           hernia

    • Authors: Ashwin Krishnamoorthy, Piyush Bhargav Sarmah
      Pages: 382 - 384
      Abstract: Ashwin Krishnamoorthy, Piyush Bhargav Sarmah
      Urology Annals 2020 12(4):382-384
      Testicular ischemia caused by inguinal hernia repair, and even the presence of the hernia itself, has been recognized in the medical literature, with the latter more commonly in children, but such an event after manual reduction has never been reported before. We present the case of a 67-year-old man who presented to the emergency department with a painful left groin lump. A left inguinoscrotal hernia was diagnosed and reduced “en masse” with manual pressure at the bedside. The patient was discharged but developed acute-onset left scrotal pain as soon as he got home and then re-presented 2 days later with increasing severity of the pain and swelling ever since the hernia reduction. On examination, he was febrile, with a hard, tender, and swollen left testis. Serum inflammatory markers were elevated. Conservative management with intravenous antibiotics and analgesia was commenced. An ultrasound of the testes demonstrated lack of Doppler flow to the left testis, suggestive of acute ischemia. Three days later, there were persistent temperature spikes and significant pain; therefore, the patient underwent an acute left scrotal exploration where a necrotic, black left testis was discovered and excised. He was discharged on the 1st postoperative day; histological analysis confirmed testicular infarction.
      Citation: Urology Annals 2020 12(4):382-384
      PubDate: Thu,15 Oct 2020
      DOI: 10.4103/UA.UA_38_20
      Issue No: Vol. 12, No. 4 (2020)
       
  • Management of polyorchidism in a prepubertal boy: A case report and
           literature review

    • Authors: Abdullah Waleed Aldughiman, Hossam S El-tholoth, Abdulrhman Alsunbul, Elsayed Badawy, Abdulrhman Alelaiwai
      Pages: 385 - 387
      Abstract: Abdullah Waleed Aldughiman, Hossam S El-tholoth, Abdulrhman Alsunbul, Elsayed Badawy, Abdulrhman Alelaiwai
      Urology Annals 2020 12(4):385-387
      Polyorchidism is a very rare embryological anomaly characterized by the presence of extra number of testes with the usual presentation of two homolateral and one contralateral testis and no clear guidelines for management. Herein, we present a 14yearold case with left supernumerary testes presented with discomfort and painless mass, diagnosed by US and confirmed by magnetic resonance imaging. Conservative treatment was implemented, in the form of ultrasound followup imaging (every 6–12 months) with selfscrotal examination every month.
      Citation: Urology Annals 2020 12(4):385-387
      PubDate: Thu,15 Oct 2020
      DOI: 10.4103/UA.UA_154_19
      Issue No: Vol. 12, No. 4 (2020)
       
  • Rare case of upper urinary tract squamous cell carcinoma presenting with
           significant paraneoplastic syndrome

    • Authors: Sandra S.Y. Kim, Ricardo A Rendon, Myuran Thana, Lori Wood, Cheng Wang, Ross J Mason
      Pages: 388 - 391
      Abstract: Sandra S.Y. Kim, Ricardo A Rendon, Myuran Thana, Lori Wood, Cheng Wang, Ross J Mason
      Urology Annals 2020 12(4):388-391
      Squamous cell carcinoma of the upper urinary tract is a rare entity associated with rapidly progressive disease and poor outcomes. Here, we describe a case of a squamous cell carcinoma of the upper urinary tract associated with significant progression and paraneoplastic syndrome. Post-operatively, the patient had near complete resolution of her paraneoplastic syndromes with significant improvements in her functional status.
      Citation: Urology Annals 2020 12(4):388-391
      PubDate: Thu,15 Oct 2020
      DOI: 10.4103/UA.UA_111_19
      Issue No: Vol. 12, No. 4 (2020)
       
  • Wunderlich syndrome with spontaneous renal hemorrhage into renal
           angiomyolipoma

    • Authors: Tanweer Bhatty, Ahmad Zia, Iftikhar Ali Khan, Gul Nawaz
      Pages: 392 - 393
      Abstract: Tanweer Bhatty, Ahmad Zia, Iftikhar Ali Khan, Gul Nawaz
      Urology Annals 2020 12(4):392-393
      Wunderlich syndrome is a rarely entity. We report our case of a 60-year-old female, who presented in the emergency medicine department with acute right flank pain, tender mass right upper quadrant abdomen, hypotension, and visible hematuria. Urgent computerized tomogram confirmed bleeding in the right renal angiomyolipoma. Selective angioembolization was done. The patient recovered and was sent home after 1 week. On follow-up after 1 month, she is doing fine, and on ultrasound, AML had interval decrease in size.
      Citation: Urology Annals 2020 12(4):392-393
      PubDate: Thu,15 Oct 2020
      DOI: 10.4103/UA.UA_169_19
      Issue No: Vol. 12, No. 4 (2020)
       
  • Incidental detection of Zinner syndrome in a patient with nonseminomatous
           germ cell tumor of testis

    • Authors: Jeevitesh Khoda, Saugata Sen, Argha Chatterjee
      Pages: 394 - 395
      Abstract: Jeevitesh Khoda, Saugata Sen, Argha Chatterjee
      Urology Annals 2020 12(4):394-395
      Zinner syndrome is a rare congenital abnormality occurring in males comprising a triad of unilateral renal agenesis, ipsilateral ejaculatory duct obstruction, and seminal vesicle cyst. Most patients remain asymptomatic, and some may present with lower urinary tract symptoms or infertility. We present a case of incidentally detected Zinner syndrome in a patient with nonseminomatous germ cell tumor of testis, an association that is not reported in literature to our knowledge.
      Citation: Urology Annals 2020 12(4):394-395
      PubDate: Thu,15 Oct 2020
      DOI: 10.4103/UA.UA_11_20
      Issue No: Vol. 12, No. 4 (2020)
       
  • Erratum: Evaluation of response in patients of metastatic castration
           resistant prostate cancer undergoing systemic radiotherapy with
           lutetium177-prostate-specific membrane antigen: A comparison between
           response evaluation criteria in solid tumors, positron-emission tomography
           response criteria in solid tumors, European organization for research and
           treatment of cancer, and MDA criteria assessed by gallium
           68-prostate-specific membrane antigen positron-emission
           tomography-computed tomography

    • Pages: 396 - 396
      Abstract:
      Urology Annals 2020 12(4):396-396

      Citation: Urology Annals 2020 12(4):396-396
      PubDate: Thu,15 Oct 2020
      DOI: 10.4103/0974-7796.250559
      Issue No: Vol. 12, No. 4 (2020)
       
 
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