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Urology Annals

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https://www.readbyqxmd.com/read/29719342/organ-preservation-in-leiomyosarcoma-bladder-case-report-and-review-of-literature
#1
Arun Ramdas Menon, Rajeev Thekke Puthalath, Nivedita Suresh, Suraj Hegde
Leiomyosarcomas (LMSs) account for <0.1% of all bladder malignancies. Due to the infrequent occurrence of these tumors, established guidelines for management are lacking. Conventionally, radical extirpative surgery has been advocated. We present our experience with organ preservation in a young male presenting with LMS bladder. A brief review of literature supporting organ preservation in selected cases has also been presented.
April 2018: Urology Annals
https://www.readbyqxmd.com/read/29719341/renal-cell-carcinoma-in-renal-allograft-case-series-and-review-of-literature
#2
Gaurav Vasisth, Anil Kapoor, Kevin Piercey, Shahid Lambe
Renal cell carcinoma (RCC) in transplanted kidneys has been reported sporadically with incidence of about 0.5%. There are currently no standard guidelines on the management of allograft RCC in renal transplant recipients. Our objective was to study effectiveness of nephron-sparing surgery (NSS) for allograft RCC. We performed a retrospective analysis of patients with RCC in renal allografts managed with NSS in our institution from January 2000 to December 2015. Patient demographics, interval between transplant and RCC diagnosis, operative parameters, perioperative complications, final pathology, and renal function were evaluated...
April 2018: Urology Annals
https://www.readbyqxmd.com/read/29719340/embolization-with-onyx-%C3%A2-of-an-arterial-pseudoaneurysm-with-an-arteriovenous-fistula-complicating-a-percutaneous-nephrolithotomy-a-case-report-and-review-of-literature
#3
Ana Isabel Simões Ferreira, Filipe Veloso Gomes, Tiago Bilhim, Élia Coimbra
Percutaneous nephrolithotomy (PCNL) has proven very effective in the management of renal stones. However, complications are not so rare, and bleeding is one of the most worrisome; it has a reported incidence of 1%-3% and may happen during track dilatation. In addition, arterial pseudoaneurysms and/or arteriovenous fistulas (AVF) may occur. We report the case of a patient with an intrarenal pseudoaneurysm associated with an AVF, after PCNL. Superselective endovascular embolization with Onyx® was successfully performed, achieving exclusion of the pseudoaneurysm and AVF with preservation of the remaining vascularization of the kidney...
April 2018: Urology Annals
https://www.readbyqxmd.com/read/29719339/a-case-of-penile-strangulation-after-placement-of-metallic-rings
#4
Iraklis C Mitsogiannis, Nikolaos Kostakopoulos, Lazaros Lazarou, Evangelos Karagiotis
Penile strangulation following placement of metallic rings is a rare clinical entity that needs urgent attention to avoid potentially severe clinical consequences. Careful handling and occasionally a multidisciplinary approach are the keys to a successful outcome.
April 2018: Urology Annals
https://www.readbyqxmd.com/read/29719338/urachal-cyst-with-xanthogranulomatous-cystitis-a-rare-case-report
#5
Aakash Singh, H L Kishan Prasad, K Jayaprakash Shetty, Nigi Ross Philip, Ruhi Salma, Anitha Chakravarthy
An urachal cyst is a sinus remaining from the allantois during embryogenesis which is rarely manifested in adults. The urachus is an embryologic remnant which degenerates after the birth. Defective obliteration of the urachus leads to urachal abnormalities. Urachal cyst is a rare pathology in adult women, and this pathology should be considered in the differential diagnosis of acute abdomen. Xanthogranulomatous cystitis (XC) is a benign disease of unknown etiology. The clinical manifestations of these are nonspecific such as lower abdominal pain, umbilical discharge with occasional hematuria...
April 2018: Urology Annals
https://www.readbyqxmd.com/read/29719337/the-impact-of-stone-composition-on-renal-function
#6
Anmar Nassir, Hesham Saada, Taghreed Alnajjar, Jomanah Nasser, Waed Jameel, Soha Elmorsy, Hattan Badr
Background: Nephrolithiasis is a common condition that has various classifications according to stone composition. Stone formation can affect renal function; it can be a strong risk factor for chronic kidney disease (CKD). The main objective of this study is to explore the association between creatinine clearance and different stone compositions. Methods: This is a retrospective cohort study conducted in a tertiary center in Jeddah, Saudi Arabia, between 2005 and 2014...
April 2018: Urology Annals
https://www.readbyqxmd.com/read/29719336/study-of-proliferating-cell-nuclear-antigen-expression-and-angiogenesis-in-urothelial-neoplasms-correlation-with-tumor-grade-and-stage
#7
Poojan Agarwal, Achin Kumar Sen, Minakshi Bhardwaj, Veronique Dinand, Arvind Ahuja, Rajeev Sood
Background: Urinary bladder carcinoma ranks ninth in worldwide cancer incidence. About 74,000 new cases were diagnosed in 2015 alone and 16,000 persons died of the disease. Since histopathology is considered gold standard for diagnosis, it is prudent to look for potential tumor proliferation and predictive markers in such a prevalent malignancy so as to alert surgical and medical oncologists for timely intervention and provide better patient-tailored therapy. Aims: This study is to analyze the role of potential biomarkers-proliferating cell nuclear antigen (PCNA) and angiogenesis using CD31 in urothelial neoplasms in relation to tumor grade and stage...
April 2018: Urology Annals
https://www.readbyqxmd.com/read/29719335/incidence-of-metastasis-and-prostate-specific-antigen-levels-at-diagnosis-in-gleason-3-4-versus-4-3-prostate-cancer
#8
Mohamed H Kamel, Mahmoud I Khalil, Wilson M Alobuia, Joseph Su, Rodney Davis
Aims: The aim is to assess for a difference in the incidence of metastasis (IM) and prostate-specific antigen (PSA) levels at diagnosis in patients with Gleason score (GS) 3+4 versus 4+3 prostate cancer using a large veterans affairs database. Subjects and Methods: A retrospective review of 1402 medical records from 5 VA hospitals was conducted. The study period was from 2009 to 2014. Primary endpoints were IM and PSA levels at diagnosis. A secondary endpoint was overall survival...
April 2018: Urology Annals
https://www.readbyqxmd.com/read/29719334/knowledge-and-attitude-about-sexually-transmitted-diseases-among-youth-in-saudi-arabia
#9
Hossam S El-Tholoth, Fahad D Alqahtani, Abdullah A Aljabri, Khalid H Alfaryan, Fares Alharbi, Albaraa A Alhowaimil, Ali Alkharji, Abdulrahman Alrwaily, Ali Obied, Tala Al-Afraa
Background: Sexually transmitted diseases (STDs) are one of the most serious diseases in the world. Our aim was to explore the knowledge and attitude about STDs among the youth. Patients and Methods: This cross-sectional survey was conducted from August 1 to August 13, 2016. Male and female youth between 18 and 25 years were invited to participate in the survey using social media open to all Internet users consisting of questions and statements about STDs, and then the data were analyzed...
April 2018: Urology Annals
https://www.readbyqxmd.com/read/29719333/can-preoperative-clinicoradiological-parameters-predict-the-difficulty-during-laparoscopic-retroperitoneal-simple-nephrectomy-a-prospective-study
#10
Sumit Gahlawat, Rajeev Sood, Umesh Sharma, Nikhil Khattar, Arif Akhtar, Praveen Kumar Pandey, Akhila Prasad, Swati Jain
Introduction: Urologists tend to prefer retroperitoneal approach for open nephrectomy and transperitoneal route for laparoscopic nephrectomy. Urologists consider retroperitoneal laparoscopic approach difficult to learn and perform. There is a need to objectively define predictors of difficulty during laparoscopic retroperitoneal simple nephrectomy (LRSN) for the proper preoperative selection. To the best of our knowledge, this is the first study to prospectively assess the factors associated with difficulty during LRSN...
April 2018: Urology Annals
https://www.readbyqxmd.com/read/29719332/long-term-outcomes-of-sigmoid-vaginoplasty-in-patients-with-disorder-of-sexual-development-our-experience
#11
Ved Bhaskar, Rahul J Sinha, Seema Mehrotra, C N Mehrotra, Vishwajeet Singh
Introduction: To report our experience with sigmoid vaginoplasty in patients with different forms of disorder of sexual development and their long-term follow-up. Materials and Methods: This is a retrospective study of patients who underwent sigmoid vaginoplasty between July 2004 and June 2015 at our center. Follow-up included a physical examination to assess vaginal length and width, cosmetic appearance of the neovagina, and occurrence of any complications. Results: The current study included eight patients with mean age 19...
April 2018: Urology Annals
https://www.readbyqxmd.com/read/29719331/clinical-radiological-cytological-and-microbiological-assessment-of-painful-extratesticular-lesions
#12
Vivek Agrawal, Ashesh Kumar Jha, Devender Dahiya
Introduction: Most of the painful extratesticular scrotal lesions are erroneously diagnosed and treated in our clinical practice. Therefore, this study was undertaken to analyze the usefulness of a combination of clinical, radiological, cytological, and microbiological assessment in establishing the accurate diagnosis of this lesion. Aim: To study the Clinical, Radiological, Cytological and Microbiological assessment of painful extra-testicular lesions and their correlation with each other in establishing the accurate diagnosis of these lesions...
April 2018: Urology Annals
https://www.readbyqxmd.com/read/29719330/outcome-of-anastomotic-posterior-urethroplasty-with-various-ancillary-maneuvers-for-post-traumatic-urethral-injury-does-prior-urethral-manipulation-affect-the-outcome-of-urethroplasty
#13
Shahbaz Mehmood, Omer Abdulaziz Alsulaiman, Waleed Mohammad Al Taweel
Purpose: We present our success rate and complications of delayed anastomotic urethroplasty (DAU) in patients with post-traumatic posterior urethral injury. Materials and Methods: This was a retrospective study of patients aged ≥17 years that underwent DAU for post-traumatic posterior urethral injury during 2010-2014. Stricture length was measured by ascending and descending urethrogram. Success of procedure was considered when the patient was free of stricture-ralated obstruction and needed no further intervention...
April 2018: Urology Annals
https://www.readbyqxmd.com/read/29719329/primary-urethral-carcinoma-a-surveillance-epidemiology-and-end-results-data-analysis-identifying-predictors-of-cancer-specific-survival
#14
Ilija Aleksic, Soroush Rais-Bahrami, Michael Daugherty, Piyush K Agarwal, Srinivas Vourganti, Gennady Bratslavsky
Objectives: Primary urethral carcinoma (PUC) is rare, accounting for <1% of genitourinary malignancies. Current knowledge regarding is founded upon tertiary care centers reporting their experiences. We aim to identify factors predictive of outcomes using a nationwide registry database. Materials and Methods: The Surveillance, Epidemiology, and End Results-18 registries database was queried for cases of PUC ranging between 2004 and 2010. To identify PUC cases, ICD-O site code C68...
April 2018: Urology Annals
https://www.readbyqxmd.com/read/29719328/miniaturized-percutaneous-nephrolithotomy-versus-retrograde-intrarenal-surgery-in-the-treatment-of-renal-stones-with-a-diameter-15-mm-a-3-year-open-label-prospective-study
#15
Sunil Mhaske, Mehul Singh, Abhirudra Mulay, Sharadkumar Kankalia, Vikram Satav, Vilas Sabale
Aim: The aim of this study is to compare the outcomes of miniaturized percutaneous nephrolithotomy (mini-perc) and retrograde intrarenal surgery (RIRS) in management of renal stones with a diameter <15 mm. Materials and Methods: This was an open-label prospective study that included a total of 80 cases underwent mini-perc ( n = 40) and RIRS ( n = 40) between July 2014 and August 2017. The primary outcome objective was stone-free rate, retreatment rate, complications, hospital stay, operative time, and reduction in hemoglobin level...
April 2018: Urology Annals
https://www.readbyqxmd.com/read/29719327/role-of-clinical-and-radiological-parameters-in-predicting-the-outcome-of-shockwave-lithotripsy-for-ureteric-stones
#16
Hemant Goel, Sumit Gahlawat, Malay Kumar Bera, Dilip Kumar Pal, Onam Aggarwal
Introduction: Shockwave-lithotripsy (SWL) provides a noninvasive and effective option for the management of ureteric calculi. Several factors may affect the success of SWL. Identification of these predictive factors will both increase the efficacy and decrease the cost. This study was designed to identify factors affecting the outcome of SWL for ureteral stones. Materials and Methods: This study was conducted from March 2012 to November 2014 in patients with solitary ureteric calculi who were managed with SWL...
April 2018: Urology Annals
https://www.readbyqxmd.com/read/29719326/prospective-study-to-evaluate-the-clinical-outcome-of-intralesional-interferon-%C3%AE-2b-in-the-management-of-peyronie-s-disease
#17
Ashok Kumar Sokhal, Nilesh Kumar Jain, Ankur Jhanwar, Kawaljit Singh, Durgesh Kumar Saini
Context: Interferon (IFN)-α2b in Peyronie's disease (PD). Aims: This study aims to evaluate clinical efficacy of the IFN-α2b in both subjective and objective manner for the treatment of PD and compared with previously used intralesional verapamil in terms of cost-benefit analysis. Settings and Design: Prospective study. Materials and Methods: A prospective study conducted from January 2013 to July 2016 in the Department of Urology, Government Medical College, Kota, Rajasthan, India...
April 2018: Urology Annals
https://www.readbyqxmd.com/read/29719325/incremental-value-of-68-gallium-prostate-specific-membrane-antigen-positron-emission-tomography-computed-tomography-in-patients-with-abnormal-prostate-specific-antigen-and-benign-transrectal-ultrasound-biopsy
#18
Manoj Gupta, Partha Sarathi Choudhury, Sudhir Rawal, Gurudutt Gupta
Introduction: Bladder outlet obstruction due to prostate enlargement is a common health problem in male and frequently investigated with prostate-specific antigen (PSA) and transrectal ultrasound (TRUS). TRUS-guided biopsy is critical to differentiate benign prostatic hyperplasia (BPH) or prostate cancer (PCa) even though it has been associated with false negative with reported 3%-16% incidence of PCa in BPH specimens. Prostate-specific membrane antigen positron emission tomography/computed tomography (PSMA PET/CT), a targeted molecular imaging for PCa, has showed promising results in recurrence and staging...
April 2018: Urology Annals
https://www.readbyqxmd.com/read/29719324/increased-burden-on-metropolitan-urological-services-the-era-of-the-australian-national-emergency-access-targets-neat-or-the-4-h-target
#19
Marlon L Perera, Neiraja Gnaneswaran, Matthew J Roberts, Nathan Lawrentschuk, Peter Ritchie, Steven T F Chan
Background: The National Emergency Access Targets (NEAT) was introduced in Australia in 2011 and guides the clearance of presentations within 4-h of initial presentation from the Emergency Department (ED). We aim to assess the impact of the introduction of NEAT on acute urological services at a large metropolitan center. Methods: A retrospective cohort study was performed and data were collected from electronic patient management systems. The control group was represented by ED presentations between June and September 2011, 1 year prior to the introduction of NEAT...
April 2018: Urology Annals
https://www.readbyqxmd.com/read/29719323/saudi-oncology-society-and-saudi-urology-association-combined-clinical-management-guidelines-for-prostate-cancer-2017
#20
REVIEW
Ali Aljubran, Ashraf Abusamra, Sultan Alkhateeb, Mohammed Alotaibi, Danny Rabah, Shouki Bazarbashi, Hussain Alkushi, Mubarak Al-Mansour, Hulayel Alharbi, Amin Eltijani, Abdullah Alghamdi, Abdullah Alsharm, Imran Ahmad, Esam Murshid
This is an update to the previously published Saudi guidelines for the evaluation and medical and surgical management of patients diagnosed with prostate cancer. Prostate cancer is categorized according to the stage of the disease using the tumor node metastasis staging system 7th edition. The guidelines are presented with supporting evidence levels based on a comprehensive literature review, several internationally recognized guidelines, and the collective expertise of the guidelines committee members (authors) who were selected by the Saudi Oncology Society and Saudi Urological Association...
April 2018: Urology Annals
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