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    - UROLOGY, NEPHROLOGY AND ANDROLOGY (151 journals)

UROLOGY, NEPHROLOGY AND ANDROLOGY (151 journals)                     

Showing 1 - 144 of 144 Journals sorted alphabetically
Actas Urológicas Españolas     Full-text available via subscription   (Followers: 1)
Actas Urológicas Españolas (English Edition)     Full-text available via subscription   (Followers: 1)
Advances in Chronic Kidney Disease     Hybrid Journal   (Followers: 15)
Advances in Urology     Open Access   (Followers: 13)
African Journal of Nephrology     Open Access   (Followers: 1)
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: 53)
American Journal of Men's Health     Open Access   (Followers: 9)
American Journal of Nephrology     Full-text available via subscription   (Followers: 31)
Andrologia     Hybrid Journal   (Followers: 3)
Andrology     Hybrid Journal   (Followers: 5)
Andrology & Gynecology : Current Research     Hybrid Journal   (Followers: 4)
Andrology and Genital Surgery     Open Access   (Followers: 8)
Arab Journal of Nephrology and Transplantation     Open Access   (Followers: 2)
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   (Followers: 1)
Asian Journal of Andrology     Open Access   (Followers: 1)
Asian Journal of Urology     Open Access   (Followers: 3)
Asian Pediatric Nephrology Association     Open Access   (Followers: 3)
Bangladesh Journal of Urology     Open Access   (Followers: 5)
Basic and Clinical Andrology     Open Access  
BJU International     Hybrid Journal   (Followers: 19)
BJUI Compass     Open Access   (Followers: 1)
BMC Nephrology     Open Access   (Followers: 9)
BMC Urology     Open Access   (Followers: 13)
Canadian Journal of Kidney Health and Disease     Open Access   (Followers: 7)
Canadian Urological Association Journal     Open Access   (Followers: 1)
Cancer Urology     Open Access   (Followers: 1)
Cardiorenal Medicine     Full-text available via subscription   (Followers: 1)
Case Reports in Nephrology     Open Access   (Followers: 6)
Case Reports in Nephrology and Dialysis     Open Access   (Followers: 8)
Case Reports in Urology     Open Access   (Followers: 11)
Clinical and Experimental Nephrology     Hybrid Journal   (Followers: 5)
Clinical Journal of the American Society of Nephrology     Full-text available via subscription   (Followers: 24)
Clinical Kidney Journal     Open Access   (Followers: 5)
Clinical Medicine Insights : Urology     Open Access   (Followers: 3)
Clinical Nephrology     Full-text available via subscription   (Followers: 8)
Cuadernos de Cirugía     Open Access  
Current Opinion in Nephrology & Hypertension     Hybrid Journal   (Followers: 12)
Current Opinion in Urology     Hybrid Journal   (Followers: 11)
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  
EMC - Urología     Full-text available via subscription  
Enfermería Nefrológica     Open Access   (Followers: 1)
European Urology     Hybrid Journal   (Followers: 23)
European Urology Focus     Hybrid Journal   (Followers: 4)
European Urology Oncology     Hybrid Journal  
European Urology Open Science     Open Access   (Followers: 8)
Forum Nefrologiczne     Full-text available via subscription  
Geriatric Nephrology and Urology     Hybrid Journal   (Followers: 7)
Giornale di Clinica Nefrologica e Dialisi     Open Access  
Hellenic Urology     Open Access   (Followers: 3)
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: 10)
International Urology and Nephrology     Hybrid Journal   (Followers: 6)
Journal für Urologie und Urogynäkologie/Österreich     Hybrid Journal  
Journal of Clinical Nephrology     Open Access   (Followers: 1)
Journal of Clinical Urology     Hybrid Journal   (Followers: 12)
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: 1)
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: 5)
Journal of Nephrology Research     Open Access   (Followers: 2)
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: 8)
Journal of Renal Nutrition     Hybrid Journal   (Followers: 28)
Journal of Renal Nutrition and Metabolism     Open Access   (Followers: 2)
Journal of the American Society of Nephrology     Full-text available via subscription   (Followers: 38)
Journal of The Egyptian Society of Nephrology and Transplantation     Open Access  
Journal of Urology & Nephrology     Open Access  
Kidney Diseases     Open Access   (Followers: 3)
Kidney International     Hybrid Journal   (Followers: 52)
Kidney International Reports     Open Access   (Followers: 6)
Kidney Medicine     Open Access   (Followers: 1)
Kidney Research Journal     Open Access   (Followers: 6)
Kidneys (Počki)     Open Access  
Nature Reviews Nephrology     Full-text available via subscription   (Followers: 29)
Nature Reviews Urology     Full-text available via subscription   (Followers: 9)
Nefrología     Open Access  
Nefrología (English Edition)     Open Access  
Nephro-Urology Monthly     Open Access   (Followers: 1)
Nephrology     Hybrid Journal   (Followers: 13)
Nephrology Dialysis Transplantation     Hybrid Journal   (Followers: 26)
Nephron     Hybrid Journal   (Followers: 3)
Nephron Clinical Practice     Full-text available via subscription   (Followers: 3)
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: 4)
Open Journal of Urology     Open Access   (Followers: 6)
Open Urology & Nephrology Journal     Open Access  
Paediatric Nephrology Journal of Bangladesh     Open Access   (Followers: 4)
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: 4)
Renal Failure     Open Access   (Followers: 11)
Renal Replacement Therapy     Open Access   (Followers: 3)
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  
Revista Urologia Colombiana     Open Access  
Scandinavian Journal of Urology     Hybrid Journal   (Followers: 6)
Seminars in Nephrology     Hybrid Journal   (Followers: 11)
The Prostate     Hybrid Journal   (Followers: 6)
Therapeutic Advances in Urology     Open Access   (Followers: 3)
Translational Research in Urology     Open Access   (Followers: 1)
Trends in Urology & Men's Health     Partially Free   (Followers: 1)
Urine     Open Access  
Uro-News     Hybrid Journal  
Urolithiasis     Hybrid Journal   (Followers: 1)
Urologia Internationalis     Full-text available via subscription   (Followers: 1)
Urologia Journal     Hybrid Journal  
Urologic Clinics of North America     Full-text available via subscription   (Followers: 3)
Urologic Nursing     Full-text available via subscription   (Followers: 3)
Urological Science     Open Access  
Urologicheskie Vedomosti     Open Access  
Urologie in der Praxis     Hybrid Journal  
Urology     Hybrid Journal   (Followers: 26)
Urology Case Reports     Open Access   (Followers: 3)
Urology Times     Free   (Followers: 3)
Urology Video Journal     Open Access  
World Journal of Nephrology and Urology     Open Access   (Followers: 5)
World Journal of Urology     Hybrid Journal   (Followers: 10)

           

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Journal Cover
Urologia Journal
Journal Prestige (SJR): 0.189
Number of Followers: 0  
 
  Hybrid Journal Hybrid journal (It can contain Open Access articles)
ISSN (Print) 0391-5603 - ISSN (Online) 1724-6075
Published by Sage Publications Homepage  [1174 journals]
  • Role of monocarboxylate transporters and glucose transporters in prostate
           cancer

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      Authors: Stanislav Vovdenko, Andrey Morozov, Stanislav Ali, Evgeniia Kogan, Evgeny Bezrukov
      Abstract: Urologia Journal, Ahead of Print.
      Objectives:Currently, research of new diagnostic approaches to detect clinically significant prostate cancer is relevant because of the importance of early detection of aggressive forms of the disease, often challenging, even when using modern diagnostic tools. The aim of this review is to present the current knowledge regarding monocarboxylate transporters’ and glucose transporters’ expression as a component of glycolytic phenotype definition in prostate cancer cells.Methods:We searched PubMed and Scopus databases. Twenty-six articles from 2003 to 2022 were included. Literature research and selection were carried out based on the recommendations of the PRISMA statement.Results:The presence of “lactate shuttle” in the tumor tissue is associated with a worse prognosis. Increased expression of MCT2, MCT4, GLUT1, and down-regulation of GLUT3 are associated with prostate adenocarcinoma. MCT4 expression level correlates with the grade of tumor malignancy and disease prognosis. Up-regulation of GLUT1 and MCT4 is typical for hormone-resistant prostate cancer. Inhibition of MCT1 and MCT4 and GLUT1 in prostate cancer cells reduces their metabolic activity and growth rate, a suitable novel approach for targeted therapy.Conclusion:Review of the current studies showed that expression of certain MCTs and GLUTs types are associated with prostate cancer and some of them correlate with high malignancy and poor prognosis. Detection by immunohistochemistry of these transporters could represent a new diagnostic tool to identify aggressive forms of prostate cancer, and a novel therapeutic target for selective drugs.
      Citation: Urologia Journal
      PubDate: 2022-07-29T06:09:35Z
      DOI: 10.1177/03915603221111125
       
  • Sexual well-being and fertility in male renal transplant recipients: A
           study in a tertiary care centre

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      Authors: Soumya Mondal, Partha Pratim Sinha Roy, Dilip Kumar Pal
      Abstract: Urologia Journal, Ahead of Print.
      Introduction:Sexual dysfunction is a common problem among chronic kidney disease (CKD) patients. The uraemia, comorbid conditions, hormonal disturbances, autonomic neuropathy, side effects of medication and psycho-social factors contribute to sexual dysfunction. These factors also affect fertility of CKD patients. It starts early in CKD and gradually deteriorates with time. Renal transplant corrects most of the issues and leads to improvement of sexual function which ultimately leads to improved fertility outcomes.Methods:It was a cross sectional study performed in a single institution including 135 male renal transplant recipients. A questionnaire was used to evaluate the socio-economic status, fertility and developmental condition of the off-springs. The International index of erectile dysfunction (IIEF) was used for assessment of sexual well-being of the patient. The data were statistically analysed by SPSS 25.0 version.Results:The mean age at transplant was 40.9 ± 9.9 years and the duration of haemodialysis received 13.6 ± 7.43 months. Among 135 recipients 63 (46.67%) desired but only 49 were successful to father a child. Upper middle class being the largest group to receive renal transplant also had the highest fertility rate in our study. The children born had no development anomaly. Sexual function improved in 85 patients, worsened in 15 and remain unchanged among 35 patients after renal transplant. Overall there was significant improvement in all five parameters of IIEF.Conclusion:Renal transplant corrects most of the metabolic abnormality as well gives a psychological boost to the CKD patients. These lead to improvement of sexual functions which in turn improves the fertility in renal transplant recipients. But the overall fertility rate among the male renal transplant recipients was comparable to the general population.
      Citation: Urologia Journal
      PubDate: 2022-07-27T11:52:29Z
      DOI: 10.1177/03915603221114612
       
  • Impact of the suspension of neurogenic detrusor overactivity treatment
           with botulinum toxin due to the COVID-19 pandemic

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      Authors: Eduardo Freitas Ferreira, Rui Silva, Anabela Ferreira, Maria Paz Carvalho, Paulo Vale, Filipa Faria
      Abstract: Urologia Journal, Ahead of Print.
      Introduction:The COVID-19 pandemic has imposed an additional pressure on health systems worldwide. Patients with neurogenic detrusor overactivity (NDO) were especially vulnerable to inadequate care. This study aims to evaluate the impact of the suspension of NDO treatment with Botulinum Toxin (BONT-A) due to the COVID-19 pandemic.Methods:Cross-sectional study of patients with spinal cord injury and NDO, who underwent BONT-A treatment in 2018 or 2019 and, whose administration programed for 2020 or 2021 was suspended. The study protocol was divided into two parts. Phase 1 consisted of data collection from the clinical processes and in phase 2 a standardized telephone questionnaire was applied. Information was collected at 3 time points: (1) before the last BONT-A treatment, (2) after the last BONT-A treatment and (3) at the time of the telephone call. Statistical analysis used the McNemar and the Wilcoxon test with a p-value ⩽ 0.05 as level of significance.Results:21 patients with mean age of 42.0 years and disease duration of 16.9 years were included. On average patients were undergoing treatment with BONT-A for 7.6 years and mean inter-treatment frequency was 2.3 years. Mean time since the last BONT-A administration was 2.3 years and mean reported BONT-A effect duration was 11.9 months. A significant increase in the percentage of patients with involuntary urinary loss (p = 0.004) and urgency (p = 0.031) was found. A significant decrease in mean catheterization interval from 4.5 to 3.6 h (p = 0.002) and an increase in daily oxybutynin dosage from 8.5 to 12.1 mg (p = 0.002) was also found.Discussion:The COVID-19 pandemic originated clinical worsening of patients undergoing regular BONT-A treatment for NDO. These patients presented a significant increase in involuntary urinary loss, urgency and medication dosage and a decrease in catheterization interval. Thus, interruption of intravesical BONT-A treatment severely affected these patients and needs to be avoided.
      Citation: Urologia Journal
      PubDate: 2022-07-26T11:27:27Z
      DOI: 10.1177/03915603221113943
       
  • Comparison of oncological, surgical, and functional outcomes between
           radical retropubic and radical perineal prostatectomy: A
           multi-institutional study

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      Authors: Mohamad Moussa, Mohamad Abou Chakra, Michael Peyromaure, Nicolas Barry Delongchamps, Hugo Bailly, Igor Duquesne
      Abstract: Urologia Journal, Ahead of Print.
      Introduction:To investigate the safety, oncologic, surgical, and functional outcomes of RPP and RRP for localized prostate cancer (Pca), especially focusing on RPP.Materials and methods:From March 2005 to January 2021, we retrospectively reviewed the records of 685 patients undergoing RPP (n = 320) or RRP (n = 365) for localized Pca. Surgical and functional outcomes, and complications were compared. Oncological outcomes were also compared using Kaplan-Meier survival analysis.Results:A higher biochemical recurrence rate were noted in RRP than in RPP group (28.8% vs 21.6%, respectively; p = 0.03). A local recurrence was detected in a few numbers of patients (4.4%) with no statistically significant differences by surgical groups (p = 0.71). No significant differences were observed in the cancer-specific survival and the overall survival according to the surgical approach. Positive surgical margins were similar in the two techniques.In comparison to RRP, patients undergoing RPP have less postoperative pain, decreased transfusion rate, and less catheterization time. Complete continence was achieved in 96.9% of the RPP group at 18 and 24 months versus 91.8% and 92.3% in the RRP group at 18 and 24 months, respectively (p = 0.005 and p = 0.01, respectively). At 18 months of follow-up, the nerve-sparing technique was performed equally between the two groups, the mean of erectile function domain improved more in RPP than RRP (12.71 vs 10.42 respectively, p 
      Citation: Urologia Journal
      PubDate: 2022-07-15T07:29:53Z
      DOI: 10.1177/03915603221111286
       
  • Transurethral resection of bladder tumour (TURBT) as a day-case: A
           real-world practice and patients’ perspective from a district general
           hospital (DGH)

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      Authors: Simona Ippoliti, Nikita R Bhatt, Cristian P Ilie
      Abstract: Urologia Journal, Ahead of Print.
      Introduction:Day-case transurethral resection of bladder tumour (TURBT) is currently only performed in 18% cases across the United Kingdom. To determine 30-day readmission rate and morbidity after day-case TURBT in a district general hospital (DGH) and to report patient demographics, quality of TURBT and early recurrence rate as well as patient feedback after day-case TURBT.Methods:A retrospective audit of day-case TURBTs over a 3-year pre-COVID19 (2017–20) was performed. We only included patients who underwent a TURBT and excluded any cystoscopy and biopsy or fulguration. A day-case TURBT pathway is in place in this centre. Feedback was obtained using hospital patient feedback forms.Results:We included 77 patients who underwent TURBT in the day-case theatre, of these 5 patients required in-patient stay after the surgery. Of the remaining 72 discharged on the same day, 8 were re-admitted (11%) for Clavien-Dindo I complications. The readmission/failed discharge group had a higher rate of older patients, with higher ASA scores and longer operative times, however resection quality and tumour characteristics were not different from the day-case TURBTs. All patients reported an overall positive experience (good or very good).Conclusions:In the first of its kind audit reporting patient feedback after day-case TURBT, the data obtained can provide us and other centres adopting day-case TURBTs guidance to employ better patient selection to reduce readmission rates. Hence, day-case TURBT can be a feasible option in appropriately selected patients, with a suitable pathway in place.
      Citation: Urologia Journal
      PubDate: 2022-07-12T12:27:29Z
      DOI: 10.1177/03915603221110177
       
  • Variations in maximum urethral closure pressure in stress urinary
           incontinence

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      Authors: David Fernando Taboada-Lozano, Guadalupe Guerrero-Reyes, Adrian Gutiérrez-González, Ricardo Hernández-Velázquez, Berenice Alcaraz-Contreras, Rigoberto Pallares-Méndez
      Abstract: Urologia Journal, Ahead of Print.
      Introduction:Urethral Pressure Profilometry (UPP) assesses the urethral closing function. The literature is scarce regarding the change in the Maximum Urethral Closure Pressure (MUCP) values during Pelvic Floor Muscle Contraction (PFMC). The objective was to evaluate the change in the urethral closure pressure (UCP) at rest and during a PFMC in patients with Stress Urinary Incontinence.Materials and methods:This was a descriptive, comparative, and observational study. The study comprised female patients with either Pure Stress Urinary Incontinence (PSUI) or Complicated Stress Urinary Incontinence (CSUI). The urethral closure pressure was measured at rest and during PFMC using urethral profilometry. The effect of the pelvic musculature contraction was evaluated by comparing the changes in the indicated values.Results:Patients with pure stress urinary incontinence had a mean age of 57.18 ± 10.74 years (p = 0.12), while those with complicated stress urinary incontinence had a mean age of 58.26 ± 14.39 years (p = 0.12). UCP in PSUI was 58.58 ± 26.96 cmH2O at rest compared to 61.26 ± 34.17 cmH2O in CSUI (p = 0.59), with MUCP increasing to 73.93 ± 31.51 and 79.71 ± 36.26 cmH2O during PFMC (p = 0.001). Between the two measurements, there was an average rise of 26.2% (range 26.2%−32.59%) (p = 0.001). MUCP during PFM contractions was found to be inversely associated to age (r = −0.28, p = 0.007).Conclusion:The urethral pressure profile is the same for all types of urinary stress incontinence, whether simple or complicated. When comparing UCP at rest to MUCP during PFMC, there is at least a functional 25% increase.
      Citation: Urologia Journal
      PubDate: 2022-07-07T12:50:29Z
      DOI: 10.1177/03915603221109525
       
  • The new surgical robotic platform HUGOTM RAS: System description and
           docking settings for robot-assisted radical prostatectomy

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      Authors: Angelo Totaro, Marco Campetella, Riccardo Bientinesi, Carlo Gandi, Giuseppe Palermo, Andrea Russo, Paola Aceto, PierFrancesco Bassi, Emilio Sacco
      Abstract: Urologia Journal, Ahead of Print.
      Background:To date, robotic surgery in urology is well established all over the world. The newest platform on the market is the HUGO™ RAS system, developed by Medtronic. In this paper we provide a brief description of the system and describe our system set-up and surgical approach with this new platform in our initial experience of robotic radical prostatectomy (RARP) series.Materials and methods:After an official training, seven consecutive patients affected by localized prostate cancer underwent RARP with HUGOTM RAS system at our Institution. A description of our surgical approach and docking setup is provided. Docking and console times were reported for all precedures together with main suggestions to facilitate the use of this new system at the beginning of the experience.Results:Our operating room setup has shown to be safe, effective, and easy replicable. During our series, operative times appeared to be easy reproducible and comparable to those obtained with daVinci system. No major system faults and conflicts between robotic arms were observed after the first procedure.Conclusions:Our surgical approach and system configuration for performing RARP with the new HUGO™ RAS system appears to be safe, efficient and easy reproducible.
      Citation: Urologia Journal
      PubDate: 2022-06-29T06:38:22Z
      DOI: 10.1177/03915603221107855
       
  • The influence of interstitial cells of Cajal density in the outcomes of
           pyeloplasty in adults: A prospective analysis

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      Authors: Victor Srougi, Rodolfo Anisio Santana de Torres Bandeira, Sabrina Thalita Reis, Gabriel Arantes dos Santos, Hiury da Silva Andrade, Katia Ramos Moreira Leite, David Hamilton-Cho, Anuar Ibrahim Mitre, Marco Antonio Arap, Miguel Srougi, Ricardo Jordão Duarte
      Abstract: Urologia Journal, Ahead of Print.
      Purpose:To evaluate if the density of interstitial cells of Cajal (ICC) in the ureteropelvic junction (UPJ) influences the outcomes of pyeloplasty in adults.Methods:Twenty-three patients with the diagnosis of ureteropelvic junction obstruction (UPJO) that underwent laparoscopic dismembered pyeloplasty were included. ICC density was measured using immunohistochemistry reaction for c-KIT expression in the resected UPJ segment. Pyeloplasty outcome was evaluated by patient self-report pain, urinary outflow using DTPA renogram and hydronephrosis assessment using ultrasound (US) at 12 months of follow-up. A logistic regression analysis was performed to assess the association of pyeloplasty outcomes and ICC density.Results:Low, moderate, and high ICC density were present in 17.4%, 30.4%, and 52.2% of the patients, respectively. Complete pain resolution was observed in 100%, 85.7%, and 75% of patients with low, moderate and high ICC density, respectively (p = 0.791). DTPA renogram improved in 75%, 85.7%, and 91.7% of patients with low, moderate and high ICC density, respectively (p = 0.739). Hydronephrosis improved in 25%, 85.7%, and 91.7% of patients with low, moderate and high ICC density, respectively (p = 0.032).Conclusions:Patients with high ICC density have a significant amelioration of hydronephrosis after pyeloplasty. However, ICC density is not associated with functional outcomes.
      Citation: Urologia Journal
      PubDate: 2022-06-29T06:34:21Z
      DOI: 10.1177/03915603221107470
       
  • Perioperative predictors for complications in patients with
           Xanthogranulomatous Pyelonephritis treated with nephrectomy

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      Authors: Fred Alain Montelongo-Rodríguez, Rigoberto Pallares-Mendez, José Iván Robles-Torres, Rodrigo Romero-Mata, Daniel Eduardo Cervantes-Miranda, Adrián Gutiérrez-González, Jorge Ángel García-Arreola
      Abstract: Urologia Journal, Ahead of Print.
      Introduction:Xanthogranulomatous pyelonephritis is an inflammatory disease characterized by chronic obstruction and infection. This pathology is a life-threatening condition when surgical treatment is carried out. We decided to retrospectively evaluate whether there were perioperative factors that predict complications in patients who undergo nephrectomy.Methods:We reviewed all nephrectomies done in the period of 2013–2018, in a tertiary referral Hospital with the histopathological diagnosis of Xanthogranulomatous Pyelonephritis.Results:The presence of renal abscess at admission was observed as a risk factor associated with perioperative complications (p = 0.002), presence of abscess was observed in 47.4% of subjects without complications compared to 89.3% of the perioperative complication group. Higher rates of blood transfusion requirement were observed in the perioperative complication group, 89.3% compared to 68.4% (p = 0.029), furthermore, perioperative bleeding was slightly greater in the complication group compared to its counterpart, 700 mL, and 600 mL, respectively (p = 0.01).Conclusions:Anemia and the presence of abscess were important perioperative factors that predict perioperative complications.
      Citation: Urologia Journal
      PubDate: 2022-06-29T06:30:26Z
      DOI: 10.1177/03915603221107135
       
  • Is there a correlation between urolithiasis in horseshoe kidneys and
           isthmus thickness or renal angulation'

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      Authors: Andrei Adrian Kozan, Atif Khan, Ese Adiotomre, Simon Burbidge, Michael Kimuli, Chandra Shekhar Biyani, Nicola Lee
      Abstract: Urologia Journal, Ahead of Print.
      Background:Stone disease is a common complication of horseshoe kidneys (HSK). There are currently limited studies that examine the relationship between HSK anatomy and stone formation. We aim to determine if there is such an association by measuring the isthmus size and renal angulation in both stone and non-stone forming HSK using computed tomography (CT).Method:This is a retrospective study performed at a single tertiary centre. Using the radiological information system, all CT reports between 01 January 2010 and 31 December 2015 were searched for the keyword ‘horseshoe’ on the radiological information system. This produced a list of 285 reports. Each report and image packet of these 285 studies were reviewed to confirm the presence of an HSK and duplicate patients from multiple examinations were highlighted. One hundred and thirty-eight unique HSK patients were obtained and the studies were assessed for the presence or absence of stones. A total of 112 HSK were found; 88 of which contained no stone and 24 with stone. Angle measurements and isthmus size were measured on these kidneys. As axial images are obtained as standard in all cases, these measurements were all obtained in the axial plane. All parameters were measured and recorded manually by one person so as to reduce inter-observer variability.Results:Isthmus size varied widely, measuring from 2 to 39 mm. Right renal angle ranged from 51 to 158°, left 38 to 152°.Conclusion:The isthmus size and renal angle measurements were not found to be significant determinants for stone disease in our patient population.
      Citation: Urologia Journal
      PubDate: 2022-06-22T12:02:16Z
      DOI: 10.1177/03915603221104789
       
  • Association of PSA density and Gleason score of the positive surgical
           margin with biochemical recurrence in prostate cancer; a historical cohort
           study

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      Authors: Vahid Fakhar, Koosha Kamali, Maryam Abolhasani, Reza Kaffash Nayeri, Maryam Emami
      Abstract: Urologia Journal, Ahead of Print.
      Background:This study aimed to investigate the association between PSA Density and Gleason score of the positive margin after radical prostatectomy with biochemical recurrence in patients with prostate cancer.Materials and methods:In this retrospective cohort study, patients with prostate cancer referred to Hasheminejad Hospital in Tehran during 2009–2019, who underwent radical prostatectomy were assessed to enter the study. Patients were selected by the convenience sampling method. The follow-up period was determined as at least 1 year after radical prostatectomy to determine biochemical recurrence. PSA Density (PSAD) and the Gleason score of surgical specimen and positive surgical margins (PSM) were evaluated and their association with biochemical recurrences was investigated.Results:One hundred and three patients entered the study. The overall biochemical recurrence rate was 48.5% with a mean follow-up of 24 months (12–42 months) and an average time to biochemical recurrence of 18 months (16–20 months). BCR-free survival rates of patients divided based on to the PSAD cut-off point (0.205 ng/ml/cc) were significantly different using the log-rank test (p = 0.008) (85.7%, 57.1%, and 14.3% for values ⩽0.205 ng/ml/cc vs 55.8%, 20.9%, and 0% for values ˃0.205 ng/ml/cc, respectively for 1-, 2- and 3-year survival). In addition, Cox regression showed that the Gleason score of PSM, the Gleason score of the surgical specimen, and the PSAD predicted biochemical recurrence to most extent, respectively.Conclusion:PSAD and PSM Gleason score were strong predictors of biochemical recurrence after radical prostatectomy and their use along with other common indicators including tumor grade and stage and PSA level can increase the accuracy of risk assessment in patients with prostate cancer.
      Citation: Urologia Journal
      PubDate: 2022-06-22T11:41:07Z
      DOI: 10.1177/03915603221104048
       
  • Minimally invasive ureterolysis and intraperitonealization of ureter for
           idiopathic retroperitoneal fibrosis; single center analysis of an erratic
           disease

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      Authors: Vikram Shah Batra, Mahendra Singh, Sachin Kathuria, Saurabh Jain, Shahnawaz Rasool, Manu Gupta, Himanshu Pandey, Ajay Sharma
      Abstract: Urologia Journal, Ahead of Print.
      IntroductionIdiopathic retroperitoneal fibrosis is a known cause of obstructive uropathy. Ureterolysis is done when medical management fails or the presentation is at an advanced stage. Conventionally ureterolysis without omental wrap has been considered incomplete. Our Institute has experience of laparoscopic or robotic ureterolysis with intraperitonealization of the ureter alone and no other adjunctive procedure. This study retrospectively assesses the result of the procedure with patients presenting with varying severity of disease.MethodsFrom 2008, all patients who underwent laparoscopic or robotic ureterolysis were analyzed retrospectively for pre-operative management, operative findings, and post operative outcomes.ResultsWe operated and released nine renal units in seven patients. Two of the nine cases were performed robotically completely and the rest was performed by laparoscopic approach. Median follow up was 60 months. All patients documented resolution of symptoms. The mean post-operative creatinine at 1 year was significantly decreased to 1.47 ± 0.49 mg/dl in comparison to preoperative creatinine (p 
      Citation: Urologia Journal
      PubDate: 2022-06-22T11:38:51Z
      DOI: 10.1177/03915603221104047
       
  • Prediction of ESBL-producing E coli for suspected urinary tract infection

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      Authors: Hiroshi Higuchi, Tsukasa Nakamura, Junji Mashino, Toshihiro Imada, Takeshi Morimoto
      Abstract: Urologia Journal, Ahead of Print.
      Aim:The widespread existence of extended-spectrum β-lactamase (ESBL) producing Escherichia coli (E. coli) has become a critical threat in developed countries. Prediction rule for ESBL producing E. coli is relevant to see patients with suspected urinary tract infection.Materials and methods:We collected clinical and laboratory data and constructed multivariate logistic regression models to develop a clinical prediction rule in the derivation cohort with 1185 patients with urine cultures and validated the rule in the validation cohort with 516 patients.Results:ESBL-producing E. coli was found in 185 patients (16%) in the derivation cohort. When assigning 14 points for being female (odds ratio (OR): 4.2), six points for CRP >5 mg/dl (OR: 1.87), and four points for a history of urinary tract infection (OR: 1.52), the area under the curve (AUC) had 0.67 (95% confidence interval (CI): 0.63–0.70) in the derivation cohort and 0.64 (95% CI: 0.59–0.69] in the validation cohort.Conclusions:The developed prediction rule had moderate accuracy to predict ESBL-producing E. coli in patients with suspected urinary tract infection.
      Citation: Urologia Journal
      PubDate: 2022-06-10T12:27:06Z
      DOI: 10.1177/03915603221103438
       
  • The impact of socio-economic deprivation on recovery following robotic
           assisted radical cystectomy

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      Authors: Abou Chedid W, Nason GJ, Mahesan T, Ashton A, Tay A, Walsh AL, Roodhouse A, Uribe-Lewis S, Uribe J, Moschonas D, Issa R, Perry MJA, Patil K
      Abstract: Urologia Journal, Ahead of Print.
      Background:Despite enhanced recovery programmes, length of stay is variable following robotic assisted radical cystectomy (RARC). The aim of this study was to assess the impact socioeconomic deprivation on recovery following RARC.Methods:The prospectively maintained RARC databases at two tertiary referral hospitals were reviewed from 2015 to 2017. Demographic, histological, and outcome data including length of stay (LOS), operation time and blood loss were recorded. The Index of Multiple Deprivation, was chosen as a deprivation index as this is used by the UK government to direct funding and resources to regions, towns and postal codes by assessing a number of indicators.Results:During the study period, 340 consecutive patients underwent RARC. Deprivation deciles were significantly higher in site 1 patients (7.9 in site 1 vs 6.6 in site 2, p  0.001) with a reduced mean blood loss volume (252 and 484 mL, p 
      Citation: Urologia Journal
      PubDate: 2022-06-08T06:42:07Z
      DOI: 10.1177/03915603221100821
       
  • Impact of combined usage of questionnaire forms with bladder diary for
           overactive bladder syndrome

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      Authors: Adil Emrah Sonbahar, Kalender Durmaz, Mehmet Gokhan Culha
      Abstract: Urologia Journal, Ahead of Print.
      Purpose:Bladder diary and questionnaire forms have an important role in the diagnosis of overactive bladder (OAB) syndrome and can predict response to OAB treatment. We aimed to evaluate the correlation between three different validated Turkish OAB questionnaires and bladder diary form.Methods:Patients aged over 18 years who admitted to the urology outpatient clinic with OAB symptoms between March 2019 and April 2020 were enrolled into the study. Demographic data of the patients were recorded, and they were asked to complete a 3-days bladder diary. In addition, the patients filled Turkish validated OAB version-8 (OABv8), the International Consultation of Incontinence Questionnaire-Short Form (ICIQ-SF), and OAB Symptom Score (OABSS) questionnaire. The relationship between these questionnaire forms and bladder diary was evaluated with statistical analysis. The significant p was p 
      Citation: Urologia Journal
      PubDate: 2022-04-26T01:17:12Z
      DOI: 10.1177/03915603221093913
       
  • Effect of endoscopic urethral procedures applied after robotic radical
           prostatectomy on urinary incontinence: A prospective cohort pilot study

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      Authors: Selman Unal, Musab Ali Kutluhan, Emrah Okulu, Asim Ozayar, Onder Kayigil
      Abstract: Urologia Journal, Ahead of Print.
      Objectives:The most common complications after radical prostatectomy (RP) are erectile dysfunction (ED) and urinary incontinence (UI). After RP, patients may require endoscopic urethral procedures (EUP) for other urological diseases such as hematuria, urinary system stone disease, and suspicion of bladder tumor. In clinical practice we observed that EUP performed after robot assisted RP (RARP) can cause an increase in the UI level. In this study, we investigated whether there is a change in the UI level in patients that underwent EUP after RARP and whether this change was affected by the duration of the procedure and type of endoscopic device used.Material and methods:Twenty-six patients were included who underwent EUP after RARP in this study. The patients were divided into three groups based on the endoscopic device used: group 1 rigid cystoscopy (n = 9), group 2 flexible cystoscopy (n = 7), and group 3 semi-rigid ureterorenoscopy (URS) (n = 10). The Turkish version of the International Consultation on Incontinence Questionnaire-Urinary Incontinence Short Form (ICIQ-SF) and the number of pads used daily was questioned before the EUP and 1 month after the procedure.Results:While a significant increase in ICIQ-SF score was observed in group 1 (p = 0.027), no significant increase was observed in group 2 and group 3 (p > 0.05). No significant difference was observed between the number of pads used preoperatively and the postoperative first month in all groups (p > 0.05). There was no significant correlation between increased operation time and both the pad usage and ICIQ-SF score (p > 0.05).Conclusion:The use of small diameter endoscopic instruments and flexible instruments is important for patient comfort and to avoid damage to urethrovesical anastomosis in patients who need to undergo EUP after RP.
      Citation: Urologia Journal
      PubDate: 2022-04-26T01:09:43Z
      DOI: 10.1177/03915603221093733
       
  • En bloc resection, is this the future of non-muscle invasive bladder
           cancer management' Presentation of our technique and brief review of
           the literature

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      Authors: Evangelos N Symeonidis, Panagiotis Baniotis, Georgios Langas, Panagiotis Stefanidis, Stavros Tsiakaras, Michail Stratis, Eliophotos Savvides, Athanasios Bouchalakis, Stefanos Petras, Dimitrios Memmos, Anastasios Anastasiadis, Ioannis Mykoniatis, Ioannis Vakalopoulos, Chrysovalantis Toutziaris, Georgios Dimitriadis, Petros Sountoulides
      Abstract: Urologia Journal, Ahead of Print.
      Introduction:The quality of the initial transurethral resection of bladder tumors (TURBT) plays a key role in accurate local staging thus affecting treatment decision-making and disease prognosis. TURBT is still the gold standard for non-muscle invasive bladder cancer (NMIBC). However, en bloc resection of bladder tumors (ERBT) gradually expanded as a promising alternative to TURBT, aiming to overcome certain inherent limitations of conventional resection. We hereby describe a step-by-step bipolar ERBT technique and briefly review the current trends surrounding the role of various en bloc techniques in the field.Case presentation:We present the case of a 65-year old patient undergoing bipolar ERBT for a single, approximately 2 cm, papillary bladder mass. An experienced urologist completed the procedure within 17 min and without any intra- or postoperative complications. No conversion to TURBT was needed, and an adequate specimen for histological assessment was obtained. The patient made an uneventful recovery, and no recurrence was noted at 12-months.Conclusion:Our initial experience demonstrates that ERBT via bipolar current is relatively quick, safe, and reliable. Prospective comparative clinical trials will examine its efficacy, and long-term oncological superiority in managing NMIBC.
      Citation: Urologia Journal
      PubDate: 2022-04-25T01:00:30Z
      DOI: 10.1177/03915603221093739
       
  • COVID-19 effect on perioperative findings of flexible/semi-rigid
           ureterorenoscopic lithotripsy: A match-pair analysis

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      Authors: Aykut Demirci, Fatih Hızlı, Halil Başar
      Abstract: Urologia Journal, Ahead of Print.
      Purpose:If not treated on time with proper management options, urolithiasis cause serious morphologic and functional alterations in the involved renal units. Like many other pathologies, the diagnosis, treatment, and follow-up principles of patients with urinary stones have been negatively affected by the unestimated changes in the healthcare systems dealing intensively with COVID-19 patients. In this present study, we aimed to evaluate and present the possible effects of COVID-19 infection on the ureterorenoscopic stone treatment.Materials and methods:Clinical and procedural characteristics of 96 patients undergoing flexible and/or rigid ureterorenoscopy because of urolithiasis between March 2020 and January 2021 were evaluated in a retrospective manner. Obtained data were evaluated after match-pair analysis in a comparative manner between cases with a positive medical history of COVID-19 infection (Group 1, n: 48) and those without any COVID-19 infection (Group 2, n: 48).Results:There was no statistically significant difference between the two groups of cases with respect to age, gender, associated comorbidities, and stone characteristics (p > 0.05). The mean serum creatinine level was determined to be higher in Group 1 than in Group 2 (1.15 ± 0.59 mg/dl, 0.83 ± 0.21 mg/dl, p = 0.007, respectively). Evaluation of the operative parameters revealed longer mean time from diagnosis to surgery (33.5 ± 14.27 vs 12.12 ± 6.33 days, p = 0.001), operating time, median length of stay in hospital along with higher additional intervention rates, and Clavien-Dindo complication scores again in Group 1 (p 
      Citation: Urologia Journal
      PubDate: 2022-04-21T10:14:13Z
      DOI: 10.1177/03915603221093719
       
  • Efficacy of supine trans-abdominal pronated shock head ESWL for treatment
           of distal ureteric stones: A pilot study

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      Authors: Debansu Sarkar, Dhansagar U Wakle, Dilip Kumar Pal
      Abstract: Urologia Journal, Ahead of Print.
      Objective:To evaluate the efficacy of extracorporeal shockwave lithotripsy (ESWL) in supine trans-abdominal approach for distal ureteric calculi and to determine the variables that could affect the outcome results.Materials and methods:Between November 2019 and January 2021, 172 patients with a solitary distal ureteric calculus were treated with ESWL in supine position with a pronated shock wave head against the anterior abdominal wall. The outcome of treatment evaluated and the clinical and radiological findings, as well as stone characteristics, were reviewed and correlated with the stone-free rate (SFR).Results:Overall SFR was 84.84% (140/165). Those with stone clearance, 83.57% (117/140) cleared after one session and 16.42% (23/140) needed more than one session. Only three factors had a significant impact on SFR, that is stone length, stone width, stone attenuation. For stone length ⩽ 9 mm SFR was 93.44% (114/122) compared to 60.46% (26/43) for stone length of 10–12 mm (p 
      Citation: Urologia Journal
      PubDate: 2022-04-15T08:50:24Z
      DOI: 10.1177/03915603221091080
       
  • Supine PCNL in autosomal dominant polycystic kidney disease

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      Authors: Sunirmal Choudhury, Atar Kasim, Dilip Kumar Pal
      Abstract: Urologia Journal, Ahead of Print.
      Aims and objectives:Standard percutaneous nephrolithotomy (PCNL) has routinely been performed in prone position in autosomal dominant polycystic kidney disease (ADPKD) with nephrolithiasis. The objectives of our present study is to ensure optimum access to the renal collecting system, reducing operative time, and anesthetic morbidity during supine PCNL in ADPKD with nephrolithiasis.Methods:Seven patients were selected randomly. There were no preference for age, gender, size, location and laterality of stone, or BMI . All the patients fit into the AUA guideline criteria for management by percutaneous nephrolithotomy. Preoperative, perioperative, and follow up data were collected prospectively.Results:Seven patients underwent supine PCNL in approximately 2.5 year in modified supine position. There was no intraoperative, post operative, or on follow up complications in any patient. In all the patients stones were cleared completely in single sitting.Conclusions:Supine PCNL in ADPKD with nephrolithiasis is an alternative with similar outcomes to the standard prone PCNL. It provides an additional benefit of performing the procedure in a single position, which is known to reduce total operating time, less anesthesia related complications, less neuromusculoskeletal injury, and reduce physical strain on operating
      Citation: Urologia Journal
      PubDate: 2022-04-15T05:43:01Z
      DOI: 10.1177/03915603221091082
       
  • New techniques of regional anaesthesia for renal laparoscopic surgeries

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      Authors: Anna Róziewska, Mateusz Klukowski, Lidia Jureczko
      Abstract: Urologia Journal, Ahead of Print.
      Renal procedures are performed within the realm of urology, general and transplant surgery. The implementation of new operating techniques imposes on anaesthetists the need to adapt their methods, aiming to improve the patient’s perioperative comfort and safety. Laparoscopy is gaining increasing interest as a less invasive procedure; however clinical research shows that pain after the procedure is underestimated and therefore poorly controlled. Multimodal analgesia is very promising, though, as it allows better pain control, expedites discharge and enhances recovery. This is achieved through a combination of general and regional anaesthesia with administration of adjuvant drugs intraoperatively, resulting in reduced opioid requirements in the recovery room with diminished side effects of pain treatment. Good communication between the surgeon and the anaesthetist is the key to effective anaesthesia and analgesia.
      Citation: Urologia Journal
      PubDate: 2022-03-09T05:54:58Z
      DOI: 10.1177/03915603211048741
       
  • Overactive bladder medication: Anticholinergics versus mirabegron by
           specialty

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      Authors: Abhishek A Sripad, Christina A Raker, Vivian W Sung
      Abstract: Urologia Journal, Ahead of Print.
      Purpose:The primary aim of this study was to identify high prescribing specialties of overactive bladder (OAB) medications for Medicare Part D beneficiaries, and describe prescribing trends by specialty from 2013 to 2017. The secondary aim was to compare the proportion of medication claims by medication class in each specialty.Methods:We used the Medicare Part D Provider Public Use File to identify the four highest prescribing specialties from 2013 to 2017. We then compared patterns of OAB medication prescription for beneficiaries over 65 years of age between specialties. The number of medication claims, cost, and region were considered. OAB medications were classified as anticholinergic or mirabegron for additional comparison. The primary outcome was the number of OAB medication claims, and the secondary outcome was the proportion of mirabegron claims of all medication claims.Results:Primary care providers (PCPs), urology, obstetrics and gynecology (OB/GYNs), and other specialties prescribed the most OAB medications. Total claims increased from 4.06 million in 2013 to 4.51 million in 2017. Mirabegron increased from 65,520 to 892,996 claims. PCPs prescribed the most OAB medications. Urologists had the highest proportion of mirabegron prescribing (19.6%), with an increased odds of mirabegron prescribing compared to OBGYNs (aOR 1.18, 95% CI 1.16–1.19). Compared to OBGYNs, PCPs, and other specialties demonstrated decreased odds of prescribing mirabegron (aOR 0.92 with 95% CI 0.91–0.93, and aOR 0.90 with 95% CI 0.88–0.91, respectively).Conclusion:In Medicare Part D beneficiaries, PCPs prescribed the most OAB medications between 2013 and 2017. Urologists were most likely to prescribe mirabegron.
      Citation: Urologia Journal
      PubDate: 2022-02-23T12:38:39Z
      DOI: 10.1177/03915603221076949
       
  • Relationship between bladder outlet obstruction and prostatic indentation,
           prostatic urethral length, and bladder-prostatic urethral angle

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      Authors: Mehmet Yaris, Cetin Volkan Oztekin
      Abstract: Urologia Journal, Ahead of Print.
      Objective:To evaluate the relationship between prostatic anatomical factors and pressure flow studies (PFSs).Methods:The study was designed with 41 patients. PFS was applied to every patient. The Qmax value and voided volume during uroflowmetry were recorded. The PdetQmax values during PFS were recorded and obstruction indices were calculated. Prostate volume, prostatic indentation, prostatic urethral length, and bladder-prostatic urethral angle were determined by transrectal ultrasonography.Results:The mean age of the participants was 66.2 years. The mean maximum flow value was detected as 9.91 ± 4.92 ml/s, and the mean average flow value as 4.89 ± 2.54 ml/s. The mean obstruction index of the patients was found to be 75.27 ± 46.96. There was a positive linear relationship between obstruction index and PSA, prostate volume, prostatic urethral length, and prostatic indentation (r: 0.341, p: 0.029; r: 0.363, p: 0.020; r: 0.386, p: 0.013; and r: 0.479, p: 0.002, respectively). No significant relationship was found between obstruction index and bladder-prostatic urethral angle.Conclusion:Prostatic urethral length and prostatic indentation are associated with the degree of bladder outlet obstruction. Further studies involving a higher number of patients are needed to calculate the accuracy of these parameters.
      Citation: Urologia Journal
      PubDate: 2022-02-22T12:17:07Z
      DOI: 10.1177/03915603221078267
       
  • Comparison of histopathological features, survival, and oncological
           outcome between patients under and above 55-year-old with prostate cancer
           who underwent radical prostatectomy

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      Authors: Mohammad Hossein Soltani, Reza Khabazian, Mehdi Dadpour, Nasrin Borumandnia, Nasser Simforoosh
      Abstract: Urologia Journal, Ahead of Print.
      Background:To compare the disease course, histopathological features and survival rates of prostate cancer (PCa) between patients aged ⩽ 55 and> 55 year old.Materials and methods:In this retrospective study, we enrolled 644 patients with organ-confide prostate cancer who had undergone radical prostatectomy from 2005 to 2018. Seventy-six (11.8%) patients were under 55 years of age (group 1) and 568 (88.2%) patients were>55 years old (group 2).Results:Pre-operative hypertension was detected in 4 (5.3%) patients of group 1 and 80 (14.1%) patients of groups 2 (p = 0.029). The mean (±SD) prostate volume was higher in group 2 compared with group 1 (34.1(±8.4) ml vs 54.1(±9.9) ml, p 
      Citation: Urologia Journal
      PubDate: 2022-02-22T12:02:08Z
      DOI: 10.1177/03915603221078266
       
  • Frequency of overactive bladder (OAB) and the factors affecting it in
           patients with obstructive sleep apnea syndrome (OSAS)

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      Authors: Muhammet Guzelsoy, Aygul Gunes, Soner Coban, Ali Riza Turkoglu, Efe Onen, Gokhan Ocakoglu, Mehmet Karadag
      Abstract: Urologia Journal, Ahead of Print.
      Purpose:To investigate the prevalence of overactive bladder (OAB) in patients with obstructive sleep apnea syndrome (OSAS) and the factors affecting it.Materials and methods:A total of 255 patients were included in this prospectively designed study. Among all patients, 166 were male, 89 were female; 213 patients were married and 42 were single. All patients underwent polysomnography. All patients completed the OAB-V8 form. OSAS was diagnosed via polysomnography. OAB was diagnosed via OABV8. The participants were evaluated as patients with and without OAB and those with and without OSAS. SPSS for Windows version 18.0 software was used for the statistical analysis and the level of significance was set at α = 0.05.Results:The prevalence of OAB was high among the OSAS patients (66.3%, n = 136). Age, body mass index, waist circumference, marital status, oxygen desaturation index (ODI4) ⩾4%, apneahypopnea index (AHI), the number and duration of decreases in O2 saturation below 90%, wake after sleep onset (WASO) duration, and groups, and OSAS severity were different in the OAB group (p 
      Citation: Urologia Journal
      PubDate: 2022-02-21T12:43:49Z
      DOI: 10.1177/03915603221078263
       
  • Spectrum of lower urinary tract symptoms after renal transplant among
           adult non-urologic anuric patients and their management in a tertiary care
           center

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      Authors: Sunirmal Choudhury, Bikram Haldar, Dilip Kumar Pal
      Abstract: Urologia Journal, Ahead of Print.
      Introduction:Lower urinary tract symptoms (LUTS) in a post-transplant patient can lead to several complications including recurrent UTI and deterioration of the graft kidney function. The aim of this study is to investigate the spectrum of LUTS, possible complications resulting from it and its management after renal transplant in pre-transplant anuric patients operated in our tertiary care institute.Materials and methods:It was a retro-prospective observational study done on post-transplant patients operated in this institute from December 2016 to December 2020. Among 165 patients operated during this period 50 male and 21 female patients were finally included in this study. Urinary symptoms were evaluated using the IPSS Questionnaire. Pre and post-surgery Uroflowmetry findings were compared. Urodynamic assessment was done at least 6 months after surgery to determine the cause behind such symptoms. The data was analyzed with the help of standard statistical methods and SPSS 21 software.Results:The most common LUTS among the post renal transplant patients were frequency and nocturia. There was a marked improvement in voided volume and urinary flow in most of the patients. In 11 male and 7 female patients LUTS symptoms were moderate to severe and were seldom associated with recurrent UTI and graft compromise. A cautious approach in these patients helped in early diagnosis of the etiology behind LUTS, which were treated accordingly.Conclusion:LUTS should be carefully evaluated before renal transplantation. Postoperatively moderate to severe LUTS symptoms should be thoroughly investigated so that graft compromise and related complications can be prevented by early intervention.
      Citation: Urologia Journal
      PubDate: 2022-02-04T05:18:38Z
      DOI: 10.1177/03915603211048150
       
  • A prioritization score for elective urological surgery during the COVID-19
           pandemic: The Medically Necessary Time-Sensitive (MeNTS) score system

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      Authors: Iris Coello, Maria Peraire, Marta de la Cruz, Enrique C Pieras
      Abstract: Urologia Journal, Ahead of Print.
      Purpose:The COVID19 pandemic has caused a redistribution of hospital resources. Prioritization strategies are needed in order to organize elective surgeries. We compared the new Medically Necessary Time-Sensitive score (MeNTS) and its factors (disease, procedure, and patient factors) between operated and deferred cases, and also to a subjective priority scale in the Urology department.Methods:The MeNTS score and a subjective prioritization scale were prospective applied to all patients included on the surgical waiting list from March 10 to September 9, 2020. Mann-Whitney U test was used to compare MeNTS scores between operated and non-operated groups. Kruskal-Wallis test was used to compare MeNTS scores between three subjective priority groups.Results:A total of 150 cases were operated while 100 were deferred. Median total MeNTS score in the operated group was 39.5 whereas in the non-operated group it was 38 (p = 0.135). Median disease factors score was 9.5 in the operated group and 11 in the non-operated group(p = 0.033). Median procedure factors score was 10 in both groups (p = 0.02). Median patient factors score was 17 in the operated group and 18 in the non-operated group (p = 0.210). Disease factors displayed a significant difference between the three subjective priority groupsConclusions:Total MeNTS score does not show significant differences between operated and non-operated patients. However, we demonstrate a relationship between MeNTS disease factors and the operated group as well as with the subjective priority scale.
      Citation: Urologia Journal
      PubDate: 2022-02-01T12:48:43Z
      DOI: 10.1177/03915603211065922
       
  • Male sling placement for post-prostatectomy incontinence can involve a
           lengthy learning curve: A multi-outcome assessment via cumulative sum
           failure analysis

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      Authors: Emilio Sacco, Carlo Gandi, Riccardo Bientinesi, Filippo Marino, Stefano Moretto, Mauro Ragonese, Angelo Totaro, Francesco Pierconti, Marco Racioppi, Pierfrancesco Bassi
      Abstract: Urologia Journal, Ahead of Print.
      Purposes:Little research exists on potential learning curve for male sling procedures. We aimed to perform a learning curve analysis of a single surgeon’s experience of sling placement evaluating multiple outcomes and using the cumulative sum failure methodology.Methods:The study included 65 consecutive patients that underwent implantation of a fixed transobturator sling (TiLOOP Male) for post-radical prostatectomy stress incontinence at our institution from January 2013 to December 2018. Dichotomous outcomes evaluated with cumulative sum failure analysis included 12-months continence defined based on Patient Global Impression of Improvement (PGI-I) questionnaire (primary outcome), 24 h pad test and, 24 h pad use, operative time (⩽/>60 min), and complications (yes/no). Univariate and multivariate logistic regression analyses were performed to evaluate the association of the procedures’ chronological sequence number with the outcomes.Results:Cumulative sum failure curves revealed a clear and lengthy learning curve effect for most of subjective and quantitative continence outcomes and for operative time. For the primary outcome (at least much improved at PGI-I), 62 procedures were required to overcome the learning curve. Accordingly, multivariate analyses showed that the sequence number was statistically significant for predicting failures based on PGI-I (adjusted OR 0.95; 95% CI: 0.91–0.99; p = 0.02), objective outcomes, and operative time.Conclusions:An evident and lengthy learning curve was observed in our series of male sling placement to achieve the end level of proficiency, independently from case-mix. Individualized structured training on male sling surgery will benefit patients treated in the initial surgeon’s experience. Surgical experience should be considered when reporting studies on male slings.
      Citation: Urologia Journal
      PubDate: 2022-01-25T05:57:47Z
      DOI: 10.1177/03915603211072844
       
  • Investigation of the effectiveness of magnetic field therapy in women with
           urinary incontinence: Literature review

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      Authors: Özlem Gözlersüzer, Bestami Yalvaç, Basri Çakıroğlu
      Abstract: Urologia Journal, Ahead of Print.
      Objective:Magnetic stimulation (MS) provides a novel strategy for the treatment of urinary incontinence (UI), although its efficacy remains uncertain. This systematic review both evaluated the effects of MS treatment on UI and investigated its impacts on female patients’ life quality.Methods:A review of the literature that was conducted in EMBASE, PubMed, Google Scholar, and the Cochrane Library (2016–2021) with the search terms; Incontinence of stress OR urge of urination OR Urinary incontinence mixed type. The search was carried out for all randomised controlled trials (RCTs) in English. A manual search has also been conducted for the reference lists of the studies found. Seven studies, with a total of 523 patients (475 patients with SUI), 12 urge urinary incontinence. The study included patients with (UUI) and 36 patients with mixed urinary incontinence (MUI). A total of 10 male patients were excluded from the study. In the included studies, The International Incontinence Questionnaire-Short Form was used to investigate the effects of MS therapy on UI symptoms (ICIQ-SF).Results:According to the literature review, MS is an effective therapy option for female patients with UI. Still, to establish the efficacy of MS in this area, more large-scale, high-quality RCTs with extended follow-up periods that use consistent stimulation modalities and evaluate comparable outcomes are needed.Conclusion:MS treatment leads to an improvement in the symptoms of UI, in addition to an associated Improved quality of life for patients, without any reported side effects, while the longer-term treatment outcomes must be determined by long-term trials.
      Citation: Urologia Journal
      PubDate: 2022-01-10T06:23:10Z
      DOI: 10.1177/03915603211069010
       
  • Therapeutic interventions to urologic chronic pelvic pain syndrome and
           UPOINT system for clinical phenotyping: How far are we'

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      Authors: Muhammad Naveed, Li Changxing, Awais Ullah Ihsan, Muhammad Shumzaid, Asghar Ali Kamboh, Ali Asghar Mirjat, Muhammad saeed, Mirza Muhammad Faran Ashraf Baig, Hafiz Muhammad Zubair, Sobia Noreen, Asadullah Madni, Zhou Xiaohui
      First page: 315
      Abstract: Urologia Journal, Ahead of Print.
      The assessment and management of urologic chronic pelvic pain syndrome (UCPPS), is controversial. It is classified by voiding symptoms, pelvic pain, and bladder pain, which is weekly treated, weekly understood, and bothersome. In the aspect of clinical efforts and research to help people with this syndrome have been hampered by the deficiency of a widely reliable, accepted, and a valuable tool to evaluate the patient symptoms and quality of life (QoL) impact. However, the etiology comes into sight is multifactorial, and available treatment options have been imprecise considerably in present years. We compiled the published literature on the assessment of the syndrome, a tentative role of pharmacological and non-pharmacological (conservative, alternative, and invasive therapy) interventions in eradicating the disease as well as improving symptoms. The previously published literature on animal models has established the association of immune systems in the etiology, pathogenesis, and progression of the disease. The UPOINT system for clinical phenotyping of UCPPS patients has six predefined domains that direct multimodal therapy, which would lead to significant symptom improvement in the medical field. The narrative review aims to scrutinize the fluctuating scientist’s views on the evaluation of patient and multimodal treatment of the UPOINT system.
      Citation: Urologia Journal
      PubDate: 2022-01-03T10:35:58Z
      DOI: 10.1177/03915603211065301
       
  • Irreversible electroporation in renal tumours: A systematic review of
           safety and early oncological outcomes

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      Authors: Aidan Hilton, Georgios Kourounis, Fanourios Georgiades
      First page: 329
      Abstract: Urologia Journal, Ahead of Print.
      We review the safety and early oncological outcomes of irreversible electroporation (IRE), a novel non-thermal ablation technique, in small renal masses (SRMs). Following PROSPERO registration (CRD42020197943), a systematic search of MEDLINE, EMBASE and SCOPUS databases according to PRISMA guidelines was performed. Critical appraisal of the included studies was performed using the Newcastle-Ottawa Scale. Of 224 articles screened, 10 met the inclusion criteria. In total, 83 patients were identified. Except for one cohort study (n = 41), the remaining studies were case series of n 
      Citation: Urologia Journal
      PubDate: 2022-02-10T09:05:09Z
      DOI: 10.1177/03915603221077590
       
  • Laser technology in urologic oncology

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      Authors: Mauro Ragonese, Francesco Dibitetto, PierFrancesco Bassi, Francesco Pinto
      First page: 338
      Abstract: Urologia Journal, Ahead of Print.
      Laser technology has been used in Urology since the 80s with a lot of different applications in endoscopic and open surgery. With the developments of the technology and the introduction of new active medium and source of laser energy, this technology have become the gold standard not only in stone surgery but even in benign prostate enlargement (BPE) surgical treatment. Regarding urologic oncology, laser energy has now reached an important role in focal therapy and in conservative treatment. The possibility of having better functional outcomes without any relevant impact on oncological results led to an increased use of laser in penile surgery, with a significant mention in urological guidelines for this option. In urothelial cancers as well, both in conservative management of upper tract tumors that in the treatment of non muscle invasive bladder cancer, a clear role of these relatively new source of energy have been demonstrated. Finally, both in prostate that in renal cancer the strategy of focal therapy may take advantage from this precise and fine technology. In this review we analyzed and described the applications of laser energy in urological cancers with a specific focus on penile, urothelial and prostate cancer.
      Citation: Urologia Journal
      PubDate: 2022-04-15T08:45:32Z
      DOI: 10.1177/03915603221088721
       
  • Outcomes of a complementary and alternative medicine based on vitamins,
           herbal products, and amino acid as a first line treatment in idiopathic
           overactive bladder syndrome in men and women without bladder outlet
           obstruction

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      Authors: Simone Morselli, Luca Gemma, Andrea Liaci, Riccardo Campi, Sergio Serni, Vincenzo Li Marzi
      First page: 358
      Abstract: Urologia Journal, Ahead of Print.
      Objective:To evaluate the efficacy and tolerability of a complementary and alternative medicine (CAM) called Kubiker (Naturmed, Montegranaro, FM, Italy), consisting of vitamins (C and D), herbal products (cucurbita maxima, capsicum annum, polygonum cuspidatum), and amino acid L-Glutamine, as first line treatment of (OAB)Materials and methods:According to institutional protocols, data on patients addressing to a tertiary referral centre for OAB symptoms were recorded. OAB was evaluated through validated questionnaires including ICIQ-SF, USS, and OAB-q-SF. Patients with previous antimuscarinic or β3 agonist treatment, neurological disease or pathologies which may mimic OAB, including infections, were excluded. Only unobstructed patients were considered and were given CAM twice daily for 12 weeks. After treatment, symptoms were re-evaluated repeating previous questionnaires and PGI-I was given to evaluate perceived improvement.Results:A total of 41 patients were evaluated and 35 respected inclusion criteria and were enrolled. All subjects had a full compliance and adherence with CAM medication intake. The median patient’s age was 65 (56–73). Male were 8 (22.9%) while females were 27 (77.1%). Median baseline OAB-q SF and ICIQ-SF scores were 18 (15–25) and 9 (6–13), respectively. After treatment, 85.7% patients had a clinical benefit, with a significant reduction of OAB symptoms, also according to USS (p 
      Citation: Urologia Journal
      PubDate: 2022-02-18T09:01:27Z
      DOI: 10.1177/03915603221077599
       
  • Evaluation and comparison of S.T.O.N.E. and Guy’s scoring systems for
           predicting percutaneous nephrolithotomy outcomes in supine position

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      Authors: Ahmet Arıman, Erkan Merder, Erdem Toprak
      First page: 397
      Abstract: Urologia Journal, Ahead of Print.
      Background:Percutaneous nephrolithotomy (PCNL) was applied in the prone position until recently. But also, in recent years supine positions was applied in patients with kidney stones. Predicting how much renal stones can be cleared after surgery and possibility of complications is an important question for both surgeons and patients. Therefore different scoring systems are used to evaluate outcomes of PCNL before surgery.Patients and methods:Between 2018 and 2020, 80 patients with renal stone who underwent PCNL in the supine position were evaluated preoperatively by S.T.O.N.E. and Guy’s scoring systems (GSS). The predictions of both scoring systems for stone-free and complication rates in patients who underwent PCNL in the supine position were evaluated. Also, these scoring systems were compared among themselves for reliability.Result:In both scoring systems, there was a statistically significant difference between postoperative stone-free (SF) and residual stone (RS) of patients and in predicting the likelihood of complications in patients. No statistically significant difference was found between the two scoring systems in predicting the stone-free rate.Conclusion:Our findings revealed that S.T.O.N.E. nephrolithometry and Guy’s score systems can be used effectively to predict stone-free rate, complications, and operation duration in supine position PCNL for renal stones.
      Citation: Urologia Journal
      PubDate: 2022-01-06T11:26:09Z
      DOI: 10.1177/03915603211037605
       
  • Transperitoneal laparoscopic simple nephrectomy for giant hydronephrosis:
           Tips and tricks to make it easier

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      Authors: Ahmed Issam Ali, Aly M Abdel-Karim, Mostafa M Abdelghani, Amr Eldakhakhny, Ahmed M Fawzy, Ali Hassan, Mahmoud F Rohiem, Ehab M Galal
      First page: 424
      Abstract: Urologia Journal, Ahead of Print.
      Purpose:We report our experience with transperitoneal laparoscopic nephrectomy (LN) for giant hydronephrosis (GH) and compare the outcome data with open nephrectomy (ON).Patients and methods:The retrospective data of 88 patients (52 males and 36 females) who underwent LN or ON for treatment of GH in the period between October 2015 and December 2019 were investigated. LN was performed in 38 patients, while 50 patients underwent ON. We compared the two groups for success, operative time, and intraoperative and postoperative complications.Results:The mean age of the patients in the LN group was 45.8 ± 11.4 years, and it was 44.7 ± 10.8 years in the ON group. The mean operative time in the LN group was statistically significantly longer when compared with the ON group195 ± 18 min versus 127 ± 22 min (p = 0.01).The estimated blood loss was significantly greater in the ON group (p = 0.01). However, no patients required blood transfusions in either group. The visual analog pain (VAP) scores were significantly higher on both day 1 and day 2 in the ON group 3.6 ± 0.9 and 2 ± 0.7 versus 2.7 ± 0.6 and 1.4 ± 0.5 in LN group, (p = 0.01).Conclusion:LN for GH is feasible, safe, and efficacious. Compared to open surgery, the laparoscopic approach resulted in significantly shorter hospital stays, decreased morbidity, and quicker recovery. Some tips and tricks could help to do it in an easier way and reduce the operative time.
      Citation: Urologia Journal
      PubDate: 2022-02-12T12:01:23Z
      DOI: 10.1177/03915603211048147
       
  • Robot assisted laparoscopic adrenalectomy: Should this be the new
           standard'

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      Authors: Nivash Selvaraj, Ginil Kumar Pooleri, Sanjai Kumar Addla, Deepak Raghavan, Thirumalai Ganesan Govindaswamy, Arun Kumar Balakrishnan, Ananthakrishnan Sivaraman, Nitesh Jain, Shreedhar Gurunathan Kandasamy, Narasimhan Ragavan
      First page: 430
      Abstract: Urologia Journal, Ahead of Print.
      Introduction:Minimal invasive surgeries (MIS) for large size adrenal tumors are still debatable. The objective is to evaluate the contemporary peri- and post-operative outcomes of patients undergoing (open = OA, laparoscopic = LA, and robotic = RA) adrenalectomies in three institutions.Materials and methods:Retrospectively gathered peri- and post-operative data of 235 patients, underwent adrenalectomy at three Institutions over a 7-year period (2013–2020) were analyzed. All patients underwent thorough radiological and endocrine workup.Results:Two hundred and thirty five patients who underwent adrenalectomy (OA (n = 29), LA (n = 146), and RA (n = 60)) were assessed. OA (n = 29) versus Minimally invasive surgery (n = 206) showed significant differences (median, p value) in larger tumour size, cm (9.4 vs 5, (p = 0.0001)), longer operative time, mins (240 vs 100, (p = 0.0001)), longer hospital stay, days (8 vs 3,(p = .0001)), Higher readmission rates (14% vs 1.9%), higher blood loss, ml (400 vs 100, (p = 0.0001)) requiring blood transfusion (14% vs 4.3%) (p = 0.03), higher intraoperative complication (21% vs 6%) (p = 0.0004), and post op complications (17% vs 5.3%) (p = 0.01). Amongst the MIS (RA vs LA), RA appeared be have better outcomes in terms of shorter operative time, less blood loss and less intra operative complications with a p value
      Citation: Urologia Journal
      PubDate: 2022-05-28T08:43:32Z
      DOI: 10.1177/03915603221097166
       
  • Evaluation of the sexual function of female partners of men with erectile
           dysfunction receiving different treatment modalities: An observational
           study

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      Authors: Nashaat Nabil Ismail, Sameh Fayek GamalEl Din, Amr Abdel Raheem, Esraa Mohamed Rashad, Mohamed Farag
      First page: 460
      Abstract: Urologia Journal, Ahead of Print.
      Objective:To evaluate sexual functions of patients with erectile dysfunction (ED) and their female partners.Methods:A total of 90 consecutive ED patients who received different ED therapies and their partners and 90 consecutive controls and their partners were divided into four groups. All participants were evaluated by the 15-item international index of erectile function and the Arabic version of female sexual function index (Ar-FSFI).Results:All ED patients who received sildenafil demonstrated significant improvements of their erectile function compared to baseline. Their partners did not demonstrate improvements in frequency of pain during vaginal penetration (3.86 ± 0.58, 3.93 ± 0.45, p = 0.477), confidence of becoming aroused (3.86 ± 0.58, 3.93 ± 0.45, p 0.477), frequency of satisfaction with arousal (3.07 ± 0.37, 3.03 ± 0.49, p 0.712), and maintenance of lubrication (4.37 ± 0.49, 4.23 ± 0.73, p 0.354). All ED patients who received quadmix demonstrated significant improvements of their erectile function compared to baseline. Their partners did not demonstrate improvements in desire level (2.6 ± 0.67, 2.63 ± 0.85, p = 0.869) and lubrication maintenance (3.53 ± 0.82, 3.47 ± 0.82, p = 0.423). Finally, All ED patients who underwent semi rigid penile implant demonstrated significant improvements of their erectile function compared to baseline. Their female partners demonstrated significant improvements in all items of FSFI-19 compared to baseline except the frequency of pain during vaginal penetration (3.86 ± 0.58, 3.93 ± 0.45, p = 0.477), confidence of becoming aroused (3.86 ± 0.58, 3.93 ± 0.45, p = 0.477), frequency of satisfaction with arousal (3.07 ± 0.37, 3.03 ± 0.49, p = 0.712), and maintenance of lubrication (4.37 ± 0.49, 4.23 ± 0.73, p = 0.354).Conclusions:Sexual functions of ED males significantly improved after ED therapies. Nevertheless, some sexual functions of their partners were not positively impacted.
      Citation: Urologia Journal
      PubDate: 2022-02-22T12:19:23Z
      DOI: 10.1177/03915603221080290
       
  • Use of ileal bypass in the surgical management of two rare cases of
           ileal-neobladder fistula in patients who underwent radical cystectomy

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      Authors: Yuji Ikeda, Madoka Hamada, Yuki Matsumi, Mitsugu Sekimoto, Hiroaki Kurokawa, Ryoichi Saito, Motohiko Sugi, Hidefumi Kinoshita
      First page: 488
      Abstract: Urologia Journal, Ahead of Print.
      Purpose:An entero-neovesical fistula (ENF) is a rare troublesome complication of an orthotopic ileal bladder substitution. We report on a novel, safe technique to close ileal neovesical fistulas without extensive adhesiolysis using an NK-stapler (ENDOPATH® ENDOCUTTER ETS; Johnson & Johnson, Cincinnati, OH, USA).Patients:We treated two cases of postoperative ENF after orthotopic ileal bladder substitution for radical cystectomy. Case 1 was a 63-year-old male with occasional fecaluria, and Case 2 was a 73-year-old male who experienced continuous fecaluria.Surgical procedureAfter laparotomy, we mobilized the ascending colon to bypass the anastomosis of the primary surgery by an ileo-ileal, ileo-ascending colon anastomosis. The distance between the fistula and bypass was about 10 cm. We made tunnels in the mesentery between the bypass and fistula, without damaging blood vessels, to insert the jaw of the NK-stapler. We closed the afferent and efferent loops using NK-staplers (45 mm ×2), followed by a Lembert anastomosis covering the stapler’s suture lines.Results:They were discharged on the ninth and seventh postoperative days, respectively. In Case 1, we experienced recanalization of the fistula after three postoperative months and required second closure with the same procedure was needed. They have not experienced any symptoms of ENF since.Conclusions:This technique is worth considering for the surgical treatment of ENF because it does not require unnecessary dissection and can ultimately achieve fistula closure.
      Citation: Urologia Journal
      PubDate: 2022-07-11T11:27:40Z
      DOI: 10.1177/03915603221110291
       
 
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