Re: Uretero-inguinal hernia with obstructive urolithiasis
We present a 46-year-old female with history of recurrent left-sided UPJO treated by initial endopyelotomy and then open pyeloplasty. She underwent re-do robotic pyeloplasty (DaVinci Si ™ , Intuitive Surgical) with CPT. The patient was placed in the flank position; a 12mm camera port, three 8mm robotic ports, and a 12mm assistant port were used. The renal pelvis and upper ureter were mobilized to reveal a dense scar at the UPJ. A dismembered pyeloplasty was performed with barbed suture. After completion of the anastomosis, a section of CPT (Stravix ™ , Osiris Therapeutics) was wrapped around the anastomosis. CP...
Source: International Braz J Urol - November 18, 2020 Category: Urology & Nephrology Source Type: research

Complex Re-do robotic pyeloplasty using cryopreserved placental tissue: an adjunct for success
We present a 46-year-old female with history of recurrent left-sided UPJO treated by initial endopyelotomy and then open pyeloplasty. She underwent re-do robotic pyeloplasty (DaVinci Si ™ , Intuitive Surgical) with CPT. The patient was placed in the flank position; a 12mm camera port, three 8mm robotic ports, and a 12mm assistant port were used. The renal pelvis and upper ureter were mobilized to reveal a dense scar at the UPJ. A dismembered pyeloplasty was performed with barbed suture. After completion of the anastomosis, a section of CPT (Stravix ™ , Osiris Therapeutics) was wrapped around the anastomosis. CP...
Source: International Braz J Urol - November 18, 2020 Category: Urology & Nephrology Source Type: research

Atypical metastases from prostate cancer detected on 68Ga-PSMA PET/CT: a case series
ABSTRACT Purpose: Toilet training (TT) is an important marker in a child's physical and psychosocial development. The present study aimed to evaluate aspects associated to delayed TT. Material and Methods: We interviewed 372 parents of children who had completed TT up to 48 months before the interview. The questionnaires were applied at school exits when parents went to pick their children up and at public parks. Questions included demographics, aspects related to TT, dysfunction voiding symptom score and evaluation of constipation. Results: The interviews were performed at a mean of 15.3 ±10.4 (0 to 47) months afte...
Source: International Braz J Urol - November 18, 2020 Category: Urology & Nephrology Source Type: research

18F-FDG PET/CT in pure testicular Yolk Sac Tumor in adult
ABSTRACT Purpose: Toilet training (TT) is an important marker in a child's physical and psychosocial development. The present study aimed to evaluate aspects associated to delayed TT. Material and Methods: We interviewed 372 parents of children who had completed TT up to 48 months before the interview. The questionnaires were applied at school exits when parents went to pick their children up and at public parks. Questions included demographics, aspects related to TT, dysfunction voiding symptom score and evaluation of constipation. Results: The interviews were performed at a mean of 15.3 ±10.4 (0 to 47) months afte...
Source: International Braz J Urol - November 18, 2020 Category: Urology & Nephrology Source Type: research

Editorial Comment: Abiraterone in “High-” and “Low-risk” Metastatic Hormone-sensitive Prostate Cancer
ABSTRACT Purpose: Toilet training (TT) is an important marker in a child's physical and psychosocial development. The present study aimed to evaluate aspects associated to delayed TT. Material and Methods: We interviewed 372 parents of children who had completed TT up to 48 months before the interview. The questionnaires were applied at school exits when parents went to pick their children up and at public parks. Questions included demographics, aspects related to TT, dysfunction voiding symptom score and evaluation of constipation. Results: The interviews were performed at a mean of 15.3 ±10.4 (0 to 47) months afte...
Source: International Braz J Urol - November 18, 2020 Category: Urology & Nephrology Source Type: research

Editorial Comment: Impact of Obesity on Perioperative Outcomes at Robotic-assisted and Open Radical Prostatectomy: Results From the National Inpatient Sample
ABSTRACT Purpose: Toilet training (TT) is an important marker in a child's physical and psychosocial development. The present study aimed to evaluate aspects associated to delayed TT. Material and Methods: We interviewed 372 parents of children who had completed TT up to 48 months before the interview. The questionnaires were applied at school exits when parents went to pick their children up and at public parks. Questions included demographics, aspects related to TT, dysfunction voiding symptom score and evaluation of constipation. Results: The interviews were performed at a mean of 15.3 ±10.4 (0 to 47) months afte...
Source: International Braz J Urol - November 18, 2020 Category: Urology & Nephrology Source Type: research

Editorial Comment: Continuous monitoring of intrapelvic pressure during flexible ureteroscopy using a sensor wire: a pilot study
ABSTRACT Purpose: Toilet training (TT) is an important marker in a child's physical and psychosocial development. The present study aimed to evaluate aspects associated to delayed TT. Material and Methods: We interviewed 372 parents of children who had completed TT up to 48 months before the interview. The questionnaires were applied at school exits when parents went to pick their children up and at public parks. Questions included demographics, aspects related to TT, dysfunction voiding symptom score and evaluation of constipation. Results: The interviews were performed at a mean of 15.3 ±10.4 (0 to 47) months afte...
Source: International Braz J Urol - November 18, 2020 Category: Urology & Nephrology Source Type: research

Editorial Comment: Adjuvant Single-Dose Upper Urinary Tract Instillation of Mitomycin C After Therapeutic Ureteroscopy for Upper Tract Urothelial Carcinoma: A Single-Centre Prospective Non-Randomized Trial
ABSTRACT Purpose: Toilet training (TT) is an important marker in a child's physical and psychosocial development. The present study aimed to evaluate aspects associated to delayed TT. Material and Methods: We interviewed 372 parents of children who had completed TT up to 48 months before the interview. The questionnaires were applied at school exits when parents went to pick their children up and at public parks. Questions included demographics, aspects related to TT, dysfunction voiding symptom score and evaluation of constipation. Results: The interviews were performed at a mean of 15.3 ±10.4 (0 to 47) months afte...
Source: International Braz J Urol - November 18, 2020 Category: Urology & Nephrology Source Type: research

Editorial Comment: Long-term effectiveness and complication rates of bladder augmentation in patients with neurogenic bladder dysfunction: A systematic review
ABSTRACT Purpose: Toilet training (TT) is an important marker in a child's physical and psychosocial development. The present study aimed to evaluate aspects associated to delayed TT. Material and Methods: We interviewed 372 parents of children who had completed TT up to 48 months before the interview. The questionnaires were applied at school exits when parents went to pick their children up and at public parks. Questions included demographics, aspects related to TT, dysfunction voiding symptom score and evaluation of constipation. Results: The interviews were performed at a mean of 15.3 ±10.4 (0 to 47) months afte...
Source: International Braz J Urol - November 18, 2020 Category: Urology & Nephrology Source Type: research

Effects of Covid-19 on male reproductive system
ABSTRACT Purpose: Toilet training (TT) is an important marker in a child's physical and psychosocial development. The present study aimed to evaluate aspects associated to delayed TT. Material and Methods: We interviewed 372 parents of children who had completed TT up to 48 months before the interview. The questionnaires were applied at school exits when parents went to pick their children up and at public parks. Questions included demographics, aspects related to TT, dysfunction voiding symptom score and evaluation of constipation. Results: The interviews were performed at a mean of 15.3 ±10.4 (0 to 47) months afte...
Source: International Braz J Urol - November 18, 2020 Category: Urology & Nephrology Source Type: research

Interim Guidance for Urodynamic Practice during COVID-19 Pandemic
ABSTRACT Purpose: Toilet training (TT) is an important marker in a child's physical and psychosocial development. The present study aimed to evaluate aspects associated to delayed TT. Material and Methods: We interviewed 372 parents of children who had completed TT up to 48 months before the interview. The questionnaires were applied at school exits when parents went to pick their children up and at public parks. Questions included demographics, aspects related to TT, dysfunction voiding symptom score and evaluation of constipation. Results: The interviews were performed at a mean of 15.3 ±10.4 (0 to 47) months afte...
Source: International Braz J Urol - November 18, 2020 Category: Urology & Nephrology Source Type: research

Personal and familial factors associated with toilet training
ABSTRACT Purpose: Toilet training (TT) is an important marker in a child's physical and psychosocial development. The present study aimed to evaluate aspects associated to delayed TT. Material and Methods: We interviewed 372 parents of children who had completed TT up to 48 months before the interview. The questionnaires were applied at school exits when parents went to pick their children up and at public parks. Questions included demographics, aspects related to TT, dysfunction voiding symptom score and evaluation of constipation. Results: The interviews were performed at a mean of 15.3 ±10.4 (0 to 47) months afte...
Source: International Braz J Urol - November 18, 2020 Category: Urology & Nephrology Source Type: research

Preoperative hydronephrosis predicts adverse pathological features and postoperative survival in patients with high-grade upper tract urothelial carcinoma
This study aimed to investigate the association between preoperative hydronephrosis and pathologic features and oncologic outcomes in patients with UTUC treated by radical nephroureterectomy (RNU). Materials and Methods: This was a retrospective, single-center cohort study of 377 patients treated by RNU without perioperative chemotherapy between January 2001 and December 2014. Logistic regression, Cox regression, and survival analyses were performed. Results: Among the 226 patients with high-grade UTUC, 132 (58%) had preoperative hydronephrosis. Multivariable logistic regression revealed that hydronephrosis was independent...
Source: International Braz J Urol - November 18, 2020 Category: Urology & Nephrology Source Type: research

Clinical factors that influence the occurrence of symptomatic pseudoaneurysms and arteriovenous fistulas after partial nephrectomy: multi-institutional study of renal function outcomes after one year of selective arterial embolization
ABSTRACT Purpose: Renal artery pseudoaneurysms (RAPs) and arteriovenous fistulas (AVFs) are rare but potentially life-threatening complications after partial nephrectomy (PN). Selective arterial embolization (SAE) is an effective method for controlling RAPs/AVFs. We assessed the clinical factors affecting the occurrence of RAPs/AVFs after PN and the effects of SAE on postsurgical renal function. Materials and Methods: Four hundred ninety-three patients who underwent PN were retrospectively reviewed. They were placed in either the SAE or the non-SAE group. The effects of clinical factors, including R.E.N.A.L. scores, on the...
Source: International Braz J Urol - November 18, 2020 Category: Urology & Nephrology Source Type: research

Bipolar and monopolar transurethral resection of the prostate are equally effective and safe in this high quality randomized controled trial
ABSTRACT Objective: To generate high-quality data comparing the clinical efficacy and safety profile between monopolar transurethral resection of the prostate (M-TURP) and bipolar plasmakinetic resection of the prostate (PK-TURP) for benign prostatic hyperplasia (BPH). Materials and Methods: Prospective, randomized, single-blinded study conducted in a tertiary-care public institution (Dec/2014-Aug/2016). Inclusion criteria: prostate of
Source: International Braz J Urol - November 18, 2020 Category: Urology & Nephrology Source Type: research

A prospective randomized study comparing bipolar plasmakinetic transurethral resection of the prostate and monopolar transurethral resection of the prostate for the treatment of Benign Prostatic Hyperplasia: efficacy, sexual function, Quality of Life, and complications
ABSTRACT Objective: To generate high-quality data comparing the clinical efficacy and safety profile between monopolar transurethral resection of the prostate (M-TURP) and bipolar plasmakinetic resection of the prostate (PK-TURP) for benign prostatic hyperplasia (BPH). Materials and Methods: Prospective, randomized, single-blinded study conducted in a tertiary-care public institution (Dec/2014-Aug/2016). Inclusion criteria: prostate of
Source: International Braz J Urol - November 18, 2020 Category: Urology & Nephrology Source Type: research

Pelvic floor muscles after prostate radiation therapy: morpho-functional assessment by magnetic resonance imaging, surface electromyography and digital anal palpation
ABSTRACT Aim: To evaluate the radiotherapy (RT) effect in the pelvic floor muscles (PFM) function in men with prostate cancer (PC). Materials and Methods: A cross-sectional study included three groups of patients with PC and RT indication: 1) Pre-RT group: evaluated before the beginning of RT; 2) Acute group: evaluated between six months and one year after RT; 3) Late Group: evaluated between two and a half years and four years post-RT. PFM assessment was divided into: a) functional assessment through the digital anal palpation (Modified Oxford Scale) and surface electromyography (sEMG) with anal probe; b) anatomical asses...
Source: International Braz J Urol - November 18, 2020 Category: Urology & Nephrology Source Type: research

The association of seminal oxidation reduction potential with sperm parameters in patients with unexplained and male factor ınfertility
This study aimed to evaluate the association between seminal ORP and conventional sperm parameters. Materials and Methods: A total of 58 patients who provided a semen sample for simultaneous evaluation of sperm parameters and ORP between January and September 2019 were enrolled in this retrospective study. To identify normal and high ORP levels, a static ORP (sORP) cut-off value of 1.36mV/106sperm/mL was used. Sperm parameters were compared between infertile men with normal sORP (control group, n=23) and high sORP values (study group, n=35). Results: Men with sORP values>1.36mV/106sperm/mL had significantly lower total sperm count (TSC) (p
Source: International Braz J Urol - November 18, 2020 Category: Urology & Nephrology Source Type: research

Comparison of functional outcomes of off-clamp laparoscopic partial nephrectomy access techniques: A preliminary report
Conclusions: Transperitoneal and retroperitoneal access were found to have similar outcomes in terms of preservation of renal function at the end of the first year postoperatively. Off-C LPN may be considered as a safe and effective treatment option in patients having non-complex renal tumors. (Source: International Braz J Urol)
Source: International Braz J Urol - November 18, 2020 Category: Urology & Nephrology Source Type: research

Editorial Comment: Endoclips as novel fiducial markers in trimodality bladder preserving therapy of muscle-invasive bladder carcinoma: feasibility and patient outcomes
Conclusions: Endoclips are reliable, safe and cost- effective as novel fiducial markers in precision-radiotherapy post-TBPT. (Source: International Braz J Urol)
Source: International Braz J Urol - November 18, 2020 Category: Urology & Nephrology Source Type: research

Endoclips as novel fiducial markers in trimodality bladder-preserving therapy of muscle-invasive bladder carcinoma: feasibility and patient outcomes
Conclusions: Endoclips are reliable, safe and cost- effective as novel fiducial markers in precision-radiotherapy post-TBPT. (Source: International Braz J Urol)
Source: International Braz J Urol - November 18, 2020 Category: Urology & Nephrology Source Type: research

Editorial Comment: Effects of mesh surgery on sexual function in pelvic prolapse and urinary incontinence
Conclusions: Transvaginal mesh use in the surgical treatment of pelvic organ prolapse improves quality of life. However, risk factors such as transvaginal mesh usage indication, surgical technique and experience of the surgeon, suitability of the material, the current health status of the patient and postoperative personal care of the patient may affect the success of operations. (Source: International Braz J Urol)
Source: International Braz J Urol - November 18, 2020 Category: Urology & Nephrology Source Type: research

Effects of mesh surgery on sexual function in pelvic prolapse and urinary incontinence
Conclusions: Transvaginal mesh use in the surgical treatment of pelvic organ prolapse improves quality of life. However, risk factors such as transvaginal mesh usage indication, surgical technique and experience of the surgeon, suitability of the material, the current health status of the patient and postoperative personal care of the patient may affect the success of operations. (Source: International Braz J Urol)
Source: International Braz J Urol - November 18, 2020 Category: Urology & Nephrology Source Type: research

A comparison of the efficacy and tolerability of treating primary nocturnal enuresis with Solifenacin Plus Desmopressin, Tolterodine Plus Desmopressin, and Desmopressin alone: a randomized controlled clinical trial
Conclusion: Our results demonstrate that the combination of desmopressin and an anticholinergic agent is highly effective in treatment of children with PMNE. Although desmopressin has long been a first - line treatment for PMNE, desmopressin monotherapy oft en fails to achieve a successful response in patients with PMNE. (Source: International Braz J Urol)
Source: International Braz J Urol - November 18, 2020 Category: Urology & Nephrology Source Type: research

Impacted large ureteral stone: What is the best approach?
Conclusions: Performing anterograde URS in supine position provided better success rates and sim ilar complication rates compared to retrograde URS. Based on these results anterograde URS shall be considered as one of the primary treatment options for management of impacted upper ureteral stones in the elderly population. (Source: International Braz J Urol)
Source: International Braz J Urol - November 18, 2020 Category: Urology & Nephrology Source Type: research

Comparison of retrograde ureterorenoscopy (URS) and percutaneous anterograde ureteroscopy for removal of impacted upper ureteral stones >10mm in the elderly population
Conclusions: Performing anterograde URS in supine position provided better success rates and sim ilar complication rates compared to retrograde URS. Based on these results anterograde URS shall be considered as one of the primary treatment options for management of impacted upper ureteral stones in the elderly population. (Source: International Braz J Urol)
Source: International Braz J Urol - November 18, 2020 Category: Urology & Nephrology Source Type: research

Partial laparoscopic nephrectomy: what really matters?
ABSTRACT Purpose: Radical nephrectomy (RN) is the standard surgical type for pathological stage T3a (pT3a) renal cell carcinoma (RCC). Recently, some studies have suggested equivalence between partial nephrectomy (PN) and RN for oncologic control and have shown the benefits of PN for better renal function. We conducted this meta-analysis to assess oncologic outcomes, perioperative outcomes and renal function between two groups among patients with pT3a RCC. Materials and methods: PubMed, Scopus, Web of Science, Science Direct, Ovid MEDLINE, The Cochrane Library, Embase and Google Scholar were searched for eligible articles....
Source: International Braz J Urol - November 18, 2020 Category: Urology & Nephrology Source Type: research

Partial nephrectomy provides equivalent oncologic outcomes and better renal function preservation than radical nephrectomy for pathological T3a renal cell carcinoma: A meta-analysis
ABSTRACT Purpose: Radical nephrectomy (RN) is the standard surgical type for pathological stage T3a (pT3a) renal cell carcinoma (RCC). Recently, some studies have suggested equivalence between partial nephrectomy (PN) and RN for oncologic control and have shown the benefits of PN for better renal function. We conducted this meta-analysis to assess oncologic outcomes, perioperative outcomes and renal function between two groups among patients with pT3a RCC. Materials and methods: PubMed, Scopus, Web of Science, Science Direct, Ovid MEDLINE, The Cochrane Library, Embase and Google Scholar were searched for eligible articles....
Source: International Braz J Urol - November 18, 2020 Category: Urology & Nephrology Source Type: research

Translational research in testicular migration
Conclusions: Abdominal pressure wound is an auxiliary force in testicular migration. Patients with abdominal wall defects are associated with undescendend testis in more than 30% of the cases probably due to mechanical factors; the Prune Belly Syndrome has anatomical changes in the anterior abdominal wall that hinder the increase of intra-abdominal pressure which could be the cause of cryptorchidism in this syndrome. (Source: International Braz J Urol)
Source: International Braz J Urol - November 18, 2020 Category: Urology & Nephrology Source Type: research

The role of intra-abdominal pressure in human testicular migration
Conclusions: Abdominal pressure wound is an auxiliary force in testicular migration. Patients with abdominal wall defects are associated with undescendend testis in more than 30% of the cases probably due to mechanical factors; the Prune Belly Syndrome has anatomical changes in the anterior abdominal wall that hinder the increase of intra-abdominal pressure which could be the cause of cryptorchidism in this syndrome. (Source: International Braz J Urol)
Source: International Braz J Urol - November 18, 2020 Category: Urology & Nephrology Source Type: research

Adjunctive medical expulsive therapy with tamsulosin for repeated extracorporeal shock wave lithotripsy: a systematic review and meta-analysis
ABSTRACT Purpose: To evaluate the efficacy of adjunctive medical expulsive therapy (MET) with tamsulosin for the promotion of stone fragments clearance for repeated extracorporeal shock wave lithotripsy (ESWL). Materials and Methods: This meta-analysis was conducted by systematic search for randomized controlled trial (RCT) studies in PubMed/Medline, Scopus, Cochrane Library, Web of Science databases in January 2020, which compared tamsulosin with either placebo or non-placebo control for repeated ESWL. The primary endpoint was stone-free rate (SFR), the second endpoints were stone clearance time and complications. The qua...
Source: International Braz J Urol - November 18, 2020 Category: Urology & Nephrology Source Type: research

The obesity paradox in varicocele – is the protective effect real?
Conclusions: Our study demonstrates that BMI is negatively associated with the presence of varicocele. (Source: International Braz J Urol)
Source: International Braz J Urol - November 18, 2020 Category: Urology & Nephrology Source Type: research

The association between body mass index and varicocele: A meta-analysis
Conclusions: Our study demonstrates that BMI is negatively associated with the presence of varicocele. (Source: International Braz J Urol)
Source: International Braz J Urol - November 18, 2020 Category: Urology & Nephrology Source Type: research

Selection of best videos of the year for 2020
(Source: International Braz J Urol)
Source: International Braz J Urol - November 18, 2020 Category: Urology & Nephrology Source Type: research

The Best reviewers of International Brazilian Journal of Urology in 2020
(Source: International Braz J Urol)
Source: International Braz J Urol - November 18, 2020 Category: Urology & Nephrology Source Type: research

A decisive year to International Brazilian Journal of Urology
(Source: International Braz J Urol)
Source: International Braz J Urol - November 18, 2020 Category: Urology & Nephrology Source Type: research

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