-
Feasibility of partial penectomy under local anesthesia: a case–control study Afr. J. Urol. Pub Date : 2024-03-12 Madhur Anand, Apul Goel, Bhupendra Pal Singh, Swati Aggarwal, Manoj Kumar, Vivek Kumar Singh, Vishwajeet Singh
To assess the feasibility of partial penectomy under local anesthesia and penile nerve blocks. A total of 45 patients underwent partial penectomy under local anesthesia over the last 15 years at our institute. These patients were included in group A. We took 45 age-matched controls for comparison in group B. All patients underwent partial penectomy with the standard technique. The control group underwent
-
Prevalence of burnout among urologist and its risk factors in Indonesia Afr. J. Urol. Pub Date : 2024-03-12 Reginald Rustandi, Fakhri Rahman, Raga Manduaru, Chaidir Arif Mochtar
To evaluate burnout syndrome among Indonesian urologists by describing its prevalence and risk factors. This is a cross-sectional study conducted from February to April 2020. A validated Indonesian version of the Maslach Burnout Inventory that consists of 22 questions addressing emotional exhaustion, depersonalization, and personal achievement was utilized. The questionnaire was constructed using Google
-
The impact of uro-oncology multidisciplinary team meeting (MDTM) on clinical decision-making and adherence to MDTM recommendation: experience from a tertiary referral centre in Malaysia Afr. J. Urol. Pub Date : 2024-03-11 Norshuhada Amat, Lim Jeffery, Chai C. Ann, Yeoh W. Sien, Ahmad N. Fadzli, Shanggar Kuppusamy, Marniza Saad, Ong T. Aik
Multidisciplinary team meeting (MDTM) has become an increasingly important part of disease management model, particularly in cancer care. MDTM consists of a group of doctors to provide independent opinions on diagnostic and treatment decisions, as well as personalized therapeutic plan for patients. By selecting the most suitable treatment for patients from multiple perspectives, management by multidisciplinary
-
Human papillomavirus and bladder cancer: literature review and meta-analysis Afr. J. Urol. Pub Date : 2024-03-11 Daria S. Dolgasheva, Marina K. Ibragimova, Matvey M. Tsyganov, Nikolai V. Litviakov
The aim of this study was to evaluate data over the past 25 years to assess the prevalence of the virus in patients with bladder cancer and to evaluate the association between human papillomavirus (HPV) and bladder cancer risk. Major databases were searched for published studies from October 1995 to May 2022. The present study evaluated the prevalence of HPV in patients with bladder cancer and the
-
Retroperitoneal hernia following laparoscopic living-donor nephrectomy: a case report and review of literature Afr. J. Urol. Pub Date : 2024-03-01 Marzuki Panji Wijaya, Ahmad Zulfan Hendri
The laparoscopic approach is the standard of care for living-donor nephrectomy. A rare postoperative complication is small bowel obstruction due to a retroperitoneal hernia. We present a case of an incidental finding of a retroperitoneal hernia in a patient with a history of laparoscopic donor nephrectomy. An adult male presented with diffuse abdominal pain, vomiting, and obstipation for 12 h. He had
-
Combined surgical and chemotherapy treatment for invasive primary urethral cancer: a case presentation Afr. J. Urol. Pub Date : 2024-02-28 Alper Simsek, Salih Butun, Mesut Berkan Duran, Kursat Kucuker, Sinan Celen, Yusuf Ozlulerden, Omer Levent Tuncay
The European Association of Urology (EAU) defines primary urethral carcinoma (PUC) as a carcinoma that arises in the urethra without a previous diagnosis of carcinoma elsewhere in the urinary system. It is considered as a rare cancer, accounting for less than 1% of all malignant tumors and 5% of malignant tumors of the urinary system. The difficulty in diagnosis and its rarity can lead to delayed diagnosis
-
Xanthogranulomatous pyelonephritis presenting as giant hydronephrosis in young women: a very rare case report Afr. J. Urol. Pub Date : 2024-02-16 Babasaheb Dhakne, Venkat Arjunrao Gite
Xanthogranulomatous pyelonephritis (XGP) is common in middle-age female, involved kidney usually is hydronephrotic, non-functioning and associated with stones but giant hydronephrotic presentation is a very rare. We report a case of 25-year-old female presented as huge cystic abdominal lump involving left hemi-abdomen and crossing midline associated with pain. On radiological evaluation, she had giant
-
IgG4-related retroperitoneal fibrosis mimicking renal pelvis tumor: a case report and literature review Afr. J. Urol. Pub Date : 2024-02-13 Sahin Gokhan, Dundar Mehmet, Senturk Taskin
Retroperitoneal fibrosis (RPF) is a rare disease characterized by the development of a fibroinflammatory mass in the retroperitoneum. Immunoglobulin-G4 related RPF was suggested as a secondary form of RPF and thought to be part of the spectrum of Immunoglobulin-G4 related diseases (IgG4-RD). Patients often present to the clinic because of flank pain. Ranging from mild to end-stage renal failure can
-
Outcome and predictors of failure of abdominal surgical repair of high vesico-vaginal and vesico-uterine fistulae at Gezira Hospital for Renal Disease and Surgery Afr. J. Urol. Pub Date : 2024-01-23 Muzafr Shakir Ali Yousif, Ismail Gareeballah Alhag Mohamad, Mohamed Elimam Mohamed Ahmed, Yassin Mohammed Osman, Ahmed Shakir Ali Yousif, Mustafa Omran
Urogenital fistula can arise from various causes, leading to the development of diverse surgical procedures. The prevention and treatment of obstetric fistula continue to pose challenges in low-income countries. To assess the outcomes and predictors of failure of surgical repair for urogenital fistulas, specifically high vesico-vaginal fistula (VVF) and vesico-uterine fistula (VUF), within our context
-
Nephron sparing surgery for renal hilar tumours: short-term follow-up of predominantly robot-assisted surgery cohort Afr. J. Urol. Pub Date : 2024-01-22 Anandan Murugesan, Ramesh Chinnusamy, Devdas Madhavan
Hilar tumours are the renal tumours, which abut the renal artery or vein. Nephron sparing surgery (NSS) is of proven benefit among those with small renal masses. Hilar tumours are usually offered radical surgery due to the presumed difficulty in dissection, upgrading to tumour stage, and risk of conversion to radical surgery. We present our results of patients with hilar tumour undergoing nephron sparing
-
Extracorporeal shock wave lithotripsy as monotherapy for vesical calculi Afr. J. Urol. Pub Date : 2024-01-12 Arjun Nagaraj, Bhavana Chowdary Madineni, Nagaraj Harohally Krishnareddy, Jeevan Nagaraj, Tariq Iqbal, Nitin Kumar Kamble, Jofin John Varghese
Extracorporeal shock wave lithotripsy (ESWL) is a well-established non-surgical treatment of urolithiasis. ESWL as a monotherapy to treat vesical calculi is still unfamiliar among many urologists, despite its early introduction in the 1990’s. ESWL monotherapy for vesical calculi was performed in our study in a unique fashion in supine position with full bladder unlike any other previous reported studies
-
Bilateral renal lymphangiectasia: a rare renal cystic disease managed by minimal invasive approach—a case report Afr. J. Urol. Pub Date : 2024-01-03 Navaneethakrishnan Venkatachalam, Anandan Murugesan
Renal cystic diseases are one of the commonest renal lesions encountered in clinical practice. Although common, most of the cysts are solitary, benign, asymptomatic and seldom clinically significant. But, renal lymphangiectasia is an exception. These are rare lymphatic malformation seen around the kidneys and in the retroperitoneum. It masquerades clinically like ADPKD and renal tumors and radiologically
-
Atypical presentation of an ancient retroperitoneal schwannoma mimicking a renal hydatid cyst: a case report and literature review Afr. J. Urol. Pub Date : 2024-01-03 Hamza Bashir, Abraish Ali, Muhammad Nauman, Asad Shahzad Hasan
Schwannomas are benign neurogenic encapsulated peripheral nerve tumors of Schwann cells that rarely occur in the retroperitoneum. We present a case of a 22-year-old man who presented with right flank pain and was initially diagnosed as hydatid cyst based on the imaging and borderline results of anti-echinococcus (IgG). Albendazole was prescribed and taken for 4 months with no response and later underwent
-
Bladder tumor ablation with 980-nm and 980-/1470-nm diode lasers: a retrospective study Afr. J. Urol. Pub Date : 2024-01-03 Farooq Hameed, Adeel Anwaar
This study evaluated the safety and feasibility of ablation of both non-muscle invasive and muscle invasive bladder tumors using single- and dual-wavelength diode lasers (980 nm and 980/1470 nm). We retrospectively examined 151 patients with bladder tumors of any type from 2009 to 2021 who underwent V-LABT (visual laser ablation of bladder tumor) with both single- and dual-wavelength diode lasers at
-
Evaluation of intra-operative trans-urethral endoscopic management of possible open transvesical prostatectomy complications Afr. J. Urol. Pub Date : 2023-12-17 Mahmoud F. Rohiem, Nesreen F. Ibrahim, Mostafa Magdi Ali, Ahmed Issam Ali
To evaluate the benefits of using transurethral cystoscope and resectoscope for managing possible complications that may occur during open transvesical prostatectomy operation. Open transvesical or retropubic prostatectomy remains, in less technologically developed countries, the standard option for treatment of complicated large benign prostatic hyperplasia. Complications rate with open prostatectomy
-
Atypical presentation of testicular mesothelioma Afr. J. Urol. Pub Date : 2023-12-17 Sawyer Joseph Reed, Stefanie Nasui, Nicholas Farber
Mesothelioma is a rare cancer that generally affects the lining of the lungs. However, in more rare cases, there are extra-pleural involvement of organs that are lined with mesothelial cells, including the testicle. Mesothelioma of the tunica vaginalis of the testicle typically presents with a painless scrotal mass with accompanying hydrocele of the affected side. The most common predisposition to
-
Comparison of the pulling technique versus the standard technique in microsurgical subinguinal varicocelectomy: a randomized controlled trial Afr. J. Urol. Pub Date : 2023-12-13 Sameh Kotb, Mohammed A. Abdel-Rassoul, Mohamed Magdy Elkousy, Galal El-Shorbagy, Ahmed S. Elsayed, Sherif Abdel-Rahman, Amr Moustafa Sayed
We compare the outcome of microsurgical subinguinal varicocelectomy (MSV) using the pulling technique (P-MSV) compared to the standard technique (S-MSV). A total of 60 patients were diagnosed with varicocele compounded with infertility and/or scrotal pain not responding to medical treatment. Twenty-nine patients were randomized to the P-MSV, while 31 were randomized to S-MSV. The number of ligated
-
Late presentation of supernumerary kidney in a 35-year-old man: a case report Afr. J. Urol. Pub Date : 2023-12-12 Tume Aondoyima Alfred, Mustapha Shu’aibu Hikima, Rasheed Mumini Wemimo, Latifat Tunrayo Oduola-Owoo
The supernumerary kidney is the rarest of all renal anomalies, and few cases have been diagnosed and reported over the years. Supernumerary kidneys are most commonly located on the left side of the abdomen with associated pathologic conditions which include malformations of the upper urinary tract and genital tract. More importantly, it usually presents with either unusual abdominal mass or features
-
Investigating the clinical outcomes of bulking agent injection in comparison with modified Gil-Vernet anti-vesicoureteral reflux surgery in children with high-grade reflux (4 or 5) Afr. J. Urol. Pub Date : 2023-12-12 Farzaneh Sharifiaghdas, Behzad Narouie, Mohammad Hossein Soltani, Milad Bonakdar Hashemi, Mohadese Ahmadzade, Hamidreza Rouientan, Ali Jouzi, Mohammad Aref Emami
Vesicoureteral reflux (VUR) is a common condition associated with childhood urinary tract infection (UTI) that can lead to chronic renal failure and hypertension. Various anti-reflux treatments were advocated, with various degrees of morbidity and success. The purpose of this study is to analyze and compare the results of modified Gil-Vernet anti-reflux surgery and bulking agent injection in children
-
Comparison of responses to neoadjuvant and adjuvant chemotherapies in muscle-invasive bladder cancer Afr. J. Urol. Pub Date : 2023-11-25 Serhat Sekmek, Gökhan Ucar, Irfan Karahan, Dogan Bayram, Selin Aktürk Esen, Ismet Seven, Mehmet Ali Nahit Sendur, Dogan Uncu
Bladder cancer surgery is critical for treatment, and systemic treatment before or after cystectomy may be necessary. We aimed to investigate the efficacy and response to neoadjuvant and adjuvant treatments. Data on 93 patients with resectable muscle-invasive bladder cancer were analyzed retrospectively. Patients who received neoadjuvant and adjuvant chemotherapies were included. The neoadjuvant treatment
-
DNA methylation profiles in urothelial bladder cancer tissues and children with schistosomiasis from Eggua, Ogun State, Nigeria Afr. J. Urol. Pub Date : 2023-11-25 Cephas A. Akpabio, Rachael P. Ebuh, Oluwaseun E. Fatunla, Henrietta O. Awobode, Chiaka I. Anumudu
Squamous cell carcinoma has been attributed to chronic schistosomiasis and is the predominant type of bladder cancer in schistosomiasis endemic areas. The aim of this study was to assess early promoter DNA methylation in selected genes implicated in schistosomiasis-associated bladder cancer (SABC). A total of 159 urine samples were collected from school-aged children in Eggua Community of Ogun State
-
Laparoscopic versus open partial nephrectomy: prospective randomized study for assessment of surgical, functional, and oncological outcomes Afr. J. Urol. Pub Date : 2023-11-22 Basheer N. Elmohamady, Rabea Goma, Tarek Gharib, Mohamed K. Mostafa, Islam Nouh
The purpose of this study was to compare the surgical, functional, and oncological outcomes between open partial nephrectomy (OPN) and laparoscopic partial nephrectomy (LPN). This prospective, randomized study was performed on patients who underwent partial nephrectomy under general anesthesia. Patients were randomized using the closed envelope method to either LPN or OPN. Baseline demographics and
-
Huge Renal Leiomyoma Masqurading as Cystic Renal Cell Carcinoma: a case report Afr. J. Urol. Pub Date : 2023-11-17 Najeem Adedamola Idowu, Ayoade Adebayo Adekunle, Mumini Wemimo Rasheed, Peter Olalekan Odeyemi
Renal leiomyoma is an extremely rare benign tumour of the kidney. It is mostly asymptomatic. Our aim was to report the first case of symptomatic renal leiomyoma in Nigeria which was suspected to be renal cell carcinoma and our objective was to document the clinical, radiological, histological and treatment of this rare lesion. We describe a 46-year-old woman with a two-week history of right flank pain
-
Investigating bothersome lower urinary tract symptoms among people living with HIV on antiretroviral therapy: prevalence, influencing factors, and quality-of-life implications Afr. J. Urol. Pub Date : 2023-11-11 Imane H. S. Benyamina, Obadia V. Nyongole, Fransia A. Mushi, Daniel W. Kitua, Aubrey Otieno, Ally H. Mwanga
Urological complications are not uncommon among people living with HIV and are often the initial clinical manifestation of HIV and AIDS. These complications, when presenting with bothersome lower urinary tract symptoms (LUTS), can significantly impact the Quality of life (QoL) of affected individuals. We, therefore, conducted a study aiming at determining the prevalence of bothersome LUTS, identifying
-
Primary scrotal lipoma in a pediatric patient: a case report with current literature review Afr. J. Urol. Pub Date : 2023-11-11 Zhino Noori Hussein, Rawa Bapir, Rawa M. Ali, Esmaeel Aghaways, Nali H. Hama, Rezheen J. Rashid, Wirya N. Sabr, Ari M. Abdullah, Zana Baqi Najmadden, Berun A. Abdalla, Fahmi Hussein Kakamad, Dashty Anwar Abdulkareem
Primary scrotal lipomas are benign fatty tumors that develop from adipocytes of the scrotum. The exact cause of their development is unknown. They are typically painless and may exhibit symptoms of heaviness and discomfort. A 9-year-old boy presented with a painless scrotal mass that had been present since birth. The mass was located in the left hemiscrotum. Ultrasound showed an enlarged left testicle
-
“Duplex sans duplex: a cryptic cause”: a case report Afr. J. Urol. Pub Date : 2023-11-08 S. Rajkiran Raju, Jobin Pathrose, Dyan D’Souza, Attibele Mahadevaiah Shubha
Duplex kidneys represent an embryologic maldevelopment at time of renogenesis resulting in a spectrum of bifurcation anomalies of the reno-ureteric system. Though most are antenatally detected, recurrent urinary tract infections (UTIs), abdominal mass due to obstruction and incontinence are other common manifestations. Upper moiety ureter is usually obstructed and the lower moiety is refluxing. Management
-
Atypical compound melanocytic naevus of the urethral meatus case report Afr. J. Urol. Pub Date : 2023-11-03 Richard Menzies-Wilson, Sophie Bashall, Rowland Rees, Sally Deverill
Atypical melanocytic naevus (AMN) of the urethral meatus is very rare with only a handful of reported cases. It is important to note that the rarity of AMN in the penis may contribute to a delay in diagnosis and treatment, as well as a lack of awareness among healthcare providers. This is the first case report to describe workup and management of AMN of the urethral meatus of a male, making it a valuable
-
A case report of Cobb’s collar with posterior urethral valves: a rare entity Afr. J. Urol. Pub Date : 2023-10-31 Farooq Hameed, Adeel Anwaar
Posterior urethral valve (PUV) is a congenital disorder typically presenting in the neonatal period and is associated with the obstruction of the urinary tract. Cobb’s collar is congenital narrowing of bulbar urethra in infants. It can lead to significant morbidity, which may include irreversible renal failure if left untreated. A 21-month-old child presented with acute retention of urine and distended
-
Massive pre-prostatic nodal metastasis from localized aggressive prostate cancer removed during robotic-assisted radical prostatectomy with extended pelvic lymph node dissection: a case report with brief literature review Afr. J. Urol. Pub Date : 2023-10-30 Moncef Al Barajraji, Serge Holz, Ilan Moussa, Michel Naudin, Pamart Didier
During robotic-assisted radical prostatectomy (RARP) for prostate cancer (PCa), few attention is given to pre-prostatic fat tissue (PPT) even during pelvic lymph node dissection (PLND). However, the rare potential involvement of PPT lymph nodes (LN) by PCa metastasis has already been reported by several authors and may influence therapeutic strategy in intermediate and high-risk patients. We present
-
Laparoscopic ureteroplasty using onlay appendix flap: a case series Afr. J. Urol. Pub Date : 2023-10-16 B. Guliev, B. Komyakov, J. Avazkhanov, M. Shevnin
Currently, strictures of the ureters often develop after endourology of the upper urinary tract, gynecological, and surgical interventions. For long proximal ureteral strictures, ureteroplasty with an on-lay appendix flap may be an option for treatment. Five patients had laparoscopic onlay appendicoureteroplastic for long right ureter strictures. The average age of the patients was 42.5 years old.
-
Genetic and other epidemiological risk factors of infants and children with hypospadias: a case control study Afr. J. Urol. Pub Date : 2023-10-16 Wafaa Moustafa, Soheir Abouelella, Maha Tawfik, Mai Abuelyazeed, Fouad Zanaty
To study hypospadias as regard epidemiological risk factors and genetic association with mutations in Steroid 5 alpha reductase type 2 genes. This study was conducted on two groups; the first group included 50 male children with hypospadias and the other group included 50 male healthy children as a matched control. All patients and controls were subjected to detailed history, physical examination and
-
Comparison of the efficacy of BCG intravesical immunotherapy using the conventional Rotisserie method with the non-Rotisserie method Afr. J. Urol. Pub Date : 2023-10-12 Mohammad Kazem Hariri, Mohammad-Bagher Rajabalian, Behzad Narouie, Saeed rohollahpour, Ghasem Rostami, Mohadese Ahmadzade
Intravesical BCG injections are administered following transurethral resection of the superficial bladder tumor in order to increase the success rate and decrease the risk of tumor recurrence. BCG therapy has been examined extensively in terms of dosage and injection time intervals to determine its effectiveness. However, no study has yet been conducted to compare the two qualitatively different methods
-
Risk factors of stress urinary incontinence in pelvic organ prolapse patients: a systematic review and meta-analysis Afr. J. Urol. Pub Date : 2023-10-10 Andiva Nurul Fitri, Eighty Mardiyan Kurniawati, Sundari Indah Wiyasihati, Citrawati Dyah Kencono Wungu
Stress urinary incontinence (SUI) and pelvic organ prolapse (POP) commonly coexist as global problems that affect the quality of life of millions of women. The study aimed to identify the risk factors of stress urinary incontinence in pelvic organ prolapse patients. A systematic review and meta-analysis was conducted in Web of Science, PubMed, and Scopus based on the PRISMA flowchart. The quality of
-
Safety and efficacy of prostatic artery embolization in patients with hematuria due to benign prostate hyperplasia Afr. J. Urol. Pub Date : 2023-10-10 Bilal Ahmad Hijazi, Hai-Bin Shi, Sheng Liu, Tian Wei, Turki Atia Alqurashi, Zakir Jamal Sabri, Vinay Singh, Hayam Hamdy
Benign prostate hyperplasia (BPH) commonly affects aging men that can result in hematuria. For patients who are not suitable candidates for surgery, prostatic artery embolization (PAE) has emerged as a minimally invasive alternative. This study aimed to assess the safety and efficacy of PAE specifically for treating hematuria in BPH patients who cannot undergo surgery. The study included n = 110 participants
-
Clinical profile and outcome of emphysematous pyelonephritis presenting to a tertiary care hospital Afr. J. Urol. Pub Date : 2023-10-10 Harshal K. Joshi, Vidhi R. Shah, Mital D. Parikh
Emphysematous pyelonephritis is a necrotizing infection of the renal parenchyma by gas-forming organisms. The diagnosis of emphysematous pyelonephritis is made by clinical features and the detection of air in the renal parenchyma. In the past, nephrectomy was considered the only treatment option with a high mortality rate, but with advances in minimally invasive conservative techniques and better antibiotic
-
Testicular torsion in Sub-Saharan Africa: a scoping review Afr. J. Urol. Pub Date : 2023-10-07 Saleh Abdelkerim Nedjim, Marcella D. C. Biyouma, Mahamat Ali Mahamat, Arthur Douglas, Orgeness Jasper Mbwambo, Mohamed Mbarouk, Remadji Yanhdet Hervé, Mahamane Salissou, Messian Gallouo, Aboubacar Traoré, ZIBA Ouima Justin Dieudonné, Yannick Joël Djoua, Ugbede Oyibo, Kimassoum Rimtebaye, Choua Ouchemi, Fru Fobuzshi Angwafor
Testicular torsion is a surgical emergency caused by rotation of the vascular pedicle of the testicle around its axis. If left untreated, testicular necrosis can set in, necessitating orchiectomy and loss of the testicle. The authors of this article reviewed articles on testicular torsion published in sub-Saharan Africa. The aim of this work is to establish the patient profile, consultation delay and
-
Diagnostic value of diuretic ultrasound in evaluating the need for reoperation in children undergoing pyeloplasty Afr. J. Urol. Pub Date : 2023-10-04 Masoud Mahdavi Rashed, Reza Abbasioun, Atena Aghaee, Houshang Mirakhorli, Ehsan Hassan Nejad, Asma Payandeh, Neda Karimabadi
Pyeloplasty currently stands as the standard treatment for UPJO. Our study aimed to assess the diagnostic value of sonographic parameters following Lasix administration in patients who underwent pyeloplasty to predict the recurrence of obstruction and the need for reoperation. The study included 70 children with UPJO who underwent pyeloplasty. Renal ultrasound was performed on patients three to six
-
Benign urinary bladder masses: rare entities Afr. J. Urol. Pub Date : 2023-09-30 Dora Jakus, Ivan Jurić, Marijan Šitum
This study aimed to present the characteristics and outcomes of benign urinary bladder masses, as well as the characteristics of the patients diagnosed with such lesions. A single-center, cross-sectional, retrospective study was conducted. The study involved patients who underwent transurethral resection of the primary bladder tumor over a four-year period (May 2017–2021) and were subsequently diagnosed
-
Renal cell carcinoma on imaging unveiled as a primary Ewing’s sarcoma Afr. J. Urol. Pub Date : 2023-09-16 Shivangi Gupta, Tamanna Khullar, Sunil Kumar Puri
Ewing sarcoma represents a spectrum of aggressive malignancies with the poor outcome. Primary renal Ewing sarcoma is rare and accounts for less than 1% of renal masses. We present a case of a 45-year-old male presented in OPD with complaint of right flank pain and hematuria. He underwent a contrast-enhanced CT abdomen which depicted a right renal mass with liver lesions. He underwent Robotic Right
-
Utility of POPVESL scoring system in the management of renal pseudoaneurysm: a retrospective study Afr. J. Urol. Pub Date : 2023-09-14 Shashank Singh, Sajad Ahmad Para, Mohammad Saleem Wani, Faiz Manzar, Manjul Kumar
We intended to assess the role of POPVESL scoring system in managing renal pseudoaneurysm at our institute which is a referral center in this region. We retrospectively reviewed the records of all patients who were managed for renal pseudoaneurysm between January 2020 and December 2022. Data were collected from patient medical records and analyzed by using SPSS Statistics for Windows version 29.0.
-
Predictors of priapism incidence and recurrence in sickle cell disease patients Afr. J. Urol. Pub Date : 2023-09-14 Agustin J. Nanda De Niro, Gede Wirya Kusuma Duarsa, I Wayan Yudiana, Nyoman Gede Prayudi, Pande Made Wisnu Tirtayasa, Kadek Budi Santosa, Yudhistira Pradnyan Kloping
Sickle cell disease (SCD) is a prevalent genetic blood disorder with a high global incidence rate. Individuals with SCD experience lifelong complications; one such recurrent complication is priapism. Given the unfavorable prognosis and the limited knowledge of patients regarding priapism, healthcare professionals need to identify factors that can aid in diagnosing priapism in SCD patients. A comprehensive
-
Effects of adverse semen parameters on total oxidation status and DNA/chromatin integrity Afr. J. Urol. Pub Date : 2023-09-13 Maryam Imani, Minoo Vahedi Raad, Maliheh Afsari, Farzaneh Fesahat
Infertility is a major health problem that affects 7% of the men’s population. Oxidative stress (OS) plays a significant role in the pathophysiology of male infertility. The purpose of this study comparatively evaluated the total anti-oxidation status and DNA/chromatin integrity in semen samples among different infertile men’s groups compared with the normozoospermic men. This cross-sectional study
-
Partial versus radical nephrectomy in pT2a renal cell carcinoma tumors: which is the superior surgical approach? Afr. J. Urol. Pub Date : 2023-08-11 Abbas Basiri, Hossein Salehi Omran, Mazyar Zahir, Nasser Shakhssalim, Nasrin Borumandnia, Giti Noghabaei, Mahmoud Parvin
Controversy persists regarding the superiority of partial nephrectomy (PN) versus radical nephrectomy (RN) in pT2a renal cell carcinoma (RCC) tumors. In this study we aimed to compare survival and clinical outcomes between these two techniques in Iran. In this retrospective cohort, 96 patients who underwent either RN or PN for their pT2a RCC tumors were included. Overall survival (OS), cancer specific
-
Chronic kidney disease following nephrectomy for renal tumours: retrospective analysis risk factors Afr. J. Urol. Pub Date : 2023-08-09 Osman Can, Kenan Sabuncu, Mustafa Erkoç, Muammer Bozkurt, Eyyüp Danış, Recep Burak Degirmentepe, Alper Ötünçtemur
We aimed to determine factors responsible for chronic kidney disease (CKD) following nephrectomy for renal tumours. A retrospective study was undertaken in patients underwent partial or radical nephrectomy due to kidney tumour between January 2015 and June 2020. Patients with eGFR above 60 ml/min/1.73m2 were included in the study. Demographic information, surgical features, eGFR values and some comorbidities
-
Sensitivity and specificity of prostate-specific antigen and its surrogates towards the detection of prostate cancer in sub-Saharan Africa: a systematic review with meta-analysis Afr. J. Urol. Pub Date : 2023-08-05 Chika Juliet Okwor, Ifeyinwa Dorothy Nnakenyi, Ezra Ogbonnaya Agbo, Martins Nweke
Racial disparities associated with pathogenesis and progression of prostate cancer makes a global diagnostic prostate-specific antigen (PSA) cut-off value inappropriate. Our review aimed to evaluate the pooled sensitivity and specificity of PSA and its surrogates, and to systematically synthesize the optimum thresholds for the detection of prostate cancer in sub-Saharan Africa. This was a systematic
-
Acute kidney injury secondary to obstructive bladder malakoplakia: a case report Afr. J. Urol. Pub Date : 2023-07-31 Sara S. Jdiaa, Jad A. Degheili, Charbel F. Matar, Michele F. Mocadie, Chirine S. Khaled, Aline M. El Zakhem
Malakoplakia is a rare granulomatous inflammatory condition that can affect immunosuppressed patients. The genitourinary system is the most involved organ. We present a case of kidney failure caused by obstructing bladder lesions, clinically suspicious for malignancy and pathologically proven to be malakoplakia. A 70-year-old woman presented with acute kidney injury and Escherichia coli (E.coli) bacteremia
-
3D-Laparoscopic transperitoneal pyelolithotomy in a rare case of pelvic cake kidney: case report and review of literature Afr. J. Urol. Pub Date : 2023-07-19 Ketan K. Kapoor, Anup Kumar
Bilateral ectopic pelvic kidneys are rarely observed, and cake form of fusion is a relatively distinct anomaly. With the presence of aberrant vasculature and risk of injuring surrounding viscera, conventional treatment of symptomatic calculi with percutaneous and retrograde approaches, become challenging for the urologist. 3D Laparoscopic approach is safe, reduces patient morbidity and avoids open
-
Penile fracture in burkina faso: our experience on the management of 21 cases Afr. J. Urol. Pub Date : 2023-07-19 Adama Ouattara, Abdoul-Karim Paré, Mireille Konaté, Delphine Yé, Mohamed Simporé, Brahima Kirakoya, F. Aristide Kaboré, Timothée Kambou
Penile fracture is relatively a rare urological emergency and has been the topic of a few publications in the literature through clinical cases or case series. Despite this relative scarcity, it is increasingly reported as one of the andrological emergencies in Burkina Faso. The purpose of this study was to report our experience of the management of such andrological emergency in the two main university
-
Urinary bladder melanosis with complete resolution case report Afr. J. Urol. Pub Date : 2023-07-17 Daniela I. Mateescu, Hamdi Dahir, Amit Goel, Eleanor Ray, Sanjeev Madaan
Melanosis of the bladder is a rare condition characterized by multifocal, diffuse melanin pigmentation of the urothelial mucosa or lamina propria without any proliferation of melanocytes. Less than 25 cases have been reported so far of which only four patients had concurrent urothelial carcinoma. We are reporting a case of melanosis of the bladder in a 58-year-old female associated with pTaG1 transitional
-
Ameliorative potential of the quercetin on lead-induced testicular damage: morphohistometric and biochemical analysis Afr. J. Urol. Pub Date : 2023-07-17 Hesham N. Mustafa
Quercetin, a naturally occurring flavonoid known for its potent antioxidant properties, has been investigated for its potential in counteracting the harmful effects of lead (Pb) toxicity, which induces apoptosis and oxidative damage in various human tissues. This study aims to assess the reparative effects of quercetin on lead-induced testicular damage. Four groups, each comprising ten adult male albino
-
Comparison of the effect of vaginal vitamin E cream with conjugated estrogen vaginal cream on vulvovaginal atrophy and overactive bladder syndrome: a randomized controlled trial Afr. J. Urol. Pub Date : 2023-07-05 Nazila Azari, Esmat Mehrabi, Yousef Javadzadeh, Sevil Hakimi
The present study aimed to investigate the effect of vitamin E on vulvovaginal atrophy (VVA) and overactive bladder syndrome (OABS). This trial was conducted on 72 postmenopausal women referring to health centers. Participants were randomly divided into the intervention (vitamin E, vaginal cream) and control (conjugated estrogen, vaginal cream) groups. The duration of the intervention was eight weeks
-
Endogenous testosterone density associates with predictors of tumor upgrading and disease progression in the low through favorable intermediate prostate cancer risk categories: analysis of risk factors and clinical implications Afr. J. Urol. Pub Date : 2023-06-29 Antonio B. Porcaro, Alberto Bianchi, Sebastian Gallina, Francesco Ditonno, Paola I. Ornaghi, Emanuele Serafin, Alessandro Tafuri, Andrea Panunzio, Clara Cerrato, Stefano Vidiri, Damiano D’Aietti, Giovanni Mazzucato, Riccardo Rizzetto, Nelia Amigoni, Vincenzo De Marco, Filippo Migliorini, Stefano Zecchini Antoniolli, Matteo Brunelli, Salvatore Siracusano, Maria Angela Cerruto, Alessandro Antonelli
The study aimed to test the hypothesis that endogenous testosterone density (ETD), in the low through favorable intermediate PCa risk classes patients undergoing surgery, might be associated with disease progression. ETD, PSAD, and percentage of biopsy positive cores density (BPCD) were calculated in relation to prostate volume (PV). Tumor load density (TLD) was estimated as the tumor load (TL) ratio
-
Quantifying the changes in body mass index and performance status during androgen deprivation therapy for advanced prostate cancer in southeast Nigeria Afr. J. Urol. Pub Date : 2023-06-26 Louis Tochukwu Okolie, Ikenna Ifeanyi Nnabugwu, Kevin Ndubuisi Echetabu, Obinna Nnabuife Anikwe, Solomon Kenechukwu Anyimba, Francis Oyiogu Ozoemena
Androgen deprivation therapy (ADT) for advanced prostate cancer (aPCa) causes changes in body mass index (BMI) and in the performance status depending on the extent of cancer remission. The aim of this study is to quantify these changes. A prospective cohort study in a public tertiary urology centre in Enugu, southeast Nigeria. With appropriate sample size determined, men with aPCa for ADT, by surgical
-
Evaluating the pattern of antibiotic resistance of urinary tract infection (UTI)-causing bacteria in the urine culture samples of patients in the infectious ward of Imam Khomeini Hospital, Kermanshah, in Iran from 2016–2018 Afr. J. Urol. Pub Date : 2023-06-26 Maria Shirvani, Ali Keramati, Mojtaba Esmaeli
Increasing resistance of bacteria to antimicrobial agents is a significant problem worldwide. This study aimed to assess the pattern of antibiotic resistance among bacteria that cause urinary tract infections (UTIs) in patients admitted to the infectious ward of Imam Khomeini Hospital in Kermanshah between 2016 and 2018, based on urine culture samples. The present study was a cross-sectional and descriptive
-
Mini-percutaneous nephrolithotomy versus Standard percutaneous nephrolithotomy: outcome and complications Afr. J. Urol. Pub Date : 2023-06-22 Hesham M. Refaat, Mohammed Hassan, Tarek Salem, Mohammed Zaza
Renal stones are a prevalent urological disorder with various treatment options, including minimally invasive techniques such as Standard-PCNL (S-PCNL) and Mini-percutaneous nephrolithotomy (M-PCNL). This study aims to compare the efficacy and safety outcomes of M-PCNL and S-PCNL for managing renal calculi. This randomized study enrolled 60 patients with renal stones, comparing the efficacy and safety
-
Validation of MAP (Mayo Adhesive Probability) score and preoperative factors to predict adherent perinephric fat in robotic-assisted partial nephrectomy Afr. J. Urol. Pub Date : 2023-06-10 Rajan Prajapati, Niramya Pathak, Arvind Ganpule, Zeeshan Kareem, Abhishek Singh, Ravindra Sabnis, Mahesh Desai
Mayo Adhesive Probability (MAP) score is based on posterior perinephric fat thickness and perinephric fat stranding and ranges from 0 to 5. We intend to validate the score and identify preoperative factors predictive of Adherent Perinphric Fat (APF) encountered in robotic-assisted partial nephrectomy. The retrospective and prospective observational study was done at a single tertiary care hospital
-
Significant extravasation does not preclude conservative management of spontaneous perforation of the augmented bladder Afr. J. Urol. Pub Date : 2023-05-25 Ahmed Abdelhalim, Ashraf T. Hafez
Perforation of the augmented bladder is a serious and well-known complication of bladder augmentation. The traditional treatment has been emergent surgical exploration and repair of the bladder perforation due to the risk of peritonitis, sepsis and mortality. Some studies have reported successful conservative management by maximizing bladder drainage in patients with stable hemodynamics and limited
-
Diagnosis and treatment of primary urethral melanoma with regional lymphatic metastasis in an elderly woman: a case report and review of available therapies Afr. J. Urol. Pub Date : 2023-05-25 Juan Camilo Alvarez Restrepo, Juan Felipe Alvarez Restrepo, Daniel S Maya Giraldo, Jhonatan S Santafé Galvis, Carlos Andres Riveros, Andres Felipe Puentes Bernal, Otto Manrique
Mucosal melanomas account for 17% of melanomas, and less than 1% affect the urogenital tract. Primary urethral melanoma is extremely rare; less than 200 cases have been reported so far since it was first described. The clinical presentation is usually delayed, and the prognosis is generally poor. Case presentation. An 86-year-old female was referred to urology due to the presence of a three-month-old
-
Current management of classic bladder exstrophy in the modern era Afr. J. Urol. Pub Date : 2023-05-22 Christian C. Morrill, Ahmad Haffar, Thomas G. W. Harris, Chad Crigger, John P. Gearhart
Classic bladder exstrophy is a complex, multi-system congenital malformation affecting formation of the genitourinary system, pelvis, and abdominal wall. Historically children with this abnormality were consigned to poor outcomes and quality of life. Modern advancements in the diagnosis and management of this disorder have resulted in low mortality rates and shifted clinical focus toward optimizing
-
Complete androgen insensitivity syndrome with Sertoli cell tumour in a 27-year-old married woman: a case report Afr. J. Urol. Pub Date : 2023-05-09 Mumini Wemimo Rasheed, Najeem Adedamola Idowu, Adebayo Ayoade Adekunle, Joseph Olusola Olarewaju, Latifat Tunrayo Oduola-owoo, Foluke Omolara Odetayo, Felix Abiodun Omolade, Akinremi Tosin Opeyemi
Androgen insensitivity syndrome is a rare X-linked disorder of sex development that results from mutations in the androgen receptors leading to failure of normal masculinization of the external genitalia in genetically male individuals. Our aim was to report this rare case of complete androgen insensitivity syndrome with Sertoli cell tumour, and our objective was to relate our experience on the challenges