Asian Journal of Urology最新文献

{"title":"A review of complications after ureteral reconstruction","authors":"","doi":"10.1016/j.ajur.2024.02.007","DOIUrl":"10.1016/j.ajur.2024.02.007","url":null,"abstract":"<div><h3>Objective</h3><p>This study aimed to provide a comprehensive overview of the complications unique to ureteral reconstruction in adults, emphasizing their presentation, diagnosis, and management in the treatment of ureteral structure disease.</p></div><div><h3>Methods</h3><p>This review involves an in-depth analysis of existing literature and case studies pertaining to ureteral reconstruction, with a focus on examining the range of complications that can arise post-surgery. Special attention is given to the presentation of each complication, the diagnostic process involved, and the subsequent management strategies.</p></div><div><h3>Results</h3><p>Ureteral reconstruction can treat ureteral stricture disease with low morbidity; however, complications, although uncommon, can have severe consequences. The most notable complications include urinary extravasation, stricture recurrence, urinary tract infections, compartment syndrome, symptomatic vesicoureteral reflux, and Boari flap necrosis. Each complication presents unique diagnostic challenges and requires specific management approaches.</p></div><div><h3>Conclusion</h3><p>Ureteral reconstruction is a highly effective treatment for ureteral stricture disease. Having a strong understanding of the potential complications that patients may experience following ureteral reconstruction is not only critical to adequately counsel patients but also facilitate prompt diagnosis and management of complications when they arise.</p></div>","PeriodicalId":46599,"journal":{"name":"Asian Journal of Urology","volume":"11 3","pages":"Pages 348-356"},"PeriodicalIF":2.4,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214388224000201/pdfft?md5=f9c7e239eda8b0b56705da150724a671&pid=1-s2.0-S2214388224000201-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140465651","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prospective randomized study correlating intra-operative urethral mucosal injury with early period after transurethral resection of the prostate stricture urethra: A novel concept","authors":"","doi":"10.1016/j.ajur.2024.02.006","DOIUrl":"10.1016/j.ajur.2024.02.006","url":null,"abstract":"<div><h3>Objective</h3><p>To investigate the incidence of urethral stricture during the early period after transurethral resection of the prostate (TURP) and correlate its incidence with intra-operative urethral mucosal injury during TURP. Also to compare the other established risk factors affecting the development of urethral stricture among patients undergoing monopolar or bipolar TURP over a period of 6 months follow-up as the prospective randomized study.</p></div><div><h3>Methods</h3><p>One hundred and fifty men older than 50 years with lower-urinary tract symptoms associated with benign prostatic hyperplasia were randomized to undergo either standard monopolar TURP with glycine as the irrigation fluid or bipolar TURP with normal saline as irrigant. The prostate size, operative time, intra-operative mucosal rupture, catheter time, catheter traction duration, uroflowmetry, and post-operative stricture rate were compared.</p></div><div><h3>Results</h3><p>A total of 150 patients underwent TURP, including 74 patients undergoing monopolar TURP (one patient was excluded as his post-operative histopathological examination report was of adenocarcinoma prostate) and 75 patients undergoing bipolar-TURP, all of which were performed using a 26 Fr sheath resectoscope. The mean International Prostate Symptom Score and maximum urinary flow rate score at post-operative 3 months and 6 months were comparable between the groups. Out of 149 patients, nine patients (6.0%) developed urethral stricture. The severity of the injury (urethral mucosal injury) correlated with the likelihood of developing a subsequent complication (stricture urethra). Patients with stricture had significantly larger prostate volume than patients without stricture (65.0 mL <em>vs.</em> 50.0 mL; <em>p</em>=0.030). Patients with stricture had longer operative time than patients without stricture (55.0 min <em>vs</em>. 40.0 min; <em>p</em>=0.002). In both procedures, formation of post-operative stricture urethra was independently associated with intra-operative mucosal injury.</p></div><div><h3>Conclusion</h3><p>Intra-operative recognition of urethral mucosal injury helps in prediction of stricture urethra formation in early post-operative period.</p></div>","PeriodicalId":46599,"journal":{"name":"Asian Journal of Urology","volume":"11 3","pages":"Pages 466-472"},"PeriodicalIF":2.4,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214388224000171/pdfft?md5=018a57fd2a6a8563c738be771a776cef&pid=1-s2.0-S2214388224000171-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140466074","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Management of ruptured renal angiomyolipoma with bilateral staghorn calculi","authors":"","doi":"10.1016/j.ajur.2024.01.006","DOIUrl":"10.1016/j.ajur.2024.01.006","url":null,"abstract":"","PeriodicalId":46599,"journal":{"name":"Asian Journal of Urology","volume":"11 3","pages":"Pages 509-510"},"PeriodicalIF":2.4,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214388224000067/pdfft?md5=dd1d6412e7d55ff490678cd8aaca21c5&pid=1-s2.0-S2214388224000067-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139638628","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Robotic reconstructive surgery: The time has arrived","authors":"","doi":"10.1016/j.ajur.2024.03.001","DOIUrl":"10.1016/j.ajur.2024.03.001","url":null,"abstract":"","PeriodicalId":46599,"journal":{"name":"Asian Journal of Urology","volume":"11 3","pages":"Pages 339-340"},"PeriodicalIF":2.4,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214388224000274/pdfft?md5=47f008f7f337b83ef1c0c01280dd6622&pid=1-s2.0-S2214388224000274-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140275020","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Outcomes of surgical correction of Peyronie's disease with plaque excision and grafting: Comparison of testicular tunica vaginalis graft versus bovine pericardium graft","authors":"","doi":"10.1016/j.ajur.2023.03.005","DOIUrl":"10.1016/j.ajur.2023.03.005","url":null,"abstract":"<div><h3>Objective</h3><p>Peyronie's disease (PD) is an abnormal wound healing in the penile tunica albuginea. After fibrotic plaque excision, different graft materials have been used to repair the defects, but the optimal graft remains unknown. This study aimed to compare the functional outcomes of testicular tunica vaginalis grafts and bovine pericardium grafts in patients with severe PD.</p></div><div><h3>Methods</h3><p>A retrospective comparative study was conducted on 33 PD patients undergoing partial plaque excision and grafting from September 2015 to May 2021. The patients were divided into two groups depending on the type of graft used. For 15 patients in Group B, testicular tunica vaginalis grafts were used to repair the defect, while for 18 patients in Group A, bovine pericardium grafts were used. Data of the patient's age, comorbidities, sexual function, penile curvature, postoperative complications, need for further treatment, change in penile length, and satisfaction were gathered and compared between the groups. Sexual function was evaluated using the 5-item version of the International Index of Erectile Function (IIEF-5), and a functional less than 20-degree penile curvature after surgery was considered a successful intervention.</p></div><div><h3>Results</h3><p>There was no difference in age, comorbidities, degree of curvature, perioperative IIEF-5, operative time, plaque size, or complication rates. After surgery, a statistically significant improvement in curvature degree (<em>p</em>&lt;0.05) and satisfactory penile appearance (<em>p</em>&lt;0.05) were seen in both groups without any superiority between the two groups (<em>p</em>=0.423 and <em>p</em>=0.840, respectively). With a 30-month follow-up, the IIEF-5 was consistent in both groups, with no statistical significance between the groups (<em>p</em>=0.492). The main change in penile length during the operation was increased and still positive in the last follow-up in both groups without statistical significance (<em>p</em>=0.255 and <em>p</em>=0.101, respectively).</p></div><div><h3>Conclusion</h3><p>Partial plaque excision and corporoplasty with both testicular tunica vaginalis or bovine pericardium grafts are equally effective in treating males with clinically significant PD.</p></div>","PeriodicalId":46599,"journal":{"name":"Asian Journal of Urology","volume":"11 3","pages":"Pages 497-503"},"PeriodicalIF":2.4,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214388223000760/pdfft?md5=2244b2e621c185adeab1fff228953c92&pid=1-s2.0-S2214388223000760-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43760135","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Role of buccal mucosa graft ureteroplasty in the surgical management of pyeloplasty failure","authors":"Matthew Lee ,&nbsp;Elizabeth Nagoda ,&nbsp;David Strauss ,&nbsp;Matthew Loecher ,&nbsp;Michael Stifelman ,&nbsp;Lee Zhao","doi":"10.1016/j.ajur.2023.09.001","DOIUrl":"10.1016/j.ajur.2023.09.001","url":null,"abstract":"<div><h3>Objective</h3><p>Secondary pyeloplasty for recurrent ureteropelvic junction obstructions may be a safe and feasible surgical option for patients. This study aimed to demonstrate outcomes of utilizing a non-transecting buccal mucosa graft ureteroplasty for management of recurrent ureteropelvic junction obstruction after prior failed pyeloplasty.</p></div><div><h3>Methods</h3><p>We performed a retrospective review of our Collaborative of Reconstructive Robotic Ureteral Surgery database for all consecutive patients who underwent buccal mucosa graft ureteroplasty between April 2012 and June 2022 for management of recurrent ureteropelvic junction obstructions after prior failed pyeloplasty. The primary outcome included surgical success which was defined as the absence of flank pain and no obstruction on imaging.</p></div><div><h3>Results</h3><p>Overall, ten patients were included in our analysis. The median stricture length was 2.5 (interquartile range [IQR] 1.8–4.0) cm. The median operative time was 230.5 (IQR 199.5–287.0) min and median estimated blood loss was 50.0 (IQR 28.8–102.5) mL. At a median follow-up of 10.3 (IQR 6.2–14.8) months, 80% of patients were surgically successful and there were no major (Clavien–Dindo Grade&gt;2) complications.</p></div><div><h3>Conclusion</h3><p>Buccal mucosa graft ureteroplasty is a valuable non-transecting surgical option for patients with recurrent ureteropelvic junction obstructions who failed prior pyeloplasty and has comparable outcomes to the literature regarding standard transecting techniques.</p></div>","PeriodicalId":46599,"journal":{"name":"Asian Journal of Urology","volume":"11 3","pages":"Pages 373-376"},"PeriodicalIF":2.4,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214388223001388/pdfft?md5=701702c2c5deeb721e84860d8b89fd25&pid=1-s2.0-S2214388223001388-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141729364","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Long-term outcomes of urethral balloon dilation for anterior urethral stricture: A prospective cohort study","authors":"Ahmed M. Abdel Gawad ,&nbsp;Abhijit Patil ,&nbsp;Abhishek Singh ,&nbsp;Arvind P. Ganpule ,&nbsp;Ravindra B. Sabnis ,&nbsp;Mahesh R. Desai","doi":"10.1016/j.ajur.2023.04.006","DOIUrl":"10.1016/j.ajur.2023.04.006","url":null,"abstract":"<div><h3>Objective</h3><p>To prospectively follow up a cohort of anterior urethral stricture disease patients managed with balloon dilation (BD) for 3 years to evaluate the long-term outcomes and to study factors that contribute to recurrence.</p></div><div><h3>Methods</h3><p>This study included men who had urethral BD for significant anterior urethral stricture disease between January 2017 and March 2019. Data about the patient age, stricture characteristics, and recurrence date were recorded, along with information on postoperative indwelling catheter use and operative complications. Furthermore, information about the self-calibration procedure was collected and where available, free flow (FF) measurements during the follow-up period were recorded and analyzed. Success was defined as a lack of symptoms and acceptable FF rates (maximum flow rate&gt;12 mL/s).</p></div><div><h3>Results</h3><p>The final analysis was conducted on 187 patients. The mean follow-up period was 37 months. The long-term overall success rate at the end of our study was 66.8%. Our recurrence rate was 7.4% at 12 months, 24.7% at 24 months, and reached 33.2% at the end of our study. The time to recurrence ranged from 91 days to 1635 days, with a mean of 670 days. The stricture-free survival was significantly shorter with lengthy peno-bulbar (<em>p</em>=0.031) and multiple strictures (<em>p</em>=0.015), and in the group of patients who were not committed to self-calibration protocol (<em>p</em>&lt;0.011). However, post-procedural self-calibration was the most important factor that may have decreased the incidence of recurrence (odds ratio=5.85). Adjuvant self-calibration after BD not only reduced the recurrence rate from 85.4% in the non-self-calibration group to 15.1% in the self-calibration one (<em>p</em>&lt;0.001), but also improved the overall stricture-free survival and FF parameters.</p></div><div><h3>Conclusion</h3><p>Urethral BD has a high recurrence rate in the long-term, especially with long and multiple strictures. Adjuvant self-calibration has proven to reduce the recurrence risk and the need for re-intervention.</p></div>","PeriodicalId":46599,"journal":{"name":"Asian Journal of Urology","volume":"11 3","pages":"Pages 480-485"},"PeriodicalIF":2.4,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214388223001406/pdfft?md5=23e7d028083bbc825ed5a5bb6351ace1&pid=1-s2.0-S2214388223001406-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141729753","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of nocturia in patients with different severity of obstructive sleep apnea on polysomnography: A retrospective observational study","authors":"","doi":"10.1016/j.ajur.2023.02.003","DOIUrl":"10.1016/j.ajur.2023.02.003","url":null,"abstract":"<div><h3>Objective</h3><p>Obstructive sleep apnea (OSA) is one of the etiologies of nocturia. We analyzed polysomnography (PSG) results to determine correlated factors related to nocturia in OSA patients with different severity.</p></div><div><h3>Methods</h3><p>Patients with suspected OSA were examined using PSG. They were divided into two groups based on the presence of nocturia. Nocturia was defined as a patient who needed to void at least once. Apnea–hypopnea index (AHI) was employed to classify patients according to degrees of severity: AHI&lt;5 events/h, 5 events/h≤AHI&lt;15 events/h, 15 events/h≤AHI&lt;30 events/h, and AHI≥30 events/h, defined as normal, mild OSA, moderate OSA, and severe OSA, respectively. Demographic variables, PSG parameters, International Prostate Symptom Scores (IPSSs), and quality of life scores due to urinary symptoms were analyzed.</p></div><div><h3>Results</h3><p>In total 140 patients, 114 patients had OSA (48 had mild OSA; 34 had moderate OSA; and 32 had severe OSA) and 107 patients had nocturia. The total IPSS was significantly higher in nocturia patients in all groups except the group of severe OSA patients. With the increasing severity of OSA, more correlated factors related to nocturia were determined. In mild OSA patients, nocturia related to increased age (<em>p</em>=0.025), minimum arterial blood oxygenation saturation (<em>p</em>=0.046), and decreased AHI of non-rapid eye movement (<em>p</em>=0.047), AHI of total sleep time (<em>p</em>=0.010), and desaturation index (<em>p</em>=0.012). In moderate OSA patients, nocturia related to increased age (<em>p</em>&lt;0.001), awake time (<em>p</em>=0.025), stage 1 sleep (<em>p</em>=0.033), and sleep latency (<em>p</em>=0.033), and decreased height (<em>p</em>=0.044), weight (<em>p</em>=0.025), and sleep efficiency (<em>p</em>=0.003). In severe OSA patients, nocturia related to increased weight (<em>p</em>=0.011), body mass index (<em>p</em>=0.009), awake time (<em>p</em>=0.008), stage 1 sleep (<em>p</em>=0.040), arousal number (<em>p</em>=0.030), arousal index (<em>p</em>=0.013), periodic limb movement number (<em>p</em>=0.013), and periodic limb movement index (<em>p</em>=0.004), and decreased baseline arterial blood oxygenation saturation (<em>p</em>=0.046).</p></div><div><h3>Conclusion</h3><p>Our study revealed that there were more correlated factors related to nocturia with increasing severity of OSA. This study helps in clinical education and treatment for OSA patients with different severity.</p></div>","PeriodicalId":46599,"journal":{"name":"Asian Journal of Urology","volume":"11 3","pages":"Pages 486-496"},"PeriodicalIF":2.4,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214388223000693/pdfft?md5=9689ebe622f879eeec8f8b55d9b0309e&pid=1-s2.0-S2214388223000693-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47636139","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Robotic management of urinary fistula","authors":"","doi":"10.1016/j.ajur.2023.11.002","DOIUrl":"10.1016/j.ajur.2023.11.002","url":null,"abstract":"<div><h3>Objectives</h3><p>To highlight critical preoperative and intraoperative considerations in approaching fistula repair robotically.</p></div><div><h3>Methods</h3><p>A search of the literature was conducted to identify relevant articles pertaining to robotic management of urinary fistulae.</p></div><div><h3>Results</h3><p>Fistulae of the genitourinary tract can be a challenging dilemma for urologists, as definitive management may require surgical intervention. Pathogenesis of both enteric and non-enteric fistulae are multifactorial, and successful repair hinges on the meticulous perioperative evaluation, planning, and execution. Traditional open techniques can subject patients to increased morbidity and prolonged hospitalizations. Since its introduction, the robotic surgical platform has continued to expand its indications. Its three-dimensional visualization and tremor free wristed instrument movements have made the robotic platform an attractive option for genitourinary fistula reconstruction.</p></div><div><h3>Conclusion</h3><p>Robotic management of complex urinary fistulae is feasible in expert hands; more studies are needed to define its role in the treatment algorithm of this devastating conditions.</p></div>","PeriodicalId":46599,"journal":{"name":"Asian Journal of Urology","volume":"11 3","pages":"Pages 357-365"},"PeriodicalIF":2.4,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214388224000237/pdfft?md5=71c85aa83d52a322c033a5f378cd18b7&pid=1-s2.0-S2214388224000237-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140087022","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Summarizing the evidence for robotic-assisted bladder neck reconstruction: Systematic review of patency and incontinence outcomes","authors":"","doi":"10.1016/j.ajur.2023.08.007","DOIUrl":"10.1016/j.ajur.2023.08.007","url":null,"abstract":"<div><h3>Objective</h3><p>Bladder neck contracture and vesicourethral anastomotic stenosis are difficult to manage endoscopically, and open repair is associated with high rates of incontinence. In recent years, there have been increasing reports of robotic-assisted bladder neck reconstruction in the literature. However, existing studies are small, heterogeneous case series. The objective of this study was to perform a systematic review of robotic-assisted bladder neck reconstruction to better evaluate patency and incontinence outcomes.</p></div><div><h3>Methods</h3><p>We performed a systematic review of PubMed from first available date to May 2023 for all studies evaluating robotic-assisted reconstructive surgery of the bladder neck in adult men. Articles in non-English, author replies, editorials, pediatric-based studies, and reviews were excluded. Outcomes of interest were patency and incontinence rates, which were pooled when appropriate.</p></div><div><h3>Results</h3><p>After identifying 158 articles on initial search, we included only ten studies that fit all aforementioned criteria for robotic-assisted bladder neck reconstruction. All were case series published from March 2018 to March 2022 ranging from six to 32 men, with the median follow-up of 5–23 months. A total of 119 patients were included in our analysis. A variety of etiologies and surgical techniques were described. Patency rates ranged from 50% to 100%, and pooled patency was 80% (95/119). <em>De novo</em> incontinence rates ranged from 0% to 33%, and pooled incontinence was 17% (8/47). Our findings were limited by small sample sizes, relatively short follow-ups, and heterogeneity between studies.</p></div><div><h3>Conclusion</h3><p>Despite limitations, current available evidence suggests comparable patency outcomes and improved incontinence outcomes for robotic bladder neck reconstruction compared to open repair. Additional prospective studies with longer-term follow-ups are needed to confirm these findings.</p></div>","PeriodicalId":46599,"journal":{"name":"Asian Journal of Urology","volume":"11 3","pages":"Pages 341-347"},"PeriodicalIF":2.4,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2214388223001236/pdfft?md5=4aeb20891e7ab5a869d5df8008086bec&pid=1-s2.0-S2214388223001236-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135566914","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}