International Brazilian Journal of Urology : official journal of the Brazilian Society of Urology最新文献

{"title":"Bulbar urethral stricture: penile skin flap may be a good option?","authors":"L. Favorito","doi":"10.1590/S1677-5538.IBJU.2019.05.01","DOIUrl":"https://doi.org/10.1590/S1677-5538.IBJU.2019.05.01","url":null,"abstract":"The September-October 2019 issue of the International Brazilian Journal of Urology presents original contributions with a lot of interesting papers in different fields: Infertility, Bladder Cancer, Prostate Cancer, Renal Cell Carcinoma, Partial nephrectomy, Kidney stones, Nocturnal Enuresis, Basic Research, Urinary Incontinence, Transplantation, UPJ Obstruction, Pelvic Organ Prolapse, Hypogonadism, Vasectomy, Herbal Medicine in Fertility and Urethral Strictures. The papers come from many different countries such as Italy, Brazil, USA, Turkey, China, France, Iran, Lebanon, Singapore, Colombia, Tunisia, India and Spain, and as usual the editor ́s comment highlights some papers. We decided to comment the paper about a very interesting topic: Penile skin flap for anterior urethral sctricture (1). Doctor Hmida and collegues from the Sahloul Hospital Sousse, Tunisia, performed on page 1057 an interesting study about the Penile skin flap for anterior urethral stricture. They studied 77 patients underwent substitution urethroplasty using dorsal penile skin flap for bulbar urethral strictures. The mean stricture length was 5cm (3-10 cm) and the mean flap length was 6cm. The mean follow-up was 60 months (6-120). The overall success rate was 88%. The authors concluded that urethroplasty using penile skin flap appear to be a safe and efficient technique for the treatment of a long and complex anterior urethral stricture. There are several options for the treatment of anterior urethral stricture (2-4). The patient’s stricture position, length and complexity are important factors to decide the surgical technique (5-7). For long bulbar strictures the buccal mucosa graft (BMG) as gold-standard material due to its histological characteristics and very good long term results (8-12). However, there are multiple situations whereby BMG is inadequate (prior buccal harvest) or inappropriate for utilization (heavy oral radiation). The fascio-cutaneous flaps could be a good option in these situations. The penile skin flap is easy to perform, do not need urethral mobilization and the present paper shows a success rate of 88%, a very significant number. We congratulate the authors for this very important contribution.","PeriodicalId":13674,"journal":{"name":"International Brazilian Journal of Urology : official journal of the Brazilian Society of Urology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89368325","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Improvement of fertility parameters with Tribulus Terrestris and Anacyclus Pyrethrum treatment in male rats","authors":"D. Haghmorad, M. Mahmoudi, P. Haghighi, Paria Alidadiani, Ensieh Shahvazian, Parsova Tavasolian, M. Hosseini, M. Mahmoudi","doi":"10.1590/S1677-5538.IBJU.2018.0843","DOIUrl":"https://doi.org/10.1590/S1677-5538.IBJU.2018.0843","url":null,"abstract":"ABSTRACT Objective Anacyclus Pyrethrum (AP) and Tribulus Terrestris (TT) have been reported as male infertility treatment in several studies; however, in Iranian traditional medicine these two plants are prescribed simultaneously. In this study, we aimed to determine the effects of AP and TT extracts both separately and simultaneously on the male Wistar rat fertility parameters. Materials and Methods 32 male Wistar rats were divided into 4 groups: Control, TT, AP, and AT treated groups. Treatment continued for 25 days and rats were weighed daily. Their testes were dissected for histological studies. Sperm analysis including sperm count, viability and motility were performed. Serum was obtained to evaluate testosterone, LH and FSH levels. Histological studies were conducted to study Leydig, and Sertoli cells, spermatogonia and spermatid cell numbers, and to measure seminiferous diameter and epithelium thickness. Results Sperm count increased in all the treatment groups. Sperm viability and motility in AT and AP groups were elevated. TT and AT groups showed significantly increased testosterone level compared to control group (P=004, P=0.000, respectively) and TT, AP and AT treatment groups showed increased LH level (P=0.002, P=0.03 and P=0.000, respectively) compared to control, while only AT group showed increased FSH (p=0.006) compared to control. Histological studies showed significant increase of spermatogonia, Leydig and Sertoli cell numbers and epithelial thickness in AT group compared to other groups. All the treatment groups had higher number of Leydig, spermatogonia and spermatid cells. Conclusion TT and AP improved sexual parameters; however, their simultaneous administration had higher improving effects on studied parameters.","PeriodicalId":13674,"journal":{"name":"International Brazilian Journal of Urology : official journal of the Brazilian Society of Urology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82568227","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association between calcitonin receptor gene polymorphisms and calcium stone urolithiasis: A meta-analysis","authors":"J. Xing, Jia-xuan Qin, Zonglong Cai, B. Duan, Peide Bai","doi":"10.1590/S1677-5538.IBJU.2019.0061","DOIUrl":"https://doi.org/10.1590/S1677-5538.IBJU.2019.0061","url":null,"abstract":"ABSTRACT Purpose It has been reported that calcitonin receptor (CALCR) gene polymorphisms might be associated with calcium stone urolithiasis. Owing to mixed and inconclusive results, we conducted a meta-analysis to summarize and clarify this association. Materials and Methods A systematic search of studies on the association between CALCR gene polymorphisms and calcium stone urolithiasis susceptibility was conducted in databases. Results Odds ratios and 95% confidence intervals were used to pool the effect size. Five articles were included in our meta-analysis. Conclusions CALCR rs1801197 might be associated with increased risk of calcium stone urolithiasis. There is insufficient data to fully confirm the association between CALCR rs1042138 and calcium stone urolithiasis susceptibility. Well-designed studies with larger sample size and more subgroups are required to validate the risk identified in the current meta-analysis.","PeriodicalId":13674,"journal":{"name":"International Brazilian Journal of Urology : official journal of the Brazilian Society of Urology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91419907","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Focal therapy for prostate cancer – index lesion treatment vs. hemiablation. A matter of definition","authors":"A. Stabile, M. Moschini, F. Montorsi, X. Cathelineau, R. Sanchez-Salas","doi":"10.1590/S1677-5538.IBJU.2019.05.02","DOIUrl":"https://doi.org/10.1590/S1677-5538.IBJU.2019.05.02","url":null,"abstract":"1 Department of Urology and Division of Experimental Oncology, URI, Urological Research Institute, Vita-Salute San Raffaele University, IRCCS San Raffaele Scientific Institute, Milan, Italy; 2 Klinik für Urologie, Luzerner Kantonsspital, Lucerne, Switzerland; 3 Department of Urology, Institut Mutualiste Montsouris and Université Paris Descartes, Paris, France Vol. 45 (5): 873-876, September October, 2019","PeriodicalId":13674,"journal":{"name":"International Brazilian Journal of Urology : official journal of the Brazilian Society of Urology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78956346","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Macroplastique for women with stress urinary incontinence secondary to intrinsic sphincter deficiency","authors":"Timothy F. Carroll, A. Christie, M. Foreman, G. Khatri, P. Zimmern","doi":"10.1590/S1677-5538.IBJU.2019.0070","DOIUrl":"https://doi.org/10.1590/S1677-5538.IBJU.2019.0070","url":null,"abstract":"ABSTRACT Objective To evaluate the subjective and objective outcomes of Macroplastique® (MPQ) in women with stress urinary incontinence (SUI) secondary to intrinsic sphincter deficiency (ISD). Materials and Methods Following Institutional Review Board (IRB) approval, charts of non-neurogenic women with SUI secondary to ISD who underwent MPQ injection and had 6 months minimum follow-up were reviewed from a prospectively maintained database. Patients were divided into 3 groups: Naïve (Group I), Prior Anti-Incontinence Surgery (Group II), and combined Prior Bulking Agent and Anti-Incontinence Surgery (Group III). Data collected included SUI self-report, Urogenital Distress Inventory (UDI-6) Question 3, and VAS Quality of Life (QoL) Questionnaire scores at baseline and in follow-up. Three-dimensional ultrasound (3DUS) evaluated volume/configuration of MPQ. Success was defined after the last MPQ injection as a UDI-6 Question 3 score of 0 (dry) or 1, and no reoperation for SUI. Results From 2011-2017, 106 of 142 women met study criteria. At a median follow-up of 20 months (mean=26 months; range: 6-71), success rate was 41% for Group I, 40% for Group II, and 65% for Group III (p = 0.22). QoL scores were significantly improved over baseline in all groups. There was no significant difference in clinical outcome between the asymmetrical and symmetrical group on 3DUS. The completely dry rate was highest in Group III at 29%, compared to 4% for Group I and 15% for Group II (p = 0.05). Conclusion Macroplastique® improved subjective and objective outcome measures for SUI secondary to ISD as both a primary and secondary treatment option in women.","PeriodicalId":13674,"journal":{"name":"International Brazilian Journal of Urology : official journal of the Brazilian Society of Urology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79169357","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Editorial Comment: Portable model for vasectomy reversal training","authors":"R. Vieiralves","doi":"10.1590/S1677-5538.IBJU.2019.0092.1","DOIUrl":"https://doi.org/10.1590/S1677-5538.IBJU.2019.0092.1","url":null,"abstract":"We know that microsurgery training is still far from becoming a reality during the process of training residents in Brazil. In fact, there is a gap around the world and therefore, just the fact that we have an article dealing with this topic is already of great relevance. In this very interesting article conducted at Para State University, Brazil (1), a portable training model for vasectomy reversal was adopted. We know that with the current juncture of society and the number of vasectomies performed worldwide, there is an increasing demand for vasectomy reversal mainly associated with a new post-vasectomy relationship. The paper in question becomes even more relevant because of it ́s bimodal certification for microsurgical training based on a time performance and on a check list not only measuring the execution time of vasovasostomy but also with a checklist questionnaire assessing the most diverse specific items of an perfect anastomosis (eg, if the resident is placed in a comfortable position, equidistance between knots, number of knots, continuous needle vision, etc). We understand that this bimodal evaluation increases the accuracy in the training, since the time does not necessarily correlate with the quality of the anastomosis. However, some relevant aspects need to be highlighted. Vasectomy reversal surgery involves a complex number of factors for its true success. The preparation of the surgical field itself, the section of adhesions and previous fibrosis, the calibration and approximation of the deferens ends without tension, the stabilization of the anastomosis, the patency test, the observation of the four deferent layers in the intraoperative period -mucosa, two layers of muscle and the adventitia(failure to observe two muscle layers may indicate residual vasectomy scarring). Blood supply evaluation by thin mucosal bleeding is also important (2). None of these fundamental points for surgical success is reproduced through the present model. Moreover, we know that the technique used in the model, proposed by Benlloch (3) with only 4 sutures in a single layer is not a reference in the literature. Today, we found no statistical difference in patency or pregnancy results for twoand one-layer vasovasostomy but a minimum number of 6 sutures presumably offers a high quality anastomosis by preventing sperm leakage and the associated risk of granuloma (4, 5). Some considerations regarding the materials used should be made. A technical point is the fact that using an 8-0 suture could facilitate training without simulating real anastomosis situations. We understand that further in vivo studies with thicker sutures in a single anastomotic layer are needed to validate this model (6, 7). Also, as much as the 3D printed model addresses important aspects such as the presence of two layers allowing the training of two types of anastomoses, single layer or double layer, the consistency of the material hardly simulates the vas deferens real physical pro","PeriodicalId":13674,"journal":{"name":"International Brazilian Journal of Urology : official journal of the Brazilian Society of Urology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78245043","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Brazilian consensus in enuresis–recomendations for clinical practice","authors":"J. M. Netto, A. Rondon, G. D. de Lima, Miguel Zerati, E. D. Schneider-Monteiro, C. A. Molina, A. Calado, U. Barroso","doi":"10.1590/S1677-5538.IBJU.2019.0080","DOIUrl":"https://doi.org/10.1590/S1677-5538.IBJU.2019.0080","url":null,"abstract":"ABSTRACT Introduction Enuresis, defined as an intermittent urinary incontinence that occurs during sleep, is a frequent condition, occurring in about 10% of children at 7 years of age. However, it is frequently neglected by the family and by the primary care provider, leaving many of those children without treatment. Despite of many studies in Enuresis and recent advances in scientific and technological knowledge there is still considerable heterogeneity in evaluation methods and therapeutic approaches. Materials and Methods The board of Pediatric Urology of the Brazilian Society of Urology joined a group of experts and reviewed all important issues on Enuresis and elaborated a draft of the document. On September 2018 the panel met to review, discuss and write a consensus document. Results and Discussion Enuresis is a multifactorial disease that can lead to a diversity of problems for the child and family. Children presenting with Enuresis require careful evaluation and treatment to avoid future psychological and behavioral problems. The panel addressed recommendations on up to date choice of diagnosis evaluation and therapies.","PeriodicalId":13674,"journal":{"name":"International Brazilian Journal of Urology : official journal of the Brazilian Society of Urology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86141854","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"REPLY BY THE AUTHORS: Re: Antibiotic prophylaxis prior to urodynamic study in patients with traumatic spinal cord injury. Is there an indication?","authors":"M. R. D. Silva, A. L. Barboza, M. Pijoán, P. Beraldo","doi":"10.1590/S1677-5538.IBJU.2018.0193.1","DOIUrl":"https://doi.org/10.1590/S1677-5538.IBJU.2018.0193.1","url":null,"abstract":"We thank you for your comments on our latest publication (1). Indeed, what has motivated us the most to carry out this investigation was the lack of evidence concerning the usage of antimicrobials prior to urodynamic studies in spinal cord injured patients (2). An unexpected result for us was the greater incidence of urinary tract infection upon patients with injuries at T6 or above, regardlessly of the use of antimicrobials prior to the procedure. At this exact moment we are working on a new publication that details the incidence of urinary tract infection specifi cally amongst the 379 spinal cord injured patients with injuries at T6 or above, now considering the presence of autonomic dysrefl exia and urodynamic parameters. The results are becoming clinically relevant.","PeriodicalId":13674,"journal":{"name":"International Brazilian Journal of Urology : official journal of the Brazilian Society of Urology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83346700","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Int Braz J Urol Annual Report - 2017","authors":"S. Glina","doi":"10.1590/S1677-5538.IBJU.2018.0001","DOIUrl":"https://doi.org/10.1590/S1677-5538.IBJU.2018.0001","url":null,"abstract":"Traditionally, every year, the International Brazilian Journal of Urology evaluates its reviewers and selects the most efficient along the previous year, Evaluation is based on the number of performed reviews, time for conclusion and quality of work (1). In 2017, the five most efficient reviewers were: Fabio Vicentini (Hospital das Clínicas da Faculdade de Medicina da USP, SP, Brasil), Eduardo Kaiser Ururahy Nunes Fonseca (Hospital Israelita Albert Einstein SP, Brasil), Victor Srougi (Faculdade de Medicina de São Paulo, SP, Brasil), Elcio Silva (Clínica Dr. Élcio Dias Silva, Campinas, SP, Brasil) and Kemal Sarica (Kartal Dr. Lufi Kirdar Training and Research Hospital Istanbul, Turkey). We would like to thank them and all others reviewers, that are the reason for the existence of a peer-review scientific journal. Int Braz J Urol is an open-access magazine, integrally supported by the Brazilian Urological Society, that does not charge for the submission of papers. Also, it is included in the Urology Green List (2), that reunites all reliable and safe urological journals on which the urological community can publish their researches. In 2017, our Journal received 603 papers, and 28% were accepted. Medium time for first decision correspondence was 44 days, and more 42 days for publishing as Ahead of Print. Papers were sent from 42 countries, from 635 different institutions and 2254 authors; we used 1135 reviewers. The 5-year impact factor of IBJU in 2017 was 1.097.","PeriodicalId":13674,"journal":{"name":"International Brazilian Journal of Urology : official journal of the Brazilian Society of Urology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85411655","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Full-thickness skin mesh graft vaginoplasty: a skin sparing technique","authors":"G. Motta, P. Tavares, G. V. D. da Silva, Milton Berger, B. Silva, T. Rosito","doi":"10.1590/S1677-5538.IBJU.2016.0259","DOIUrl":"https://doi.org/10.1590/S1677-5538.IBJU.2016.0259","url":null,"abstract":"ABSTRACT Introduction: The ideal vaginoplasty method should promote good cosmetic and functional results with low morbidity. We describe a new technique for congenital vaginal agenesis using a full-thickness perforated skin graft. Materials and Methods: We report an 18 year old patient with vaginal agenesis (Morris syndrome) that undergone a modified version of McIndoe vaginoplasty. Patient is set in a low lithotomy position and lateral traction sutures are placed in labia and a 16Fr urethral catheter inserted. An inverted “V”-shaped incision is made in the mucosal plaque below the urethra. Blunt dissection in a cephalic posterior direction forms a space between the rectum and urethra. Special care is taken to avoid rectal tear during this maneuver. A full-thickness skin graft is removed from the lower abdomen measuring 12.0×6.0cm as an aesthetic abdominoplasty. The fat tissue is removed, remaining epidermis and dermis and the graft is perforated, allowing a great surface increase. After suturing over a mold, the graft is fixed in the created space. The donor site is closed with intradermal transversal suture. Results: From January 2009 to August 2015, seven patients diagnosed with vaginal agenesis underwent this technique. There were no major complications or need for blood transfusions. At the six-month follow-up, all patients reported satisfactory sexual intercourse. There were no significant complications at donor site or neovagina that needed surgical intervention. Conclusion: Vaginal reconstruction using the perforated graft is viable with excellent functional results. Applying this modification, we yielded the good results of a classic McIndoe technique with lower donor site morbidity.","PeriodicalId":13674,"journal":{"name":"International Brazilian Journal of Urology : official journal of the Brazilian Society of Urology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83916789","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}