Flexible Cystoscopy in the Setting of Macroscopic Hematuria: Do the Findings Justify Its Use?
Conclusion: Flexible cystoscopy in the setting of acute hematuria requiring hospitalization did not lead to diagnosis or treatment in over 40% of cases. In this setting, consideration should be given to performing an upfront cystoscopy under anesthesia.Urol Int (Source: Urologia Internationalis)
Source: Urologia Internationalis - July 20, 2021 Category: Urology & Nephrology Source Type: research

The Effect of Shock Wave Lithotripsy on Male and Female Sexual Dysfunction in Patients with Proximal Ureteral Stones
Conclusions: The possibility of developing temporary sexual dysfunction should be taken into account for patients who are candidates for SWL treatment. As the patient ’s age and BMI increase, SWL-related sexual dysfunction becomes more severe.Urol Int (Source: Urologia Internationalis)
Source: Urologia Internationalis - July 20, 2021 Category: Urology & Nephrology Source Type: research

Indication for Active Surveillance in the Era of MRI-Targeted Prostate Biopsies
Conclusions: We could demonstrate that classic algorithms led to ineligibility of patients for AS. We propose a new rating algorithm to improve tumor assessment for a more accurate indication for AS.Urol Int (Source: Urologia Internationalis)
Source: Urologia Internationalis - July 20, 2021 Category: Urology & Nephrology Source Type: research

Permanent Flank Bulge after Flank Incision: Patient- and Physician-Reported Outcome
Conclusion: Chronic pain and postoperative flank bulging are 2 of the most common long-term complications after open retroperitoneal access. If an open retroperitoneal approach is required, particularly obese patients should be thoroughly informed about the risk of flank bulging and chronic pain.Urol Int (Source: Urologia Internationalis)
Source: Urologia Internationalis - July 20, 2021 Category: Urology & Nephrology Source Type: research

Listening to Music during Outpatient Cystoscopy Reduces Pain and Anxiety and Increases Satisfaction: Results from a Prospective Randomized Study
Conclusions: Listening to music during elective cystoscopy significantly reduces pain and distress and leads to higher patient and surgeon satisfaction. We recommend listening to classical music or music chosen by the patients during outpatient flexible/rigid cystoscopy in daily clinical routine.Patient Summary: In this study, we found that patients who listened to classical music or music of their own choice while undergoing a cystoscopy showed significant reduction of pain and distress.Urol Int (Source: Urologia Internationalis)
Source: Urologia Internationalis - July 19, 2021 Category: Urology & Nephrology Source Type: research

The Lifelong Mysterious Relapsing “Kidney” Disease of the Founder of Turkey; Atatürk (1881–1938) in Connection with European Medical and Political History
Conclusion: Mustafa Kemal Atat ürk, the great military and political leader for his country, had always suffered from uro/nephrological problems throughout his life. We think that this was one of the reasons that urology has been privileged and thus to be the oldest separated medical surgical branch in Turkey and to some signifi cant extent with European urological history.Urol Int (Source: Urologia Internationalis)
Source: Urologia Internationalis - July 19, 2021 Category: Urology & Nephrology Source Type: research

Choosing a Specialist: An Explanatory Study of Factors Influencing Patients in Choosing a Urologist
Conclusions: Information on a specialist, such as professional qualifications and academic accomplishments, is easily accessible to patients with or without access to the Internet. However, recommendations and referrals, in addition to consistent care by the same treating physician, seem to be of high importance to all patients, regardless of gender or age.Urol Int (Source: Urologia Internationalis)
Source: Urologia Internationalis - July 16, 2021 Category: Urology & Nephrology Source Type: research

The Early Diagnostic and Prognostic Value of BIRC5 in Clear-Cell Renal Cell Carcinoma Based on the Cancer Genome Atlas Data
Conclusions: The high expression of BIRC5 is an important indicator for the prognosis of ccRCC, which makes BIRC5 an effective biomarker for predicting the prognosis of patients in ccRCC. BIRC5 may be a great potential biomarker for early diagnosis of ccRCC.Urol Int (Source: Urologia Internationalis)
Source: Urologia Internationalis - July 15, 2021 Category: Urology & Nephrology Source Type: research

Does COVID-19 Worsen the Semen Parameters? Early Results of a Tertiary Healthcare Center
Conclusion: COVID-19 may have unfavorable effects on the gonadal functions and may lead to further deterioration of the semen parameters in infertile men, which should be considered through the evaluation for infertility.Urol Int (Source: Urologia Internationalis)
Source: Urologia Internationalis - July 15, 2021 Category: Urology & Nephrology Source Type: research

Is Retrograde Intrarenal Surgery as Safe for Children as It Is for Adults?
Conclusion: There are small technical differences between pediatric patients and adult patients in our study, but RIRS in children is as safe and efficient as it is in adults.Urol Int (Source: Urologia Internationalis)
Source: Urologia Internationalis - July 9, 2021 Category: Urology & Nephrology Source Type: research

The Impact of Minimally Invasive Pituitary Surgery on Male and Female Sexual Dysfunction in Patients with Pituitary Adenoma
Conclusion: Our results showed that both males and females with pituitary adenomas benefitted from minimally invasive pituitary surgery in terms of a high-remission rate and improvement in sexual dysfunction.Urol Int (Source: Urologia Internationalis)
Source: Urologia Internationalis - July 9, 2021 Category: Urology & Nephrology Source Type: research

The Comparison of Imaging and Clinical Methods to Estimate Prostate Volume: A Single-Centre Retrospective Study
Conclusion: The PV obtained by MRI has proven to correlate with the PV obtained via auto-segmentation software as well as actual SPW, while also being more cost-effective and time-efficient. Therefore, demonstrating that MRI estimated the PV is an adequate method for use in clinical practice for therapeutic planning and patient follow-up.Urol Int (Source: Urologia Internationalis)
Source: Urologia Internationalis - July 9, 2021 Category: Urology & Nephrology Source Type: research

Improving Drinking and Micturition Habits in Preschool Children: An Educational Project
Conclusion: The present study could demonstrate an increased intake of fluids and significant changes in micturition behavior in the IG. So far, this is the first educational project in Germany addressing drinking and voiding management. Our results suggest that a training of preschool children and their caretakers is feasible and effective. Further nationwide research will be needed to confirm our results and assess the need for prevention in these areas.Urol Int (Source: Urologia Internationalis)
Source: Urologia Internationalis - July 8, 2021 Category: Urology & Nephrology Source Type: research

Nephrostomy Tube Misplaced into the Right Atrium: An Extremely Rare Case and Review of the Literature
We present an extremely rare case in which the nephrostomy tube pierced renal parenchyma, proceeded through the right renal vein and inferior vena cava, finally reaching the right atrium. Such a tube misplaced to atrium level was firstly reported, which was safely withdrawn using a 2-step process under fluoroscopic monitoring. We also recommend the tube be marked with different color lines to maintain awareness of the tube length that has passed the peel-away sheath. Such information might help to avoid such complication.Urol Int (Source: Urologia Internationalis)
Source: Urologia Internationalis - July 8, 2021 Category: Urology & Nephrology Source Type: research

Evaluation of Undescended Testes in Newborns: It Is Really Simple, Just Not Easy
Conclusion: Further treatment for UDT is based on clinical examination. Ours and previous studies can clearly show the various findings in boys suspected having UDT. Therefore, it is essential that the diagnosis is confirmed by a specialist before a therapy is initiated.Urol Int (Source: Urologia Internationalis)
Source: Urologia Internationalis - July 8, 2021 Category: Urology & Nephrology Source Type: research