Indian Journal of Urology最新文献

{"title":"Solitary fibrous tumor: A contender in the differential diagnosis of a renal mass.","authors":"Zeeshan Kareem","doi":"10.4103/iju.iju_343_25","DOIUrl":"10.4103/iju.iju_343_25","url":null,"abstract":"<p><p>Solitary fibrous tumors (SFTs) are rare mesenchymal neoplasms that can, although uncommonly, arise in the kidney. Renal SFTs are exceptionally uncommon and often present with nonspecific clinical and radiological features, making diagnosis challenging. We present a case of a 60-year-old male patient with a left renal mass arising from the interpolar area who underwent a radical nephrectomy with a preoperative suspicion of renal cell carcinoma, and histopathological evaluation and immunohistochemical staining confirmed the diagnosis of SFT. This case highlights the need to consider SFT in the differential diagnosis of renal masses and guide optimal management.</p>","PeriodicalId":47352,"journal":{"name":"Indian Journal of Urology","volume":"42 2","pages":"163-165"},"PeriodicalIF":1.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13148834/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147844438","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_129_26","DOIUrl":"10.4103/iju.iju_129_26","url":null,"abstract":"","PeriodicalId":47352,"journal":{"name":"Indian Journal of Urology","volume":"42 2","pages":"92-95"},"PeriodicalIF":1.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13148830/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147844376","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":"Editorial comment: Technical aspects of the use of prostatic urethral lift for the management of obstructive median lobe - A step-by-step guide.","authors":"Pankaj N Maheshwari, Nakul Jatin Bhatt","doi":"10.4103/iju.iju_56_26","DOIUrl":"10.4103/iju.iju_56_26","url":null,"abstract":"","PeriodicalId":47352,"journal":{"name":"Indian Journal of Urology","volume":"42 2","pages":"168-169"},"PeriodicalIF":1.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13148846/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147844355","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":"Twists in the tubes: Diagnosing a hidden ureteroinguinal hernia.","authors":"Mebin Baby Thomas, Nebu Issac Mammen","doi":"10.4103/iju.iju_340_25","DOIUrl":"10.4103/iju.iju_340_25","url":null,"abstract":"<p><p>Ureteroinguinal hernia represents a rare anatomical anomaly with potential for significant clinical consequences. Most cases are incidentally diagnosed via imaging or during herniorrhaphy. This report documents a rare presentation of an obstructive ureteric calculus within the herniated segment of the native ureter in a 71-year-old man, outlining imaging signs, operative findings, and therapeutic strategy.</p>","PeriodicalId":47352,"journal":{"name":"Indian Journal of Urology","volume":"42 2","pages":"161-162"},"PeriodicalIF":1.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13148833/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147844417","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":"Magnetic resonance imaging/ultrasound fusion-guided targeted biopsy and ultrasound-guided systematic biopsy for prior negative prostate biopsy: A meta-analysis.","authors":"Chaoyang Du, Xinyue Du, Lisha Zhu, Qingsheng Chen","doi":"10.4103/iju.iju_188_25","DOIUrl":"10.4103/iju.iju_188_25","url":null,"abstract":"<p><strong>Introduction: </strong>The comparative efficacy of magnetic resonance imaging (MRI)/ultrasound fusion-guided targeted biopsy (MRI-TBx) versus systematic ultrasound-guided biopsy (TRUS-Bx) for the detection of prostate cancer (PCa) in men with prior negative biopsies remains clinically undefined.</p><p><strong>Methods: </strong>This Preferred Reporting Items for Systematic Reviews and Meta-Analyses-adherent meta-analysis searched Web of Science, PubMed, and EMBASE (through December 2024) for studies comparing MRI-TBx and TRUS-Bx in repeat biopsy cohorts. Pooled relative risks (RRs) with 95% confidence intervals (CIs) were calculated using a fixed-effects model.</p><p><strong>Results: </strong>Pooled analysis of seven studies (including two randomized trials) involving 459 patients with prior negative biopsies showed that the overall cancer detection rates were comparable: 73% (172/235) with MRI-TBx versus 77% (181/235) with TRUS-Bx (RR = 0.97, 95% CI = 0.82-1.14, <i>P</i> = 0.232). However, MRI-TBx detected a higher proportion of clinically significant PCa (Gleason score s7) (84.4% vs. 65.1%) and reduced the diagnosis of indolent cancer (Gleason score <7), whereas TRUS-Bx showed superior detection of anterior prostate tumors.</p><p><strong>Conclusions: </strong>Although aggregate detection rates are comparable, MRI-TBx and TRUS-Bx exhibit complementary strengths: MRI-TBx reduces overdiagnosis of indolent cancer, whereas TRUS-Bx ensures sampling of anterior tumors.</p>","PeriodicalId":47352,"journal":{"name":"Indian Journal of Urology","volume":"42 2","pages":"99-105"},"PeriodicalIF":1.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13148844/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147844435","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":"Outcomes of urethroplasty in patients with proximal bulbar urethral stricture following transurethral surgery for benign prostatic hyperplasia: A focus on continence and patient-reported outcome measures.","authors":"Tadashi Tabei, Akio Horiguchi, Masayuki Shinchi, Yusuke Hirano, Kenichiro Ojima, Keiichi Ito, Ryuichi Azuma","doi":"10.4103/iju.iju_472_25","DOIUrl":"10.4103/iju.iju_472_25","url":null,"abstract":"<p><strong>Introduction: </strong>The study aimed to evaluate the impact of changes in urinary continence on postoperative quality of life (QoL) and patient satisfaction after urethroplasty for proximal bulbar urethral stricture following transurethral resection of the prostate (post-TURP PBUS).</p><p><strong>Methods: </strong>We retrospectively reviewed 34 patients who underwent urethroplasty for post-TURP PBUS at two centers between November 2013 and August 2024. Patients with complete pre- and postoperative data from a validated patient-reported outcome measure (PROM) and the International Consultation on Incontinence Questionnaire-Urinary Incontinence Short Form (ICIQ-SF), along with postoperative cystoscopic findings, were included. Worsening continence (WC) was defined as an increase in ICIQ-SF total score at 6 months. Stricture-free (SF) status was defined as the smooth passage of a cystoscope. The impact of WC and SF status on postoperative QoL and patient satisfaction was analyzed.</p><p><strong>Results: </strong>Among the 34 patients (excision and primary anastomosis: 13, nontransecting anastomotic urethroplasty: 20, and onlay augmentation: 1), 32 (94%) achieved SF status. WC occurred in 5 (14%) patients, while 33 (97%) remained socially pad-free. Although ICIQ-SF scores showed no significant change (<i>P</i> = 0.15), QoL scores improved significantly (<i>P</i> < 0.01). Notably, none of the WC(+) patients reported worsened QoL or dissatisfaction. No significant differences in clinical characteristics were observed between the WC(+) and WC(-) groups.</p><p><strong>Conclusions: </strong>Urethroplasty for post-TURP PBUS appears to have minimal impact on continence and is associated with high QoL and satisfaction. This study is among the first to systematically evaluate these outcomes using validated PROMs in this specific population.</p>","PeriodicalId":47352,"journal":{"name":"Indian Journal of Urology","volume":"42 2","pages":"122-127"},"PeriodicalIF":1.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13148849/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147844410","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":"Page kidney: A cause of acute renal allograft dysfunction.","authors":"Vaibhav S Thakare, Gyanendra R Sharma","doi":"10.4103/iju.iju_78_26","DOIUrl":"10.4103/iju.iju_78_26","url":null,"abstract":"","PeriodicalId":47352,"journal":{"name":"Indian Journal of Urology","volume":"42 2","pages":"174-175"},"PeriodicalIF":1.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13148837/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147844423","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":"Technical aspects of the use of prostatic urethral lift for the management of obstructive median lobe - A step-by-step guide.","authors":"Ashwin Singaram, Weida Lau","doi":"10.4103/iju.iju_443_25","DOIUrl":"10.4103/iju.iju_443_25","url":null,"abstract":"<p><p>This video uses a picture-in-picture demonstration of the procedural hand movements and the endoscopic view to illustrate a reproducible technique for using prostatic urethral lift to treat an obstructive median lobe (OML) in patients with benign prostatic hyperplasia. The challenge with this procedure is in safely manipulating the median lobe without injuring it. This technique was utilized for three patients who presented with worsening urinary symptoms despite adequate medical therapy. Postoperative recovery, in this series of patients, was uneventful with significant improvements in the quality of life (6 to 1), International Prostate Symptoms Score (28 to 7), and Qmax (9.7 ml/s to 12.7 ml/s) metrics.</p>","PeriodicalId":47352,"journal":{"name":"Indian Journal of Urology","volume":"42 2","pages":"166-167"},"PeriodicalIF":1.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13148835/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147844383","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":"When the lab falls silent: The challenge of culture-negative urinary tract infections.","authors":"Falah Hasan Obayes Al-Khikani","doi":"10.4103/iju.iju_595_25","DOIUrl":"10.4103/iju.iju_595_25","url":null,"abstract":"","PeriodicalId":47352,"journal":{"name":"Indian Journal of Urology","volume":"42 2","pages":"96-98"},"PeriodicalIF":1.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13148850/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147844545","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":"Surgery in stage IIA/IIB seminoma: A \"Living systematic review\" and meta-analysis of prospective studies.","authors":"Akash Mor, Akash Pawar, Hetakshi Shah, Amandeep Arora, Ankit Misra, Mahendra Pal, Mufaddal Kazi, Aditya Bagrodia, Gagan Prakash","doi":"10.4103/iju.iju_430_25","DOIUrl":"10.4103/iju.iju_430_25","url":null,"abstract":"<p><strong>Introduction: </strong>Concerns about the long-term toxicity of chemotherapy and radiotherapy in stage II seminoma have renewed the interest in the surgical management. Retroperitoneal lymph node dissection (RPLND) has emerged as a potential treatment alternative. This systematic review and meta-analysis (SRMA) evaluates the oncological, functional, and peri-operative outcomes of RPLND in stage II seminoma.</p><p><strong>Methods: </strong>A SRMA (systematic review and meta-analysis) of prospective studies was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Eligible studies included prospective trials assessing RPLND in stage II seminoma. Outcomes analyzed were relapse-free survival (RFS), recurrence patterns, functional outcomes, and peri-operative complications. Risk of bias was assessed using the Newcastle--Ottawa Scale. The review was registered in PROSPERO (CRD420250559629).</p><p><strong>Results: </strong>Four prospective phase II studies with 216 patients were included. The pooled 2-year RFS was 85% (95% confidence interval [CI]: 77.8%--92.2%). In-field recurrence occurred in 5.5%, while the rate of out-of-field recurrence was 10.1%. Preservation of antegrade ejaculation was achieved in 92.8% (95% CI: 87.4%--98.1%). Major complications (Clavien-Dindo ≥ IIIA) were reported in 9.6% of the patients. Risk of bias was low to moderate across the studies.</p><p><strong>Conclusions: </strong>Primary RPLND is a feasible and safe treatment for carefully selected patients with stage II seminoma, providing favorable oncological control, high rates of functional preservation, and acceptable morbidity. While short-term outcomes are encouraging, long-term follow-up and randomized comparisons with conventional therapy are required to establish its definitive role.</p>","PeriodicalId":47352,"journal":{"name":"Indian Journal of Urology","volume":"42 2","pages":"108-114"},"PeriodicalIF":1.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13148841/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147844426","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}