Vesicovaginal fistula repair after a failed Lehoczky & #39;s island flap procedure
We present a 57-year-old woman following multiple failed transvaginal and transabdominal VVF repairs involving a labium majus skin island flap (Lehoczky flap) after radical hysterectomy for cervical cancer. (Source: Urology Annals)
Source: Urology Annals - January 20, 2022 Category: Urology & Nephrology Authors: Noemi Bord รก s Endre Holman Csaba Mar & #243;ti Janos Vancsura S Moln & #225;r E Francisco Martins S & #225;ndor Moln & #225;r Source Type: research

A rare case of renal artery aneurysm - dawning of new treatment approach
Asyraf Mad Dan, Saiful Azli, Mohd Ghani Khairul-Asri, Arvind Vashdev JagwaniUrology Annals 2022 14(1):99-101 Renal artery aneurysms are a rare occurrence, with a prevalence of about <1%. The majority of patients are asymptomatic and are diagnosed through incidental findings on imaging. In very rare occurrences, the aneurysm can rupture and cause significant morbidity and even death. (Source: Urology Annals)
Source: Urology Annals - January 20, 2022 Category: Urology & Nephrology Authors: Asyraf Mad Dan Saiful Azli Mohd Ghani Khairul-Asri Arvind Vashdev Jagwani Source Type: research

Can childbearing spinal cord injury women with continent cutaneous urinary diversion have child ?
We report two cases of three successful pregnancies in this population. (Source: Urology Annals)
Source: Urology Annals - January 20, 2022 Category: Urology & Nephrology Authors: Hilal Al Rashdi Laurent Soustelle Saad Ed Dine Fadli Stephane Droupy Source Type: research

A submucosal bladder stone in a 65-year-old woman
We describe a case of a 65-year-old woman with a submucosal bladder stone with no apparent underlying cause. She presented with lower abdominal pain, dysuria, and a history of recurrent cystitis. Ultrasound and computed tomography of the lower abdomen revealed the presence of lithiasis nearby to the left ostium. During ureterorenoscopy, stone was found neither in the bladder nor in the left ureter. Instead, we observed a macroscopic bulge close to the left ureter. After opening of the mucosa, a stone became visible and could be removed. Mostly, imaging of the calculus was done some time before surgery. During this time int...
Source: Urology Annals - January 20, 2022 Category: Urology & Nephrology Authors: Anneleen H Verhelst Maxime A De Fr & #233; Eric J Vergauwe Source Type: research

Upper tract urothelial carcinoma with Oligometastasis to the right ventricle, surgical considerations, and management
We report a case of a 43-year-old man presenting for long-standing hematuria and left flank pain. Computed tomography revealed a left renal mass with para-aortic lymphadenopathy, in addition to a potential mass in the RV. The mass involving the RV was confirmed on subsequent cardiac evaluation with magnetic resonance imaging (MRI) and echocardiography. After discussion in a multidisciplinary tumor board, the patient underwent a left nephrectomy, regional lymphadenectomy, and excision of metastatic RV tumor with bovine patch reconstruction. Final pathology reported invasive urothelial carcinoma in the left kidney with invol...
Source: Urology Annals - January 20, 2022 Category: Urology & Nephrology Authors: Talia A Helman Ahmad Saeed Imam Pedro Espino-Grosso Trushar Patel Source Type: research

Percutaneous cystolithotripsy of bladder stones in children: A case series, an experience from a tertiary hospital
This report aims to define the surgical challenges presented by bladder stones and the multidisciplinary approach needed to deal with them. Under ultrasound or fluoroscopic guidance, we performed percutaneous cystolithotripsy in children. The percutaneous cystolithotripsy was the most frequent outpatient treatment. The bladder was first filled with contrast material or water. A Foley catheter was inserted in the urethra and left for a period of 3–5 days. The rectus fascia defect was closed using the 2-0 vicryl suture. Percutaneous suprapubic lithotripsy is a safe and successful procedure for treating bladder s...
Source: Urology Annals - January 20, 2022 Category: Urology & Nephrology Authors: Dahril Jufriady Ismy Arie Asnafi Rovy Pratama Source Type: research

Efficacy of extracorporeal shockwave lithotripsy, with modified position of the machine head in the treatment of lower calyceal stones in obese patients
Conclusions: Anterior rotation of the head of the shock wave machine is a suitable option for the treatment of lower calyceal stones in obese patients. (Source: Urology Annals)
Source: Urology Annals - January 20, 2022 Category: Urology & Nephrology Authors: Mohamed Abou-Farha Ahmed El-Abd Tarek Gameel Hassan Eltatawy Salah Nagla Source Type: research

Mortality in emphysematous pyelonephritis: Can we reduce it further by using a protocol-based treatment ? The results of a prospective study
Conclusions: Early risk stratification, intensive management, and prompt treatment according to a protocol can reduce mortality even further in patients with EPN. (Source: Urology Annals)
Source: Urology Annals - January 20, 2022 Category: Urology & Nephrology Authors: Kalyanaram Kone Naveen Thimiri Mallikarjun MD R. K. Keerthi Rams Source Type: research

Saudi patient knowledge and awareness regarding smoking as a risk factor for urological diseases
Conclusions: The knowledge and awareness were low among urological patients regarding smoking as a risk factor for urological diseases. (Source: Urology Annals)
Source: Urology Annals - January 20, 2022 Category: Urology & Nephrology Authors: Raed Mohammed Almannie Mohammed Saud Abunayan Abdullah Mohammed Alkhayal Ahmed Yahya Alzahrani Tarek Mohammad Alzahrani Saleh Abdulrahman Binsaleh Fahad Ali Alyami Source Type: research

Prospective study of de novo sexual dysfunction after anterior urethroplasty: Causative factors, incidence, and recovery of function & #8211; A single-center experience
Conclusion: Overall, anterior urethroplasty does not influence postoperative sexual function, whereas only older patients have a poor outcome. Most of the younger patients recover completely by 6 months. (Source: Urology Annals)
Source: Urology Annals - January 20, 2022 Category: Urology & Nephrology Authors: Prasenjit Bhowmik Gaurav Sharma Pramod Kumar Sharma Piyush Kumar Patawari Sumantra Dey Soumendranath Mandal Source Type: research

Effect of COVID-19-related lockdown on functional urology practice and patient care in Gulf Cooperation Council region
Conclusion: Our survey showed that majority of urologists in the GCC region were seeing patients during COVID-19 lockdown. Emergency services were prioritized. A large proportion of urologists had switched over to telephonic communication. Most of the responding urologists were uncertain about when and how to resume surgical procedures upon easing of the COVID-19-related restrictions. (Source: Urology Annals)
Source: Urology Annals - January 20, 2022 Category: Urology & Nephrology Authors: Mai Ahmed Banakhar Saleh Mohammed Bin Salman Tariq F Al-Shaiji Ayman Elamin Younis Maher Saleh Moazin Salim Al-Busaidy Ayman Raees Abdullah Al-Naimi Source Type: research

Prevalence of Y-chromosomal microdeletions and karyotype abnormalities in a cohort of Lebanese infertile men
Conclusion: Laboratory genetic testing is advised for males with nonobstructive infertility. Any abnormal finding can yield substantial consequences to assisted reproductive techniques or fertility treatment. It can offer a stable diagnosis for those with infertility issues. It is important to conduct counseling and routine genetic testing before assisted reproductive techniques. (Source: Urology Annals)
Source: Urology Annals - January 20, 2022 Category: Urology & Nephrology Authors: Jad A Degheili Aline A Yacoubian Rana H Abu Dargham Bassel G Bachir Source Type: research

Micro-dissection testicular sperm extraction in Klinefelter & #39;s syndrome patients, King Faisal Specialist Hospital and Research Center, Riyadh experience
Conclusions: The sperm retrieval rate in Klinefelter syndrome patients with m-TESE is in accordance with most of those reported in the literature. Regarding histopathology, hypo-spermatogenesis showed a favorable outcome. The pregnancy rate with intra-cytoplasmic sperm injection was 50%. (Source: Urology Annals)
Source: Urology Annals - January 20, 2022 Category: Urology & Nephrology Authors: Abdulmalik H Almardawi Rabea Akram Yara Kattan Shaheed Saleh Al Suhaibani Hamed AlAli Said Kattan Naif Al Hathal Source Type: research

A prospective observational study on the predictability of Triple-D score versus Quadruple-D score in the success rate of extracorporeal shock wave lithotripsy of renal stones 1 & #8211;2 cm in diameter
Conclusion: Triple-D scoring system has been successfully validated as the SFR showed a parallel increase with every positive component. The Quadruple-D scoring system with a simple addition of stone location can further facilitate the validation of Triple-D scoring by increasing SFR, keeping the calculation simple and easy to use. These findings support the incorporation of Quadruple-D scoring system over Triple-D scoring system. (Source: Urology Annals)
Source: Urology Annals - January 20, 2022 Category: Urology & Nephrology Authors: Soumish Sengupta Supriya Basu Kadambari Ghosh Source Type: research

Modified snodgrass hypospadias repair using the lembert suturing technique
Mohammed Jasim Alfeehan, Yasir Naif Qassim, Ahmed Khalaf Jasim, Waleed Khalid AlbayatiUrology Annals 2022 14(1):33-36 Background: Surgical repair of hypospadias deformity is a challenging and complex issue. However, the technique of Snodgrass and its modifications attend promising functional and cosmetic results. Purpose: To assess the Lembert suturing technique effectiveness as a modification of the Snodgrass technique in lowering an urethrocutanous fistula rate. Patients and Methods: Fifty boys with mid-shaft and distal hypospadias were repaired using the modified Snodgrass technique utilizing the interrupted Lembert ...
Source: Urology Annals - January 20, 2022 Category: Urology & Nephrology Authors: Mohammed Jasim Alfeehan Yasir Naif Qassim Ahmed Khalaf Jasim Waleed Khalid Albayati Source Type: research