Comparison of retrograde ureterorenoscopy (URS) and percutaneous anterograde ureteroscopy for removal of impacted upper ureteral stones >10mm in the elderly population
Conclusions: Performing anterograde URS in supine position provided better success rates and sim ilar complication rates compared to retrograde URS. Based on these results anterograde URS shall be considered as one of the primary treatment options for management of impacted upper ureteral stones in the elderly population. (Source: International Braz J Urol)
Source: International Braz J Urol - November 18, 2020 Category: Urology & Nephrology Source Type: research

Partial laparoscopic nephrectomy: what really matters?
Conclusions: PN may be more suitable for treating pT3a RCC than RN because it provides a similar survival time (OS or RFS) and superior renal function. Nevertheless, this result is still disputed, and more high-quality studies are required. (Source: International Braz J Urol)
Source: International Braz J Urol - November 18, 2020 Category: Urology & Nephrology Source Type: research

Partial nephrectomy provides equivalent oncologic outcomes and better renal function preservation than radical nephrectomy for pathological T3a renal cell carcinoma: A meta-analysis
Conclusions: PN may be more suitable for treating pT3a RCC than RN because it provides a similar survival time (OS or RFS) and superior renal function. Nevertheless, this result is still disputed, and more high-quality studies are required. (Source: International Braz J Urol)
Source: International Braz J Urol - November 18, 2020 Category: Urology & Nephrology Source Type: research

Translational research in testicular migration
Conclusions: Abdominal pressure wound is an auxiliary force in testicular migration. Patients with abdominal wall defects are associated with undescendend testis in more than 30% of the cases probably due to mechanical factors; the Prune Belly Syndrome has anatomical changes in the anterior abdominal wall that hinder the increase of intra-abdominal pressure which could be the cause of cryptorchidism in this syndrome. (Source: International Braz J Urol)
Source: International Braz J Urol - November 18, 2020 Category: Urology & Nephrology Source Type: research

The role of intra-abdominal pressure in human testicular migration
Conclusions: Abdominal pressure wound is an auxiliary force in testicular migration. Patients with abdominal wall defects are associated with undescendend testis in more than 30% of the cases probably due to mechanical factors; the Prune Belly Syndrome has anatomical changes in the anterior abdominal wall that hinder the increase of intra-abdominal pressure which could be the cause of cryptorchidism in this syndrome. (Source: International Braz J Urol)
Source: International Braz J Urol - November 18, 2020 Category: Urology & Nephrology Source Type: research

Adjunctive medical expulsive therapy with tamsulosin for repeated extracorporeal shock wave lithotripsy: a systematic review and meta-analysis
Conclusion: Adjunctive MET with tamsulosin is effective in patients with specific stone size or location that received repeated ESWL. However, no well-designed RCT that used computed tomography for the detection and assessment of residual stone fragments was found. More studies with high quality and the comparison between tamsulosin and secondary ESWL are needed in the future. (Source: International Braz J Urol)
Source: International Braz J Urol - November 18, 2020 Category: Urology & Nephrology Source Type: research

The obesity paradox in varicocele – is the protective effect real?
Conclusions: Our study demonstrates that BMI is negatively associated with the presence of varicocele. (Source: International Braz J Urol)
Source: International Braz J Urol - November 18, 2020 Category: Urology & Nephrology Source Type: research

The association between body mass index and varicocele: A meta-analysis
Conclusions: Our study demonstrates that BMI is negatively associated with the presence of varicocele. (Source: International Braz J Urol)
Source: International Braz J Urol - November 18, 2020 Category: Urology & Nephrology Source Type: research

Selection of best videos of the year for 2020
(Source: International Braz J Urol)
Source: International Braz J Urol - November 18, 2020 Category: Urology & Nephrology Source Type: research

The Best reviewers of International Brazilian Journal of Urology in 2020
(Source: International Braz J Urol)
Source: International Braz J Urol - November 18, 2020 Category: Urology & Nephrology Source Type: research

A decisive year to International Brazilian Journal of Urology
(Source: International Braz J Urol)
Source: International Braz J Urol - November 18, 2020 Category: Urology & Nephrology Source Type: research

Laparoscopic and robotic urology surgery during global Pandemic COVID-19
ABSTRACT Known laparoscopic and robotic assisted approaches and techniques for the surgical management of urological malignant and benign diseases are commonly used around the World. During the global pandemic COVID-19, urology surgeons had to reorganize their daily surgical practice. A concern with the use of minimally invasive techniques arose due to a proposed risk of viral transmission of the coronavirus disease with the creation of pneumoperitoneum. Due to this, we reviewed the literature to evaluate the use of laparoscopy and robotics during the pandemic COVID-19. A literature review of viral transmission in surgery ...
Source: International Braz J Urol - July 27, 2020 Category: Urology & Nephrology Source Type: research

Impact of Covid-19 on the urology service in United States: perspectives and strategies to face a Pandemic
ABSTRACT Over the course of several weeks following the first diagnosed case of COVID-19 In the U.S., the virus rapidly spread across our communities. It became evident that the pandemic was going to place a severe strain on all components of the U.S. healthcare system, and we needed to adapt our daily practices, training and education. In the present paper we discuss four pillars to face a pandemic: surgical and outpatients service, tele-medicine and tele-education. In the face of unprecedented risks in providing adequate health care to our patients during this current, evolving public health crisis of COVID-19, alternati...
Source: International Braz J Urol - July 27, 2020 Category: Urology & Nephrology Source Type: research

Emergency Surgery in Urology during the COVID-19 Pandemic
Conclusions: We are living a new condition with the COVID-19 pandemic, which obliges urologists to conform to the guidelines that appear on a daily basis formulated by multidisciplinary surgical groups to manage urological emergencies. Consequently, in this time of health crisis, we must adapt to the resources available, implementing all biosecurity measures to protect patients and all health personnel who are in charge of patient management. (Source: International Braz J Urol)
Source: International Braz J Urol - July 27, 2020 Category: Urology & Nephrology Source Type: research

The Psychosocial Impact of COVID-19 on health care workers
ABSTRACT At the end of 2019, a disease was identified, COVID-19, caused by a new type of easy and fast spreading virus, which led to the beginning of a worldwide pandemic. One of the most exposed groups to the virus and its psychosocial consequences is the healthcare workers, due to their implication in caring for affected people. Health workers are exposed to a fast and unpredictable situation that requires more human resources and materials than usual, however, the lack of means on account to this situation entails an increased probability of suffering different consequences, including the burnout syndrome, to which, gen...
Source: International Braz J Urol - July 27, 2020 Category: Urology & Nephrology Source Type: research