Acute prostatitis after prostate biopsy under ciprofloxacin prophylaxis with or without ornidazole and pre-biopsy enema: analysis of 3.479 prostate biopsy cases
Conclusions: Repeat biopsy seems to increase the risk of acute prostatitis, while the use of antibiotics effective for anaerobic pathogens seems not to be essential yet. (Source: International Braz J Urol)
Source: International Braz J Urol - January 14, 2020 Category: Urology & Nephrology Source Type: research

Validation of the international consultation on incontinence modular questionnaire – female lower urinary tract symptoms (ICIQ-FLUTS) into brazilian portuguese
Conclusion: The Portuguese version of the ICIQ-FLUTS questionnaire showed strong correlation to ICIQ-SF questionnaire and satisfactory values to test-retest and internal consistency. (Source: International Braz J Urol)
Source: International Braz J Urol - January 14, 2020 Category: Urology & Nephrology Source Type: research

Bone scan positivity in non-metastatic, castrate-resistant prostate cancer: external validation study
Conclusion: Previously published risk tables predicted bone scan positivity in men with non-metastatic, castrate-resistant prostate cancer with reasonable accuracy. (Source: International Braz J Urol)
Source: International Braz J Urol - January 14, 2020 Category: Urology & Nephrology Source Type: research

Prostate cancer screening among elderly men in Brazil: should we diagnose or not?
Conclusions: Prostate cancer screening in men aged over 70 may be relevant in Brazil, considering the absence of systematic screening, higher prevalence and higher probability of high-risk disease found in this age range of the population studied. (Source: International Braz J Urol)
Source: International Braz J Urol - January 14, 2020 Category: Urology & Nephrology Source Type: research

Computed tomography imaging characteristics of clear cell papillary renal cell carcinoma
Conclusions: The CT imaging characteristics of CCP RCCs could be categorized into either the solid or cystic type. These masses w ere diagnosed radiologically as clear cell RCC and cystic RCC, respectively. (Source: International Braz J Urol)
Source: International Braz J Urol - January 14, 2020 Category: Urology & Nephrology Source Type: research

Renal manifestations of sarcoidosis: from accurate diagnosis to specific treatment
ABSTRACT Sarcoidosis is a multisystem granulomatous disease characterized by epithelioid noncaseating granulomas associated with clinical and radiologic findings. The cause of this disease is still uncertain. Sarcoidosis affects mostly lungs and lymph nodes and is not usually considered a urological disease, therefore, this etiology may be overlooked in several urological disorders, such as hypercalcemia, hypercalciuria and nephrolithiasis. It affects all races and genders. This review aims to describe the urological manifestations of sarcoidosis and to elucidate how the disease may affect the management of numerous urolog...
Source: International Braz J Urol - January 14, 2020 Category: Urology & Nephrology Source Type: research

Narrative review of the epidemiology, diagnosis and pathophysiology of pelvic organ prolapse
ABSTRACT The exact prevalence of pelvic organ prolapse is difficult to establish. The anatomical changes do not always consist with the severity or the symptoms associated with prolapse. There are many risk factors associated with pelvic organ prolapse and this review aims to identify the epidemiology and pathophysiology while looking at the known risk factors for pelvic organ prolapse. PubMed search involved a number of terms including: epidemiology, risk factors, reoccurrence indicators, management and evaluation. Several risk factors have been associated with pelvic organ prolapse, all contribute to weakening of the pel...
Source: International Braz J Urol - January 14, 2020 Category: Urology & Nephrology Source Type: research

Best videos of the year for 2019
(Source: International Braz J Urol)
Source: International Braz J Urol - January 14, 2020 Category: Urology & Nephrology Source Type: research

A new era of the the International Brazilian Journal of Urology
(Source: International Braz J Urol)
Source: International Braz J Urol - January 14, 2020 Category: Urology & Nephrology Source Type: research

Multiple renal tumorectomy in a Von Hipple Lindau patient. Combined retro/transperitoneal approach with intracorporeal hypotermia
Conclusions: Combined TP and RP is a feasible alternative for the treatment of multiple renal tumors. It's safe and effective, allowing the use of intracorporeal hypothermia which may improve postoperative renal function. Consistent experience is needed before embarking on this surgery. (Source: International Braz J Urol)
Source: International Braz J Urol - December 20, 2019 Category: Urology & Nephrology Source Type: research

3D Reconstruction and physical renal model to improve percutaneous punture during PNL
Conclusion: The 3D-guided approach to PNL facilitates the preoperative planning of the puncture with better knowledge of the renal anatomy and may be helpful to reduce operative time and improve the learning curve. (Source: International Braz J Urol)
Source: International Braz J Urol - December 20, 2019 Category: Urology & Nephrology Source Type: research

A new Surgical Technique: Transvesical Prostate Resection
Conclusions: Urethral stricture is one of the most important postoperative complications of TURP. The incidence of urethral stricture is reported between 2.2% and 9.8% in different series (2 – 5). In this technique which we developed, urethra is not used and prostate is removed through the bladder, similar to open prostatectomies. For this reason, we suggest that it has an advantage over TURP, regarding urethral stricture development. (Source: International Braz J Urol)
Source: International Braz J Urol - December 20, 2019 Category: Urology & Nephrology Source Type: research

Metastatic non-muscle invasive bladder cancer with cervical lymph node metastasis
ABSTRACT Bladder cancer is a common cancer that may present as superficial, invasive, or metastatic disease. Non-muscle-invasive bladder cancer (NMIBC) represents the majority of bladder cancer diagnoses, but represents a spectrum of disease with a variable clinical course, notably for significant risk of recurrence and potential for progression. NMIBC metastasis to distant organs without local invasion or regional metastasis is a very rare occurrence, so there are limited case reports about early metastasis in the literature. (Source: International Braz J Urol)
Source: International Braz J Urol - December 20, 2019 Category: Urology & Nephrology Source Type: research

Ureteropelvic junction obstruction caused by metastatic cholangiocarcinoma
We describe the rare case of a 61-year-old female with right ureteropelvic junction (UPJ) obstruction caused by metastatic cholangiocarcinoma. Her past medical history was notable for cholangiocarcinoma treated with neoadjuvant chemoradiation and two orthotopic liver transplants six years earlier. Urology was consulted when she presented with flank pain and urinary tract infection. Diagnostic workup demonstrated right UPJ obstruction. She was managed acutely with percutaneous nephrostomy. She subsequently underwent robotic pyeloplasty and intrinsic obstruction of the UPJ was discovered. Histological examination revealed ad...
Source: International Braz J Urol - December 20, 2019 Category: Urology & Nephrology Source Type: research

Malignant leydig cell tumor in a 91-year-old man: Case report
We report the caso of a 91-year-old man with malignant Leydig cell tumor, presenting increase of the volume of scrotum, local pain and hyperemia. The are few cases in the literature, only 1 with pacient above 85 years old. (Source: International Braz J Urol)
Source: International Braz J Urol - December 20, 2019 Category: Urology & Nephrology Source Type: research