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 2018Source: Arab Journal of UrologyAuthor(s): Elenko Popov, Noor N.P. Buchholz (Source: Arab Journal of Urology)
Source: Arab Journal of Urology - July 5, 2018 Category: Urology & Nephrology Source Type: research

Robot-assisted radical cystectomy with intracorporeal urinary diversion – The new ‘gold standard’? Evidence from a systematic review
ConclusionsAlthough 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 - July 5, 2018 Category: Urology & Nephrology Source Type: research

Bilateral same-session flexible ureterorenoscopy for renal and/or ureteric stone disease treatment
ConclusionSame session bilateral f-URS is a successful and safe method for bilateral renal and/or ureteric stones. (Source: Arab Journal of Urology)
Source: Arab Journal of Urology - July 5, 2018 Category: Urology & Nephrology Source Type: research

Different approaches to the prostate: The upcoming role of a purpose-built single-port robotic system
Publication date: Available online 24 May 2018Source: Arab Journal of UrologyAuthor(s): Jihad Kaouk, Juan Garisto, Riccardo BertoloAbstractWith the aim of minimising the patient’s postoperative pain, expediting recovery and improving cosmesis, the idea of performing a laparoscopic procedure through a single abdominal incision was introduced. In the present report, we describe five different access routes to the prostate that may be at the surgeon’s disposal with the potential of decreasing patient’s perioperative morbidity. Robotic radical prostatectomy has been refined and became a standard of care in surgery for lo...
Source: Arab Journal of Urology - July 5, 2018 Category: Urology & Nephrology Source Type: research

Successful management of ureteric endometriosis by laparoscopic ureterolysis – A review and report of three further cases
ConclusionConsidering the risk of loss of renal function and due to the nonspecific symptoms, a prompt clinical suspicion and thorough preoperative assessment can potentially help in the diagnosis. We conclude that laparoscopic ureterolysis is a minimally invasive technique with low complication and recurrence rates. It is a suitable option as a primary approach for selected patients with ureteric endometriosis, if done in a systematic step-by-step approach. (Source: Arab Journal of Urology)
Source: Arab Journal of Urology - July 5, 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: June 2018Source: Arab Journal of Urology, Volume 16, Issue 2Author(s): Peter Weibl, Christina Plank, Rudolf Hoelzel, Stefan Hacker, Mesut Remzi, Wilhelm HuebnerAbstractPartial 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...
Source: Arab Journal of Urology - July 5, 2018 Category: Urology & Nephrology Source Type: research

Twin penile skin flap, is it the answer for repair of long anterior urethral strictures?
ConclusionsIn 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 - July 5, 2018 Category: Urology & Nephrology Source Type: research

Clitoroplasty: A variant of the technique by Acimi
ConclusionsThe 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 - July 5, 2018 Category: Urology & Nephrology Source Type: research

Influence of postnatal hydroureter in determining the need for voiding cystourethrogram in children with high-grade hydronephrosis
ConclusionLow-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 - July 5, 2018 Category: Urology & Nephrology Source Type: research

Uretero-arterial fistula due to a hypogastric aneurysm
We report a case of uretero-arterial fistula due to a hypogastric aneurysm. The patient underwent an endovascular treatment of the hypogastric aneurysm associated with a percutaneous nephrostomy. Most fistulae are not identified on computed tomography (CT) and a high degree of suspicion is needed. Presence of unexplained haematuria with CT diagnosis of hypogastric aneurysm should raise suspicions of uretero-arterial fistula as a possible cause. (Source: Arab Journal of Urology)
Source: Arab Journal of Urology - July 5, 2018 Category: Urology & Nephrology Source Type: research

Comparing tamsulosin, silodosin versus silodosin plus tadalafil as medical expulsive therapy for lower ureteric stones: A randomised trial
ConclusionThe 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 - July 5, 2018 Category: Urology & Nephrology Source Type: research

War-related penile injuries in Libya: Single-institution experience
ConclusionIn 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 - July 5, 2018 Category: Urology & Nephrology Source Type: research

Selective embolisation for intractable bladder haemorrhages: A systematic review of the literature
ConclusionSTE 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 - July 5, 2018 Category: Urology & Nephrology Source Type: research

Preliminary study of prevalence for bladder cancer in Isfahan Province, Iran
ConclusionThe 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 - July 5, 2018 Category: Urology & Nephrology Source Type: research

Repair of panurethral stricture: Proximal ventral and distal dorsal onlay technique of buccal mucosal graft urethroplasty
ConclusionsA 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 - July 5, 2018 Category: Urology & Nephrology Source Type: research