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Urologia Internationalis

Diomidis G Kozyrakis, Zisis K Kratiras, Stefanos K Perikleous, Anastasios P Zarkadas, Styliani-Elissavet E Chatzistamoy, Dimitrios K Karagiannis, Ioannis T Solinis
PURPOSE: To present the results and complications of retrograde ureteroscopic lithotripsy for treatment of large ureteral stones. METHODS: Nineteen patients were treated for ureteral stones ≥15 mm detected in CT or plain KUB film. Endoscopy was performed with either a semirigid or flexible ureteroscope. Stone fragmentation was performed using a 30 W Holmium laser. RESULTS: The mean stone size was 20.7 mm (range 15-30). The mean duration of the operation was 82 min (45-140)...
April 18, 2019: Urologia Internationalis
François Hervé, Inge Ragolle, Gérard Amarenco, Annick Viaene, Amandine Guinet-Lacoste, Véronique Bonniaud, Karel Everaert
BACKGROUND: Intermittent self-catheterization (ISC) is by far the most appealing therapy to achieve a complete bladder emptying in patients with neurogenic lower urinary tract dysfunction (NLUTD). Four questionnaires have been developed in French in order to assess patient's satisfaction, difficulties and acceptance of this technique. OBJECTIVES: The aim of this study was to translate, culturally adapt and validate Dutch versions of the Intermittent Catheterization Satisfaction Questionnaire (InCaSaQ), the Intermittent Catheterization Acceptance Test (ICAT), the Intermittent Self Catheterization Questionnaire (ISCQ) and the Intermittent Catheterization Difficulty Questionnaire (ICDQ)...
April 18, 2019: Urologia Internationalis
Junji Uchida, Akihiro Kosoku, Kazuya Kabei, Shunji Nishide, Hisao Shimada, Tomoaki Iwai, Nobuyuki Kuwabara, Toshihide Naganuma, Keiko Maeda, Yuki Yoshikawa, Norihiko Kumada, Yoshiaki Takemoto, Tatsuya Nakatani
BACKGROUND: Despite advances in immunosuppressant medications, improvement in long-term survival for kidney transplant recipients has been more difficult to achieve. In fact, the number of patients with failing grafts who must either return to dialysis or undergo a second transplant is increasing. Second transplantation is associated with reduced mortality rates compared to remaining on dialysis after an initial graft loss. Nowadays, excellent ABO-incompatible kidney transplant outcomes have been achieved...
April 16, 2019: Urologia Internationalis
Tiziana Russo, Monica Currò, Nadia Ferlazzo, Daniela Caccamo, Patrizia Perrone, Salvatore Arena, Enrica Antonelli, Pietro Antonuccio, Riccardo Ientile, Carmelo Romeo, Pietro Impellizzeri
BACKGROUND: Lichen sclerosus (LS) is a disease of the skin of unclear etiology that can occur in the foreskin. Topical therapy with corticosteroids is recommended, but they can have side effects. OBJECTIVES: We aimed to compare the effects of ozonides with vitamin E acetate (OZOILE) versus topical corticosteroid in children undergoing circumcision. METHOD: Twenty children undergoing circumcision were treated before surgery: 10 children with OZOILE cream and 10 with 0...
April 16, 2019: Urologia Internationalis
Noppasorn Sitthisarunkul, Monthida Uthairat, Pornsak Dissaneewate, Edward McNeil, Prayong Vachvanichsanong
BACKGROUND: The strong association between kidney and urinary tract anomalies and childhood urinary tract infection (UTI) often leads to imaging tests being performed. -Objective: To describe the epidemiology, characteristics, and imaging findings in Thai children with UTI and compare results between boys and girls. METHODS: We retrospectively reviewed the medical records of children with UTI aged < 15 years. Demographic characteristics and findings of investigations are presented...
April 16, 2019: Urologia Internationalis
Grzegorz Jedrzejewski, Pawel Osemlak, Andrzej Pawel Wieczorek, Pawel Nachulewicz
AIM: The aim of the study was an assessment of the effects of varicocele on testis parenchyma and microcirculation with the use of the dynamic tissue perfusion measurements. METHODS: Color Doppler sonographic dynamic testis parenchyma perfusion measurements were performed with Pixel-Flux software in 30 children with left testis varicocele. The right testes without varicocele comprised the control group. RESULTS: Testicular parenchymal perfusion in testes with varicocele was reduced when compared to the control testes...
April 16, 2019: Urologia Internationalis
Shinya Takada, Hirokazu Hashishita, Satoshi Nagamori, Masayuki Endo
BACKGROUND: The side effects of sunitinib, namely onset of hypertension and hypothyroidism, have been reported to be predictive biomarkers of treatment efficacy. However, the relationship between hypothyroidism and prolongation of survival in treatment with axitinib, a drug similar to sunitinib, has not yet been reported. OBJECTIVE: In this study, we examined the relationship between the onset of hypothyroidism caused by axitinib and overall survival (OS) and progression-free survival (PFS)...
April 10, 2019: Urologia Internationalis
Manoj Kumar, Samarth Agarwal, Apul Goel, Ashish Sharma, Ajay Agarwal, Siddharth Pandey, Satya Narain Sankhwar
OBJECTIVES: To highlight the transvaginal route as an excellent approach for repair of a simple trigonal, supra-trigonal vesico-vaginal and urethrovaginal fistulae without compromising on the successful patient outcomes. We also determine factors affecting outcomes in such patients. MATERIALS AND METHODS: A retrospective analysis was carried out on 58 patients with simple trigonal, supra trigonal and urethrovaginal fistula who underwent transvaginal repair in the last 10 years...
April 10, 2019: Urologia Internationalis
Qiang Xia, Zhenhua Zhao, Chengbo Li, Xiaoqiang Hao, Wenchao Dun
BACKGROUND: The oblique-supine position for percutaneous nephrolithotomy (PCNL) has advantages, but the position fixation methods are inadequate. This study aimed to analyze the PCNL outcomes using a patented self-made frame for oblique-supine position. METHODS: This was a prospective study of patients scheduled to undergo PCNL at 2 hospitals in China between November 2009 and December 2016. The patients underwent PCNL in the oblique-supine position using the self-made position frame (n = 94)...
April 9, 2019: Urologia Internationalis
Qiming Zhang, Runzhuo Ma, Zhuo Liu, Shudong Zhang, Lulin Ma
PURPOSE: To define preoperative predictors and construct a preoperative multivariable model for prediction of postoperative complications in patients with renal cell carcinoma (RCC) after nephrectomy with thrombectomy. MATERIALS AND METHODS: We identified patients with RCC and level I-IV venous tumor thrombus (VTT) who underwent concomitant radical nephrectomy and thrombectomy between February 2015 and March 2018. Univariate and multivariate logistic regression analyses were used to assess the effect of preoperative factors on the incidence of overall and major postoperative complications within 30 days postoperatively...
April 9, 2019: Urologia Internationalis
Angelo Porreca, Federico Mineo Bianchi, Daniele D'Agostino, Paolo Sadini, Daniele Romagnoli, Alessandro Del Rosso, Luca Cindolo, Paolo Corsi, Riccardo Schiavina, Eugenio Brunocilla, Marco Giampaoli
BACKGROUND: The treatment options for male lower urinary tract symptoms (LUTS) widely range from self-monitoring to oral medications to surgical procedures. As far as concerns surgical treatment of obstructive LUTS, transurethral incision of the prostate is considered as the gold standard in patients with mild benign prostatic enlargement. OBJECTIVES: The aim of our study is to describe this novel approach to perform ejaculation sparing Holmium laser bladder neck incision (ES-HoBNI), with particular regard to its effect on ejaculation and LUTS relief...
April 9, 2019: Urologia Internationalis
Xiang Tu, Tiancong Chang, Ling Nie, Shi Qiu, He Xu, Yin Huang, Yige Bao, Zhenhua Liu, Lu Yang, Qiang Wei
BACKGROUND: Large cell neuroendocrine carcinoma (LCNEC) of the prostate is an extremely rare entity, and the clinicopathological course, potential effective treatment, and prognosis are yet to be elucidated. MATERIALS AND METHODS: A systematic search in Pubmed, Embase, and Ovid from inception to January 2019 was conducted. We reviewed each individual case of prostatic LCNEC and summarized specific features and outcomes for this rare pathologic entity. RESULTS: Thirteen studies with a total of 20 patients (mean age: 70...
April 9, 2019: Urologia Internationalis
Wen-Jun Zhang, Zhong-Lei Zhang, Shao-Wen Guo, Yan Yuan, Jun-Jie Chang, Yun He
OBJECTIVE: To investigate the relationship of renal parenchymal thickness and the risk of developing post-procedure hematoma. METHODS: Ultrasound-guided percutaneous renal biopsy was performed in 122 patients who underwent percutaneous kidney biopsy between January 2013 and -December 2013 at Tai-he hospital. Post-biopsy renal ultrasound was performed within 12 h after the biopsy to assess the presence of hematoma in biopsied kidney. Logistic regression analysis was used to determine the effect of parenchymal thickness on formation of hematoma adjusted for other nonstructural patient-related factors such as age, sex, systolic and diastolic blood pressure, serum creatinine, and urea...
April 3, 2019: Urologia Internationalis
Amr Hodhod, Fabiola Oquendo, Hani Nour, Ryan Kelly, Walid Shahrour, Ahmed Kotb, Owen Prowse, Hazem Elmansy
INTRODUCTION: The DrillCutTM morcellator is marketed for its fast and highly efficient removal of prostatic tissue and a higher level of patient safety. However, a paucity of publications has looked into its actual efficacy and safety. The aim of our study was to evaluate its ex vivo and in vivo efficiency and to compare its results with other devices presented in the literature. PATIENTS AND METHODS: We conducted a prospective pilot study on patients who underwent holmium laser enucleation of the prostate (HoLEP) from 2017 to 2018 using the Top-Down technique...
March 27, 2019: Urologia Internationalis
Tsutomu Anraku, Kenji Obara, Masayuki Tasaki, Yoshihiko Tomita
BACKGROUND: The management of febrile urinary tract infection (fUTI) in patients with vesicoureteral reflux (VUR) is crucial to prevent renal scarring. Continuous antibiotic prophylaxis (CAP) is the most widely used initial treatment for VUR. However, the optimal duration of CAP is still unclear. We aimed to clarify an appropriate patient population and the optimal timing to discontinue CAP. METHODS: We reviewed the records of 247 patients with primary VUR between January 2000 and December 2015...
March 27, 2019: Urologia Internationalis
Aso Omer Rashid, Shakhawan Hama Amin, Mohammed Abed Al Kadum, Sarbaz Kamal Mohammed, Noor Buchholz
OBJECTIVES: To evaluate the safety and efficacy of percutaneous mini-nephrolithotomy (mini-PCNL) in children with complex staghorn stones. PATIENTS AND METHODS: We analyzed prospectively data of 28 children undergoing pediatric mini-PCNL during a period of 18 months. Stone complexity was defined according to the validated Guy's stone score (GSS). Our patients were GSS III and IV. All PCNL procedures were performed in the prone position, under fluoroscopic guidance, and in the same standardized fashion with F12 and F17 mini-nephroscopes...
March 27, 2019: Urologia Internationalis
Lisa-Maria Packy, Dominik Gross
Werner Forssmann (1904-1979) was awarded the Nobel Prize for his self-experiments in catheterization of the heart and thus entered the annals of medicine. But he had turned to urology long before he received the Nobel Prize. Who was this person associated with both cardiology and urology? It is precisely this question that the present article explores with the help of both new and reevaluated primary sources. In 1999 Truss et al. already published an article in the World Journal of Urology about the many and varied facets of Forssmann's life and work...
March 27, 2019: Urologia Internationalis
Leticia López-Martín, Javier Alcover-Díaz, Paula Charry-Gónima, Raquel González-López, David Rodríguez-Gil, Ricardo Palacios-Peláez, Carmen González-Enguita
OBJECTIVE: To investigate the long-term prophylactic effect of a vaccine on lower urinary tract infections (UTI) of bacterial and the impact of the intensity of the symptoms on the quality of life (QoL). METHODS: Adult female could be enrolled in this study if they had acute UTI at the enrolment visit and bacterial microbiological count of ≥103 CFU/mL of Escherichia coli. RESULTS: A total of 21 patients were included. Fifteen days after the administration of a vaccine for 3 months, the number of infections dropped almost to zero...
March 27, 2019: Urologia Internationalis
Huibin Long, Wenjun Bai, Xiaowei Zhang, Tao Xu
OBJECTIVES: Microsurgical denervation of the spermatic cord (MDSC) is a treatment option for chronic orchialgia (CO) refractory to conservative treatment. Studies showed specific nerve fibers as the possible cause of CO. We aimed to present the outcomes of ligation of these nerves using targeted MDSC. METHODS: We retrospectively reviewed 30 cases who underwent targeted MDSC from August 2014 to February 2018. Patients included were under strict criteria. Pain was assessed preoperatively and postoperatively using a subjective visual analog scale (VAS) and objectively with the standardized and validated Pain Impact Questionnaire-6 (PIQ-6) score...
March 21, 2019: Urologia Internationalis
Sarika Nalagatla, Ross Manson, Rachel McLennan, Bhaskar Somani, Omar M Aboumarzouk
OBJECTIVES: To determine the efficacy and safety of laparoscopic deroofing of symptomatic simple renal cysts. METHODS: A Cochrane style systematic review was conducted on published literature from 1990 to 2017, to include case series and randomised controlled trials. A pooled meta-analysis was conducted. RESULTS: A total of 696 patients who had laparoscopic deroofing of their simple renal cysts were identified. Complete radiological resolution was seen in 96% of patients with 95% of patients completely symptoms free...
March 19, 2019: Urologia Internationalis
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