Purpose: To evaluate the effect of position proximal and distal ends Double-J ureteral stents on postprocedural flank pain, lower urinary-tract symptoms, quality life. Patients Methods: The study included 120 patients who required unilateral for various indications. They were randomized into two equal groups. Group 1 had longer stents, with end in upper calix crossing midline bladder. 2 proper stent length pelvis just beyond vesicoureteral junction. answered a questionnaire regarding...

Sacral neuromodulation (SNM) has become an established therapy for voiding dysfunction. Additional benefits, such as improved bowel functions and bladder pain, have been reported. Improvement in female sexual function after SNM treatment suggested; however, reports examining the effects of on are scarce. We evaluate its impact quality life analyze any correlation.Data were collected from January 2010 to May 2012 all patients who underwent InterStim (Medtronic, Minneapolis, MN) at a single...

Objectives: To compare stone dusting and spontaneous passage vs fragmentation active fragment retrieval during flexible ureteroscopy (fURS) for renal calculi. Patients methods: The study included patients who underwent fURS holmium laser lithotripsy calculi from January 2015 to March 2017. Dusting was done using low energy high frequency (0.3-0.5 J 15-20 Hz, respectively), with higher lower (1-1.2 6-10 respectively) then fragments were extracted a basket. stone-free rate (SFR) evaluated...

Erectile dysfunction is a common yet complex problem facing men and their partners worldwide. It continues to be an under reported issue despites its high prevalence negative impact as well the availability of successful treatment. One main reasons for such stigma surrounding it complaint deep-seated fear discuss it. This paper aims highlight behind taboo dilemma erectile reporting discusses means overcome this focusing on clinician-patient communication.

Purpose Overactive bladder (OAB) is a common condition. In women, studies have shown that the prevalence of OAB positively related to increasing body mass index (BMI). Our objective was define relationship between BMI and through correlation with urodynamic study (UDS). Methods A prospective conducted. Ambulatory women aged 18 years or older who had symptoms for at least 3 months were enrolled. Patients answered questionnaire, their weight height recorded, underwent UDS. categorized into...

Penile prosthesis surgery plays a vital role in the treatment of erectile dysfunction (ED). As far as outcome is concerned, it one most rewarding procedures for both patients and surgeons. We describe our surgical technique implantation three-piece inflatable penile point out major pitfalls accompanying this procedure their specific management. The psychological also discussed. Different approaches are available when performing procedure. A number procedure-related problems can be...

Overactive bladder (OAB) syndrome negatively affects the daily life of many people. Conservative treatments, such as antimuscarinics, do not always lead to sufficient improvement complaints and are often associated with considerable side effects resulting in treatment failure. In case failure or intolerable effects, sacral neuromodulation (SNM) botulinum toxin intravesical injections minimally invasive reversible alternatives. Currently, both SNM injection have FDA approval for use OAB...

Overactive bladder syndrome negatively affects the daily life of many people. First-line conservative treatments, such as antimuscarinics, do not always lead to sufficient improvement complaints and/or are often associated with disabling adverse effects leading treatment failure. Electrical stimulation sacral nerves has emerged an alternative and attractive for refractory cases overactivity. Few theories attempted explain its mechanism action which remains elusive. It involves percutaneous...

The objective of this study was to identify and compare the costs laparoscopic radical prostatectomy (LRP) retropubic (RRP) at our centre.We conducted a retrospective chart review first 70 consecutive LRP cases RRP St. Joseph's Healthcare in Hamilton, Ontario, Canada. We performed cost analysis, including operating room costs, disposable instruments, blood transfusions, analgesic requirements length hospital stay. Overall expenses were then analyzed compared.Preoperative patient demographics...

Erectile dysfunction and urinary incontinence secondary to sphincter are common conditions affecting many men worldwide with a negative effect on quality of life. They encountered in number etiologies most commonly following radical prostatectomy which they coexist the same patient. Implantations an artificial inflatable penile prosthesis have proven be effective treatment both should conservative minimally invasive measures fail. The recent literature has shown that dual implantation these...

Compartment syndrome of the extremities is a rare but potentially devastating condition. We herein report case 53-year old female with an unusual hand compartment and fasciitis secondary to methylene blue (MB) extravasation detect urinary tract injury intraoperatively. This was recognized immediately fasciotomy performed. Features this are discussed together its implications. Despite MB's long history use, few adverse events accidental have been reported.

Despite recent advances in surgical technique using laparoscopic and robotic approaches for the management of early organ-confined prostate cancer, most contemporary reports demonstrate significant rates erectile dysfunction comparable to standard open approaches. Controversy remains related many pre-and postoperative strategies, including agents enhance nerve recovery, erectogenic drugs, antioxidants, vasoactive injectables, vacuum erection devices grafting procedures. Additionally, optimal...

Objectives: To develop and validate a scoring system to assess the need for emergency intervention (EI) in patients with uncomplicated acute renal colic (ARC) due ureteric stones.Patients methods: From May 2017 April 2019, 382 adult presented department ARC ureteral stones diagnosed by non-contrast computed tomography. Patients solitary kidney, complications secondary obstruction (intractable vomiting, fever or sepsis), bilateral stones, Stage ≥3 chronic kidney disease those who underwent...