journal
https://read.qxmd.com/read/38818436/early-experience-of-en-bloc-holmium-laser-enucleation-of-the-prostate-in-saudi-arabia
#1
JOURNAL ARTICLE
Mohannad Alharbi, Bader Alshamsan, Mohammed Almansour, Abdullah Alharbi, Adel Algaadi, Mohamed F Abdelhafez
PURPOSE: Holmium laser enucleation of the prostate (HoLEP) showed higher efficacy than transurethral resection for treating benign prostatic hyperplasia (BPH). The present study aims to report the outcome of BPH treatment by HoLEP in a tertiary center. PATIENTS AND METHODS: An observational prospectively collected data for consecutive symptomatic BPH patients undergoing HoLEP between January 2020 and December 2021. Demographic and perioperative data were collected with the International Prostate Symptom Score (IPSS), quality of life, peak flow rate (Qmax ), residual urine postvoid residual (PVR), and prostate-specific antigen (PSA) changes, in addition to perioperative and late adverse events...
2024: Urology Annals
https://read.qxmd.com/read/38818435/effect-of-dose-reduction-of-dutasteride-in-combination-with-alpha-blockers-in-patients-with-lower-urinary-tract-symptoms-benign-prostatic-enlargement
#2
JOURNAL ARTICLE
Mohamed Abou-Farha, Ayman Hagras, Salah Nagla
CONTEXT: Dutasteride is used in the treatment of benign prostate enlargement with reported many side effects. AIMS: The purpose of this study is to examine how different doses of dutasteride (0.5 mg) in combination with tamsulosin affect the outcome of treatment of benign prostatic enlargement (BPE). SETTINGS AND DESIGN: Prospective study (phase III trial). SUBJECTS AND METHODS: Between April 2017 and March 2020, this randomized study was conducted on 300 patients with moderate-to-severe lower urinary tract symptoms attributable to BPE and a prostate volume of more than 40 cc...
2024: Urology Annals
https://read.qxmd.com/read/38818434/assessing-the-awareness-knowledge-and-attitudes-of-adults-in-the-general-population-in-saudi-arabia-towards-testicular-torsion-a-cross-sectional-study
#3
JOURNAL ARTICLE
Abdulrahman F Alruwaily, Ahmed Y Alzahrani, Hatan K Alghamdi, Rashad M Nassar, Almaha A Alhumaidan, Wejdan A Alshakarah
INTRODUCTION: Testicular torsion (TT) is a rare but urgent condition; it leads to severe pain and swelling that must be diagnosed and treated immediately, where there is an expectant period of 6-8 h. It is an important prognostic factor in the arrival time to the emergency department. Raising awareness about TT is essential to ensure early diagnosis and timely treatment, which can prevent irreversible damage and loss of fertility. AIM: Our study aimed to measure the awareness, knowledge, and attitude toward testicular torsion (TT) among the general population in Saudi Arabia...
2024: Urology Annals
https://read.qxmd.com/read/38818433/awareness-and-compliance-of-urologists-in-the-middle-east-with-minimally-invasive-surgical-devices-for-the-management-of-benign-prostate-hyperplasia
#4
JOURNAL ARTICLE
Raed A Azhar, Mohamed Elkoushy, Mohnna Subahi, Mahmoud Faisal, Abdulaziz Bakhsh, Majed Sejiny, Salim Bagasi, Waseem Tayeb
OBJECTIVES: The objective is to assess urologists' awareness of and compliance with available minimally invasive devices (MIDs) for the management of benign prostate hyperplasia (BPH). METHODS: An online Internet-based survey was sent to urologists through E-mail. Baseline characteristics included age, location and duration of practice, and number of prostatectomies performed in the previous 12 months. Awareness is based on the surgeons' opinions about their advantages and drawbacks...
2024: Urology Annals
https://read.qxmd.com/read/38818432/thirty-versus-60-watt-thulium-laser-enucleation-of-prostate-toward-the-development-of-low-power-anatomical-enucleation-of-the-prostate
#5
JOURNAL ARTICLE
Mohamed Omar, Mohamed Marzouk Abdullah, Ahmed Moustafa, Sultan Sultan
INTRODUCTION: We aimed to study whether using 30 W versus 60 W thulium enucleation of the prostate (ThuLEP) would affect postoperative outcomes in patients with benign prostatic hyperplasia (BPH). MATERIALS AND METHODS: We prospectively identified male patients with moderate or severe lower urinary tract symptoms due to BPH. We randomized patients into 30 W (Group 1) or 60 W (Group 2) thulium yag laser with a 550 μm laser fiber and a 26 Fr continuous flow resectoscope...
2024: Urology Annals
https://read.qxmd.com/read/38818431/transperineal-biopsy-as-a-new-technique-versus-well-established-transrectal-biopsy-for-diagnosis-of-prostate-cancer-a-comparative-study
#6
JOURNAL ARTICLE
Abdelrahman Eltafahny, Yosef Alshamlan, Abdulrahman Almazeedi, Saad Aldousari, Shady Mohamed Salem
INTRODUCTION: Transrectal (TR) prostate biopsy has been the gold standard for prostate cancer diagnosis for years. With the emergence of transperineal (TP) prostatic biopsy, there is a shift in practice across medical services to adopt TP biopsy as the primary method of prostatic biopsy. OBJECTIVE: The objective of the study is to compare cancer detection rates and complications between TP and TR biopsies in our region providing single-center experience with introduction of TP biopsy...
2024: Urology Annals
https://read.qxmd.com/read/38818430/pattern-of-urinary-tract-infection-in-children-with-vesicoureteric-reflux-does-breastfeeding-reduce-the-occurrence-of-urinary-tract-infection
#7
JOURNAL ARTICLE
Tala N Mawad, Dania Bin-Ali, Ghadeer Daghistani, Amani Alshinawi, Basim Alsaywid
INTRODUCTION: The protective factors against urinary tract infections (UTIs) in the setting of vesicoureteric reflux (VUR) remain poorly defined. Breastfeeding was suggested as a protective factor against UTI, but its role remains undetermined in this highly susceptible population. OBJECTIVES: The objective of the study was to identify the pattern and risk factors of UTI and investigate the effect of breastfeeding on UTI occurrence in VUR children. MATERIALS AND METHODS: This was a mixed-method design, whereby the first part was a cross-sectional study that included children who were diagnosed with VUR and were assessed for their UTI pattern...
2024: Urology Annals
https://read.qxmd.com/read/38818429/utilization-of-barley-and-parsley-for-the-management-of-urolithiasis-among-the-saudi-arabian-population
#8
JOURNAL ARTICLE
Wissam Khalid Kamal, Akram Bokhari, Saud M Alesia, Tamer Ma Mahjari, Wajdi A Binsalman, Abdullah E Laher, Ahmed Adam
OBJECTIVE: To determine the utilization of barley and parsley for managing urolithiasis among the Saudi Arabian population. METHODS: This is a prospective cross-sectional survey-based study. The survey comprised questions about the use of barley, parsley, and other therapies for managing urolithiasis. A WhatsApp® message with the link to the study survey was sent out to family, friends, patients, and other acquaintances residing in the Kingdom of Saudi Arabia (KSA)...
2024: Urology Annals
https://read.qxmd.com/read/38818428/serum-interleukin-18-level-in-kidney-diseases-and-age
#9
JOURNAL ARTICLE
Ghada Abd Eltawab Radwan, Ali El-Said Yousef, Mohamed Fathy Bayomy
BACKGROUND: Interleukin-18 (IL-18), also known as interferon-gamma inducing factor is a protein which in humans is encoded by the IL18 gene, it is a member of the IL 1 family and has a molecular weight of 18 kDa. Innate and adaptive immunity can be regulated by IL-18, and disorders involving its dysregulation might result in inflammatory or autoimmune conditions. AIM OF THE WORK: To distinguish between acute kidney injury (AKI) and chronic renal failure (CRF), this research investigates the utility of IL-18 as a novel biomarker and examines how age affects its level...
2024: Urology Annals
https://read.qxmd.com/read/38818427/a-comparison-between-the-efficacy-and-complication-of-laparoscopic-and-microsurgical-varicocelectomy-systematic-review-and-meta-analysis
#10
REVIEW
Syah Mirsya Warli, Rizky An Nabil, Dhirajaya Dharma Kadar, Fauriski Febrian Prapiska, Ginanda Putra Siregar
Varicocele is the dilatation of the scrotal veins and may affect sperm count and infertility. It is caused by congenital vein insufficiency or absence of venous valve. The main treatment is by surgery, and currently, there are two minimally invasive choices: laparoscopic and microsurgical varicocelectomy. This systematic review aimed to record randomized clinical trials from various sources using all qualified studies up to June 2022. The assessed outcomes were operation time, hydrocele, hospital stay, change in semen parameter, recurrence rate, and pregnancy rate...
2024: Urology Annals
https://read.qxmd.com/read/38818426/a-prospective-observational-study-on-the-efficacy-of-procalcitonin-as-a-diagnostic-test-to-exclude-lower-urinary-tract-infection-and-to-minimize-antibiotic-overuse
#11
JOURNAL ARTICLE
Swastik Acharya, Sanjukta Mishra, Arpan Ghosh, Shubhransu Patro
BACKGROUND: Urinary tract infection (UTI) stands out as the third-most common infection following gastrointestinal and respiratory tract infections. Over the past decade, the biomarker procalcitonin (PCT) has gained prominence to facilitate the detection of bacterial infections and reduce excessive antibiotic exposure. OBJECTIVE: The objective of this study was to mitigate the overuse of antibiotics, by promoting the noninitiation or early discontinuation of empirical antibiotics, which would significantly help minimize the proliferation of multidrug-resistant bacteria...
2024: Urology Annals
https://read.qxmd.com/read/38818425/predictors-of-forniceal-rupture-in-patients-with-obstructing-ureteral-calculi-analysis-of-multicenter-data
#12
JOURNAL ARTICLE
Yahya G Ghazwani, Saeed M Bin Hamri, Khalid A Alrabeeah, Abdullah M Alkhayal, Bader H Alsaikhan, Turki Ahmed Alferayan, Omar Badr Alfraidi, Faisal Khalid Balaraj, Mohammad A Alghafees, Abdullah A Al Qurashi, Yasser A Noureldin
BACKGROUND: Renal forniceal rupture (FR) is a unique complication of obstructive uropathy. This study aimed to identify the predictors of FR among patients presenting with renal colic due to obstructing ureteral calculi. MATERIALS AND METHODS: After obtaining ethics approval, electronic records of patients from three National Guard hospitals in Saudi Arabia were reviewed between 2016 and 2020 to identify patients who presented with renal colic and were diagnosed with FR due to obstructive ureteric stones (FR group)...
2024: Urology Annals
https://read.qxmd.com/read/38415239/use-of-artificial-stones-in-training-and-laboratory-studies-have-we-found-the-right-material-outcomes-of-a-systematic-review-from-the-european-school-of-urology
#13
JOURNAL ARTICLE
Panagiotis Kallidonis, Angelis Peteinaris, Domenico Veneziano, Amelia Pietropaolo, Konstantinos Pagonis, Constantinos Adamou, Athanasios Vagionis, Abdulrahman Al-Aown, Evangelos Liatsikos, Bhaskar Somani
OBJECTIVE: In this review, we investigated the current literature to find out which artificial stones (AS) are available in endourology, and in which experimental and training schemes they are used. MATERIALS AND METHODS: A systematic review was performed according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement. Twenty-one out of 346 studies met our inclusion criteria and are presented in the current review. The inclusion criteria were the existence of AS and their use for laboratory and training studies...
2024: Urology Annals
https://read.qxmd.com/read/38415238/varicocelectomy-outcomes-among-patients-with-azoospermia-and-severe-oligasthenoteratozoospermia
#14
JOURNAL ARTICLE
Abdullah Alkhayal, Sahar Aljumaiah, Ali Alyami, Saad Abumelha, Khalid Alrabeeah
BACKGROUND: Varicocele is a reversible cause of male infertility. However, there are conflicting data available concerning the benefit of varicocele repair for patients with nonobstructive azoospermia (NOA) and severe oligoasthenoteratozoospermia (OAT). OBJECTIVE: To address the benefit of varicocelectomy in patients with severe OAT and NOA with regard to their semen parameters and surgical sperm retrieval rate in those who underwent testicular sperm extraction (TESE) or testicular sperm aspiration (TESA)...
2024: Urology Annals
https://read.qxmd.com/read/38415237/techniques-of-staged-laparoscopic-orchidopexy-for-high-intra-abdominal-testes-in-children-a-systematic-review-and-meta-analysis
#15
JOURNAL ARTICLE
Nitinkumar Bhajandas Borkar, Charu Tiwari, Debajyoti Mohanty, Deepti Vepakomma, Nilesh Nagdeve
BACKGROUND: Laparoscopic exploration is currently considered the gold standard for managing nonpalpable intraabdominal testes. The problem of short vascular pedicle is addressed in Fowler-Stephen (FS) technique by the division of testicular vessels and in Shehata technique (ST) by traction on testicular vessels. There is a lack of the consensus among pediatric surgeons on the choice of one technique over other. This analysis compares the reported outcomes of staged laparoscopic orchidopexy by ST with the time tested FS technique in managing high intraabdominal undescended testis...
2024: Urology Annals
https://read.qxmd.com/read/38415236/the-saudi-urological-association-guidelines-on-urolithiasis
#16
JOURNAL ARTICLE
Wissam Kamal, Raed A Azhar, Saeed Bin Hamri, Abdulaziz H Alathal, Abdulaziz Alamri, Tarek Alzahrani, Hussain Abeery, Yasser A Noureldin, Mohammad Alomar, Abdulrahman Al Own, Mansour M Alnazari, Majid Alharthi, Mohannad A Awad, Abdulghafour Halawani, Hatem Hamed Althubiany, Abdulrahman Alruwaily, Phillipe Violette
AIMS: The Saudi Urolithiasis Guidelines are a set of recommendations for diagnosing, evaluating, and treating urolithiasis in the Saudi population. These guidelines are based on the latest evidence and expert consensus to improve patient outcomes and optimize care delivery. They cover the various aspects of urolithiasis, including risk factors, diagnosis, medical and surgical treatments, and prevention strategies. By following these guidelines, health-care professionals can improve care quality for individuals with urolithiasis in Saudi Arabia...
2024: Urology Annals
https://read.qxmd.com/read/38415235/using-machine-learning-models-to-predict-synchronous-genitourinary-cancers-among-gastrointestinal-stromal-tumor-patients
#17
JOURNAL ARTICLE
Mohammad Alghafees, Raouf M Seyam, Turki Al-Hussain, Tarek Mahmoud Amin, Waleed Altaweel, Belal Nedal Sabbah, Ahmad Nedal Sabbah, Razan Almesned, Laila Alessa
OBJECTIVES: Gastrointestinal stromal tumors (GISTs) can occur synchronously with other neoplasms, including the genitourinary (GU) system. Machine learning (ML) may be a valuable tool in predicting synchronous GU tumors in GIST patients, and thus improving prognosis. This study aims to evaluate the use of ML algorithms to predict synchronous GU tumors among GIST patients in a specialist research center in Saudi Arabia. MATERIALS AND METHODS: We analyzed data from all patients with histopathologically confirmed GIST at our facility from 2003 to 2020...
2024: Urology Annals
https://read.qxmd.com/read/38415234/grossing-to-reporting-of-wilms-tumor-with-emphasis-on-proper-sampling-in-treatment-naive-and-postchemotherapy-specimens-and-their-clinicopathological-correlation-with-outcome
#18
JOURNAL ARTICLE
Mohan Krishna Pasam, B Vishal Rao, Sai Kiran Chaganty, Rakesh Manilal Sharma, Veerendra Patil, Suseela Kodandapani, Sundaram Challa, Subramanyeshwar Rao Thammineedi
CONTEXT: Emphasis on grossing to reporting for the assessment of histopathological parameters predicting outcomes in Wilms tumor. AIMS: To analyze various clinicopathological parameters that effect outcomes in treatment naïve and post chemotherapy Wilms tumor specimens. SETTINGS AND DESIGN: This was a retrospective observational study. SUBJECTS AND METHODS: All patients diagnosed with Wilms tumor between 2012 and 2018 at our institute will be included with their clinical findings, laboratory reports, and radiological findings...
2024: Urology Annals
https://read.qxmd.com/read/38415233/hematuria-is-it-useful-in-predicting-renal-or-ureteral-stones-in-patient-presenting-to-emergency-department-with-flank-pain
#19
JOURNAL ARTICLE
Mansour Alnazari, Abdulaziz Bakhsh, Hatem Ahmed Shaqroon, Emad S Rajih, Nizar Abdulaziz Al-Nakshabandi, Danny M Rabah
OBJECTIVES: The objective of the study was to evaluate hematuria as a diagnostic test for renal and ureteral stones compared with a noncontrast-enhanced computed tomography (CT) scan (gold standard test) in emergency room patients with acute flank pain. PATIENTS AND METHODS: In total, 604 patients treated in our emergency department from 2006 to 2011, with a history of flank pain and suspected urolithiasis were included in a retrospective review. All patients were evaluated with a noncontrast-enhanced CT scan and urine analysis...
2024: Urology Annals
https://read.qxmd.com/read/38415232/prevalence-of-nocturnal-enuresis-among-children-of-aseer-region-in-saudi-arabia
#20
JOURNAL ARTICLE
Abdulaziz Alamri, Vinod Prem Singh, Mishari Hm Alshyarba, Alahmari Abdullah, Meshal Ogran, Abdullah Alsuayri, Amal Al-Amri, Tarique Hussain Ashraf, Fahad Alyami, Mohammed Sharaf Alshahrani
INTRODUCTION: Nocturnal enuresis (NE) in children is a very common problem managed in pediatric urology. In this study, we present the prevalence of NE in children in Aseer region in Saudi Arabia. METHODOLOGY: This study was conducted as a descriptive cross-sectional survey to estimate the prevalence of NE among 555 Saudi children aged 5-15 years in Aseer region in Saudi Arabia. Data collection was done through a questionnaire, which included questions on sociodemographic data, personal knowledge, enuresis-related characteristics, risk factors, and management modalities...
2024: Urology Annals
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