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Re: Repair of pan-urethral stricture: Proximal ventral and distal dorsal onlay technique of buccal mucosal graft urethroplasty. By Subbarao Chodisetti, Yogesh Boddepalli, Malakondareddy Kota
Publication date: Available online 8 May 2018 Source:Arab Journal of Urology Author(s): Ahmed M. Harraz (Source: Arab Journal of Urology)
Source: Arab Journal of Urology - May 9, 2018 Category: Urology & Nephrology Source Type: research

Robot-assisted radical cystectomy with intracorporeal urinary diversion – The new ‘gold standard’? Evidence from a systematic review
Conclusions Although initial outcomes appear promising, RARC with ICUD is far from gaining ‘gold standard’ status. Further studies are needed to confirm that outcomes are reproducible widely. Furthermore, the benefits of a totally intracorporeal approach must be confirmed in randomised controlled trials. (Source: Arab Journal of Urology)
Source: Arab Journal of Urology - April 12, 2018 Category: Urology & Nephrology Source Type: research

Twin penile skin flap, is it the answer for repair of long anterior urethral strictures?
Conclusions In the presence of a favourable urethral plate and ample non-hirsute penile skin, one-stage twin penile skin flap urethroplasty provides excellent results for non-LS related complex strictures, with minimal acceptable complications. It proved to be especially efficient in circumcised patients. (Source: Arab Journal of Urology)
Source: Arab Journal of Urology - March 29, 2018 Category: Urology & Nephrology Source Type: research

Re: Laparoscopic renal surgery is here to stay. By Angus Chin On Luk, Rajadoss MuthuKrishna Pandian and Rakesh Heer. Department of Urology, Freeman Hospital, High Heaton, Newcastle upon Tyne, UK
Publication date: Available online 28 March 2018 Source:Arab Journal of Urology Author(s): Elenko Popov, Noor N.P. Buchholz (Source: Arab Journal of Urology)
Source: Arab Journal of Urology - March 28, 2018 Category: Urology & Nephrology Source Type: research

War-related penile injuries in Libya: Single-institution experience
Conclusion In patients who sustain war-related penile injuries the surgeon’s efforts should not only be directed to restoring normal voiding and erectile function but also on the cosmetic appearance of the penis. (Source: Arab Journal of Urology)
Source: Arab Journal of Urology - March 22, 2018 Category: Urology & Nephrology Source Type: research

Neo-glans reconstruction for penile cancer: Description of the primary technique using autologous testicular tunica vaginalis graft
Publication date: Available online 21 March 2018 Source:Arab Journal of Urology Author(s): Peter Weibl, Christina Plank, Rudolf Hoelzel, Stefan Hacker, Mesut Remzi, Wilhelm Huebner Partial penectomy (glansectomy with/or without distal corporectomy) is an acceptable alternative for smaller distal pT3 penile carcinoma lesions in highly motivated and compliant patients. The authors describe a novel technique of neo-glans reconstruction using a tunica vaginalis (TV) testis allograft. However, due to an unclear resection margin on final histology, the patient underwent re-do surgery with a neo-glans revision using the well-est...
Source: Arab Journal of Urology - March 21, 2018 Category: Urology & Nephrology Source Type: research

Laparoscopic renal surgery is here to stay
Conclusion With the high cost and lack of overt clinical benefit of the robotic approach, laparoscopic renal surgery will likely continue to remain relevant in treating various urological pathologies. (Source: Arab Journal of Urology)
Source: Arab Journal of Urology - March 8, 2018 Category: Urology & Nephrology Source Type: research

Systematic review of antioxidant types and doses in male infertility: Benefits on semen parameters, advanced sperm function, assisted reproduction and live-birth rate
Conclusion Antioxidants generally have a favourable effect on male fertility. Further studies are needed to identify the optimal antioxidant regimen that can be used safely and efficiently in clinical practice. (Source: Arab Journal of Urology)
Source: Arab Journal of Urology - March 6, 2018 Category: Urology & Nephrology Source Type: research

Arab J Urol
Publication date: March 2018 Source:Arab Journal of Urology, Volume 16, Issue 1 Author(s): Ashok Agarwal, Ahmad Majzoub, Mohamed Arafa, Haitham Elbardisi (Source: Arab Journal of Urology)
Source: Arab Journal of Urology - March 6, 2018 Category: Urology & Nephrology Source Type: research

Selective embolisation for intractable bladder haemorrhages: A systematic review of the literature
Conclusion STE of the internal iliac artery is a safe and effective alternative technique to control severe IBH, and has been successfully applied over many years to treat bladder haemorrhage associated with terminal pelvic malignancy. (Source: Arab Journal of Urology)
Source: Arab Journal of Urology - March 3, 2018 Category: Urology & Nephrology Source Type: research

Clitoroplasty: A variant of the technique by Acimi
Conclusions The sensitivity of the clitoral glans appeared to be normal in all cases, with a good cosmetic appearance of the external genitalia in most patients. (Source: Arab Journal of Urology)
Source: Arab Journal of Urology - February 23, 2018 Category: Urology & Nephrology Source Type: research

A systematic review on the genetics of male infertility in the era of next-generation sequencing
Conclusions Male infertility is a condition that is genetically heterogeneous, and therefore remarkably amenable to study by NGS. Although some headway has been made, given the high incidence of this condition despite its detrimental effect on reproductive fitness, there is significant potential for further discoveries. (Source: Arab Journal of Urology)
Source: Arab Journal of Urology - February 15, 2018 Category: Urology & Nephrology Source Type: research

Lifestyle causes of male infertility
Conclusion The major lifestyle factors discussed in the present review are amongst the multiple potential risk factors that could impair male fertility. However, their negative impact may well be mostly overcome by behaviour modification and better lifestyle choices. Greater awareness and recognition of the possible impact of these lifestyle factors are important amongst couples seeking conception. (Source: Arab Journal of Urology)
Source: Arab Journal of Urology - February 14, 2018 Category: Urology & Nephrology Source Type: research

Update on the proteomics of male infertility: A systematic review
Conclusion In this molecular era, sperm proteomics has created a platform for enhanced understanding of male reproductive physiology as a potential tool for identification of novel protein biomarkers related to sperm function in infertile men. Therefore, it is believed that proteomic biomarkers can overcome the gaps in information from conventional semen analysis that are of limited clinical utility. (Source: Arab Journal of Urology)
Source: Arab Journal of Urology - February 10, 2018 Category: Urology & Nephrology Source Type: research

Systematic review of hormone replacement therapy in the infertile man
Conclusions Exogenous testosterone inhibits spermatogenesis. Hypogonadal men wanting to preserve their fertility and at the same time benefiting from TRT effects can be prescribed selective oestrogen receptor modulators or testosterone plus low-dose human chorionic gonadotrophin (hCG). Patients treated for infertility with hypogonadotrophic hypogonadism can be prescribed hCG alone at first followed by or in combination from the start with follicle-stimulating hormone preparations. (Source: Arab Journal of Urology)
Source: Arab Journal of Urology - February 10, 2018 Category: Urology & Nephrology Source Type: research

Preliminary study of prevalence for bladder cancer in Isfahan Province, Iran
Conclusion The PP for BC in the male population was 4.8-times higher than females. There was a 28.6% increase in the Ir over the study period. Further study concerning environmental exposure, genetic factors, job-related exposure to various chemical carcinogens, and geographical distribution in Isfahan and its’ rural provinces would seem to be valuable. (Source: Arab Journal of Urology)
Source: Arab Journal of Urology - February 10, 2018 Category: Urology & Nephrology Source Type: research

A systematic review on sperm DNA fragmentation in male factor infertility: Laboratory assessment
Conclusion There are pros and cons to all the available SDF assays. TUNEL is a reliable technique with greater accuracy and as an additional diagnostic test in Andrology laboratories along with basic semen analysis can predict fertility outcome, and thus direct the choice of an assisted reproductive technology procedure for infertile couples. Also, the TUNEL assay can be used as a prognostic test and results are beneficial in deciding personalised treatment for infertile men. (Source: Arab Journal of Urology)
Source: Arab Journal of Urology - February 10, 2018 Category: Urology & Nephrology Source Type: research

Microscopic subinguinal varicocelectomy in 100 consecutive cases: Spermatic cord vascular anatomy, recurrence and hydrocele outcome analysis
Conclusion Microscopic subinguinal varicocelectomy accurately evaluated the detailed vascular anatomy of the spermatic cord, achieving excellent surgical outcome with minimal varicocele recurrence and hydrocele formation. Microscopic subinguinal varicocelectomy should be the ‘gold standard’ for varicocelectomy. (Source: Arab Journal of Urology)
Source: Arab Journal of Urology - February 10, 2018 Category: Urology & Nephrology Source Type: research

Oxidation –reduction potential and sperm DNA fragmentation, and their associations with sperm morphological anomalies amongst fertile and infertile men
Conclusion A direct inverse relationship exists between seminal ORP and SDF with various levels of normal sperm morphology. Using ORP and SDF measures in conjunction with standard semen morphology analysis could validate the result of the fertility status of patients. (Source: Arab Journal of Urology)
Source: Arab Journal of Urology - February 10, 2018 Category: Urology & Nephrology Source Type: research

Role of varicocele treatment in assisted reproductive technologies
Conclusion Varicocele repair is a cost-effective treatment method that can improve semen parameters, pregnancy rates, and live-birth rates in most infertile men with clinical varicocele. By improving semen parameters and sperm structure, varicocele repair can decrease or even eliminate ART requirement. (Source: Arab Journal of Urology)
Source: Arab Journal of Urology - February 10, 2018 Category: Urology & Nephrology Source Type: research

Geographical differences in semen characteristics of 13 892 infertile men
Conclusion Semen quality is generally lower in male infertility patients from the MENA region compared to non-MENA regions. (Source: Arab Journal of Urology)
Source: Arab Journal of Urology - February 10, 2018 Category: Urology & Nephrology Source Type: research

Systemic review of antioxidant types and doses in male infertility: Benefits on semen parameters, advanced sperm function, assisted reproduction and live-birth rate
Conclusion Antioxidants generally have a favourable effect on male fertility. Further studies are needed to identify the optimal antioxidant regimen that can be used safely and efficiently in clinical practice. (Source: Arab Journal of Urology)
Source: Arab Journal of Urology - January 3, 2018 Category: Urology & Nephrology Source Type: research

Systemic review of hormone replacement therapy in the infertile man
Conclusions Exogenous testosterone inhibits spermatogenesis. Hypogonadal men wanting to preserve their fertility and at the same time benefiting from TRT effects can be prescribed selective oestrogen receptor modulators or testosterone plus low-dose human chorionic gonadotrophin (hCG). Patients treated for infertility with hypogonadotrophic hypogonadism can be prescribed hCG alone at first followed by or in combination from the start with follicle-stimulating hormone preparations. (Source: Arab Journal of Urology)
Source: Arab Journal of Urology - December 31, 2017 Category: Urology & Nephrology Source Type: research

Update on the proteomics of male infertility: A systemic review
Conclusion In this molecular era, sperm proteomics has created a platform for enhanced understanding of male reproductive physiology as a potential tool for identification of novel protein biomarkers related to sperm function in infertile men. Therefore, it is believed that proteomic biomarkers can overcome the gaps in information from conventional semen analysis that are of limited clinical utility. (Source: Arab Journal of Urology)
Source: Arab Journal of Urology - December 29, 2017 Category: Urology & Nephrology Source Type: research

Spermatogonial stem cell transplantation and male infertility: Current status and future directions
Conclusions Evidence does not yet support clinical application of SSCs in humans. However, significant progress in the in vitro and in vivo development of SSCs, including differentiation into functional germ cells, gives reason for cautious optimism for future research. (Source: Arab Journal of Urology)
Source: Arab Journal of Urology - December 28, 2017 Category: Urology & Nephrology Source Type: research

Repair of panurethral stricture: Proximal ventral and distal dorsal onlay technique of buccal mucosal graft urethroplasty
Conclusions A proximal ventral and distal dorsal onlay technique of BMG urethroplasty is an available alternative for repairing panurethral stricture. The technique described is simple and easily reproducible with encouraging results compared to other similar techniques. (Source: Arab Journal of Urology)
Source: Arab Journal of Urology - December 27, 2017 Category: Urology & Nephrology Source Type: research

Advances in sperm retrieval techniques in azoospermic men: A systematic review
Conclusion Micro-TESE is the most efficient method for retrieving sperm but requires special expertise and can be traumatic for the testes. Conventional biopsies are twice more likely to retrieve sperm than fine-needle aspiration. Testicular aspiration performed by multiple passes into the testis is traumatic and is not efficient for sperm retrieval. Needle-aspiration biopsy and open real-time testicular mapping by the single seminiferous tubule technique can offer less traumatic methods for sperm retrieval, which can be tried before proceeding to micro-TESE. The first attempt at sperm retrieval is the best chance the pati...
Source: Arab Journal of Urology - December 26, 2017 Category: Urology & Nephrology Source Type: research

Comparing tamsulosin, silodosin versus silodosin plus tadalafil as medical expulsive therapy for lower ureteric stones: A randomised trial
Conclusion The present study concludes that the combination of silodosin and tadalafil increases the ureteric stone expulsion rate and decreases the expulsion time significantly. This combination provided significantly better control of pain without any serious side-effects. (Source: Arab Journal of Urology)
Source: Arab Journal of Urology - December 24, 2017 Category: Urology & Nephrology Source Type: research

Chromosomal abnormalities in infertile men with azoospermia and severe oligozoospermia in Qatar and their association with sperm retrieval intracytoplasmic sperm injection outcomes
Conclusion The incidence of chromosomal abnormalities in Qatar as a cause of severe male infertility is within a similar range as their prevalence internationally. (Source: Arab Journal of Urology)
Source: Arab Journal of Urology - December 23, 2017 Category: Urology & Nephrology Source Type: research

Laboratory assessment of oxidative stress in semen
Conclusion Traditional OS laboratory assessments have their limitations. Amongst the prevalent laboratory techniques, ORP is novel and better option as it can be easily used in a clinical setting to provide a comprehensive review of OS. However, more studies are needed to evaluate its reproducibility across various laboratory centres. (Source: Arab Journal of Urology)
Source: Arab Journal of Urology - December 23, 2017 Category: Urology & Nephrology Source Type: research

Influence of postnatal hydroureter in determining the need for voiding cystourethrogram in children with high-grade hydronephrosis
Conclusion Low-grade uncomplicated VUR was diagnosed in 3.5% of renal units without HU. Our results support limiting the use of VCUG to renal units with PH if associated with HU. (Source: Arab Journal of Urology)
Source: Arab Journal of Urology - December 14, 2017 Category: Urology & Nephrology Source Type: research

Review of the role of robotic surgery in male infertility
Conclusions Robotic assistance for microsurgical procedures in male infertility appears to be safe and feasible. It has several advantages including elimination of tremor, multi-view magnification, additional instrument arms, and enhanced dexterity with articulating instrument arms. It also has a short learning curve with a small skin incision. However, larger, prospective studies are needed to establish the clinical benefits over standard microsurgery. (Source: Arab Journal of Urology)
Source: Arab Journal of Urology - December 14, 2017 Category: Urology & Nephrology Source Type: research

Complications in robotic urological surgeries and how to avoid them: A systematic review
Conclusions Adequate patient selection, surgical positioning, mentorship training, and avoiding long-lasting procedures are essential to prevent RAL-related complications. The robotic surgical team must be careful and work together to avoid possible complications. This review offers several steps in surgical planning to reach this goal. (Source: Arab Journal of Urology)
Source: Arab Journal of Urology - December 14, 2017 Category: Urology & Nephrology Source Type: research

Varicocele management for infertility and pain: A systematic review
Publication date: Available online 14 December 2017 Source:Arab Journal of Urology Author(s): Scott D. Lundy, Edmund S. Sabanegh Despite being first described two thousand years ago, the varicocele remains a controversial multifaceted disease process with numerous biological consequences including infertility, hypogonadism, and chronic orchidalgia. The underlying mechanisms remain poorly understood and likely include hypoxia, oxidative stress, hyperthermia, anatomical aberrations, and genetics as primary components. Despite a high prevalence amongst asymptomatic fertile men, varicoceles paradoxically also represent the mo...
Source: Arab Journal of Urology - December 14, 2017 Category: Urology & Nephrology Source Type: research

Role of reactive oxygen species in male infertility: An updated review of literature
Conclusion Although elevated levels of ROS are implicated as a cause of infertility, there is no consensus on selecting patients to test for ROS, which test to perform, or if treatment for ROS can have a positive impact on infertility rates and pregnancy. (Source: Arab Journal of Urology)
Source: Arab Journal of Urology - December 9, 2017 Category: Urology & Nephrology Source Type: research

Role of sperm DNA fragmentation in male factor infertility: A systematic review
Conclusion The significant role of SDF in male factor infertility is supported by current evidence. The beneficial role of SDF testing in selection of varicocelectomy candidates, evaluation of patients with unexplained infertility and recurrent pregnancy loss, selection of the most appropriate assisted reproductive technique with highest success rate for infertile couples, and assessment of infertile men with modifiable lifestyle factors or gonadotoxin exposure has been recently proposed. (Source: Arab Journal of Urology)
Source: Arab Journal of Urology - December 6, 2017 Category: Urology & Nephrology Source Type: research

Radical cystectomy in the elderly – Is this a safe treatment option?
Conclusion RC in patients aged ≥75years has similar perioperative morbidity when compared with younger patients and can be offered in selected elderly patients. Thus, age should not be an absolute contraindication for RC. (Source: Arab Journal of Urology)
Source: Arab Journal of Urology - November 30, 2017 Category: Urology & Nephrology Source Type: research

Prediction of male infertility by the World Health Organization laboratory manual for assessment of semen analysis: A systematic review
Conclusions Impaired semen parameters alone cannot be used to predict fertility as these men still have a chance of being fertile, except when a man has azoospermia, necrospermia or globozoospermia. (Source: Arab Journal of Urology)
Source: Arab Journal of Urology - November 21, 2017 Category: Urology & Nephrology Source Type: research

Trends of intervention for paediatric stone disease over the last two decades (2000 –2015): A systematic review of literature
Conclusions Our systematic review shows that intervention for KSD in the paediatric age group has risen over the last 8 years. Whilst URS, SWL, open surgery and laparoscopic surgery have all doubled, PCNL has risen fivefold reflecting an increase in the new minimally invasive PCNL techniques. (Source: Arab Journal of Urology)
Source: Arab Journal of Urology - November 21, 2017 Category: Urology & Nephrology Source Type: research

A new tool for self-evaluation of adherence to antimuscarinic drugs treatment in patients with urinary incontinence
Conclusion The MASRI questionnaire is highly constructive, competitive, has discriminant validity, and is suitable for self-assessment of treatment adherence in patients with UI taking antimuscarinics. Using the MASRI is less costly and faster compared with other assessment tools. (Source: Arab Journal of Urology)
Source: Arab Journal of Urology - November 20, 2017 Category: Urology & Nephrology Source Type: research

Comparison of interrupted- and continuous-suture urethroplasty in tubularised incised-plate hypospadias repair: A prospective study
Conclusions The type of suture technique had no significant effect on complication rates after Snodgrass hypospadias repair and thus the choice of technique depends on surgeon preference. (Source: Arab Journal of Urology)
Source: Arab Journal of Urology - November 20, 2017 Category: Urology & Nephrology Source Type: research

Hyperprolactinaemia in male infertility: Clinical case scenarios
Conclusion Hyperprolactinaemia, both directly and indirectly, has a negative effect on sperm production, and its detection and management in men seeking fertility is mandatory. (Source: Arab Journal of Urology)
Source: Arab Journal of Urology - November 20, 2017 Category: Urology & Nephrology Source Type: research

Ultra-mini-percutaneous nephrolithotomy (PCNL) versus standard PCNL: A randomised clinical trial
Conclusion A minimally invasive UM-PCNL using a 9.8-F ureteroscope can play an important role in the treatment of symptomatic renal and upper ureteric stones of <20 mm in diameter with lesser blood loss, duration of hospitalisation, need of transfusion, and postoperative pain compared with S-PCNL. (Source: Arab Journal of Urology)
Source: Arab Journal of Urology - November 12, 2017 Category: Urology & Nephrology Source Type: research

How robotic surgery is changing our understanding of anatomy
Publication date: Available online 6 November 2017 Source:Arab Journal of Urology Author(s): Fabrizio Dal Moro The most recent revolution in our understanding and knowledge of the human body is the introduction of new technologies allowing direct magnified vision of internal organs, as in laparoscopy and robotics. The possibility of viewing an anatomical detail, until now not directly visible during open surgical operations and only partially during dissections of cadavers, has created a ‘new surgical anatomy’. Consequent refinements of operative techniques, combined with better views of the surgical field, ha...
Source: Arab Journal of Urology - November 7, 2017 Category: Urology & Nephrology Source Type: research

Transurethral bipolar plasmakinetic vapo-enucleation of the prostate: Is it safe for patients on chronic oral anticoagulants and/or platelet aggregation inhibitors?
Conclusion Minimally invasive PKERP may be considered as a safe and effective treatment option for managing patients with BPH receiving OAC/PAI drugs. (Source: Arab Journal of Urology)
Source: Arab Journal of Urology - November 7, 2017 Category: Urology & Nephrology Source Type: research

Demographics and sexual characteristics of sex-enhancing medication users: Study of a web-based cross-sectional sample of sexually active men
Conclusions Demographic and sexual characteristics of S-EM users and the attitude of the users towards the S-EM were identified amongst a Saudi Arabian male population. (Source: Arab Journal of Urology)
Source: Arab Journal of Urology - November 6, 2017 Category: Urology & Nephrology Source Type: research

Robotic stone surgery – Current state and future prospects: A systematic review
Conclusions The benefits of robotic devices in stone surgery in existing endourological, laparoscopic, and open treatment strategies still need elucidation. Although recent data are promising, more prospective randomised controlled studies are necessary to clarify the impact of this technique on patient safety and stone-free rates. (Source: Arab Journal of Urology)
Source: Arab Journal of Urology - November 3, 2017 Category: Urology & Nephrology Source Type: research

Can androgen-deprivation therapy obviate the need of channel transurethral resection of the prostate in advanced prostate cancer with urinary retention? A prospective study
Conclusion ADT can relieve retention and decrease PVR over a period of time obviating the need for channel transurethral resection of the prostate. (Source: Arab Journal of Urology)
Source: Arab Journal of Urology - October 20, 2017 Category: Urology & Nephrology Source Type: research

The effectiveness of ureteric metal stents in malignant ureteric obstructions: A systematic review
Conclusion The experiences with vascular MSs, such as the Wallstent™ (Boston Scientific/Microvasive, Natick, MA, USA), were related to high occlusion rates, due to endoluminal hyperplasia, and long-term disappointing patency. The use of covered MSs designed for the vascular system was also unfavourable. The Memokath 051™ (PNN Medical A/S, Kvistgaard, Denmark) had better patency rates, but also higher migration rates. The long-term results were acceptable and rendered the Memokath 051 as a viable option for the management of malignant ureteric obstruction. The Uventa™ (Taewoong Medical, Seoul, Korea) and A...
Source: Arab Journal of Urology - October 17, 2017 Category: Urology & Nephrology Source Type: research

Day care bipolar transurethral resection vs photoselective vaporisation under sedoanalgesia: A prospective, randomised study of the management of benign prostatic hyperplasia
Conclusion Both PVP and bTURP can be carried out safely under sedoanalgesia with excellent treatment outcomes. (Source: Arab Journal of Urology)
Source: Arab Journal of Urology - October 12, 2017 Category: Urology & Nephrology Source Type: research