Can percutaneous nephrolithotomy be performed as an outpatient procedure?
Conclusion PCNL can be safely performed with excellent outcomes as an outpatient procedure. Outpatient PCNL offers several advantages including a more rapid patient convalescence, reduced healthcare expenditure, decreased postoperative nosocomial infections with no additional morbidity for the patient, and with no compromising of the stone-free rate. (Source: Arab Journal of Urology)
Source: Arab Journal of Urology - January 20, 2017 Category: Urology & Nephrology Source Type: research
How practical is the application of percutaneous nephrolithotomy scoring systems? Prospective study comparing Guy ’s Stone Score, S.T.O.N.E. score and the Clinical Research Office of the Endourological Society (CROES) nomogram
Conclusions All scoring systems equally predicted SFR and had a weak correlation with Clavien–Dindo complications. Standardisation is needed for the variables in which they have been found deficient. (Source: Arab Journal of Urology)
Source: Arab Journal of Urology - January 12, 2017 Category: Urology & Nephrology Source Type: research
Laparoscopic re-implantation of refluxing ureter in children: A feasibility study
Conclusions The laparoscopic extravesical transperitoneal approach for ureteric re-implantation, following the Lich–Gregoir technique, is feasible and very effective in the management of VUR. Prospective randomised studies are eagerly awaited to define the benefits of this technique to patients, as well as to determine the cost-effectiveness of this approach. (Source: Arab Journal of Urology)
Source: Arab Journal of Urology - January 9, 2017 Category: Urology & Nephrology Source Type: research
Percutaneous nephrolithotomy; alarming variables for postoperative bleeding
Conclusion According to our present results stone complexity (GSS grade 3 and 4), history of ipsilateral renal stone surgery, and occurrence of intraoperative pelvicalyceal perforation are alarming variables for post-PCNL bleeding. (Source: Arab Journal of Urology)
Source: Arab Journal of Urology - January 9, 2017 Category: Urology & Nephrology Source Type: research
Extending indications of micropercutaneous nephrolithotomy: It is not just about cracking stones
Conclusion MicroPerc™, besides its usual use for minimally invasive percutaneous nephrolithotomy, can also be feasibly used for ureteric, bladder and urethral stones, and for treating non-calculus diseases such as PUVs and VUR. True to its name, it may be an ‘All-Seeing Needle’ in reality with much more to offer and harvest from. (Source: Arab Journal of Urology)
Source: Arab Journal of Urology - January 7, 2017 Category: Urology & Nephrology Source Type: research
Sildenafil citrate in combination with tamsulosin versus tamsulosin monotherapy for management of male lower urinary tract symptoms due to benign prostatic hyperplasia: A randomised, double-blind, placebo-controlled trial
Conclusion Sildenafil citrate combined with tamsulosin improved LUTS, erectile function, and patient QoL more than tamsulosin monotherapy with the merit of a comparable safety profile in patients with LUTS/BPH. (Source: Arab Journal of Urology)
Source: Arab Journal of Urology - December 29, 2016 Category: Urology & Nephrology Source Type: research
Immediate versus delayed shockwave lithotripsy for inaccessible stones after uncomplicated percutaneous nephrolithotomy
Conclusions Immediate SWL after PCNL is as effective and safe as delayed SWL with a lesser hospital stay and duration of ureteric stenting. (Source: Arab Journal of Urology)
Source: Arab Journal of Urology - December 28, 2016 Category: Urology & Nephrology Source Type: research
Tubeless mini-percutaneous nephrolithotomy versus retrograde intrarenal surgery for lower calyceal stones of ⩽2cm: A prospective randomised controlled study
Conclusion For treating lower calyceal stones of ⩽2cm mini-PCNL and RIRS are comparable. Mini-PCNL had a better SFR than RIRS but the hospital stay was longer and there were more intraoperative complications, whilst, RIRS had a significantly longer operating time compared with mini-PCNL and a higher incidence of postoperative fever, and a lower SFR. (Source: Arab Journal of Urology)
Source: Arab Journal of Urology - November 29, 2016 Category: Urology & Nephrology Source Type: research
The value of extended good quality transurethral resection of bladder tumour in the treatment of the newly diagnosed bladder cancer
Conclusion Re-staging TURBT could be safely omitted for select groups of patients. An experienced surgeon and teamwork, together with an extended TURBT can accurately achieve complete tumour resection, with accurate tumour staging, on initial resection. (Source: Arab Journal of Urology)
Source: Arab Journal of Urology - November 26, 2016 Category: Urology & Nephrology Source Type: research
A prospective randomised controlled study comparing bipolar plasma vaporisation of the prostate to monopolar transurethral resection of the prostate
Conclusion B-TUPV seems to be safer than M-TURP; however, the lack of a tissue specimen and the relatively high retreatment rate are major disadvantages of the B-TUVP technique. Moreover, M-TURP appears to be more effective than B-TUPV and its safety can be improved by careful case selection and adequate haemostasis. (Source: Arab Journal of Urology)
Source: Arab Journal of Urology - November 2, 2016 Category: Urology & Nephrology Source Type: research
Percutaneous nephrolithotomy in complete supine flank-free position in comparison to prone position: A single-centre experience
Conclusion Supine PCNL is a feasible procedure with similar outcomes in terms of stone-free rate as well as postoperative complications, to the standard prone PCNL. It reduces unnecessary delay that occurs during change of position resulting in significant shortening of the total operation time and surgeons can perform supine PCNL whilst sitting. (Source: Arab Journal of Urology)
Source: Arab Journal of Urology - November 1, 2016 Category: Urology & Nephrology Source Type: research
The world ’s contribution to the field of urology in 2015: A bibliometric study
Conclusion North America had the highest contribution to the field of urology in 2015. A significant correlation exists between the origin of the published article and the publishing journal’s region. (Source: Arab Journal of Urology)
Source: Arab Journal of Urology - October 28, 2016 Category: Urology & Nephrology Source Type: research
Adrenal masses: A urological perspective
Publication date: Available online 26 October 2016 Source:Arab Journal of Urology Author(s): Amr F. Fergany Adrenal masses have become increasingly common due to widespread use of sectional imaging. Urologists are commonly faced with management decisions in patients with adrenal masses. Systemic review of available literature related to surgical adrenal disease was performed to summarise the most pertinent information related to adrenal masses, diagnostic evaluation and surgical treatment. Detailed hormonal evaluation of adrenal disease was not included, being part of endocrinological rather than urological practice. Ad...
Source: Arab Journal of Urology - October 28, 2016 Category: Urology & Nephrology Source Type: research
Are magnetic resonance imaging undetectable prostate tumours clinically significant? Results of histopathological analyses
Conclusions Prostate tumours below the detection threshold for MRI (5mm) most probably represent clinically insignificant tumours, which alone would not necessitate leaving AS in favour of more aggressive therapy. These findings point to a possible role of MRI in modern AS protocols. (Source: Arab Journal of Urology)
Source: Arab Journal of Urology - October 28, 2016 Category: Urology & Nephrology Source Type: research
Grafted tubularised incised-plate urethroplasty: An objective assessment of outcome with lessons learnt from surgical experience with 263 cases
Conclusion The G-TIP repair is a straightforward and feasible technique facilitating reconstruction of an apical NM, with an optimum outcome based on HOSE scoring. However, multicentre data are needed for undertaking comparative analysis and to assess the universal applicability of this technique in primary hypospadias. (Source: Arab Journal of Urology)
Source: Arab Journal of Urology - October 28, 2016 Category: Urology & Nephrology Source Type: research
