490 results match your criteria Arab journal of urology[Journal]


Risk factors for the development of flank hernias and bulges following surgical flank approaches to the kidney in adults.

Arab J Urol 2018 Dec 4;16(4):453-459. Epub 2018 Jul 4.

Department of Urology, Ain Shams University, Cairo, Egypt.

Objectives: To evaluate the incidence and risk factors for the development of flank incisional hernias or bulges following surgical flank approaches to the kidney.

Patients And Methods: In all, 100 consecutive adult patients who underwent variable renal surgeries via flank approaches were included in this prospective study. The incidence and risk factors for flank hernias and bulges were studied at 1- and 6-months postoperatively. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S2090598X183005
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http://dx.doi.org/10.1016/j.aju.2018.06.001DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6277261PMC
December 2018
17 Reads

Simulation-based training in urology residency programmes in the USA: Results of a nationwide survey.

Arab J Urol 2018 Dec 17;16(4):446-452. Epub 2018 Jul 17.

WWAMI Institute for Simulation in Healthcare (WISH), Department of Surgery, University of Washington, Seattle, WA, USA.

Objective: To evaluate the current usage of simulation in urological education in the USA and the barriers to incorporating a simulation-based educational curriculum, as the shift towards competency-based medical education has necessitated the introduction of simulation for training and assessing both non-technical and technical skills.

Materials And Methods: Residency programme directors at Accreditation Council for Graduate Medical Education (ACGME)-accredited urology training programmes in the USA were invited to respond to an anonymous electronic survey. The study evaluated the programme directors' experiences and opinions for the current usage of existing urology simulators. Read More

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http://dx.doi.org/10.1016/j.aju.2018.06.003DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6277275PMC
December 2018

Bilateral same-session flexible ureterorenoscopy for renal and/or ureteric stone disease treatment.

Arab J Urol 2018 Dec 18;16(4):441-445. Epub 2018 May 18.

Department of Urology, Hisar Intercontinental Hospital, Istanbul, Turkey.

Objective: To evaluate the effectiveness and safety of bilateral same-session flexible ureterorenoscopy (f-URS) in the treatment of bilateral renal and/or ureteric stone disease.

Patients And Methods: From October 2007 to December 2015, 62 patients who had undergone bilateral, same-session f-URS were included in the study. The procedures were performed under general anaesthesia, in lithotomy, and initiated on the side in which the patient was clinically symptomatic or on the side in which the stone was smaller. Read More

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http://dx.doi.org/10.1016/j.aju.2018.04.002DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6277504PMC
December 2018
3 Reads

The use of a string with a stent for self-removal following ureteroscopy: A safe practice to remain.

Arab J Urol 2018 Dec 27;16(4):435-440. Epub 2018 Jun 27.

Department of Surgery, Division of Urology, Baylor Scott and White Health, Temple, TX, USA.

Abstract Objectives: To examine the safety and effectiveness of the use of a stent with a string attached after ureteroscopy (URS) for self-removal of the stent by the patient.

Patients And Methods: After Institutional Review Board approval, a retrospective chart review was performed concerning patients who underwent URS and received an indwelling stent with or without a string attached to the stent (94 vs 349, respectively). Amongst the string group patients received a single- or a double-arm-stringed stent (31 vs 63, respectively). Read More

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http://dx.doi.org/10.1016/j.aju.2018.04.005DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6277270PMC
December 2018
1 Read

Is the 4.5-F ureteroscope (Ultra-Thin) an alternative in the management of ureteric and renal pelvic stones?

Arab J Urol 2018 Dec 21;16(4):429-434. Epub 2018 Jun 21.

Department of Urology, Recep Tayyip Erdoğan University School of Medicine, Rize, Turkey.

Objectives: To compare the 7.5-9.5F ureteroscope (URS) with the 4. Read More

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http://dx.doi.org/10.1016/j.aju.2018.04.006DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6277274PMC
December 2018
14 Reads

Efficacy of silodosin on the outcome of semi-rigid ureteroscopy for the management of large distal ureteric stones: blinded randomised trial.

Arab J Urol 2018 Dec 26;16(4):422-428. Epub 2018 Jul 26.

Department of Urology, Benha Faculty of Medicine, Benha University, Benha, Egypt.

Objective: To evaluate the efficacy of silodosin therapy, as a new α-adrenergic receptor (α-AR) blocker, on the success rate of semi-rigid ureteroscopy (URS) for the management of large distal ureteric stones.

Patients And Methods: This prospective study recruited 127 adult patients with single distal ureteric stone of ≥1 cm. The patients were randomly allocated to two groups: the first group included 62 patients who received silodosin (8 mg) for 10 days before URS (Silodosin group), whilst the second group included 65 patients who received placebo, in the form of multivitamins, for 10 days before URS (Placebo group). Read More

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http://dx.doi.org/10.1016/j.aju.2018.07.002DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6277265PMC
December 2018

Simultaneous antegrade and retrograde endoscopic surgery for benign prostatic hyperplasia with vesical calculi - A single-centre experience.

Arab J Urol 2018 Dec 11;16(4):417-421. Epub 2018 Jun 11.

M.S. Ramaiah Hospital, Bangalore, India.

Objective: To describe the effectiveness and safety of our novel technique of simultaneous percutaneous cystolithotripsy with transurethral resection of prostate (TURP) for patients with benign prostatic hyperplasia (BPH) complicated with large vesical calculi.

Patients And Methods: This was a retrospective analysis of 25 patients who underwent simultaneous percutaneous cystolithotripsy with TURP between January 2012 and January 2016. Technique: A 28-F Amplatz sheath was inserted percutaneously into the bladder after sequential dilatation under cystoscopic guidance. Read More

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http://dx.doi.org/10.1016/j.aju.2018.04.004DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6277507PMC
December 2018

Thulium laser enucleation of the prostate (ThuLEP): Results, complications, and risk factors in 139 consecutive cases.

Arab J Urol 2018 Dec 5;16(4):411-416. Epub 2018 Jul 5.

Department of Urology and Men's Health, Al Garhoud Private Hospital, Dubai, United Arab Emirates.

Objectives: To report our experience with the emerging technique of thulium laser enucleation of the prostate (ThuLEP) for the treatment for prostate hyperplasia.

Patients And Methods: Our inclusion criteria were an International Prostate Symptom Score (IPSS) of >15 and a quality-of-life (QoL) score of >3 in patients with confirmed bladder outflow obstruction, no longer responsive to medical therapy, with a significant post-void residual urine volume (PVR; >100 mL), with or without recurrent urinary tract infection and/or acute urinary retention. Patients with neurogenic bladder, urethral strictures, bladder stones, and previously failed transurethral prostate surgery were excluded. Read More

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http://dx.doi.org/10.1016/j.aju.2018.05.004DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6277267PMC
December 2018
4 Reads

Oral desmopressin in nocturia with benign prostatic hyperplasia: A systematic review of the literature.

Arab J Urol 2018 Dec 25;16(4):404-410. Epub 2018 Jul 25.

Department of Urology, Urology and Nephrology Center, Mansoura University, Mansoura, Egypt.

Objective: To evaluate the effect of oral desmopressin in patients with nocturia associated with benign prostatic hyperplasia (BPH).

Patients And Methods: With a rise of the use of oral desmopressin in the treatment of nocturia in patients with BPH, a systematic review was performed according to the Cochrane systematic reviews guidelines and in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) checklist.

Results: The literature search yielded 18 studies. Read More

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http://dx.doi.org/10.1016/j.aju.2018.06.007DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6277262PMC
December 2018
2 Reads

Autologous versus synthetic slings in female stress urinary incontinence: A retrospective study.

Arab J Urol 2018 Dec 9;16(4):397-403. Epub 2018 Jul 9.

Department of Urology, Faculty of Medicine, Ain Sham University, Cairo, Egypt.

Objective: To evaluate and compare the clinical (patient's morbidity, quality of life [QoL]) and economic impact of autologous vs synthetic slings in female stress urinary incontinence (SUI), as over the last decade, the introduction of synthetic vaginal tapes for managing SUI has gained wide acceptance being quicker with low morbidity. Synthetic vaginal tapes have been progressively replacing the use of autologous rectus fascia. However, the high cost of these synthetic tapes is almost always an obstacle for most patients of limited socio-economic resources in the Egyptian community. Read More

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http://dx.doi.org/10.1016/j.aju.2018.05.002DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6277266PMC
December 2018
5 Reads

The first Iraqi experience in sacral neuromodulation for patients with lower urinary tract dysfunction.

Arab J Urol 2018 Dec 7;16(4):391-396. Epub 2018 Aug 7.

Department of Neurosurgery, Al-Mustansiriya University, Baghdad, Iraq.

Objectives: To present our experience, in Iraq, with sacral neuromodulation (SNM) in patients with refractory lower urinary tract dysfunction, with discussion of the factors that affect the response rate.

Patients And Methods: In this prospective, clinical, interventional study, 24 patients were evaluated and treated by a team comprised of a Urologist and a Neurosurgeon with SNM over a 1.5-year period. Read More

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http://dx.doi.org/10.1016/j.aju.2018.05.006DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6277263PMC
December 2018
3 Reads

Positive ureteric margins at radical cystectomy: Can it be predicted at initial transurethral resection of bladder tumour?

Arab J Urol 2018 Dec 14;16(4):386-390. Epub 2018 Jul 14.

Department of Urology, Christian Medical College and Hospital, Vellore, Tamilnadu, India.

Objective: To identify primary tumour-related factors at transurethral resection of bladder tumour (TURBT) that may predict positive distal ureteric margins (PUM) at the time of radical cystectomy (RC).

Patients And Methods: A retrospective, cohort study was conducted using our institution's data from June 2007 to June 2016. Patients who underwent TURBT followed by RC for non-metastatic urothelial carcinoma (UC) of the bladder were identified. Read More

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http://dx.doi.org/10.1016/j.aju.2018.06.004DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6277264PMC
December 2018
16 Reads

Radical nephrectomy and intracaval thrombectomy for advanced renal cancer with extensive inferior vena cava involvement utilising cardiopulmonary bypass and hypothermic circulatory arrest: Is it worthwhile?

Arab J Urol 2018 Dec 30;16(4):378-385. Epub 2018 Jul 30.

Department of Urology, University Hospital of Wales, Heath Park, Cardiff, UK.

Objective: To report our long-term outcomes of surgical treatment of renal tumours with inferior vena cava (IVC) tumour thrombus above the hepatic veins, utilising cardiopulmonary bypass (CBP) and hypothermic circulatory arrest (HCA), as surgical resection remains the only effective treatment for renal cancers with extensive IVC tumour thrombus.

Patients And Methods: We retrospectively reviewed 48 consecutive patients (median age 58 years) who underwent surgical treatment for non-metastatic renal cancer with IVC tumour thrombus extending above the hepatic veins. Perioperative, histological, disease-free (DFS) and overall survival (OS) data were recorded. Read More

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http://dx.doi.org/10.1016/j.aju.2018.06.005DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6277273PMC
December 2018
2 Reads

Multi-disciplinary and shared decision-making approach in the management of organ-confined prostate cancer.

Arab J Urol 2018 Dec 6;16(4):367-377. Epub 2018 Aug 6.

Department of Urology, Aga Khan University, Karachi, Pakistan.

Decision-making in the management of organ-confined prostate cancer is complex as it is based on multi-factorial considerations. It is complicated by a multitude of issues, which are related to the patient, treatment, disease, availability of equipment(s), expertise, and physicians. Combination of all these factors play a major role in the decision-making process and provide for an interactive decision-making preferably in the multi-disciplinary team (MDT) meeting. Read More

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http://dx.doi.org/10.1016/j.aju.2018.06.008DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6277278PMC
December 2018
3 Reads

Robot-assisted partial nephrectomy: How to minimise renal ischaemia.

Arab J Urol 2018 Sep 7;16(3):350-356. Epub 2018 Jul 7.

Specialist Centre for Renal Cancer, Royal Free Hospital, London, UK.

Renal ischaemia research has shown an increase in renal damage proportional to ischaemic time. Therefore, we assessed the importance of renal ischaemic times for warm and cold ischaemia approaches, and explored the different surgical techniques that can help to minimise renal ischaemia in robot-assisted partial nephrectomy (RAPN). Minimising renal ischaemia during nephron-sparing surgery (NSS) is a key factor in preserving postoperative renal function. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S2090598X183005
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http://dx.doi.org/10.1016/j.aju.2018.06.002DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6105361PMC
September 2018
13 Reads

Successful management of ureteric endometriosis by laparoscopic ureterolysis - A review and report of three further cases.

Arab J Urol 2018 Sep 31;16(3):342-349. Epub 2018 May 31.

Department of Urology, Lilavati Hospital and Research Center, Mumbai, India.

Objective: To review articles highlighting the effectiveness of conservative laparoscopic ureterolysis as a primary treatment option in patients with ureteric endometriosis and to report on a further three cases.

Patients And Methods: PubMed, EMBASE, Cochrane database were searched to identify articles reporting cases of laparoscopic management of ureteric endometriosis and, in particular management by ureterolysis. We further described three new cases of ureteric endometriosis managed at our institute. Read More

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http://dx.doi.org/10.1016/j.aju.2018.03.001DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6105344PMC
September 2018
1 Read

Contemporary use of ultrasonic versus standard electrosurgical dissection in laparoscopic nephrectomy: Safety, efficacy and cost.

Arab J Urol 2018 Sep 2;16(3):335-341. Epub 2018 Jul 2.

Department of Anaesthesiology, Bhopal Memorial Hospital and Research Centre, Bhopal, India.

Objective: To assess the safety, efficacy and cost-effectiveness of ultrasonic dissection (USD) compared with standard monopolar electrosurgery (ES) in laparoscopic nephrectomy (LN).

Patients And Methods: Retrospective analysis of patients' records who underwent elective LN was performed. Patients were divided in to two groups: USD and ES groups depending on the energy source used during LN. Read More

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http://dx.doi.org/10.1016/j.aju.2018.05.003DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6105343PMC
September 2018
5 Reads

Different approaches to the prostate: The upcoming role of a purpose-built single-port robotic system.

Arab J Urol 2018 Sep 24;16(3):302-306. Epub 2018 May 24.

Glickman Urological and Kidney Institute, Cleveland Clinic, Cleveland, OH, USA.

With the aim of minimising the patient's postoperative pain, expediting recovery and improving cosmesis, the idea of performing a laparoscopic procedure through a single abdominal incision was introduced. In the present report, we describe five different access routes to the prostate that may be at the surgeon's disposal with the potential of decreasing patient's perioperative morbidity. Robotic radical prostatectomy has been refined and became a standard of care in surgery for localised prostate cancer. Read More

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http://dx.doi.org/10.1016/j.aju.2018.04.003DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6105340PMC
September 2018
1 Read

Expanding the indications of robotic surgery in urology: A systematic review of the literature.

Arab J Urol 2018 Sep 7;16(3):270-284. Epub 2018 Aug 7.

Bristol Urological Institute, Southmead Hospital, Bristol, UK.

Objectives: To evaluate the recent developments in robotic urological surgery, as the introduction of robotic technology has overcome many of the difficulties of pure laparoscopic surgery enabling surgeons to perform complex minimally invasive procedures with a shorter learning curve. Robot-assisted surgery (RAS) is now offered as the standard for various surgical procedures across multiple specialities.

Methods: A systematic search of MEDLINE, PubMed and EMBASE databases was performed to identify studies evaluating robot-assisted simple prostatectomy, salvage radical prostatectomy, surgery for urolithiasis, distal ureteric reconstruction, retroperitoneal lymph node dissection, augmentation ileocystoplasty, and artificial urinary sphincter insertion. Read More

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http://dx.doi.org/10.1016/j.aju.2018.05.005DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6105341PMC
September 2018
11 Reads

The age of robotic surgery - Is laparoscopy dead?

Arab J Urol 2018 Sep 17;16(3):261. Epub 2018 Jul 17.

University Hospital RWTH Aachen, Aachen, Germany.

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http://dx.doi.org/10.1016/j.aju.2018.07.001DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6105342PMC
September 2018

Robotic stone surgery - Current state and future prospects: A systematic review.

Arab J Urol 2018 Sep 2;16(3):357-364. Epub 2017 Nov 2.

Department of Urology, Faculty of Medicine, University of Freiburg, Medical Centre, Freiburg, Germany.

Objective: To provide a comprehensive review of robot-assisted surgery in urolithiasis and to consider the future prospects of robotic approaches in stone surgery.

Materials And Methods: We performed a systematic PubMed© literature search using predefined Medical Subject Headings search terms to identify PubMed-listed clinical research studies on robotic stone surgery. All authors screened the results for eligibility and two independent reviewers performed the data extraction. Read More

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http://dx.doi.org/10.1016/j.aju.2017.09.004DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6104666PMC
September 2018
4 Reads

Laparoscopic and hand-assisted laparoscopic donor nephrectomy: A systematic review and meta-analysis.

Arab J Urol 2018 Sep 7;16(3):322-334. Epub 2018 Jul 7.

Department of Urology and Renal Transplantation, Beaumont Hospital, Dublin, Ireland.

Objective: To compare the perioperative outcomes of hand-assisted laparoscopic donor nephrectomy (HALDN) and pure LDN, as HALDN and LDN are the two most widely used techniques of DN to treat end-stage renal disease.

Methods: In this systematic review and meta-analysis, we performed a literature search of PubMed, Embase, Web of Science, and Cochrane from 01/01/1995 to 31/12/2014. The primary outcome was conversion to an open procedure. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S2090598X183003
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http://dx.doi.org/10.1016/j.aju.2018.02.003DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6104662PMC
September 2018
21 Reads

Laparoscopic renal surgery is here to stay.

Arab J Urol 2018 Sep 6;16(3):314-320. Epub 2018 Mar 6.

Department of Urology, Freeman Hospital, High Heaton, Newcastle upon Tyne, UK.

Objectives: To review the current literature comparing the outcomes of renal surgery via open, laparoscopic and robotic approaches.

Materials And Methods: A comprehensive literature search was performed on PubMed, MEDLINE and Ovid, to look for studies comparing outcomes of renal surgery via open, laparoscopic, and robotic approaches.

Results: Limited good-quality evidence suggests that all three approaches result in largely comparable functional and oncological outcomes. Read More

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http://dx.doi.org/10.1016/j.aju.2018.01.003DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6104665PMC
September 2018
4 Reads

Robot-assisted radical cystectomy with intracorporeal urinary diversion - The new 'gold standard'? Evidence from a systematic review.

Arab J Urol 2018 Sep 11;16(3):307-313. Epub 2018 Apr 11.

Department of Urology, Guy's Hospital, London, UK.

Objective: To investigate whether a totally intracorporeally radical cystectomy (RC) can be considered the new 'gold standard' in bladder cancer, as open RC (ORC) is the current 'gold standard' for surgical treatment of muscle-invasive and high-grade non-muscle-invasive bladder cancer. However, robot-assisted radical cystectomy (RARC) is becoming the preferred surgical approach in many centres as it seems to maintain the oncological control of open surgery whilst offering improved perioperative benefits.

Materials And Methods: A review of the literature was conducted using the Pubmed/MEDLINE, ISI Web of Knowledge and Cochrane Databases to identify studies that included both ORC and RARC with intracorporeal and extracorporeal urinary diversion (UD) published up to July 2017. Read More

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http://dx.doi.org/10.1016/j.aju.2018.01.006DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6104669PMC
September 2018
1 Read

How robotic surgery is changing our understanding of anatomy.

Arab J Urol 2018 Sep 6;16(3):297-301. Epub 2017 Nov 6.

Department of Surgery, Oncology and Gastroenterology - Urology, University of Padua, Padua, Italy.

The most recent revolution in our understanding and knowledge of the human body is the introduction of new technologies allowing direct magnified vision of internal organs, as in laparoscopy and robotics. The possibility of viewing an anatomical detail, until now not directly visible during open surgical operations and only partially during dissections of cadavers, has created a 'new surgical anatomy'. Consequent refinements of operative techniques, combined with better views of the surgical field, have given rise to continual and significant decreases in complication rates and improved functional and oncological outcomes. Read More

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http://dx.doi.org/10.1016/j.aju.2017.10.001DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6104660PMC
September 2018

A brief overview of the development of robot-assisted radical prostatectomy.

Arab J Urol 2018 Sep 24;16(3):293-296. Epub 2018 Jul 24.

Department of Urology, Rostock University, Germany.

Robot-assisted radical prostatectomy (RP) has gained remarkable worldwide distribution and has become a standard procedure for localised prostate cancer, indeed a new 'gold standard'. There are proven advantages in reduced blood loss and shorter recovery time. Whilst case series publications often report improved functional outcomes, systematic hospital and healthcare data analyses mostly do not support these findings. Read More

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http://dx.doi.org/10.1016/j.aju.2018.06.006DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6104667PMC
September 2018
1 Read

Complications in robotic urological surgeries and how to avoid them: A systematic review.

Arab J Urol 2018 Sep 14;16(3):285-292. Epub 2017 Dec 14.

Department of Urology, L'Institut Mutualiste Montsouris, Université Paris-Descartes, Paris, France.

Objectives: To review the main complications related to the robot-assisted laparoscopic (RAL) approach in urology and to suggest measures to avoid such issues.

Methods: A systematic search for articles of the contemporary literature was performed in PubMed database for complications in RAL urological procedures focused on positioning, access, and operative technique considerations. Each complication topic is followed by recommendations about how to avoid it. Read More

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http://dx.doi.org/10.1016/j.aju.2017.11.005DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6104661PMC
September 2018
7 Reads

The age of robotic surgery - Is laparoscopy dead?

Arab J Urol 2018 Sep 30;16(3):262-269. Epub 2018 Jul 30.

Klinikum am Steinenberg, Reutlingen, Germany.

Introduction: Robot-assisted laparoscopic surgery (RALS) has become a widely used technology in urology. Urological procedures that are now being routinely performed robotically are: radical prostatectomy (RP), radical cystectomy (RC), renal procedures - mainly partial nephrectomy (PN), and pyeloplasty, as well as ureteric re-implantation and adrenalectomy.

Methods: This non-systematic review of the literature examines the effectiveness of RALS compared with conventional laparoscopic surgery for the most relevant urological procedures. Read More

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http://dx.doi.org/10.1016/j.aju.2018.07.003DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6104663PMC
September 2018
5 Reads

Uretero-arterial fistula due to a hypogastric aneurysm.

Authors:
Augustin Pirvu

Arab J Urol 2018 Jun 24;16(2):257-259. Epub 2018 May 24.

Department of Vascular and Surgery, Grenoble University Hospital, Grenoble, France.

Uretero-arterial fistula is a rare condition that can result in life-threatening haematuria, which should be diagnosed and treated immediately. We report a case of uretero-arterial fistula due to a hypogastric aneurysm. The patient underwent an endovascular treatment of the hypogastric aneurysm associated with a percutaneous nephrostomy. Read More

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http://dx.doi.org/10.1016/j.aju.2018.05.001DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5992680PMC
June 2018
2 Reads

War-related penile injuries in Libya: Single-institution experience.

Arab J Urol 2018 Jun 22;16(2):250-256. Epub 2018 Mar 22.

Faculty of Medicine, University of Benghazi, Benghazi, Libya.

Objective: To report on our initial experience in the management of war-related penile injuries; proper diagnosis and immediate treatment of penile injuries is essential to gain satisfactory results. Besides treating primary wounds and restoring penile function, the cosmetic result is also an important issue for the surgeon.

Patients And Methods: The study was conducted in the Department of Urology at Benghazi Medical Center and comprised all patients who presented with a shotgun, gunshot or explosive penile injury between February 2011 and August 2017. Read More

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http://dx.doi.org/10.1016/j.aju.2018.01.005DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5992784PMC
June 2018
2 Reads

Comparing tamsulosin, silodosin versus silodosin plus tadalafil as medical expulsive therapy for lower ureteric stones: A randomised trial.

Arab J Urol 2018 Jun 24;16(2):245-249. Epub 2017 Dec 24.

Department of Urology, Regional Institute of Medical Sciences, Imphal, Manipur, India.

Objective: To compare the efficacy of tamsulosin, silodosin, and silodosin plus tadalafil as medical expulsive therapy (MET) for distal ureteric calculi.

Methods: In all, 120 patients who met the inclusion criteria were randomised into one of three treatment arms: tamsulosin (Group A), silodosin (Group B), and silodosin plus tadalafil (Group C). The drugs were given for a maximum of 4 weeks. Read More

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http://dx.doi.org/10.1016/j.aju.2017.11.012DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5992261PMC
June 2018
7 Reads

Influence of postnatal hydroureter in determining the need for voiding cystourethrogram in children with high-grade hydronephrosis.

Arab J Urol 2018 Jun 13;16(2):238-244. Epub 2017 Dec 13.

Departments of Surgery and Pediatric Surgery, Montreal Children's Hospital, McGill University, Montreal, Quebec, Canada.

Objective: To evaluate the utility of hydroureter (HU) to identify high-grade vesico-ureteric reflux (VUR) in patients with high-grade postnatal hydronephrosis (PH).

Patients And Methods: We retrospectively reviewed patients' charts that had antenatal hydronephrosis from 2008 to 2014. Patients were excluded if they presented with febrile urinary tract infection (fUTI), neurogenic bladder, posterior urethral valve, multi-cystic dysplastic kidney, and multiple congenital malformations. Read More

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http://dx.doi.org/10.1016/j.aju.2017.11.004DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5992681PMC
June 2018
11 Reads

Clitoroplasty: A variant of the technique by Acimi.

Arab J Urol 2018 Jun 22;16(2):232-237. Epub 2018 Feb 22.

Department of Pediatric Surgery, CHU of Sidi Bel Abbes, University of Sidi Bel Abbes, Sidi Bel Abbes, Algeria.

Objectives: To evaluate the mid-term results of clitoroplasty through the reduction of the length and diameter of the corpus cavernosum, as well as the volume of the glans.

Patients And Methods: From October 2003 to July 2015, we performed 29 clitoroplasties using the described procedure. The median (range) age of the patients was 18 (3-47) months. Read More

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http://dx.doi.org/10.1016/j.aju.2017.12.005DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5992257PMC
June 2018
10 Reads

Twin penile skin flap, is it the answer for repair of long anterior urethral strictures?

Arab J Urol 2018 Jun 28;16(2):224-231. Epub 2018 Mar 28.

Department of Urology, Ain Shams University, Cairo, Egypt.

Objective: To present our twin ventral penile skin flap technique for the management of complex long anterior urethral strictures not caused by lichen sclerosis (LS), with evaluation of surgical outcome and complications.

Patients And Methods: We retrospectively reviewed patients diagnosed with long complex anterior urethral strictures who were all referred to Ain Shams University hospital and operated on by three reconstructive surgeons. The surgical procedure was carried out as follows: exposure of the urethra through a ventral longitudinal penile skin incision and another perineal incision; two ventral longitudinal dartos-based penile skin flaps are used for urethral augmentation as onlay flaps. Read More

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http://dx.doi.org/10.1016/j.aju.2017.12.006DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5992783PMC
June 2018
15 Reads

Neo-glans reconstruction for penile cancer: Description of the primary technique using autologous testicular tunica vaginalis graft.

Arab J Urol 2018 Jun 21;16(2):218-223. Epub 2018 Mar 21.

Department of Urology, Teaching Hospital, Landesklinikum Korneuburg, Austria.

Partial penectomy (glansectomy with/or without distal corporectomy) is an acceptable alternative for smaller distal pT3 penile carcinoma lesions in highly motivated and compliant patients. The authors describe a novel technique of neo-glans reconstruction using a tunica vaginalis (TV) testis allograft. However, due to an unclear resection margin on final histology, the patient underwent re-do surgery with a neo-glans revision using the well-established mesh split-thickness skin graft (STSG) technique. Read More

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http://dx.doi.org/10.1016/j.aju.2018.02.002DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5992260PMC
June 2018
3 Reads

Repair of panurethral stricture: Proximal ventral and distal dorsal onlay technique of buccal mucosal graft urethroplasty.

Arab J Urol 2018 Jun 26;16(2):211-216. Epub 2017 Dec 26.

Department of Urology, Andhra Medical College, Andhra Pradesh, India.

Objective: To report the surgical details and results of our technique of buccal mucosal graft (BMG) urethroplasty for panurethral stricture, as many studies have reported repair of panurethral stricture by single-stage BMG urethroplasty by placing buccal mucosa ventrally, dorsally or dorsolaterally.

Patients And Methods: This was an observational analysis of 38 patients with panurethral stricture treated by placing two BMGs, one as a ventral onlay in the proximal bulbar urethra and the other as a dorsal onlay in the distal bulbar and penile urethra. Success was defined as asymptomatic state with or without need for a postoperative single intervention such as dilatation or internal urethrotomy. Read More

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http://dx.doi.org/10.1016/j.aju.2017.11.007DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5992266PMC
June 2018
1 Read

Preliminary study of prevalence for bladder cancer in Isfahan Province, Iran.

Arab J Urol 2018 Jun 17;16(2):206-210. Epub 2018 Jan 17.

Isfahan Kidney Transplantation Research Center, Alzahra Research Centers, Isfahan University of Medical Sciences, Isfahan, Iran.

Objectives: To clarify period prevalence (PP), incidence rate (Ir), and reported mortality for patients with bladder cancer (BC) in Isfahan Province/Iran, as BC is the most common cancer of the urinary tract in Iran and other parts of the world.

Patients And Methods: Data from 21 March 2011 to 3 March 2015 was obtained from the Isfahan Cancer Registry. BC was distinguished by the related established topography code (C67). Read More

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http://dx.doi.org/10.1016/j.aju.2017.11.017DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5992262PMC

Selective embolisation for intractable bladder haemorrhages: A systematic review of the literature.

Arab J Urol 2018 Jun 2;16(2):197-205. Epub 2018 Mar 2.

Queen Elizabeth University Hospital, Greater Glasgow and Clyde NHS Trust, Glasgow, UK.

Objective: To establish the current evidence and assess the effectiveness and safety of selective transarterial embolisation (STE) to control intractable bladder haemorrhage (IBH).

Materials And Methods: With a rise in the use of STE for the treatment of IBH, a systematic review was performed according to the Cochrane reviews guidelines and in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) checklist.

Results: The literature search yielded 38 studies, of which 11 were excluded because of irrelevance of data. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S2090598X183002
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http://dx.doi.org/10.1016/j.aju.2018.01.004DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5992684PMC
June 2018
4 Reads

Role of varicocele treatment in assisted reproductive technologies.

Arab J Urol 2018 Mar 1;16(1):188-196. Epub 2018 Feb 1.

Department of Urology, Ufuk University Medicine School, Ankara, Turkey.

Objective: In this review, we investigate the advantage of varicocele repair prior to assisted reproductive technologies (ART) for infertile couples and provide cost analysis information.

Materials And Methods: We searched the following electronic databases: PubMed, Medline, Excerpta Medica Database (Embase), Cumulative Index to Nursing and Allied Health Literature (CINAHL). The following search strategy was modified for the various databases and search engines: 'varicocele', 'varicocelectomy', 'varicocele repair', 'ART', ' fertilisation (IVF)', 'intracytoplasmic sperm injection (ICSI)'. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S2090598X183000
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http://dx.doi.org/10.1016/j.aju.2018.01.002DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5922188PMC
March 2018
6 Reads

Microscopic subinguinal varicocelectomy in 100 consecutive cases: Spermatic cord vascular anatomy, recurrence and hydrocele outcome analysis.

Arab J Urol 2018 Mar 1;16(1):181-187. Epub 2018 Feb 1.

Department of Urology, Menoufia University, Menofia Governorate, Egypt.

Objective: To evaluate the detailed vascular anatomy of the spermatic cord during subinguinal microscopic varicocelectomy and to assess the outcome of the cases with regard to varicocele recurrence and hydrocele formation.

Patients And Methods: In all, 100 varicocele cases including 74 left-sided and 26 bilateral, comprising 126 spermatic cord units with clinically palpable varicoceles underwent microscopic subinguinal varicocelectomy. Detailed description of vascular anatomy of the spermatic cords was reported. Read More

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http://dx.doi.org/10.1016/j.aju.2017.12.002DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5922226PMC

Spermatogonial stem cell transplantation and male infertility: Current status and future directions.

Arab J Urol 2018 Mar 27;16(1):171-180. Epub 2017 Dec 27.

Department of Urology, Weill Cornell Medicine, New York, NY, USA.

Objective: To summarise the current state of research into spermatogonial stem cell (SSC) therapies with a focus on future directions, as SSCs show promise as a source for preserving or initiating fertility in otherwise infertile men.

Materials And Methods: We performed a search for publications addressing spermatogonial stem cell transplantation in the treatment of male infertility. The search engines PubMed and Google Scholar were used from 1990 to 2017. Read More

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http://dx.doi.org/10.1016/j.aju.2017.11.015DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5922182PMC
March 2018
2 Reads

Varicocele management for infertility and pain: A systematic review.

Arab J Urol 2018 Mar 14;16(1):157-170. Epub 2017 Dec 14.

Department of Urology, Glickman Urological and Kidney Institute, Cleveland Clinic Foundation, Cleveland, OH, USA.

Despite being first described two thousand years ago, the varicocele remains a controversial multifaceted disease process with numerous biological consequences including infertility, hypogonadism, and chronic orchidalgia. The underlying mechanisms remain poorly understood and likely include hypoxia, oxidative stress, hyperthermia, anatomical aberrations, and genetics as primary components. Despite a high prevalence amongst asymptomatic fertile men, varicoceles paradoxically also represent the most common correctable cause for male infertility. Read More

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http://dx.doi.org/10.1016/j.aju.2017.11.003DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5922006PMC
March 2018
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Review of the role of robotic surgery in male infertility.

Arab J Urol 2018 Mar 13;16(1):148-156. Epub 2017 Dec 13.

The Personalized Urology and Robotics (PUR) Clinic, South Lake Hospital, Clermont, FL, USA.

Objectives: To present the current state of the art in various robot-assisted microsurgical procedures in male infertility and review the latest literature, as the technology in infertility procedures has substantially developed since the incorporation of the Vinci® robotic platform (Intuitive Surgical, Inc., Sunnyvale, CA, USA).

Materials And Methods: The search strategy in this review was conducted in accordance with Cochrane guidelines and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). Read More

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http://dx.doi.org/10.1016/j.aju.2017.11.006DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5922003PMC
March 2018
24 Reads

Systematic review of hormone replacement therapy in the infertile man.

Arab J Urol 2018 Mar 30;16(1):140-147. Epub 2017 Dec 30.

Department of Andrology, Sexual Medicine and Sexually Transmitted Diseases, Faculty of Medicine, Cairo University, Egypt.

Objectives: To highlight alternative treatment options other than exogenous testosterone administration for hypogonadal men with concomitant infertility or who wish to preserve their fertility potential, as testosterone replacement therapy (TRT) inhibits spermatogenesis, representing a problem for hypogonadal men of reproductive age.

Materials And Methods: We performed a comprehensive literature review for the years 1978-2017 via PubMed. Also abstracts from major urological/surgical conferences were reviewed. Read More

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http://dx.doi.org/10.1016/j.aju.2017.11.011DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5922183PMC
March 2018
4 Reads

Chromosomal abnormalities in infertile men with azoospermia and severe oligozoospermia in Qatar and their association with sperm retrieval intracytoplasmic sperm injection outcomes.

Arab J Urol 2018 03 23;16(1):132-139. Epub 2017 Dec 23.

Urology Department, Hamad Medical Corporation, Doha, Qatar.

Objective: To study the types and incidence of chromosomal abnormalities in infertile men with azoospermia and severe oligozoospermia in Qatar, and to compare the hormonal changes, testicular sperm retrieval rate, and intracytoplasmic sperm injection (ICSI) outcome between patients with chromosomal abnormalities and patients with idiopathic infertility.

Patients And Methods: This study involved the retrospective chart review of 625 infertile male patients attending an academic tertiary medical centre in Qatar. Retrieved information included data on medical history, family history, clinical examination, semen analysis, initial hormonal profiles, and genetic studies, ICSI, and sperm retrieval results. Read More

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http://dx.doi.org/10.1016/j.aju.2017.11.009DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5922002PMC
March 2018
7 Reads

Advances in sperm retrieval techniques in azoospermic men: A systematic review.

Arab J Urol 2018 Mar 26;16(1):125-131. Epub 2017 Dec 26.

Lilavati Hospital and Research Centre, Bandra Reclamation, Bandra west, Mumbai, India.

Objective: To evaluate various methods of operative sperm retrieval in men with non-obstructive azoospermia (NOA) and to determine the optimal surgical approach in terms of effectiveness, morbidity, and complications.

Materials And Methods: PubMed and Cochrane databases were searched to identify five recent reviews and meta-analyses evaluating outcomes for sperm retrieval in men with NOA.

Results And Conclusion: Micro-TESE is the most efficient method for retrieving sperm but requires special expertise and can be traumatic for the testes. Read More

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http://dx.doi.org/10.1016/j.aju.2017.11.010DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5922005PMC
March 2018
3 Reads

Systematic review of antioxidant types and doses in male infertility: Benefits on semen parameters, advanced sperm function, assisted reproduction and live-birth rate.

Arab J Urol 2018 Mar 2;16(1):113-124. Epub 2018 Jan 2.

American Center for Reproductive Medicine, Glickman Urological and Kidney Institute, Cleveland Clinic Foundation, OH, USA.

Objective: To explore the current evidence concerning the effect of oral antioxidant supplementation on various male fertility outcomes, as antioxidants are widely available compounds that are commonly used for the treatment of male infertility.

Materials And Methods: PubMed, Medline and Cochrane electronic databases were searched according to a modified Preferred Reporting Items for Systemic Reviews and Meta-Analyses (PRISMA) guidelines looking for studies investigating the effect of antioxidant therapy on infertile men. The studies were explored looking for antioxidants: (i) types and doses; (ii) mechanism of action and rationale for use; and (iii) effect on the different outcome measures reported. Read More

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http://dx.doi.org/10.1016/j.aju.2017.11.013DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5922223PMC
March 2018
2 Reads
1 Citation