Indian journal of urology : IJU : journal of the Urological Society of India最新文献

{"title":"Renal replacement lipomatosis.","authors":"K R Prasad, H Satish Chandra, K R Vijay Kumar","doi":"10.4103/0970-1591.94970","DOIUrl":"https://doi.org/10.4103/0970-1591.94970","url":null,"abstract":"","PeriodicalId":520644,"journal":{"name":"Indian journal of urology : IJU : journal of the Urological Society of India","volume":" ","pages":"105-6"},"PeriodicalIF":1.1,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/a9/60/IJU-28-105.PMC3339776.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30594574","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":"Radical urethrectomy with bladder preservation and continent catheterizable stoma (Yang-Monti tecnique).","authors":"Mario Alvarez Maestro,&nbsp;Luis Martinez-Piñeiro,&nbsp;Emilio Rios Gonzalez","doi":"10.4103/0970-1591.94971","DOIUrl":"https://doi.org/10.4103/0970-1591.94971","url":null,"abstract":"<p><p>Malignant melanoma originating in the urethra is considered extremely rare and has a very poor prognosis. Consequently, therapeutic reviews are retrospective describing assorted treatments. We report how to perform a radical urethrectomy with bladder preservation and a continent catheterizable stoma (Yang-Monti technique) Radical urethrectomy with bladder preservation and a continent catheterizable stoma may be appropriate in selected patients with tumours that do not invade the bladder neck.</p>","PeriodicalId":520644,"journal":{"name":"Indian journal of urology : IJU : journal of the Urological Society of India","volume":" ","pages":"107-10"},"PeriodicalIF":1.1,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/c6/2f/IJU-28-107.PMC3339777.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30594575","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":"Transverse testicular ectopia with disorders of sex development.","authors":"Katsuya Aoki,&nbsp;Masaomi Kuwada,&nbsp;Kiyohide Fujimoto,&nbsp;Yoshihiko Hirao","doi":"10.4103/0970-1591.94965","DOIUrl":"https://doi.org/10.4103/0970-1591.94965","url":null,"abstract":"<p><p>Transverse testicular ectopia (TTE) is a rare congenital anomaly. Although TTE often coexists with abnormalities such as inguinal hernia and persistent Mullerian duct syndrome, disorders of sex development (DSD) in combination with TTE is extremely rare. We report a case of DSD with sex chromosomal abnormality in combination with TTE. To our knowledge, this case report is a first presentation of such anomaly.</p>","PeriodicalId":520644,"journal":{"name":"Indian journal of urology : IJU : journal of the Urological Society of India","volume":" ","pages":"92-3"},"PeriodicalIF":1.1,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/70/fd/IJU-28-92.PMC3339796.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30594569","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":"Hemostasis in laparoscopic renal surgery.","authors":"Hussam A Hassouna,&nbsp;Ramaswamy Manikandan","doi":"10.4103/0970-1591.94939","DOIUrl":"https://doi.org/10.4103/0970-1591.94939","url":null,"abstract":"<p><p>Hemorrhage is a potential risk at any step of laparoscopic nephrectomies (LNs). The advances in surgical equipment and tissue sealants have increased the safety and efficiency of performing LN and laparoscopic partial nephrectomy (LPN). However, hemostasis remains a major issue and there is still scope for further development to improve haemostatic techniques and devices. In this article a literature review of the current methods and techniques of hemostasis was carried out using the MEDLINE (®)/PubMed(®) resources. The results of the review were categorized according to the three main operative steps: Dissection, control of renal pedicle and excision of the renal lesion.</p>","PeriodicalId":520644,"journal":{"name":"Indian journal of urology : IJU : journal of the Urological Society of India","volume":" ","pages":"3-8"},"PeriodicalIF":1.1,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/ab/b8/IJU-28-3.PMC3339782.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30591878","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":"Zinc status in benign prostatic hyperplasia and prostate carcinoma.","authors":"Somsri Wiwanitkit,&nbsp;Viroj Wiwanitkit","doi":"10.4103/0970-1591.94974","DOIUrl":"https://doi.org/10.4103/0970-1591.94974","url":null,"abstract":"","PeriodicalId":520644,"journal":{"name":"Indian journal of urology : IJU : journal of the Urological Society of India","volume":" ","pages":"115"},"PeriodicalIF":1.1,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/5f/92/IJU-28-115.PMC3339778.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30594576","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 LESS is actually more?","authors":"Nitin S Kekre","doi":"10.4103/0970-1591.94937","DOIUrl":"https://doi.org/10.4103/0970-1591.94937","url":null,"abstract":"There has been significant evolution in the treatment of stress urinary incontinence (SUI). Prior to the mid-urethral tapes, options of transvaginal needle suspension, Burch colposuspension, and the autologous facial slings were available. A minimally invasive sling using polypropylene tension-free vaginal tape (TVT) was introduced in 1996. Since then, several attempts have been made to make this procedure even less invasive. The first major adjustment, the trans-obturator approach, appears to have good long-term results, with comparative trials showing fairly equivalent efficacy between the retropubic and transobturator approaches. The most recent modification is a transvaginal single-incision sling using polypropylene tape. Hinoul and colleagues in a multi-institutional study, prospectively compared the efficacy of the Gynecare TVT™ Obturator (TVT-O) sling with single-incision Gynecare TVT Secur™ sling in 194 randomly assigned patients. The authors excluded patients with a prior failed repair for SUI, prolapse of stage II or more, and those requiring concomitant surgery, from their study. The primary outcome was defined as 12-month objective SUI cure rate, determined using a standing cough stress test at a bladder volume of 300 mL or a volume greater than 70% of the maximum bladder capacity based on the patient's bladder diary. Secondary outcome measures included subjective evaluation of voiding and SUI, visual analog scale (VAS) pain scores, and quality-of-life outcomes using the Dutch version of the Urogenital Distress Inventory (UDI). In this study, authors found that objective SUI cure rates were higher with TVT-O at both 6 and 12 months. At 6 months, SUI was identified in 24.4% of TVT Secur patients compared with none of the TVT-O patients (P &lt; 0.0001) and at 12 months, SUI was identified in 16.4% of TVT Secur patients compared with 2.4% of TVT-O patients (P = 0.002). A similar observation was seen with subjective SUI outcomes at 24 months, with 24% of TVT Secur patients complaining of SUI vs 8.3% of TVT-O patients. De-novo urgency and/or urge incontinence at 12 months were noted in 23% of TVT Secur patients and 16.7% of TVT-O patients, which was not statistically significant. Anticholinergic treatment was given for 12 TVT Secur and 14 TVT-O patients during the first 12 months after surgery. A significantly greater improvement in the urinary incontinence subscale of the UDI was noted in TVT-O patients compared with TVT Secur patients. The authors observed less pain with TVT Secur, with patients having a lower VAS pain score the first 2 weeks after surgery (but not thereafter), and less need for analgesics the first 5 days after surgery (but not thereafter). Mesh exposures were noted in 7 of 96 TVT Secur patients, all of which required surgical closure as compared to one in TVT-O group, in which mesh exposure resolved with local estrogen therapy. In TVT-O group, 92% were available for follow-up at 12 months compared with 65% only in the TVT","PeriodicalId":520644,"journal":{"name":"Indian journal of urology : IJU : journal of the Urological Society of India","volume":" ","pages":"1-2"},"PeriodicalIF":1.1,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/e4/66/IJU-28-1.PMC3339774.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30591877","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":"Testicular fine-needle aspiration versus testicular open biopsy: Comparable sperm retrieval rate in selected patients.","authors":"Mohammad Reza Nowroozi,&nbsp;Hamed Ahmadi,&nbsp;Mohsen Ayati,&nbsp;Hasan Jamshidian,&nbsp;Ali Sirous","doi":"10.4103/0970-1591.94954","DOIUrl":"https://doi.org/10.4103/0970-1591.94954","url":null,"abstract":"<p><strong>Background: </strong>Sperm recovery by testicular fine-needle aspiration (TESA) has resulted in variable sperm retrieval rate (SRR) and is generally considered inferior to open biopsy (testicular sperm extraction [TESE]).</p><p><strong>Aims: </strong>To develop a predictive model for SRR by TESA and to identify factors associated with comparable SRR between TESA and TESE.</p><p><strong>Settings and design: </strong>Single-center controlled cross-sectional study on 450 infertile men with nonobstructive azoospermia.</p><p><strong>Materials and methods: </strong>Clinical, paraclinical, and histological information of patients were gathered. All patients underwent both TESA and TESE in a single operation. Predictors of SRR by TESA were identified, and the accuracy of TESA in predicting the outcome of TESE was determined.</p><p><strong>Statistical analysis used: </strong>Categorical and continuous variables were compared using independent t test and -chi-square test. Logistic regression model was applied to develop a predictive model for SRR by TESA. Receiver Operating Characteristics (ROC) curve analysis was used to determine the accuracy of TESA in predicting TESE outcome.</p><p><strong>Results: </strong>Sperm retrieval rate for TESA and TESE was 41.8 and 50.9%, respectively (P = 0.04). Age, duration of infertility, testis volume, luteinizing hormone, prolactin, and testosterone did not differ between patients with and without mature sperm in TESA samples. Serum follicular-stimulating hormone (FSH) < 15 IU/l (Exp (B) = 4.8, 95% CI: 1.4-18.5; P = 0.001) and histology of hypospermatogenesis (Exp (B) = 6.4, 95% CI: 2.1-27.4; P < 0.001) were predictors of SRR by TESA. In patients with FSH < 15 IU/l (57.4% versus 59.5%; Area under the curve (AUC) = 0.907) and testicular histology of hypospermatogenesis (68.0% versus 70.5%; AUC = 0.890), the SRR by TESA was predictive of SRR by TESE.</p><p><strong>Conclusions: </strong>Serum FSH and testicular pathology were predictors of SRR by TESA. Patients with FSH < 15 IU/l and/or testicular pathology of hypospermatogenesis had comparable SRR by TESA versus TESE.</p>","PeriodicalId":520644,"journal":{"name":"Indian journal of urology : IJU : journal of the Urological Society of India","volume":" ","pages":"37-42"},"PeriodicalIF":1.1,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/15/c6/IJU-28-37.PMC3339784.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30591883","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":"Cystolithotomy during robotic radical prostatectomy: Single-stage procedure for concomitant bladder stones.","authors":"Gerald Y Tan,&nbsp;Prasanna Sooriakumaran,&nbsp;David L Peters,&nbsp;Abhishek Srivastava,&nbsp;Ashutosh Tewari","doi":"10.4103/0970-1591.94968","DOIUrl":"https://doi.org/10.4103/0970-1591.94968","url":null,"abstract":"<p><p>Asymptomatic concomitant vesical calculi are an occasional finding on routine radiologic staging and evaluation of patients with early prostate cancer. We report the first case of single-stage robotic cystolithotomy for multiple bladder stones in a 64-year-old man undergoing robotic-assisted radical prostatectomy, and discuss the approaches available for ensuring complete stone clearance in this unique setting. We show that concomitant bladder stone extraction during robotic-assisted radical prostatectomy is feasible and does not add significantly to operative time. This technique avoids the need to undergo additional general anesthetic procedures with potential complications such as bleeding, urethral stricture formation, and bladder perforation, prior to the prostatectomy.</p>","PeriodicalId":520644,"journal":{"name":"Indian journal of urology : IJU : journal of the Urological Society of India","volume":" ","pages":"99-101"},"PeriodicalIF":1.1,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/f4/0e/IJU-28-99.PMC3339799.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30594572","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}