Laparoscopic and robotic urology surgery during global Pandemic COVID-19
ABSTRACT Known laparoscopic and robotic assisted approaches and techniques for the surgical management of urological malignant and benign diseases are commonly used around the World. During the global pandemic COVID-19, urology surgeons had to reorganize their daily surgical practice. A concern with the use of minimally invasive techniques arose due to a proposed risk of viral transmission of the coronavirus disease with the creation of pneumoperitoneum. Due to this, we reviewed the literature to evaluate the use of laparoscopy and robotics during the pandemic COVID-19. A literature review of viral transmission in surgery ...
Source: International Braz J Urol - July 27, 2020 Category: Urology & Nephrology Source Type: research

Impact of Covid-19 on the urology service in United States: perspectives and strategies to face a Pandemic
ABSTRACT Over the course of several weeks following the first diagnosed case of COVID-19 In the U.S., the virus rapidly spread across our communities. It became evident that the pandemic was going to place a severe strain on all components of the U.S. healthcare system, and we needed to adapt our daily practices, training and education. In the present paper we discuss four pillars to face a pandemic: surgical and outpatients service, tele-medicine and tele-education. In the face of unprecedented risks in providing adequate health care to our patients during this current, evolving public health crisis of COVID-19, alternati...
Source: International Braz J Urol - July 27, 2020 Category: Urology & Nephrology Source Type: research

Emergency Surgery in Urology during the COVID-19 Pandemic
Conclusions: We are living a new condition with the COVID-19 pandemic, which obliges urologists to conform to the guidelines that appear on a daily basis formulated by multidisciplinary surgical groups to manage urological emergencies. Consequently, in this time of health crisis, we must adapt to the resources available, implementing all biosecurity measures to protect patients and all health personnel who are in charge of patient management. (Source: International Braz J Urol)
Source: International Braz J Urol - July 27, 2020 Category: Urology & Nephrology Source Type: research

The Psychosocial Impact of COVID-19 on health care workers
ABSTRACT At the end of 2019, a disease was identified, COVID-19, caused by a new type of easy and fast spreading virus, which led to the beginning of a worldwide pandemic. One of the most exposed groups to the virus and its psychosocial consequences is the healthcare workers, due to their implication in caring for affected people. Health workers are exposed to a fast and unpredictable situation that requires more human resources and materials than usual, however, the lack of means on account to this situation entails an increased probability of suffering different consequences, including the burnout syndrome, to which, gen...
Source: International Braz J Urol - July 27, 2020 Category: Urology & Nephrology Source Type: research

The Covid-19 pandemic seen from the frontline
ABSTRACT COVID-19 disease caused by infection with the SARS-CoV-2 virus produces respiratory symptoms, predominantly of the upper airways, which can progress to pneumonia after 7 days with persistent fever, cough and dyspnea, and even develop a syndrome of acute respiratory distress (ARDS), multi-organ failure and death. Since COVID-19 disease was declared by the WHO there has been a redistribution of the healthcare system for these types of patients, especially in the front line, which is, in primary care, emergencies and in intensive care units (ICU). In primary care, the fundamental role is the diagnosis of the suspecte...
Source: International Braz J Urol - July 27, 2020 Category: Urology & Nephrology Source Type: research

Implementation and strategies to ensure adequate coordination within a Urology Department during the COVID-19 pandemic
Conclusion: In the actual Covid-19 scenario, while the number of positive patients globally keep on rising, it is fundamental to embrace a new way to deliver healthcare and to overcome challenges of physical distancing and self-isolation. The use of appropriate PPE, definite pathways to access the hospital, the implementation of telemedicine protocols can represent effective strategies to carry on delivering healthcare. (Source: International Braz J Urol)
Source: International Braz J Urol - July 27, 2020 Category: Urology & Nephrology Source Type: research

Impact of COVID-19 Pandemic on Ibero-American Urology Residents: Perspective of American Confederation of Urology (CAU)
Conclusion: This unprecedented reality is negatively impacting the heterogeneous residency programs that American Confederation of Urology (CAU) nucleates. It is necessary to continue with technological innovation and allocate time and resources to easily generate accessible tools to favor the training of future urologists. (Source: International Braz J Urol)
Source: International Braz J Urol - July 27, 2020 Category: Urology & Nephrology Source Type: research

Exploring Urological Experience in the COVID-19 Outbreak: American Confederation of Urology (CAU) Survey
Conclusions: At the time of writing (May 13th 2020) our data represents a snapshot of COVID-19 outbreak in Latin American urological practices. Our findings have practical implications and should be contextualized considering many factors related to patients and urological care: The variability of health care scenarios, institutional capacity, heterogeneity and burden of urologic disease, impact of surgical indications and decision making when prioritizing and scheduling surgeries in times of COVID-19 pandemic. (Source: International Braz J Urol)
Source: International Braz J Urol - July 27, 2020 Category: Urology & Nephrology Source Type: research

Early experience with COVID-19 in kidney transplantation recipients: update and review
ABSTRACT Introduction: little is known on the risk factors, clinical presentation, therapeutic protocols, and outcomes of kidney transplantation recipients (KTRs) who become infected by SARS-CoV-2. Purpose: to provide an updated view regarding the early experience obtained from the management of KTRs with COVID-19. Materials and Methods: A narrative review was conducted using PubMed database to identify relevant articles written in English/Spanish, and published through May 15, 2020. Search terms included: “ coronavirus ” , “ severe acute respiratory syndrome coronavirus 2 ” , “ SARS-CoV-2 &rd...
Source: International Braz J Urol - July 27, 2020 Category: Urology & Nephrology Source Type: research

The effect of the Covid-19 Pandemic on pediatric urology
ABSTRACT Medical and surgical priorities have changed dramatically at the time of this pandemic. Scientific societies around the World have provided rapid guidance, underpinned by the best knowledge available, on the adaptation of their guidelines recommendations to the current situation. There are very limited scientific evidence especially in our subspecialty of pediatric urology. We carry out a review of the little scientific evidence based mainly on the few publications available to date and on the recommendations of the main scientific societies regarding which patients should undergo surgery, when surgery should be p...
Source: International Braz J Urol - July 27, 2020 Category: Urology & Nephrology Source Type: research

Treatment and research lines for the patient with COVID-19. What do we have and where are we going?
ABSTRACT Coronavirus disease 2019 (COVID-19) caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) represents the most significant global public health crisis of this generation. From the beginning of the pandemic, several publications and on-line resources about different treatment lines have been done, and development effort in response to the COVID-19 pandemic to investigate potential therapies is unprecedented. Unfortunately, until now, there is not enough evidence to recommend any specific anti-COVID19 treatment. Randomized clinical trials and high-quality evidence, even in the middle of a pandemic, a...
Source: International Braz J Urol - July 27, 2020 Category: Urology & Nephrology Source Type: research

Social media influence in the COVID-19 Pandemic
ABSTRACT Never before in human history has it been possible to communicate so quickly during a pandemic, social media platforms have been a key piece for the dissemination of information; however, there are multiple advantages and disadvantages that must be considered. Responsible use of these tools can help quickly disseminate important new information, relevant new scientific findings, share diagnostic, treatment, and followup protocols, as well as compare different approaches globally, removing geographic boundaries for the first time in history. In order to use these tools in a responsible and useful way, it is recomme...
Source: International Braz J Urol - July 27, 2020 Category: Urology & Nephrology Source Type: research

COVID-19: Measures to prevent hospital contagion. What do urologists need to know?
ABSTRACT A new outbreak of respiratory infection caused by the novel coronavirus in late December 2019 in China caused standards of medical care to change not only for related areas but for the entire healthcare system, and when the WHO declared COVID-19 a pandemic new strategies of patient care had to be defined initially to optimize resources to confront the pandemic and then to protect healthcare personnel. As urologists, we must be involved in these new standards, since without an effective vaccine the risk of contagion is high; thus, the purpose of this review is to have orientation on the measures urologists should t...
Source: International Braz J Urol - July 27, 2020 Category: Urology & Nephrology Source Type: research

Impact of the COVID-19 pandemic on the sexual behavior of the population. The vision of the east and the west
ABSTRACT The COVID-19 pandemic has radically changed the way of life around the World. The state of alarm has forced the population to stay at home, radically changing both interpersonal and partner relationships; work at home, social distancing, the continued presence of children at home, fear of infection and not being able to physically meet with others have changed most people's sexual habits. We conducted a review by exploring the impact of the COVID-19 pandemic on sexual behavior in the population from three different countries: Iran, Italy and Spain from each country's perspective. The impact of the coronavirus will...
Source: International Braz J Urol - July 27, 2020 Category: Urology & Nephrology Source Type: research

Summary and considerations in genitourinary cancer patient care during the COVID-19 Pandemic
Conclusions: During the COVID-19 pandemic urological cancer care has been severely impaired. For proper patient management, multidisciplinary approach is encouraged tailoring therapy according to COVID-19 regional behavior and local institutional resources. Patients with high-risk malignancies should be prioritized. (Source: International Braz J Urol)
Source: International Braz J Urol - July 27, 2020 Category: Urology & Nephrology Source Type: research

Impact of COVID-19 in Female Urology
ABSTRACT This review discusses the impact of COVID-19 in Female Urology, revises the most important disorders in this field and how their diagnosis and treatment may be modified due to the current pandemic. The text also discusses new options such as telemedicine and what clinical situations within Female Urology should be of utmost importance for the urologist to be careful about. We also discuss how surgeries are being postponed are resumed according to the local scenario. (Source: International Braz J Urol)
Source: International Braz J Urol - July 27, 2020 Category: Urology & Nephrology Source Type: research

Therapeutic and Surgical Indications for Patients with Penile Cancer in the COVID-19 era
Conclusions: In the COVID 19 era, initial evaluation of the patient is mandatory. Histological diagnosis with local staging is necessary before offering any therapeutic option. In case of superficial non-invasive disease, topical treatment is effective in absence of lymph node involvement. In selected patients, radiotherapy is an organpreserving approach with good results. Non-deferrable surgical treatment must be performed by an experienced surgeon and as an outpatient procedure when possible. When indicated, iLND should not be delayed since it is decisive for patient survival. Follow-up should be by telemonitoring. (Sour...
Source: International Braz J Urol - July 27, 2020 Category: Urology & Nephrology Source Type: research

Priorities in testis cancer care during Covid-19 Pandemic
Conclusions: Most stages of testis cancer require urgent care; however, all recommendations must be adapted to local health care priorities considering that most of these patients are at low risk of severe COVID-19 infection. (Source: International Braz J Urol)
Source: International Braz J Urol - July 27, 2020 Category: Urology & Nephrology Source Type: research

Consideration in the management of renal cell carcinoma during the COVID-19 Pandemic
Conclusion: In the pandemic COVID -19 times, a tailored risk-based approach must be used for a safe management of RCC, aiming to not compromise the oncological outcomes of the patients. (Source: International Braz J Urol)
Source: International Braz J Urol - July 27, 2020 Category: Urology & Nephrology Source Type: research

Bladder Cancer at the time of COVID-19 Outbreak
ABSTRACT The COVID-19 outbreak has led to the deferral of a great number of surgeries in an attempt to reduce transmission of infection, free up hospital beds, intensive care and anaesthetists, and limit aerosol-generating procedures. Guidelines and suggestions have been provided to categorize Urological diseases into risk groups and recommendations are available on procedures that can be or cannot be deferred. We aim to summarise updates on diagnosis, treatment and follow up of bladder cancer during the COVID-19 outbreaks. (Source: International Braz J Urol)
Source: International Braz J Urol - July 27, 2020 Category: Urology & Nephrology Source Type: research

Clinical and surgical assistance in prostate cancer during the COVID-19 Pandemic: implementation of assistance protocols
Conclusions: Most of the biopsies should be delayed while AS is advised in those patients with low risk PCa. ADT allows us to defer definitive local treatment in many cases of intermediate and high risk PCa. In regard to metastatic and castration resistant PCa, combination therapies with abiraterone, apalutamide, darolutamide or enzalutamide could be considered. Chemotherapy, Radium-223 and immunotherapy are discouraged. (Source: International Braz J Urol)
Source: International Braz J Urol - July 27, 2020 Category: Urology & Nephrology Source Type: research

Endourology (Lithiasis). Management, surgical considerations and follow-up of patients in the COVID-19 era
Conclusions: categorization and prioritization of patients affected by lithiasis is crucial for management, surgical selection and follow-up. Protocols, measures and additional efforts should be carried out in the current situation of the COVID-19 pandemic. (Source: International Braz J Urol)
Source: International Braz J Urol - July 27, 2020 Category: Urology & Nephrology Source Type: research

Endourology and Benign Prostatic Hyperplasia in COVID-19 Pandemic
ABSTRACT The new disease COVID-19 pandemic has completely modified our lifestyle, changing our personal habits and daily activities and strongly our professional activity. Following World Health Organization (WHO) and health care authorities around the World recommendations, all elective surgeries from benign diagnose procedures must be postponed and imperatively continue working on emergent and oncological urgent pathologies. Surgical elective treatment of benign prostatic hyperplasia (BPH) is not considered as a priority. During BPH endoscopic surgeries, urine and blood are mixed with the irrigation liquid implying a ris...
Source: International Braz J Urol - July 27, 2020 Category: Urology & Nephrology Source Type: research

COVID-19's Impact on Italian Urology
We describe the impact of COVID-19 on Urology, how the Urological scientific community responded to the emergency and our experience in a high-volume Roman University hospital. The aim of our work is to share our experience providing suggestions for other global hospitals on how to manage the COVID-19 emergency. (Source: International Braz J Urol)
Source: International Braz J Urol - July 27, 2020 Category: Urology & Nephrology Source Type: research

Special strategies and management of urological diseases during the COVID-19 Pandemic: initial experiences from a Medical Center of China
ABSTRACT Although urological diseases are not directly related to coronavirus disease 2019 (COVID-19), urologists need to make comprehensive plans for this disease. Urological conditions such as benign prostatic hyperplasia and tumors are very common in elderly patients. This group of patients is often accompanied by underlying comorbidities or immune dysfunction. They are at higher risk of COVID-19 infection and they tend to have severe manifestations. Although fever can occur along with urological infections, it is actually one of the commonest symptoms of COVID-19; urologists must always maintain a high index of suspici...
Source: International Braz J Urol - July 27, 2020 Category: Urology & Nephrology Source Type: research

The SARS-CoV-2 Coronavirus and the COVID-19 Outbreak
ABSTRACT The SARS-CoV-2, a newly identified β -coronavirus, is the causative agent of the third large-scale pandemic from the last two decades. The outbreak started in December 2019 in Wuhan City, Hubei province in China. The patients presented clinical symptoms of dry cough, fever, dyspnea, and bilateral lung infiltrates on imaging. By February 2020, The World Health Organization (WHO) named the disease as Coronavirus Disease 2019 (COVID-19). The Coronavirus Study Group (CSG) of the International Committee on Taxonomy of Viruses (ICTV) recognized and designated this virus as severe acute respiratory syndrome coronavi...
Source: International Braz J Urol - July 27, 2020 Category: Urology & Nephrology Source Type: research

The Social, Economic and Sanitary Impact of COVID-19 Pandemic
(Source: International Braz J Urol)
Source: International Braz J Urol - July 27, 2020 Category: Urology & Nephrology Source Type: research

SARS-COVID-19 transformed the world and urological practice
(Source: International Braz J Urol)
Source: International Braz J Urol - July 27, 2020 Category: Urology & Nephrology Source Type: research

Re: Reflections on the COVID-19 Pandemic
Conclusions Robotic Single-Port kidney transplantation using the SP® surgical platf orm is feasible in a pre-clinical model. The platform could be particularly interesting for multi-quadrant surgery such as auto-transplantation, potentially reducing the time for redocking. Further clinical studies in humans and comparison with standard surgical techniques are warranted. (Source: International Braz J Urol)
Source: International Braz J Urol - June 1, 2020 Category: Urology & Nephrology Source Type: research

Single port robot-assisted transperitoneal kidney transplant using the spĀ® surgical system in a pre-clinical model
Conclusions Robotic Single-Port kidney transplantation using the SP® surgical platf orm is feasible in a pre-clinical model. The platform could be particularly interesting for multi-quadrant surgery such as auto-transplantation, potentially reducing the time for redocking. Further clinical studies in humans and comparison with standard surgical techniques are warranted. (Source: International Braz J Urol)
Source: International Braz J Urol - June 1, 2020 Category: Urology & Nephrology Source Type: research

Retroperitoneoscopic approach for urolithiasis treatment
Conclusions Retroperitoneoscopic approach is a good alternative for the treatment of large impacted ureteral stones, large pielic stones and for non-functional kidney removal due to stone disease. In expert hands, it can be safely used with a good SFR. The combination with ICG or other endourological techniques is feasible, allowing higher SFR. (Source: International Braz J Urol)
Source: International Braz J Urol - June 1, 2020 Category: Urology & Nephrology Source Type: research

Technique of cavoatrial tumor thrombectomy without cardiopulmonary by-pass
Conclusions This procedure can be performed in high risk patients with solitary large tumor thrombi. (Source: International Braz J Urol)
Source: International Braz J Urol - June 1, 2020 Category: Urology & Nephrology Source Type: research

Ambulatory second look percutaneous nephrolithotripsy with maturated nephrostomy tract
Conclusion Second-look PCNL without anesthesia and sheath after maturation of the nephrostomy tract may be an effective procedure for removing remnant stones in select patients without excessive levels of pain. (Source: International Braz J Urol)
Source: International Braz J Urol - June 1, 2020 Category: Urology & Nephrology Source Type: research

Kidney displaced by giant retroperitoneal liposarcoma in HIV patient
ABSTRACT Purpose We aimed to evaluate the effects of smoking cessation on the sexual functions in men aged 30 to 60 years. Materials and Methods Male patients aged 30 to 60 years that presented to the smoking cessation polyclinic between July 2017 and December 2018 were prospectively included in the study. The amount of exposure to tobacco was evaluated in pack-year. The patients filled the International Index of Erectile Function (IIEF) form before the cessation and six months after cessation of smoking. Patients were subgrouped according to age, education level and packs/year of smoking and this groups were compared in t...
Source: International Braz J Urol - June 1, 2020 Category: Urology & Nephrology Source Type: research

Editorial Comment: Sacral neuromodulation versus onabotulinumtoxinA for refractory urgency urinary incontinence: impact on fecal incontinence symptoms and sexual function
ABSTRACT Purpose We aimed to evaluate the effects of smoking cessation on the sexual functions in men aged 30 to 60 years. Materials and Methods Male patients aged 30 to 60 years that presented to the smoking cessation polyclinic between July 2017 and December 2018 were prospectively included in the study. The amount of exposure to tobacco was evaluated in pack-year. The patients filled the International Index of Erectile Function (IIEF) form before the cessation and six months after cessation of smoking. Patients were subgrouped according to age, education level and packs/year of smoking and this groups were compared in t...
Source: International Braz J Urol - June 1, 2020 Category: Urology & Nephrology Source Type: research

Editorial Comment: Effect of Behavioral and Pelvic Floor Muscle Therapy Combined With Surgery vs Surgery Alone on Incontinence Symptoms Among Women With Mixed Urinary Incontinence: The ESTEEM Randomized Clinical Trial
ABSTRACT Purpose We aimed to evaluate the effects of smoking cessation on the sexual functions in men aged 30 to 60 years. Materials and Methods Male patients aged 30 to 60 years that presented to the smoking cessation polyclinic between July 2017 and December 2018 were prospectively included in the study. The amount of exposure to tobacco was evaluated in pack-year. The patients filled the International Index of Erectile Function (IIEF) form before the cessation and six months after cessation of smoking. Patients were subgrouped according to age, education level and packs/year of smoking and this groups were compared in t...
Source: International Braz J Urol - June 1, 2020 Category: Urology & Nephrology Source Type: research

Editorial Comment: Erectile Dysfunction and Premature Ejaculation in Homosexual and Heterosexual Men: A Systematic Review and Meta-Analysis of Comparative Studies
ABSTRACT Purpose We aimed to evaluate the effects of smoking cessation on the sexual functions in men aged 30 to 60 years. Materials and Methods Male patients aged 30 to 60 years that presented to the smoking cessation polyclinic between July 2017 and December 2018 were prospectively included in the study. The amount of exposure to tobacco was evaluated in pack-year. The patients filled the International Index of Erectile Function (IIEF) form before the cessation and six months after cessation of smoking. Patients were subgrouped according to age, education level and packs/year of smoking and this groups were compared in t...
Source: International Braz J Urol - June 1, 2020 Category: Urology & Nephrology Source Type: research

Editorial Comment: Novel Treatment for Premature Ejaculation in the Light of Currently Used Therapies: A Review
ABSTRACT Purpose We aimed to evaluate the effects of smoking cessation on the sexual functions in men aged 30 to 60 years. Materials and Methods Male patients aged 30 to 60 years that presented to the smoking cessation polyclinic between July 2017 and December 2018 were prospectively included in the study. The amount of exposure to tobacco was evaluated in pack-year. The patients filled the International Index of Erectile Function (IIEF) form before the cessation and six months after cessation of smoking. Patients were subgrouped according to age, education level and packs/year of smoking and this groups were compared in t...
Source: International Braz J Urol - June 1, 2020 Category: Urology & Nephrology Source Type: research

Editorial Comment: Does the Use of a Robot Decrease the Complication Rate Adherent to Radical Cystectomy? A Systematic Review and Meta-Analysis of Studies Comparing Open with Robotic Counterparts
ABSTRACT Purpose We aimed to evaluate the effects of smoking cessation on the sexual functions in men aged 30 to 60 years. Materials and Methods Male patients aged 30 to 60 years that presented to the smoking cessation polyclinic between July 2017 and December 2018 were prospectively included in the study. The amount of exposure to tobacco was evaluated in pack-year. The patients filled the International Index of Erectile Function (IIEF) form before the cessation and six months after cessation of smoking. Patients were subgrouped according to age, education level and packs/year of smoking and this groups were compared in t...
Source: International Braz J Urol - June 1, 2020 Category: Urology & Nephrology Source Type: research

Editorial Comment: Laparoscopy versus robotic-assisted pyeloplasty in children: preliminary results of a pilot prospective randomized controlled trial
ABSTRACT Purpose We aimed to evaluate the effects of smoking cessation on the sexual functions in men aged 30 to 60 years. Materials and Methods Male patients aged 30 to 60 years that presented to the smoking cessation polyclinic between July 2017 and December 2018 were prospectively included in the study. The amount of exposure to tobacco was evaluated in pack-year. The patients filled the International Index of Erectile Function (IIEF) form before the cessation and six months after cessation of smoking. Patients were subgrouped according to age, education level and packs/year of smoking and this groups were compared in t...
Source: International Braz J Urol - June 1, 2020 Category: Urology & Nephrology Source Type: research

Synthetic slings in the treatment of urinary incontinence: lessons learned and future perspectives
ABSTRACT Purpose We aimed to evaluate the effects of smoking cessation on the sexual functions in men aged 30 to 60 years. Materials and Methods Male patients aged 30 to 60 years that presented to the smoking cessation polyclinic between July 2017 and December 2018 were prospectively included in the study. The amount of exposure to tobacco was evaluated in pack-year. The patients filled the International Index of Erectile Function (IIEF) form before the cessation and six months after cessation of smoking. Patients were subgrouped according to age, education level and packs/year of smoking and this groups were compared in t...
Source: International Braz J Urol - June 1, 2020 Category: Urology & Nephrology Source Type: research

Editorial Comment: Effect of smoking cessation on sexual function in men aged 30 to 60 years
ABSTRACT Purpose We aimed to evaluate the effects of smoking cessation on the sexual functions in men aged 30 to 60 years. Materials and Methods Male patients aged 30 to 60 years that presented to the smoking cessation polyclinic between July 2017 and December 2018 were prospectively included in the study. The amount of exposure to tobacco was evaluated in pack-year. The patients filled the International Index of Erectile Function (IIEF) form before the cessation and six months after cessation of smoking. Patients were subgrouped according to age, education level and packs/year of smoking and this groups were compared in t...
Source: International Braz J Urol - June 1, 2020 Category: Urology & Nephrology Source Type: research

Effect of smoking cessation on sexual functions in men aged 30 to 60 years
ABSTRACT Purpose We aimed to evaluate the effects of smoking cessation on the sexual functions in men aged 30 to 60 years. Materials and Methods Male patients aged 30 to 60 years that presented to the smoking cessation polyclinic between July 2017 and December 2018 were prospectively included in the study. The amount of exposure to tobacco was evaluated in pack-year. The patients filled the International Index of Erectile Function (IIEF) form before the cessation and six months after cessation of smoking. Patients were subgrouped according to age, education level and packs/year of smoking and this groups were compared in t...
Source: International Braz J Urol - June 1, 2020 Category: Urology & Nephrology Source Type: research

Editorial Comment: The impact of perioperative complications on favorable outcomes after artificial urinary sphincter implantation for post-prostatectomy incontinence
ABSTRACT Objective To investigate the effect of perioperative complications involving artificial urinary sphincter (AUS) implantation on rates of explantation and continence as well as health-related quality of life (HRQOL). Materials and methods Inclusion criteria encompassed non-neurogenic, moderate-to-severe stress urinary incontinence (SUI) post radical prostatectomy and primary implantation of an AUS performed by a high-volume surgeon (>100 previous implantations). Reporting complications followed the validated Clavien-Dindo scale and Martin criteria. HRQOL was assessed by the validated IQOL score, continence by th...
Source: International Braz J Urol - June 1, 2020 Category: Urology & Nephrology Source Type: research

The impact of perioperative complications on favorable outcomes after artificial urinary sphincter implantation for post-prostatectomy incontinence
ABSTRACT Objective To investigate the effect of perioperative complications involving artificial urinary sphincter (AUS) implantation on rates of explantation and continence as well as health-related quality of life (HRQOL). Materials and methods Inclusion criteria encompassed non-neurogenic, moderate-to-severe stress urinary incontinence (SUI) post radical prostatectomy and primary implantation of an AUS performed by a high-volume surgeon (>100 previous implantations). Reporting complications followed the validated Clavien-Dindo scale and Martin criteria. HRQOL was assessed by the validated IQOL score, continence by th...
Source: International Braz J Urol - June 1, 2020 Category: Urology & Nephrology Source Type: research

Stress Urinary Incontinence post-Holmium Laser Enucleation of the Prostate: a Single-Surgeon Experience
ABSTRACT Purpose To identify incidence and predictors of stress urinary incontinence (SUI) following Holmium laser enucleation of the prostate (HoLEP). Materials and Methods We performed a retrospective review of 589 HoLEP patients from 2012-2018. Patients were assessed at pre-operative and post-operative visits. Univariate and multivariate regression analyses were performed to identify predictors of SUI. Results 52/589 patients (8.8%) developed transient SUI, while 9/589 (1.5%) developed long-term SUI. tSUI resolved for 46 patients (88.5%) within the first six weeks and in 6 patients (11.5%) between 6 weeks to 3 months. L...
Source: International Braz J Urol - June 1, 2020 Category: Urology & Nephrology Source Type: research

Role of miRNA-182 and miRNA-187 as potential biomarkers in prostate cancer and its correlation with the staging of prostate cancer
This study investigated the expression of miRNA-182 and miRNA-187 in prostate cancer patients and established a correlation between miRNA expression and staging of prostate cancer. Materials and Methods This prospective observational study involved patients undergoing transrectal ultrasound-guided biopsy for suspicion of prostate cancer. Pre-biopsy urine samples and prostatic core tissue samples of the patients were preserved and the miRNA-182 and miRNA-187 were studied. Results Sixty-three patients were included in this study, thirty-three patients were diagnosed with prostate cancer and thirty patients having benign hist...
Source: International Braz J Urol - June 1, 2020 Category: Urology & Nephrology Source Type: research

Editorial Comment: Overall survival prediction in metastatic castration-resistant prostate cancer treated with radium-223
Conclusions 223Ra therapy require an adequate selection of patients to obtain the greatest clinical benefit. Low basal Hb, hight basal ALP, bone marrow involvement and an altered ECOG were the main factors that decreased OS in our patients. 223Ra should be considered relatively early in the course of treatment. (Source: International Braz J Urol)
Source: International Braz J Urol - June 1, 2020 Category: Urology & Nephrology Source Type: research

Overall survival prediction in metastatic castration-resistant prostate cancer treated with radium-223
Conclusions 223Ra therapy require an adequate selection of patients to obtain the greatest clinical benefit. Low basal Hb, hight basal ALP, bone marrow involvement and an altered ECOG were the main factors that decreased OS in our patients. 223Ra should be considered relatively early in the course of treatment. (Source: International Braz J Urol)
Source: International Braz J Urol - June 1, 2020 Category: Urology & Nephrology Source Type: research

Obesity: An independent protective factor for localized renal cell carcinoma in a systemic inflammation state
Conclusion In localized RCC patients, obesity was an independent protective factor for CSS and RFS in a systemic inflammation state. (Source: International Braz J Urol)
Source: International Braz J Urol - June 1, 2020 Category: Urology & Nephrology Source Type: research