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UROLOGY, NEPHROLOGY AND ANDROLOGY (159 journals)                     

Showing 1 - 159 of 159 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: 4)
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: 37)
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: 34)
BJUI Compass     Open Access   (Followers: 2)
BMC Nephrology     Open Access   (Followers: 10)
BMC Urology     Open Access   (Followers: 14)
Canadian Journal of Kidney Health and Disease     Open Access   (Followers: 8)
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: 22)
Clinical Kidney Journal     Open Access   (Followers: 4)
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: 1)
Diabetic Nephropathy     Open Access   (Followers: 2)
EMC - Urología     Full-text available via subscription  
Enfermería Nefrológica     Open Access   (Followers: 1)
European Urology     Full-text available via subscription   (Followers: 33)
European Urology Focus     Hybrid Journal   (Followers: 5)
European Urology Oncology     Hybrid Journal   (Followers: 1)
European Urology Open Science     Open Access   (Followers: 10)
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: 2)
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: 5)
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: 31)
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: 46)
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: 46)
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: 21)
Nature Reviews Urology     Full-text available via subscription   (Followers: 12)
Nefrología (English Edition)     Open Access  
Nefrología (Madrid)     Open Access  
Nephro-Urology Monthly     Open Access   (Followers: 1)
Nephrology     Hybrid Journal   (Followers: 13)
Nephrology Dialysis Transplantation     Hybrid Journal   (Followers: 27)
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: 2)
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: 6)
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: 7)
Seminars in Nephrology     Hybrid Journal   (Followers: 11)
The Prostate     Hybrid Journal   (Followers: 8)
Therapeutic Advances in Urology     Open Access   (Followers: 3)
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: 1)
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: 33)
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: 11)


Similar Journals
Journal Cover
Bangladesh Journal of Urology
Number of Followers: 5  

  This is an Open Access Journal Open Access journal
ISSN (Print) 2304-8522 - ISSN (Online) 2304-8522
Published by Bangladesh Journals Online Homepage  [106 journals]
  • Status of Urology in Bangladesh Before Celebrating Golden Jubilee of

    • Authors: Md Shawkat Alam
      Pages: 1 - 1
      Abstract: Not Available Bangladesh Journal of Urology, Vol. 22, No. 1, January 2019 p.1
      PubDate: 2020-11-02
      DOI: 10.3329/bju.v22i1.50066
      Issue No: Vol. 22, No. 1 (2020)
  • Changes in Cardiovascular Status and Serum Electrolyte Levels During
           Percutaneous Nephrolithotomy

    • Authors: Anup Roy Chowdhury, Md Nurul Hooda, Md Faisal Islam, Md Moynul Hoque Chowdhury, Latifur Rahman Miah, Shahariar Md Kabir Hasan, Safiul Alam Babul, Md Shariful Islam Khan
      Pages: 3 - 7
      Abstract: Background: Due to advancement of endourology, percutaneous nephrolithotomy (PCNL) is a common procedure for removal of renal stones. Intravascular absorption of normal saline during the PCNL may result in fluid overload, electrolyte imbalance and cardiovascular instability. Objective: To evaluate the changes in cardiovascular status and serum electrolyte levels in patients undergoing percutaneous nephrolithotomy. Method: Sixty adults underwent percutaneous nephrolithotomy were studied. Among them male female ratio was 13:7 and age ranging from 20-50 years. Heart rate, blood pressure and serum electrolytes were monitored before irrigation, during irrigation and post operatively. Stone size, duration of irrigation, volumes of irrigation fluid used and amount of absorption of irrigation fluid were recorded. Result: The mean heart rate, systolic and diastolic blood pressure levels were significantly higher (p<0.05) during PCNL compared to base line values. Serum sodium, potassium levels were decreased during the operation compared to the baseline levels (p < 0.005) but mean chloride concentration increased gradually compared to baseline but it was significantly higher at 120th min of irrigation and postoperatively (p<0.05). There was no significant change of serum bicarbonate concentration compared to base line value (p>0.05). The volume of irrigation fluid varied from 10000 ml to 24000 ml with mean volume 17045(±3383) ml. Total duration of irrigation varied from 30 min to 120 min. Total absorbed irrigant varied from 200-1000 ml with mean volume absorbed 526.27(±215) ml. Conclusion: In conclusion, these changes in cardiovascular status and serum electrolyte levels during percutaneous nephrolithotomy (PCNL) may be due to the invasive nature of the intervention to the kidney and the continuous irrigation of this vital organ. Bangladesh Journal of Urology, Vol. 22, No. 1, January 2019 p.3-7
      PubDate: 2020-11-02
      DOI: 10.3329/bju.v22i1.50067
      Issue No: Vol. 22, No. 1 (2020)
  • Outcome of Endoscopic Fulguration of Posterior Urethral Valves (Puv) in

    • Authors: Mohammad Rezaul Karim, Mohammad Ohiduzzaman Khan, Mohammad Mukhlesur Rahman, Muhammad Mahmud Alam, Sudip Das Gupta, SM Mahbub Alam
      Pages: 8 - 14
      Abstract: Background: Posterior Urethral Valves (PUV) are one of the most common urological problems having wide clinical implications and the prognosis depends upon the extent of the renal injury inflicted by the time of initiation of intervention and hence earlier the treatment, better the long-term outcome Objectives: To evaluate the outcome of endoscopic fulguration of posterior urethral valves (PUV) in children. Method: A cross-sectional analytical study was carried out on 50 male children with posterior urethral valves (PUV) from January 2011 to December 2012 in Dhaka Medical College Hospital, who were treated with endoscopic fulguration and came for routine follow-up. Results: In this series, median age of patients was 2 years ranging from 1 to 12 years. Approximately half of the patients (46.0%) were 2 years. Sixty four percent presented with poor urinary stream, 38.0% presented with straining during micturition. The most common physical finding was palpable bladder 60.0%, UTI was present in 52.0% cases. Proteinuria was found in 46.0% cases, raised serum creatinine was found in 36.0% cases. Electrolyte imbalance was found in 12.0% of cases. Ultrasonogram of KUB showed severe hydronephrosis in 14.0% cases. Voiding cystourethrogram diagnosed PUV in 92.0% of cases. The follow-up period was 24 months. At the end of final follow-up 3 patients remained incontinent. Urinary tract infections were absent in 52.0% cases. Hydronephrosis disappeared in 30.0% cases. Chronic renal failure developed in 6.0% of cases. End stage renal disease was found zero during the follow-up period. Conclusion: Follow-up period of longer duration needed to determine the ultimate outcome of these patients because some of the patients develop ESRD in the long run and ultimately renal transplant is the treatment. Treatment should be performed in higher centers where all the facilities are available. Bangladesh Journal of Urology, Vol. 22, No. 1, January 2019 p.8-14
      PubDate: 2020-11-02
      DOI: 10.3329/bju.v22i1.50068
      Issue No: Vol. 22, No. 1 (2020)
  • Short Term Outcome of Dorsal Onlay Buccal Mucosa Graft for the Management
           of Bulbar Urethral Stricture

    • Authors: Md Latifur Rahman Miah, Moynul Hoque Chowdhuy, Anup Roy Chowdhuy, Md Shawkat Alam, Md Fazal Naser, Md Safiul Alam Babul
      Pages: 15 - 19
      Abstract: Objective: To assess the success of buccal mucosal graft (BMG) urethroplasty by the dorsal onlay technique in long anterior urethral stricture (> 2 cm long). Method: This prospective interventional study was conducted in the Department of Urology, National Institute of Kidney Diseases and Urology, Sher-e-Bangla Nagar, Dhaka from January 2016 to December 2017 over a period of two years. Thirty three patients with primary and recurrent stricture of anterior urethra involving the bulbar urethra scheduled for single buccal mucosa graft urethroplasty were included in this study. Written consent was taken from each patient. Patients with stricture at posterior urethra or at distal penile urethra or stricture length <2 cm or above 6 cm were excluded from this study. Urethral malignancy cases were also excluded. All the patients were treated with dorsal onlay BMG urethroplasty. Results: Maximum patients were more than 40 years old. Mean age was 44.42 ± 7.43 years. Maximum patients had stricture more than 3 cm long. Mean length of stricture was 3.14 ± 0.65 cm. Cause of stricture was inflammatory (42.4%), idiopathic (27.3%), traumatic (21.2%) and iatrogenic (9.1%). Regarding clinical presentation, Poor urinary stream was found in 30 (90.9%) patients, urethral discharge in 12 (36.4%) patients, LUTS in 25 (75.8) patients and acute urinary retention in 9 (27.3) patients. Baseline peak urinary flow rate was 9.59 ± 1.68 ml/s. Peak urinary flow rate after 3 months of operation was 16.50 ± 2.19 ml/s and after 6 months of operation was 18.33 ± 4.40 ml/s. Post operative voided urine volume after 3 months of operation was 253.21 ± 41.22 ml and after 6 months of operation was 301.21 ± 50.38 ml. UTI was 3 (9.09) after 3 months and 5 (15.15) after 6 months of operation. Recurrence of stricture was 3 (9.09) after 3 months and 4 (12.12) after 6 months of operation. Urethra was seen narrow in 4 (12.12%) cases after 3 months and 6 (18.18%) cases after 6 months of operation. Regarding complications, Bleeding was in 4 (12.12%) cases, dribbling of urine in 5 (15.15%) cases, wound infection in 2 (6.06%) cases and 3 (9.09%) cases. Conclusion: Dorsal onlay BMG urethroplasty seems as an effective method for the management of long anterior urethral strictures. Bangladesh Journal of Urology, Vol. 22, No. 1, January 2019 p.15-19
      PubDate: 2020-11-02
      DOI: 10.3329/bju.v22i1.50069
      Issue No: Vol. 22, No. 1 (2020)
  • Modified Ileal Neobladder: Experience of 37 Cases

    • Authors: Mir Ehteshamul Haque, Ibrahim Kaisar, Nelson Taposh Mondal, Md Fazlul Haq Siddique, Mohammad Afzalur Rahman
      Pages: 20 - 24
      Abstract: Bladder cancer is the second most common malignancy of genitourinary tract. About 20% cases are muscle invasive and most of the non-muscle invasive bladder cancer progressed to muscle invasion with time. The standard care for organ confined muscle invasive bladder cancer is radical cystectomy followed by urinary diversion. Orthotopic bladder substitution is considered standard urinary diversion after radical cystectomy in patients who have no urethral malignancy and intact external urethral sphincter. Neobladder constructed from ileum as described by Studer is considered standard and followed by most centers worldwide since 1985. We modified the procedure to improve the outcome and minimize post-operative complications by reducing the length of ileum used for construction of neobladder in 37 patients. Voiding, storage function and complications were evaluated during follow-up period up to 24 months after surgery. Three patients died during follow-up period of which 2 from metastatic disease and one from unrelated cause. Daytime and night-time continence rates were 86.49% and 78.38% respectively. Average functional capacity (437ml), maximum flow rate(15.7ml/s) and mean post void residual urine (44ml) during the period of evaluation. Clean intermittent self-catheterization needed in 67.57% patients due to incomplete emptying during early postoperative period but after 3 months most of the patients learnt to void without any aid. Upper tract dilatation found in one patient due to stricture at urethrovesical junction and required endoscopic incision and dilatation later. 12 patients had an urodynamic study at 12 months after surgery and found low pressure reservoir with small residual urine in all cases. Modified ileal neobladder is a safe and reliable procedure with satisfactory short-term result. Bangladesh Journal of Urology, Vol. 22, No. 1, January 2019 p.20-24
      PubDate: 2020-11-02
      DOI: 10.3329/bju.v22i1.50070
      Issue No: Vol. 22, No. 1 (2020)
  • Intravesical Gemcitabine and Mitomycin C Chemotherapy in the Treatment of
           Non Muscle Invasive Transitional Cell Carcinoma of Urinary Bladder - a
           Randommized Clinical Trial

    • Authors: Saruar Alam, Selim Morshed, Sharif Mohammad Wasim Uddin, Prodyut Kumae Saha, Shafiqur Rahman, Rabeya Begum Sumee
      Pages: 25 - 29
      Abstract: Objective:To compare the efficacy of Gemcitabine and Mitomycin C in the treatment of non muscle invasive transitional cell carcinoma of urinary bladder. Methods: This study was a randomized clinical trial conducted between the periods of November’2013 to October’2014 in the Department of Urology, Bangabandhu Sheikh Mujib Medical University (BSMMU) The patients with histopathologicaly diagnosed as non muscle invasive transitional cell carcinoma of urinary bladder after complete TURBT were included in the study. Total 54 patients were included in this study ( 27 patients in each group). Those treated with intravesical Gemcitabine were considered as experimental group and those treated with intravesical Mitomycin C (MMC) considered as control group. Intravesical Inj. Gemcitabine and Mitomycin C mg dissolved in 50 ml of normal saline and instilled into the urinary bladder through Foley urethral catheter in the considered group and kept for two hour after getting the histopathology report. Same schedule was maintained weekly for 6 weeks. All patients were followed up at 6 weeks after 1st cycle of intravesical instillation then 3 monthly for 1 year. Result : Presence of recurrence of tumour was found non-significant in Gemcitabine and Mitomycin C group (18.5% vs. 40.7%, p= 0.074). Recurrence free survival was found 81.5% patients in Gemcitabine group and that of 59.3% patients in Mitomycin group. Though there was more recurrence free survival in gemcitabine group than mitomycin group, there was no statistically significant difference. Tumour grade progression was found in 20% and 27.3% cases in Gemcitabine and Mitomycin C group respectively. On the other hand, tumour stage progression was found 40.0% and 27.3% patients in Gemcitabine and Mitomycin C group respectively. No statistically significant difference was observed between Groups (P>0.05). Haematuria, dysuria, urinary frequency, urgency and contact dermatitis were found non-statistically significant in both groups. Conclusion : Gemcitabine and Mitomycin C both drugs are effective as intravesical chemotherapy in the treatment of non muscle invasive transitional cell carcinoma of urinary bladder and have a better recurrence free survival. But, accounting statistical significance on chemopreventive activity, neither Gemcitabine nor Mitomycin C therapy showed superiority over each other. Bangladesh Journal of Urology, Vol. 22, No. 1, January 2019 p.25-29
      PubDate: 2020-11-02
      DOI: 10.3329/bju.v22i1.50071
      Issue No: Vol. 22, No. 1 (2020)
  • Outcome of Optical Internal Urethrotomy and Anastomotic Uretrhoplasty for
           Short Segment Bulbar Urethral Stricture

    • Authors: Mohammad Sarwar Jahan, Md Shawkat Alam, Md Naushad Alam, Shahriar Md Kabir Hasan, Md Mostofa Kamal, Anup Roy Chowdhury, Debashis Dey
      Pages: 30 - 35
      Abstract: Background: Urethral stricture diseases are common urological problems in our country. The etiologies include iatrogenic, trauma, infection, congenital and very few are idiopathic. Urethral strictures have the potential for great negative impact on patients. These have several treatment modalities, ranging from simple dilations to complex multistaged urethroplasties. Optical internal urethrotomy and anastomotic urethroplasty are the common procedures among them which are particular topics in this study. Objectives: To evaluate the outcome of two surgical techniques- Optical Internal Urethrotomy (OIU) and Anastomotic Urethroplasty. Methodology: A total of 50 patients with short segment bulbar urethral strictures were consecutively included in the study. Purposive sampling method was applied. The present outcome clinical study was conducted in the department of Urology, National Institute of Kidney Diseases and Urology, Sher-E-Bangla Nagar, Dhaka, Bangladesh over a period of 1 year from February 2016 to January 2017. Student’s t-test and chi-square test were applied for hypothesis testing. ‘P’ value <0.05 was considered as significant. Result: There is no significant difference between two groups regarding age, history of previous operation for stricture urethra, mode of clinical presentations before intervention, immediate post-operative complication and uroflowmetry during follow-up. But length of stricture of two groups, urinary stream at 3 and 6 months after operation, urinary tract infection at 6 month after operation, recurrence of stricture in two groups were statistically significant (p<0.05). Conclusion: The study concluded that anastomotic urethroplasty was an effective and satisfactory technique for the treatment of short segment bulbar urethral stricture. The morbidity and complications were low and outcomes were excellent. Bangladesh Journal of Urology, Vol. 22, No. 1, January 2019 p.30-35
      PubDate: 2020-11-02
      DOI: 10.3329/bju.v22i1.50072
      Issue No: Vol. 22, No. 1 (2020)
  • Semi-Rigid Ureteroscopic Pneumatic Lithotripsy Versus Holmium:Yag Laser
           Lithotripsy for the Treatment of Single Ureteral Stones: A Prospective
           Study in a Single Institute

    • Authors: Shafiqur Rahman, Md Badar Uddin, Mohammad Abdul Aziz, Mirza Mahbubul Hasan
      Pages: 36 - 40
      Abstract: Objective: To compare the success rates and complications of Lithoclast and holmium laser-assisted ureterorenoscopy (URS) in managing ureteral stones. Material and Methods: We prospectively analyzed the records of 35 patients with ureteral stone who underwent ureteroscopic lithotripsy at our institution from January 2018 to February 2019. In 15 patients (mean stone size 12.6 mm), pneumatic lithotripsy was used; in 20 patients (mean stone size 11.6 mm), laser lithotripsy was performed. Patients were monitored as outpatients at 3 weeks and at 3 months with a kidneys, ureters, and bladder radiograph and ultrasonography. Patients with migrated stones or incomplete clearance underwent an auxiliary procedure such as shockwave lithotripsy (ESWL) or repeated URS. Results: Successful fragmentation included complete stone clearance seen on a KUB radiograph or USG at 3 weeks after URS. This occurred in 11/15 (73.3%) patients in the Lithoclast group and in 18/20 (90%) in the laser group. Auxiliary procedures included ESWL 2 patients in the Lithoclast group and 1 patient in the laser group) or repeated URS (two in the Lithoclast group). Urosepsis after URS occurred in 2/15 (13.3%) patients in the Lithoclast group and 2/20 (10.0%) patients in the laser group. Conclusion: In our study, the fragmentation rates of holmium laser-assisted ureteroscopy were significantly better. The complications and the need for auxiliary procedures were significantly less for holmium laser-assisted ureteroscopy when compared with pneumatic lithotripsy. Bangladesh Journal of Urology, Vol. 22, No. 1, January 2019 p.36-40
      PubDate: 2020-11-02
      DOI: 10.3329/bju.v22i1.50073
      Issue No: Vol. 22, No. 1 (2020)
  • Role of Flexible Cystoscopy and Ultrasound Together in the Detection of
           Recurrent Superficial Bladder Tumors; A Comparison With Rigid Cystoscopy

    • Authors: Md Moynul Hoque Chowdhury, Md Waliul Islam, Md Shawkat Alam, Anup Roy Chowdhury, Md Latifur Rahman Miah, Shahariar Md Kabir Hasan, Md Shariful Islam Khan
      Pages: 41 - 46
      Abstract: Objective: To evaluate the role of flexible cystoscopy and ultrasound together in thedetection of recurrent superficial bladder tumors Method: This hospital based prospective comparative study was carried out in theDepartment of Urology, National Institute of Kidney Diseases and Urology, Sher-E-Banglanagar, Dhaka from January 2013 to June 2014. A total of 85 patients of post transurethralresection (TUR) and post chemotherapy state for superficial bladder tumors were includedin this study. Transabdominal ultrasonography of the bladder was performed for all casesby a consultant radiologist. Flexible cystoscopy was performed by a trained urologist forall. Finally conventional rigid cystoscopy with or without biopsy was performed at thesame setting to confirmed the findings. Result:The mean age was found 62.9±9.7 years with range from 41 to 80 years. Majority(82.4%) patients were male and 15(17.6%) patients were female. Male female ratio was4.7:1. It was observed that majority (54.1%) patients was found pT1 stage and 39(45.9%)was pTa stage. It was observed that more than two third (67.1%) patients had grade-Iand 28(32.9%) had grade-II.Sensitivity, specificity, accuracy, positive and negativepredictive values of combine USG and flexible cystoscopy for identification of recurrenttumors were 92.7%, 33.3%, 90.6%, 97.4% and 14.3%. Conclusion: Ultrasonography and flexible cytoscopy together can detect recurrentsuperficial bladder tumors as accurate as conventional rigid cytoscopy. Bangladesh Journal of Urology, Vol. 22, No. 1, January 2019 p.41-46
      PubDate: 2020-11-02
      DOI: 10.3329/bju.v22i1.50075
      Issue No: Vol. 22, No. 1 (2020)
  • Comparative Study Between Tubularized Incised Plate Urethroplasty and
           Transverse Prepuceal Only Island Flap Urethroplasty for the Management of
           Distal Penile Hypospadias

    • Authors: Md Mahmood Hasan, Md Towhid Belal, Tanvir Ahmed Chowdhury, Fahmida Nahid, AKM Shahadat Hossain
      Pages: 47 - 54
      Abstract: Introduction: The optimal treatment of hypospadias remains controversial. Severaltechniques have been described, but the best approach remains unsettled. Objective:To compare the outcomes of two popular methods, Tubularized incised plateurethroplasty (TIPU) and Transverse preputialonlay island flap (TPOIF) for the correctionof distal penile hypospadias. Materials and method: This prospective interventional study was conducted in theDepartment of Urology, Dhaka Medical College Hospital, during the period of September2015 to March 2017. 40 patients with distal hypospadias with minimum or no chordeeand no previous history of circumcision or hypospadias surgery were allocated into twogroups by simple random sampling with equal number of distribution. In Group-A, patientswere subjected to correct the defect by TIPU procedure while in Group-B, they wereoperated by TPOIF urethroplasty technique. In this study, the outcomes of theaforementioned procedures were compared in terms of operative time, surgicalcomplications and cosmetic outcome. Result: Mean age and meatal position of the patients in Group-A and Group-B werecomparable. The mean operation time of Group-B (100.78 ±16.66 min) was higher thanGroup-A (89.98 ±19.80 min). Complications in terms of UCF and meatal stenosis werehigher in Group-A than in Group-B, 26.31% vs. 16.67% and 36.84% vs. 5.56%respectively, but were lower for wound disruption, 0% vs. 11.11%. Although differencebetween the groups was not statistically significant in case of UCF and wound disruption(p value >0.05), it was significant in meatal stenosis (p value <0.05). Cosmetic outcomeof most of the cases in Group-A was good (61.11%), whereas it was poor in Group-B(78.77%). Conclusion: It seems that both techniques can be used for the correction of distalpenile hypospadias with apparently similar outcomes. However well controlled randomizedstudy with adequate sample size may reveal more divergent outcomes for the twotechniques. Bangladesh Journal of Urology, Vol. 22, No. 1, January 2019 p.47-54
      PubDate: 2020-11-02
      DOI: 10.3329/bju.v22i1.50076
      Issue No: Vol. 22, No. 1 (2020)
  • Clinicopathological Study of Bladder Outflow Obstruction:Study of 300

    • Authors: Md Abdur Rakib, Md Shahidul Islam, SM Shameem Waheed, Hafizur Rashid Sajal
      Pages: 55 - 62
      Abstract: Not Available Bangladesh Journal of Urology, Vol. 22, No. 1, January 2019 p.55-62
      PubDate: 2020-11-02
      DOI: 10.3329/bju.v22i1.50077
      Issue No: Vol. 22, No. 1 (2020)
  • Radical Cystectomy With Urinary Diversion in the Form of Ileal Conduit :
           Outcome Analysis in 15 Cases Done by Single Surgeon

    • Authors: Mrinmoy Biswas, Sharif Mohammad Wasim Uddin, Jasmine Sharifa, Sharmishtha Ghosal, Mohammad Ohiduzzaman Khan
      Pages: 63 - 68
      Abstract: Objective: To analyse the outcome of 15 cases of radical cystectomy with urinarydiversion in the form of ileal conduit done by single surgeon. Methods: This retrospective study included 15 cases of radical cystectomy with urinarydiversion in the form of ileal conduit between 2014 and 2018 done by single surgeon indifferent hospitals. Follow up of these patients continued up to June 2018.Data werecollected through follow up visits at every 3 months interval in the first year, and then forevery 6 months from the second year. Results: In this study, the mean age was 67.67 years. Early complications like wounddehiscence, wound infection, bowel obstruction and GIT bleeding occurred in 47%patients and maximum were wound dehiscence (20%) and wound infection (13.3%).High incidence of early complications in this study may have multiple reasons likepreoperative co-morbidity, small sample size study and lastly surgeons learning curvebecause in early phase, complications occurred in 63% cases but only 29% cases inlate phase.Seven patients (46.7%) developed ED postoperatively. Recurrent UTI was recorded in33.3% cases. During mean 2.4 years follow up time, there was no local recurrence. Conclusions: Radical cystectomy for the muscle invasive urothelial bladder cancer isthe elective treatment and urinary diversion in the form of ileal conduit is a safe andconvenient option with less post operative complications and with good oncologicaloutcome. But for better evaluation of post operative outcomes, large sample size andlong term follow up are recommended. Bangladesh Journal of Urology, Vol. 22, No. 1, January 2019 p.63-68
      PubDate: 2020-11-02
      DOI: 10.3329/bju.v22i1.50078
      Issue No: Vol. 22, No. 1 (2020)
  • Outcome of Laparoscopic Pyeloplasty for Ureteropelvic Junction
           Obstruction: Experience With 13 Cases

    • Authors: Md Muazzam Hossan, Md Nazmul Haque, Md Fazal Naser, Md Zahidul Haque, Md Rokonuzzaman Khan
      Pages: 69 - 74
      Abstract: Background: Open pyeloplasty has been the gold standard for surgical treatment ofureteropelvic junction (UPJ) obstruction, enjoying a long-term success rate exceeding90%. Unfortunately, this procedure requires a muscle incision that entails some degreeof morbidity. We have, therefore, investigated the feasibility of laparoscopic pyeloplastyfor UPJ obstruction and report here the outcomes of our early cases. The median followupwas 21 months (range, 12–30 months). Objectives; The aim of our study was to explore the safety, feasibility and usefulness oflaparoscopic pyeloplasty and to assess the short- term outcome of patients treated withthis surgical approach. Materials and methods: This study was performed on 13 patients presenting withsymptomatic hydronephrosis, secondary to UPJ obstruction at the Department of Urology,Shahid Sheik Abu Naser Specialized Hospital, Khulna from January 2015 to June 2017.Patients having previous abdominal surgery and sepsis were excluded from this study.Laparoscopic dismembered Anderson–Hynes pyeloplasty was performed in all cases.All procedures were carried out transperitoneally.Results: All procedures were laparoscopically completed with no open conversion. Meanoperative time was 272.8 min (range, 175–480 min) and blood loss was minimum. Meanhospital stay was 4.5 days (range,4-11 days). Anomalous vessels were identified in 5patients. Post-operative complications were noted in two patients (15.4%): one instanceof prolonged urine leakage and one anastomotic re-stricture. Twelve of 13 ureters (92.3%)demonstrated a patent UPJ on excretory urography and split renal function and GFRwere significantly improved (p<0.05) after surgery. Conclusions: Although the procedure requires advanced laparoscopic skills, it can besafely and successfully completed as frequently as the conventional open procedure.Laparoscopic pyeloplasty seems to be a valuable alternative to open pyeloplasty forUPJ obstruction. Bangladesh Journal of Urology, Vol. 22, No. 1, January 2019 p.69-74
      PubDate: 2020-11-02
      DOI: 10.3329/bju.v22i1.50079
      Issue No: Vol. 22, No. 1 (2020)
  • Outcome of Perineal Anastomotic Urethroplasty in the Management of Pelvic
           Fracture Urethral Injury

    • Authors: Hafiz Al Asad, Nahid Rahman Zico, Mohammad Mahfuzur Rahman Chowdhury, Asif Yazdani, Selim Morshed, Abu Naser Mohammad Lutful Hasan
      Pages: 75 - 79
      Abstract: Purpose: This study aims at finding the outcome and complications of perineal end toend posterior anastomotic urethroplasty in the management of posterior urethral injuryresulting from pelvic fracture. Methods: We performed 49 perinealbulbo-prostatic anastomotic urethroplasty for PFUIsfrom January, 2013 to April, 2017. Mean age was 37 years with majority between 21 to50 years (>85%). All were male patients. Three patients had history of failed anastomoticurethroplasty. Patients were selected as per selection criteria; detailed history and preoperativeinvestigations were done and were prepared for operation after adequatecounseling. After surgical intervention patients were discharged with a supra-pubiccatheter (SPC) and per urethral catheter in situ. On 22nd POD urethral catheter wasremoved and SPC on the next day if patient can void normally. 1st and 2nd follow updone on of 3rd and 6th month respectively following surgery. If patient voided well andQmax>15ml/ sec; repair was defined as successful. Results: Success rate of perinealbulbo-prostatic anastomotic urethroplasty for pelvicfracture urethral injury was 89.79%. Total 5 procedures were failed including 1 urethrocutaneousfistula and needed re-do anastomosis. Erectile dysfunction (ED) was presentin 6 patients before operation and after surgery 4 more patients developed ED and totalnumber was 10 during first follow up, which reduced to 8 during second follow-up. Onepatient developed incontinence which improved in subsequent follow-up. Conclusions: Anastomotic urethroplasty remains the cornerstone in the managementof PFUI. A long term follow-up for at least 5 to 10 years is needed to make a comment onultimate outcome of this procedure which may have positive impact in future patientmanagement. Bangladesh Journal of Urology, Vol. 22, No. 1, January 2019 p.75-79
      PubDate: 2020-11-03
      DOI: 10.3329/bju.v22i1.50085
      Issue No: Vol. 22, No. 1 (2020)
  • Outcome of Percutaneous Nephrolithotomy: Our Initial Experiences

    • Authors: Md Shafiqul Azam, Md Abul Hossain, Md Fazal Naser
      Pages: 80 - 84
      Abstract: Objective :To find out the outcome of Percutaneous Nephrolithotomy Methods:This prospective study was done in the Department of Urology, ShaheedSuhrawardy Medical College Hospital, Dhaka during the period of July 2016 to June2017 .Thirty five patients with renal calculi were included in this study. All patients wereevaluated by history, physical examination and investigations. Patients were counseledfor PCNL it was done under sub-arachnoid block in all the cases. Intra operativecomplications in terms of bleeding requiring blood transfusion, pleural injury, renal pelvisinjury, were recorded. Stone clearance were also recorded. Postoperative complicationswere also recorded in predesigned data sheet. Data analyses were done by SPSS –WIN 10.0 version. Result: Mean age of the patients was 41.5±10.23 years and mean size of the stonewas 2.58±.96cm. Mean operative time was121.7 minute. Stone clearance rate was 80%and residual stone was in 20% cases. Different complications were recorded in 42.85%cases. Hospital stay was 4.65±2.24 days. Conclusion: Percutaneous Nephro-lithotomy is a good option in the management ofrenal calculi .It has good stone clearance rate, lower morbidity , shorter hospital stayand early return to work. Bangladesh Journal of Urology, Vol. 22, No. 1, January 2019 p.80-84
      PubDate: 2020-11-03
      DOI: 10.3329/bju.v22i1.50086
      Issue No: Vol. 22, No. 1 (2020)
  • Rational Use of Antibiotics and Antibiotics Prophylaxis in Urological

    • Authors: MA Salam
      Pages: 85 - 94
      Abstract: Not Available Bangladesh Journal of Urology, Vol. 22, No. 1, January 2019 p.85-94
      PubDate: 2020-11-03
      DOI: 10.3329/bju.v22i1.50087
      Issue No: Vol. 22, No. 1 (2020)
  • Penile Fracture-Report of Two Cases and Review of Current Literature

    • Authors: Ashraf Uddin Mallik, Mostafizur Rahman, Uttam Karmaker, Baikali Ferdous, Harbilash Halder
      Pages: 95 - 99
      Abstract: Penile fracture is an uncommon urological emergency, especially in Bangladesh. Theother name is traumatic rupture of the tunica albugenia and corpora cavernosa in theerect penis. It occurs when an erect penis face to buckle under the pressure of a bluntsexual trauma. Patient gives the typical history of immediate detumescence, severepain, swelling and eggplant deformity of the penile shaft due to penile injury. Immediatesurgical exploration and repair of corpora Cavernosa with tunica albugenia is the mosteffective treatment modality. In normal cases diagnosis is made from history, physicalexamination alone. In some special cases ultrasonogram, radiological images, includingretrograde urethrography or cavernosography are mandatory for proper diagnosis. Bangladesh Journal of Urology, Vol. 22, No. 1, January 2019 p.95-99
      PubDate: 2020-11-03
      DOI: 10.3329/bju.v22i1.50089
      Issue No: Vol. 22, No. 1 (2020)
  • Infected Urachal Cyst in a Young Female: A Case Report

    • Authors: Shafiqur Rahman, Mohammad Abdul Aziz, Mirza Mahbubul Hasan
      Pages: 100 - 102
      Abstract: The urachus is a tubular structure that is patent during gestation. The lumen normallycloses at about the twelfth week of gestation and obliterates completely. Patenturachal anomalies are usually detected in childhood2,3. In adults they occur veryrarely and the presentation and diagnosis may be occasionally challenging. Wepresent and discuss the case of an infected urachal cyst found in a 25 year oldfemale. Bangladesh Journal of Urology, Vol. 22, No. 1, January 2019 p.100-102
      PubDate: 2020-11-03
      DOI: 10.3329/bju.v22i1.50090
      Issue No: Vol. 22, No. 1 (2020)
  • Laparoscopic Management of Isolated Renal Hydatid Cyst a Rare Case

    • Authors: Md Abdur Rakib, Md Shahidul Islam, SM Shameem Waheed
      Pages: 103 - 105
      Abstract: Hydatid disease is a cyclozoonotic parasitic infestation caused by the cestodeEchinococcusgranulosus. Isolated renal involvement is extremely rare. A 58-year-old female, housewifepresented with vague abdominal pain. Ultrasonography of the abdomen revealed complexcyst arising from the right kidney. Computerized tomography scan of the abdomenrevealed large complex cyst arising from right kidney. Laparoscopic transperitonealcystectomy was performed. Isolated right renal hydatid cyst was removed in toto.Microscopic examination confirmed the diagnosis of hydatid cyst. Transperitoneallaparoscopic approach gives a better working space which helped us to remain outsideGerota’s fascia and prevent subsequent cyst rupture. Bangladesh Journal of Urology, Vol. 22, No. 1, January 2019 p.103-105
      PubDate: 2020-11-03
      DOI: 10.3329/bju.v22i1.50091
      Issue No: Vol. 22, No. 1 (2020)
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