ahead of print

Laparoscopic nephroureterectomy as treatment in obstructed hemivagina and ipsilateral renal agenesis (OHVIRA) syndrome

Vol. 45 (x): 2019 March 3.[Ahead of print]

doi: 10.1590/S1677-5538.IBJU.2018.0430


VIDEO SECTION


María Medina-González 1, Jorge Panach-Navarrete 1, Lorena Valls-González 1, Ana Castelló-Porcar 1, Jose María Martínez-Jabaloyas 1
1 Department of Urology. University Clinic Hospital of Valencia, Facultat de Medicina i Odontologia, Universitat de València, Spain

ABSTRACT

Introduction: OHVIRA syndrome is a rare entity characterized by renal and Mullerian anomalies. The objective of the video is, through a clinical case, to discuss the importance of diagnosis, management and treatment, to avoid the complications that this syndrome entails, and to improve the long-term prognosis.
Materials and Methods: We report the case of a 10-year-old girl who consulted for abdominal pain, being diagnosed with OHVIRA syndrome. We describe the diagnosis and the surgical technique. In addition, we perform a systematic review in PubMed to report the published literature of this topic and we show the optimal management of this pathology.

ARTICLE INFO

Available at: https://www.intbrazjurol.com.br/video-section/20180430_Medina-Gonzalez_et_al

[Full Text]


Indocyanine green – guided laparoscopic renal pedicle lymphatic disconnection: A novel, targeted treatment for chyluria

Vol. 45 (x): 2019 March 3.[Ahead of print]

doi: 10.1590/S1677-5538.IBJU.2018.0415


VIDEO SECTION

Joshua Yi Min Tung 1, Kenneth Chen 1, Allen Soon Phang Sim 1
1 Singapore General Hospital, Singapore

ABSTRACT

Introduction and Objectives: Chyluria, or the passage of chyle into the urine from anomalous lymphatic connections, results in a characteristic milky urine. In severe cases, it can cause signifi cant morbidity from nutritional losses and immune suppression. Although predominantly associated with Wuchereria bancrofti infections, non-parasitic cases have also been described.

 

ARTICLE INFO
Available at: https://www.intbrazjurol.com.br/video-section/20180415_Tung_et_al

[Full Text]


Intracorporeal renal hypothermia with ice Slush for robot-assisted partial nephrectomy in a highly complex renal mass

Vol. 45 (x): 2019 March 3.[Ahead of print]

doi: 10.1590/S1677-5538.IBJU.2018.0705


VIDEO SECTION

Jose Luis Bauza 1, Prithvi Murthy 2, Daniel Sagalovich 2, Riccardo Bertolo 2, Enrique Pieras 1, Pedro Piza 1, Jihad Kaouk 2
1 Department of Urology, Hospital Universitario Son Espases, Palma de Mallorca, Illes Balears, Spain; 2 Center for Laparoscopic and Robotic Surgery, Glickman Urological & Kidney Institute, Cleveland Clinic, Cleveland, Ohio – United States

ABSTRACT

To report our step-by-step technique for robotic partial nephrectomy using intracorporeal renal hypothermia (RPNIRH) in a highly complex renal mass. The robotic technology has allowed surgeons to recreate the principles of open surgery in a minimally invasive approach (1). With increasing experience, larger deeply infiltrative tumors can be treated with this technique (2). In complex cases, when a long warm ischemia time is expected, intracorporeal renal hypothermia can be useful to prevent permanent renal function loss (3).

ARTICLE INFO

Available at: https://www.intbrazjurol.com.br/video-section/20180705_Bauza_et_al

[Full Text]


Vesicostomy button: how is it placed, in whom, and how is quality of life affected?

Vol. 45 (x): 2019 April 4.[Ahead of print]

doi: 10.1590/S1677-5538.IBJU.2018.0686


ORIGINAL ARTICLE

Kelly J. Nast 1,2, George Chiang 1,2, Sarah Marietti 1,2
1 University of California, San Diego, CA, USA; 2 Rady Children’s Hospital, San Diego, CA, USA

ABSTRACT

Purpose: The vesicostomy button has been shown to be a safe and effective bladder management strategy for short- or medium-term use when CIC cannot be instituted.
This study reports our use with the vesicostomy button, highlighting the pros and cons of its use and complications. We then compared the quality or life in patients with vesicostomy button to those performing clean intermittent catheterization.
Materials and Methods: Retrospective chart review was conducted on children who had a vesicostomy button placed between 2011 and 2015. Placement was through existing vesicostomy, open or endoscopically. We then evaluated placement procedure and complications. A validated quality of life questionnaire was given to patients with vesicostomy button and to a matched cohort of patients performing clean intermittent catheterization.
Results: Thirteen children have had a vesicostomy button placed at our institution in the 4 year period, ages 7 months to 18 years. Indications for placement included neurogenic bladder (5), non-neurogenic neurogenic bladder (3), and valve bladders (5). Five out of 7 placed via existing vesicostomy had leakage around button. None of the endoscopically placed buttons had leakage. Complications were minor including UTI (3), wound infection (1), and button malfunction/leakage (3). QOL was equal and preserved in patients living with vesicostomy buttons when compared to CIC.
Conclusion: The vesicostomy button is an acceptable alternative to traditional vesicostomy and CIC. The morbidity of the button is quite low. Endoscopic insertion is the optimal technique. QOL is...

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Editorial comment: Cross-cultural adaptation and validation of the neurogenic bladder symptom score questionnaire for Brazilian Portuguese

Vol. 45 (x): 2019 May 07.[Ahead of print]

doi: 10.1590/S1677-5538.IBJU.2018.0335.1


EDITORIAL COMMENT

Blayne Welk 1
1 Division of Urology and Epidemiology and Biostatistics, Western University, London, UK

ABSTRACT

Not available

[Full Text]


Thyroid-like follicular carcinoma of the kidney presenting on a 10 year-old prepubertal girl

Vol. 45 (x): 2019 April 4.[Ahead of print]

doi: 10.1590/S1677-5538.IBJU.2018.0471


CHALLENGING CLINICAL CASES

Lisieux Eyer de Jesus 1, Celine Fulgêncio 1, Thais Leve 1, Samuel Dekermacher 1
1 Departamento de Cirurgia e Urologia Pediátrica, Hospital Federal dos Servidores do Estado, Rio de Janeiro, RJ, Brasil

ABSTRACT

The very rare thyroid-like carcinoma of the kidney (TLCK) is microscopically similar to thyroid follicular cell carcinoma (TFCC). Differential diagnosis with secondary thyroid tumors depends on non-reactivity to immunohistochemical (IHC) markers for TFCC (thyroglobulin – TG and TTF1). We herein describe the fourth Pediatric case in literature and extensively review the subject. Only 29 cases were published to the moment. Most cases were asymptomatic and incidentally detected. Most tumors are hyperechoic and hyperdense with low grade heterogenous enhancement on CT and MRI. Most patients were treated with radical nephrectomy, but partial nephrectomy was used in some cases, apparently with the same results. Metastases are uncommon and apparently do not change prognosis, but follow-ups are limited. Up to the moment, TLCK presents as a low grade malignancy that may be treated exclusively with surgery and frequently with partial kidney renal preservation. A preoperative percutaneous biopsy is a common procedure to investigate atypical tumors in childhood and adult tumors. To recognize the possibility of TLCK is fundamental to avoid unnecessary thyroidectomies in those patients, supposing a primary thyroid tumor.

Keywords: Kidney Neoplasms; Carcinoma; Pediatrics

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