Erratum: Prevalence and characterization of urolithiasis in the Western region of Saudi Arabia
Urology Annals 2020 12(2):203-203 (Source: Urology Annals)
Source: Urology Annals - April 14, 2020 Category: Urology & Nephrology Source Type: research

Pure cutaneous paratesticular leiomyosarcoma of the scrotum: A rare case report
We report a case of pure scrotal cutaneous LMS in a 45-year-old patient. (Source: Urology Annals)
Source: Urology Annals - April 14, 2020 Category: Urology & Nephrology Authors: Vipul D Yagnik Sushil Dawka Bhargav Yagnik Arun K Agnihotri Smriti Agnihotri Source Type: research

Combination of urolithiasis and anomaly: Bifid ureter with fusion in the intramural part
Vladimir Vladimirovich Protoshchak, Nikolay Yurievich Iglovikov, Maksim Vladimirovich ShevninUrology Annals 2020 12(2):196-198Kidney and upper urinary tract anomalies account for 23% of all birth defects. Partial duplication is slightly more prevalent than complete, 70% and 30%, respectively. A very low fusion of ureters, i.e., in the intramural part, is a rarer case. As a result, the joint section is very short (<1 cm) and may be invisible for radiological diagnosis. This case shows a rare variation of incomplete bifid ureter coupled with urolithiasis, which should be taken into account by the physician wh...
Source: Urology Annals - April 14, 2020 Category: Urology & Nephrology Authors: Vladimir Vladimirovich Protoshchak Nikolay Yurievich Iglovikov Maksim Vladimirovich Shevnin Source Type: research

Renal sinus angiomyolipoma: A rare case
Abhimanyu Gupta, Shivam Priyadarshi, Nachiket VyasUrology Annals 2020 12(2):193-195Angiomyolipoma (AML) consists of <10% of all renal tumors and is the most common benign mesenchymal neoplasm of the kidney. It arises from the renal cortex and extends toward perirenal fat. Fat-poor AML as well as those arising from rare locations may pose diagnostic difficulties. In our case, we report a rare presentation of this tumor arising from the renal sinus extending toward the pelvis thereby leading to an alternative diagnosis of transitional cell carcinoma of renal pelvis. (Source: Urology Annals)
Source: Urology Annals - April 14, 2020 Category: Urology & Nephrology Authors: Abhimanyu Gupta Shivam Priyadarshi Nachiket Vyas Source Type: research

Case report of a rare urinary bladder tumor variant (carcinosarcoma)
Hatem Hamed Althubiany, Rami Mohammad Hasan, Saeed Abdullah Alzahrani, Salem BahdilhUrology Annals 2020 12(2):190-192Carcinosarcoma of the bladder is a rare and aggressive variant of bladder tumor. The causes are not clear for this bladder tumor variant. Early diagnosis with immediate surgical resection is the most accepted management as reported so far in the literature, but the optimal management is unknown to date. Here, we report a case of a 62-year-old woman with bladder carcinosarcoma who presented with macroscopic hematuria. (Source: Urology Annals)
Source: Urology Annals - April 14, 2020 Category: Urology & Nephrology Authors: Hatem Hamed Althubiany Rami Mohammad Hasan Saeed Abdullah Alzahrani Salem Bahdilh Source Type: research

Multifocal nephrogenic adenoma treated by intravesical sodium hyaluronate
We present the first case of an adult successfully treated with intravesical sodium hyaluronate without resection. A 77-year-old man was investigated with cystoscopy for lower urinary tract symptoms (LUTS) unresponsive to medical therapy. This revealed multifocal flat black bladder lesions. Biopsy showed the lesions to be nephrogenic adenoma. His LUTS were treated with 6 weeks of intravesical sodium hyaluronate. He returned 6 weeks later for resection of his bladder lesions. However, resection was abandoned as the bladder lesions had entirely resolved. The resolution of the bladder lesions following intravesical sodium hya...
Source: Urology Annals - April 14, 2020 Category: Urology & Nephrology Authors: Nicola Santoni Lorna Cottrell Jennifer Elizabeth Talia Jones Holly Jane Bekarma Source Type: research

Giant pancreatic mucinous cystadenoma masquerading as renal hydatid disease
In conclusion, imaging can be unreliable in differentiating benign renal cysts from tumors of adjacent organs, raising a diagnostic dilemma. Surgical excision only would be able to differentiate the conditions as in our case. (Source: Urology Annals)
Source: Urology Annals - April 14, 2020 Category: Urology & Nephrology Authors: Shanmugasundaram Rajaian Ashwin Shekar Paulraj Lakshman Murugesan Premanand Sengottaiyan Source Type: research

A testosterone-producing Leydig cell tumor metastasis during hormonal treatment of prostate cancer
We describe a patient with a testosterone-producing metastasis discovered during the follow-up of prostate cancer. The patient had a history of a Leydig cell tumor (LCT) in the right testicle for which he underwent radical orchiectomy at the age of 60 years. Within a year after orchiectomy, he was diagnosed with prostate cancer. He received a radical prostatectomy with pelvic lymph node dissection. Due to recurrent prostate cancer, he underwent salvage radiation to the prostatic fossa and pelvic lymph node stations with hormonal treatment for 3 years. After approximately 1.5 years of chemical castration, a significant incr...
Source: Urology Annals - April 14, 2020 Category: Urology & Nephrology Authors: Laura Stokkel Henk G van der Poel Sigrun I Langbein J Martijn Kerst Jeroen de Jong Bas W. G van Rhijn Source Type: research

The use of gracilis muscle flap as a cover of tabularized buccal mucosal graft in the posterior urethral injury
We describe the use of gracilis muscle flap as support and cover for buccal mucosal graft which has been used for the repair of the posterior urethral injury. On removal of Foley's catheter after 3 weeks of the surgery, there was no leakage of urine from the perineal wound, and the patient was continent. The highly vascularized muscle flap is beneficial in patients with a poor graft bed secondary to prior radiotherapy, avoiding urinary diversion in most patients. (Source: Urology Annals)
Source: Urology Annals - April 14, 2020 Category: Urology & Nephrology Authors: Sandesh Vithal Parab Gaurav Goyal Sudarshan Jadhav Hemant Pathak Mukund Andankar Chetan Gadekar Source Type: research

Metastatic prostate cancer to an ischiorectal fossa lymph node identified on multiparametric magnetic resonance imaging
We report the case of a 72-year-old Caucasian male with elevated serum prostate-specific antigen and biopsy-confirmed high-risk prostate cancer who underwent multiparametric magnetic resonance imaging (MRI) for staging and treatment planning. The imaging revealed suspicious lymph nodes in the left ischiorectal and right obturator fossae that were biopsy confirmed as metastatic prostate adenocarcinoma. Herein, we present the divergence from the well-established lymphatic drainage of prostate cancer and the role of MRI in detecting this prostate cancer site of spread. (Source: Urology Annals)
Source: Urology Annals - April 14, 2020 Category: Urology & Nephrology Authors: Andrew M Fang Samuel J Galgano Jennifer B Gordetsky Sunil Sudarshan Andrew M McDonald Soroush Rais-Bahrami Source Type: research

Sporadic giant renal angiomyolipoma: A case report and literature review of clinical presentation, diagnosis, and treatment options
Mohammed Alshehri, Basel Hakami, Nasser Aljameel, Mohammad Alayyaf, Ali Abdel RaheemUrology Annals 2020 12(2):167-171Giant angiomyolipoma (AML) is uncommon benign renal neoplasm that occurs sporadic or in association with tuberous sclerosis syndrome. There is no specific cutoff tumor size and/or weight to define giant AMLs. Ovarian stimulation hormones might cause a marked increase in its size and subsequent bleeding risk. Incidental findings are not common in those patients as mass-associated symptoms always present. Computed tomography scan is the standard diagnostic imaging study except for tumors with poor fat content....
Source: Urology Annals - April 14, 2020 Category: Urology & Nephrology Authors: Mohammed Alshehri Basel Hakami Nasser Aljameel Mohammad Alayyaf Ali Abdel Raheem Source Type: research

The outcomes of renal cell carcinoma in a single tertiary care facility in Saudi Arabia
Conclusions: Our results revealed a notable discrepancy in the 5-year OS and the 5-year DFS as compared to studies in the literature. However, our study was limited to a single center and the majority of our patients were diagnosed at a rather early stage. With the rising number of RCC cases worldwide and in Saudi, this further necessitates extensive disease surveillance for trends in all parameters. (Source: Urology Annals)
Source: Urology Annals - April 14, 2020 Category: Urology & Nephrology Authors: Lujain Alqurashi Marwan Al-Hajeili Ehab Alsayyed Budoor Salman Hibatallah Mashat Rana Bokhary Source Type: research

Renal salvage, an achievable goal in patients with emphysematous pyelonephritis: Outcomes of an algorithmic renal preserving strategy
Conclusion: Our hospital-based algorithmic renal preserving strategy not only improved the survival but also decreased the need for nephrectomy. (Source: Urology Annals)
Source: Urology Annals - April 14, 2020 Category: Urology & Nephrology Authors: Rajeshkumar Reddy Adapala Ranjit Shetty P Venugopal G G. L. Prabhu Durgarao Yalla B Unnikrishnan Source Type: research

Comparison of magnetic resonance defecography with pelvic floor ultrasound and vaginal inspection in the urogynecological diagnosis of pelvic floor dysfunction
Conclusion: Despite different reference systems in the quantification of results, both the methods allow for a similarly successful separate assessment of all three compartments. The agreement between methods and interobserver agreement for the clinical diagnosis is good. Based on the results, we would recommend the supplemental dynamic PF ultrasound for part of the noninvasive examination for the diagnosis of POP. (Source: Urology Annals)
Source: Urology Annals - April 14, 2020 Category: Urology & Nephrology Authors: Bara Barakat Ali Afzal Dorothee Schweda Amin Laali Source Type: research

Correlation of metabolic syndrome and urolithiasis: A prospective cross-sectional study
Conclusion: This study indicates the presence of a significant association of metabolic syndrome and its components with urolithiasis. (Source: Urology Annals)
Source: Urology Annals - April 14, 2020 Category: Urology & Nephrology Authors: Keerthi Rams S Joseph Philipraj Rohit Purwar Balabhaskar Reddy Source Type: research

Forgotten double-J stent: Experience of a tertiary care center
Conclusions: A forgotten DJ stent affects population having low education score and belonging to the lower end of the socioeconomic class. Endourological procedures are quite successful in managing a forgotten DJ stent, provided the treatment options are selected judiciously and meticulously. We also suggest some protocols to be followed in our study in order to prevent a forgotten DJ stent. (Source: Urology Annals)
Source: Urology Annals - April 14, 2020 Category: Urology & Nephrology Authors: Vinayak Vajpeyi Saurabh Chipde Faiz Ahmed Khan Sanjay Parashar Source Type: research

Histopathology, pharmacotherapy, and predictors of prostatic malignancy in elderly male patients with raised prostate-specific antigen levels & #8211; A prospective study
Conclusion: In elderly patients with raised PSA levels or suspicious DRE findings, TRUS-guided prostate is recommended to rule out malignancy and plan appropriate management. (Source: Urology Annals)
Source: Urology Annals - April 14, 2020 Category: Urology & Nephrology Authors: Dhinesh Kumar Mathaiyan Satya Prakash Tripathi Jeffrey Pradeep Raj Bodapati Sivaramakrishna Source Type: research

Trends of upper urinary tract stone management in a high volume stone center in Saudi Arabia, 12 years analysis
Conclusion: In our institution, the frequency of URS rose over the years being the most abundant procedure done. ESWL rates have decreased over the years. (Source: Urology Annals)
Source: Urology Annals - April 14, 2020 Category: Urology & Nephrology Authors: Rakan Al Darrab Abdulmalik M Addar Ibrahim Al Shohaib Yahay Ghazwani Source Type: research

Is plasma sterilization the modality of choice of sterilization today for endourological procedures such as ureterorenoscopy and retrograde intrarenal surgery ? A single-center retrospective evaluation of 198 patients
Conclusion: Sterrad NX based on hydrogen peroxide gas plasma (HPGP) technology is highly efficacious, safe and the modality for sterilization of instruments, including heat labile instruments such as semi rigid, flexible and chip on the tip endoscopes and other EndoUrology armamentarium. (Source: Urology Annals)
Source: Urology Annals - April 14, 2020 Category: Urology & Nephrology Authors: Kandarp Priyakant Parikh Ravi Jineshkumar Jain Aditya K Parikh Source Type: research

Monthly maintenance protocol Bacillus Calmette & #8211;Guerin as a viable alternative to Southwest Oncology Group maintenance protocol in nonmuscle-invasive bladder cancer: A prospective randomized study
Conclusion: From this study, we can conclude that monthly maintenance BCG for 1 year is comparable in terms of outcome with SWOG protocol maintenance BCG. A greater percentage of patients in the monthly maintenance protocol completed the treatment as planned. (Source: Urology Annals)
Source: Urology Annals - April 14, 2020 Category: Urology & Nephrology Authors: Naveen Kumar Gupta Debansu Sarkar Dilip Kumar Pal Source Type: research

Trocar site recurrence after robotic partial nephrectomy to treat of renal cell carcinoma
Conclusion: TSR is potential type of RCC recurrence after RPN, though it is rare and underreported. Special attention should be given to examine the trocar site during the surveillance follow-up of RCC treated with RPN. It can develop up to 72 months after the surgery. (Source: Urology Annals)
Source: Urology Annals - April 14, 2020 Category: Urology & Nephrology Authors: Mohamad Waseem Salkini Source Type: research

Spectrum of tuberculosis in urology: Case series and review of the literature
Nirmal Kesavan Ponnayyan, Aravind Surendran Ganapath, Venugopal GanapathyUrology Annals 2020 12(2):107-111Urologists are confronted with various forms of extrapulmonary tuberculosis (TB) having an atypical presentation. The disease presents late with complications and sequelae. Four cases of extrapulmonary TB who presented to the urology department are reported here. The cases reported are TB adrenalitis, tuberculous cystitis, renal TB, and TB prostatitis. The prsentation of these cases shows GUTB as being a great imitator of other diseases. So there is a need for a very high index of suspicion for early diagnosis and to a...
Source: Urology Annals - April 14, 2020 Category: Urology & Nephrology Authors: Nirmal Kesavan Ponnayyan Aravind Surendran Ganapath Venugopal Ganapathy Source Type: research

RE: Miniaturized percutaneous nephrolithotomy versus retrograde intrarenal surgery in the treatment of renal stones with a diameter & #60;15 mm: A 3-year open-label prospective study
Mohd Nazli KamarulzamanUrology Annals 2020 12(1):106-106 (Source: Urology Annals)
Source: Urology Annals - January 13, 2020 Category: Urology & Nephrology Authors: Mohd Nazli Kamarulzaman Source Type: research

High-flow priapism treated with selective embolization of a helicine branch of the penile artery: A case report and selected review of the literature
Faizanahmed I Munshi, Young Suk Kwon, Douglas T Gibbens, Parvez Mahmood, Mukaram Gazi, Ephrem O OlwenyUrology Annals 2020 12(1):103-105High-flow, or nonischemic, priapism occurs in <5% of observed clinical presentations of all priapism and is characterized by prolonged, painless erection in the context of pelvic and genitourinary trauma. While conservative management can be safely attempted for many cases of high-flow priapism (HFP), selective embolization is becoming the preferred approach as it allows for rapid resolution. We, herein, present a case of a 42-year-old male patient who presented with trauma-induced ...
Source: Urology Annals - January 13, 2020 Category: Urology & Nephrology Authors: Faizanahmed I Munshi Young Suk Kwon Douglas T Gibbens Parvez Mahmood Mukaram Gazi Ephrem O Olweny Source Type: research

Congenital unilateral absence of vas deferens with contralateral testicular atrophy
We present a case report of a 25-year-old obese man complaining of primary infertility for 2 years. After a thorough examination and investigation were done, he had congenital unilateral absence of vas deferens with ipsilateral renal agenesis and a palpable vas deferens in the contralateral side with testicular atrophy. Semen analysis showed low semen volume (0.5 mL) with azoospermia. Hence, a scrotal exploration and a crossover transseptal vasoepididymostomy to relocate the vas deferens were done. After 6 months, the sperm concentration reached 5 × 106/mL with good motility (40%) and volume (1.5 mL). (Source: Urology Annals)
Source: Urology Annals - January 13, 2020 Category: Urology & Nephrology Authors: Turki A Alferayan Saad M Abumelha Mazen S Al Subayyil Bader M Al Asmari Talal M Al Nahas Source Type: research

Antegrade removal of a knotted ureteric stent: Case report and review of literature
We describe the case of a knotted stent and its removal along with a comprehensive literature review. (Source: Urology Annals)
Source: Urology Annals - January 13, 2020 Category: Urology & Nephrology Authors: Jennifer Bradshaw Atif Khan Ese Adiotomre Simon Burbidge Chandra Shekhar Biyani Source Type: research

Urethral duplication with rectourethral fistula: Review of two cases
Rama Kishan Saran, Kiran Mirdha, Sanya Saran, Rajendra Prasad TakharUrology Annals 2020 12(1):92-95 Urethral duplication is a very rarely observed congenital anomaly, mostly affecting the males. This case report highlights the management of two patients diagnosed with Type II A, Y-type urethral duplication. An 11-year-old boy was diagnosed with Type II A of Y-type urethral duplication, where the dorsal urethra was completely hypoplastic, and the ventral urethra was communicating with rectum. After the failure of a single-stage inner preputial pedicled tube urethroplasty, a perineoscrotal flap urethroplasty was done, and a...
Source: Urology Annals - January 13, 2020 Category: Urology & Nephrology Authors: Rama Kishan Saran Kiran Mirdha Sanya Saran Rajendra Prasad Takhar Source Type: research

Ureteroneocystostomy herniation leading to obstructive uropathy 10 years postrenal transplant: A rare case report
Shailesh Chandra Sahay, Dilip Bhalla, Pawan Kesarwani, Madan SethiUrology Annals 2020 12(1):90-91 Herniation of the urinary bladder is observed in around 1%–4% of cases. Bladder herniation rarely presents with obstructive uropathy; however, bladder herniation carrying ureteroneocystostomy and leading to obstructive uropathy of the graft is even rare. Here, we present a case of a 36-year-old male with deranged renal function test who had undergone renal transplant 10 years back. Computed tomography scan revealed bladder herniation with ureteroneocystostomy and hydronephrosis. He was surgically explored by Gib...
Source: Urology Annals - January 13, 2020 Category: Urology & Nephrology Authors: Shailesh Chandra Sahay Dilip Bhalla Pawan Kesarwani Madan Sethi Source Type: research

Extended Boari-flap reconstruction in isolated tuberculous pan-ureteral stricture
Shanmugasundaram Rajaian, Pragatheeswarane Murugavaithianathan, Karrthik Krishnamurthy, Lakshman MurugasenUrology Annals 2020 12(1):87-89A 53-year-old female presented with left loin pain and imaging showed left pan-ureteral stricture secondary to tuberculosis. The renal unit was salvaged by percutaneous nephrostomy. She was planned for ileal ureteric replacement. An extended Boari flap was constructed for her as the bladder capacity was good and Boari bladder flap reached the renal pelvis without tension. Follow-up nephrostogram revealed wide pyelovesical junction with prompt drainage. She completed antituberculous treatm...
Source: Urology Annals - January 13, 2020 Category: Urology & Nephrology Authors: Shanmugasundaram Rajaian Pragatheeswarane Murugavaithianathan Karrthik Krishnamurthy Lakshman Murugasen Source Type: research

Primary cutaneous mucinous carcinoma of the scrotum: A rare tumor at a rare site & #8211; A case report and review of literature
We report a case of a 72-year-old man with ulceration of painless scrotal lesions of 10 years' duration. Histology of the wedge biopsies of the lesions was mucinous carcinoma. Clinical workup excluded noncutaneous primary sites of mucinous carcinoma and distant metastasis. He had wide excision of the scrotal skin lesions with histological findings of nests of malignant cells separated from pool of mucin by fibrocollagenous septae. Periodic acid–Schiff stain was positive; however, immunohistochemical stains for estrogen and progesterone receptors were negative. No local recurrence was observed after 12 months of f...
Source: Urology Annals - January 13, 2020 Category: Urology & Nephrology Authors: Olajide Olusegun Abiola Gbemi H Ano-Edward Olutunde A Oluwumi Mathew E Lasisi Source Type: research

Penile cutaneous horn
Diya Pal, Dilip Kumar PalUrology Annals 2020 12(1):80-82 Cutaneous horns are cornified hyperkeratotic lesions on the skin, usually present on photo-exposed areas such as the face and scalp. Its presence on the penis is very rare. Here, we report a 35-year-old male presenting with penile cutaneous horn with successful management with wide local excision along with a review of other modalities of treatment of this rare entity. (Source: Urology Annals)
Source: Urology Annals - January 13, 2020 Category: Urology & Nephrology Authors: Diya Pal Dilip Kumar Pal Source Type: research

Noninfectious glans gangrene in a diabetic male
Gyvi Gaurav, Raghubir Bhardwaj, Shahnawaz AlamUrology Annals 2020 12(1):77-79 Limited glans penis gangrene is a rare subset of penile gangrene and is associated with favorable prognosis as compared to more aggressive course of the similar entity in moribund diabetic end-stage renal disease patients. A 64-year-old diabetic, hypertensive male with a history of tobacco consumption, bilateral great toe amputations, and normal renal function, presented with gangrene of glans penis and lower urinary tract symptoms. Early surgical debridement, glycemic control, and alpha-blocker treatment were successful in controlling the disea...
Source: Urology Annals - January 13, 2020 Category: Urology & Nephrology Authors: Gyvi Gaurav Raghubir Bhardwaj Shahnawaz Alam Source Type: research

Cystic trophoblastic tumor & #8211; The effect of chemotherapy in metastatic testicular germ cell tumor to retroperitoneal lymph nodes
Swetha Narla, Ann Kurian, Rajarajan Venkatesan, Ajit PaiUrology Annals 2020 12(1):73-76 Cystic trophoblastic tumor is an uncommon lesion which is occasionally seen after chemotherapy in metastatic retroperitoneal lymph nodes in patients with testicular germ cell tumor. The tumor cell clusters show cystic change lined by single to multiple layers of cells with abundant dense eosinophilic vacuolated cytoplasm, large pleomorphic vesicular nuclei with smudged chromatin, and prominent nucleoli. It is important to identify this lesion as its prognosis is similar to a teratoma and does not require any additional chemotherapy. (S...
Source: Urology Annals - January 13, 2020 Category: Urology & Nephrology Authors: Swetha Narla Ann Kurian Rajarajan Venkatesan Ajit Pai Source Type: research

Efficacy of follicle-stimulating hormone as a treatment of severe idiopathic oligospermia: A retrospective study
Conclusion: In conclusion, our study elicited that a dose of FSH as low as 75 IU can improve sperm count significantly in patients with severe IO. (Source: Urology Annals)
Source: Urology Annals - January 13, 2020 Category: Urology & Nephrology Authors: Ahmed Aljuhayman Abdulmalik Almardawi Moayid Fallatah Naif Alhathal Source Type: research

Assessment of posterior urethra in benign prostatic hyperplasia and after its surgery
Conclusion: By our findings, we conclude that BPH is associated with anatomic variations in posterior urethra such as lengthening of the length of the posterior urethra and increased posterior urethral elevation, which is measured by an increase in posterior urethral angle (PUA). Whereas post-TURP, there is a shortening of posterior urethra, decrease in PUA, decrease in prostatic volume, postvoid residual urine volume, and improvement in uroflowmetric parameters. (Source: Urology Annals)
Source: Urology Annals - January 13, 2020 Category: Urology & Nephrology Authors: Vivek Agrawal Rahul Khullar Ashesh Kumar Jha Source Type: research

Urolithiasis: Prevalence, risk factors, and public awareness regarding dietary and lifestyle habits in Jeddah, Saudi Arabia in 2017
Conclusion: This study highlights the lack of public awareness about urolithiasis and knowledge about its causation despite the high prevalence. There is a clear need to inform and educate the public on matters relating to the known risk factors associated with urolithiasis. (Source: Urology Annals)
Source: Urology Annals - January 13, 2020 Category: Urology & Nephrology Authors: Nada Yasser Baatiah Raghad Bader Alhazmi Fatmah Ali Albathi Esraa Ghazi Albogami Abdullah Khalid Mohammedkhalil Basim Saleh Alsaywid Source Type: research

Air embolism during percutaneous nephrolithotomy using air pyelogram during initial access: Does it really occur ?
Conclusions: The present study ascertains that using air for opacification of PCS for initial puncture access is a safe and acceptable alternative to iodinated contrast. (Source: Urology Annals)
Source: Urology Annals - January 13, 2020 Category: Urology & Nephrology Authors: Anshul Garg Mohd Mubashir Ali Khan Praveen Singh Manish Kumar Agarwal Source Type: research

Outcome of salvage ureteral reimplantation after endoscopic treatment failure for high-grade vesicoureteral reflux compared to primary ureteral reimplantation
Conclusion: SUR for high-grade primary VUR after failed Dx/Ha injection has the same success rate as PUR, with no significant complication rate, although the necessary dissection may be more difficult. (Source: Urology Annals)
Source: Urology Annals - January 13, 2020 Category: Urology & Nephrology Authors: Tariq Burki Muhammad S Howeiti Maha K Almadhi Fayez M Al Modhen Hamdan Alhazmi Santiago A Vallasciani Abdulwahab E Alhams Shahbaz W Mehmood Ahmed M Al Shammari Source Type: research

The effect of the body mass index on the types of urinary tract stones
Conclusions: In this study, we found that the incidence of certain types of stones, such as calcium oxalate, cystine, and uric acid stones, in Saudi Arabia can be predicted by BMI measurement. (Source: Urology Annals)
Source: Urology Annals - January 13, 2020 Category: Urology & Nephrology Authors: Raed M Almannie Khalid A AL-Nasser Khalid M Al-Barraq Muaath M Alsheheli Hamdan H Al-Hazmi Saleh A Binsaleh Abdulaziz M Althunayan Mohammed A Alomar Source Type: research

The safety of ureteral stenting with the use of potassium citrate for management of renal uric acid stones
Conclusion: Short-term use of ureteral stents is safe during the management of uric acid stones with K citrate. (Source: Urology Annals)
Source: Urology Annals - January 13, 2020 Category: Urology & Nephrology Authors: Nawaf Abdulaziz Alenezi Fouad Zanaty Amr Hodhod Mohammed El-Gharabawy Eid El-Sherif Atef Badawy Mohammed El-Shazly Source Type: research

Prospective audit of complications after ultrasonography-guided percutaneous nephrostomy for upper urinary tract obstruction using modified Clavien classification system
Conclusion: USG-guided PCN is a safe, minimally invasive, and effective procedure for upper urinary tract diversion with a low rate of morbidity. Individual complications are within the threshold limits set by the American College of Radiology, the Society of Interventional Radiology. mCCS is well applicable and easily reproducible tool for reporting the complications of PCN. (Source: Urology Annals)
Source: Urology Annals - January 13, 2020 Category: Urology & Nephrology Authors: Sunil Kumar Uma Kant Dutt Suresh Singh LN Dorairajan KS Sreerag Tepukiel Zaphu R Manikandan Source Type: research

Is cystoscopy follow-up protocol safe for low-risk bladder cancer without muscle invasion ?
Conclusion: The majority (80%) of recurrences in low-risk NMIBC occurred in the first 2 years. If the follow-up protocol described in the guidelines had been applied, patients with relapses would have a delay of at least 6 months of diagnosis. Therefore, even if there is no recurrence in the low-risk NMIBC at the 3rd and 9th months, it may be more appropriate to follow the cases in the first 2 years with follow-up cystoscopy every 3 months. (Source: Urology Annals)
Source: Urology Annals - January 13, 2020 Category: Urology & Nephrology Authors: Ugur Yucetas Erdogan Aglamis Huseyin Aytac Ates Kemal Behzatoglu Erkan Erkan Mahmut Gokhan Toktas Erdinc Unluer Source Type: research

The learning curve for robotic-assisted pyeloplasty in children: Our initial experience from a single center
Conclusions: The evaluation of the learning curve of RALP for this group of patients concluded that total operative time for RALP, performed by the pediatric urology team, steadily decreased with collective surgical experience. (Source: Urology Annals)
Source: Urology Annals - January 13, 2020 Category: Urology & Nephrology Authors: Noor Nabi Junejo Anwar Alotaibi Saeed Malwi Alshahrani Ahmad Alshammari Craig A Peters Hamdan Alhazmi Santiago A Vallasciani Source Type: research

Penile ring entrapment & #8211; A true urologic emergency: Grading, approach, and management
Omar Dawood, Seena Tabibi, Julia Fiuk, Neil Patel, Ahmed El-ZawahryUrology Annals 2020 12(1):15-18Penile rings are used to sustain erection in order to enhance sexual pleasure. They work by reducing the outflow of blood from the cavernosal tissue. However, if left for extended periods of time severe edema, urethral fistula, gangrene, and even complete loss of the distal penis can ensue, this is known as penile ring entrapment (PRE). Management poses particular challenges due to its rarity. Herein, we report our experience with three patients from our institution that presented with PRE and include a review of the approache...
Source: Urology Annals - January 13, 2020 Category: Urology & Nephrology Authors: Omar Dawood Seena Tabibi Julia Fiuk Neil Patel Ahmed El-Zawahry Source Type: research

Burnout of residents: Overview from various medical institutions & #8211; A suggested model for improvement
Conclusions: Various awareness and wellness programs, as well as professional counseling sessions, are proposed to help residents overcome burnout. (Source: Urology Annals)
Source: Urology Annals - January 13, 2020 Category: Urology & Nephrology Authors: Jad A Degheili Aline A Yacoubian Rana Abu Dargham Yaser Z El-Hout Source Type: research

Approach to a woman with urinary incontinence
Manidip Pal, Abhijit Halder, Soma BandyopadhyayUrology Annals 2020 12(1):4-8Urinary incontinence is a bothersome situation to the ailing woman. Many times, the woman does not come to medicos due to shyness, and if she comes also she does not reveal all the information. Hence, a sympathetic and structured approach will help to provide judicious management to these women. When a woman with the complaint of urinary incontinence approaches us, we should collect maximum information with the help of structured questionnaire and protocol. Structured questionnaire provides most of the information pertinent to the urinary incontine...
Source: Urology Annals - January 13, 2020 Category: Urology & Nephrology Authors: Manidip Pal Abhijit Halder Soma Bandyopadhyay Source Type: research

The role of robot-assisted radical prostatectomy in high-risk organ-confined prostate cancer
Mohamad Waseem SalkiniUrology Annals 2020 12(1):1-3 The traditional open retropubic radical prostatectomy has an established role in the treatment of prostate cancer. However, it is well known to be morbid procedure with high complication rate. This bad reputation prevented utilizing it on a large scale for high risk prostate cancer. Utilizing the da Vinci® to preform radical prostatectomy decreased the morbidity of the procedure. Since the introduction of robotic prostatectomy, there have been hot debates on its role in the treatment of high risk disease. In this article we reviewed the current evidence on utilizing...
Source: Urology Annals - January 13, 2020 Category: Urology & Nephrology Authors: Mohamad Waseem Salkini Source Type: research

Initial clinical presentation of prostate adenocarcinoma with hernial sac metastasis: A review of literature
Sudarshan Vishnu, Ashima Kapoor, Michael Maroules, Hamid Shaaban, Gunwant GuronUrology Annals 2019 11(4):453-456 (Source: Urology Annals)
Source: Urology Annals - October 9, 2019 Category: Urology & Nephrology Authors: Sudarshan Vishnu Ashima Kapoor Michael Maroules Hamid Shaaban Gunwant Guron Source Type: research

Zinner syndrome mimicking bladder outlet obstruction managed with aspiration
We present a case of a 19-year-old male with recurrent episodes of urinary tract infection (UTI) and poor urinary stream. On ultrasound examination, the patient was found to have absent right kidney with a cystic swelling noted to be arising from prostate or seminal vesicle region which was further confirmed on MRI examination. Cystoscopy reveals a bulge on the right side of the verumontanum abutting the neck of the bladder. An ultrasound-guided aspiration of the cyst was performed which relieved the symptoms of the patient. Cystic abnormalities of the seminal vesicle are very uncommon. Symptomatic cases may present as rec...
Source: Urology Annals - October 9, 2019 Category: Urology & Nephrology Authors: Ronal Kori Lovenish Bains Pawan Lal Swati Gupta Source Type: research

Tunica albuginea cyst presenting with milk of calcium
Erdal Karavas, Onur TaydasUrology Annals 2019 11(4):447-448 Tunica albuginea cysts are rarely seen but are important and can be diagnosed easily with ultrasonography. Calcium milk is defined as the precipitation of calcium in a cyst or other fluid-containing structure and can be seen in many organs. In this case report, calcium milk seen in a tunica albuginea cyst is discussed. (Source: Urology Annals)
Source: Urology Annals - October 9, 2019 Category: Urology & Nephrology Authors: Erdal Karavas Onur Taydas Source Type: research