Indian Journal of Urology最新文献

{"title":"Spontaneous renal cyst rupture into the pelvicalyceal system.","authors":"Divij Agarwal, Savita Agarwal","doi":"10.4103/iju.iju_147_25","DOIUrl":"10.4103/iju.iju_147_25","url":null,"abstract":"<p><p>Spontaneous renal cyst rupture is uncommon. It can rupture into the perinephric space, peritoneum, pelvicalyceal system, or a combination of these locations. We present the case of a 90-year-old male with spontaneous left renal cyst rupture into the pelvicalyceal system presenting with hematuria and urinary retention who was managed conservatively.</p>","PeriodicalId":47352,"journal":{"name":"Indian Journal of Urology","volume":"42 1","pages":"79-81"},"PeriodicalIF":0.9,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12815437/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146012868","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 role of psoas muscle index in predicting outcomes after radical cystectomy.","authors":"Sara L Duarte, João Alexandre, Eduardo M Felício, Guilherme Silva Bernardo, Filipe A Gaboleiro, André J Pita, Diogo Carmali, Andrea M Furtado, António M Pinheiro, André P Barcelos, Sónia A Ramos","doi":"10.4103/iju.iju_385_25","DOIUrl":"10.4103/iju.iju_385_25","url":null,"abstract":"<p><strong>Introduction: </strong>Sarcopenia, defined as a loss of skeletal muscle mass and strength, has been associated with adverse surgical and oncologic outcomes in various malignancies. This study aimed to evaluate whether the psoas muscle area and psoas muscle index (PMI), derived from the preoperative computed tomography imaging, could predict postoperative complications and long-term oncological outcomes in patients undergoing radical cystectomy (RC) for bladder cancer.</p><p><strong>Methods: </strong>We retrospectively analyzed 197 patients who underwent RC between 2014 and 2024. Sarcopenia was defined using sex-specific PMI thresholds based on the lowest quartile for the study population (<7.11 cm²/m² for men and <8.85 cm²/m² for women). Postoperative complications and oncologic outcomes, including overall survival (OS), recurrence-free survival (RFS), and disease-specific mortality (DSM), were assessed using logistic regression and Cox models.</p><p><strong>Results: </strong>Sarcopenia was present in 24% of the patients. While the 90-day urinary tract infection and readmissions appeared more frequent in sarcopenic women on the univariate analysis, only the readmission rate remained significant after adjustment. Among the men, although the association between sarcopenia and 30-day complications did not reach statistical significance (odds ratio: 2.10, P = 0.075), the effect size suggested a potential trend toward increased risk. Sarcopenia was not an independent predictor of other 30- or 90-day complications, nor of OS, RFS, or DSM. The median follow-up was 30 months (range: 0-129).</p><p><strong>Conclusion: </strong>In this cohort, PMI-based sarcopenia did not independently predict perioperative complications or long-term oncologic outcomes after RC. These findings suggest that PMI alone may not be a robust indicator of surgical risk or oncologic prognosis in bladder cancer.</p>","PeriodicalId":47352,"journal":{"name":"Indian Journal of Urology","volume":"42 1","pages":"43-50"},"PeriodicalIF":0.9,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12815431/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146012874","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":"41 years of Indian Journal of Urology: Reflections for 2025.","authors":"Apul Goel","doi":"10.4103/iju.iju_587_25","DOIUrl":"10.4103/iju.iju_587_25","url":null,"abstract":"","PeriodicalId":47352,"journal":{"name":"Indian Journal of Urology","volume":"42 1","pages":"1-2"},"PeriodicalIF":0.9,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12815436/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146012745","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":"Additional layer for better outcome in tubularized incised plate of hypospadias repair: Systematic review and network meta-analysis of randomized control trials.","authors":"Arief Fadli Putra, Muhammad Sultan Ardhi Pratama Firdausy, Pandu Ishaq Nandana","doi":"10.4103/iju.iju_315_25","DOIUrl":"10.4103/iju.iju_315_25","url":null,"abstract":"<p><strong>Introduction: </strong>Hypospadias is a prevalent congenital defect of the male urethra, usually repaired using the tubularized incised plate (TIP) procedure. However, post-operative complications remain a challenge. Performing additional interventions have been proposed to reduce the risk of complications after TIP. Nonetheless, a comprehensive comparison of such interventions is limited.</p><p><strong>Methods: </strong>Systematic review and network meta-analysis (NMA) were conducted on randomized controlled trials (RCTs) that reported the efficacy of additional layers or flaps in TIP. We performed Bayesian statistics incorporating random-effects modelling. The interventions were ranked based on the surface under the cumulative ranking curve (SUCRA).</p><p><strong>Results: </strong>This NMA of 22 RCTs involved a total of 1,994 pediatric patients. Multiple interventions may potentially reduce the rate of urethrocutaneous fistula (UCF), including the double dartos flap (DDF) (SUCRA 82.61%, [risk ratio (RR): 0.104, 95% confidence interval (CI): 0.0189-0.321], absolute risk reduction (ARR): 13.74%), the tunica vaginalis flap (TVF) (SUCRA 60.19%, [RR: 0.295, 95% CI: 0.0766-0.784], ARR: 17.32%), and a combination of the tunica vaginalis with dartos fascia (TVF + SDF) (SUCRA 98.83%, [RR: 1.04 × 10^-9, 95% CI: 2.02 × 10^-28 - 0.102], ARR: 12%). No intervention significantly improved the secondary outcomes. Sensitivity analysis showed the robustness of the results. The model fitness and inconsistency test indicate that the findings were strong and consistent.</p><p><strong>Conclusions: </strong>This NMA found that none of the interventions were definitively superior, especially for the secondary outcomes. However, DDF was found to be most successful in reducing the rate of UCF after TIP hypospadias repair. There is a need for further research, specifically in the realm of TVF, TVF + SDF, and autologous platelet derivatives. Also, head to head comparisons between interventions are strongly recommended.</p>","PeriodicalId":47352,"journal":{"name":"Indian Journal of Urology","volume":"42 1","pages":"16-23"},"PeriodicalIF":0.9,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12815440/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146012737","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":"Roundup.","authors":"Swarnendu Mandal","doi":"10.4103/iju.iju_600_25","DOIUrl":"10.4103/iju.iju_600_25","url":null,"abstract":"","PeriodicalId":47352,"journal":{"name":"Indian Journal of Urology","volume":"42 1","pages":"3-5"},"PeriodicalIF":0.9,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12815427/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146012844","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":"Optimizing antibiotic strategies for recurrent urinary tract infection in menopausal women: Extended therapy versus prophylaxis.","authors":"Muhammed Huzaifa","doi":"10.4103/iju.iju_171_25","DOIUrl":"10.4103/iju.iju_171_25","url":null,"abstract":"","PeriodicalId":47352,"journal":{"name":"Indian Journal of Urology","volume":"41 4","pages":"319-320"},"PeriodicalIF":0.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12530751/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145330356","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":"Does the consistency of stools define a distinct patient cohort in young men presenting with severe lower urinary tract symptoms?","authors":"Sanjay Sinha, Ankur Mittal, Sameer Trivedi, Harbans Bansal, Girdhar S Bora, Rishi Nayyar, Pawan Vasudeva, Anita Patel, Vijay Kumar Sarma Madduri, Niraj Kumar, Swarnendu Mandal, Vikas Kumar, Sujith Mathew Jose, Girish G Nelivigi, Anil Elhence, Harprit Singh","doi":"10.4103/iju.iju_146_25","DOIUrl":"10.4103/iju.iju_146_25","url":null,"abstract":"<p><strong>Introduction: </strong>Constipation has long been recognized to be associated with lower urinary tract symptoms (LUTS). However, there is little clinical data on bowel symptoms in young men who present with LUTS. This study analyses the association of stool consistency with severe LUTS in young men.</p><p><strong>Methods: </strong>This study is a secondary analysis of SciCOM 3 study examining young men presenting with LUTS. Stool consistency was recorded by the Bristol Stool Chart and classified into hard stools (Class 1, 2), normal stools (Class 3, 4), and loose stools (Class 5-7). LUTS, sexual dysfunction, bladder pain, non-bladder myofascial pain, perception of problems related to the bladder, and general well-being were captured by questionnaires along with basic clinical data. The poorest score on every question of each questionnaire was categorized as \"severe\".</p><p><strong>Results: </strong>Four hundred and forty-eight young men (18-40 years; median 30 years, interquartile range 25-35 years) were studied across 16 centers. Stool consistency was hard, normal, and loose in 105 (23.4%), 284 (63.4%), and 59 (13.2%), respectively. Constipation was not associated with severe LUTS. Loose stools showed an association with six of the 13 questions on the International Consultation on Incontinence Questionnaire for male LUTS. Erectile dysfunction, bladder and nonbladder pain, and general well-being were found to be associated with loose stools but not with constipation. On multinomial logistic regression analysis, recurrent urinary tract infection and low body mass index were associated with hard stools, while low maximum flow rate, severe erectile dysfunction, and severe myofascial pain were associated with loose stools.</p><p><strong>Conclusions: </strong>Loose stools are an important association in young men presenting with severe LUTS.</p>","PeriodicalId":47352,"journal":{"name":"Indian Journal of Urology","volume":"41 4","pages":"271-276"},"PeriodicalIF":0.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12530747/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145330586","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":"Feminizing genitoplasty-management strategy in a case of congenital adrenal hyperplasia with ambiguous genitalia.","authors":"Atanu Kumar Pal, Deepanshu Aggarwal, Swapnil Singh Kushwaha, Lalgudi Narayanan Dorairajan, Sidhartha Kalra","doi":"10.4103/iju.iju_50_25","DOIUrl":"10.4103/iju.iju_50_25","url":null,"abstract":"<p><p>This video demonstrates the various components of feminizing genitoplasty (FG) in a case of congenital adrenal hyperplasia (CAH) with ambiguous genitalia. A 22-year-old woman who was previously diagnosed with ambiguous genitalia as a result of CAH presented late with complaints of pain during intercourse. After a thorough preoperative evaluation and adequate counseling, the plan of FG was made. She underwent clitoroplasty, labioplasty, and vaginoplasty. She had a smooth postoperative recovery and now has normal-appearing genitalia with adequate depth, normal clitoral sensation, and no dyspareunia. FG can be performed at an older age with satisfactory outcomes.</p>","PeriodicalId":47352,"journal":{"name":"Indian Journal of Urology","volume":"41 4","pages":"312-314"},"PeriodicalIF":0.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12530799/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145330619","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":"Combination neoadjuvant therapy with toripalimab and axitinib for renal cell carcinoma with inferior vena cava thrombus: Insights from the NEOTAX study.","authors":"Lalit Kumar","doi":"10.4103/iju.iju_195_25","DOIUrl":"10.4103/iju.iju_195_25","url":null,"abstract":"","PeriodicalId":47352,"journal":{"name":"Indian Journal of Urology","volume":"41 4","pages":"317-318"},"PeriodicalIF":0.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12530735/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145330626","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":"Novel approach to reduce rewarm ischemia time in triple-vessel robot-assisted kidney transplant using internal iliac artery graft.","authors":"Swapnil Singh Kushwaha, Amit Aggarwal, Himanshu Sharma, Samit Chaturvedi, Anant Kumar","doi":"10.4103/iju.iju_286_25","DOIUrl":"10.4103/iju.iju_286_25","url":null,"abstract":"<p><p>This video demonstrates a novel technique to reduce rewarm ischemia time during robot-assisted kidney transplantation (RAKT) in a patient with a triple-vessel renal allograft. An autologous internal iliac artery graft was harvested and used for ex vivo reconstruction, allowing a single intracorporeal arterial anastomosis. This approach preserved all three arteries while minimizing ischemia times and surgical complexity. The cold ischemia time was 108 min, and the rewarm ischemia time was 40 min. The patient had an uneventful recovery with excellent early graft function. This innovative method offers a feasible and safe solution for managing complex multi-vessel grafts in RAKT.</p>","PeriodicalId":47352,"journal":{"name":"Indian Journal of Urology","volume":"41 4","pages":"315-316"},"PeriodicalIF":0.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12530741/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145330386","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}