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Urology Journal

Evren Suer, Nurullah Hamidi, Cagri Akpinar, Mehmet Ilker Gokce, Omer Gulpinar, Kadir Turkolmez, Yasar Beduk, Sumer Baltaci
INTRODUCTION: To investigate the prognostic role of time to castration resistance(TTCR) in patients who have received solely Docetaxel chemotherapy regimen(DCR) for castration resistant prostate cancer(CRPC). Methods: Between Jan 2004 and Dec 2015, data of 162 patients who have received DCR for CRPC are detected. Patients were divided into three groups according to TTCR: Group 1(?12 months), group 2(13-24 months), and group 3(>24 months). Data of age, clinical stage, Gleason grade(GG), previous treatments, site of metastases, Prostate-specific antigen (PSA) values, TTCR, overall survival, biochemical progression free survival(PFS) and PSA response to docetaxel were recorded...
January 13, 2019: Urology Journal
Ali Muhammad Kavosh, Ali Reza Aminsharifi, Vahid Keshtkar, Abdosaleh Jafari, Gholamreza Abdollahifard
BACKGROUND: Staghorn stones can cause damage to the kidneys and are considered as the one of the main cause of renal failure. If they are identified during the initial stages of diagnosis, kidney damage can be prevented. Screening can lead to a better diagnosis. Before the screening, it is necessary to calculate the cost-effectiveness of screening. METHODS: Using the possibility calculations of staghorn stones in the society and different age groups as well as a decision tree model, the screening costs and effectiveness were calculated against no screening...
January 1, 2019: Urology Journal
Davoud Tasa, Ahmad Fotoohi, Farhang Safarnejad, Anvar Elyasi
Undescended Testis is a medical term that uses for any testis which is not in its normal place (bottom of the scrotum). UDT can be classified as unilateral and bilateral. Unilateral UDT is more common than bilateral UDT. There is a very rare condition in which both testicles are on the same side and have not descended.We report in this article a 3 years old boy by a chief complaint of bilateral testicular mass absence. Diagnostic evaluation has been done but testes was abcent in scrota.  Exploring laparoscopy has been done and rare cases of UDT diagnosed, in which both testicles was on left side of the pelvis by two separate spermatic cord...
January 1, 2019: Urology Journal
Tunkut Doganca, Can Obek
PURPOSE: In the present study, we evaluate the biopsy results, complications due to biopsy, and the correlation with the final pathology specimen of 19 patients who had surgery for their small renal masses. MATERIALS AND METHODS: A total of 19 patients (11 male, 8 female) underwent percutaneous biopsy of their renal mass under ultrasound guidance. All patients subsequently underwent extirpative surgery. Preoperative biopsy results were compared with postoperative specimens in terms of tru-cut and fine needle aspiration biopsies' histopathological accuracy and the complications noted...
January 1, 2019: Urology Journal
Mohammad Parastesh, Abbas Saremi, Akbar Ahmadi, Mojtaba Kaviani
PURPOSE: The present study aims to investigate the effects of aerobic training on adiponectin, sex hormones, and sperm parameters in Streptozotocin-Nicotinamide induced diabetic rats. MATERIAL AND METHODS: In the experiment, 52 eight-week-old Sprague Dawley rats (200-250 g) were randomly assigned into three groups: healthy control, diabetic control, and diabetic aerobic training. Diabetes was induced by intraperitoneal injection of nicotinamide solution and STZ solution...
January 1, 2019: Urology Journal
Liu Junbo, Li Yugen, Jiang Guo, Huang Jing, Yu Ruichao, Wu Tao
PURPOSE: To conduct a comprehensive meta-analysis of existing evidence to quantify and compare the safety and efficacy of PCNL, RIRS and ESWL for lower pole renal stones 10-20mm. MATERIALS AND METHODS: We conducted a systematic literature search in the EMBASE, MEDLINE, Cochrane databases and Google Scholar to identify relevant studies published in English up to May 2018. Literature reviewed included meta-analyses, and randomized and nonrandomized studies. The subject in the management of PCNL, RIRS and ESWL of studies being patients who had lower pole renal stones 10-20mm were selected...
January 1, 2019: Urology Journal
Seyed Mohammad Reza Rabani, Seyed Hossein Rabani
Malakoplakia is a granulomatous disorder caused by infectious process. It was described by Von Hanseman in 1901 for the first time and then by Michaelis and Gutman in 1902.  Although the most frequent site of involvement is genitourinary tract, various organs have been reported to be affected. The peak age incidence is about 50 years and it is rare in childhood. In this paper we report a case of bladder malakoplakia which to our knowledge is the youngest with isolated bladder malakoplakia that has been reported...
December 26, 2018: Urology Journal
Babak Javanmard, Mohammad Reza Barghi, Davar Amani, Morteza Fallah Karkan, Mohammad Mohsen Mazloomfard
PURPOSE: There are some previous reports on the relationship between pathological grades and HPV detection. To determine the Human Papilloma Virus(HPV)  DNA in Tumor Tissue and Urine in Different Stage of Bladder Cancer conducted this study.Materials and Methods: Polymerase chain reaction (PCR) was used to detect general HPV and HPV16 and 18 subtypes in 110 bladder tumor tissue and urine specimens of patients with TCC of bladder between January 2014 to May 2016 that underwent transurethral resection of bladder tumor...
December 8, 2018: Urology Journal
Ilhan Ciftci, Metin Gunduz, Tamer Sekmenli
PURPOSE: Hypospadias is a congenital anomaly that includes defi-cient ventral structure of the penis. Proximal hypospadias cases make up 20% of all hypospadias cases. The choice of operative technique for hypospadias repair depends on the severity, and it is influenced by the surgeon's experience and perception of where priorities should lie. Several other factors interact to determine the type of repair, such as meatal site, presence of chordee, availability of the prepuce, and quality of the urethral plate and in addition surgeon's experience effects the type of repair...
December 6, 2018: Urology Journal
Farzaneh Sharifiaghdas, Nastaran Mahmoudnejad, Mehdi Honarkar Ramezani, Hamid Reza Shemshaki, Fatemeh Ameri
OBJECTIVE: To evaluate long term outcomes of autologous pubovaginal fascial sling (AFPVS) as a salvage procedure following different types of failed anti-incontinence surgeries. MATERIALS AND METHODS: We retrospectively reviewed medical records of patients who had undergone salvage AFPVS after any kind of anti-incontinence surgery from 2005-2015 at our medical center. Patients were contacted by telephone. Revised Urinary Incontinence Scale (RUIS) was used to determine the success rate...
November 21, 2018: Urology Journal
Wojciech Krajewski, Romuald Zdrojowy, Jedrzej Grzególka, Piotr Krajewski, Michal Wróbel, Mateusz Luczak, Anna Kolodziej
PURPOSE: To evaluate on a large group of patients whether Mantoux tuberculin skin test (TST) result is associated with BCG immunotherapy effectiveness and whether it can predict occurrence of moderate to severe toxicity. MATERIAL AND METHODS: We analysed group of 823 patients with intermediate and high risk NMIBCs who were treated with BCG. The study included 412 patients with the history TST and 411 without TST. A standard dose of Statens Serum Institute tuberculin RT23 was used...
November 21, 2018: Urology Journal
Abdol-Mohammad Kajbafzadeh, Behnam Nabavizadeh, Reza Seyed Hossein Beigi, Pariya Alinia, Seyed Ali Mirshahvalad
Urogenital anomalies are the most prevalent anomalies detected during pregnancy. Timely detection of these conditions could facilitate proper post-natal management and improve outcomes. In some cases, precise delineation of fetal urinary tract utilizing ultrasonography is not feasible. Moreover, sometimes the ultrasound study is technically limited. Magnetic resonance imaging could clarify the diagnosis in these situations. Prenatal ultrasonography indicated hydronephrosis and a 14 mm cystic lesion at right ureterovesical junction in a 25-week fetus...
November 21, 2018: Urology Journal
Neem Erfani Majd, Niloofar Sadeghi, Marziyeh Tavalaee, Mohammad Reza Tabandeh, Mohammad Hossein Nasr-Esfahani
PURPOSE: Oxidative stress (OS) plays a central role in the pathophysiology of varicocele (VC), however, comprehensive studies concomitantly assessing semen parameter along with chromatin status, oxidative stress, and enzymatic antioxidants in both testis and sperm are limited. Therefore, this study aims to assess these parameters in varicocelized rats. MATERIALS AND METHODS: For this study, 30 Wistar rats were randomly divided into three groups: Control group (I); sham-operated group (II) and left varicocele group (III)...
November 21, 2018: Urology Journal
Hao Liu, Weiyun Pan, Xiaocao Shen, Nan Zhang
A 68-year-old man underwent ultrasound-guided needle biopsy of a suspicious renal mass. Just two weeks later, a large number of subcutaneous nodules was found in patient's chest-back, neck and axilla. pathology analysis was found to be metastatic subcutaneous nodules, These features suggest that tumor seeding have occurred during the needle biopsy. Despite needle tract seeding is a rare event, this rare complication should be taken into consideration before contemplating its use in a patient.
November 21, 2018: Urology Journal
Ibrahim Guven Kartal, Burhan Baylan, Alper Gok, Azmi Levent Sagnak, Nihat Karakoyunlu, Mehmet Caglar Cakici, Serafettin Kaymak, Osman Raif Karabacak, Hikmet Topaloglu, Hamit Ersoy
PURPOSE: To evaluate the management of prolonged indwelling ureteral stents and the newly developed KUB (kidney, ureter, and bladder) grading system for the classification of encrusted stents in urolithiasis. METHOD: This study involved 69 patients that had indwelling and forgotten ureteral stents for more than 6 months after urolithiasis treatment. They were categorized into 4 groups based on indwelling time and were reviewed retrospectively. Patients whose ureteral stent could not be removed with simple cystoscopy were graded according to stone surface area and the KUB system...
November 17, 2018: Urology Journal
Ali Fuat Atmaca, Nurullah Hamidi, Abdullah Erdem Canda, Murat Keske, Arslan Ardicoglu
PURPOSE: To assessment the safety of concurrent repair of inguinal hernia (IH) with mesh application during transperitoneal robotic-assisted radical prostatectomy(RARP). MATERIALS AND METHODS: Data of 20 patients (totally 25 procedures) who performed concurrent IH repair with mesh application during RARP were retrospectively enrolled in this study. Preoperative patient characteristics, intra and postoperative parameters (pathological Gleason grade, prostate volume at surgical specimen, operative time, herniorrhaphy time, estimated blood loss, complications, time of hospitalization, catheterization, and drainage) were evaluated...
November 17, 2018: Urology Journal
Nasser Simforoosh, Mehdi Dadpour, Bahram Mofid
PURPOSE: to evaluate the feasibility of cytoreductive radical prostatectomy (RP), lymphadenectomy, and bilateral orchiectomy in patients with advanced prostate cancer (PCa) with oligo- and poly-metastases. Furthermore, the functional and oncological outcomes of these patients in comparison with the control group that underwent treatment only with systemic therapy (ST group) is investigated in a well-selected, prospective cohort study.   Material and methods: A total of 26 patients were enrolled in CRP (cytoreductive radical prostatectomy) group and 23 patients in ST group...
November 3, 2018: Urology Journal
Bum Soo Kim, Tae-Hwan Kim, Ki Ho Kim, Byung Hoon Kim, Ji Yong Ha, Deok Hyun Cho, Gun Nam Kim, Yoon Hyung Lee, Jae Soo Kim, Hyun-Jin Jung, Hong Seok Shin, Phil Hyun Song, Jong Hyun Yoon, Jae Ho Kim, Eun Sang Yoo
PURPOSE: The study was designed to assess and predict patient-reported goal achievement after treatment of benign prostatic hyperplasia (BPH) patients with tamsulosin. MATERIALS AND METHODS: From November 2013 to October 2015, 272 patients initially diagnosed with BPH were prospectively enrolled in nine different centers. Before the treatment, subjective final goals were recorded by all patients. Every four weeks, the treatment outcomes were evaluated using international prostate symptom score (IPSS) and uroflowmetry, and adverse events were recorded...
October 21, 2018: Urology Journal
Shahaboddin Dolatkhah, Maryam Mirtalebi, Parnaz Daneshpajouhnejad, Ahmadreza Barahimi, Hamid Mazdak, Mohammad Hossein Izadpanahi, Mehrdad Mohammadi, Diana Taheri
PURPOSE: Considering the importance of treatment decisions for prostate cancer (PCa) and the utility of Gleason scoring system (GS) in this field, we aimed to assess the percent of agreement and disagreement between needle biopsy (NB) Gleason score and radical prostatectomy (RP) specimen Gleason score. MATERIALS AND METHODS: In this retrospective study, consecutive patients with PCa, who underwent NB and subsequently RP were enrolled. GS of both NB and RP specimens were recorded for each patient...
October 21, 2018: Urology Journal
Recai Dagli, Mumtaz Dadali, Levent Emir, Sahin Bagbanci, Hakan Ates
PURPOSE: Obturator nerve block (ONB) has been performed in surgeries of transurethral resection of bladder tumors (TUR-BT) for the prevention of the development of obturator muscle contraction. Currently, classic and inguinal approaches are frequently being used. In the present study, we aimed to compare the success rate, performance speed, and complication risks of both approaches. MATERIALS AND METHODS: Sixty-six patients who underwent TUR-BT under spinal anesthesia were randomly selected, and ONB was performed on the tumor location side using classic (n=33) or inguinal (n=33) approaches...
October 21, 2018: Urology Journal
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