Arab Journal of Urology最新文献

筛选
英文 中文
Efficacy of Silodosin and Tadalafil monotherapy versus combination of both drugs as MET for distal ureteric stones: A prospective, double blinded, randomized clinical trial.
IF 1.3
Arab Journal of Urology Pub Date : 2024-09-16 eCollection Date: 2025-01-01 DOI: 10.1080/20905998.2024.2403274
Tamer Diab, Abdallah Fathi, Amr S El-Dakhakhny, Ahmed Abou Elezz
{"title":"Efficacy of Silodosin and Tadalafil monotherapy versus combination of both drugs as MET for distal ureteric stones: A prospective, double blinded, randomized clinical trial.","authors":"Tamer Diab, Abdallah Fathi, Amr S El-Dakhakhny, Ahmed Abou Elezz","doi":"10.1080/20905998.2024.2403274","DOIUrl":"10.1080/20905998.2024.2403274","url":null,"abstract":"<p><strong>Objective: </strong>To assess efficacy and safety of silodosin, tadalafil, versus combination of both medications as medical expulsive therapy (MET) for distal ureteric stones.</p><p><strong>Methods: </strong>This prospective, double blinded, randomized clinical trial included 128 patients aged 18 years or more irrespective of gender who are presented to emergency department or outpatient with distal ureteric stones ranging in size from 5-10 mm, randomized into three groups: Group I (<i>n</i> = 42) received Silodosin 8 mg once daily, Group II (<i>n</i> = 44) received Tadalafil 5 mg once daily, and Group III (<i>n</i> = 42) received Silodosin 8 mg combined with Tadalafil 5 mg one daily. All participants underwent thorough history-taking, routine laboratory investigations, and clinical examinations.The primary end point included expulsion rate and time and treatment tolerance. Secondary end points were number pain episodes, need for emergency room visit, amount of analgesia, need for intervention.</p><p><strong>Results: </strong>The expulsion rate was 71.4% for silodosin, 61.4% for tadalafil and 88.1% for combined therapy (<i>p</i> = 0.018). Expulsion time was significantly shorter after combined therapy 10.4 + 3.5 days, while after silodosin 14.1 + 4 days, while 17.8 + 3.4 days after tadalafil (<i>p</i> < 0.001). The number of pain episodes, emergency room visits, and the amount of analgesia were significantly in favour of combined therapy (<i>p</i> value 0.004, 0.010, and <0.001) respectively.</p><p><strong>Conclusions: </strong>A combination of Silodosin with Tadalafil as a MET for distal ureteric stones is more effective than monotherapy with tolerable side effects.</p>","PeriodicalId":8113,"journal":{"name":"Arab Journal of Urology","volume":"23 2","pages":"124-130"},"PeriodicalIF":1.3,"publicationDate":"2024-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11963183/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143778808","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
The efficacy of flexible ureteroscopy for large volume stones and hazards of ureteral access sheath usage: A prospective randomized study. 输尿管软镜治疗大体积结石的疗效及输尿管鞘使用的危害:一项前瞻性随机研究。
IF 1.3
Arab Journal of Urology Pub Date : 2024-09-12 eCollection Date: 2025-01-01 DOI: 10.1080/20905998.2024.2398378
Ahmed M Rammah, Farouk Khaled, Samih Zamel, Amr Elkady, Samer Morsy, Mohamed Abdelwahab
{"title":"The efficacy of flexible ureteroscopy for large volume stones and hazards of ureteral access sheath usage: A prospective randomized study.","authors":"Ahmed M Rammah, Farouk Khaled, Samih Zamel, Amr Elkady, Samer Morsy, Mohamed Abdelwahab","doi":"10.1080/20905998.2024.2398378","DOIUrl":"https://doi.org/10.1080/20905998.2024.2398378","url":null,"abstract":"<p><strong>Objectives: </strong>We aimed to assess the stone free rate of flexible ureteroscopy and laser lithotripsy (FURL) in upper urinary tract stones (UUTS) >20 mm and the risk of complications from ureteral access sheath (UAS) usage.</p><p><strong>Methods: </strong>This is a prospective randomized clinical trial that included patients with UUTS larger than 20 mm who underwent FURL after randomization into two groups: group A (UAS) and group B (non-UAS). Data were collected for patients' demographics, stone parameters, operative and postoperative complications, and the outcome of FURL regarding stone-free rate (SFR) and perioperative complications, with a 6-month follow-up. Stone clearance was defined as the absence of fragments or the presence of fragments smaller than 2 mm on follow-up CT scans of the urinary tract (CTUT).</p><p><strong>Results: </strong>One hundred and fifty-nine patients were evaluated. The mean stone size was 27.08 ± 6.185 mm. Complete stone-free status was achieved in 84.9% of the patients. No significant difference was detected between both groups regarding operative time or SFR. The ureteric injury was identified in 13 (8.1%) patients (10 in group A and 3 in group B, p: 0.0481). Five of them, from group A, revealed hydronephrosis after stent removal. Postoperative pain and fever were documented in 50 and 22 patients, respectively, without significant differences between both groups. Postoperative sepsis occurred in 7 patients (2 in group A, 5 in group B, p: 0.380) who required supportive care.</p><p><strong>Conclusion: </strong>FURL without UAS is a safe and efficient treatment for upper urinary tract stones larger than 20 mm in the form of lower risk of ureteric injury.</p>","PeriodicalId":8113,"journal":{"name":"Arab Journal of Urology","volume":"23 1","pages":"62-69"},"PeriodicalIF":1.3,"publicationDate":"2024-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11703511/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142943327","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
Acupuncture therapy of overactive bladder: An umbrella review and meta-analysis. 针灸治疗膀胱过动症:综述和荟萃分析。
IF 1.3
Arab Journal of Urology Pub Date : 2024-09-11 eCollection Date: 2025-01-01 DOI: 10.1080/20905998.2024.2400628
Jian Ma, Feiqiang Ren, Shikuan Lu, Yan Ye, Lei Xu, Peihai Zhang, Ziyang Ma
{"title":"Acupuncture therapy of overactive bladder: An umbrella review and meta-analysis.","authors":"Jian Ma, Feiqiang Ren, Shikuan Lu, Yan Ye, Lei Xu, Peihai Zhang, Ziyang Ma","doi":"10.1080/20905998.2024.2400628","DOIUrl":"https://doi.org/10.1080/20905998.2024.2400628","url":null,"abstract":"<p><strong>Introduction: </strong>Overactive bladder (OAB) is a common lower urinary tract symptom of bladder storage dysfunction. Numerous studies have evaluated the efficacy and safety of acupuncture therapy for overactive bladder, but clinical programs and data were largely inconsistent. Therefore, it is necessary to summarize and analyze the published clinical research data in the field. We aimed to perform an umbrella review of systematic reviews and meta-analyses (SRs/MAs) to evaluate the efficacy and safety of acupuncture therapy.</p><p><strong>Methods: </strong>We searched PubMed, the Cochrane Library, Embase, and three China databases (CNKI, VIP, and Wanfang Data) from the establishment of each database to 1 February 2024. Evaluation tools used the AMSTAR 2 tool and the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) rating system.</p><p><strong>Results: </strong>A total of seven SRs/MAs were included. Six reviews were rated as critically low on overall confidence and one review was low on confidence based on the AMSTAR 2 tool. The GRADE evidence quality rating demonstrated that the quality of evidence for one outcome indicator was moderate, five were low, and 28 were critically low. Twenty-three of the 34 outcome indicators exhibited a significant improvement compared to the control group. The present research results supported acupuncture as a complementary therapy for OAB patients, but the evidence should be considered carefully due to the methodological flaws identified.</p><p><strong>Conclusion: </strong>Our study demonstrated that acupuncture, as traditional Chinese medicine, regulates bladder qi and has a good therapeutic effect in the treatment of OAB.</p>","PeriodicalId":8113,"journal":{"name":"Arab Journal of Urology","volume":"23 1","pages":"75-83"},"PeriodicalIF":1.3,"publicationDate":"2024-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11703375/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142943321","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
Comparing surgical techniques: ThuLEP and transurethral BPEP for prostate over 80 grams. Intraoperative and postoperative results. A prospective randomized trial. 前列腺≥80克的ThuLEP与经尿道BPEP手术技术比较。术中及术后结果。一项前瞻性随机试验。
IF 1.3
Arab Journal of Urology Pub Date : 2024-09-11 eCollection Date: 2025-01-01 DOI: 10.1080/20905998.2024.2395594
Samer Morsy, Mahmoud Elfeky, Sherif Abdel-Rahman, Hesham Torad, Ahmed Rammah, Mina Safwat
{"title":"Comparing surgical techniques: ThuLEP and transurethral BPEP for prostate over 80 grams. Intraoperative and postoperative results. A prospective randomized trial.","authors":"Samer Morsy, Mahmoud Elfeky, Sherif Abdel-Rahman, Hesham Torad, Ahmed Rammah, Mina Safwat","doi":"10.1080/20905998.2024.2395594","DOIUrl":"https://doi.org/10.1080/20905998.2024.2395594","url":null,"abstract":"<p><strong>Background and purpose: </strong>Though TURP remains the primary treatment for BPH, advancements in energy and technology have introduced innovative transurethral surgical options. In this study, we assessed and compared the effectiveness and safety of using thulium laser and bipolar for endoscopic enucleation of prostate exceeding 80 g.</p><p><strong>Patients and methods: </strong>Between January 2022 and July 2023, this study enrolled patients with LUTS due to BPH and a prostate size of ≥80 g. Group A underwent the BPEP procedure using a 26 Fr continuous flow resectoscope with plasma kinetic system enucleation loops, while Group B underwent the ThuLEP procedure using a 120-200 W Revolix DUO® Thulium laser. Data collection included prostate size, PSA levels, enucleation and morcellation time, and postoperative IPSS and IIEF-5 scores at one, 3, 6, and 12 months.</p><p><strong>Results: </strong>A total of 108 patients, divided into Group A (BPEP) and Group B (ThuLEP), completed a 12-month follow-up. The mean age for group A was 67.72 ± 7.02 compared to group B which was 62.33 ± 5.86. While Group A compared to group B had higher mean enucleation (75.22 ± 10.55 vs. 67 ± 12.18) and total operative times (117.22 ± 17.76 vs.90.5 ± 18.29) (<i>p</i> = 0.037 & <0.001 respectively), no significant differences were observed in resected tissue weight, blood transfusion, and morcellation time. The ThuLEP group exhibited a shorter mean catheter period 2.94 ± 0.94 d compared to BPEP 3.33 ± 0.91 d and shorter mean hospital stay period of 1.94 ± 0.54 compared to2.11 ± 0.32, though not statistically significant. Postoperative outcomes, including IPSS, Qmax, PVRU, and IIEF-5 at 1, 3, 6, and 12 months, showed no differences between the groups.</p><p><strong>Conclusion: </strong>ThuLEP shows better perioperative parameters in comparison to BPEP. Nevertheless, there are no notable differences in functional results and complications between the two techniques.</p>","PeriodicalId":8113,"journal":{"name":"Arab Journal of Urology","volume":"23 1","pages":"1-7"},"PeriodicalIF":1.3,"publicationDate":"2024-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11703526/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142943323","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
Nephrogenic adenoma of the urinary bladder. Clinical features, long-term follow-up and recurrence predictors. 膀胱肾腺瘤。临床特征、长期随访和复发预测因素。
IF 1.3
Arab Journal of Urology Pub Date : 2024-09-11 eCollection Date: 2025-01-01 DOI: 10.1080/20905998.2024.2402585
Mohamed H Zahran, Mohamed Shehata, Shery Khater, Hosam Nabeeh, Mohamed Ali Badawy, Ahmed Mosbah, Hassan Abol-Enein
{"title":"Nephrogenic adenoma of the urinary bladder. Clinical features, long-term follow-up and recurrence predictors.","authors":"Mohamed H Zahran, Mohamed Shehata, Shery Khater, Hosam Nabeeh, Mohamed Ali Badawy, Ahmed Mosbah, Hassan Abol-Enein","doi":"10.1080/20905998.2024.2402585","DOIUrl":"10.1080/20905998.2024.2402585","url":null,"abstract":"<p><strong>Objectives: </strong>To review the clinical features of nephrogenic adenoma (NA) of the urinary bladder and assess the long-term recurrence rates.</p><p><strong>Material and methods: </strong>A retrospective analysis of all diagnosed NA of the urinary bladder between 2000 and 2023 was done. All patients' demographics, symptoms, history of previous bladder surgeries, macroscopic and microscopic features of NA and coincidental pathology were reviewed. The long-term recurrence rate including malignant recurrence was assessed. Univariate and multivariate analysis of predictor of recurrence was performed.</p><p><strong>Results: </strong>We identified 24 patients diagnosed with NA with a mean (SD, range) age of 56 (16, 15-73) years. Eighteen (75%) patients had previous history of bladder surgeries. Macroscopic appearance on cystoscopy looked polypoidal, flat velvety, papillary and nodular in eight, seven, five, and four patients, respectively. At a median (range) follow-up of 35 (18-145) months, 15 (63%) patients developed one recurrence including NA, non-specific cystitis and urothelial carcinoma (UC) in nine, three and three patients, respectively. Of them, five had a second recurrence, and one patient had a third recurrence. Patients with malignant recurrence had previous history of UC and two of them required radical cystectomy and urinary diversion. Previous TURBT was the only independent predictor for recurrence [OR (95% CI) = 28 (2-37), <i>p</i> = 0.01].</p><p><strong>Conclusion: </strong>Nephrogenic adenoma is a benign disease that mimics malignant lesion clinically. It is associated with high recurrence rate. Previous resection of bladder lesion is the independent predictor of the recurrence.</p>","PeriodicalId":8113,"journal":{"name":"Arab Journal of Urology","volume":"23 2","pages":"109-116"},"PeriodicalIF":1.3,"publicationDate":"2024-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11963184/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143778840","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
Does age matter? Impact of age on testicular function and pregnancy outcomes following microsurgical varicocelectomy in patients with grade 3 varicocele. 年龄有关系吗?年龄对3级精索静脉曲张显微手术后睾丸功能和妊娠结局的影响。
IF 1.3
Arab Journal of Urology Pub Date : 2024-09-11 eCollection Date: 2025-01-01 DOI: 10.1080/20905998.2024.2400630
Haitham ElBardisi, Ahmad AlMalki, Kareim Khalafalla, Walid El Ansari, Mohamed Arafa, Mohammed Mahdi, Khalid AlKubaisi, Sami AlSaid, Onder Canguven, Ahmad Majzoub
{"title":"Does age matter? Impact of age on testicular function and pregnancy outcomes following microsurgical varicocelectomy in patients with grade 3 varicocele.","authors":"Haitham ElBardisi, Ahmad AlMalki, Kareim Khalafalla, Walid El Ansari, Mohamed Arafa, Mohammed Mahdi, Khalid AlKubaisi, Sami AlSaid, Onder Canguven, Ahmad Majzoub","doi":"10.1080/20905998.2024.2400630","DOIUrl":"https://doi.org/10.1080/20905998.2024.2400630","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the effects of age on semen and hormonal parameters following microsurgical varicocelectomy among patients with grade 3 varicocele, and to compare fertility outcomes between younger (<40 years) and older (≥40 years) men.</p><p><strong>Methods: </strong>Retrospective cohort study of infertile patients with clinical left grade 3 varicocele who underwent microsurgical subinguinal varicocelectomy (MV). Patients meeting the inclusion criteria (<i>N</i> = 550) were divided into two groups based on their age at the time of MV: <40 (<i>n</i> = 441) and ≥40 years (<i>n</i> = 109). Preoperative semen analysis and hormonal profiles were collected, and follow-up data including pregnancy outcomes were gathered at 3 and 6 months post-surgery.</p><p><strong>Results: </strong>Post-surgery, the younger group showed significant improvements in sperm count and total motility (<i>p</i> < 0.001 for each) as well as progressive motility (<i>p</i> = 0.005), while older men exhibited a significant increase in progressive motility (<i>p</i> = 0.002). For each group, there were no significant changes in hormonal levels post-surgery. Comparative analysis across the two age groups showed no significant differences in the postoperative extent of semen improvements or pregnancy.</p><p><strong>Conclusion: </strong>MV is a viable option for older infertile patients as it is for younger infertile men with grade 3 varicocele, and both groups can achieve similarly high rates of pregnancy outcomes.</p>","PeriodicalId":8113,"journal":{"name":"Arab Journal of Urology","volume":"23 1","pages":"53-61"},"PeriodicalIF":1.3,"publicationDate":"2024-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11703336/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142943325","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
Breaking the silence - systematic review of the socio-cultural underpinnings of men's sexual and reproductive health in Middle East and North Africa (MENA): A handful of taboos? 打破沉默——对中东和北非地区男性性健康和生殖健康的社会文化基础的系统回顾:几个禁忌?
IF 1.3
Arab Journal of Urology Pub Date : 2024-08-13 eCollection Date: 2025-01-01 DOI: 10.1080/20905998.2024.2387511
Walid El Ansari, Kareem El-Ansari, Mohamed Arafa
{"title":"Breaking the silence - systematic review of the socio-cultural underpinnings of men's sexual and reproductive health in Middle East and North Africa (MENA): A handful of taboos?","authors":"Walid El Ansari, Kareem El-Ansari, Mohamed Arafa","doi":"10.1080/20905998.2024.2387511","DOIUrl":"https://doi.org/10.1080/20905998.2024.2387511","url":null,"abstract":"<p><strong>Background: </strong>Sociocultural aspects can impact sexual and reproductive health (SRH). Despite this, no study appraised the socio-cultural underpinnings impacting men's SRH in MENA (Middle East and North Africa). The current systematic review undertook this task.</p><p><strong>Methods: </strong>We searched PubMed and Scopus electronic databases for original articles on socio-cultural aspects of men's SRH published from MENA. Data were extracted from the selected articles and mapped out employing McLeroy's socioecological model. Analyses and data synthesis identified the factors impacting men's experiences of and access to SRH.</p><p><strong>Results: </strong>A total of 53 articles were included. Five related socio-cultural underpinnings intertwined with taboos were observed that affect three main SRH topics, HIV, reproduction and sexuality across three broad population groups: HCP/health services, school/university students, and the general public/patients. These underpinnings included 1) Challenges to gender equality; 2) Religious prohibitions and misinterpretations; 3) Sexual rights and taboos; 4) Masculinity and manhood ideals; and 5) Large families and consanguinity. In terms of research, a paradox exists, as we found virtually no research on four socio-cultural underpinnings of men's SRH in MENA pertaining to: a) other STI, despite being common; b) other features of reproduction, despite that religio-cultural factors play a critical role; c) sexuality, despite the high prevalence of sexual disorders, and, d) gender-based violence, despite the widespread partner violence.</p><p><strong>Conclusions: </strong>Socio-cultural underpinnings are deeply rooted across MENA population groups including HCPs, students, general public, and patients with negative impact on the perceptions and dealings pertaining to men's SRH issues including HIV, reproduction and sexuality. The findings call for concerted widespread efforts to enhance the socio-cultural acceptance of these population groups while highlighting any misinterpretations of religious rules pertaining to men's SRH. Moreover, breaking the silence on such issues necessitates more enthusiasm across MENA health systems, with future research examining the effects of such efforts on the socio-cultural aspects of men's SRH in MENA.</p>","PeriodicalId":8113,"journal":{"name":"Arab Journal of Urology","volume":"23 1","pages":"16-32"},"PeriodicalIF":1.3,"publicationDate":"2024-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11703040/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142943322","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
Comparative study of two techniques of laparoscopic burch colposuspension using sutures versus mesh in women with genuine stress urinary incontinence. 对患有真正压力性尿失禁的妇女使用缝合线和网片进行腹腔镜鲍氏结肠悬吊术两种技术的比较研究。
IF 1.5
Arab Journal of Urology Pub Date : 2024-03-07 eCollection Date: 2024-01-01 DOI: 10.1080/20905998.2024.2321739
Basheer N Elmohamady, Hammouda W Sherif, Shabieb A Mohammed, Ahmed H Mohamed, Abdallah F Abdelazim
{"title":"Comparative study of two techniques of laparoscopic burch colposuspension using sutures versus mesh in women with genuine stress urinary incontinence.","authors":"Basheer N Elmohamady, Hammouda W Sherif, Shabieb A Mohammed, Ahmed H Mohamed, Abdallah F Abdelazim","doi":"10.1080/20905998.2024.2321739","DOIUrl":"10.1080/20905998.2024.2321739","url":null,"abstract":"<p><strong>Background: </strong>To compare the effectiveness and safety of laparoscopic colposuspension using sutures (LCS) versus mesh and staples (LCM) in the treatment of female stress urinary incontinence.</p><p><strong>Methods: </strong>This randomized study was conducted over a total of 80 women with genuine stress urinary incontinence between January 2020 and April 2022. Women were randomly assigned to the LCS group (<i>n</i> = 40) or the LCM group (<i>n</i> = 40). They underwent objective evaluations, including a standardized stress test, a 24-hour pad test, and a frequency-volume chart. Subjective assessments were made using a quality-of-life questionnaire.</p><p><strong>Results: </strong>The LCS group exhibited superior outcomes in PAD test improvement (from 147 [31-304] to 3 [0-300] at 1 year, <i>p</i> < 0.001), stress test scores (from 82 [11-153] to 1 [0-124] at 1 year, <i>p</i> < 0.001), and mean micturated volume (increase from 294 ± 65 to 321 ± 57 at 1 year, <i>p</i> = 0.037) compared to the LCM group. Urodynamic findings revealed a higher Maximum Urethral Closure Pressure in the LCS group (33.1 ± 6.9) versus the LCM group (28.3 ± 6.4, <i>p</i> = 0.002). Quality of life improvements were significantly better in the LCS group across various domains. However, the LCM group benefitted from shorter surgery duration, hospital stays, and bladder drainage duration.</p><p><strong>Conclusion: </strong>LCS demonstrates significant advantages over LCM in treating female stress urinary incontinence, particularly in cure rates and quality of life improvements. Despite the operational benefits of LCM in terms of reduced surgery and recovery times, LCS offers superior therapeutic outcomes.</p>","PeriodicalId":8113,"journal":{"name":"Arab Journal of Urology","volume":"22 2","pages":"121-128"},"PeriodicalIF":1.5,"publicationDate":"2024-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10929671/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140118570","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
Assessment of stone ablation rate using the Moses technology modes with different energy and pulse settings: An experimental study 使用不同能量和脉冲设置的摩西技术模式评估结石消融率:实验研究
IF 1.5
Arab Journal of Urology Pub Date : 2024-01-05 DOI: 10.1080/20905998.2023.2301641
BegonaBallesta Martinez, P. Ntasiotis, P. Katsakiori, Vasileios Tatanis, A. Peteinaris, S. Faitatziadis, K. Gkeka, Theodoros Spinos, T. Vrettos, E. Liatsikos, P. Kallidonis
{"title":"Assessment of stone ablation rate using the Moses technology modes with different energy and pulse settings: An experimental study","authors":"BegonaBallesta Martinez, P. Ntasiotis, P. Katsakiori, Vasileios Tatanis, A. Peteinaris, S. Faitatziadis, K. Gkeka, Theodoros Spinos, T. Vrettos, E. Liatsikos, P. Kallidonis","doi":"10.1080/20905998.2023.2301641","DOIUrl":"https://doi.org/10.1080/20905998.2023.2301641","url":null,"abstract":"","PeriodicalId":8113,"journal":{"name":"Arab Journal of Urology","volume":"87 2","pages":""},"PeriodicalIF":1.5,"publicationDate":"2024-01-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139381589","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}
引用次数: 0
Mini-PCNL – a boon for CKD patients with nephrolithiasis Mini-PCNL - 肾炎 CKD 患者的福音
IF 1.5
Arab Journal of Urology Pub Date : 2023-12-26 DOI: 10.1080/20905998.2023.2295041
Faiz Manzar Ansari, Sajad Ahmad Para, Mohammad Saleem Wani, A. Bhat, Abdul Rouf Khawaja, S. Malik, Saqib Mehdi, Waseem Ashraf, Shashank Singh, M. Maurya, Aamir Mushtaq
{"title":"Mini-PCNL – a boon for CKD patients with nephrolithiasis","authors":"Faiz Manzar Ansari, Sajad Ahmad Para, Mohammad Saleem Wani, A. Bhat, Abdul Rouf Khawaja, S. Malik, Saqib Mehdi, Waseem Ashraf, Shashank Singh, M. Maurya, Aamir Mushtaq","doi":"10.1080/20905998.2023.2295041","DOIUrl":"https://doi.org/10.1080/20905998.2023.2295041","url":null,"abstract":"","PeriodicalId":8113,"journal":{"name":"Arab Journal of Urology","volume":"23 62","pages":""},"PeriodicalIF":1.5,"publicationDate":"2023-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139156110","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}
引用次数: 0
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
相关产品
×
本文献相关产品
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信