Selection process for the new Editor-in-Chief of the International Brazilian Journal of Urology

The course of Int Braz J Urol during the XXXVII Brazilian Congress of Urology was a sucess

The course of Int Braz J Urol during the XXXVII Brazilian Congress of Urology was a sucess. The course aims to develop new reviewers and demonstrate how a scientific paper should be written and submitted to Int Braz J Urol. Participated:  doctors Sidney Glina (editor); Francisco Sampaio (editor between 2000-2010) and Luciano Alves favorito (Elected new editor in chief for the períod 2020 to 2024) and with the support of AUA present with Dra. Angela Smith and the secretary general of AUA Dr. Jonh Densdent.  ...

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Assessment of long term outcomes after buccal mucosal graft urethroplasty: the impact of chronic kidney disease

Vol. 45 (x): 2019 August 8.[Ahead of print] doi: 10.1590/S1677-5538.IBJU.2019.0176 ORIGINAL ARTICLE Manoj Kumar 1, Ajay Aggarwal 1, Siddharth Pandey 1, Samarth Agarwal 1, Satya Narayan Sankhwar 1 1 Department of Urology, King George’s Medical University, Lucknow, INDIA ABSTRACT Objectives: To compare and assess various outcomes and success of buccal mucosal graft urethroplasty (BMGU) in patients with CKD versus patients having normal renal function. Material and Methods: This was a retrospective, single centre study, during period 2013 to 2017. Patients were grouped into two groups. Group 1 had patients with estimated Glomerular Filtration Rate (eGFR)>60mL/min/1.73m2 while group 2 had patients with eGFR <60mL/min/1.73m2. eGFR was calculated according to the MDRD equation. The two groups were compared with regard to various outcomes like length, location of stricture, technique of graft placement, intra-operative blood loss (haemoglobin drop), duration of hospital stay, post-operative complications and recurrence. Results: A total of 223 patients were included in study with group 1 had 130 patients and group 2 had 93 patients. Mean age of patients with CKD were higher (47.49 years versus 29.13 years). The mean follow-up period was comparable between both groups (23.29 months and 22.54 months respectively). Patients with CKD had more post-operative Clavien Grade 2 or higher complications (p=0.01) and a greater recurrence rates (p<0.001) than in non-CKD patients. On multivariate analysis, age and CKD status was signifi cant predictor of urethroplasty success (p=0.004) (OR= 14.98 (1.952-114.94, 95% CI). Conclusions: CKD patients are more prone to post-operative complications in terms of wound infection, graft uptake and graft failure and higher recurrence rates following BMGU. Keywords: Oral Mucosal Absorption; Renal Insuffi ciency, Chronic; Kidney Glomerulus [Full...

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Comparison of the outcomes of laparoscopic pyeloplasty with and without concomitant pyelolithotomy

Vol. 45 (x): 2019 June 6.[Ahead of print] doi: 10.1590/S1677-5538.IBJU.2018.0781 ORIGINAL ARTICLE Mustafa Kadihasanoglu 1, Ugur Yucetas 1, Emre Karabay 1, Erkan Sönmezay 1 1 Department of Urology, Istanbul Training & Research Hospital, Istanbul, Turkey ABSTRACT Objective: We aimed to evaluate the results of laparoscopic pyeloplasty with concomitant pyelolithotomy and compare results with a cohort of patients undergoing laparoscopic pyeloplasty without pyelolithotomy. Materials and Methods: We retrospectively reviewed records of 43 patients undergoing transperitoneal laparoscopic Anderson-Hynes dismembered pyeloplasty between December 2012 and July 2018 at our department. Eighteen patients (42%) underwent laparoscopic pyeloplasty with concomitant pyelolithotomy. The results of patients with renal stones were compared with 25 matched patients undergoing laparoscopic pyeloplasty without concomitant renal stones. Demographic data, operative and stone parameters were compared between the groups. Results: The groups were similar regarding to demographic characteristics. All operations were completed laparoscopically with no conversions to open surgery. In 3 cases without renal stones and 15 cases with renal stones, transposition of the ureter due to crossing vessels was performed. The mean stone size was 13±5.24 mm, and the median number of stones was 1 (1-18). The success of laparoscopic pyeloplasty with and without pyelolithotomy was 93.3% and 92.9%, respectively, as confirmed by negative diuretic renogram at postoperative 3rd months. Overall stone-free rate after laparoscopic pyelolithotomy was 93.3%. Mean operative time was 222.6765.71 minutes vs. 219.11±75.63 minutes for the pyeloplasty with concomitant pyelolithotomy vs. pyeloplasty, respectively (p=0.88). Conclusions: Laparoscopic pyeloplasty with concomitant pyelolithotomy is a safe and effective intervention with associated good cosmetic results and high stone-free rates without significant increase in operative time or complications. Keywords: Laparoscopy; Pyeloform [Supplementary Concept]; Cakut [Supplementary Concept] [Full...

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Macroplastique for women with stress urinary incontinence secondary to intrinsic sphincter deficiency

Vol. 45 (x): 2019 August 8.[Ahead of print] doi: 10.1590/S1677-5538.IBJU.2019.0070 ORIGINAL ARTICLE Timothy F. Carroll 1, Alana Christie 1, Melissa Foreman 1, Gaurav Khatri 1, Philippe E. Zimmern 1 1 University of Texas Southwestern Medical Center, TX, USA 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. Keywords:  Urinary Incontinence; Urinary Sphincter, Artificial; Women [Full...

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Editorial Comment: Study of kidney morphologic and structural changes related to different ischemia times and types of clamping of the renal vascular pedicle

Vol. 45 (4): 763-764, July – August, 2019 doi: 10.1590/S1677-5538.IBJU.2018.0559.1 EDITORIAL Luciano A. Favorito 1, 2, 3 1 Professor Titular, Unidade Urogenital da Univ. Est. do Rio de Janeiro – UERJ, RJ, Brasil; 2 Urologista do Hospital da Lagoa Federal, Rio de Janeiro , RJ, Brasil; 3 Editor Associado do International Braz J Urol ABSTRACT Not available [Full Text]...

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Editorial Comment: External validation of nomogram to predict inguinal lymph node metastasis in patients with penile cancer and clinically negative lymph nodes

Vol. 45 (4): 679-680, July – August, 2019 doi: 10.1590/S1677-5538.IBJU.2018.0756.1 EDITORIAL Luciano A. Favorito 1, 2, 3 1 Professor Titular, Unidade Urogenital da Univ. Est. do Rio de Janeiro – UERJ, RJ, Brasil; 2 Urologista do Hospital da Lagoa Federal, Rio de Janeiro , RJ, Brasil; 3 Editor Associado do International Braz J Urol ABSTRACT Not available [Full Text]...

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A comprehensive literature-based equation to compare cost-effectiveness of a flexible ureteroscopy program with single-use versus reusable devices

Vol. 45 (4): 658-670, July – August, 2019 doi: 10.1590/S1677-5538.IBJU.2018.0880 REVIEW ARTICLE Giovanni S. Marchini 1,2, Fabio C. Torricelli 1,2, Carlos A. Batagello 1,2, Manoj Monga 1,2, Fabio C. Vicentini 1, Alexandre Danilovic 1, Miguel Srougi 1, William C. Nahas 1, Eduardo Mazzucchi 1 1 Seção de Endourologia da Divisão de Urologia do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, SP, Brasil; 2 Glickman Urological and Kidney Institute, Cleveland Clinic, Cleveland, Ohio, United States ABSTRACT  Purpose: to critically review all literature concerning the cost-effectiveness of flexible ureteroscopy comparing single-use with reusable scopes. Materials and Methods: A systematic online literature review was performed in PubMed, Embase and Google Scholar databases. All factors potentially affecting surgical costs or clinical outcomes were considered. Prospective assessments, case control and case series studies were included. Results: 741 studies were found. Of those, 18 were duplicated and 77 were not related to urology procedures. Of the remaining 646 studies, 59 were considered of relevance and selected for further analysis. Stone free and complication rates were similar between single-use and reusable scopes. Operative time was in average 20% shorter with digital scopes, single-use or not. Reusable digital scopes seem to last longer than optic ones, though scope longevity is very variable worldwide. New scopes usually last four times more than refurbished ones and single-use ureterorenoscopes have good resilience throughout long cases. Longer scope longevity is achieved with Cidex and if a dedicated nurse takes care of the sterilization process. The main surgical factors that negatively impact device longevity are lower pole pathologies, large stone burden and non-use of a ureteral access sheath. We have built a comprehensive fi nancial costeffective decision model to fl exible ureteroscope acquisition. Conclusions: The cost-effectiveness of a fl exible ureteroscopy program is dependent of several aspects. We have developed a equation to allow a literature-based and adaptable decision model to every interested stakeholder. Disposable devices are already a reality and will progressively become the standard as manufacturing price falls. Keywords: Cost-Benefi t Analysis; Ureteroscopy; Kidney Calculi [Full...

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Enhanced recovery after surgery (ERAS) in radical cystectomy patients: from consensus to evidences

Vol. 45 (4): 655-657, July – August, 2019 doi: 10.1590/S1677-5538.IBJU.2019.04.02 EDITORIAL Marco Moschini 1,2, Armando Stabile 1,3, Agostino Mattei 2, Francesco Montorsi 3, Xavier Cathelineau 1, Rafael Sanchez-Salas 1 1 Department of Urology, L’Institut Mutualiste Montsouris, Université Paris Descartes, Paris, France; 2 Department of Urology, Luzerner Kantonsspital, Spitalstrasse, 6000 Luzern, Switzerland; 3 Department of Urology, Urological Research Institute, San Raffaele Scientific Institute, Milan, Italy Bladder cancer (BCa) is the second most common genitourinary malignancy with 81,190 estimated new diagnoses for 2018 in the United States alone (1). Radical cystectomy (RC) with bilateral pelvic lymph node dissection (PLND) and perioperative chemotherapy is the standard treatment recurrent high risk non-muscle invasive and for muscle invasive BCa (2). However, RC as well as perioperative chemotherapy represent a complex procedure associated with high perioperative morbidity and mortality as a consequence also of the characteristics of the population which is generally affected by multiple comorbidities when compared to other surgical procedures (3, 4). [Full Text]...

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Age and Body Mass Index: the most important factors of urinary and erectile function recovery after robotic assisted radical prostatectomy

Vol. 45 (4): 653-654, July – August, 2019 doi: 10.1590/S1677-5538.IBJU.2019.04.01 EDITORIAL In this issue Luciano Alves Favorito 1, 2, 3 1 Unidade de Pesquisa Urogenital da Univ. Estadual do Rio de Janeiro – UERJ, Rio de Janeiro, RJ, Brasil; 2 Hospital Federal da Lagoa, Rio de Janeiro, RJ, Brasil; 3 Editor Associado da International Braz J Urol The July-August 2019 issue of the International Brazilian Journal of Urology presents original contributions with a lot of interesting papers in different fields: Infertility, Bladder augmentation, Bladder Cancer, PCNL, Prostate Cancer, Renal Cell Carcinoma, Partial nephrectomy, Renal stones, Nocturnal Enuresis, Basic Research, Laparoscopic Surgery, Penile Cancer, Stress Urinary Incontinence and Adrenalectomy. The papers come from many different countries such as Italy, Brazil, USA, UK, Turkey, China, France, Iran, Republic of Korea, Argentina, India and Spain, and as usual the editor´s comment highlights some papers. We decided to comment the paper about a very interesting topic: Robotic-Assisted Radical Prostatectomy (RARP). [Full Text]...

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