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A New Customized Ureteral Stent with Non-Refluxing Silicone End-Piece to Alleviate Stent-Related Symptoms in Malignant Diseases

Mon, 12/30/2019 - 00:00
To evaluate the stent-related symptoms using a new customized ureteral stent with a non-refluxing silicone end-piece.
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Impact of MRI and targeted biopsies on eligibility and disease reclassification in MRI-positive candidates for active surveillance on systematic biopsies

Mon, 12/30/2019 - 00:00
To assess the impact of concomitant targeted biopsies (TB) for predicting final disease reclassification in MRI-positive low-risk prostate cancer patients eligible for active surveillance (AS) on systematic biopsies (SB).
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Effect of Diaphragmatic Breathing on Procedural Anxiety During Transrectal Prostate Biopsy

Sun, 12/29/2019 - 00:00
To improve the tolerability of transrectal ultrasound guided prostate biopsy through use of diaphragmatic breathing.
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Jackstone calculus

Fri, 12/27/2019 - 00:00
Jackstone calculus is a rare bladder stone with a unique appearance, presenting a stippled and spiculated contour. Correct diagnosis is important because it may have therapeutic implications, as this distinctive shape correlates with a specific mineral composition of calcium oxalate dihydrate, which tend to be easily fragmented by lithotripsy, allowing to attempt an endoscopic treatment instead of surgery in larger stones.We present the case of a 77-year-old male where a 2 cm bladder calculus was incidentally found on CT, with features that allowed to make straightforward the diagnosis of a jackstone calculus.
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Penile Disassembly in Complete Primary Repair of Bladder Exstrophy: Time for Re-Evaluation?

Fri, 12/27/2019 - 00:00
To explore a series of classic bladder exstrophy (CBE) cases referred to the authors’ institution where primary closure with penile disassembly epispadias repair was complicated by penile injury. The penile disassembly technique is frequently combined with bladder closure in patients with CBE undergoing the complete primary repair of exstrophy (CPRE). Penile disassembly has been posited as a risk for penile injury by ischemic mechanisms.
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Total Autologous Fascia Lata Anterior and Apical Pelvic Organ Prolapse Repair: A New Technique and Initial Experience

Fri, 12/27/2019 - 00:00
To address renewed interest in non-mesh transvaginal Pelvic Organ Prolapse (POP) repair since the FDA reclassification of transvaginal mesh, our goal was to develop a transvaginal sacrospinous fixation for anterior and apical POP using only autologous fascia lata. We report our experience in thirty-three patients.
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Robot-Assist Laparoscopic Radical Cystectomy and Sigmoid Orthotopic Neobladder Reconstruction for a Bladder Rhabdomyosarcoma Child: Case Report and Literature Review

Fri, 12/27/2019 - 00:00
A six-month-old child was admitted into our center with complaint of hydronephrosis in June 2018. He was diagnosed as embryoid rhabdomyosarcoma after cystoscopy with biopsy. After 22Gy radiotherapy and 4 cycles chemotherapy(VAC), robot-assisted radical cystectomy was performed. The orthotopic neobladder was reconstructed with sigmoid colon and bilateral ureter were reimplanted in Politano-Leadbetter technique. The patient was discharged after 14 days and chemotherapy was continued. Recent ultrasound examination showed that his maximal bladder capacity had increased to 120 ml, and intravenous urography revealed no urine leakage.
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A Case of an Adult Wilms Tumour in a Patient with Velocardiofacial Syndrome

Thu, 12/26/2019 - 00:00
Adult Wilms tumors (nephroblastomas) are exceedingly rare with less than 500 cases reported in the literature. To our knowledge, ours is the first reported case of a patient with velocardiofacial syndrome (Shprintzen syndrome) acquiring an adult Wilms tumor. The case highlights the possible role of chromosome 22q aberrations towards the pathogenesis of a subset of Wilms tumors.
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Efficacy and safety of supracostal access for mini percutaneous nephrolithotomy in pediatric patients

Thu, 12/26/2019 - 00:00
To evaluate the efficacy and safety of supracostal percutaneous nephrolithotomy (PCNL) through the 11th intercostal space and compare it with subcostal PCNL in children with renal calculi.
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Urinary diversion disparity following radical cystectomy for bladder cancer in the Hispanic population

Thu, 12/26/2019 - 00:00
To determine if disparities in quality of surgical care exist between Hispanics and non-Hispanics undergoing radical cystectomy for bladder cancer.
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“WATCH” SHAPED BUCCAL MUCOSA GRAFT FOR SIMULTANEOUS CORRECTION OF SEVERE CHORDEE AND URETHROPLASTY AS A ONE-STAGE REPAIR OF SCROTAL HYPOSPADIAS

Thu, 12/26/2019 - 00:00
Scrotal hypospadias still presents a challenge for reconstructive urologists. We present a novel and one-stage technique of using a specially shaped buccal mucosa graft for simultaneous ventral tunica grafting and urethroplasty for severe hypospadias repair.
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Variation of gonadal dysgenesis and tumor risk in patients with 45,X/46,XY mosaicism

Thu, 12/26/2019 - 00:00
To describe the gonadal features of patients with 45,X/46,XY mosaicism, and to evaluate the prevalence of gonadal tumor in different phenotypes.
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3D model facilitated zero-ischaemia laparoscopic nephron sparing resection in nephroblastomatosis following the addition of cis-retinoic acid

Thu, 12/26/2019 - 00:00
There are limited reports of laparoscopic nephron sparing surgery (LNSS) in children and none where a 3D model facilitated oncological resection. There are also limited reports discussing the use of cis-retinoic acid in bilateral diffuse hyperplastic peri-lobar nephrogenic rests(DHPLNR).We report the first case of a 3D model facilitated zero-ischaemia LNSS in children and the first following treatment with cis-retinoic acid.The patient was a 3-year-old girl with bilateral DHPLNR who had recurrent disease following standard therapy.
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Letter-to-the-Editor

Mon, 12/23/2019 - 00:00
Gretzer et al.1 describe a patient with symptomatic benign prostatic enlargement (BPE) who underwent prostatic urethral lift (PUL) and subsequently developed ecchymosis with computed tomography (CT) showing bilateral pelvic hematomas. This case is the first published incident of pelvic hematoma after PUL and was presumably self-limiting and required no further intervention.
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Impact of CYP2D6 polymorphisms on tamoxifen treatment in patients with retroperitoneal fibrosis: A first step towards tailored therapy?

Mon, 12/23/2019 - 00:00
To investigate the influence of CYP2D6 polymorphisms on outcomes and health-related quality of life (HRQoL) of patients with retroperitoneal fibrosis (RPF) receiving tamoxifen (TMX). TMX is an effective alternative to corticosteroids for patients with RPF. Conversion of tamoxifen to more potent endoxifen is dependent on enzyme activity of CYP2D6.
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Don´t Forget Burkitt´s Lymphoma! Unusual Case of Primary Malignant Lymphoma of the Prostate in a Young Patient

Fri, 12/20/2019 - 00:00
Primary Burkitt´s lymphoma of the prostate is rare in the adolescent population. The etiology remains poorly understood. There´s been some proposed associations to Epstein-Barr virus and HIV. Clinical and histopathological data of a 17-year-old patient who underwent transurethral resection of the prostate was obtained. We report the first case of primary malignant BL of the prostate in a 17-year-old Caucasian male who presented with hematuria, lower urinary tract symptoms. Differential diagnosis of a prostatic mass in adolescent patients must be primary or secondary lymphoma of the prostate, including BL as described for the first time in this article.
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Herniation of the right renal pelvis through a posterolateral diaphragmatic defect (Bochdalek hernia)

Fri, 12/20/2019 - 00:00
Diaphragmatic herniations are the rarest form of ureteral herniations with only around 9 cases reported since 1958.1-10 Though uncommon, it should be considered in the differential diagnosis of a posterior diaphragmatic or paraspinal opacity with associated hydronephrosis. Correct diagnosis is of paramount importance and can be easily established by non-invasive imaging technique. In symptomatic individuals, laparoscopic intervention can be offered with good results in fit patients with ureteral stenting reserved for poor surgical candidates .Here we present a successful laparoscopic management of an elderly female who presented with right flank pain and was diagnosed with a right sided diaphragmatic ureteral herniation.
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Pelvic Hematoma following UroLift procedure for BPH: Letter in response to reader comments

Thu, 12/19/2019 - 00:00
Thank you for sharing your interesting case. As referenced in our initial article, previous studies have noted that the most frequent complications experienced following the UroLift procedure are dysuria, hematuria, pelvic pain, urgency, and urinary tract infections1,2,3. Although patient results following the procedure are positive, with the L.I.F.T trial reporting a significant improvement in patient IPSS score with durable results 5 years post-operatively4, we have noted the potential for other complications not described in these clinical trials.
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HIGH-VOLUME CONCURRENT POLYPOID URETERITIS AND URETERITIS CYSTICA MANIFESTING WITH URETERAL OBSTRUCTION

Thu, 12/19/2019 - 00:00
Polypoid ureteritis, or fibroepithelial ureteral polyps, are a rare but benign neoplasm of unknown etiology in the upper urinary tract and may occur at any age. 1 Ureteritis cystica is also a rare but benign phenomenon that may develop following inflammatory conditions of the ureter and/or renal pelvis.1 Due to their appearance on imaging and frequently accompanying symptoms of gross hematuria, the masses are often clinically indistinguishable from upper tract urothelial carcinoma (UTUC) in adults.
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A Review on Management of Urolithiasis in Medieval Persia

Thu, 12/19/2019 - 00:00
Reviewing historical evidence indicates that the history of urinary stones is probably associated with the history of civilization.1,2 There are archeological reports on urolithiasis occurrence in the preserved mummies dating from 7000 years ago.2 Physicians of ancient civilizations were familiar with the etiology, clinical manifestations, and treatments of urinary tract diseases, e.g. urinary stones. In this regard, many studies have reviewed the history of urolithiasis1-3 and some of them considered the concept of urinary tract diseases in medieval Persian medicine (PM).
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