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
The relation between the storage symptoms before and after transurethral resection of the prostate, analysis of the risk factors and the prevention of the symptoms with solifenacin
Conclusion TURP provides significant improvement in both storage and voiding symptoms. The predictive value of the preoperative S-IPSS on postop SS is significant. These results suggest that 5 mg solifenacin succinate treatment in the early postoperative period may be beneficial for patients with high preoperative SS and may not be beneficial in others. Small prostatic volume may bode ill for postoperative SS in the patients with de novo SS. (Source: International Braz J Urol)
Source: International Braz J Urol - June 1, 2020 Category: Urology & Nephrology Source Type: research
The significance of preoperative estimated glomerular filtration rate on survival outcomes in patients who underwent radical cystectomy and non-continent urinary diversion
Conclusions Overall m ortality was higher and overall survival was lower in patients with preoperative eGFR<60mL/s. More patients had preoperative hydronephrosis with eGFR< 60mL/s. (Source: International Braz J Urol)
Source: International Braz J Urol - June 1, 2020 Category: Urology & Nephrology Source Type: research
Editorial Comment: Comparison of pain levels in fusion prostate biopsy and standard TRUS-Guided biopsy
Conclusion FPB, with a relatively higher cancer detection rate, leads to the same pain level as SPB although it increases the number of biopsy cores and involves a more complex procedure compared to SPB. Further prospective studies with larger patient series are needed to substantiate our findings. (Source: International Braz J Urol)
Source: International Braz J Urol - June 1, 2020 Category: Urology & Nephrology Source Type: research
Comparison of pain levels in fusion prostate biopsy and standard TRUS-Guided biopsy
Conclusion FPB, with a relatively higher cancer detection rate, leads to the same pain level as SPB although it increases the number of biopsy cores and involves a more complex procedure compared to SPB. Further prospective studies with larger patient series are needed to substantiate our findings. (Source: International Braz J Urol)
Source: International Braz J Urol - June 1, 2020 Category: Urology & Nephrology Source Type: research
Elevated prostate volume index and prostatic chronic inflammation reduce the number of positive cores at first prostate biopsy set: results in 945 consecutive patients
Conclusions High PVI and the presence of PCI lowered the mean rate of NPC and is associated with less aggressive tumor biology expressed by low tumor burden. PVI can give prognostic information before planning baseline random biopsies. Confirmatory studies are required. (Source: International Braz J Urol)
Source: International Braz J Urol - June 1, 2020 Category: Urology & Nephrology Source Type: research
Simultaneous bilateral native nephrectomy by retroperitoneal approach
ABSTRACT The indication for simultaneous bilateral native nephrectomy and the choice of surgical technique is of key importance, as these patients are burdened with a large comorbidity. The paper reports our experience of seven successful and completed simultaneous bilateral native nephrectomy procedures with retroperitoneal approach in the patient ’ s flank position. Seven patients (mean age 34), were indicated for the removal of both kidneys before the planned transplant. Six patients underwent haemodialysis from 48 to 84 months, and one underwent peritoneal dialysis for 60 months. Two patients had undergone graftectom...
Source: International Braz J Urol - June 1, 2020 Category: Urology & Nephrology Source Type: research
Brazilian consensus on vesicoureteral reflux–recommendations for clinical practice
Discussion Vesicoureteral Reflux is a common and challenging problem in children. Children presenting with Vesicoureteral Reflux require careful evaluation and treatment to avoid future urinary tract infections and kidney scars. The panel addressed recommendations on up to date choice of diagnosis evaluation and therapies. (Source: International Braz J Urol)
Source: International Braz J Urol - June 1, 2020 Category: Urology & Nephrology Source Type: research
Buried penis repair: tips and tricks
ABSTRACT Obesity is increasing in prevalence worldwide and an increasingly commonly encountered condition is adult acquired buried penis (AABP). We review the current management of AABP and relevant literature. Management of AABP requires a combination of genitourinary reconstructive techniques and plastic surgery techniques that are unique to this condition. We offer our experience and tips and tricks for the treatment of AABP. (Source: International Braz J Urol)
Source: International Braz J Urol - June 1, 2020 Category: Urology & Nephrology Source Type: research
Surgical treatment of bulbar urethral strictures: tips and tricks
ABSTRACT The surgical treatment of bulbar urethral strictures is still one of the most challenging reconstructive-surgery problems. Bulbar urethral strictures are usually categorized as traumatic and non-traumatic strictures depending on the aetiology. The traumatic strictures are caused by trauma and they determine disruption of the urethra with obliteration of the urethral lumen, ending with fibrotic gaps between the urethral ends. Differently, the non-traumatic urethral strictures are mainly caused by catheterization, instrumentation, and infection, or they can also be idiopathic. They are usually associated with spongi...
Source: International Braz J Urol - June 1, 2020 Category: Urology & Nephrology Source Type: research
Impact of the COVID-19 Pandemic on the Urologist’s clinical practice in Brazil: a management guideline proposal for low- and middle-income countries during the crisis period
ABSTRACT This letter to the Editor aims to provide suggestions and recommendations for the management of urological conditions in times of COVID-19 crisis in Brazil and other low- and middle-income countries. It is important to highlight that one of the main characteristics of this pandemic is the oversaturation of the health system capacity, mostly due to a high demand for personal protective equipment (PPE), Hospital/ICU beds, as well as ventilators. In places with limited resources and where the health care systems are already saturated, such consideration is even more worrisome. Therefore, most worldwide authorities ar...
Source: International Braz J Urol - June 1, 2020 Category: Urology & Nephrology Source Type: research
Reflections on the COVID-19 Pandemic
(Source: International Braz J Urol)
Source: International Braz J Urol - June 1, 2020 Category: Urology & Nephrology Source Type: research
In these difficult times of COVID-19, urologic research cannot stop: COVID-19 pandemic and reconstructive urology highlighted in International Brazilian Journal of Urology
(Source: International Braz J Urol)
Source: International Braz J Urol - June 1, 2020 Category: Urology & Nephrology Source Type: research
Laparoscopic Pielolitotomy: An option for the management of pelvic kidney stones
Conclusions: Laparoscopic pielolitotomy is an excellent treatment alternative for patients with large stones in pelvic kidney. (Source: International Braz J Urol)
Source: International Braz J Urol - March 30, 2020 Category: Urology & Nephrology Source Type: research
Retroperitoneoscopic approach for highly complex posterior renal hilar tumors
Conclusions: The treatment of complex renal hilar tumors in a minimally invasive fashion is highly challenging even in experienced hands. Retroperitoneal partial nephrectomy is feasible, safe and effective for the treatment of such lesions. Long-term oncologic outcomes of this approach are awaited. (Source: International Braz J Urol)
Source: International Braz J Urol - March 30, 2020 Category: Urology & Nephrology Source Type: research
