Urologia Journal最新文献

{"title":"Letter to the editor regarding to \"Outcomes and management of de novo ureteral strictures following ureteroscopy: A retrospective observational study\".","authors":"Kemal Demirhan, Anil Erdik","doi":"10.1177/03915603261483770","DOIUrl":"https://doi.org/10.1177/03915603261483770","url":null,"abstract":"","PeriodicalId":23574,"journal":{"name":"Urologia Journal","volume":" ","pages":"3915603261483770"},"PeriodicalIF":1.3,"publicationDate":"2026-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148867023","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluating surgical success and complication profiles after augmentation cystoplasty in a mixed-age cohort: A retrospective analysis.","authors":"Sarmad Imtiaz, Nadeem Bin Nusrat, Assad Ur Rehman, Asadullah Aslam, Nauman Zafar, Shujah Muhammad, Atif Hussain, Muhammad Ahmad Ijaz, Abdullah Muhammad Ashfaq, Saira Imtiaz","doi":"10.1177/03915603261476913","DOIUrl":"https://doi.org/10.1177/03915603261476913","url":null,"abstract":"<p><strong>Background: </strong>Augmentation cystoplasty is a common procedure in managing bladder dysfunction among mixed-age cohort. However, data on its functional results and associated morbidity from specialist centers are scarce.</p><p><strong>Objectives: </strong>To evaluate surgical outcomes, functional results, and complications of augmented cystoplasty surgery, especially in terms of bladder capacity, stability of renal function, short & complications during available follow-up.</p><p><strong>Methods: </strong>This was retrospective cohort study where all patients undergoing an augmentation cystoplasty procedure at the Department of Urology, Pakistan Kidney and Liver Institute & Research Center, Lahore, from June 2023 to May-2025 included in study. Baseline demographics to clinical outcomes noted from patients' medical-records and evaluated based on change in bladder capacity, serum creatinine, and postoperative complications following Clavien Dindo Scale. Secondary-outcomes: continence status, reoperative procedures, and hospital-stay.</p><p><strong>Results: </strong>Seventy-six patients were studied with a mean age: 29.44 ± 15.07 years (range: 4-66) with a predominance of males consisting of 58 patients (76.3%) of mixed-age cohort. Predominant indication for undergoing this surgery was neurogenic bladder in 46 patients (60.5%). The majority of patients 74(97.4%), underwent ileal augmentation procedures, and only two (2.6%) underwent autoaugmentation procedures. Bladder capacity increased significantly post-operatively with a median of 500 mL as compared to a preoperative median of 130 mL(IQR: 60-130) (<i>p</i> < 0.001) and a postoperative stable serum creatinine with <i>p</i> > 0.535. Early postoperative complications occurring within 30 days after surgery were observed in seven patients (9.2%). During available postoperative follow-up period (3-4 weeks), complications requiring additional intervention were uncommon, occurring in 3.9% of patients. At available postoperative follow-up assessment, adequate bladder capacity and social continence were achieved in 75 patients (98.7%), while stable serum creatinine levels were observed in 74 patients (97.4%).</p><p><strong>Conclusion: </strong>Augmentation cystoplasty was associated with significant improvement in bladder capacity and stable renal parameters during the available follow-up period in this mixed-age cohort. However, longer follow-up with objective urodynamic and renal assessment is required.</p>","PeriodicalId":23574,"journal":{"name":"Urologia Journal","volume":" ","pages":"3915603261476913"},"PeriodicalIF":1.3,"publicationDate":"2026-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148851673","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical and epidemiological characteristics of penile cancer in a hospital-based cohort from southwestern Colombia.","authors":"Nicolás Guerrón Morales, Philippe E Spiess, Herney Andrés García-Perdomo","doi":"10.1177/03915603261481569","DOIUrl":"https://doi.org/10.1177/03915603261481569","url":null,"abstract":"<p><strong>Objective: </strong>To describe the clinical and epidemiological characteristics of patients diagnosed with penile cancer in a hospital-based cohort from southwestern Colombia.</p><p><strong>Methods: </strong>A retrospective cross-sectional study was conducted using medical records from the Urology Department of a tertiary hospital in Cali, Colombia, between January 2013 and February 2024. Patients with confirmed penile cancer were identified through ICD-10 codes. Sociodemographic, clinical, pathological, and treatment data were extracted and analyzed descriptively.</p><p><strong>Results: </strong>Eighty-nine patients were included. The median age was 61 years (range: 34-95), with most residing in Cali or nearby departments. At diagnosis, 53.2% had cT3-stage tumors, 61.2% had advanced nodal involvement (cN2 or cN3), and 15.1% presented distant metastases. Pathologically, 72.2% had pT3 tumors, while 43% were pN0 after lymphadenectomy. Surgical treatment was performed in 95.2% of patients, mainly partial or radical penectomy. Postoperative complications occurred in 19.5%, primarily Clavien-Dindo grade II. Adjuvant radiotherapy and chemotherapy were administered to 11.6% and 13.5% of patients, respectively. Disease-related mortality was 10.1%.</p><p><strong>Conclusions: </strong>A high proportion of patients presented with locally advanced or metastatic disease, reflecting delayed diagnosis and access barriers. These findings highlight the need for public health interventions focused on early detection, sexual health education, and improved referral systems to reduce the burden of penile cancer in Colombia.</p>","PeriodicalId":23574,"journal":{"name":"Urologia Journal","volume":" ","pages":"3915603261481569"},"PeriodicalIF":1.3,"publicationDate":"2026-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148851719","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A comparative study of the effectiveness of cooled versus room temperature lignocaine gel for relieving pain during optical internal urethrotomy.","authors":"Sarkar Debansu, Nandula Sai Bharath","doi":"10.1177/03915603261476876","DOIUrl":"https://doi.org/10.1177/03915603261476876","url":null,"abstract":"<p><strong>Introduction: </strong>Optical Internal urethrotomy (OIU) is conventionally performed under regional anaesthesia. Various studies have shown that it can be done under local anaesthesia. However, regional anaesthesia provides better pain control than local anaesthesia. Cold lignocaine gel instilled intraurethrally has been proven to provide superior analgesia for cystoscopies compared to room temperature lignocaine gel. We aimed to compare the effectiveness of cooled versus room temperature lignocaine gel in OIU.</p><p><strong>Materials and methods: </strong>A total of 138 patients scheduled for OIU were included. After applying exclusion criteria, 108 patients were randomised into two groups: Group A (room-temperature lignocaine) and Group B (lignocaine cooled to 4℃). OIU was performed, and the Visual Analogue Scale (VAS) score was compared between both the groups during incision and 20 min from the start of the procedure.</p><p><strong>Results: </strong>Age, stricture length and duration of procedure were comparable between the groups. The VAS score was significantly lower in Group B (2.54± 0.99) compared to Group A (4.19 ± 0.84). Even after 20 min from the start of the procedure, the VAS score was significantly lower in the cooled lignocaine gel group (1.32 ± 0.65) than in the room temperature lignocaine gel group (2.27 ± 0.74). No additional complications were observed with the use of cooled lignocaine gel.</p><p><strong>Conclusion: </strong>Cooled lignocaine gel offers superior pain control for OIU without additional complications. Its use can make OIU a less painful, more cost-effective procedure with short hospital stay, especially in resource-limited setting. These findings should be validated in larger multicentre trials that incorporate formal Patient-Reported Outcome Measures (PROMs) to effectively evaluate patient satisfaction.</p>","PeriodicalId":23574,"journal":{"name":"Urologia Journal","volume":" ","pages":"3915603261476876"},"PeriodicalIF":1.3,"publicationDate":"2026-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148798472","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Urodynamic assessment of urinary bladder and bowel function in incomplete spinal cord injury patients.","authors":"Sanjay Yadav, Yashasvi Singh, Sameer Trivedi, Amrit Agrawal, Santosh Kumar Yadav, Ujwal Kumar, Lalit Kumar Agarwal, Narayan Shubham, Madan Gopal Bhardwaj","doi":"10.1177/03915603261478151","DOIUrl":"https://doi.org/10.1177/03915603261478151","url":null,"abstract":"<p><strong>Aims and objectives: </strong>To evaluate storage safety parameters and patient-reported bladder/bowel outcomes in adults with incomplete SCI using urodynamics and validated PROMs.</p><p><strong>Materials and methods: </strong>Consecutive adults with incomplete SCI (AIS B-E) underwent NBSS, SF-Qualiveen, NBD, SCIM-III, and urodynamics (capacity, compliance in mL/cmH₂O, Qmax, pdet@Qmax, PVR; DSD when available). Poor compliance was prespecified as <b><20 mL/cmH₂O</b>. Analyses were stratified by level and management; safety proportions used measured denominators. Categorical outcomes were compared with χ²; continuous outcomes across ⩾3 groups with Kruskal-Wallis; secondary pairwise tests used Mann-Whitney with Benjamini-Hochberg FDR correction.</p><p><strong>Results: </strong><i>N</i> = 84; median age 35.5 years. PVR ⩾ 100 mL occurred in 71.4% and differed by neurological level (χ²(3) = 20.77, <i>p</i> = 0.00012). Poor compliance < 20 mL/cmH₂O occurred in 26.2% overall and clustered in sacral injuries (72.7%) versus cervical 7.1%, thoracic 10.7%, lumbar 10.0% (χ²(3) = 33.46, <i>p</i> = 2.6 × 10⁻⁷). Severe NBD (⩾14) differed by management (χ²(3) = 14.92, <i>p</i> = 0.0019). NBSS totals differed by management (<i>H</i> = 52.86, <i>p</i> = 1.96 × 10⁻¹¹), while SF-Qualiveen showed a borderline trend (<i>H</i> = 7.45, <i>p</i> ≈ 0.059). In a complete-case logistic model (outcome low compliance; predictors level, age, sex; reference thoracic), sacral level remained independently associated with poor compliance.</p><p><strong>Conclusions: </strong>Elevated residual urine and impaired bladder compliance remained common despite neurological sparing. Patient-reported burden varied across bladder-management categories, while sacral lesions demonstrated a disproportionate burden of poor compliance. Combined urodynamic assessment and validated PROMs may help identify patients at risk for unsafe storage and significant symptom burden.</p>","PeriodicalId":23574,"journal":{"name":"Urologia Journal","volume":" ","pages":"3915603261478151"},"PeriodicalIF":1.3,"publicationDate":"2026-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148798514","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of MV140 vaccine on healthcare costs in recurrent UTI management: A 24-month real world analysis.","authors":"Sagar Kanabar, Stephen Foley, Bob Yang","doi":"10.1177/03915603261478160","DOIUrl":"https://doi.org/10.1177/03915603261478160","url":null,"abstract":"<p><strong>Introduction: </strong>Recurrent urinary tract infections (rUTIs) impose a significant clinical and economic burden, particularly in women, and contribute to increasing antimicrobial resistance. MV140 is a non-antibiotic sublingual immunostimulatory vaccine developed for the prevention of rUTIs.</p><p><strong>Methods: </strong>This retrospective 24-month real-world study evaluated 10 women with confirmed rUTIs in the UK, comparing 12-month periods before and after MV140 prophylaxis to assess changes in UTI frequency, antibiotic use, healthcare utilisation, and direct management costs. This study should be considered a preliminary case series given the small sample size.</p><p><strong>Results: </strong>Fifty percent of patients remained UTI-free following MV140 treatment. Mean annual UTI episodes decreased from ⩾3 to 1.9. General practitioner visits declined by approximately 68%, and antibiotic-related costs decreased by 70%. Overall, UTI management costs were reduced by 66% (from ~£394 to £134 per patient), representing a mean saving of £259 (<i>p</i> = 0.0029). No treatment-related adverse events were reported.</p><p><strong>Conclusion: </strong>MV140 was associated with reduced recurrence, antibiotic use, and healthcare costs in this real-world cohort. These findings support its potential as a non-antibiotic strategy aligned with antimicrobial stewardship principles. Results should be interpreted as preliminary and hypothesis-generating, requiring validation in larger prospective studies.</p>","PeriodicalId":23574,"journal":{"name":"Urologia Journal","volume":" ","pages":"3915603261478160"},"PeriodicalIF":1.3,"publicationDate":"2026-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148798440","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison of urodynamic outcomes by hysterectomy technique: A cross-sectional study.","authors":"Raymundo A Munoz, José M Arroyo, Alfonzo E Munoz, Joel Herrera, Marcos Iglesias, Marlene Muñiz, Salvador Pizarro","doi":"10.1177/03915603261478158","DOIUrl":"https://doi.org/10.1177/03915603261478158","url":null,"abstract":"<p><p>Although hysterectomy significantly alters pelvic anatomy, its long-term effects on bladder function, pelvic floor integrity, and urethral sphincter activity remain controversial. Previous studies have reported inconsistent findings, often limited by surgical variability, heterogeneous study populations, and differing definitions of detrusor hypocontractility. This study aimed to determine whether urodynamic results-specifically, detrusor contractility, urethral sphincter function, and pelvic floor function-differ according to hysterectomy technique. We conducted a retrospective, single-center, cross-sectional analysis of urodynamic studies from women who underwent abdominal, vaginal, or laparoscopic hysterectomy in Mexico between 2019 and 2024. Standardized thresholds derived from established urodynamic references were used to evaluate detrusor function, sphincter strength, and pelvic floor integrity. ANOVA, Kruskal-Wallis, and chi-square tests were applied (<i>p</i> < 0.05). Among 172 women, 124 (72.1%) underwent abdominal hysterectomy, 40 (23.2%) vaginal, and 8 (4.6%) laparoscopic. No significant differences were found in pelvic floor function or urethral pressure profile across surgical types. However, patients undergoing vaginal hysterectomy more frequently demonstrated urodynamic findings consistent with detrusor hypocontractility, with lower Qmax and detrusor contraction index values. This is the first study to directly compare urodynamic parameters across hysterectomy techniques. Vaginal hysterectomy was associated with a higher prevalence of urodynamic findings consistent with detrusor hypocontractility, whereas urethral and pelvic floor function remained unaffected by surgical approach. Although the observed association does not imply causality, these findings support further investigation of the relationship between hysterectomy technique and postoperative bladder function, particularly in patients for whom vaginal hysterectomy is considered and who have known risk factors for detrusor hypocontractility.</p>","PeriodicalId":23574,"journal":{"name":"Urologia Journal","volume":" ","pages":"3915603261478158"},"PeriodicalIF":1.3,"publicationDate":"2026-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148798531","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison of lower urinary tract symptoms between incontinent males and females: An analysis of AUASS and its subdomains.","authors":"Grace Powderly, Laena Hines, Soumya Konar, Carl Ceraolo, Rajat Jain, Scott Quarrier","doi":"10.1177/03915603261478152","DOIUrl":"https://doi.org/10.1177/03915603261478152","url":null,"abstract":"<p><strong>Introduction and objectives: </strong>The American Urological Association Symptom Score (AUASS) assesses lower urinary tract symptoms (LUTS), primarily in males with benign prostatic hyperplasia. Though validated in females, differences remain understudied. This study compares AUASS in incontinent males and females, evaluating LUTS severity across total score, voiding and storage subdomains, and quality of life (QoL). Comparing sex-specific differences in LUTS prevalence, risk factors, and severity may help providers deliver patient-centered incontinence care.</p><p><strong>Methods: </strong>A single-institution retrospective review (2019-2025) included incontinent patients (Michigan Incontinence Symptom Index: M-ISI > 7) who completed AUASS and M-ISI within 7 days. Independent <i>t</i>-tests and chi-squared tests were used where appropriate. Multivariable linear regression assessed the effects of sex on AUASS, adjusting for demographics and comorbidities.</p><p><strong>Results: </strong>5304 incontinent patients were included for further analysis including 3374 males and 1930 females. On univariable analysis, total AUASS did not significantly differ between males and females (<i>p</i> = 0.37). Urge incontinence was associated with increased AUASS severity across all subdomains (<i>p</i> < 0.024). On multivariable analysis, female sex was an independent predictor of lower total AUASS severity (<i>p</i> < 0.001) and voiding scores (<i>p</i> < 0.001), but worse QoL (<i>p</i> < 0.001). Absolute differences between sexes were small (<1.1 points across all metrics). Younger age and multiple comorbidities predicted worse total AUASS (<i>p</i> < 0.001).</p><p><strong>Conclusion: </strong>This AUASS assessment reveals significant demographic variations in LUTS severity. Overall, urge incontinence was the strongest predictor of worse AUASS scores. Although female sex was independently associated with slightly lower AUASS scores, the magnitude of these differences was small and may not be clinically significant. Females reported worse QoL despite lower adjusted symptom scores, suggesting that factors beyond measured symptom severity may contribute to patient-perceived burden.</p>","PeriodicalId":23574,"journal":{"name":"Urologia Journal","volume":" ","pages":"3915603261478152"},"PeriodicalIF":1.3,"publicationDate":"2026-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148798526","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A prospective comparative study of different nephrolithometric scoring system for nephrolithiasis to predict stone free status and complications in supine PCNL.","authors":"Prakhar Patel, Sunirmal Choudhury, Sudipta Saha, Pushpak Das","doi":"10.1177/03915603261465321","DOIUrl":"https://doi.org/10.1177/03915603261465321","url":null,"abstract":"<p><p>The significant rise in stone disease has led to an increased popularity of percutaneous nephrolithotomy for the management of substantial stone burdens. Despite ongoing advancements in technology and surgical methods, overall complication rates of PCNL have gone up. For the best decision-making and well-informed patient counselling, a precise assessment of treatment success is essential. CT scans offer high-resolution spatial imaging that precisely characterizes stone size and distribution, pelvicaliceal anatomy, anomalies, and anatomical relationships. With these measurable stone and patient features, the Guy's Stone Score, S.T.O.N.E. score and CROES nephrolithometric nomograms have been introduced for systematic and quantitative assessment of kidney stones. There is no study evaluating the efficacy of these three scoring systems in patients undergoing supine PCNL. We prospectively analysed 100 patients over a period of 20 months (December 2022-July 2024). Analysis of relationship between residual calculus, Procedure Time (PT), Scope Time (ST), Fluoroscopy Time (FT) and duration of hospital stay and complications with different nephrolithometric scoring was done. ROC curve was drawn comparing all three scores. AUC for GSS is 0.711, STONE score is 0.705, and CROES score is 0.772 for predicting stone clearance. However, CROES score had highest sensitivity 97.3 but specificity and NPV of GSS is highest for predicting stone clearance with accuracy of 71.58%. For predicting complications AUC for GSS is 0.678, STONE score is 0.537, and CROES score is 0.591. Sensitivity of CROES is 95.7% but PPV, NPV, and accuracy is highest for Guy's stone score but data is insignificant. SFR in our study was 63%. SFR corroborated significantly with low Guy's score, low STONE score, and high CROES score. All three nomograms have statistically significant correlation with SFR. Except CROES Score, other two Scores have statistically significantly correlation with complications.</p>","PeriodicalId":23574,"journal":{"name":"Urologia Journal","volume":" ","pages":"3915603261465321"},"PeriodicalIF":1.3,"publicationDate":"2026-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148664427","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Laparoscopic radical cystectomy in patients with bladder cancer: A modified technique with reduced morbidity - A comparative study.","authors":"Amit Sharma, Deepak Biswal, Satyadeo Sharma, Raghavendra Ravani Thrilochana, Pradhuman Yadav, Saryu Goel, Parwez Alam","doi":"10.1177/03915603261444885","DOIUrl":"10.1177/03915603261444885","url":null,"abstract":"<p><strong>Background: </strong>We describe a modified technique for laparoscopic radical cystectomy (LRC) utilizing a mini-laparotomy incision for conduit formation and compare outcomes with the conventional technique.</p><p><strong>Materials and methods: </strong>This retrospective single-centre study included patients with bladder cancer undergoing LRC at a tertiary care centre between September 2019 and December 2024. Patients were divided into conventional LRC (CLRC) and modified LRC (MLRC) groups. Statistical analysis was performed using chi-square and Student's <i>t</i>-test (<i>p</i> < 0.05 considered significant).</p><p><strong>Results: </strong>A total of 228 patients were included (CLRC: 58; MLRC: 170). Operative time was significantly longer in MLRC (253 vs 246 min, <i>p</i> = 0.0018). However, mean blood loss (370 vs 543 ml, <i>p</i> < 0.001), incision size (8.5 vs 14.5 cm, <i>p</i> < 0.001), time to oral intake (3.5 vs 3.8 days, <i>p</i> < 0.001), and hospital stay (10.8 vs 11.6 days, <i>p</i> < 0.001) were significantly reduced. Two early postoperative deaths (Clavien-Dindo Grade V) occurred in CLRC. At 2-year follow-up, recurrence (7.1% vs 10.3%) and mortality (1.2% vs 5.2%) were comparable between groups.</p><p><strong>Conclusion: </strong>The modified technique is feasible and reproducible. Despite longer operative time, it significantly reduces postoperative morbidity with comparable short-term oncological outcomes.</p>","PeriodicalId":23574,"journal":{"name":"Urologia Journal","volume":" ","pages":"402-408"},"PeriodicalIF":1.3,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147782634","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}