Indian Journal of Urology最新文献

{"title":"Current status of pediatric urology in India and future directives.","authors":"Priyank Yadav, Mohd S Ansari, Mohan S Gundeti","doi":"10.4103/iju.iju_199_25","DOIUrl":"10.4103/iju.iju_199_25","url":null,"abstract":"","PeriodicalId":47352,"journal":{"name":"Indian Journal of Urology","volume":"41 3","pages":"155-157"},"PeriodicalIF":0.9,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12312807/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144776549","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":"Round up.","authors":"Swarnendu Mandal","doi":"10.4103/iju.iju_254_25","DOIUrl":"10.4103/iju.iju_254_25","url":null,"abstract":"","PeriodicalId":47352,"journal":{"name":"Indian Journal of Urology","volume":"41 3","pages":"158-160"},"PeriodicalIF":0.9,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12312810/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144776489","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":"Intracorporeal ileal conduit versus orthotopic neobladder after robotic radical cystectomy: A systematic review and meta-analysis of complications and perioperative outcomes.","authors":"Siddharth Yadav, Rui Farinha, T K Aravind, Harshdeep Singh, Ankit Raheja, Pawan Vasudeva, Anup Kumar","doi":"10.4103/iju.iju_3_25","DOIUrl":"10.4103/iju.iju_3_25","url":null,"abstract":"<p><strong>Introduction: </strong>This systematic review and meta-analysis were performed to generate evidence on the complication rates between robot-assisted radical cystectomy and intracorporeal ileal conduit (RARC ICIC) and RARC and intracorporeal orthotopic neobladder (RARC ICONB).</p><p><strong>Methods: </strong>A systematic search of the PubMed, Scopus, and Web of Science databases was performed, and all the articles from inception up to June 30, 2024, were screened. Studies reporting on perioperative complications as per the Clavien-Dindo classification and comparing RARC ICIC with RARC ICONB were included. This systematic review was performed as per the Preferred Reporting Items for Systematic Reviews and Meta-analyses guidelines.</p><p><strong>Results: </strong>A total of 9 studies evaluating 999 patients were included in the final analysis, and all were retrospective analyses of prospectively maintained databases. The 30-day and 90-day complication rates, including the Clavien-Dindo I-II and III-V and the overall complication rate, were similar between RARC ICIC and RARC ICONB. RARC ICONB had a longer operative time (weighted mean difference - 69.62 min) and higher blood loss (weighted mean difference - 50.53 ml). Patients with stage pT4 and N1 were more in the RARC ICIC group as was the rate of positive surgical margin, which suggests an inherent selection bias while offering the procedure.</p><p><strong>Conclusion: </strong>This systematic review, which included only retrospective small-sized series, found that the 30-day and 90-day complication rates between RARC ICIC and RARC ICONB are similar; however, these results are marred by apparent selection bias while offering the procedure. Thus, larger, better-quality prospective randomized studies are required to provide high-quality evidence.</p>","PeriodicalId":47352,"journal":{"name":"Indian Journal of Urology","volume":"41 3","pages":"166-175"},"PeriodicalIF":0.9,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12312842/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144776484","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":"Healing with precision - Robotic Mitrofanoff procedure with autologous pubovaginal sling in neurogenic incontinence.","authors":"Sidhartha Kalra, Siddhant Bolar, Rajat Mudhol, Shiva Gour","doi":"10.4103/iju.iju_122_25","DOIUrl":"10.4103/iju.iju_122_25","url":null,"abstract":"<p><p>A 21-year-old obese female presented with urinary incontinence and lower limb weakness after a D11-L3 laminectomy for spinal teratoma. Evaluation revealed a patulous urethra with video-urodynamic study suggestive of hyposensory, hypocontractile bladder of 500 ml capacity with open bladder neck, intrinsic sphincter deficiency, and good compliance. Due to obesity, perineal hypoesthesia, and clean intermittent catheterization (CIC) challenges, a robotic Mitrofanoff channel and continent bladder neck (tensor fascia lata graft) were planned. Tension-free channel was achieved by removing one row of staples to increase channel length, use of indocyanine green intraoperatively to assess vascularity, and umbilicus as site of Mitrofanoff to avoid thick pannus. At 3-months' follow-up, the patient performed CIC comfortably every 5 h and was continent.</p>","PeriodicalId":47352,"journal":{"name":"Indian Journal of Urology","volume":"41 3","pages":"230-231"},"PeriodicalIF":0.9,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12315592/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144776555","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":"What's inside.","authors":"Abhishek Singh","doi":"10.4103/iju.iju_258_25","DOIUrl":"https://doi.org/10.4103/iju.iju_258_25","url":null,"abstract":"","PeriodicalId":47352,"journal":{"name":"Indian Journal of Urology","volume":"41 3","pages":"161-163"},"PeriodicalIF":0.9,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12312809/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144776492","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":"Volvulus of segment of ileal conduit anterior to the rectus sheath presenting as acute urinary retention.","authors":"S Bobby Viswaroop, Ganesh Gopalakrishnan","doi":"10.4103/iju.iju_34_25","DOIUrl":"10.4103/iju.iju_34_25","url":null,"abstract":"<p><p>Conduit-related complications often occur late and are challenging to treat. A septuagenarian, 12 years following radical cystectomy and ileal conduit (IC) for T1G3 bladder cancer, presented with stomal stenosis which was managed by temporary placement of catheter into the conduit. One year later, he presented with no urine output from the conduit due to a double block resulting from a volvulus of the subcutaneous portion of the IC. After confirmation of the diagnosis with a computed tomography scan, the patient was managed by a reduction of the conduit length and a Turnbull stoma.</p>","PeriodicalId":47352,"journal":{"name":"Indian Journal of Urology","volume":"41 3","pages":"225-227"},"PeriodicalIF":0.9,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12312836/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144776491","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":"Apalutamide for high-risk localized prostate cancer following radical prostatectomy- A new Horizon.","authors":"Mithilesh Yadav","doi":"10.4103/iju.iju_96_25","DOIUrl":"10.4103/iju.iju_96_25","url":null,"abstract":"","PeriodicalId":47352,"journal":{"name":"Indian Journal of Urology","volume":"41 3","pages":"232-233"},"PeriodicalIF":0.9,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12312827/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144776546","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":"Diagnostic precision, safety, and patient experience of the freehand transperineal prostate biopsy technique under local anesthesia - A single-center experience.","authors":"Aikaterini Eleftheriadou, Charlotte Collins, Dilaaniy Kannapiran, Faria Antara, Moustafa Elhammadi, Sarosh Janardanan, Michael Mikail, Nimalan Arumainayagam, Danny Darlington Carbin","doi":"10.4103/iju.iju_423_24","DOIUrl":"10.4103/iju.iju_423_24","url":null,"abstract":"<p><strong>Introduction: </strong>Transperineal access systems are commonly used to stabilize the biopsy needle with the ultrasound probe in local anesthetic transperineal biopsies (LATPs). However, these devices are expensive and nonreusable and restrict the access to some of the prostatic zones causing excessive probe movement and procedural pain. We aim to assess the pain tolerability, diagnostic value, and safety of the totally freehand LATP (tF-LATP) technique.</p><p><strong>Methods: </strong>Patients undergoing tF-LATP for suspected prostate cancer (PCa) from February 2024 to June 2024 were prospectively included. Data on the prostate-specific antigen (PSA) levels, prostate size, prostate multiparametric magnetic resonance imaging findings, cancer detection, need for immediate rebiopsy due to undersampling (with predefined criteria for immediate rebiopsy), tolerability, and complications were collected. Pain levels were assessed using the Visual Analog Scale (VAS) scores (scores 1-10) at rectal probe insertion and immediately postbiopsy.</p><p><strong>Results: </strong>Seventy-five patients (<i>n</i> = 75) underwent tF-LATP, with a median age of 67 years. The median PSA level was 7.05 ng/mL, and the median prostate size was 55 cc. During the procedure, the VAS ranged from 1 to 4 (median: 2). Postprocedure the VAS scores ranged from 1 to 2 (median: 1). Forty-four patients (59%) tested positive for PCa. There were no instances of urinary retention, sepsis, or hematuria requiring admission, and none required immediate rebiopsy due to undersampling as per the predefined rebiopsy criteria.</p><p><strong>Conclusions: </strong>The tF-LATP technique demonstrateed excellent safety, diagnostic efficacy, and satisfactory tolerability. With its cost-effectiveness and enhanced accessibility to all the prostatic lobes, clinicians are encouraged to integrate this technique more widely into clinical practice to maximize its advantages.</p>","PeriodicalId":47352,"journal":{"name":"Indian Journal of Urology","volume":"41 3","pages":"183-189"},"PeriodicalIF":0.9,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12312841/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144776550","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":"Is 23-h discharge following robotic radical prostatectomy and partial nephrectomy feasible and safe in a quaternary care center in a developing country?","authors":"Madhuri Evangeline Sadanala, Arun Jacob Philip George, Partho Mukherjee, Thampi J Nirmal","doi":"10.4103/iju.iju_496_24","DOIUrl":"10.4103/iju.iju_496_24","url":null,"abstract":"<p><strong>Introduction: </strong>Robot-assisted radical prostatectomy (RP) or partial nephrectomy (PN) is often a daycare or overnight procedure in developed countries. This study assesses the safety and feasibility of discharging patients within 23 h after surgery in a developing country.</p><p><strong>Methods: </strong>This retrospective cohort study examined patients who underwent RP and PN between June 2022 and December 2023. We analyzed the clinical-pathological profiles of patients discharged within 23 h after surgery versus later. A single surgeon performed all surgeries, and an early recovery protocol was practiced.</p><p><strong>Results: </strong>Out of 71 PN patients, 62 (87.3%) were discharged within 23 h (of which, nine were discharged the same evening); the median stay for others was 3 days. Four patients had complications that delayed discharge, and one required readmission. Among 28 RP patients, 20 (71.5%) were discharged within 23 h; the median stay for others was 3 days. Two patients with complications had delayed discharge. There were no 30-day readmissions in the RP cohort. Factors such as comorbidities, American Society of Anesthesiologists grade, and tumor staging did not predict discharge timing in either the RP or PN cohort. Furthermore, none required blood transfusions or conversion to open surgical procedures, and there were no recorded fatalities in either cohort.</p><p><strong>Conclusions: </strong>Twenty-three-hour discharge following robot-assisted RP and PN demonstrated both safety and feasibility in a developing country, which is contingent upon the implementation of an early recovery protocol in a tertiary or quaternary care setting. Effective preoperative counseling and interdepartmental communication are essential for success.</p>","PeriodicalId":47352,"journal":{"name":"Indian Journal of Urology","volume":"41 3","pages":"195-203"},"PeriodicalIF":0.9,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12312830/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144776485","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":"A randomized controlled trial comparing hydrophilic coated to uncoated polyurethane double J stents: Does it impact stent-related symptoms?","authors":"Gaurav Sharma, Naveen Kumar, Diptiranjan Bai, Sachin Patel, Dilip Kumar Mishra, Anurag Yadav, Madhu Sudan Agrawal","doi":"10.4103/iju.iju_487_24","DOIUrl":"10.4103/iju.iju_487_24","url":null,"abstract":"<p><strong>Introduction: </strong>Advancements in stent materials and designs are aimed at improving stent-related morbidities, lower urinary tract symptoms (LUTSs), pain, and compromised quality of life (QoL). Various stent materials and coatings have been investigated for their impact on stent-related symptoms. This prospective randomized study aimed to compare urinary symptoms and QoL in patients with polyurethane double J (DJ) stents, with or without hydrophilic polyvinylpyrrolidone coating.</p><p><strong>Materials and methods: </strong>Sixty adult patients undergoing endourological procedures and DJ stent placement were randomized into two groups in 2:1 ratio. In 20 patients, polyurethane stents with hydrophilic coating and in 40 patients, stents without hydrophilic coating were placed. In all patients, a stent of 5F diameter and 26 cm length was used. Urinary symptoms, pain, and QoL were assessed at the time of stent removal, i.e., at 3-4 weeks using the validated ureteral stent symptom questionnaire (USSQ).</p><p><strong>Results: </strong>The demographic data were comparable in both groups. Patients with hydrophilic stents reported significantly fewer urinary symptoms (mean score 10.75 vs. 15.28, <i>P</i> < 0.001), lower pain scores (1.50 vs. 3.18, <i>P</i> < 0.001), and better QoL scores (3.0 vs. 5.23, <i>P</i> < 0.001). Symptoms such as frequency, nocturia, urgency, and burning micturition were notably reduced in the hydrophilic group. In addition, 60% of patients in the hydrophilic group reported no pain compared to only 7.5% in the nonhydrophilic group (<i>P</i> < 0.001).</p><p><strong>Conclusion: </strong>Hydrophilic-coated DJ stents significantly alleviate LUTS and improve QoL, warranting further large-scale research to validate these findings. These findings align with previous studies suggesting that hydrophilic coatings improve stent-related outcomes.</p>","PeriodicalId":47352,"journal":{"name":"Indian Journal of Urology","volume":"41 3","pages":"190-194"},"PeriodicalIF":0.9,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12312835/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144776544","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}