Vaginoplasty tips and tricks
ABSTRACT Vaginoplasty is a commonly performed surgery for the transfeminine patient. In this review, we discuss how to achieve satisfactory surgical outcomes, and highlight solutions to common complications involved with the surgery, including: wound separation, vaginal stenosis, hematoma, and rectovaginal fistula. Pre-operative evaluation and standard technique are outlined. Goal outcomes regarding aesthetics, creation of a neocavity, urethral management, labial appearance, vaginal packing and clitoral sizing are all described. Peritoneal vaginoplasty technique and visceral interposition technique are detailed as alternat...
Source: International Braz J Urol - February 6, 2021 Category: Urology & Nephrology Source Type: research

The impact of COVID-19 in medical practice. A review focused on Urology
ABSTRACT COVID-19 pandemic is a rapidly spreading virus that is changing the World and the way doctors are practicing medicine. The huge number of patients searching for medical care and needing intensive care beds led the health care system to a burnout status especially in places where the care system was already overloaded. In this setting, and also due to the absence of a specific treatment for the disease, health authorities had to opt for recommending or imposing social distancing to relieve the health system and reduce deaths. All other medical specialties nondirectly related to the treatment of COVID-19 had to inte...
Source: International Braz J Urol - February 6, 2021 Category: Urology & Nephrology Source Type: research

Long term outcomes of one-stage augmentation anterior urethroplasty: a systematic review and meta-analysis
Conclusions: The long-term success rates of augmentation urethroplasty are appear to be worse than previously appreciated and patients should be counseled accordingly. (Source: International Braz J Urol)
Source: International Braz J Urol - February 6, 2021 Category: Urology & Nephrology Source Type: research

Bacillus Calmette-Guérin (BCG) Brazilian Backstage in Bladder Cancer
(Source: International Braz J Urol)
Source: International Braz J Urol - February 6, 2021 Category: Urology & Nephrology Source Type: research

International Brazilian Journal of Urology Is the Official Information Journal of the American Confederation of Urology - CAU
(Source: International Braz J Urol)
Source: International Braz J Urol - February 6, 2021 Category: Urology & Nephrology Source Type: research

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. CPT is com...
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. CPT is com...
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
Conclusion: Children completed TT at a mean of 2 years and 7 months of age. The age of completing TT was not related to LUTS and/or constipation. Premature children and those whose mothers work outside the home finish TT later. (Source: International Braz J Urol)
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
Conclusion: Children completed TT at a mean of 2 years and 7 months of age. The age of completing TT was not related to LUTS and/or constipation. Premature children and those whose mothers work outside the home finish TT later. (Source: International Braz J Urol)
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
Conclusion: Children completed TT at a mean of 2 years and 7 months of age. The age of completing TT was not related to LUTS and/or constipation. Premature children and those whose mothers work outside the home finish TT later. (Source: International Braz J Urol)
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
Conclusion: Children completed TT at a mean of 2 years and 7 months of age. The age of completing TT was not related to LUTS and/or constipation. Premature children and those whose mothers work outside the home finish TT later. (Source: International Braz J Urol)
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
Conclusion: Children completed TT at a mean of 2 years and 7 months of age. The age of completing TT was not related to LUTS and/or constipation. Premature children and those whose mothers work outside the home finish TT later. (Source: International Braz J Urol)
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
Conclusion: Children completed TT at a mean of 2 years and 7 months of age. The age of completing TT was not related to LUTS and/or constipation. Premature children and those whose mothers work outside the home finish TT later. (Source: International Braz J Urol)
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
Conclusion: Children completed TT at a mean of 2 years and 7 months of age. The age of completing TT was not related to LUTS and/or constipation. Premature children and those whose mothers work outside the home finish TT later. (Source: International Braz J Urol)
Source: International Braz J Urol - November 18, 2020 Category: Urology & Nephrology Source Type: research

Effects of Covid-19 on male reproductive system
Conclusion: Children completed TT at a mean of 2 years and 7 months of age. The age of completing TT was not related to LUTS and/or constipation. Premature children and those whose mothers work outside the home finish TT later. (Source: International Braz J Urol)
Source: International Braz J Urol - November 18, 2020 Category: Urology & Nephrology Source Type: research