Indian Journal of Urology最新文献_第8页

Development of urology in India. 印度泌尿外科的发展。

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Indian Journal of Urology Pub Date : 2025-10-01 Epub Date: 2025-09-30 DOI: 10.4103/iju.iju_439_25

Narmada Prasad Gupta

引用次数: 0

Critical appraisal of a meta-analysis on pelvic lymph node dissection in muscle-invasive bladder cancer. 对肌肉浸润性膀胱癌盆腔淋巴结清扫的荟萃分析的批判性评价。

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Indian Journal of Urology Pub Date : 2025-10-01 Epub Date: 2025-09-30 DOI: 10.4103/iju.iju_386_25

Sumit Mandal

引用次数: 0

Ultraslow versus slow-rate shockwave lithotripsy in the management of renal stone: A randomized controlled trial. 超低与慢速冲击波碎石治疗肾结石：一项随机对照试验。

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Indian Journal of Urology Pub Date : 2025-10-01 Epub Date: 2025-09-30 DOI: 10.4103/iju.iju_229_25

Jalaram Pachaiyappan, Santosh Kumar, Santhosh Nagasubramanian, T J Nirmal, Rajiv Paul Mukha, Chandrasingh Jeyachandra Berry

{"title":"Ultraslow versus slow-rate shockwave lithotripsy in the management of renal stone: A randomized controlled trial.","authors":"Jalaram Pachaiyappan, Santosh Kumar, Santhosh Nagasubramanian, T J Nirmal, Rajiv Paul Mukha, Chandrasingh Jeyachandra Berry","doi":"10.4103/iju.iju_229_25","DOIUrl":"10.4103/iju.iju_229_25","url":null,"abstract":"Introduction: This study aimed to evaluate the efficacy of ultraslow shockwave (SW) lithotripsy compared with slow-rate SW lithotripsy (SWL) in the management of renal stones using a common power ramping protocol.Methods: This randomized trial enrolled patients with solitary renal calculus ≤2 cms between December 2021 and February 2024. Ultraslow lithotripsy (40 patients) was applied at a rate of 30 shocks per minute and slowrate lithotripsy (40 patients) was applied at a rate of 60 shocks per minute. Common power ramping protocol was followed for both the groups. Up to a maximum of three sessions were carried out with follow-up at 3 months after the last session. The primary outcome was the stone-free rate.Results: The overall stone-free rate (SFR) was 77.5% in the ultraslow arm and 72.5% in the slow-rate arm (P = 0.60). Ultraslow group attained a higher SFR after the first session (37.5% vs. 20%; P = 0.07) with significantly lesser number of shocks (1300 vs. 1500; P < 0.01). Complications were only mild and similar between both the groups (P = 0.06), with a longer treatment duration in the ultraslow group (100 min vs. 50 min; P < 0.01).Conclusions: In the setting of an electromagnetic lithotripter with a common ramping protocol and equal energy SWs, both ultraslow and slowrate SWL achieved a comparable overall stone-free rate with a similar safety profile. Higher number of patients in the ultraslow arm, almost double that of the slow arm, attained stone-free status after the first session itself with significantly fewer shocks.","PeriodicalId":47352,"journal":{"name":"Indian Journal of Urology","volume":"41 4","pages":"253-259"},"PeriodicalIF":0.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12530746/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145330497","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

Reused disposable ureteroscopes in retrograde intrarenal surgery: A new concept arises? 在逆行肾内手术中重复使用一次性输尿管镜：一个新概念的出现？

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Indian Journal of Urology Pub Date : 2025-07-01 DOI: 10.4103/iju.iju_162_25

Horacio Sanguinetti, Juan Guillermo Ruiz, Maximiliano Lopez Silva, Norberto Bernardo

{"title":"Reused disposable ureteroscopes in retrograde intrarenal surgery: A new concept arises?","authors":"Horacio Sanguinetti, Juan Guillermo Ruiz, Maximiliano Lopez Silva, Norberto Bernardo","doi":"10.4103/iju.iju_162_25","DOIUrl":"10.4103/iju.iju_162_25","url":null,"abstract":"Introduction: Retrograde intrarenal surgery (RIRS) for renal lithiasis is widely used, with single-use ureteroscopes offering an excellent option. However, their high cost poses a challenge, prompting consideration of reusing disposable instruments. This study aims to compare stone-free rates (SFR) and complications between reprocessed disposable ureteroscopes and new ones in a multicenter cohort.Methods: This prospective, observational, multicenter study included patients who underwent RIRS between May 2022 and May 2023 at three centers in Argentina. Patients were divided into two groups: Group 1 used a brand new disposable ureteroscope and Group 2 used a reprocessed disposable ureteroscope. Stone size, location, stone-free rate, postoperative complications, and subjective evaluations of deflection and vision were analyzed.Results: Seventy-seven patients were included: 21 in Group 1 and 56 in Group 2. The average stone size was 10.9 mm in Group 1 and 8.6 mm in Group 2 (P = 0.0188). Stone location in the renal pelvis was 42% in Group 1 and 25% in Group 2 (P = 0.406). SFR were 71.4% in Group 1 and 73.2% in Group 2 (P = 0.999). No differences were found regarding the subjective assessment of vision and deflection as evaluated by the surgeons. Postoperative urinary tract infections occurred in 9.5% of Group 1 and 16% of Group 2 (P = 0.717).Conclusions: Despite the larger stone size in Group 1, the stone-free rate and postoperative infection rates were similar between both groups. Reprocessing disposable instruments does not appear to affect the effectiveness or infection rate of RIRS.","PeriodicalId":47352,"journal":{"name":"Indian Journal of Urology","volume":"41 3","pages":"216-219"},"PeriodicalIF":0.9,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12312838/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144776488","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

Thulium versus holmium: Which is safer for the removal of entombed stents? 铥和钬：对于移除埋地支架哪个更安全？

IF 0.9

Indian Journal of Urology Pub Date : 2025-07-01 DOI: 10.4103/iju.iju_6_25

Ruben Crew, Grant Sajdak, Ala'a Farkouh, Kai Wen Cheng, Sikai Song, Ruby Kuang, Tekisha Lindler, Akin S Amasyali, Ali Albaghli, Zhamshid Okhunov, D Duane Baldwin

{"title":"Thulium versus holmium: Which is safer for the removal of entombed stents?","authors":"Ruben Crew, Grant Sajdak, Ala'a Farkouh, Kai Wen Cheng, Sikai Song, Ruby Kuang, Tekisha Lindler, Akin S Amasyali, Ali Albaghli, Zhamshid Okhunov, D Duane Baldwin","doi":"10.4103/iju.iju_6_25","DOIUrl":"10.4103/iju.iju_6_25","url":null,"abstract":"Introduction: Removal of entombed ureteral stents can be technically challenging, particularly if the stent were to fragment during removal. The purpose of this study was to compare the therapeutic suitability of the thulium fiber laser (TFL) and the holmium laser (HL) in the treatment of entombed stents.Methods: In this benchtop study, first, the time taken for each laser to transect the stent was recorded in 10 experiments/laser. Next, the force required to break the stent following 5 s of laser contact was measured in 15 randomized experiments/laser. Finally, seven experiments of simulated ureteroscopy on entombed stents were performed per laser. Lasers were operated at 0.8 J, 12 Hz with 270 µm fibers, and 6 Fr stents were utilized. Endpoints included time to release the stent, laser energy, and stent damage.Results: The stent transection time was shorter with the TFL compared to the HL (22.02 vs. 61.46 s; P < 0.001). After 5 s, the TFL transected the stent with lesser force compared to the HL (5.34 vs. 15.24 N; P = 0.004). Both required lesser force to break the stent compared to the baseline (33.8 N; P < 0.001). On simulated lithotripsy, the lithotripsy time (12.7 vs. 8.5 min; P = 0.11) and laser energy (4.7 vs. 2.7 kJ; P = 0.09) were similar between the TFL and HL. The mean stent damage score was higher when using the TFL compared to the HL (36.9 vs. 15.7; P = 0.017).Conclusions: The TFL resulted in faster stent transection, reduced breakage force, and greater stent damage. Urologists should be cautious when releasing entombed stents using the TFL as the laser may significantly weaken the stent, increasing the risk of fracture during removal.","PeriodicalId":47352,"journal":{"name":"Indian Journal of Urology","volume":"41 3","pages":"205-209"},"PeriodicalIF":0.9,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12312839/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144776490","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

Benign metastasizing leiomyoma with retroperitoneal lymph node involvement in a patient with a history of renal cell carcinoma. 一例有肾细胞癌病史的良性转移性平滑肌瘤伴腹膜后淋巴结受累。

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Indian Journal of Urology Pub Date : 2025-07-01 DOI: 10.4103/iju.iju_461_24

Alireza Ghoreifi, Richard Mateo Mora, Shivani Kandukuri, Hooman Djaladat

引用次数: 0

Editorial comment: Is 23-h discharge following robotic radical prostatectomy and partial nephrectomy feasible and safe in a quaternary care centre in a developing country? 编辑评论：在发展中国家的第四医疗中心，机器人根治性前列腺切除术和部分肾切除术后23小时出院是否可行和安全？

IF 1

Indian Journal of Urology Pub Date : 2025-07-01 DOI: 10.4103/iju.iju_107_25

Amit Satish Bhattu

引用次数: 0

Editorial comment: The reusability conundrum: Considerations for reusing surgical disposables in research setting. 编辑评论：可重复使用的难题：在研究环境中重复使用一次性手术用品的考虑。