Robot-assisted partial nephrectomy: How to minimise renal ischaemia
Publication date: Available online 7 July 2018Source: Arab Journal of UrologyAuthor(s): Chandran Tanabalan, Avi Raman, Faiz MumtazAbstractRenal ischaemia research has shown an increase in renal damage proportional to ischaemic time. Therefore, we assessed the importance of renal ischaemic times for warm and cold ischaemia approaches, and explored the different surgical techniques that can help to minimise renal ischaemia in robot-assisted partial nephrectomy (RAPN). Minimising renal ischaemia during nephron-sparing surgery (NSS) is a key factor in preserving postoperative renal function. Current data support a safe warm is...
Source: Arab Journal of Urology - July 10, 2018 Category: Urology & Nephrology Source Type: research
Autologous versus synthetic slings in female stress urinary incontinence: A retrospective study
ConclusionAutologous grafts should be considered as a repair option in females with SUI in countries were health insurance policies do not cover the cost of synthetic materials in many instances. The cost-effectiveness of synthetic TOT slings, as a minimally invasive procedure with lower overall morbidity, has yet to be confirmed in larger scale studies with longer periods of follow-up, to confirm the durability of its successful outcomes and be considered as the primary treatment of choice in female SUI. (Source: Arab Journal of Urology)
Source: Arab Journal of Urology - July 10, 2018 Category: Urology & Nephrology Source Type: research
Robot-assisted partial nephrectomy: How to minimise renal ischaemia
Publication date: Available online 7 July 2018Source: Arab Journal of UrologyAuthor(s): Chandran Tanabalan, Avi Raman, Faiz MumtazAbstractRenal ischaemia research has shown an increase in renal damage proportional to ischaemic time. Therefore, we assessed the importance of renal ischaemic times for warm and cold ischaemia approaches, and explored the different surgical techniques that can help to minimise renal ischaemia in robot-assisted partial nephrectomy (RAPN). Minimising renal ischaemia during nephron-sparing surgery (NSS) is a key factor in preserving postoperative renal function. Current data support a safe warm is...
Source: Arab Journal of Urology - July 8, 2018 Category: Urology & Nephrology Source Type: research
Laparoscopic and hand-assisted laparoscopic donor nephrectomy: A systematic review and meta-analysis
ConclusionThere is little statistical evidence to recommend one technique. HALDN is associated with a shorter WIT and OT. LDN has equal safety to HALDN. Further studies are required. (Source: Arab Journal of Urology)
Source: Arab Journal of Urology - July 7, 2018 Category: Urology & Nephrology Source Type: research
Robotic stone surgery – Current state and future prospects: A systematic review
ConclusionsThe 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 - July 5, 2018 Category: Urology & Nephrology Source Type: research
How robotic surgery is changing our understanding of anatomy
Publication date: Available online 6 November 2017Source: Arab Journal of UrologyAuthor(s): Fabrizio Dal MoroAbstractThe 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, have ...
Source: Arab Journal of Urology - July 5, 2018 Category: Urology & Nephrology Source Type: research
Complications in robotic urological surgeries and how to avoid them: A systematic review
ConclusionsAdequate 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 - July 5, 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
ConclusionA 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 - July 5, 2018 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
ConclusionsImpaired 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 - July 5, 2018 Category: Urology & Nephrology Source Type: research
Update on the proteomics of male infertility: A systematic review
ConclusionIn 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 - July 5, 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
ConclusionAntioxidants 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 - July 5, 2018 Category: Urology & Nephrology Source Type: research
Advances in sperm retrieval techniques in azoospermic men: A systematic review
ConclusionMicro-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 patie...
Source: Arab Journal of Urology - July 5, 2018 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
ConclusionThe 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 - July 5, 2018 Category: Urology & Nephrology Source Type: research
Systematic review of hormone replacement therapy in the infertile man
ConclusionsExogenous 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 - July 5, 2018 Category: Urology & Nephrology Source Type: research
