Detrusor underactivity versus bladder outlet obstruction clinical and urodynamic factors
Conclusion: Isolated symptoms, classified by IPSS and PVR, could not differentiate patients with DU from those with BOO, but it was possible using urodynamic data. (Source: International Braz J Urol)
Source: International Braz J Urol - March 30, 2020 Category: Urology & Nephrology Source Type: research
Editorial Comment: Lessons learned after 20 years' experience with penile fracture
Conclusions: PF has typical clinical presentation and no need for additional tests in most cases. Hematoma and immediate penile detumescence are the most common clinical findings. Sexual activity was the most common cause. The ‘ doggy style ’ and ‘ man-on-top ’ was the most common positions and generally associated with more severe lesions. Concomitant urethral injury should be considered in cases of highenergy trauma. Surgical reconstruction produces satisfactory results, however, it can lead to complications, such as erectile dysfunction and penile curvature. (Source: International Braz J Urol)
Source: International Braz J Urol - March 30, 2020 Category: Urology & Nephrology Source Type: research
Lessons learned after 20 years' experience with penile fracture
Conclusions: PF has typical clinical presentation and no need for additional tests in most cases. Hematoma and immediate penile detumescence are the most common clinical findings. Sexual activity was the most common cause. The ‘ doggy style ’ and ‘ man-on-top ’ was the most common positions and generally associated with more severe lesions. Concomitant urethral injury should be considered in cases of highenergy trauma. Surgical reconstruction produces satisfactory results, however, it can lead to complications, such as erectile dysfunction and penile curvature. (Source: International Braz J Urol)
Source: International Braz J Urol - March 30, 2020 Category: Urology & Nephrology Source Type: research
Current scenario of endourological treatment of kidney stones in brazil: results of a national survey
Conclusion: Ureteroscopy, rigid or flexible, is already well established in the country, requiring the direction of more resources for its practice, especially in less developed regions. Regarding PCNL a significant part of Brazilian urologists still lack practical experience in this procedure, emphasizing the need for greater investment in teaching this technique. (Source: International Braz J Urol)
Source: International Braz J Urol - March 30, 2020 Category: Urology & Nephrology Source Type: research
Editorial Comment: Comparison of automated irrigation systems using an in vitro ureteroscopy model
Conclusions: Our in vitro urete roscopy testing found that the CRF system had better pressure accuracy than the TFS system but with noticeably slower fluid heating capabilities. Each system provided steady irrigation at safe pressures within their expected operating parameters with small differences in performance that should not limit their ability to provide steady irrigation at safe pressures. (Source: International Braz J Urol)
Source: International Braz J Urol - March 30, 2020 Category: Urology & Nephrology Source Type: research
Comparison of automated irrigation systems using an in vitro ureteroscopy model
Conclusions: Our in vitro urete roscopy testing found that the CRF system had better pressure accuracy than the TFS system but with noticeably slower fluid heating capabilities. Each system provided steady irrigation at safe pressures within their expected operating parameters with small differences in performance that should not limit their ability to provide steady irrigation at safe pressures. (Source: International Braz J Urol)
Source: International Braz J Urol - March 30, 2020 Category: Urology & Nephrology Source Type: research
Efficacy of Leuprorelide acetate (Eligard®) in daily practice in Brazil: a retrospective study with depot formulations in patients with prostate cancer
Conclusion: To our knowledge, this is the largest assessment of real-world data on alternative schedules of leuprolide in a Brazilian population. Our study suggests that PSA levels can be effectively be reduced in most patients treated with monthly, quarterly, or semiannual injections of long-acting leuprolide acetate. (Source: International Braz J Urol)
Source: International Braz J Urol - March 30, 2020 Category: Urology & Nephrology Source Type: research
Editorial Comment: Profile of sexuality and symptoms of lower urinary tract in non-institutionalized elderly
Conclusion: Due to the large number of sexual and urinary disorders found, we recommend the improvement in health conditions, promoting a better qu ality of life in the elderly. (Source: International Braz J Urol)
Source: International Braz J Urol - March 30, 2020 Category: Urology & Nephrology Source Type: research
Profile of sexuality and symptoms of lower urinary tract in non-institutionalized elderly
Conclusion: Due to the large number of sexual and urinary disorders found, we recommend the improvement in health conditions, promoting a better qu ality of life in the elderly. (Source: International Braz J Urol)
Source: International Braz J Urol - March 30, 2020 Category: Urology & Nephrology Source Type: research
Special emphasis on bone health management in prostate cancer patients: a prospective longitudinal study
Conclusion: Bone-directed therapy (Zoledronic acid) leads to both subjective and objective improvement in bone health of prostate cancer patients on ADT. (Source: International Braz J Urol)
Source: International Braz J Urol - March 30, 2020 Category: Urology & Nephrology Source Type: research
Evaluation of nuclear NF-κB, transglutaminase2, and ERCC1 as predictors of platinum resistance in testicular tumors
Conclusions: The expression of ERCC1 and NF- κ B give a worse prognosis for relapse, and only ERCC1 had an influence on the overall survival of TGCT patients treated with platinum-based chemotherapy. These may represent markers that predict poor clinical outcome and response to cisplatin. (Source: International Braz J Urol)
Source: International Braz J Urol - March 30, 2020 Category: Urology & Nephrology Source Type: research
Editorial Comment: Oncological and functional outcomes of open versus laparoscopic partial nephrectomy in T1b tumors: A single-center analysis
Conclusion: No differences were observed between OPN and LPN techniques between oncological and functional outcomes in patients with clinical stage T1b RCC. (Source: International Braz J Urol)
Source: International Braz J Urol - March 30, 2020 Category: Urology & Nephrology Source Type: research
Oncological and functional outcomes of open versus laparoscopic partial nephrectomy in T1b tumors: A single-center analysis
Conclusion: No differences were observed between OPN and LPN techniques between oncological and functional outcomes in patients with clinical stage T1b RCC. (Source: International Braz J Urol)
Source: International Braz J Urol - March 30, 2020 Category: Urology & Nephrology Source Type: research
Exploration of IMDC model in patients with metastatic renal cell carcinoma using targeted agents: a meta-analysis
Conclusion: In summary, analysis of currently available clinical evidence indicated that IMDC model could be applied to classify patients with metastatic renal cell carcinoma using targeted agents. However, different types of targeted agents and various areas could affect the accuracy of the model. There was also a difference in predicting patients' PFS and OS. (Source: International Braz J Urol)
Source: International Braz J Urol - March 30, 2020 Category: Urology & Nephrology Source Type: research
Robotics in Pediatric Urology
ABSTRACT Robotic surgery has been slow to be fully accepted in the world of pediatric urology largely because of its initial application directed towards adult use and because of the inherent high cost associated with it. However, as previously shown, it has now become the gold standard for adolescent pyeloplasty in The United States. As the adoption of robotic surgery in children has become more widespread, its use has been applied to a broader spectrum of procedures with similar success rates to standard laparoscopy. These procedures include nephrectomy, heminephrectomy, ureteral reimplantation, and ureteroureterostomy. ...
Source: International Braz J Urol - March 30, 2020 Category: Urology & Nephrology Source Type: research
