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Publisher: Medknow Publishers   (Total: 355 journals)

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Showing 1 - 200 of 355 Journals sorted alphabetically
Advanced Arab Academy of Audio-Vestibulogy J.     Open Access  
Advances in Human Biology     Open Access   (Followers: 2)
African J. for Infertility and Assisted Conception     Open Access  
African J. of Business Ethics     Open Access   (Followers: 6)
African J. of Medical and Health Sciences     Open Access   (Followers: 2)
African J. of Paediatric Surgery     Open Access   (Followers: 7, SJR: 0.269, h-index: 10)
African J. of Trauma     Open Access  
Ain-Shams J. of Anaesthesiology     Open Access   (Followers: 3)
Al-Azhar Assiut Medical J.     Open Access  
Al-Basar Intl. J. of Ophthalmology     Open Access   (Followers: 1)
Ancient Science of Life     Open Access   (Followers: 5)
Anesthesia : Essays and Researches     Open Access   (Followers: 9)
Annals of African Medicine     Open Access   (Followers: 1, SJR: 0.331, h-index: 15)
Annals of Bioanthropology     Open Access   (Followers: 4)
Annals of Cardiac Anaesthesia     Open Access   (Followers: 14, SJR: 0.408, h-index: 15)
Annals of Indian Academy of Neurology     Open Access   (Followers: 3, SJR: 0.308, h-index: 14)
Annals of Maxillofacial Surgery     Open Access   (Followers: 6)
Annals of Medical and Health Sciences Research     Open Access   (Followers: 7)
Annals of Nigerian Medicine     Open Access   (Followers: 1)
Annals of Pediatric Cardiology     Open Access   (Followers: 7, SJR: 0.441, h-index: 10)
Annals of Saudi Medicine     Open Access   (SJR: 0.24, h-index: 29)
Annals of Thoracic Medicine     Open Access   (Followers: 5, SJR: 0.388, h-index: 19)
Annals of Tropical Medicine and Public Health     Open Access   (Followers: 12, SJR: 0.148, h-index: 5)
APOS Trends in Orthodontics     Open Access   (Followers: 1)
Arab J. of Interventional Radiology     Open Access  
Archives of Intl. Surgery     Open Access   (Followers: 10)
Archives of Medicine and Health Sciences     Open Access   (Followers: 3)
Archives of Pharmacy Practice     Open Access   (Followers: 6)
Asia Pacific J. of Clinical Trials : Nervous System Diseases     Open Access  
Asia-Pacific J. of Oncology Nursing     Open Access   (Followers: 4)
Asian J. of Andrology     Open Access   (Followers: 1, SJR: 0.879, h-index: 49)
Asian J. of Neurosurgery     Open Access   (Followers: 2)
Asian J. of Oncology     Open Access   (Followers: 1)
Asian J. of Transfusion Science     Open Access   (Followers: 1, SJR: 0.362, h-index: 10)
Astrocyte     Open Access  
Avicenna J. of Medicine     Open Access   (Followers: 1)
AYU : An international quarterly journal of research in Ayurveda     Open Access   (Followers: 6)
Benha Medical J.     Open Access  
BLDE University J. of Health Sciences     Open Access  
Brain Circulation     Open Access  
Bulletin of Faculty of Physical Therapy     Open Access   (Followers: 1)
Cancer Translational Medicine     Open Access   (Followers: 2)
CHRISMED J. of Health and Research     Open Access  
Clinical Dermatology Review     Open Access   (Followers: 2)
Clinical Trials in Degenerative Diseases     Open Access  
Clinical Trials in Orthopedic Disorders     Open Access  
Community Acquired Infection     Open Access  
Conservation and Society     Open Access   (Followers: 10, SJR: 0.82, h-index: 12)
Contemporary Clinical Dentistry     Open Access   (Followers: 4)
Current Medical Issues     Open Access   (Followers: 1)
CytoJ.     Open Access   (Followers: 2, SJR: 0.339, h-index: 19)
Delta J. of Ophthalmology     Open Access  
Dental Hypotheses     Open Access   (Followers: 3, SJR: 0.131, h-index: 4)
Dental Research J.     Open Access   (Followers: 11)
Dentistry and Medical Research     Open Access  
Digital Medicine     Open Access  
Drug Development and Therapeutics     Open Access  
Education for Health     Open Access   (Followers: 6, SJR: 0.205, h-index: 22)
Egyptian J. of Bronchology     Open Access  
Egyptian J. of Cardiothoracic Anesthesia     Open Access  
Egyptian J. of Cataract and Refractive Surgery     Open Access   (Followers: 1)
Egyptian J. of Dermatology and Venerology     Open Access   (Followers: 1)
Egyptian J. of Haematology     Open Access   (Followers: 1)
Egyptian J. of Internal Medicine     Open Access   (Followers: 1)
Egyptian J. of Neurology, Psychiatry and Neurosurgery     Open Access   (Followers: 1, SJR: 0.121, h-index: 3)
Egyptian J. of Obesity, Diabetes and Endocrinology     Open Access  
Egyptian J. of Otolaryngology     Open Access   (Followers: 2)
Egyptian J. of Psychiatry     Open Access   (Followers: 2)
Egyptian J. of Surgery     Open Access   (Followers: 1)
Egyptian Orthopaedic J.     Open Access   (Followers: 1)
Egyptian Pharmaceutical J.     Open Access  
Egyptian Retina J.     Open Access  
Egyptian Rheumatology and Rehabilitation     Open Access  
Endodontology     Open Access  
Endoscopic Ultrasound     Open Access   (SJR: 0.473, h-index: 8)
Environmental Disease     Open Access   (Followers: 2)
European J. of Dentistry     Open Access   (Followers: 2, SJR: 0.496, h-index: 11)
European J. of General Dentistry     Open Access   (Followers: 1)
European J. of Prosthodontics     Open Access   (Followers: 3)
European J. of Psychology and Educational Studies     Open Access   (Followers: 11)
Fertility Science and Research     Open Access  
Formosan J. of Surgery     Open Access   (SJR: 0.107, h-index: 5)
Genome Integrity     Open Access   (Followers: 3, SJR: 1.227, h-index: 12)
Global J. of Transfusion Medicine     Open Access   (Followers: 1)
Heart India     Open Access   (Followers: 1)
Heart Views     Open Access   (Followers: 2)
Hepatitis B Annual     Open Access   (Followers: 3)
IJS Short Reports     Open Access  
Indian Anaesthetists Forum     Open Access  
Indian Dermatology Online J.     Open Access   (Followers: 3)
Indian J. of Allergy, Asthma and Immunology     Open Access   (Followers: 1)
Indian J. of Anaesthesia     Open Access   (Followers: 7, SJR: 0.302, h-index: 13)
Indian J. of Burns     Open Access   (Followers: 1)
Indian J. of Cancer     Open Access   (Followers: 1, SJR: 0.318, h-index: 26)
Indian J. of Cerebral Palsy     Open Access   (Followers: 1)
Indian J. of Community Medicine     Open Access   (Followers: 2, SJR: 0.618, h-index: 16)
Indian J. of Critical Care Medicine     Open Access   (Followers: 2, SJR: 0.307, h-index: 16)
Indian J. of Dental Research     Open Access   (Followers: 4, SJR: 0.243, h-index: 24)
Indian J. of Dental Sciences     Open Access  
Indian J. of Dentistry     Open Access   (Followers: 1)
Indian J. of Dermatology     Open Access   (Followers: 2, SJR: 0.448, h-index: 16)
Indian J. of Dermatology, Venereology and Leprology     Open Access   (Followers: 4, SJR: 0.563, h-index: 29)
Indian J. of Dermatopathology and Diagnostic Dermatology     Open Access  
Indian J. of Drugs in Dermatology     Open Access   (Followers: 1)
Indian J. of Endocrinology and Metabolism     Open Access   (Followers: 4)
Indian J. of Health Sciences     Open Access   (Followers: 2)
Indian J. of Medical and Paediatric Oncology     Open Access   (SJR: 0.292, h-index: 9)
Indian J. of Medical Microbiology     Open Access   (Followers: 1, SJR: 0.53, h-index: 34)
Indian J. of Medical Research     Open Access   (Followers: 4, SJR: 0.716, h-index: 60)
Indian J. of Medical Sciences     Open Access   (Followers: 2, SJR: 0.207, h-index: 31)
Indian J. of Multidisciplinary Dentistry     Open Access   (Followers: 1)
Indian J. of Nephrology     Open Access   (Followers: 2, SJR: 0.233, h-index: 12)
Indian J. of Nuclear Medicine     Open Access   (Followers: 2, SJR: 0.213, h-index: 5)
Indian J. of Occupational and Environmental Medicine     Open Access   (Followers: 3, SJR: 0.203, h-index: 13)
Indian J. of Ophthalmology     Open Access   (Followers: 5, SJR: 0.536, h-index: 34)
Indian J. of Oral Health and Research     Open Access  
Indian J. of Oral Sciences     Open Access   (Followers: 1)
Indian J. of Orthopaedics     Open Access   (Followers: 8, SJR: 0.393, h-index: 15)
Indian J. of Otology     Open Access   (Followers: 1, SJR: 0.218, h-index: 5)
Indian J. of Paediatric Dermatology     Open Access   (Followers: 2)
Indian J. of Pain     Open Access   (Followers: 1)
Indian J. of Palliative Care     Open Access   (Followers: 5, SJR: 0.35, h-index: 12)
Indian J. of Pathology and Microbiology     Open Access   (Followers: 2, SJR: 0.285, h-index: 22)
Indian J. of Pharmacology     Open Access   (SJR: 0.347, h-index: 44)
Indian J. of Plastic Surgery     Open Access   (Followers: 12, SJR: 0.303, h-index: 13)
Indian J. of Psychiatry     Open Access   (Followers: 3, SJR: 0.496, h-index: 15)
Indian J. of Psychological Medicine     Open Access   (SJR: 0.344, h-index: 9)
Indian J. of Public Health     Open Access   (Followers: 1, SJR: 0.444, h-index: 17)
Indian J. of Radiology and Imaging     Open Access   (Followers: 4, SJR: 0.253, h-index: 14)
Indian J. of Research in Homoeopathy     Open Access  
Indian J. of Rheumatology     Open Access   (SJR: 0.169, h-index: 7)
Indian J. of Sexually Transmitted Diseases and AIDS     Open Access   (Followers: 2, SJR: 0.313, h-index: 9)
Indian J. of Social Psychiatry     Open Access   (Followers: 2)
Indian J. of Urology     Open Access   (Followers: 3, SJR: 0.366, h-index: 16)
Indian J. of Vascular and Endovascular Surgery     Open Access   (Followers: 2)
Industrial Psychiatry J.     Open Access   (Followers: 2)
Intl. J. of Academic Medicine     Open Access  
Intl. J. of Advanced Medical and Health Research     Open Access  
Intl. J. of Applied and Basic Medical Research     Open Access  
Intl. J. of Clinical and Experimental Physiology     Open Access   (Followers: 1)
Intl. J. of Critical Illness and Injury Science     Open Access   (Followers: 1)
Intl. J. of Educational and Psychological Researches     Open Access   (Followers: 4)
Intl. J. of Environmental Health Engineering     Open Access   (Followers: 1)
Intl. J. of Forensic Odontology     Open Access   (Followers: 1)
Intl. J. of Green Pharmacy     Open Access   (Followers: 3, SJR: 0.229, h-index: 13)
Intl. J. of Health & Allied Sciences     Open Access   (Followers: 3)
Intl. J. of Health System and Disaster Management     Open Access   (Followers: 3)
Intl. J. of Heart Rhythm     Open Access  
Intl. J. of Medicine and Public Health     Open Access   (Followers: 6)
Intl. J. of Mycobacteriology     Open Access   (SJR: 0.239, h-index: 4)
Intl. J. of Noncommunicable Diseases     Open Access  
Intl. J. of Nutrition, Pharmacology, Neurological Diseases     Open Access   (Followers: 4)
Intl. J. of Oral Health Sciences     Open Access   (Followers: 2)
Intl. J. of Orthodontic Rehabilitation     Open Access  
Intl. J. of Pedodontic Rehabilitation     Open Access  
Intl. J. of Pharmaceutical Investigation     Open Access   (Followers: 1)
Intl. J. of Preventive Medicine     Open Access   (Followers: 1, SJR: 0.523, h-index: 15)
Intl. J. of Shoulder Surgery     Open Access   (Followers: 5, SJR: 0.611, h-index: 9)
Intl. J. of Trichology     Open Access   (SJR: 0.37, h-index: 10)
Intl. J. of Yoga     Open Access   (Followers: 13)
Intl. J. of Yoga : Philosophy, Psychology and Parapsychology     Open Access   (Followers: 5)
Iranian J. of Nursing and Midwifery Research     Open Access   (Followers: 3)
Iraqi J. of Hematology     Open Access  
J. of Academy of Medical Sciences     Open Access  
J. of Advanced Pharmaceutical Technology & Research     Open Access   (Followers: 3, SJR: 0.427, h-index: 15)
J. of Anaesthesiology Clinical Pharmacology     Open Access   (Followers: 7, SJR: 0.416, h-index: 14)
J. of Applied Hematology     Open Access   (Followers: 1)
J. of Association of Chest Physicians     Open Access   (Followers: 2)
J. of Basic and Clinical Reproductive Sciences     Open Access   (Followers: 1)
J. of Cancer Research and Therapeutics     Open Access   (Followers: 5, SJR: 0.359, h-index: 21)
J. of Carcinogenesis     Open Access   (Followers: 1, SJR: 1.152, h-index: 26)
J. of Cardiothoracic Trauma     Open Access  
J. of Cardiovascular Disease Research     Open Access   (Followers: 3, SJR: 0.351, h-index: 13)
J. of Cardiovascular Echography     Open Access   (Followers: 1, SJR: 0.134, h-index: 2)
J. of Cleft Lip Palate and Craniofacial Anomalies     Open Access   (Followers: 2)
J. of Clinical and Preventive Cardiology     Open Access   (Followers: 1)
J. of Clinical Imaging Science     Open Access   (Followers: 1, SJR: 0.277, h-index: 8)
J. of Clinical Neonatology     Open Access   (Followers: 2)
J. of Clinical Ophthalmology and Research     Open Access   (Followers: 3)
J. of Clinical Sciences     Open Access  
J. of Conservative Dentistry     Open Access   (Followers: 4, SJR: 0.532, h-index: 10)
J. of Craniovertebral Junction and Spine     Open Access   (Followers: 4, SJR: 0.199, h-index: 9)
J. of Current Medical Research and Practice     Open Access  
J. of Current Research in Scientific Medicine     Open Access  
J. of Cutaneous and Aesthetic Surgery     Open Access   (Followers: 1)
J. of Cytology     Open Access   (Followers: 1, SJR: 0.274, h-index: 9)
J. of Dental and Allied Sciences     Open Access   (Followers: 2)
J. of Dental Implants     Open Access   (Followers: 7)
J. of Dental Lasers     Open Access   (Followers: 2)
J. of Dental Research and Review     Open Access   (Followers: 1)
J. of Digestive Endoscopy     Open Access   (Followers: 2)
J. of Dr. NTR University of Health Sciences     Open Access  
J. of Earth, Environment and Health Sciences     Open Access   (Followers: 1)
J. of Education and Ethics in Dentistry     Open Access   (Followers: 5)
J. of Education and Health Promotion     Open Access   (Followers: 5)
J. of Emergencies, Trauma and Shock     Open Access   (Followers: 9, SJR: 0.353, h-index: 14)
J. of Engineering and Technology     Open Access   (Followers: 6)
J. of Experimental and Clinical Anatomy     Open Access   (Followers: 2)
J. of Family and Community Medicine     Open Access   (Followers: 2)
J. of Family Medicine and Primary Care     Open Access   (Followers: 11)

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Journal Cover Indian Journal of Urology
  [SJR: 0.366]   [H-I: 16]   [3 followers]  Follow
    
  This is an Open Access Journal Open Access journal
   ISSN (Print) 0970-1591
   Published by Medknow Publishers Homepage  [355 journals]
  • Let's create facts not perceptions!

    • Authors: Anil Mandhani
      Pages: 95 - 96
      Abstract: Anil Mandhani
      Indian Journal of Urology 2018 34(2):95-96

      Citation: Indian Journal of Urology 2018 34(2):95-96
      PubDate: Mon,2 Apr 2018
      DOI: 10.4103/iju.IJU_82_18
      Issue No: Vol. 34, No. 2 (2018)
       
  • Round up

    • Authors: Santosh Kumar
      Pages: 97 - 98
      Abstract: Santosh Kumar
      Indian Journal of Urology 2018 34(2):97-98

      Citation: Indian Journal of Urology 2018 34(2):97-98
      PubDate: Mon,2 Apr 2018
      DOI: 10.4103/iju.IJU_54_18
      Issue No: Vol. 34, No. 2 (2018)
       
  • What's inside

    • Authors: Rajeev Kumar
      Pages: 99 - 100
      Abstract: Rajeev Kumar
      Indian Journal of Urology 2018 34(2):99-100

      Citation: Indian Journal of Urology 2018 34(2):99-100
      PubDate: Mon,2 Apr 2018
      DOI: 10.4103/iju.IJU_83_18
      Issue No: Vol. 34, No. 2 (2018)
       
  • The current status of robot-assisted cystectomy

    • Authors: Stavros Ioannis Tyritzis, Justin W Collins, Nils Peter Wiklund
      Pages: 101 - 109
      Abstract: Stavros Ioannis Tyritzis, Justin W Collins, Nils Peter Wiklund
      Indian Journal of Urology 2018 34(2):101-109
      Robot-assistance is being increasingly used for radical cystectomy (RC). Fifteen years of surgical evolution might be considered a short period for a radical procedure to be established as the treatment of choice, but robot assisted radical cystectomy (RARC) is showing promising results when compared with the current gold standard, open RC (ORC). In this review, we describe the current status of RARC and continue the discussion on the on-going RARC versus ORC debate.
      Citation: Indian Journal of Urology 2018 34(2):101-109
      PubDate: Mon,2 Apr 2018
      DOI: 10.4103/iju.IJU_355_17
      Issue No: Vol. 34, No. 2 (2018)
       
  • Novel robotic systems and future directions

    • Authors: Ki Don Chang, Ali Abdel Raheem, Koon Ho Rha
      Pages: 110 - 114
      Abstract: Ki Don Chang, Ali Abdel Raheem, Koon Ho Rha
      Indian Journal of Urology 2018 34(2):110-114
      Robot-assistance is increasingly used in surgical practice. We performed a nonsystematic literature review using PubMed/MEDLINE and Google for robotic surgical systems and compiled information on their current status. We also used this information to predict future about the direction of robotic systems based on various robotic systems currently being developed. Currently, various modifications are being made in the consoles, robotic arms, cameras, handles and instruments, and other specific functions (haptic feedback and eye tracking) that make up the robotic surgery system. In addition, research for automated surgery is actively being carried out. The development of future robots will be directed to decrease the number of incisions and improve precision. With the advent of artificial intelligence, a more practical form of robotic surgery system can be introduced and will ultimately lead to the development of automated robotic surgery system.
      Citation: Indian Journal of Urology 2018 34(2):110-114
      PubDate: Mon,2 Apr 2018
      DOI: 10.4103/iju.IJU_316_17
      Issue No: Vol. 34, No. 2 (2018)
       
  • Perioperative outcomes of minimally invasive versus open radical
           cystectomy: A single-center experience

    • Authors: Pankaj Panwar, Ravimohan S Mavuduru, Uttam Kumar Mete, Santosh Kumar, Girdhar Singh Bora, Sudheer Kumar Devana, Arup Kumar Mandal, Shrawan Kumar Singh, Nandita Kakkar
      Pages: 115 - 121
      Abstract: Pankaj Panwar, Ravimohan S Mavuduru, Uttam Kumar Mete, Santosh Kumar, Girdhar Singh Bora, Sudheer Kumar Devana, Arup Kumar Mandal, Shrawan Kumar Singh, Nandita Kakkar
      Indian Journal of Urology 2018 34(2):115-121
      Introduction: Open radical cystectomy (RC) is associated with significant morbidity and the role of minimally invasive surgery (MIS) in reducing morbidity of RC is controversial A direct comparison of various surgical modalities on perioperative outcomes is lacking in the Indian literature. We evaluated outcomes of minimally invasive (robotic and laparoscopic) versus open RC with pelvic lymph node dissection (PLND) performed at our institute from 2014 to 2016.Methods: Eighty-three patients of RC with PLND were prospectively analyzed from December 2014 to February 2016. All patients of muscle invasive urothelial cancer of the bladder undergoing RC (open or MIS) were included in the study. Based on patients preference they were assigned to one of the three groups (Open RC, robot-assisted RC, or laparoscopic RC). Their demographic profile, preoperative disease stage, operative data like operative time, blood loss, intraoperative complications, histopathological data like pathological stage, lymph-node yield etc., postoperative complications if any and total duration of stay were recorded. These data of laparoscopic, open, and robotic cystectomies were compared in terms of various demographic, histopathologic parameters and perioperative outcomes.Results: Twenty-nine patients (34.93%) underwent minimally invasive RC with PLND (5 laparoscopic and 24 robotic). The median age of patients was 58 years. Mean number of lymph nodes removed was 22.5 ± 14.6. The total number of lymph nodes removed in laparoscopic surgery was 104 with a yield of 20.6 per patient, in robotic surgery were 627 with a yield of 26.1 per patient, and in open surgery were 1119 with a yield of 20.7 per patient (P = 0.004). Clavien-Dindo Grade 2 and 3 complications were seen in 37.5% of robotic, 60% of laparoscopic, and 55.54% of open RC. Average blood loss and operative time in laparoscopic, robotic, and open RC were 511.53 ± 311.02 ml, 552.08 ± 267.63 ml, and 512.05 ± 213.9 ml and 8.23 ± 1.36 h (hrs), 7.53 ± 1.92 h, and 5.85 ± 1.76 h, respectively (P = 0.68 and <0.001, respectively).Conclusions: MIS is associated with significantly longer operative time than open RC. Robotic RC has significantly higher lymph node yield than open or laparoscopic RC. Minimally invasive RC is equivalent to open surgery in terms of perioperative morbidity, mortality, and blood loss.
      Citation: Indian Journal of Urology 2018 34(2):115-121
      PubDate: Mon,2 Apr 2018
      DOI: 10.4103/iju.IJU_166_17
      Issue No: Vol. 34, No. 2 (2018)
       
  • Robot-assisted laparoscopic radical cystectomy with extracorporeal urinary
           diversion: Initial experience and outcomes

    • Authors: Nitin Shrivastava, Brusabhanu Nayak, Premnath Dogra, Rajeev Kumar, Prabhjot Singh
      Pages: 122 - 126
      Abstract: Nitin Shrivastava, Brusabhanu Nayak, Premnath Dogra, Rajeev Kumar, Prabhjot Singh
      Indian Journal of Urology 2018 34(2):122-126
      Introduction: Open radical cystectomy (ORC) is the most common surgical approach for invasive carcinoma of the urinary bladder, but robot-assisted radical cystectomy (RARC) has recently gained popularity. There is limited data from the Indian subcontinent on RARC . The aim of this study was to assess the perioperative, pathological, and oncological outcomes of RARC and follow-up in our initial 63 cases.Materials and Methods: A retrospective analysis of prospectively maintained data of 63 RARC procedures performed in our tertiary care institute from July 2006 to January 2016 was done. All patients underwent RARC with extracorporeal urinary diversion. We analyzed perioperative parameters, length of hospital stay, pathological and oncological outcomes, and rate of complications. Follow-up data were analyzed for disease recurrence and survival.Results: The mean age of the patients was 58 years. The mean American Society of Anesthesiologists (ASA) score was 1.66. Mean operative time was 348.6 min and mean blood loss was 868.2 ml. Mean hospital stay was 10.4 days (±5.4 days). 42.8% patients had pT2 disease, 49.2% pT3, 1.58% pT1, and 6.34% had pT4 disease. Mean lymph node yield was 12.4 (3-25). One patient had positive surgical margins. Twenty-four patients had postoperative complications of which four were major complications (Clavien-Dindo 3 or higher). At a median follow-up of 60 months (range: 3–108 months), 11 patients were lost to follow-up 10 patients developed metastasis, out of which 4 died. Four had recurrence, two died and two are receiving chemotherapy.Conclusion: This study shows the feasibility and safety of RARC. The operative time, blood loss, return of bowel activity and hospital stay were higher than those reported in the literature but may reflect the learning curve.
      Citation: Indian Journal of Urology 2018 34(2):122-126
      PubDate: Mon,2 Apr 2018
      DOI: 10.4103/iju.IJU_65_17
      Issue No: Vol. 34, No. 2 (2018)
       
  • Efficacy and safety of third- and fourth-line targeted therapy in japanese
           patients with metastatic renal cell carcinoma: A retrospective analysis

    • Authors: Negishi Takahito, Nagase Kei, Iwai Hidenori, Furubayashi Nobuki, Taguchi Kenichi, Nakamura Motonobu
      Pages: 127 - 132
      Abstract: Negishi Takahito, Nagase Kei, Iwai Hidenori, Furubayashi Nobuki, Taguchi Kenichi, Nakamura Motonobu
      Indian Journal of Urology 2018 34(2):127-132
      Introduction: There is limited data on the efficacy of sequential targeted therapy for metastatic renal cell carcinoma (mRCC) beyond the second line, especially for Asian patients. We evaluated the efficacy and side effects of targeted therapy beyond the second line.Materials and Methods: We retrospectively reviewed 69 patients who were administered targeted therapy for mRCC at our institution between 2008 and 2016. Sunitinib, pazopanib, sorafenib, axitinib, everolimus, and temsirolimus were available in Japan in 2016, and treatment had been conducted with those six agents. Twenty-four patients underwent therapy beyond the second line. The progression-free survival (PFS) and overall survival (OS) were estimated using the Kaplan–Meier method. In addition, a survey on patients' attitudes toward cancer treatment was conducted. Twenty-five of the 69 patients responded to the question with their opinions on the continuation of treatment after standard therapy failure.Results: The median PFS was 7.6 and 2.5 months for third- and fourth-line therapy. The median OS calculated from the initiation of third-line therapy was 14.2 months. The rates of serious toxicities with third- and fourth-line regimens were not markedly increased compared with first- and second-line therapies. Forty percent of patients hoped to continue treatment after exhausting standard care.Conclusions: Our retrospective study indicates the efficacy and safety of third- and fourth-line targeted therapies. In addition to the efficacy, a patient can also influence treatment continuation.
      Citation: Indian Journal of Urology 2018 34(2):127-132
      PubDate: Mon,2 Apr 2018
      DOI: 10.4103/iju.IJU_248_17
      Issue No: Vol. 34, No. 2 (2018)
       
  • A retrospective analysis of complications of laparoscopic left donor
           nephrectomy using the Kocak's modification of Clavien-Dindo system

    • Authors: Aneesh Srivastava, Ankur Bansal, Sanjoy K Sureka, Priyank Yadav, Devarshi Srivastava, Rahul Jena, Uday P Singh, Saurabh Vashishtha, MS Ansari, Rakesh Kapoor
      Pages: 133 - 139
      Abstract: Aneesh Srivastava, Ankur Bansal, Sanjoy K Sureka, Priyank Yadav, Devarshi Srivastava, Rahul Jena, Uday P Singh, Saurabh Vashishtha, MS Ansari, Rakesh Kapoor
      Indian Journal of Urology 2018 34(2):133-139
      Introduction: Kocak described a modification of Clavien-Dindo classification system (CDCS) for reporting procedure-related complications in laparoscopic donor nephrectomy (LDN). We used the Kocak modification in grading and reporting the severity of complications in patients who underwent LDN and in evaluating various parameters that predict them.Methods: In all, 1430 patients who underwent left LDN from 2000 to 2016 were included in this study. All data was retrospectively collected and analyzed for complications occurring in the postoperative period. All complications were classified according to the four grades of Kocak-modified CDCS.Results: 124 patients (8.6%) suffered a total of 235 postoperative complications. Most of the complications were Grade I and Grade II (Grade I: 79.5% [n = 187] and Grade II 16.2% [n = 38]), 2.5% of the complications were Grade III (n = 6) and Kocak Grade IVa complications occurred in three patients. There was one death (Grade IVb: 0.4%, overall mortality rate: 0.06%). The incidence of complications was significantly greater for male patients, those with body mass index ≥25 kg/m2, and if the operating surgeon had ≤ 1 year of experience in performing LDN surgery.Conclusion: LDN is a safe procedure with low morbidity. The rate of complications is 8.6% and most of these complications are of low grade. The use of a standardized system for reporting the complications of LDN allows appropriate comparison between reported data.
      Citation: Indian Journal of Urology 2018 34(2):133-139
      PubDate: Mon,2 Apr 2018
      DOI: 10.4103/iju.IJU_111_17
      Issue No: Vol. 34, No. 2 (2018)
       
  • Comparison of the efficiency and complications of lumenis and wolf
           morcellators after holmium laser enucleation of the prostate

    • Authors: Pankaj N Maheshwari, Vinayak G Wagaskar, Reeta P Maheshwari
      Pages: 140 - 143
      Abstract: Pankaj N Maheshwari, Vinayak G Wagaskar, Reeta P Maheshwari
      Indian Journal of Urology 2018 34(2):140-143
      Introduction: Holmium laser enucleation of the prostate (HoLEP) is a recognized option for the surgical management of benign prostatic hyperplasia. While the laser parameters and enucleation techniques have been widely studied, the morcellation techniques still remain under-evaluated. The current study evaluates the two commonly used morcellation devices for their in vivo efficiency and patient safety.Materials and Methods: A total of 222 patients who underwent HoLEP at two medical centres between January 2011 to December 2013 by a single surgeon were included. Of these 222 patients, the Richard Wolf Piranha Morcellation System, Germany (WM), was used on 140 patients, while on the remaining 82, the Lumenis® VersaCut™ Morcellator, Yokneam, Israel (LM), was used. These devices were compared for safety parameters such as the incidence of bladder mucosal injury, deep muscle injury, bladder perforation, and bleeding requiring electrocoagulation. The morcellation efficiency (ME) defined as the ratio of the weight of morcellated tissue in grams to the time required for morcellation in minutes was also compared.Results: The incidence of bladder mucosal injury, deep muscle injury, and bleeding requiring electrocoagulation was statistically significantly lower for the WM than the LM. None of the patients had a full-thickness bladder perforation with either of the morcellators. The ME was higher for the LM. In eight patients, hard, smooth rounded adenomatous nodules could not be morcellated by the WM and had to be crushed by a stone grasping forceps before morcellation.Conclusions: While the LM is a faster morcellator, WM has a better safety profile.
      Citation: Indian Journal of Urology 2018 34(2):140-143
      PubDate: Mon,2 Apr 2018
      DOI: 10.4103/iju.IJU_133_17
      Issue No: Vol. 34, No. 2 (2018)
       
  • Spectrum of urinary stone composition in Northwestern Rajasthan using
           Fourier transform infrared spectroscopy

    • Authors: Amilal Bhat, Vikash Singh, Mahakshit Bhat, Vinay Kumar, Akshita Bhat
      Pages: 144 - 148
      Abstract: Amilal Bhat, Vikash Singh, Mahakshit Bhat, Vinay Kumar, Akshita Bhat
      Indian Journal of Urology 2018 34(2):144-148
      Introduction: The aim of this study was to evaluate the chemical composition of urinary stones and pattern of changes according to the patient's age in Northwestern Rajasthan using Fourier transform infrared (FTIR) spectroscopy.Materials and Methods: A prospective study of 1005 urolithiasis patients was carried out in two tertiary care centers from September 2012 to September 2016. Chemical composition of urinary stones was analyzed using FTIR spectroscopy, and a subgroup study based on the patient's age was done (8–12 years – Group A, 13–18 years – Group B, and >18 years – Group C).Results: Out of 1005 patients, 59 were in Group A, 104 in Group B, and 842 in Group C. Male predominance was found in all age groups. Mixed composition stones were much more common than pure one (74.83% vs. 25.17%). Overall, combination of calcium oxalate monohydrate with dihydrate was the most common composition (58.0%). Calcium oxalate was the predominant chemical composition in 91.54% of stones, followed by uric acid in 4.28%, struvite in 2.29%, calcium phosphate in 1.49%, and cystine in 0.4%. The proportion of calcium oxalate stone was increasing while that of struvite, uric acid, and cystine stone was decreasing with age. Most of the vesical calculi in pediatric age group (Group A; 8–12 years) patients were made up of combination of struvite, calcium phosphate, and uric acid. A total of 85.11% of staghorn calculi were of oxalates.Conclusion: In Northwestern Rajasthan, calcium oxalate is the most common composition of urinary stones in all age groups. Mixed stones are more common than pure ones. The incidence of calcium oxalate stone increases while that of struvite, uric acid, and cystine stone decreases with age.
      Citation: Indian Journal of Urology 2018 34(2):144-148
      PubDate: Mon,2 Apr 2018
      DOI: 10.4103/iju.IJU_363_16
      Issue No: Vol. 34, No. 2 (2018)
       
  • Management of female congenital short patulous urethra with urethral
           tapering and pubovaginal sling: A report of two cases

    • Authors: Sumit Gahlawat, Hemant Goel, Nikhil Khattar
      Pages: 149 - 151
      Abstract: Sumit Gahlawat, Hemant Goel, Nikhil Khattar
      Indian Journal of Urology 2018 34(2):149-151
      Congenital short patulous urethra is a rare entity and may be associated with developmental anomalies of mullerian ducts or urogenital sinus. We report the management of two cases of congenital short patulous urethra with stress urinary incontinence (SUI). Both the patients presented with SUI; one was diagnosed with Mayer–Rokitansky–Kuster–Hauser (MRKH) syndrome and the other had uterus didelphys with longitudinally septated vagina. Both patients were successfully managed by excisional tapering of the urethra and pubovaginal sling placement. SUI with congenital short patulous urethra can be managed with excisional tapering of urethra and pubovaginal sling placement.
      Citation: Indian Journal of Urology 2018 34(2):149-151
      PubDate: Mon,2 Apr 2018
      DOI: 10.4103/iju.IJU_272_17
      Issue No: Vol. 34, No. 2 (2018)
       
  • Plasmablastic lymphoma presenting as a ureteral polypoid mass

    • Authors: Sohei Yamamoto, Yuma Yasuda, Yu Sakai
      Pages: 152 - 154
      Abstract: Sohei Yamamoto, Yuma Yasuda, Yu Sakai
      Indian Journal of Urology 2018 34(2):152-154
      Plasmablastic lymphoma (PBL) is a rare and aggressive subtype of B-cell lymphoma, which occurs typically in the oral cavity of human immunodeficiency virus (HIV)-positive patients. We report a case of a 44-year-old HIV-positive patient with a solitary polypoid mass of the left ureteropelvic junction, causing unilateral hydronephrosis and clinically mimicking urothelial carcinoma. A laparoscopic nephroureterectomy was performed, and pathological examinations revealed the mass as PBL. PBL can present in various forms, even as a polypoid mass of the upper urinary tract, and it should be considered in the differential diagnosis of any mass detected in the HIV-positive patients.
      Citation: Indian Journal of Urology 2018 34(2):152-154
      PubDate: Mon,2 Apr 2018
      DOI: 10.4103/iju.IJU_364_17
      Issue No: Vol. 34, No. 2 (2018)
       
  • A neglected reddish penile patch: A wolf in sheep&#39;s clothing

    • Authors: Pragatheeswarane Murugavaithianathan, Sudheer K Devana, Kim Vaiphei, Ravimohan Mavuduru, Girdhar S Bora
      Pages: 155 - 157
      Abstract: Pragatheeswarane Murugavaithianathan, Sudheer K Devana, Kim Vaiphei, Ravimohan Mavuduru, Girdhar S Bora
      Indian Journal of Urology 2018 34(2):155-157
      Microinvasive squamous cell carcinoma (SCC) is a known premalignant lesion of carcinoma cervix. It is also reported from other sites such as the oral cavity, larynx, and vulva. Microinvasive SCC is very rarely reported from the penis. We report the occurrence of microinvasive SCC in a long-standing erythematous lesion of glans penis in a patient, with extensive metastasis. We emphasize the need for awareness among patients and urologists about the premalignant lesions of penis and prompt treatment of such lesions to prevent possible spread of the disease.
      Citation: Indian Journal of Urology 2018 34(2):155-157
      PubDate: Mon,2 Apr 2018
      DOI: 10.4103/iju.IJU_251_17
      Issue No: Vol. 34, No. 2 (2018)
       
  • An unusual case of urinary sparganosis in the Indian subcontinent

    • Authors: Bajpai Trupti, Nandedkar Shirish, Pandey Maneesha, Agrawal Santosh
      Pages: 158 - 160
      Abstract: Bajpai Trupti, Nandedkar Shirish, Pandey Maneesha, Agrawal Santosh
      Indian Journal of Urology 2018 34(2):158-160
      Spirometra is a genus of pseudophyllidean cestode that reproduces in canines and felines but can cause pathology in humans. When humans harbour plerocercoids of these tapeworms outside the intestine, it can cause sparganosis. We report a case of urinary sparganosis in a young woman, passing multiple spargana worms in her urine. The worm was identified as the plerocercoid larvae of Spirometra spp., and the case was managed successfully.
      Citation: Indian Journal of Urology 2018 34(2):158-160
      PubDate: Mon,2 Apr 2018
      DOI: 10.4103/iju.IJU_273_17
      Issue No: Vol. 34, No. 2 (2018)
       
  • Hepatic abscess rupture into the pyelocalyceal system of right kidney

    • Authors: Mohd Ilyas, Zubair Ahmad, Muzain Khateeb
      Pages: 161 - 162
      Abstract: Mohd Ilyas, Zubair Ahmad, Muzain Khateeb
      Indian Journal of Urology 2018 34(2):161-162
      A 42-year old male patient presented with the complaints of right lumbar pain, high-grade fever, burning micturition and pyuria for past 4 days. He was diagnosed with a liver abscess which had ruptured into the superior pole of right kidney.
      Citation: Indian Journal of Urology 2018 34(2):161-162
      PubDate: Mon,2 Apr 2018
      DOI: 10.4103/iju.IJU_285_17
      Issue No: Vol. 34, No. 2 (2018)
       
  • Re: Wei Gan JJ, Lia Gan JJ, Hsien Gan JJ, Lee KT. Lateral percutaneous
           nephrolithotomy: A safe and effective surgical approach. Indian J Urol
           2018;34:45-50

    • Authors: Sudheer Kumar Devana, Aditya Prakash Sharma, Kalpesh M Parmar
      Pages: 163 - 163
      Abstract: Sudheer Kumar Devana, Aditya Prakash Sharma, Kalpesh M Parmar
      Indian Journal of Urology 2018 34(2):163-163

      Citation: Indian Journal of Urology 2018 34(2):163-163
      PubDate: Mon,2 Apr 2018
      DOI: 10.4103/iju.IJU_42_18
      Issue No: Vol. 34, No. 2 (2018)
       
  • Author reply: Wei Gan JJ, Lia Gan JJ, Hsien Gan JJ, Lee KT. Lateral
           percutaneous nephrolithotomy: A safe and effective surgical approach.
           Indian J Urol 2018;34:45-50

    • Authors: Jasmine Ju-Hsien Gan, Jaslyn Ju-Lia Gan, Jonathan Jian-Wei Gan, Kim Tiong Lee
      Pages: 164 - 164
      Abstract: Jasmine Ju-Hsien Gan, Jaslyn Ju-Lia Gan, Jonathan Jian-Wei Gan, Kim Tiong Lee
      Indian Journal of Urology 2018 34(2):164-164

      Citation: Indian Journal of Urology 2018 34(2):164-164
      PubDate: Mon,2 Apr 2018
      DOI: 10.4103/iju.IJU_80_18
      Issue No: Vol. 34, No. 2 (2018)
       
 
 
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