Factors affecting response to medical management in patients of filarial chyluria: A prospective study
Neeraj Kumar Goyal, Apul Goel, Satyanarayan Sankhwar, Vishwajeet Singh, Wahid Ali, SM Natu, Bhupendra Pal Singh, Rahul Janak Sinha, Divakar DalelaIndian Journal of Urology 2014 30(1):23-27Introduction: Filarial chyluria is a common problem in filarial endemic countries. Its management begins with medical therapy but some patients progress to require surgery. The present study aimed to determine factors affecting response to medical management in patients of filarial chyluria. Materials and Methods: This prospective study conducted between August 2008 and November 2012, included conservatively managed patients of chyluria....
Source: Indian Journal of Urology - January 2, 2014 Category: Urology & Nephrology Authors: Neeraj Kumar GoyalApul GoelSatyanarayan SankhwarVishwajeet SinghWahid AliSM NatuBhupendra Pal SinghRahul Janak SinhaDivakar Dalela Source Type: research

Single stage ventral onlay buccal mucosal graft urethroplasty for navicular fossa strictures
Conclusions: VOBMGU is a viable technique for reconstruction of NFS with promising short term results. However, long-term follow-up is necessary. (Source: Indian Journal of Urology)
Source: Indian Journal of Urology - January 2, 2014 Category: Urology & Nephrology Authors: Puskar Shyam ChowdhuryPrasant NayakSujata MallickSrinivasan GurumurthyDeepak DavidA Mossadeq Source Type: research

Evaluation of a 3D system based on a high-quality flat screen and polarized glasses for use by surgical assistants during robotic surgery
Conclusions: The use of 3D visualization seems to improve the efficiency of surgical skills during robotic surgery and reduce performance time for characteristic surgical procedure tasks. (Source: Indian Journal of Urology)
Source: Indian Journal of Urology - January 2, 2014 Category: Urology & Nephrology Authors: Kazushi TanakaKatsumi ShigemuraTakeshi IshimuraMototsugu MuramakiHideaki MiyakeMasato Fujisawa Source Type: research

Drug-eluting metallic stents in urology
Panagiotis S Kallidonis, Ioannis S Georgiopoulos, Iason D Kyriazis, Abdulrahman M Al-Aown, Evangelos N LiatsikosIndian Journal of Urology 2014 30(1):8-12Drugeluting metal stents (DESs) have been extensively used in coronary and vascular disease. This type of stents has been proven to provide significantly lower restenosis rates due to the reduction of neo-intimal hyperplasia in comparison to the traditionally used bare metal stents (BMSs). The latter stents have been evaluated for more than a decade in urological practice in an attempt to provide permanent relief of urethral or ureteral obstruction. Although the initial re...
Source: Indian Journal of Urology - January 2, 2014 Category: Urology & Nephrology Authors: Panagiotis S KallidonisIoannis S GeorgiopoulosIason D KyriazisAbdulrahman M Al-AownEvangelos N Liatsikos Source Type: research

Risks of testosterone replacement therapy in men
E Charles Osterberg, Aaron M Bernie, Ranjith RamasamyIndian Journal of Urology 2014 30(1):2-7Testosterone replacement therapy (TRT) is a widely used treatment for men with symptomatic hypogonadism. The benefits seen with TRT, such as increased libido and energy level, beneficial effects on bone density, strength and muscle as well as cardioprotective effects, have been well-documented. TRT is contraindicated in men with untreated prostate and breast cancer. Men on TRT should be monitored for side-effects such as polycythemia, peripheral edema, cardiac and hepatic dysfunction. (Source: Indian Journal of Urology)
Source: Indian Journal of Urology - January 2, 2014 Category: Urology & Nephrology Authors: E Charles OsterbergAaron M BernieRanjith Ramasamy Source Type: research

The first editorial
Rajeev KumarIndian Journal of Urology 2014 30(1):1-1 (Source: Indian Journal of Urology)
Source: Indian Journal of Urology - January 2, 2014 Category: Urology & Nephrology Authors: Rajeev Kumar Source Type: research

Redefining expanded criteria donor kidneys in the developing world
Taqi T Khan, Suhaib Kamal, Faheem Akhtar, M Zareen KhanIndian Journal of Urology 2013 29(4):366-367 (Source: Indian Journal of Urology)
Source: Indian Journal of Urology - October 21, 2013 Category: Urology & Nephrology Authors: Taqi T KhanSuhaib KamalFaheem AkhtarM Zareen Khan Source Type: research

S.T.O.N.E. nephrolithometry for kidney calculi
Kuldeep SharmaIndian Journal of Urology 2013 29(4):364-365 (Source: Indian Journal of Urology)
Source: Indian Journal of Urology - October 21, 2013 Category: Urology & Nephrology Authors: Kuldeep Sharma Source Type: research

Anti-biofilm mechanism for indwelling wireless capsule endoscopy in bladder cancer surveillance: A study in sheep model
Kuldeep SharmaIndian Journal of Urology 2013 29(4):363-364 (Source: Indian Journal of Urology)
Source: Indian Journal of Urology - October 21, 2013 Category: Urology & Nephrology Authors: Kuldeep Sharma Source Type: research

The superomedial thigh flap in scrotal reconstruction: Technical steps to improve cosmetic results
We describe the technical steps and the results. (Source: Indian Journal of Urology)
Source: Indian Journal of Urology - October 21, 2013 Category: Urology & Nephrology Authors: Ayat Allah OufkirMohammed Fadl TaziMohammed Noureddine El Amine El Alami Source Type: research

Peripheral primitive neuroectodermal tumor of the adrenal gland: A rare entity
Chandan Phukan, Thampi John Nirmal, Ramani M Kumar, Nitin S KekreIndian Journal of Urology 2013 29(4):357-359Peripheral primitive neuroectodermal tumor (PNET) is an uncommon tumor and the overall incidence is 1% of all sarcomas. PNET of the adrenal gland is an even rarer entity. A 37-year-old female was evaluated for an episode of loin pain. Ultrasonography showed a large heterogenous left adrenal mass with internal echogenic components. Computed tomography did not show any fat density within to suggest a myelolipoma. Biopsy suggested a poorly differentiated neoplasm with a possibility of PNET of the adrenal gland. (Source...
Source: Indian Journal of Urology - October 21, 2013 Category: Urology & Nephrology Authors: Chandan PhukanThampi John NirmalRamani M KumarNitin S Kekre Source Type: research

Obstructive uropathy due to uretero-inguinal hernia: An uncommon occurrence
We describe one such case. (Source: Indian Journal of Urology)
Source: Indian Journal of Urology - October 21, 2013 Category: Urology & Nephrology Authors: Sachin MaldePraveen BilagiHoward Marsh Source Type: research

Migration of double J stent into the inferior vena cava and the right atrium
Ravindra B Sabnis, Arvind P Ganpule, Sanika A GanpuleIndian Journal of Urology 2013 29(4):353-354Migration of a ureteric double J stent down into the bladder or up into the kidney is a well known complication. We recently encountered a case where the stent migrated into the vascular system following attempted ureteroscopy for a lower ureteric calculus. The patient required open surgical exploration for stent retrieval. (Source: Indian Journal of Urology)
Source: Indian Journal of Urology - October 21, 2013 Category: Urology & Nephrology Authors: Ravindra B SabnisArvind P GanpuleSanika A Ganpule Source Type: research

Fetus in bladder
Kailash Banale, Tarun Javali, Prakash Babu, GS Jyothi, Prathvi Shetty, HK Nagaraj, S GaurishankarIndian Journal of Urology 2013 29(4):351-352This is the first reported case of vesicouterine fistula presenting with a fully formed dead fetus in the urinary bladder. (Source: Indian Journal of Urology)
Source: Indian Journal of Urology - October 21, 2013 Category: Urology & Nephrology Authors: Kailash BanaleTarun JavaliPrakash BabuGS JyothiPrathvi ShettyHK NagarajS Gaurishankar Source Type: research

Emphysematous pyelonephritis with IVC thrombus in new onset diabetes mellitus
We describe a 48-year-old woman, a newly diagnosed diabetic, who presented with clinical features of right sided pyelonephritis with hematuria of short duration. On further evaluation, she was diagnosed to have right sided EPN, with thrombus in the renal vein and inferior vena cava (IVC). She was managed conservatively with hydration, insulin, intravenous antibiotics, anticoagulants and ureteric stenting on the right side. On follow-up, the gas shadows resolved and the thrombus completely regressed. (Source: Indian Journal of Urology)
Source: Indian Journal of Urology - October 21, 2013 Category: Urology & Nephrology Authors: R JeyaramanR KarunamoorthyS Ahmed Marzook Source Type: research

Infected inguinal hernia mesh presenting as pseudotumor of the bladder
We report a case of a 53-year-old male with a history of right laparoscopic hernia repair and now referred for suspected urachal cyst. Imaging investigations revealed an abdominal mass arising from the wall of the urinary bladder. During dissection, we found a tumor arising from the urinary bladder infiltrating the posterior wall of rectus muscles and further dissection revealed presence of the previously placed inguinal mesh. Postoperative histopathological examination revealed inflammatory pseudotumor. With only one comparable case described, an infected mesh presenting as pseudotumor of the bladder is extremely rare. (S...
Source: Indian Journal of Urology - October 21, 2013 Category: Urology & Nephrology Authors: Remco M DubbelingKamalakannan Ramesh Source Type: research

Bladder neck sparing in radical prostatectomy
Michal Smolski, Rachel C Esler, Rafal Turo, Gerald N Collins, Neil Oakley, Richard BroughIndian Journal of Urology 2013 29(4):338-344The role of a bladder neck sparing (BNS) technique in radical prostatectomy (RP) remains controversial. The potential advantages of improved functional recovery must be weighed against oncological outcomes. We performed a literature review to evaluate the current knowledge regarding oncological and functional outcomes of BNS and bladder neck reconstruction (BNr) in RP. A systematic literature review using on-line medical databases was performed. A total of 33 papers were identified evaluating...
Source: Indian Journal of Urology - October 21, 2013 Category: Urology & Nephrology Authors: Michal SmolskiRachel C EslerRafal TuroGerald N CollinsNeil OakleyRichard Brough Source Type: research

Long-term outcomes of urinary tract reconstruction in patients with neurogenic urinary tract dysfunction
EU Johnson, Gurpreet SinghIndian Journal of Urology 2013 29(4):328-337The advent of specialized spinal units and better understanding of the pathophysiology of neurogenic urinary tract dysfunction has made long-term survival of these patients a reality. This has, in turn, led to an increase in quality and choice of management modalities offered to these patients including complex anatomic urinary tract reconstructive procedures tailored to the unique needs of each individual with variable outcomes. We performed a literature review evaluating the long-term outcomes of these reconstructive procedures. To achieve this, we con...
Source: Indian Journal of Urology - October 21, 2013 Category: Urology & Nephrology Authors: EU JohnsonGurpreet Singh Source Type: research

Augmentation cystoplasty: Contemporary indications, techniques and complications
This article examines the contemporary indications, published results and possible future directions for augmentation cystoplasty. (Source: Indian Journal of Urology)
Source: Indian Journal of Urology - October 21, 2013 Category: Urology & Nephrology Authors: Rajan VeeratterapillayAndrew C ThorpeChris Harding Source Type: research

Reconstructing the lower urinary tract: The Mitrofanoff principle
Rajan Veeratterapillay, Helen Morton, Andrew C Thorpe, Chris HardingIndian Journal of Urology 2013 29(4):316-321Since the original description of the trans-appendicular continent cystostomy by Mitrofanoff in 1980, a variety of techniques have been described for creating a continent catheterisable channel leading to the bladder, which avoids the native urethra. The Mitrofanoff principle involves the creation of a conduit going into a low pressure reservoir, which can emptied through clean intermittent catheterization through an easily accessible stoma. A variety of tissue segments have been used for creating the conduit, bu...
Source: Indian Journal of Urology - October 21, 2013 Category: Urology & Nephrology Authors: Rajan VeeratterapillayHelen MortonAndrew C ThorpeChris Harding Source Type: research

Metabolic complications of urinary intestinal diversion
Nikhil Vasdev, Andrew Moon, Andrew C ThorpeIndian Journal of Urology 2013 29(4):310-315Patients with a urinary bladder malignancy or severe anatomical/functional bladder abnormalities may be candidates for urinary diversion at the time of cystectomy. Most urinary diversions are constructed from intestinal segments. Urological surgeons who perform urinary diversion surgery should be aware of the physiological and metabolic changes that can occur when intestinal segments are in direct contact with urine. The complications associated with urinary diversion are both acute and chronic. The most important factor associated with ...
Source: Indian Journal of Urology - October 21, 2013 Category: Urology & Nephrology Authors: Nikhil VasdevAndrew MoonAndrew C Thorpe Source Type: research

Continent Urinary Diversion
We present a review on the current options for continent urinary diversion and their different indications on the basis of patient selection. In current clinical practice continent urinary diversion is being used world-wide in patients undergoing radical cystectomy and in severe cases of benign bladder pathologies. We also discuss the specific complications of continent urinary diversion and highlight the need to rigorously monitor these patients in the long- term specifically in terms of their renal function and cancer recurrence. (Source: Indian Journal of Urology)
Source: Indian Journal of Urology - October 21, 2013 Category: Urology & Nephrology Authors: Andrew MoonNikhil VasdevAndrew C Thorpe Source Type: research

Management of secondary pelviureteric junction obstruction
This article aims to provide a comprehensive overview on the surgical options available to the urologist for managing secondary PUJO as well as providing some guidance on assessing factors that will influence management decisions. (Source: Indian Journal of Urology)
Source: Indian Journal of Urology - October 21, 2013 Category: Urology & Nephrology Authors: Alistair RogersTahseen Hasan Source Type: research

Urological reconstruction in the modern era
Andrew C ThorpeIndian Journal of Urology 2013 29(4):292-293 (Source: Indian Journal of Urology)
Source: Indian Journal of Urology - October 21, 2013 Category: Urology & Nephrology Authors: Andrew C Thorpe Source Type: research

Penile growth in response to hormone treatment in children with micropenis
Rajendra B Nerli, Ajay Kumar Guntaka, Pravin B Patne, Murigendra B HiremathIndian Journal of Urology 2013 29(4):288-291Introduction: Micropenis is defined as a stretched penile length 2.5 standard deviations less than the mean for age without the presence of any other penile anomalies, such as hypospadias. The term refers to a specific disorder that has a known set of causative factors and defined treatment modalities. The purpose of this study was to determine the effect of hormonal therapy on the gonadal response and penile growth in children who presented with micropenis. Materials and Methods: Children (
Source: Indian Journal of Urology - October 21, 2013 Category: Urology & Nephrology Authors: Rajendra B NerliAjay Kumar GuntakaPravin B PatneMurigendra B Hiremath Source Type: research

Warty carcinoma of the penis: A clinicopathological study from South India
Conclusion: Warty carcinoma constitutes nearly 10% of all penile squamous cell cancers. These patients seem to have a less aggressive behavior than SC-NOS. (Source: Indian Journal of Urology)
Source: Indian Journal of Urology - October 21, 2013 Category: Urology & Nephrology Authors: Marie Therese ManipadamSuresh Kumar BhagatGanesh GopalakrishnanNitin S KekreNinan K ChackoSamuel Prasanna Source Type: research

Hemagglutination and biofilm formation as virulence markers of uropathogenic Escherichia coli in acute urinary tract infections and urolithiasis
Conclusions: HA mediated by type 1 fimbriae plays an important role in CAUTI (P
Source: Indian Journal of Urology - October 21, 2013 Category: Urology & Nephrology Authors: Uma B MaheswariSunitha PalvaiPattepu Rajalingam AnuradhaNagamani Kammili Source Type: research

Percutaneous management of renal caliceal diverticular stones: Ten-year experience of a tertiary care center with different techniques to deal with diverticula after stone extraction
Conclusions: PCNL can clear calculi from caliceal diverticula in most cases with minimal morbidity. After stone retrieval, the diverticula may be drained into the pyelocaliceal system, if the neck is negotiable and fulgurated if the neck cannot be dilated. (Source: Indian Journal of Urology)
Source: Indian Journal of Urology - October 21, 2013 Category: Urology & Nephrology Authors: Aneesh SrivastavaSaurabh Sudhir ChipdeAnil MandhaniRakesh KapoorMohammad S Ansari Source Type: research

The last editorial
Nitin S KekreIndian Journal of Urology 2013 29(4):271-272 (Source: Indian Journal of Urology)
Source: Indian Journal of Urology - October 21, 2013 Category: Urology & Nephrology Authors: Nitin S Kekre Source Type: research

Is Paclitaxel-based chemotherapy the way forward in testicular cancer?
Vivek VenkatramaniIndian Journal of Urology 2013 29(3):268-269 (Source: Indian Journal of Urology)
Source: Indian Journal of Urology - August 29, 2013 Category: Urology & Nephrology Authors: Vivek Venkatramani Source Type: research

Diameter-axial-polar nephrometry: Has a better scoring system arrived?
Praveen Kumar PandeyIndian Journal of Urology 2013 29(3):266-267 (Source: Indian Journal of Urology)
Source: Indian Journal of Urology - August 29, 2013 Category: Urology & Nephrology Authors: Praveen Kumar Pandey Source Type: research

Antibiotic prophylaxis before extracorporeal shock wave lithotripsy in patients with sterile urine: Routine or targeted
Nitin AbrolIndian Journal of Urology 2013 29(3):265-266 (Source: Indian Journal of Urology)
Source: Indian Journal of Urology - August 29, 2013 Category: Urology & Nephrology Authors: Nitin Abrol Source Type: research

A giant ureteric calculus
We present a case of a 35-year old female who presented with minimally symptomatic right distal ureteric calculus with proximal hydroureteronephrosis. Laparoscopic right ureterolithotomy was performed and a giant ureteric calculus measuring 11 cm Χ 1.5 cm, weighing 40 g was retrieved. (Source: Indian Journal of Urology)
Source: Indian Journal of Urology - August 29, 2013 Category: Urology & Nephrology Authors: Rajiv RathodPrashant BansalSrinivas Gutta Source Type: research

Chylolymphatic cyst of the greater omentum presenting as abdominoscrotal swelling in a child
Kangjam Sholay Meitei, Sinam Rajendra Singh, Khumukcham Somarendra SinghIndian Journal of Urology 2013 29(3):260-262Omental cyst are rare abdominal lesions and are difficult to diagnose. They are detected incidentally during imaging studies performed for unrelated reasons. In children, it may present as an acute abdomen due to intestinal obstruction or painless abdominal swelling. Imaging is helpful in excluding other causes of lump abdomen. We encountered a case of giant omental cyst presenting with abdominoscrotal swelling in a child. The patient underwent laparotomy and the diagnosis of omental cyst was established by i...
Source: Indian Journal of Urology - August 29, 2013 Category: Urology & Nephrology Authors: Kangjam Sholay MeiteiSinam Rajendra SinghKhumukcham Somarendra Singh Source Type: research

Microperc for the management of renal calculi in pelvic ectopic kidneys
Raguram Ganesamoni, Ravindra B Sabnis, Shashikant Mishra, Mahesh R DesaiIndian Journal of Urology 2013 29(3):257-259Management of stone disease in an ectopic kidney is challenging. Laparoscopy or ultrasound guided percutaneous nephrolithotomy and retrograde intra-renal surgery are the preferred techniques for these stones. We performed ultrasound guided microperc using a 16 G needle for the management of renal calculi in pelvic ectopic kidneys in two patients. There was no intraoperative or post-operative complication. Both patients had complete stone clearance and were discharged on the first post-operative day. Ultrasoun...
Source: Indian Journal of Urology - August 29, 2013 Category: Urology & Nephrology Authors: Raguram GanesamoniRavindra B SabnisShashikant MishraMahesh R Desai Source Type: research

Pleomorphic undifferentiated sarcoma of urinary bladder with calcified pulmonary metastasis: A rare entity
We report the case of a 29-year-old male who presented to us with hematuria, dysuria and bilateral flank pain. On evaluation, the patient was found to have primary pleomorphic undifferentiated sarcoma of bladder with calcified pulmonary metastasis, confirmed with computerized tomography scan and immunohistochemistry. (Source: Indian Journal of Urology)
Source: Indian Journal of Urology - August 29, 2013 Category: Urology & Nephrology Authors: Prasad MylarappaPrathviTarun JavaliD RameshVinay PrabhuAarathi R Rau Source Type: research

Spontaneous closure of urethrovaginal fistula associated with pelvic fracture
Bipin Chandra Pal, Pranjal Modi, Jayesh Modi, Suresh Kumar, Chirag PatelIndian Journal of Urology 2013 29(3):251-252Female urethral injury following pelvic fracture is a rare entity. Due to the absence of large series, management guidelines are still not standardized. Patients can have associated urethrovaginal or vesicovaginal fistula, management of which poses a major challenge to the reconstructive urologist. Spontaneous closure of fistula produced by gynecological or obstetrical injuries have been described in the literature. Spontaneous closure of fistula caused due to pelvic fracture has not been described in the lit...
Source: Indian Journal of Urology - August 29, 2013 Category: Urology & Nephrology Authors: Bipin Chandra PalPranjal ModiJayesh ModiSuresh KumarChirag Patel Source Type: research

Pyelo-hepatic abscess caused by renal calculi: A rare complication
We report a very unusual complication of pyonephrosis leading to a hepatic abscess. We believe this is the first reported case of an acute renal infection due to stone disease ascending into the liver. (Source: Indian Journal of Urology)
Source: Indian Journal of Urology - August 29, 2013 Category: Urology & Nephrology Authors: Raman TanwarSantosh K SinghDevendra S Pawar Source Type: research

Controversies in ureteroscopy: Wire, basket, and sheath
Emad R Rizkala, Manoj MongaIndian Journal of Urology 2013 29(3):244-248In the last one to two decades, flexible ureteroscopy has rapidly expanded its role in the treatment of urologic stone disease. With the frequent and expanded use of flexible ureteroscopy, other ancillary instruments were developed in order to ease and facilitate this technique, such as ureteral access sheaths (UAS) and a variety of wires and baskets. These developments, along with improved surgeon ureteroscopic competence, have often brought into question the need to implement the "traditional technique" of flexible ureteroscopy. In this revi...
Source: Indian Journal of Urology - August 29, 2013 Category: Urology & Nephrology Authors: Emad R RizkalaManoj Monga Source Type: research

Best laser for prostatectomy in the year 2013
Pankaj N Maheshwari, Nitin Joshi, Reeta P MaheshwariIndian Journal of Urology 2013 29(3):236-243Lasers have come a long way in the management of benign prostatic hyperplasia. Over last nearly two decades, various different lasers have been utilized for prostatectomy. Neodymium: yttrium-aluminum-garnet laser that started this journey, is no longer used for prostatectomy. Holmium laser can achieve transurethral enucleation of the prostatic adenoma producing a fossa that can be compared with the fossa after Freyer's prostatectomy. Green light laser has a short learning curve, is nearly blood-less with good immediate re...
Source: Indian Journal of Urology - August 29, 2013 Category: Urology & Nephrology Authors: Pankaj N MaheshwariNitin JoshiReeta P Maheshwari Source Type: research

Management of large prostatic adenoma: Lasers versus bipolar transurethral resection of prostate
Narmada P Gupta, Rishi NayyarIndian Journal of Urology 2013 29(3):225-235Transurethral resection of prostate (TURP) has long been the most commonly performed surgical procedure for the management of benign prostate enlargement (BPE), but has several associated limitations. Over the years, laser techniques have developed as major contenders as alternative therapies for BPE. However, simultaneously, TURP has also flourished and with relatively recent development of resection in saline (bipolar TURP), the tussle between laser techniques and TURP has further gained momentum. A systematic search was performed on Medline using t...
Source: Indian Journal of Urology - August 29, 2013 Category: Urology & Nephrology Authors: Narmada P GuptaRishi Nayyar Source Type: research

Percutaneous nephrolithotomy: Large tube, small tube, tubeless, or totally tubeless?
Madhu S Agrawal, Mayank AgarwalIndian Journal of Urology 2013 29(3):219-224The role of percutaneous nephrostomy tube for drainage after percutaneous nephrolithotomy (PCNL) procedure has come under scrutiny in recent years. The procedure has been modified to use of small diameter tubes, 'tubeless' PCNL, and even 'totally tubeless' PCNL. A review of the available literature confirms that the chosen method of drainage after PCNL has a bearing upon the post-operative course. It is generally recognized now that small tubes offer benefit in terms of reduced post-operative pain and morbidity. Similarly...
Source: Indian Journal of Urology - August 29, 2013 Category: Urology & Nephrology Authors: Madhu S AgrawalMayank Agarwal Source Type: research

Current role of microperc in the management of small renal calculi
Ravindra B Sabnis, Raguram Ganesamoni, Arvind P Ganpule, Shashikant Mishra, Jigish Vyas, Jitendra Jagtap, Mahesh DesaiIndian Journal of Urology 2013 29(3):214-218'Microperc' is a recently described technique in which percutaneous renal access and lithotripsy are performed in a single step using a 16 G micropuncture needle. 'Mini-microperc' is a further technical modification in which an 8 Fr sheath is used to allow insertion of ultrasonic or pneumatic lithoclast probe with suction. The available evidence indicates that microperc is safe and efficient in the management of small renal calculi in a...
Source: Indian Journal of Urology - August 29, 2013 Category: Urology & Nephrology Authors: Ravindra B SabnisRaguram GanesamoniArvind P GanpuleShashikant MishraJigish VyasJitendra JagtapMahesh Desai Source Type: research

The ideal puncture approach for PCNL: Fluoroscopy, ultrasound or endoscopy?
Bannakij LojanapiwatIndian Journal of Urology 2013 29(3):208-213Percutaneous renal access is a common procedure in urologic practice. The main indications are drainage of an obstructed and hydronephrotic kidney and antegrade renal access prior to percutaneous renal surgeries such as percutaneous nephrolithotomy (PCNL) and percutaneous endopyelotomy (EP). The contraindications for this technique are patients with history of allergy to topical or local anesthesia and patients with coagulopathy. The creation of a percutaneous tract into the renal collecting system is one of the important steps for percutaneous renal access. T...
Source: Indian Journal of Urology - August 29, 2013 Category: Urology & Nephrology Authors: Bannakij Lojanapiwat Source Type: research

Extracorporeal shock wave lithotripsy today
Geert G TaillyIndian Journal of Urology 2013 29(3):200-207Even 32 years after its first introduction shockwave lithotripsy (SWL) remains a matter of discussion and controversy. Since the first SWL in 1980, millions of treatments have been performed worldwide. To this day SWL remains the least invasive of all stone treatments and is considered the treatment modality of first choice for the majority of urinary stones. Despite the massive scale on which SWL is performed in a wide range of indications, complication rate has always remained very low and usually limited to minor side effects and complications. The introduction o...
Source: Indian Journal of Urology - August 29, 2013 Category: Urology & Nephrology Authors: Geert G Tailly Source Type: research

Management of 1-2 cm renal stones
Conclusions: Treatment of renal stone disease depends on stone and patient related, as well as on renal anatomical factors. Treatment should be individualized according to site of stone and available expertise. (Source: Indian Journal of Urology)
Source: Indian Journal of Urology - August 29, 2013 Category: Urology & Nephrology Authors: Aneesh SrivastavaSaurabh S Chipde Source Type: research

Controversies in endourology
Madhu S AgrawalIndian Journal of Urology 2013 29(3):193-194 (Source: Indian Journal of Urology)
Source: Indian Journal of Urology - August 29, 2013 Category: Urology & Nephrology Authors: Madhu S Agrawal Source Type: research

Evaluation of early endoscopic realignment of post-traumatic complete posterior urethral rupture
Conclusions: Early endoscopic realignment for complete posterior urethral rupture is a feasible technique with no or minimal intraoperative complications. The technique is successful as the definitive line of therapy in reasonable number of patients and seems to render further future interventions for inevitable urethral stricture easier. (Source: Indian Journal of Urology)
Source: Indian Journal of Urology - August 29, 2013 Category: Urology & Nephrology Authors: Yaser M AbdelsalamMedhat A AbdallaAhmad S SafwatEhab O ElGanainy Source Type: research

Comparison of three different techniques of extraction in laparoscopic donor nephrectomy
Conclusion: Based on the results obtained, our current method of preference is by Pfannensteil incision. A controlled extraction with the use of a hand assist device would be best for donor safety and to avoid graft related complications. (Source: Indian Journal of Urology)
Source: Indian Journal of Urology - August 29, 2013 Category: Urology & Nephrology Authors: Kishore Thekke AdiyatBK TharunAbijit ShettySrinivas Samavedi Source Type: research

DNA fragmentation and apoptosis induced by safranal in human prostate cancer cell line
Conclusions: Our preclinical study demonstrated a prostate cancer cell line to be highly sensitive to safranal-mediated growth inhibition and apoptotic cell death. Although the molecular mechanisms of safranal action are not clearly understood, it appears to have potential as a therapeutic agent. (Source: Indian Journal of Urology)
Source: Indian Journal of Urology - August 29, 2013 Category: Urology & Nephrology Authors: Saeed SamarghandianMahmoud M Shabestari Source Type: research