Indian Journal of Urology最新文献_第4页

Does the setting for intradetrusor onabotulinumtoxinA injection for management of overactive bladder matter? 治疗膀胱过度活动症的尿道内注射奥博妥妥毒素的环境是否重要？

IF 1.1

Indian Journal of Urology Pub Date : 2024-04-01 DOI: 10.4103/iju.iju_228_23

James H Ross, Megan Abrams, Sandip P Vasavada, Jeffrey M Mangel, Cecile A Ferrando

{"title":"Does the setting for intradetrusor onabotulinumtoxinA injection for management of overactive bladder matter?","authors":"James H Ross, Megan Abrams, Sandip P Vasavada, Jeffrey M Mangel, Cecile A Ferrando","doi":"10.4103/iju.iju_228_23","DOIUrl":"10.4103/iju.iju_228_23","url":null,"abstract":"Introduction: Intradetrusor onabotulinumtoxinA (Botox) injections, to treat idiopathic overactive bladder (OAB), can be performed in the office setting under local analgesia alone or in the operating room (OR) under local and/or sedation. The objective of this study was to compare the symptomatic improvement in patients with OAB who underwent treatment with intradetrusor onabotulinumtoxinA injections in an in-office versus the OR setting.Methods: We performed a multicenter retrospective cohort study of women with the diagnosis of refractory non-neurogenic OAB who elected to undergo treatment with intradetrusor onabotulinumtoxinA injections between January 2015 and December 2020. The electronic medical records were queried for all the demographic and peri-procedural data, including the report of subjective improvement post procedure. Patients were categorized as either \"in-office\" versus \"OR\" based on the setting in which they underwent their procedure.Results: Five hundred and thirty-nine patients met the inclusion criteria: 297 (55%) in the in-office group and 242 (45%) in the OR group. A total of 30 (5.6%) patients reported retention after their procedure and it was more common in the in-office group (8.1%) versus the OR group (2.5%), (P = 0.003). The rate of urinary tract infection within 6 months of the procedure was higher in the OR group (26.0% vs. 16.8%, P = 0.009). The overall subjective improvement rate was 77% (95% confidence interval: 73%-80%). Patients in the OR group had a higher reported improvement as compared to the in-office group (81.4% vs. 73.3%, P = 0.03).Conclusions: In this cohort study of patients with OAB undergoing intradetrusor onabotulinumtoxinA injections, post procedural subjective improvement was high regardless of the setting in which the procedure was performed.","PeriodicalId":47352,"journal":{"name":"Indian Journal of Urology","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11078453/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140899894","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}

引用次数: 0

Perioperative and functional outcomes following robot-assisted partial nephrectomy: Descriptive analysis of Indian study group on partial nephrectomy database. 机器人辅助肾部分切除术的围手术期和功能性结果：印度肾部分切除术数据库研究小组的描述性分析。

IF 1.1

Indian Journal of Urology Pub Date : 2024-04-01 DOI: 10.4103/iju.iju_443_23

Sudhir Rawal, Arvind Ganpule, Gurpremjit Singh, Nikita Shrivastava, T A Kishore, Deepak Dubey, Ravimohan S Mavuduru, Anant Kumar, Gagan Gautam, Ginil Kumar Pooleri, Mohan Keshavamurthy, Narasimhan Ragavan, Hemang Baxi, Sanjai Kumar Addla, S Krishnappa Raghunath, Akhil Dahiya, Divya Gupta, Gopal Sharma

{"title":"Perioperative and functional outcomes following robot-assisted partial nephrectomy: Descriptive analysis of Indian study group on partial nephrectomy database.","authors":"Sudhir Rawal, Arvind Ganpule, Gurpremjit Singh, Nikita Shrivastava, T A Kishore, Deepak Dubey, Ravimohan S Mavuduru, Anant Kumar, Gagan Gautam, Ginil Kumar Pooleri, Mohan Keshavamurthy, Narasimhan Ragavan, Hemang Baxi, Sanjai Kumar Addla, S Krishnappa Raghunath, Akhil Dahiya, Divya Gupta, Gopal Sharma","doi":"10.4103/iju.iju_443_23","DOIUrl":"10.4103/iju.iju_443_23","url":null,"abstract":"Introduction: There is an unmet need for high-quality data for Robot-assisted partial nephrectomy (RAPN) in the Indian population. Indian study group on partial nephrectomy (ISGPN) is a consortium of Indian centers contributing to the partial nephrectomy (PN) database. The current study is a descriptive analysis of perioperative and functional outcomes following RAPN.Methods: For this study, the retrospective ISGPN database was reviewed, which included patients who underwent RAPN for renal masses at 14 centers across India from September 2010 to September 2022. Demographic, clinical, radiological, perioperative, and functional data were collected and analyzed. Ethics approval was obtained from each of the participating centers.Results: In this study, 782 patients were included, and 69.7% were male. The median age was 53 years (interquartile range [IQR 44-62]), median operative time was 180 min (IQR 133-240), median estimated blood loss was 100 mL (IQR 50-200), mean warm ischemia time was 22.7 min and positive surgical margin rates were 2.5%. The complication rate was 16.2%, and most of them were of minor grade. Trifecta and pentafecta outcomes were attained in 61.4% and 60% of patients, respectively.Conclusions: This is the largest Indian multi-centric study using the Indian Robotic PN Collaborative database to evaluate the outcomes of robot-assisted PN, and has proven its safety and efficacy in the management of renal masses.","PeriodicalId":47352,"journal":{"name":"Indian Journal of Urology","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11078450/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140899900","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}

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Indian Journal of Urology: A growing journal of South Asia. 印度泌尿学杂志》：南亚的成长期刊。

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Indian Journal of Urology Pub Date : 2024-04-01 DOI: 10.4103/iju.iju_95_24

Apul Goel

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IJU Awards 2023 2023 年国际法官联盟奖

IF 1.1

Indian Journal of Urology Pub Date : 2023-12-29 DOI: 10.4103/iju.iju_471_23

引用次数: 0

Urodynamic assessment of detrusor function in the very acute phase of traumatic spinal cord injury: A prospective cohort study 创伤性脊髓损伤极急性期的逼尿肌功能评估：前瞻性队列研究

IF 1.1

Indian Journal of Urology Pub Date : 2023-12-29 DOI: 10.4103/iju.iju_315_23

P. Vasudeva, Vinod Kumar, Siddharth Yadav, Vishnu Prasad, Niraj Kumar, Sandeep Kumar, Amitabh Kumar

{"title":"Urodynamic assessment of detrusor function in the very acute phase of traumatic spinal cord injury: A prospective cohort study","authors":"P. Vasudeva, Vinod Kumar, Siddharth Yadav, Vishnu Prasad, Niraj Kumar, Sandeep Kumar, Amitabh Kumar","doi":"10.4103/iju.iju_315_23","DOIUrl":"https://doi.org/10.4103/iju.iju_315_23","url":null,"abstract":"The bladder is believed to be acontractile due to the phase of spinal shock and there is a lack of data on the detrusor function within the first few days after spinal cord injury (SCI). This study intended to assess the detrusor function with invasive urodynamics (UDS) during the first 15 days of SCI. This prospective observational study was carried out from January 2020 to June 2021 and consecutive stable patients older than 18 years of age who had a history of traumatic SCI within the past 15 days were screened for inclusion. For each patient, the International Standards for Neurological Classification of SCI Worksheet was filled. All patients underwent bedside invasive UDS within 15 days of injury. There were a total of 41 patients with a mean age of 35 years. The thoracic cord was most commonly involved (46.3%) with Type A AISA grade being the most common (68.2%). The mean duration of injury at the time of UDS was 6 days. Abnormality in the filling phase could be identified in six patients. Three patients had neurogenic detrusor overactivity (NDO), with one having a high-pressure phasic NDO and one having a sustained NDO. Two patients had poor compliance and one had borderline poor compliance. None of the patients generated any detrusor pressure during voiding cystometry. In patients with SCI, 14.5% of the patients had abnormal findings during the filling phase on the UDS performed within 15 days of the injury. These findings are in stark contrast to the traditional understanding that the detrusor is acontractile during the early phase of the SCI and merit further evaluation.","PeriodicalId":47352,"journal":{"name":"Indian Journal of Urology","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2023-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139145506","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}

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Sleep quality and obstructive sleep apnea among male patients with lower urinary tract symptoms: A prospective observational study 下尿路症状男性患者的睡眠质量和阻塞性睡眠呼吸暂停：前瞻性观察研究

IF 1.1

Indian Journal of Urology Pub Date : 2023-12-29 DOI: 10.4103/iju.iju_325_23

Ankur Mittal, G. Singh, R. Ghorai, VikasKumar Panwar, Gaurav Saurabh Sharma, Ravi Gupta

{"title":"Sleep quality and obstructive sleep apnea among male patients with lower urinary tract symptoms: A prospective observational study","authors":"Ankur Mittal, G. Singh, R. Ghorai, VikasKumar Panwar, Gaurav Saurabh Sharma, Ravi Gupta","doi":"10.4103/iju.iju_325_23","DOIUrl":"https://doi.org/10.4103/iju.iju_325_23","url":null,"abstract":"Apart from nocturia, few reports have been published on the relationship between lower urinary tract symptoms (LUTS) and sleep disturbances in patients visiting urology outpatient clinics. This study assessed the association between our population’s LUTS and sleep disturbances. This was a prospective observational study. A total of 123 male patients with a history of LUTS aged more than 40 years were recruited from urology outpatient clinic. International Prostate Symptom Score was utilized to assess LUTS. To determine the quality of sleep, the Pittsburgh Sleep Quality Index (PSQI) was used. Berlin questionnaire (BQ) was used for screening obstructive sleep apnea. A total of 123 participants were enrolled in this study. The mean age of the participants was 61 ± 11.1 years. Nocturia >3 episodes were significantly more in patients with PSQI >5 (P < 0.05). There was a greater prevalence of severe LUTS in patients with PSQI >5 (P < 0.05). The association between LUTS and BQ score showed an increased prevalence of severe symptoms in patients with high BQ. Patients with PSQI >5 had more severe LUTS (53% of patients) compared to patients with PSQI ≤5 (5% of patients) (P = 0.000). Patients with PSQI >5 had overall poorer quality of life (QOL) scores, with QOL being 5 and 6 in 18% and 4.8% of the patients, respectively. There is a significant association between the prevalence of nocturia, moderate-to-severe LUTS, and the existence of sleep disorders. Therefore, screening for sleep disturbances may be performed on male patients who present with LUTS.","PeriodicalId":47352,"journal":{"name":"Indian Journal of Urology","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2023-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139145485","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}

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A single-stage dorsal inlay buccal mucosal graft placement through subcoronal vertical sagittal ventral urethrotomy without glansplasty for reconstruction of meatal stenosis, fossa navicularis, and distal penile urethral stricture: Our initial experience 通过冠状沟下垂直矢状腹侧尿道切开术，在不进行龟头成形术的情况下，分阶段植入背侧嵌体颊粘膜移植物，用于重建肉腔狭窄、舟状窝和阴茎远端尿道狭窄：我们的初步经验

IF 1.1

Indian Journal of Urology Pub Date : 2023-12-29 DOI: 10.4103/iju.iju_290_23

Swadeep Kumar Srivastava, D. Sarkar, Dilip Kumar Pal

{"title":"A single-stage dorsal inlay buccal mucosal graft placement through subcoronal vertical sagittal ventral urethrotomy without glansplasty for reconstruction of meatal stenosis, fossa navicularis, and distal penile urethral stricture: Our initial experience","authors":"Swadeep Kumar Srivastava, D. Sarkar, Dilip Kumar Pal","doi":"10.4103/iju.iju_290_23","DOIUrl":"https://doi.org/10.4103/iju.iju_290_23","url":null,"abstract":"Reconstruction of fossa navicularis stricture (FNS) poses a challenge in providing acceptable functional and cosmetic outcomes. We describe our novel surgical technique and its short-term results. This urethroplasty technique is a single-stage dorsal inlay buccal mucosal graft placement with subcoronal vertical sagittal ventral urethrotomy without glansplasty. Twenty-one operated patients were followed up at 2 months and 6 months postoperatively. We studied the functional outcome of the International Prostate Symptom Score, quality of life (QoL) score, maximum flow rate, postvoid residual (PVR) urine, and reconstructed urethral luminal caliber. Sexual function was studied via a brief male sexual function inventory. Hypospadias objective score evaluation (HOSE) was used to assess the cosmesis. Patient satisfaction was evaluated using the global response assessment score (GRA). FNS is seen commonly associated with lichen sclerosus (n = 12). Nine patients had stricture that extended into the distal penile urethra. The mean stricture length was 2.76 cm. At the end of the study, a significant improvement in mean IPPS (18.81), mean QoL score (2.25), mean Qmax (20.94 mL/s), mean PVR (103.05 mL), and mean urethral caliber (16.06 Fr) were noted. No difference in sexual drive and erectile function but significant improvement in ejaculation was noted. All patients had single-stream urine, reconstructed urethral caliber ≥16Fr, HOSE ≥14, and GRA ≥2 at 6 months. Except for two patients, all had vertical slit-like meatus. This technique is feasible, with good cosmetic, functional, and subjective outcomes with marked patient’ satisfaction.","PeriodicalId":47352,"journal":{"name":"Indian Journal of Urology","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2023-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139146518","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}

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Re: Kamath KA, Pothy VS, Pandey H. Evaluation of modified RENAL nephrometry score in the prediction of perioperative outcomes of open partial nephrectomy. Indian J Urol 2023;39:202-8 再者，Kamath KA、Pothy VS、Pandey H：Kamath KA, Pothy VS, Pandey H.改良RENAL肾功能评分在开腹肾部分切除术围手术期结果预测中的评估。印度 J Urol 2023;39:202-8

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Indian Journal of Urology Pub Date : 2023-12-29 DOI: 10.4103/iju.iju_312_23

Gopal Sharma

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Irreversible electroporation as a focal therapy for localized prostate cancer: A systematic review 不可逆电穿孔作为局部前列腺癌的病灶疗法：系统综述

IF 1.1

Indian Journal of Urology Pub Date : 2023-12-29 DOI: 10.4103/iju.iju_370_23

Pushan Prabhakar, Arjun Pon Avudaiappan, Mayer Sandman, A. Eldefrawy*, Jorge Caso, Govindarajan Narayanan, Murugesan Manoharan

{"title":"Irreversible electroporation as a focal therapy for localized prostate cancer: A systematic review","authors":"Pushan Prabhakar, Arjun Pon Avudaiappan, Mayer Sandman, A. Eldefrawy*, Jorge Caso, Govindarajan Narayanan, Murugesan Manoharan","doi":"10.4103/iju.iju_370_23","DOIUrl":"https://doi.org/10.4103/iju.iju_370_23","url":null,"abstract":"Irreversible electroporation (IRE) is a new and promising focal therapy for the treatment of localized prostate cancer. In this systematic review, we summarize the literature on IRE for prostate cancer published over the last decade. PubMed and EMBASE were searched with the end date of May 2023 to find relevant publications on prostate cancer ablation using IRE. Original studies with focal IRE as the primary curative treatment which reported on functional or oncological outcomes were included. The bibliography of relevant studies was also scanned to identify suitable articles. A total of 14 studies reporting on 899 patients treated with IRE for localized prostate cancer were included. Of all the studies reviewed, 77% reported on recurrence within the zone of ablation, and it ranged from 0% to 38.9% for in-field and 3.6% to 28% for out-of-field recurrence. Although, a standardised follow-up protocol was not followed, all the studies employed serial prostate-specific antigen monitoring, a multiparametric magnetic resonance imaging, and a biopsy (6–12 months post-treatment). Across all the studies, 58% reported that the urinary continence returned to the pretreatment levels and 25% reported a minor decrease in the continence from the baseline at 12-months of follow-up. Erections sufficient for intercourse varied from 44% to 75% at the baseline to 55% to 100% at 12-months of follow-up across all the studies. IRE, as a focal therapy, shows promising results with minimal complications and reasonably effective oncological control, but the data comparing it to the standard of care is still lacking. Future research should focus on randomized definitive comparisons between IRE, radical prostatectomy, and radiation therapy.","PeriodicalId":47352,"journal":{"name":"Indian Journal of Urology","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2023-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139142697","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}

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Sahay’s modification of Winter’s shunt technique for priapism Sahay 对温特分流术的改良，用于治疗前列腺增生症

IF 1.1

Indian Journal of Urology Pub Date : 2023-12-29 DOI: 10.4103/iju.iju_407_23

S. C. Sahay, P. Kesarwani, G. Sharma, A. Tiwari

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