Comparison of Safety, Efficacy and Cost Effectiveness of Photoselective Vaporization with Bipolar Vaporization of Prostate in Benign Prostatic Hyperplasia
Objectives:To compare bipolar vaporization of prostate (BPVP) with photoselective vaporization (PVP) of prostate in the surgical management of benign prostatic hyperplasia in terms of safety, efficacy and cost effectiveness.Methods:Data was analyzed retrospectively for patients who underwent either PVP or BPVP between August 2012 to July 2014 for prostate size ≤ 80 ml. Preoperative and postoperative period values along with details like operative time, blood loss, hospitalization days, catheter removal time, blood transfusion and etc., were noted down. International prostatic symptom score, quality of life scores, post v...
Source: Current Urology - February 15, 2018 Category: Urology & Nephrology Source Type: research
Rare Metastatic Testicular Cancer in a Veteran
We present the first reported case of en-dometrioid variant YST with mature teratoma in the retro-peritoneal specimen.Curr Urol 2017;11:110-112 (Source: Current Urology)
Source: Current Urology - February 15, 2018 Category: Urology & Nephrology Source Type: research
Pilot Study to Determine Optimal Stent Duration Following Ureteroscopy: Three versus Seven days
Conclusion:One third of patients with a post-operative ureteral stent will seek medical care in the 30 days following ureteroscopy. Leaving a stent for 3 versus 7 days may lead to worse outcomes with regard to post-operative events and fank pain.Curr Urol 2017;11:97-102 (Source: Current Urology)
Source: Current Urology - February 15, 2018 Category: Urology & Nephrology Source Type: research
The Effect of Human Chorionic Gonadotropin Therapy on Semen Parameters and Pregnancy Rate after Varicocelectomy
Conclusion:Administration of hCG in this group of infertile patients might be helpful in order to enhance pregnancy rate. However some more conclusive studies are needed to be able to recommend such therapy for infertile men due to varicocele.Curr Urol 2017;11:92-96 (Source: Current Urology)
Source: Current Urology - February 15, 2018 Category: Urology & Nephrology Source Type: research
Associations of Transitional Zone Volume with Intraprostatic Chronic Inflammation and Prostate Cancer Risk in Patients Undergoing a First Random Biopsy Set
Objectives:To investigate associations of the transitional zone volume (TZV) with intraprostatic chronic inflammatory infiltrate (CII) and prostate cancer (PCa) risk in patients undergoing a first random biopsy set.Materials and Methods:The study included a homogenous population of 596 patients. The volume of the prostate and TZV were separately measured. Independent associations were investigated by multivariate logistic regression analysis.Results:The median TZV was 18 ml, CII was detected in 157 cases (26.3%), and PCa was present in 292 patients (49%). TZV was the only independent clinical factor associated with CII ris...
Source: Current Urology - February 15, 2018 Category: Urology & Nephrology Source Type: research
Using the Modified Clavien Grading System to Classify Complications of Percutaneous Nephrolithotomy
Conclusion:The modified Clavien system is a simplistic grading system for classification of postoperative complications. However, it suffers from various shortcomings. Therefore, till the proposition of a more comprehensive classification system, the modified Clavien system is useful for reporting the complications and short-term outcomes of PNL.Curr Urol 2017;11:79-84 (Source: Current Urology)
Source: Current Urology - February 15, 2018 Category: Urology & Nephrology Source Type: research
Experience of a Tertiary-Level Urology Center in the Clinical Urological Events of Rare and Very Rare Incidence. I. Surgical Never Events: 1. Urological Wrong-Surgery Catastrophes and Disabling Complications
Conclusion:Urological surgical never events are rare, but their final outcomes could be catastrophic, even leading to death.Curr Urol 2017;11:73-78 (Source: Current Urology)
Source: Current Urology - February 15, 2018 Category: Urology & Nephrology Source Type: research
The Emerging Role of Inflammasomes as Central Mediators in Inflammatory Bladder Pathology
Irritative voiding symptoms (e.g. increased frequency and urgency) occur in many common pathologic conditions such as urinary tract infections and bladder outlet obstruction, and these conditions are well-established to have underlying inflammation that directly triggers these symptoms. However, it remains unclear as to how such diverse stimuli individually generate a common inflammatory process. J ürg Tschopp provided substantial insight into this conundrum when, working with extracts from THP-1 cells, he reported the existence of the inflammasome. He described it as a structure that senses multiple diverse signals from ...
Source: Current Urology - February 15, 2018 Category: Urology & Nephrology Source Type: research
A Ureteral Inguinoscrotal Hernia from a Pelvic Kidney
A 74-year-old male patient with prostate cancer under remission was admitted with left inguinoscrotal swelling. He underwent scrotal ultrasound demonstrating a giant in-guinoscrotal hernia. Contrast-enhanced computerized tomography of the abdomen and pelvis demonstrated a left pelvic kidney associated with severe hydroureteronephrosis secondary to a ureteral inguinoscrotal hernia. Upon exploration with left inguinal incision, a paraperitoneal ureteral in-guinoscrotal hernia and a hypertrophic left spermatic cord were observed. The elongated and tortuous left ureter, being pulled down to the scrotum by the hernia, was relea...
Source: Current Urology - December 22, 2017 Category: Urology & Nephrology Source Type: research
Genital Dermatillomania
This report documents 2 cases of genital dermatillomania which vary in severity from mild (case 1), where the patient's ulcers healed after extensive counseling, to extremely dire (case 2), where the patient lost his penis after recurring ulcers and multiple reconstructive surgeries. Clinicians should be aware of the characteristics of dermatillomania to ensure that appropriate therapy can be promptly initiated to prevent morbidity.Curr Urol 2017;11:54-56 (Source: Current Urology)
Source: Current Urology - December 22, 2017 Category: Urology & Nephrology Source Type: research
A Simple and Novel Method to Attain Retrograde Ureteral Access after Previous Cohen Cross-Trigonal Ureteral Reimplantation
Conclusion:A novel method to access the Cohen crossed reimplanted ureter was described. All previously published methods of accessing the crossed ureter were critically appraised.Curr Urol 2017;11:42-47 (Source: Current Urology)
Source: Current Urology - December 22, 2017 Category: Urology & Nephrology Source Type: research
Retropubic, Laparoscopic, and Robot-Assisted Radical Prostatectomy: A Comparative Analysis of the Surgical Outcomes in a Single Regional Center
Conclusion:The surgical approach affected the operative outcomes in a regional setting. The advantages of RARP over RRP (complications, transfusion, conversion, hospital stay, 1-year continence) were over LRP as well, with the only exception being complications.Curr Urol 2017;11:36-41 (Source: Current Urology)
Source: Current Urology - December 22, 2017 Category: Urology & Nephrology Source Type: research
“Researching the Research” in Prostate Cancer: A Comparative Bibliometric Analysis of the Top 100 Cited Articles in the Field of Prostate Cancer
Conclusion:The first bibliometric analysis in the field of PCa is presented. Regions that predominate the T100, include the United States and Europe. Articles published in higher impact factor journals, in English medium and content related to PCa research associated with genetics/bio-markers have the highest citation potential.Curr Urol 2017;11:26-35 (Source: Current Urology)
Source: Current Urology - December 22, 2017 Category: Urology & Nephrology Source Type: research
Urological Management of Extramural Malignant Ureteric Obstruction: A Survey of Irish Urologists
Conclusion:There is a lack of consensus regarding the management of this challenging problem, particularly with regard to timing of first stent change and whether to initially use an antegrade or retrograde approach. This reflects the heterogeneous patient cohort and the important factors of life expectancy and patient co-morbidities.Curr Urol 2017;11:21-25 (Source: Current Urology)
Source: Current Urology - December 22, 2017 Category: Urology & Nephrology Source Type: research
Quality of Life Following Prostatectomy as a Function of Surgery Type and Degree of Nerve Sparing
Conclusion:While robotic-assisted prostatectomies may offer a number of medical advantages over open procedures, we found no significant effect on important quality of life outcomes associated with the technique.Curr Urol 2017;11:16-20 (Source: Current Urology)
Source: Current Urology - December 22, 2017 Category: Urology & Nephrology Source Type: research
