Urologia Journal最新文献

{"title":"\"To get to know, to discover, to publish-this is the destiny of a scientist\" (Froinçois Arago).","authors":"Emilio Sacco","doi":"10.1177/03915603251317044","DOIUrl":"10.1177/03915603251317044","url":null,"abstract":"","PeriodicalId":23574,"journal":{"name":"Urologia Journal","volume":" ","pages":"3-4"},"PeriodicalIF":0.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143060813","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":"Anogenital distance and the risk of Late-onset hypogonadism.","authors":"Florencio Manuel Marín-Martínez, Julian J Arense-Gonzalo, Miriam Artes Artes, Emny Rochell Bobadilla Romero, Victor Garcia Porcel, Mabel Coromoto Suárez-Pineda, Pablo Luis Guzmán Martínez-Valls, Jaime Mendiola","doi":"10.1177/03915603241287881","DOIUrl":"10.1177/03915603241287881","url":null,"abstract":"<p><strong>Objective: </strong>to investigate the association between anogenital distance (AGD) and the risk of Late-onset Hypogonadism (LOH).</p><p><strong>Methods: </strong>We prospectively recruited 145 consecutive patients referred for transrectal prostate biopsy due to prostate-specific antigen (PSA) elevation or abnormal digital rectal examination, between September 2019 and December 2021. Two variants of AGD, anus to scrotum base (AGDas) and anus to dorsal insertion of penis (AGDap) were measured. Serum total testosterone levels in fasting conditions between 07.00 and 11.00 h were determined. Patients filled out the Aging Males' Symptoms (AMS) scale questionnaire.</p><p><strong>Results: </strong>LOH was diagnosed in 29% of the participants and presented both AGDs shorter than men without LOH, with an AGDap of 116.09 mm (9.02 mm) versus 128.71 (10.76), and an AGDas 29.70 (8.01) versus 39.93 (11.64); both <i>p</i> < 0.05. ANCOVA test showed a significant association between the presence of LOH and both AGD measurements. Besides, AGD measurements presented adequate accuracy for the diagnosis of LOH.</p><p><strong>Conclusions: </strong>This work adds to the scientific evidence that AGD-a biomarker of fetal exposure-could provide a non-invasive measure to address LOH, providing a potential useful clinical tool.</p>","PeriodicalId":23574,"journal":{"name":"Urologia Journal","volume":"92 1","pages":"134-140"},"PeriodicalIF":0.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143374267","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 rare complication after ureterorenoscopy lithotripsy: Subcapsular renal hematoma.","authors":"Xiaofei Lu, Yingchao Chen, Weiliang Cao, Zhiyong Ding, Benzheng Zhou","doi":"10.1177/03915603241292842","DOIUrl":"10.1177/03915603241292842","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the prevalence, risk factors, clinical manifestations, and outcomes of subcapsular renal hematoma (SRH) following ureterolithotripsy.</p><p><strong>Patients and methods: </strong>Between January 2014 and December 2023, patients who underwent ureterorenoscopy lithotripsy (URL) at our hospital were retrospectively reviewed. Clinical data including basic information, calculi-related indicators, and perioperative period data were collected. A Student's <i>t</i>-test was used for continuous data, while a Chi-square test or Fisher's exact test was utilized for categorical data.</p><p><strong>Results: </strong>A total of 2098 patients treated with URL for ureteric stones were included in this study. The incidence of SRH after URL was 0.52% (11 cases). All SRH cases were confirmed by non-contrast computed tomography, with an average patient age of 55.54 years (range 34-84). The mean stone size in patients with SRH was 10.54 cm (range 0.8-1.5). Patients with SRH had a higher proportion of severe hydronephrosis caused by ureteral stones (54.55% vs 26.07%, <i>p</i> = 0.032) and narrow ureters (45.45% vs 8.04%, <i>p</i> < 0.001) compared to those without SRH. Patients with SRH experienced a longer length of stay, with a significant difference between the two groups (11.64 ± 5.05 vs 3.87 ± 8.12, <i>p</i> < 0.001). Nine patients were managed conservatively without further intervention, while embolization was required in one patient and percutaneous drainage was performed in another. All SRH cases resolved completely during a 4-month follow-up.</p><p><strong>Conclusions: </strong>The incidence of SRH following URL is low, with severe hydronephrosis and narrow ureters identified as risk factors. Most SRH cases can be successfully managed conservatively, although patients with SRH may experience a significant prolongation of their length of stay.</p>","PeriodicalId":23574,"journal":{"name":"Urologia Journal","volume":" ","pages":"174-181"},"PeriodicalIF":0.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142591517","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":"Surgeons' fatigue in minimally invasive and open surgery: A review of the current literature.","authors":"Marco Campetella, Mauro Ragonese, Carlo Gandi, Francesco Pio Bizzarri, Pierluigi Russo, Nazario Foschi, Riccardo Bientinesi, Emilio Sacco","doi":"10.1177/03915603241300226","DOIUrl":"10.1177/03915603241300226","url":null,"abstract":"<p><p>Technological advancements have revolutionized surgical methods, with laparoscopic and robotic surgeries offering significant benefits over traditional open procedures. These benefits include reduced intraoperative blood loss, shortened hospital stays, faster recovery, and improved cosmetic outcomes. However, the learning curve for laparoscopic surgery remains a challenge. Robotic systems, like the da Vinci Surgical System, address many limitations of laparoscopic surgery, including limited range of motion and tremors, and offer superior ergonomics. Despite concerns over cost and tactile feedback, innovations like telesurgery and augmented reality are enhancing robotic surgery's potential. Moreover, robotic surgery generally results in less blood loss, fewer complications, and quicker recovery compared to open surgery. Robotic surgery tends also to be less physically demanding for surgeons, reducing fatigue and musculoskeletal strain. However, research also reveals that many surgeons still experience discomfort, particularly in the neck and shoulders, emphasizing the need for ergonomic training and improved workstation setups. The review also explores the impact of pre-procedure fatigue on surgical performance, noting that fatigue can impair performance on surgical simulators, particularly among residents. Despite this, studies showed that performing consecutive surgeries in a single day does not appear to adversely affect patient outcomes. Overall, ergonomic interventions are crucial in both laparoscopic and robotic surgeries to enhance surgeon efficiency and well-being, and further research is needed to optimize these surgical methods and understand the long-term impacts of fatigue on performance and patient outcomes.</p>","PeriodicalId":23574,"journal":{"name":"Urologia Journal","volume":" ","pages":"161-168"},"PeriodicalIF":0.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142648793","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":"Pelvicalyceal anatomy and stone related factors as predictors of stone free rate in retrograde intrarenal surgery for lower calyceal stone.","authors":"Tilala Yash Manharlal, Sachin Sharma, Abhilekh Tripathi, Sabyasachi Panda, Amiya Shankar Paul, Sanjay Choudhuri, Samir Swain","doi":"10.1177/03915603241282754","DOIUrl":"10.1177/03915603241282754","url":null,"abstract":"<p><strong>Introduction: </strong>The objective of the present study is to evaluate the various pelvi-calyceal anatomy related and stone related parameters and their influence on stone free rate in retrograde intrarenal surgery for lower calyceal stones.</p><p><strong>Methods: </strong>The retrospective analysis of records of 206 patients who underwent retrograde intrarenal surgery for lower calyceal stones from December 2021 and November 2023.The patients were divided into two groups: stone free group and residual stone group. Various factors like patients' characteristics, stone size, volume, numbers, density, infundibular width, infundibulopelvic angle, operative time, lasing time, type of laser, and retreatment rate were compared between two groups.</p><p><strong>Results: </strong>The mean stone size in stone free group was 1.1 ± 0.7 cm whereas in residual stones group was 1.7 ± 0.4 cm (<i>p</i> = 0.03). Overall stone free rate was 62.1% (128/206) whereas residual stone rate was 37.9% (78/206). In stone-free group only 2.3% (3/128) of the patients had an acute infundibulopelvic angle ⩽ 30° whereas in the residual stones group an acute infundibulopelvic angle ⩽ 30° was found in 58.9% (46/78) of the patients (<i>p</i> < 0.001). Patients with an infundibulopelvic angle ⩽ 30°, 93.8% (46/49) had residual stones, whereas infundibulopelvic angle > 30° only 20.1% (32/157) had residual stones (<i>p</i> < 0.001). Multivariate logistic regression analysis has demonstrated that Infundibulopelvic angle and stone size were the only significant factors in predicting stone free rate for lower calyceal stone.</p><p><strong>Conclusion: </strong>Infundibulopelvic angle and stone size have significant impact on the stone free rates in retrograde intrarenal surgery for lower calyceal stones.</p>","PeriodicalId":23574,"journal":{"name":"Urologia Journal","volume":" ","pages":"75-80"},"PeriodicalIF":0.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142296605","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":"The intratesticular artery resistive index as a predictor of spermatogenesis: A prospective study.","authors":"Sachin Sharma, Tilala Yash Manharlal, Abhilekh Tripathi, Samir Swain, Sabyasachi Panda, Amiya Shankar Paul, Sanjay Choudhuri","doi":"10.1177/03915603241273614","DOIUrl":"10.1177/03915603241273614","url":null,"abstract":"<p><strong>Introduction: </strong>With the objective to assess the correlation between the resistive index of intratesticular artery as predictor of spermatogenesis this case control study was conducted.</p><p><strong>Methods: </strong>A Prospective study conducted during period April 2021 to March 2023. Total 50 patients, with oligoasthenozoospermia taken as cases and other 50 men with normal sperm count taken as controls. History taken & clinical examination, Semen analysis, hormonal evaluation & Color Doppler ultrasonography of scrotum done. Resistive Index of testicular arteries was obtained. Cases and controls were compared.</p><p><strong>Results: </strong>The age of the study group ranged between 21 and 40 years. Among the cases maximum patients 23 out of 50 and among controls with maximum number 21 out of 50 patients were belonged to age group 26-30 years.The mean semen volume for the cases & controls was 2.76 ± 0.44 ml and 3.32 ± 0.54 ml respectively. The Mean sperm concentration in the cases & controls was 14.33 million/ml & 84.8 million/ml. Mean Type A sperm motility was 20.82% ± 7.86 in cases and 54.96% ± 5.41 in controls. The mean testicular volume in cases was 18.36 ± 0.75 & in controls was 18.39 ± 0.62 ml. Hormonal evaluation done in both cases and controls and mean value of FSH in cases and controls was 7.57 ± 2.34 and 6.27 ± 3.55 respectively (<i>p</i>-value = 0.036). Mean value of Resistive Index (PSV - EDV)/PSV) in cases and controls were found 0.63 ± 0.32 and 0.53 ± 0.37 respectively (<i>p</i>-value = 0.001).</p><p><strong>Conclusion: </strong>The intratesticular artery resistive index can be utilized as valuable predictive marker to indicate spermatogenesis.</p>","PeriodicalId":23574,"journal":{"name":"Urologia Journal","volume":" ","pages":"120-125"},"PeriodicalIF":0.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142296607","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 the incidence of clinically significant prostate cancer in patients with isolated peripheral versus transitional zone PIRADS 3 lesions.","authors":"Kamil Malshy, Anna Ochsner, Rebecca Ortiz, Benjamin Ahn, Richard Glebocki, Matthew Liu, Borivoj Golijanin, Samuel Eaton, Gyan Pareek, Elias Hyams, Dragan Golijanin, Sari Khaleel","doi":"10.1177/03915603241286064","DOIUrl":"10.1177/03915603241286064","url":null,"abstract":"<p><strong>Introduction: </strong>We sought to investigate the association between isolated PIRADS 3 lesions of the transitional zone (TZ) versus the peripheral zone (PZ) and the incidence of clinically significant prostate cancer (csPCa) on systematic and targeted prostate biopsy (SB, TB).</p><p><strong>Methods: </strong>We retrospectively reviewed our tertiary institutional database of patients who underwent mpMRI-fusion followed by TB + SB between 2016 and 2021. We compared the incidence of csPCa (Gleason Grade Group ⩾ 2) in patients with solitary TZ-only PIRADS 3 and PZ-only PIRADS 3 on SB and TB. We excluded patients with (1)known PCa, (2)PIRADS 4-5 and/or (3)lesions in both TZ and PZ. T-tests, Chi-square tests, were conducted to compare between the groups.</p><p><strong>Results: </strong>Of 1913 patients, we identified 110 with PZ-only and 38 with TZ-only PIRADS 3 lesions. 73 patients in PZ-only and 19 in TZ-only met inclusion criteria. No statistically significant differences were observed between PZ and TZ groups in terms of age, median prostate-specific antigen (PSA), prostate volume, median PSA-density, or median number of targeted cores obtained, all with <i>p</i> > 0.05.On SB, the incidence of csPCA was higher in patients with PZ rather than TZ PIRADS-3 lesions (10/73 vs 1/19, <i>p</i> = 0.28). Similarly, csPCA was more common in TB of PZ versus TZ PIRADS 3 lesions (7/73 vs 0/19, <i>p</i> = 0.33). Based on these results, the positive predictive values of PIRADS3 as a marker of csPCA were 5.3% and 0% for TZ lesions on SB versus TB, respectively, compared to 17.7% and 9.6% in the PZ.</p><p><strong>Conclusions: </strong>PIRADS 3 lesions are rarely associated with csPCA on SB and TB, particularly when located in the TZ, which is an important factor to consider when deciding on a biopsy in patients with isolated TZ lesions.</p>","PeriodicalId":23574,"journal":{"name":"Urologia Journal","volume":" ","pages":"51-58"},"PeriodicalIF":0.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142354783","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":"Exploring intradermal sterile water injection as an alternative to natrium diclofenac for kidney-stone related pain relief: A systematic review and meta-analysis of randomized controlled trials.","authors":"Satria Gohtama, Malvin Thaniel, Livia Janice, Michael Rulando, Elvan Wiyarta","doi":"10.1177/03915603241287033","DOIUrl":"10.1177/03915603241287033","url":null,"abstract":"<p><strong>Background: </strong>Kidney stone-related pain often presents significant challenges in clinical practice, mainly due to the adverse effects by NSAIDs, which are the current first-line treatment for urolithiasis. Patients presenting with gastrointestinal tract disorders and contraindications toward NSAIDs are particularly susceptible. Intradermal sterile water injection (SWI) has evidently become apparent as one of the promising alternatives, offering rapid pain relief with minimal adverse effects. This purpose of this study to assess the safety and efficacy of SWI in comparison to NSAIDs particularly Natrium Diclofenac in the management of kidney-stone related pain.</p><p><strong>Main body: </strong>A systematic review and meta-analysis was performed on papers published up to January 2024 obtained from scientific databases, guided by the PRISMA flowchart. The Cochrane risk of bias 2.0 tool was used to assess quality of the included studies. Statistical analyses were then performed using Review Manager 5.4.1 on studies that provide the baseline and complete follow-up numerical outcomes (e.g. mean and standard deviation) required. After screening was done, 3 retrievable studies met the inclusion and exclusion criteria with a total of 770 participants with kidney stone related pain. The result revealed no significant difference in pain reduction between SWI and Natrium diclofenac at 30 min (MD -0.12, 95% CI -0.68 to 0.44) and 60 min (MD -0.23, 95% CI -0.65 to 0.18). Furthermore, patients treated with SWI display a reduced need for rescue analgesia compared to Natrium Diclofenac (OR 0.73, 95% CI 0.36 to 1.49). Adverse events result was more superior in SWI, having lower occurrence when compared to Natrium Diclofenac, although not significant (OR 0.14, 95% CI 0.05 to 0.39).</p><p><strong>Conclusions: </strong>Intradermal sterile water injection (SWI) appears to be a promising alternative to NSAIDs for kidney stone related pain management, offering comparable efficacy in pain reduction, reduced need for rescue analgesia while maintaining a favorable safety profile. However, further research with larger sample sizes and standardized treatment protocols are required to further validate its safety and efficacy.</p>","PeriodicalId":23574,"journal":{"name":"Urologia Journal","volume":" ","pages":"21-31"},"PeriodicalIF":0.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142354784","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":"Severe bleeding in patients following \"tubeless\" percutaneous nephrolithotomy: Predictors of angioembolization.","authors":"K R Surag, Abhijit Shah, Kasi Vishwanath Gali, A V B Krishnakanth, Arun Chawla, Padmaraj Hegde, Anupam Choudhary, Mithun Rao","doi":"10.1177/03915603241282409","DOIUrl":"10.1177/03915603241282409","url":null,"abstract":"<p><strong>Introduction: </strong>Percutaneous nephrolithotomy (PCNL) is a widely used procedure for treating renal calculi. Advanced techniques have improved outcomes, but hemorrhage remains a significant complication. While most cases of hemorrhagic complications are typically managed conservatively, few cases necessitate interventions like angioembolization (AE). The purpose of this study is to identify risk factors closely associated with severe bleeding post-PCNL requiring AE and to assess if these factors can independently predict the type of lesion [arteriovenous fistula (AVF) vs pseudoaneurysm (PA)].</p><p><strong>Materials and method: </strong>A retrospective analysis was conducted on 119 patients who underwent \"tubeless\" PCNL and experienced severe bleeding between January 2018 and December 2023. The study reviewed demographic characteristics, stone characteristics, perioperative factors, and adverse events. The chi-square test and Fisher's exact test were used for univariate analysis. Logistic regression analysis was used in binomial analysis with a value of <i>p</i> < 0.05 considered statistically significant.</p><p><strong>Results: </strong>Out of 119 patients, 51 required AE. Elevated preoperative serum creatinine levels (>1.5 mg/dl) [<i>p</i> = 0.01], upper pole access [<i>p</i> = 0.008], and a larger access sheath size (standard PCNL vs mini-PCNL) [<i>p</i> ⩽ 0.001] were found to be significantly associated with AE. Logistic regression analysis revealed standard PCNL was significantly associated with post-PCNL bleeding requiring AE (odds ratio [OR]: 50, 95% confidence interval [CI]: 6.529-382.90, <i>p</i> ⩽ 0.001). Stone size and co-morbidities showed no significant association with AE. The average duration of presentation of symptoms post PCNL was 13.6 days. Most patients underwent coiling for AE, with a clinical success rate of 94%.</p><p><strong>Conclusion: </strong>Elevated serum creatinine levels, upper pole access, and tract size >24 Fr are more prone to post-tubeless PCNL severe bleeding, which requires renal AE. The findings suggest that early angiography and possible AE should be considered for at-risk patients. In the future, these predictors may be integrated into predictive models to improve patient risk stratification.</p>","PeriodicalId":23574,"journal":{"name":"Urologia Journal","volume":" ","pages":"89-95"},"PeriodicalIF":0.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11806643/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142354786","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The not so 'simple' laparoscopic nephrectomy: Experience with 3D laparoscopy from a tertiary care centre.","authors":"Priyank Bhargava, Gautam Ram Choudhary, Rahul Jena, Shivcharan Navriya, Nikita Shrivastava, Vikram Singh, Jaydeep Jain, Mahendra Singh, Deepak Prakash Bhirud, Arjun Singh Sandhu","doi":"10.1177/03915603241300234","DOIUrl":"10.1177/03915603241300234","url":null,"abstract":"<p><strong>Introduction: </strong>Laparoscopic simple nephrectomy (LSNx) is among the gold standard options for management of selected poorly functioning and most non-functioning kidneys (PFK/NFKs). Our objective was to audit our patients who had undergone LSNx for benign causes and assess their perioperative outcomes and analyse the factors correlating with these outcomes.</p><p><strong>Materials and methods: </strong>We reviewed our prospectively collected data of patients with PFK/NFKs due to benign causes who underwent a LSNx on a three-dimensional (3D) system via a transperitoneal approach between January 2017 and June 2023. Details on clinical profile, radiological findings and peri-operative details were recorded and analysed.</p><p><strong>Results: </strong>A total of 302 patients underwent LSNx in the study duration. Urolithiasis was the most common cause of PFK/NFKs in 66.5% of patients followed by pelvi-ureteric junction obstruction in 14.9%. Rate of conversion to open surgery was 5.3%. Final histopathology revealed chronic pyelonephritis in 82% patients and Xanthogranulomatous pyelonephritis (XGPN) in 14%. Multivariate analysis revealed presence of pre-operative fat stranding on imaging, larger kidney size, presence of XGPN and pyonephrosis to be significantly associated with longer operation times. Prior renal surgery, positive urine culture, presence of XGPN and a higher body mass index was associated with a longer hospital stay and increased rate of post-operative complications.</p><p><strong>Conclusion: </strong>LSNx is commonly employed for management of PFK/NFKs from various aetiologies, the most common of which is urolithiasis in our experience. Multiple clinico-radiological factors as described correlated with longer operative times and prolonged hospital stay, which aids in surgical planning and patient counselling.</p>","PeriodicalId":23574,"journal":{"name":"Urologia Journal","volume":" ","pages":"104-111"},"PeriodicalIF":0.8,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142669163","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}