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

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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XXXVII Congresso Brasileiro de Urologia – 2019

XXXVII Congresso Brasileiro de Urologia – 2019

XXXVII Congresso Brasileiro de Urologia – 2019 Clique na imagem para download dos Anais....

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XXXIV Congresso Brasileiro de Urologia – 2013

XXXIV Congresso Brasileiro de Urologia – 2013

XXXIV Congresso Brasileiro de Urologia – 2013 Clique na imagem para download dos...

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Association between calcitonin receptor gene polymorphisms and calcium stone urolithiasis: A meta-analysis

Vol. 45 (x): 2019 August 8.[Ahead of print] doi: 10.1590/S1677-5538.IBJU.2019.0061 ORIGINAL ARTICLE Jiaxuan Qin 1, Zonglong Cai 2, Jinchun Xing 1, Bo Duan 1, Peide Bai 1 1 Department of Urology Surgery, the First Affiliated Hospital of Xiamen University; Center of Diagnosis and Treatment of Urinary System Diseases, the First Affiliated Hospital of Xiamen University; the Key Laboratory of Urinary Tract Tumors and Calculi of Xiamen City, the First Affiliated Hospital of Xiamen University. Xiamen, Fujian, China; 2 The First Clinical Medical School of Fujian Medical University. Xiamen, Fujian, China 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 con-ducted in databases. Results: Odds ratios and 95% confi dence 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 insuffi cient data to fully confi rm 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 identifi ed in the current meta-analysis. Keywords: Receptors, Calcitonin; Urolithiasis; Meta-Analysis [Publication Type] [Full...

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Prevalence of enuresis and its impact in quality of life of patients with sickle cell disease

Vol. 45 (x): 2019 August 8.[Ahead of print] doi: 10.1590/S1677-5538.IBJU.2019.0026 ORIGINAL ARTICLE Alana de Medeiros Nelli 1, Flávia Cristina de Carvalho Mrad 2, Mateus de Andrade Alvaia 1, Heros Aureliano Antunes da Silva Maia 1, Carina Oliveira Silva Guimarães 3, Evanilda Souza de Santana Carvalho 3, Cristiano Mendes Gomes 3, José Murillo Bastos Netto 4,5,6, José de Bessa Junior 1,3 1 Departamento de Cirurgia Universidade Estadual de Feira de Santana, Feira de Santana, BA, Brasil; 2 Departamento de Pediatria, Unidade de Nefrologia Pediátrica, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brasil.; 3 Programa de Pós-Graduação em Saúde Coeltiva, Universidade Federal de Juiz de Fora, Juiz de For a, MG, Brasil; 4 Departamento de Cirurgia, Faculdade de Ciências Médicas e da Saúde de Juiz de Fora; 5 Faculdade de Ciências Médicas e da Saúde de Juiz de Fora, MG, Brasil; 6 Hospital e Maternidade Terezinha de Jesus de Juiz de Fora, Juiz de Fora, MG, Brasil  ABSTRACT Introduction: Evidence indicates an increase in the prevalence of enuresis in individu-als with sickle cell disease. The present study aims to evaluate the prevalence and im- pact of enuresis on quality of life in individuals with sickle cell disease. Materials and Methods: This cross-sectional study evaluated individuals with sickle cell disease followed at a reference clinic, using a questionnaire designed to evaluate the age of complete toilet training, the presence of enuresis and lower urinary tract, and the impact on quality of life of these individuals. Results: Fifty children presenting SCD (52% females, mean age ten years) were in-cluded in the study. Of those, 34% (17/50) presented as HbSC, 56% with HbSS (28/50), 2% S_-thalassemia (1/5) and 8% the type of SCD was not determined. The prevalence of enuresis was 42% (21/50), affecting 75% of subjects at fi ve years and about 15% of adolescents at 15 years of age. Enuresis was classifi ed as monosymptomatic in 33.3% (7/21) and nonmonosymptomatic in 66.6% (14/21) of the cases, being primary in all subjects. Nocturia was identifi ed in 24% (12/50), urgency in 20% (10/50) and daytime incontinence 10% (5/50) of the individuals. Enuresis had a signifi cant impact on the quality of life of 67% of the individuals. Conclusion: Enuresis was highly prevalent among children with SCD, and continues to be prevalent throughout early adulthood, being more common in males. Primary nonmonosymptomatic enuresis was the most common type, and 2/3 of the study popu-lation had a low quality of life. Keywords: Quality of Life; Sickle Cell Trait; Enuresis [Full...

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Improvement of fertility parameters with tribulus terrestris and Anacyclus Pyrethrum treatment in male rats

Vol. 45 (x): 2019 August 8.[Ahead of print] doi: 10.1590/S1677-5538.IBJU.2018.0843 ORIGINAL ARTICLE Dariush Haghmorad 1,2, Mohammad Bagher Mahmoudi 3, Pardis Haghighi 4, Paria Alidadiani 4, Ensieh Shahvazian 4, Parsova Tavasolian 4, Mahmoud Hosseini 5, Mahmoud Mahmoudi 4 1 Department of Pathology and Laboratory Medicine, School of Medicine, Semnan University of Medical Sciences, Semnan, Iran; 2 Department of Immunology, School of Medicine, Semnan University of Medical Sciences, Semnan, Iran; 3 Department of Genetics, Shahid Sadoughi University of Medical Sciences, Yazd, Iran; 4 Immunology Research Center, BuAli Research Institute, Department of Immunology and Allergy, School of Medicine, Mashhad University of Medical Sciences; 5 Neuroscience Research Center, Department of Physiology, School of Medicine, Mashhad University of Medical Sciences 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 Wi-star 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 seminif-erous diameter and epithelium thickness. Results: Sperm count increased in all the treatment groups. Sperm viability and mo-tility in AT and AP groups were elevated. TT and AT groups showed signifi cantly 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 signifi cant 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 ad- ministration had higher improving effects on studied parameters. Keywords: Tribulus; Testosterone; Receptors, FSH; Receptors, LH [Full...

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Analysis of surgeon biometrics during open and robotic radical cystectomy with electromyography and motion capture analysis

Analysis of surgeon biometrics during open and robotic radical cystectomy with electromyography and motion capture analysis

Vol. 45 (x): 2019 June 6.[Ahead of print] doi: 10.1590/S1677-5538.IBJU.2019.0163 VIDEO SECTION Adam Baumgarten 1, Joon Kim 1, Jeff Robison 1, John Mayer 2, Dustin Hardwick 2, Trushar Patel 1 1 Department of Urology, University of South Florida, CA, United States; 2 Department of Physical Therapy, University of South Florida, CA, United States...

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Analysis of surgeon biometrics during open and robotic radical cystectomy with electromyography and motion capture analysis

Vol. 45 (x): 2019 June 6.[Ahead of print] doi: 10.1590/S1677-5538.IBJU.2019.0163 VIDEO SECTION Adam Baumgarten 1, Joon Kim 1, Jeff Robison 1, John Mayer 2, Dustin Hardwick 2, Trushar Patel 1 1 Department of Urology, University of South Florida, CA, United States; 2 Department of Physical Therapy, University of South Florida, CA, United States ABSTRACT Purpose: To determine feasibility of measuring surgeon physical stress during both open radical cystectomy (ORC) and robotic radical cystectomy (RRC). Materials and Methods: One patient underwent ORC, while the other underwent RRC by a single surgeon. The diversion was excluded from this study. Noraxon® myoMOTION™ kinematics sensors were used to quantify the amount of joint and segmental motion of the spine, shoulders, and head. myoMUSCLE™ EMG sensors were used to measure activation levels, patterns, and fa­tigue characteristics of key muscle groups. The Prone Static Plank Test (PSPT) and Modified Biering-Sorensen Test (MBST) were used to assess surgeon strength and endurance of core musculature. Results: The surgeries were represented in five stages. During ORC, the percentage of time spent in cervical flexion was 98%, 91.8%, 87.5%, 100%, and 97.1%, respectively. During RRC, 100% of the time was spent in cervical flexion. Activation of key muscle groups was examined across all stages and expressed as a percentage of peak activation. MBST times were both 25 sec­ond pre-and post-surgery ORC and 25.1 seconds pre-surgery and 32.4 seconds post-surgery for RRC. PSPT times were 68 second pre-surgery and 48 seconds post-surgery for ORC, and 59 second pre-surgery and 51 seconds post-surgery for RRC. Conclusion: We were able to identify meaningful data using kinematic and EMG analysis during ORC and RRC. We were able to identify target muscle groups that will be used to conduct a larger study with multiple surgeons to help determine if there is an ergonomic advantage to RRC over traditional ORC.   Available at: https://www.intbrazjurol.com.br/video-section/20190163_ Baumgarten_et_al [Full...

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Apical sling for laparoscopic sacrohisteropexy in a young virgin patient with joint hypermobility syndrome

Apical sling for laparoscopic sacrohisteropexy in a young virgin patient with joint hypermobility syndrome

Vol. 45 (x): 2019 June 6.[Ahead of print] doi: 10.1590/S1677-5538.IBJU.2018.0746 VIDEO SECTION Alcidézio Farias Santana 1, Raquel Doria Ramos Richetti 2, Susane Mey Hwang 3, Tatenda Nzenza 4, Luis Gustavo M. Toledo 5 1 Departamento de Cirurgia, Hospital Irmandade da Santa Casa de Misericórdia de São Paulo, SP, Brasil; 2 Departamento de Ginecologia, Hospital Maternidade Vila Nova Cachoeirinha, São Paulo, SP, Brasil; 3 Departamento de Uroginecologia, Hospital Maternidade Vila Nova Cachoeirinha, São Paulo, SP, Brasil; 4 Austin Health, Urology Heidelberg, Victoria, Australia; 5 Departamento de Urologia, Faculdade de Medicina da Santa Casa de São Paulo, SP, Brasil https://www.intbrazjurol.com.br/videos/20180746_Santana_et_al.mp4 [Full...

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Apical sling for laparoscopic sacrohisteropexy in a young virgin patient with joint hypermobility syndrome

Vol. 45 (x): 2019 June 6.[Ahead of print] doi: 10.1590/S1677-5538.IBJU.2018.0746 VIDEO SECTION Alcidézio Farias Santana 1, Raquel Doria Ramos Richetti 2, Susane Mey Hwang 3, Tatenda Nzenza 4, Luis Gustavo M. Toledo 5 1 Departamento de Cirurgia, Hospital Irmandade da Santa Casa de Misericórdia de São Paulo, SP, Brasil; 2 Departamento de Ginecologia, Hospital Maternidade Vila Nova Cachoeirinha, São Paulo, SP, Brasil; 3 Departamento de Uroginecologia, Hospital Maternidade Vila Nova Cachoeirinha, São Paulo, SP, Brasil; 4 Austin Health, Urology Heidelberg, Victoria, Australia; 5 Departamento de Urologia, Faculdade de Medicina da Santa Casa de São Paulo, SP, Brasil ABSTRACT Introduction: We are faced with a young patient with uterine prolapse and urinary difficulties due to Joint Hypermobil­ity Syndrome, a congenital collagen disease that predisposes woman to the development of pelvic organ prolapse. The patient had urinary difficulty requiring standing and bowing to reduce prolapse and then start urination. This video demonstrates that videolaparoscopic technique is feasible for the treatment of uterine prolapse in young and sexually virgin woman. Materials and Methods: We separated the bladder from vagina and opened the peritoneum anterior to the uterus. Next, we attached the sigmoid colon to the left abdominal wall in order to better expose the promontory. We then opened the peri­toneum posterior to the uterus and medially tunnelled the right uterosacral ligament, transfixing the broad ligament and passing the end of a polypropylene mesh through this tunnel to the posterior region of the uterus. The same maneuver was performed on the other side so that the mesh surrounded the anterior portion of the cervix while its two extremities were posterior to the uterus. The mesh was fixed on the anterior surface of the uterine cervix and its two extremities were fixed to the promontory in the anterior longitudinal ligament of the spine. Finally, we closed the peritoneum. Results: Uterine prolapse was corrected, with good recovery. Conclusions: Videolaparoscopic technique is feasible for correction of uterine prolapse, being effective and safe in virgin woman. Available at: https://www.intbrazjurol.com.br/video-section/20180746_Santana_et_al [Full...

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