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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
Taha Numan Yikilmaz, Erdem Ozturk, Fatih Hizli, Nurullah Hamidi, Halil Basar
AIM: The complaints of lower urinary tract symptoms (LUTS) in cases with Prostate carcinoma (Pca) depend on coexisting benign prostate hyperplasia (BPH) or aging bladder. We aimed to investigate and compare the effect of goserelin acetate with leuprolide acetate on total prostate volume (TPV), post voiding residue (PVR), International Prostate Symptom Score (IPSS) and maximum flow rate (Qmax) reduction on cases of advanced Pca. METHODS: Patients with advanced Pca were treated with goserelin acetate (10...
October 21, 2018: Urology Journal
Nurullah Hamidi, Evren Suer, Mete Ozkidik, Mehmet Ilker Gokce, Erdem Ozturk, Cihat Ozcan, Kadir Turkolmez, Yasar Beduk, Sumer Baltaci
PURPOSE: To compare of changes in glomerular filtration rate (GFR) in patients who underwent radical cystectomy(RC) and multimodal treatment(MMT). MATERIALS AND METHODS: We identified 472 consecutive patients who underwent RC or treated with MMT for muscle invasive bladder cancer(MIBC) at our institution, between January 1995 and December 2010. After excluding the patients who died within 5 years or without 5 years of follow-up, 175 and 59 patients who were treated with RC and MMT, respectively were included to the study...
October 21, 2018: Urology Journal
Ayhan Verit, Ahmet Urkmez, Ozgur Haki Yuksel, Fatih Uruc
OBJECTIVES: This study aimed to document the surgical and oncologic results of nephron sparing of non-ischemic laparoscopic partial nephrectomy without the step of hilus controlling and even without dissecting to expose the main renal vascularity and directly focusing on mass removal. MATERIALS & METHODS: The records of the patients who underwent our modified laparoscopic partial nephrectomy technique were evaluated retrospectively. The patients' medical records, including tumor complexity calculated via R...
October 21, 2018: Urology Journal
David Alejandro Martin Way, Rocio Barrabino Martin, Ignacio Puche Sanz, Francisco Javier Vicente Prados, Jose Manuel Cozar Olmo
PURPOSE: To evaluate the efficacy of oral anticholinergics as a preventive strategy of storage symptoms and urinary incontinence associated with the early postoperative period after Greenlight laser photovaporization of the prostate (PVP). To analyze potential variables related to the onset of these symptoms. MATERIALS AND METHODS: Retrospective study of 105 patients who underwent PVP using a 180-W Greenlight laser (XPS). Patients were divided into two groups, depending on whether they were or weren´t prescribed anticholinergics when discharged (oral solifenacin 5 mg for 1 month after surgery)...
October 21, 2018: Urology Journal
Ekrem Islamoglu, Kaan Karamik, Cagatay Ozsoy, Husnu Tokgoz, Mutlu Ates, Murat Savas
PURPOSE: To assess the oncologic results of our robot-assisted laparoscopic prostatectomy (RALP) cases and investigate whether the learning curve (LC) affects the oncological outcomes.  Materials and Methods: Between March 2015 and September 2017, 111 patients underwent RALP by a single surgeon in our clinic. The learning curve was analyzed using the moving average method. We compared the rate of positive surgical margins(PSM) and oncological outcomes, operation times, hematocrit changes and duration of hospitalization among the patients during and after the LC...
October 21, 2018: Urology Journal
Mohammad Taheri, Rezvan Noroozi, Azadeh Rakhshan, Molud Ghanbari, Mir Davood Omrani, Soudeh Ghafouri-Fard
PURPOSE: To evaluate the role of Interleukin-6 (IL-6) single nucleotide polymorphisms in prostate cancer (PCa) and benign prostate hyperplasia (BPH)Material and Methods: We genotyped two IL-6 intronic variants (rs1800795 and rs2069845) in PCa cases, BPH cases and healthy men referred to Labbafinejad and Shohadaye Tajrish Medical Centers using tetra ARMS-PCR method. RESULTS: The study included 130 PCa cases, 200 BPH cases and 200 healthy men. The C allele of rs1800795 was associated with PCa risk in the assessed population (OR (95% CI) = 1...
October 21, 2018: Urology Journal
Behkam Rezaeimehr, Mona Modanloo, Mahdi Davoodi, Sayed Mohammad Sakhaei, Hossein Farsavian, Mehdi Younesi Rostami
To present a case of recurrent gross hematuria after transurethral resection of the prostate that was refractory to endoscopic and open hemostatic interventions at the bladder neck and prostatic fossa. After performing angiographic evaluation of the pelvic vessels and finding the Pseudoaneurysm, percutaneous embolization of arterial supply of the pseudoaneurysm wad done. The location and type of lesion were successfully determined by angiography and controlled by angio-embolization of the internal pudendal artery...
October 21, 2018: Urology Journal
Mohammad Hossein Izadpanahi, Rana Milasi
PURPOSE: Radical prostatectomy is one of the most common urological surgeries. Inguinal hernia is a well-known complication of radical prostatectomy. There are many controversies about selection of surgical techniques for repair of inguinal hernia. Traditionally laparoscopic approach contraindicated for patients with history of lower abdominal surgery, but recent studies showed that it could be safe and successful and even has some advantages over open repair. In this prospective study we evaluated outcomes of laparoscopic hernia repair in patients who previously underwent radical prostatectomy...
October 21, 2018: Urology Journal
Fatih Yanaral, Faruk Ozgor, Onur Kucuktopcu, Omer Sarilar, Ali Ayranci, Metin Savun, Bahar Yuksel, Murat Binbay
PURPOSE: To evaluate the efficacy and safety of flexible ureterorenoscopy (f-URS) and mini percutaneous nephrolithotomy (mini-perc) in the management of 10-30 millimeter multiple renal stones. MATERIALS AND METHODS: The charts of patients who underwent f-URS or mini-perc for multiple kidney stones between January 2011 and July 2015 were retrospectively analyzed. Patients with multiple 10-30-mm-sized renal stones were enrolled in the study. A total of 374 patients underwent mini-perc and 85 patients met the study inclusion criteria...
October 18, 2018: Urology Journal
Mojtaba Saffari, Seyyed Mohammad Hossein Ghaderian, Mir Davood Omrani, Mandana Afsharpad, Kimia Shankaie, Niusha Samadaian
PURPOSE: Prostate cancer is one of the most frequent incidences of cancer in men. Early detection is a very important step for selective and efficient therapy. The study of the functions and molecular mechanisms of miRNAs have increased our knowledge of the biological processes of cancer. There is a deregulation of several miRNAs that causes suppression of tumors or oncogenes in prostate cancer. Therefore, finding a novel miRNA that is involved in prostate cancer is urgently needed. This study aims to investigate the expression level of mir-let7b-3p and mir-548, which are involved in PTEN expression in tissue samples of prostate cancer patients versus benign prostate hyperplasia (BPH) and normal adjacent tissue...
October 8, 2018: Urology Journal
Kuan Chun Huang, Yung Chiong Chow, Marcelo Chen, Allen W Chiu
PURPOSE: We compared the efficacy and safety of a combined thulium laser incision and bipolar resection of prostate technique (web procedure) with traditional bipolar TURP. MATERIALS AND METHODS: We reviewed the medical records of 96 web procedure, 93 traditional bipolar TURP patients between 2013 and 2016. The web procedure consisted of thulium laser incision of the prostate at 3, 5, 7, 9 and 12 o'clock positions up to the resection plane and subsequent bipolar resection of the created prostate blocks...
October 8, 2018: Urology Journal
Uros Bele, Dejan Bratus
PURPOSE: To compare the efficacy of two bulking agents, Dextranomer-Hyaluronic Acid (DxHA) and Polyacrylate-Polyalcohol Copolymer (PPC) used for endoscopic treatment of vesicoureteral reflux (VUR). MATERIALS AND METHODS: We endoscopically treated 125 patients (89 girls and 36 boys) diagnosed with VUR grades I-V, comprising a total of 174 refluxing ureters (RUs). Patients were categorized into two groups, 99 (56,9%) RUs were treated with DxHA (Group 1) and 75 (43,1%) RUs with PPC (Group 2)...
October 8, 2018: Urology Journal
Chang Hee Kim, Dong Seong Shin, Tae Beom Kim, Han Jung
PURPOSE: To determine the efficacy of early extracorporeal shockwave lithotripsy (e-ESWL) in colic patients with ureteral stones and the patient criteria for the most effective e-ESWL. MATERIALS AND METHODS: For 335 patients who were received ESWL due to ureteral stone, were divide in two groups: e-ESWL and d-ESWL by the critical cut-off point. we performed the sensitivity and specificity cut-off analyses to identified the critical cut off point. To assess the difference in the factors affecting ESWL success, univariate and multivariate logistic analyses were implemented with using variables: ESWL success; age; gender; BMI; comorbidity; serum creatinine; stone size; stone location; stone laterality; Hounsfield unit (HU); presence of hydronephrosis; and presence of tissue rim...
October 8, 2018: Urology Journal
Jalil Hosseini, Babak Kazemzadeh Azad, Fereshteh Aliakbari, Ali Tayyebi Azar, Mohammad Ali Hosseini
Congenital stricture, specifically with manifestation in adulthood is extremely a rare cause of urethral stricture and is not associated with the known etiologies. It was first described by Cobb et al, and to our knowledge only 5 families were reported in English literatures to have familial urethral stricture.We report two families with urethral stricture including five male patients referred to our tertiary reconstructive urology department during 1994 to 2017. The age and severity of symptoms at presentation are variable; as are the surgical intervention required...
October 8, 2018: Urology Journal
Barbaros Baseskioglu
PURPOSE:  To evaluate the risk factors for urinary tract infection (UTI) after retrograde intrarenal surgery (RIRS). MATERIALS AND METHODS:  A retrospective evaluation of the records of patients who underwent RIRS from January 2013 to September 2016 was performed. All interventions were done by same surgeon and same technique. Pre and postoperative risk factors were noted in IBM SPSS statistics (21.0) data recording system; to determine the risk factors, chi-square tests, binary (multiple) logistic regression analysis were performed, odds ratio and 95% confidence interval were calculated...
October 8, 2018: Urology Journal
Eyyup Sabri Pelit, Halil Ciftci, Bulent Kati, Ismail Yagmur, Eser Ordek, Erkan Arslan, Ercan Yeni
PURPOSE: The study objective was to evaluate the safety and efficacy of mini-laparoscopic pyeloplasty (mLP) in an adult population and to demonstrate the functional and cosmetic results. METHODS: Data for 29 patients (19 men and 10 women) undergoing mLP for ureteropelvic junction obstruction (UPJO) from May 2014 to December 2016 in Turkey were collected in this prospective study. Inclusion criteria were age ? 18 years, body mass index (BMI) ? 30 kg/m2 and primary UPJO, and no previous surgery on the affected kidney or previous abdominal surgery...
September 22, 2018: Urology Journal
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