Year : 2020 | Volume
: 31 | Issue : 5 | Page : 199-
Improving daily urological practice in COVID-19 pandemics
Stephen Shei-Dei Yang
Department of Urology, Taipei Tzu Chi Hospital, New Taipei; School of Medicine, Buddhist Tzu Chi University, Hualien, Taiwan
Stephen Shei-Dei Yang
Department of Urology, Taipei Tzu Chi Hospital, New Taipei; School of Medicine, Buddhist Tzu Chi University, Hualien
|How to cite this article:|
Yang SS. Improving daily urological practice in COVID-19 pandemics.Urol Sci 2020;31:199-199
|How to cite this URL:|
Yang SS. Improving daily urological practice in COVID-19 pandemics. Urol Sci [serial online] 2020 [cited 2023 Feb 5 ];31:199-199
Available from: https://www.e-urol-sci.com/text.asp?2020/31/5/199/299256
The threat of COVID-19 is still present everywhere. However, life continues. In this issue, good clinical papers are presented. Enjoy reading the wisdom from experts around the world and hopefully these articles will improve your daily practice!
Webbed penis is getting more attention in the current era of awareness of genial organ and obesity. Chao TC et al. made a good review of its “Etiology, Symptoms, Surgical Treatments, and Outcomes.” It is a must read for general urologists who face this clinical problem in children and adolescents.
Urethral stricture is a headache when I was urological resident 30 years ago. Patients with urethral stricture came to us for urethral sounding even every week. Murugan PP et al. reported their experiences of “Dorsolateral Onlay Buccal Mucosal graft (BMG) Urethroplasty for Anterior Urethral Strictures by Unilateral Urethral Mobilization: A Prospective Study” in 54 patients. Short-term success rate (Qmax >15 mL/s) was achieved in 42 (77.8%), while satisfactory results (Qmax 8–15 mL/s) were observed in 9 (16.7%) and failure (Qmax <8 mL/s) occurred in 3 (5.6%) patients. BMG is the new wave of treatment for urethral stricture. Chung CH reviewed a current series of “repeated direct vision internal urethrotomy (DVIU) feasible in the management of recurrent anterior urethral strictures” in 232 patients. The success rate of the 1st urethrotomy procedure was 0%, the second one was 53%, the 3rd urethrotomy was 40%, and the 4th and 5th urethrotomy were 39% and 18%, respectively. Patients who had anterior urethral stricture related to previous surgery (surgery-related) had a better outcome (success rate, 87.3%) than patients with strictures stemming from other causes (P = 0.003). The classical use of DVIU to overcome urethral stricture should be more selective.
Is flank pain secondary to urolithiasis? Uzun A et al. answered this question by looking at a modified STONE score consisted of gender, duration, pelvicalyceal dilatation by ultrasound, nausea, and hematuria. This modified STONE score was better than the original RACE score with a high prediction rate. Retrograde intrarenal surgery (RIRS) is emerging as one of the first-line treatment for big renal stone. However, a higher incidence of systemic inflammatory response syndrome (SIRS) is a big concern in RIRS. Parikh KPanalyzed sixty patients undergoing RIRS and found that positive urine culture and stone culture had no significant relation to the prediction of SIRS (P = 1). However, the presence of carbonate apatite >50% on stone analysis has higher sensitivity than urine and stone culture in predicting SIRS after RIRS.
Ketan P. Vartak reported a novel method of “Stented Foley's catheter” which is a versatile, highly useful, easy to use way of double J (DJ) stenting for a short time. Based on the randomized study, they confirmed that this novel method reduced pain and good for short-term DJ insertion.