Urologia Internationalis (UROL INT )

Publisher: Blackwell Publishing


Concise but fully substantiated international reports of clinically oriented research into the etiology, pathophysiology and current management of urogenital disorders form the nucleus of original as well as basic research papers. These are supplemented by up-to-date reviews by international experts on the state-of-the-art of key topics of clinical urological practice. Essential topics receiving regular coverage include the introduction of new techniques and instrumentation as well as the evaluation of new functional tests and diagnostic methods. Special attention is given to advances in surgical techniques and clinical oncology. An expert discussion panel provides an international forum for exchanging ideas on the current management of clinical and technical problems of urologic surgery. The regular publication of selected case reports represents the great variation in urological disease and illustrates treatment solutions in singular cases.

  • Impact factor
    Show impact factor history
    Impact factor
  • 5-year impact
  • Cited half-life
  • Immediacy index
  • Eigenfactor
  • Article influence
  • Website
    Urologia Internationalis website
  • Other titles
    Urologia internationalis
  • ISSN
  • OCLC
  • Material type
  • Document type
    Journal / Magazine / Newspaper

Publisher details

Blackwell Publishing

  • Pre-print
    • Author can archive a pre-print version
  • Post-print
    • Author cannot archive a post-print version
  • Restrictions
    • Some journals impose embargoes typically of 6 or 12 months, occasionally of 24 months
    • no listing of affected journals available as yet
  • Conditions
    • See Wiley-Blackwell entry for articles after February 2007
    • Publisher version cannot be used
    • On author or institutional or subject-based server
    • Server must be non-commercial
    • Publisher copyright and source must be acknowledged with set statement ("The definitive version is available at www.blackwell-synergy.com ")
    • Articles in some journals can be made Open Access on payment of additional charge
    • 'Blackwell Publishing' is an imprint of 'Wiley-Blackwell'
  • Classification
    ​ yellow

Publications in this journal

  • [show abstract] [hide abstract]
    ABSTRACT: Laparoscopic Varicocelectomy in Infertile Men: Does Age Matter El-Shazly M. · Eissa B. Urol Int (DOI: 10.1159/000350860) Abstract Introduction: Varicocele affects up to 15% of men in the general population. In couples with subfertility, the prevalence of varicocele in male partners was about 12%. In certain countries like the Middle East and Arabian Gulf, it is not rare to find people in their 5th or 6th decades or even older, who are seeking infertility clinics wishing to achieve paternity. Objectives: What are the results of laparoscopic varicocelectomy in relatively older infertile men (>40 years) in comparison with young infertile men (<40 years)? Methods: It is a prospective observational study done in Farwaniya Hospital, Kuwait. Patients (83 cases) were categorized into two age groups: group I (55 patients) with age ranging from 25 to 40 years, and group II (28 patients) with age >40 years (range 41-53 years). Cases with clinically detectable varicocele only were included (grade II and III). Cases who underwent varicocelectomy for pain were excluded from the study as well as cases with previous abdominal surgeries. Cases with subclinical and mild varicocele (grade I) were also excluded from the study. The intra- and postoperative parameters as well as the improvement in semen quality were compared in both groups. Patients were seen after 3 and 6 months as outpatients. Cases were followed up for a mean period of 1 year (range from 6 to 22 months). Results: The intraoperative and postoperative parameters as well as the improvement in semen quality were compared in both groups. There was colonic adhesion to the posterior peritoneum covering internal spermatic veins in 3 cases in group I (3.6%) and in 5 cases in group II (17.8%). This required more dissection to retract the colon and to expose the internal spermatic veins. The mean operative duration for laparoscopic varicocelectomy was significantly longer in group II (75 vs. 45 min in group I). After 3 months, 26 cases (47.2%) of group I and 11 cases (39.2%) of group II had improvement in semen quality. After 6 months, there was improvement in semen quality in 32 cases (58.2%) in group I and in 15 cases in group II (53.5%). Conclusions: Laparoscopic varicocelectomy in relatively old men is sometimes more difficult technically with relatively longer operative duration. However, it can achieve improvement in semen quality comparable to relatively younger patients. Further randomized controlled trials are needed to draw a more relevant conclusion about the impact of age in the outcome of laparoscopic varicocelectomy. © 2013 S. Karger AG, Basel More Information
    Urologia Internationalis 07/2013;
  • Urologia Internationalis 02/2012;
  • [show abstract] [hide abstract]
    ABSTRACT: Prostate cancer is the most prevalent male cancer. The existing testing methods are subjective and not quantitative (Digital Rectal Examination) or not sufficiently accurate and expensive (ultrasound, biopsy). There is a need for a simple, yet accurate method to detect changes in the mechanical properties of the prostate as a replacement of the DRE. We developed a new device, which is able for geometric representation and objective stiffness measurements of the prostate tissue, based on image processing of data taken with a micro camera from an inflated balloon inserted in the rectal area and touching the prostate. Computer based digital image processing applied consists of: transformation of image data (captured by micro camera) to intensity matrix, image enhancement (contrast, brightness), block processing and relative distance calculation (shape from shading method), calculation of relative stiffness value corresponding to each block and objective data mapping (containing stiffness and geometric representation of the prostate and calculation of prostate area). For this purpose a genuine algorithm was developed. The research prototype built was successfully applied to models for prostate diseases and cadaveric tissues for preliminary assessment. The results encouraged the first clinical application in vivo, from which it was revealed that there were no side effects mentioned by the doctors or the subjects examined. The reproduction of the stiffness map enables for assessment of changes in mechanical properties of each prostate surface. In all cases, results can be compared and are in agreement with results acquired with conventional methods (DRE, ultrasound). Hence the proposed design is feasible and can lead to a diagnostic tool. This design was used to validate in clinical setting the sensitivity and specificity of the device developed.
    Urologia Internationalis 01/2012;
  • Urologia Internationalis 01/2011;
  • [show abstract] [hide abstract]
    ABSTRACT: To evaluate the usefulness of standing and lateral cystograms for differentiation of intrinsic sphincter deficiency (ISD) from urethral hypermobility (UH) causing stress urinary incontinence (SUI). 67 female patients with urinary incontinence undergoing measurement of the Valsalva leak point pressure (VLPP) were included. 14 patients with VLPP <60 cm H2O were operated for ISD causing SUI while 53 patients with VLPP >100 cm H2O were operated for UH causing SUI. Three radiologists compared the cystographic findings. The changes in posterior urethrovesical angle (PUVA) between stress and resting states were 12 +/- 7.5 degrees in ISD causing SUI and 32.8 +/- 12.7 degrees in UH causing SUI, and showed a statistically significant difference (p < 0.01). The beaking signs of the vesical neck on anteroposterior (AP) projection of the cystogram during a resting state were seen in 76% of ISD causing SUI. The difference was also statistically significant (p < 0.01). The existence of cystocele or the mean PUVA in two groups did not show a statistically significant difference. ISD should be considered in female patients with symptoms of urinary incontinence where there are changes in PUVA <20 degrees on a lateral cystogram between a stress state and resting state in addition to the beaking sign of the vesical neck during a resting state.
    Urologia Internationalis 02/2007; 78(2):116-20.
  • [show abstract] [hide abstract]
    ABSTRACT: Microsurgical techniques offer the opportunity for successful replantation of the amputated penis. We report the case of a patient who sustained a traumatic penile amputation as a result of a workplace accident. Microsurgical replantation was achieved with combined urological and plastic surgical input.
    Urologia Internationalis 02/2007; 78(1):10-2.
  • [show abstract] [hide abstract]
    ABSTRACT: We evaluated whether there is a survival difference between patients having pT2a and pT2b invasive bladder carcinomas without nodal involvement and distant metastases. Three hundred and thirty-six patients with invasive carcinomas of the bladder underwent radical cystectomy. Seventy-five patients with organ-confined disease were evaluated. The pathological stage was used as predictor of survival. Kaplan-Meier method and log-rank test were used to evaluate survival rates. Cox proportional-hazard models were used to identify whether pathological stage, grade, diversion type, age, and gender affect the outcome. Thirty-five patients were in the pT2aN0 group with a mean age of 57.8 +/- 1.4 (range 37-76) years, and 40 patients were in the pT2bN0 group with a mean age of 59.5 +/- 1.1 (range 37-76) years. There were 2 female patients. The mean follow-up period was 27.41 +/- 20.5 (range 3-80) months. The disease-specific 5-year survival rate of the pT2N0 cases was 80.3%. The disease-specific 5-year survival rates for the pT2aN0 and pT2bN0 patients were 84.3 and 66.0%, respectively. The disease-specific mean survival times of pT2aN0 and pT2bN0 cases were 76.2 +/- 4.7 and 56.3 +/- 7.7 months, respectively. There was no statistically significant survival difference between pT2aN0 and pT2bN0 patients by log-rank test (p = 0.1767). According to the Cox multivariate regression analysis, stage, grade, diversion type, age, and gender were not predictive of the survival in patients with organ-confined bladder cancer (p > 0.05). The level of muscle invasion in organ-confined bladder cancer does not have an influence on the patient survival. Also stage, grade, diversion type, age, and gender are not predictive of survival in patients with organ-confined muscle-invasive bladder cancer.
    Urologia Internationalis 02/2007; 78(2):145-9.
  • [show abstract] [hide abstract]
    ABSTRACT: A 50-year-old man with hemophilia A presented with recurrent hematuria due to renal stone disease. He was receiving approximately 50,000 units of recombinant factor (rF) VIII concentrate every year due to hematuria. Between 1996 and 2002, his serum creatinine level increased from 0.7 to 1.2 ng/ml. In an effort to resolve the problems of excessive blood loss with transfusions, recurrent rF VIII replacements and deteriorating renal function, he was offered treatment with percutaneous nephrolithotomy (PNL) in conjunction with rF VIII administration. He underwent left PNL for left staghorn calculi in November 2002 with administration of 52,000 units rF VIII, and another PNL for the right kidney in April 2004 with the administration of 90,500 units rF VIII. A pneumatic lithotriptor was used in both operations. The serum creatinine level was 0.8 ng/ml upon completion of treatment and the patient was symptom and stone free at 10-month follow-up. He has not suffered from hematuria since that time. We conclude that bleeding disorders may not be a contraindication for PNL if corrected and monitored appropriately.
    Urologia Internationalis 02/2007; 78(4):370-3.
  • [show abstract] [hide abstract]
    ABSTRACT: The urodynamic findings and voiding habits in patients with concomitant clinical benign prostatic hyperplasia (BPH) and detrusor overactivity (DO) presenting with or without the symptom of urgency were compared. 84 BPH patients with an urodynamic diagnosis of DO by conventional cystometry were included in the study. The patients were grouped according to the presence or absence of the symptom of urgency. The urodynamic findings, urinary diary and clinical information were analyzed. Among the 84 BPH-DO patients, 52 reported the symptom of urgency while 32 did not. There were no significant differences in mean age, International Prostate Symptom Score and flow rate between the two groups. Patients without urgency had a higher incidence of terminal DO and abnormal bladder sensation. The occurrence of unfelt phasic DO was also significantly higher in this group. Sphincter electromyography showed conscious and subconscious sphincter contractions associated with DO. The urinary diary showed lower 24-hour urinary output, smaller bladder functional capacity and average voided volume in the BPH-DO patients without urgency. BPH patients with DO may neglect the symptom of urgency due to abnormal bladder sensation, or negate the symptom by subconscious sphincter contraction to abort the overactivity. Some may avoid the symptom by drinking less fluid and emptying the bladder at a smaller volume.
    Urologia Internationalis 02/2007; 78(3):219-25.
  • [show abstract] [hide abstract]
    ABSTRACT: We report the first case of a juvenile granulosa cell tumor of the epididymis in a young man. Clinical and histological findings are presented and the clinical significance of the case is discussed.
    Urologia Internationalis 02/2007; 78(3):278-9.
  • [show abstract] [hide abstract]
    ABSTRACT: We tried to prove the effectiveness of trimetazidine (TMZ) on testicular torsion-detorsion injury. 15 male rats were equally divided into three groups: group 1 was the sham-operated control group; group 2 had 2 h of unilateral testicular ischemia followed by 3 days of reperfusion, and group 3 had 2 h of unilateral testicular ischemia followed by 3 days of oral TMZ treatment (5 mg/kg, bid) during reperfusion. In the removed testicles, tissue reduced glutathione (GSH), glutathione reductase (GR), glutathione peroxidase (GPx), malondialdehyde (MDA) levels and pathological modified Johnson scores (MJS) were evaluated. Mann-Whitney U test was used for statistical evaluations. In group 2, on the ipsilateral side, GSH were significantly lower and MDA were higher than in groups 1 and 3, though GSH and MDA were not statistically different between groups 1 and 3. On the other hand, GPx in the control testicles of group 3 was significantly lower compared to those in the counterparts of both groups 1 and 2. Among three groups, GR determined in both testicles were not statistically different. On the ipsilateral side, MJS in group 3 were lower than in the sham group, but significantly higher than in group 2. According to this study, TMZ has an antioxidant effect on testicular torsion-detorsion injury, though the protective effect of TMZ seems to decrease in control testicles. Consequently it has been considered that TMZ can be only used in torsion patients with a healthy contralateral testicle after further studies have been conducted.
    Urologia Internationalis 02/2007; 78(4):356-62.
  • [show abstract] [hide abstract]
    ABSTRACT: Aggressive fibromatoses (AF) are locally aggressive neoplasms that do not metastasize but are frequently associated with one or more recurrences and subsequent associated morbidity. AF in the urological system is quite rare and has mainly been described in single case reports or as isolated cases in a large series of extra-abdominal desmoid tumors. We report 2 cases of AF in the bladder and scrotum, and provide a review of similar published cases.
    Urologia Internationalis 02/2007; 78(1):93-6.
  • [show abstract] [hide abstract]
    ABSTRACT: We aimed to evaluate the sequence of healing process as well as possible effects of stent placement on the healing process after deep urethral plate incision. A deep urethral plate incision was done at the 12 o'clock position. After that, in the first group (n = 14) the anterior urethra was stented with a silicon catheter. Animals in the second group (n = 14) underwent the same incision procedure, however no stent was placed after this operation. All animals in both groups were again divided into three groups with respect to the follow-up period (7-14 and 21 days). Partial penectomy was performed in all subgroups and histopathologic evaluation performed. In the first group after 7 days, limited neovascularization and granulation tissue formation could be noted far away from the epithelial lumen. Evaluation of these specimens during the long-term follow-up (21 days) demonstrated an almost completely healed tissue with a remarkable neovascularization and well-developed granulation tissue. In the second group during 14-21 days, evaluation progression of tissue healing along with increasing vessel formation and re-epithelialization were demonstrated. Although the incision edges did show evident approximation, no sign of fibrosis could be demonstrated in these specimens. We may say that tissue healing with a desired and complete re-epithelialization could be achieved without inserting a catheter. Prevention of re-approximation along with the limited urinary extravasations to the subepithelial area might be responsible for tissue protection that will limit the long-term aforementioned adverse effects of the procedure.
    Urologia Internationalis 02/2007; 78(3):249-53.
  • [show abstract] [hide abstract]
    ABSTRACT: In recent years stone disease has become more widespread in developed countries. At present the prevalence is 5.2 and 15% of men and 6% of women are affected. The increase is linked to changes in lifestyle, eating patterns and obesity which has become very common. The 'metabolic syndrome' includes all the diseases, e.g. hypertension, lipid imbalances, type 2 diabetes mellitus, gout and cardiovascular disease, which are concomitant in the majority of stone formers. Dietary patterns, besides leading to stone formation, also determine stone chemistry. With a diet that is rich in oxalates, calcium oxalate will constitute 75% of stones, struvite 10-20%, uric acid 5-6% and cystine 1%. As approximately 50% of patients with stones suffer recurrences, metabolic and/or pharmacological prophylaxis is recommended.
    Urologia Internationalis 02/2007; 79 Suppl 1:37-46.
  • [show abstract] [hide abstract]
    ABSTRACT: To investigate the therapeutic effect of the fast-dissolving dosage form (FDDF) of sublingual piroxicam on renal colic compared with the intramuscular (IM) injection form of the same agent in a randomized, double-blind, placebo-controlled clinical trial. 80 patients were assigned to one of two treatment groups: Group 1 received 40 mg piroxicam FDDF sublingual tablets and IM injection of 2 ml distilled water. Group 2 received an IM injection of 40 mg piroxicam and two sublingual tablets of placebo. At baseline and 30 min after the medication, vital signs were recorded and the pain intensity was evaluated by the patient using a numeric rating scale. The overall efficacy of the treatment was 90%. There was no significant difference with respect to the required rescue treatment (p = 0.328), pain relapse within 24 h (p = 0.434) and the decrease in vital signs and numeric rating scale in both groups (p > 0.05). The piroxicam FDDF tablet was found to be as effective as the IM injection form of the same agent in the treatment of renal colic. The FDDF is a good alternative to the parenteral form because of its earlier onset of action and ease of self-administration which increases patient compliance.
    Urologia Internationalis 02/2007; 79(1):73-5.
  • [show abstract] [hide abstract]
    ABSTRACT: Urine is a complex balanced solution containing dissociated and non-dissociated solutes. Any variation in urine saturation grade (number of crystals dissolved in a volume of urine), urinary pH and the concentration of crystallization inhibitors can break the normal existing balance and lead to urolithiasis. In the present article we analyze the principal mechanisms (absorptive, renal, resorptive) of hypercalciuria. It will be also shown how heredity directly influences the clinical aspects of cystine, xanthine and oxalate lithiasis and how diet, in association with metabolic disorders, interferes in uric acid and oxalate stone formation. Finally, we report on the roles of urinary tract malformations, urinary tract infections and drugs in the clinical characterization of urolithiasis.
    Urologia Internationalis 02/2007; 79 Suppl 1:26-31.
  • [show abstract] [hide abstract]
    ABSTRACT: Of late, little data is available concerning factors affecting female sexual function. In the present study, we evaluated the effects of overactive bladder (OAB) syndrome symptoms on female sexual function. 40 patients with OAB symptoms and 40 age-matched women as a control group were evaluated using the Female Sexual Function Index (FSFI) for sexual function. According to the presence of urge incontinence, women with OAB were also divided into wet and dry groups. After completion of the forms, groups were compared. Although scores of all domains of FSFI (desire, arousal, lubrication, orgasm, satisfaction, pain and total) in the OAB group were found to be lower than in the control group, only 'desire' was found to be significantly different (p = 0.035). The FSFI scores of the OAB-dry and OAB-wet group were similar to each other. The results indicate that there is a trend toward lower sexual function scores in women with OAB compared to controls.
    Urologia Internationalis 02/2007; 78(2):112-5.

Related Journals