Cystoscopy and intravesical bacille Calmette –Guérin therapy in antibiotic-naïve patients with bladder cancer with asymptomatic bacteriuria: An update
Publication date: June 2016 Source:Arab Journal of Urology, Volume 14, Issue 2 Author(s): Harry W. Herr Urologists often insist on sterile urine before invasive outpatient urological procedures, and urine culture and antibiotics are usually given before cystoscopy or instillation of bacille Calmette–Guérin (BCG) therapy, especially in patients who have positive urine cultures. Our experience suggests that cystoscopy and induction BCG therapy can be performed safely, even in patients with asymptomatic bacteriuria, without pretreatment or prophylactic antibiotics. The rate of subsequent febrile urinary tract infecti...
Source: Arab Journal of Urology - July 20, 2016 Category: Urology & Nephrology Source Type: research
Oligometastatic prostate cancer: Metastases-directed therapy?
Publication date: Available online 20 July 2016 Source:Arab Journal of Urology Author(s): Hein Van Poppel, Gert De Meerleer, Steven Joniau Since the introduction of anatomical and functional imaging with multiparametric magnetic resonance imaging and choline or prostate-specific membrane antigen positron emission tomography–computed tomography, we are able to diagnose a previously unknown disease, the oligometastatic prostate cancer after local therapy. Reports on surgical and radiation treatment for low-volume metastatic recurrence have shown promising results, with definitive cure in few but a relevant delay ...
Source: Arab Journal of Urology - July 20, 2016 Category: Urology & Nephrology Source Type: research
Fosfomycin antimicrobial prophylaxis for transrectal ultrasound-guided biopsy of the prostate: A prospective randomised study
Conclusions Single-dose fosfomycin before TRUSBx significantly reduces infectious complications when compared with standard therapy. Fosfomycin is an effective agent for antimicrobial prophylaxis in patients undergoing TRUSBx, particularly in populations where FQ resistance is common. (Source: Arab Journal of Urology)
Source: Arab Journal of Urology - July 12, 2016 Category: Urology & Nephrology Source Type: research
Holmium laser cystolithotripsy under local anaesthesia: Our experience
Conclusions Transurethral HLC using a flexible cystoscope under local anaesthesia is a safe and effective technique for the treatment of bladder calculi and can be used as an alternative treatment option. (Source: Arab Journal of Urology)
Source: Arab Journal of Urology - July 12, 2016 Category: Urology & Nephrology Source Type: research
Antibiotic prophylaxis and its appropriate timing for urological surgical procedures in patients with asymptomatic bacteriuria: A systematic review
Conclusions With the available evidence, antibiotic therapy should be considered only for procedures in which studies have shown a clinical benefit in the prevention of infection. It is important to establish the duration and type of treatment for antimicrobial therapy for surgical prophylaxis in patients with AB who are going to receive urological invasive procedures. (Source: Arab Journal of Urology)
Source: Arab Journal of Urology - June 9, 2016 Category: Urology & Nephrology Source Type: research
Implications of different nephrolithometry scoring systems on clinical practice of endourologists: An international web-based survey
Conclusion There is a lack of compliance and acceptance of different NLSS in clinical practice among endourologists. Inconsistency and inaccuracy in predicting SFS after PCNL limits their incorporation into clinical practice. However, the results of this study might not be generalisable due to the selection bias resulting from the geographical distribution of the respondents and the heterogeneity in surgical expertise. Therefore, randomised prospective direct comparisons and validation of these systems are recommended. (Source: Arab Journal of Urology)
Source: Arab Journal of Urology - June 9, 2016 Category: Urology & Nephrology Source Type: research
Safety and efficacy of cystoscopically guided percutaneous suprapubic cystolitholapaxy without fluoroscopic guidance
Conclusion PCCL under cystoscopic control and without fluoroscopy seems to be an effective and safe technique to remove large or multiple bladder calculi. It represents an alternative treatment option, especially in situations where fluoroscopy is not available, and radiation hazards can be avoided. (Source: Arab Journal of Urology)
Source: Arab Journal of Urology - June 6, 2016 Category: Urology & Nephrology Source Type: research
Feasibility and safety of laparoscopic adrenalectomy for large tumours
Conclusion Laparoscopic adrenalectomy for large tumours needs more time but appears to be safe and feasible when performed by experienced surgeons. (Source: Arab Journal of Urology)
Source: Arab Journal of Urology - May 29, 2016 Category: Urology & Nephrology Source Type: research
Internal versus external ureteric stents for uretero-ileal anastomosis after laparoscopic radical cystectomy with orthotopic neobladder: A prospective comparative study
Conclusion JJ stents could be used as an effective alternative to external ureteric stents to support the uretero-ileal anastomosis. JJ stenting is associated with a shorter hospital stay and similar complication rates compared with external stenting in patients undergoing LRC with ON. (Source: Arab Journal of Urology)
Source: Arab Journal of Urology - May 29, 2016 Category: Urology & Nephrology Source Type: research
Fluoroscopy free flexible ureteroscopy with holmium: Yttrium-aluminium-garnet laser lithotripsy for removal of renal calculi
Conclusion Access sheath insertion without fluoroscopic guidance is feasible. This technique reduces radiation exposure in patients requiring flexible ureteroscopy. (Source: Arab Journal of Urology)
Source: Arab Journal of Urology - May 29, 2016 Category: Urology & Nephrology Source Type: research
The embedded nipple: An optimal technique for re-implantation of primary obstructed megaureter in children
Conclusion The embedded-nipple technique for re-implantation of POM guarantees successful results and permits easy subsequent ureteroscopic access when needed. (Source: Arab Journal of Urology)
Source: Arab Journal of Urology - May 19, 2016 Category: Urology & Nephrology Source Type: research
Innovative trends and perspectives for erectile dysfunction treatment: A systematic review
Conclusions The current treatment of ED is still far from ideal. We expect to see new drugs and technologies that may revolutionise ED treatment, especially in complex cases. (Source: Arab Journal of Urology)
Source: Arab Journal of Urology - May 17, 2016 Category: Urology & Nephrology Source Type: research
Tubularised incised-plate versus tubularisation of an intact and laterally augmented plate for hypospadias repair: A prospective randomised study
Conclusion The outcome of tubularised intact and laterally augmented plate is better than classical TIP urethroplasty of hypospadias. Further trials are mandatory to extend the indications of the technique. (Source: Arab Journal of Urology)
Source: Arab Journal of Urology - May 7, 2016 Category: Urology & Nephrology Source Type: research
Phosphodiesterase type 5 inhibitors: Irrational use in Saudi Arabia
Conclusion PDE5i use appears to be frequent in Saudi Arabia. Most of the users had knowledge about PDE5i and claimed to get benefits from it, even if used as a recreational drug. (Source: Arab Journal of Urology)
Source: Arab Journal of Urology - May 5, 2016 Category: Urology & Nephrology Source Type: research
Single versus multiple instillation of povidone iodine and urographin in the treatment of chyluria: A prospective randomised study
Conclusion There was no significant difference between a single instillation of a combination of PI 0.2% and urographin 76% as a sclerosing agent in the treatment of chyluria and multiple instillations. However, the single instillation protocol is more cost effective with a shorter hospital stay. (Source: Arab Journal of Urology)
Source: Arab Journal of Urology - April 26, 2016 Category: Urology & Nephrology Source Type: research
