Extended Boari-flap reconstruction in isolated tuberculous pan-ureteral stricture
Shanmugasundaram Rajaian, Pragatheeswarane Murugavaithianathan, Karrthik Krishnamurthy, Lakshman MurugasenUrology Annals 2020 12(1):87-89A 53-year-old female presented with left loin pain and imaging showed left pan-ureteral stricture secondary to tuberculosis. The renal unit was salvaged by percutaneous nephrostomy. She was planned for ileal ureteric replacement. An extended Boari flap was constructed for her as the bladder capacity was good and Boari bladder flap reached the renal pelvis without tension. Follow-up nephrostogram revealed wide pyelovesical junction with prompt drainage. She completed antituberculous treatm...
Source: Urology Annals - January 12, 2020 Category: Urology & Nephrology Authors: Shanmugasundaram Rajaian Pragatheeswarane Murugavaithianathan Karrthik Krishnamurthy Lakshman Murugasen Source Type: research

Primary cutaneous mucinous carcinoma of the scrotum: A rare tumor at a rare site & #8211; A case report and review of literature
We report a case of a 72-year-old man with ulceration of painless scrotal lesions of 10 years' duration. Histology of the wedge biopsies of the lesions was mucinous carcinoma. Clinical workup excluded noncutaneous primary sites of mucinous carcinoma and distant metastasis. He had wide excision of the scrotal skin lesions with histological findings of nests of malignant cells separated from pool of mucin by fibrocollagenous septae. Periodic acid–Schiff stain was positive; however, immunohistochemical stains for estrogen and progesterone receptors were negative. No local recurrence was observed after ...
Source: Urology Annals - January 12, 2020 Category: Urology & Nephrology Authors: Olajide Olusegun Abiola Gbemi H Ano-Edward Olutunde A Oluwumi Mathew E Lasisi Source Type: research

Penile cutaneous horn
Diya Pal, Dilip Kumar PalUrology Annals 2020 12(1):80-82 Cutaneous horns are cornified hyperkeratotic lesions on the skin, usually present on photo-exposed areas such as the face and scalp. Its presence on the penis is very rare. Here, we report a 35-year-old male presenting with penile cutaneous horn with successful management with wide local excision along with a review of other modalities of treatment of this rare entity. (Source: Urology Annals)
Source: Urology Annals - January 12, 2020 Category: Urology & Nephrology Authors: Diya Pal Dilip Kumar Pal Source Type: research

Noninfectious glans gangrene in a diabetic male
Gyvi Gaurav, Raghubir Bhardwaj, Shahnawaz AlamUrology Annals 2020 12(1):77-79 Limited glans penis gangrene is a rare subset of penile gangrene and is associated with favorable prognosis as compared to more aggressive course of the similar entity in moribund diabetic end-stage renal disease patients. A 64-year-old diabetic, hypertensive male with a history of tobacco consumption, bilateral great toe amputations, and normal renal function, presented with gangrene of glans penis and lower urinary tract symptoms. Early surgical debridement, glycemic control, and alpha-blocker treatment were successful in controlling the disea...
Source: Urology Annals - January 12, 2020 Category: Urology & Nephrology Authors: Gyvi Gaurav Raghubir Bhardwaj Shahnawaz Alam Source Type: research

Cystic trophoblastic tumor & #8211; The effect of chemotherapy in metastatic testicular germ cell tumor to retroperitoneal lymph nodes
Swetha Narla, Ann Kurian, Rajarajan Venkatesan, Ajit PaiUrology Annals 2020 12(1):73-76 Cystic trophoblastic tumor is an uncommon lesion which is occasionally seen after chemotherapy in metastatic retroperitoneal lymph nodes in patients with testicular germ cell tumor. The tumor cell clusters show cystic change lined by single to multiple layers of cells with abundant dense eosinophilic vacuolated cytoplasm, large pleomorphic vesicular nuclei with smudged chromatin, and prominent nucleoli. It is important to identify this lesion as its prognosis is similar to a teratoma and does not require any additional chemotherapy. (S...
Source: Urology Annals - January 12, 2020 Category: Urology & Nephrology Authors: Swetha Narla Ann Kurian Rajarajan Venkatesan Ajit Pai Source Type: research

Efficacy of follicle-stimulating hormone as a treatment of severe idiopathic oligospermia: A retrospective study
Conclusion: In conclusion, our study elicited that a dose of FSH as low as 75 IU can improve sperm count significantly in patients with severe IO. (Source: Urology Annals)
Source: Urology Annals - January 12, 2020 Category: Urology & Nephrology Authors: Ahmed Aljuhayman Abdulmalik Almardawi Moayid Fallatah Naif Alhathal Source Type: research

Assessment of posterior urethra in benign prostatic hyperplasia and after its surgery
Conclusion: By our findings, we conclude that BPH is associated with anatomic variations in posterior urethra such as lengthening of the length of the posterior urethra and increased posterior urethral elevation, which is measured by an increase in posterior urethral angle (PUA). Whereas post-TURP, there is a shortening of posterior urethra, decrease in PUA, decrease in prostatic volume, postvoid residual urine volume, and improvement in uroflowmetric parameters. (Source: Urology Annals)
Source: Urology Annals - January 12, 2020 Category: Urology & Nephrology Authors: Vivek Agrawal Rahul Khullar Ashesh Kumar Jha Source Type: research

Urolithiasis: Prevalence, risk factors, and public awareness regarding dietary and lifestyle habits in Jeddah, Saudi Arabia in 2017
Conclusion: This study highlights the lack of public awareness about urolithiasis and knowledge about its causation despite the high prevalence. There is a clear need to inform and educate the public on matters relating to the known risk factors associated with urolithiasis. (Source: Urology Annals)
Source: Urology Annals - January 12, 2020 Category: Urology & Nephrology Authors: Nada Yasser Baatiah Raghad Bader Alhazmi Fatmah Ali Albathi Esraa Ghazi Albogami Abdullah Khalid Mohammedkhalil Basim Saleh Alsaywid Source Type: research

Air embolism during percutaneous nephrolithotomy using air pyelogram during initial access: Does it really occur ?
Conclusions: The present study ascertains that using air for opacification of PCS for initial puncture access is a safe and acceptable alternative to iodinated contrast. (Source: Urology Annals)
Source: Urology Annals - January 12, 2020 Category: Urology & Nephrology Authors: Anshul Garg Mohd Mubashir Ali Khan Praveen Singh Manish Kumar Agarwal Source Type: research

Outcome of salvage ureteral reimplantation after endoscopic treatment failure for high-grade vesicoureteral reflux compared to primary ureteral reimplantation
Conclusion: SUR for high-grade primary VUR after failed Dx/Ha injection has the same success rate as PUR, with no significant complication rate, although the necessary dissection may be more difficult. (Source: Urology Annals)
Source: Urology Annals - January 12, 2020 Category: Urology & Nephrology Authors: Tariq Burki Muhammad S Howeiti Maha K Almadhi Fayez M Al Modhen Hamdan Alhazmi Santiago A Vallasciani Abdulwahab E Alhams Shahbaz W Mehmood Ahmed M Al Shammari Source Type: research

The effect of the body mass index on the types of urinary tract stones
Conclusions: In this study, we found that the incidence of certain types of stones, such as calcium oxalate, cystine, and uric acid stones, in Saudi Arabia can be predicted by BMI measurement. (Source: Urology Annals)
Source: Urology Annals - January 12, 2020 Category: Urology & Nephrology Authors: Raed M Almannie Khalid A AL-Nasser Khalid M Al-Barraq Muaath M Alsheheli Hamdan H Al-Hazmi Saleh A Binsaleh Abdulaziz M Althunayan Mohammed A Alomar Source Type: research

The safety of ureteral stenting with the use of potassium citrate for management of renal uric acid stones
Conclusion: Short-term use of ureteral stents is safe during the management of uric acid stones with K citrate. (Source: Urology Annals)
Source: Urology Annals - January 12, 2020 Category: Urology & Nephrology Authors: Nawaf Abdulaziz Alenezi Fouad Zanaty Amr Hodhod Mohammed El-Gharabawy Eid El-Sherif Atef Badawy Mohammed El-Shazly Source Type: research

Prospective audit of complications after ultrasonography-guided percutaneous nephrostomy for upper urinary tract obstruction using modified Clavien classification system
Conclusion: USG-guided PCN is a safe, minimally invasive, and effective procedure for upper urinary tract diversion with a low rate of morbidity. Individual complications are within the threshold limits set by the American College of Radiology, the Society of Interventional Radiology. mCCS is well applicable and easily reproducible tool for reporting the complications of PCN. (Source: Urology Annals)
Source: Urology Annals - January 12, 2020 Category: Urology & Nephrology Authors: Sunil Kumar Uma Kant Dutt Suresh Singh LN Dorairajan KS Sreerag Tepukiel Zaphu R Manikandan Source Type: research

Is cystoscopy follow-up protocol safe for low-risk bladder cancer without muscle invasion ?
Conclusion: The majority (80%) of recurrences in low-risk NMIBC occurred in the first 2 years. If the follow-up protocol described in the guidelines had been applied, patients with relapses would have a delay of at least 6 months of diagnosis. Therefore, even if there is no recurrence in the low-risk NMIBC at the 3rd and 9th months, it may be more appropriate to follow the cases in the first 2 years with follow-up cystoscopy every 3 months. (Source: Urology Annals)
Source: Urology Annals - January 12, 2020 Category: Urology & Nephrology Authors: Ugur Yucetas Erdogan Aglamis Huseyin Aytac Ates Kemal Behzatoglu Erkan Erkan Mahmut Gokhan Toktas Erdinc Unluer Source Type: research

The learning curve for robotic-assisted pyeloplasty in children: Our initial experience from a single center
Conclusions: The evaluation of the learning curve of RALP for this group of patients concluded that total operative time for RALP, performed by the pediatric urology team, steadily decreased with collective surgical experience. (Source: Urology Annals)
Source: Urology Annals - January 12, 2020 Category: Urology & Nephrology Authors: Noor Nabi Junejo Anwar Alotaibi Saeed Malwi Alshahrani Ahmad Alshammari Craig A Peters Hamdan Alhazmi Santiago A Vallasciani Source Type: research