Publications by authors named "Shahrour W"
Article Synopsis
- This study compares the safety and effectiveness of flexible ureteroscopy (f-URS) and ambulatory tubeless mini-percutaneous nephrolithotomy (mini-PCNL) for treating 1-2 cm lower calyceal renal stones in a randomized controlled trial involving 72 patients.
- Results show that mini-PCNL had a longer operative time but significantly higher stone-free rates (SFR) at both postoperative Day 1 and three months later compared to f-URS.
- Both procedures had similar postoperative complications, but two patients in the f-URS group required re-treatment, highlighting the need to assess the best surgical approach for specific cases.
Date palm (Phoenix dactylifera( cv. Medjool is a significant plant, grown in Jordan. In vitro propagation gives operative resources for the significant propagation of date palms.
View Article and Find Full Text PDFUrinary incontinence (UI), encompassing stress urinary incontinence (SUI) and urge urinary incontinence (UUI), is a prevalent and debilitating condition in patients with multiple sclerosis (MS), profoundly impacting their quality of life. This systematic review and meta-analysis aimed to elucidate the worldwide prevalence rates of SUI and UUI among MS patients. This study was conducted by examining observational studies published between 2000 and 2023.
View Article and Find Full Text PDFIntroduction: The objective of our study was to evaluate the efficacy and durability of GreenLight laser prostatectomy for the management of acute urinary retention (AUR) and chronic urinary retention (CUR) and to determine outcomes compared to patients without preoperative urinary retention (UR).
Methods: We conducted a retrospective study of prospectively collected data from individuals who underwent GreenLight laser prostatectomy at our institution from May 2018 to July 2022. Patient demographics and outcome measures were recorded, including indications for the procedure, median urinary volume drained, or median postvoid residual urine volume (PVR) before catheterization or GreenLight laser prostatectomy.
Introduction: Primary appendiceal carcinoma is rare and comprises up to 1% of all colorectal malignancies. Its invasion into adjacent organs, such as the bladder and rectum, especially as a presenting characteristic, is even less common.
Case Presentation: A 75-year-old asymptomatic male tested positive on a screening fecal immunochemical test (FIT).
Article Synopsis
- The study investigated how age affects the health outcomes and complications in patients treated with GreenLight laser prostatectomy for benign prostatic hyperplasia (BPH).
- Data was collected from 168 male patients, split into non-octogenarian and octogenarian groups, with findings showing that octogenarians had higher ASA scores indicating more health risks, yet surgery results were comparable between age groups.
- The results suggest that GreenLight laser prostatectomy is a safe and effective option for treating BPH in both older and younger patients, providing similar functional outcomes and quality of life improvements.
Introduction: Partial nephrectomy is the standard of care to patients with small renal masses. It is still encouraged to larger tumours whenever feasible. The aim of this study is to look for the endophytic to total tumour volume ratio as an added variable to study the complexity of partial nephrectomy to patients with T1b/ T2 renal tumours.
View Article and Find Full Text PDFSpontaneous rupture of the urinary bladder (SRUB) during pregnancy is a potentially fatal event that necessitates immediate surgery. The aim of this systematic review is to determine the symptoms, causes, associated factors, and prognosis of SRUB in pregnancy. We searched the literature from inception until December 2022 using the Cochrane Central Register, PubMed, EMBASE, ProQuest, Scopus, and Google Scholar.
View Article and Find Full Text PDFArticle Synopsis
- A randomized controlled trial was conducted to compare the outcomes of traditional and top-down holmium laser enucleation of the prostate (HoLEP) techniques for patients with benign prostatic hyperplasia (BPH) and prostate sizes of 80 cc or more.
- One hundred patients participated, with both techniques showing similar preoperative characteristics, operative times, and postoperative outcomes, including urinary incontinence rates and quality of life scores.
- The study concluded that both HoLEP techniques significantly enhance urinary function in patients, demonstrating comparable results regardless of which method is used.
The study's primary objective was to compare the laser efficiency and clinical outcomes of two widely used systems, the holmium MOSES laser and the thulium fiber laser (TFL), in managing kidney stones. The secondary outcomes were to evaluate the impact of stone composition on laser efficacy. We conducted a retrospective review of patients who underwent flexible ureteroscopy (f-URS) for solitary renal calculi between December 2020 and August 2022 at our institution and had a 3-month postoperative CT scan.
View Article and Find Full Text PDFObjective: To evaluate the utility of infantile BCG vaccination history in predicting stage and grade of tumours in non-muscle invasive bladder cancer (NMIBC).
Materials And Methods: We retrospectively analyzed data from patients from a single center who were diagnosed with new NMIBC and underwent transurethral resection of bladder tumour (TURBT) between 2017 and 2022. We assessed BCG immunization status with various demographics and comorbidities, as well as tumour recurrence, progression, stage, and grade.
Article Synopsis
- A study was conducted to assess the safety and effectiveness of two prostate vaporization methods (Holmium Laser Xpeeda vs. GreenLight XPS) in men with benign prostatic hyperplasia (BPH) and prostate sizes of 80g or less.
- Both methods yielded similar outcomes, such as symptom relief and recovery times, with most patients able to void successfully on the same day.
- The Holmium Laser Xpeeda showed lower laser energy use and fewer postoperative complications compared to GreenLight XPS, with no significant differences in sexual or functional outcomes at 12 months.
Article Synopsis
- The study aims to assess the impact of early vs. late urinary catheter removal on outcomes after urethroplasty.
- A comprehensive literature search found 5 studies involving 634 patients, showing no significant differences in extravasation and recurrence rates between early and late removal groups.
- However, late catheter removal was associated with a higher rate of wound and urinary tract infections, suggesting early removal might be more beneficial overall.
Article Synopsis
- Refractory hematuria due to prostate issues often requires emergency intervention if conservative treatment fails, leading to the study of holmium laser enucleation of the prostate (HoLEP) as a potential solution.
- A review of 40 emergency HoLEP patients showed high effectiveness, with most experiencing quick recovery, including catheter removal within a day and discharge within 24 hours.
- Follow-up results at one year indicated significant improvements in urinary symptoms and quality of life, suggesting HoLEP is a viable emergency treatment for this condition, but more research is needed.
The aim of our study was to show our short-term experience in managing large renal masses (cT1b/T2) through partial nephrectomy (PN) over the last 3 years. Retrospective data collection for all patients managed by PN for renal masses larger than 4 cm over the last 3 years. Epidemiological data were collected.
View Article and Find Full Text PDFArticle Synopsis
- The study analyzed patients who underwent top-down HoLEP (Holmium Laser Enucleation of the Prostate) for recurrent benign prostatic hyperplasia (BPH), comparing outcomes between those with prior surgeries (group I) and without (group II).
- A total of 269 patients were included, with no significant differences in the preoperative characteristics or operative outcomes between the two groups.
- Postoperative follow-up showed significant improvements in urinary function for both groups over 12 months, and the procedure was deemed safe, indicating prior prostate surgery does not negatively impact outcomes with HoLEP.
Radical cystectomy for bladder urothelial carcinoma with aggressive variant histology.
Arch Ital Urol Androl
September 2022
Article Synopsis
- The study investigates the management of bladder cancer in patients with variant pathology, specifically focusing on micropapillary and nested variants.
- Out of ten patients analyzed, eight had micropapillary carcinoma, with a median age of 75; several experienced lymph node invasion and some had local recurrences despite surgery.
- The findings suggest that aggressive surgical intervention, including radical cystectomy and careful monitoring for urethral involvement, is crucial for patients with these aggressive variants of bladder cancer.
Article Synopsis
- This study compared the perioperative and postoperative outcomes of two prostate surgery methods: standard HoLEP and MOSES HoLEP (MoLEP), focusing on same-day catheter removal.
- A total of 90 patients were analyzed, revealing that while MoLEP had a faster enucleation and recovery times, the success rate for same-day trial of void (TOV) and readmission rates were similar for both methods.
- Factors influencing shorter enucleation times included the type of surgery (MoLEP), lower prostate-specific antigen levels, and smaller prostate sizes, with previous retention history affecting TOV success.
Over the last two decades, the treatment of metastatic RCC has changed significantly, and the role of surgery is being debated. A 50-year-old man presented with pain in his left loin. An ultrasound, followed by a CT scan, revealed a 17.
View Article and Find Full Text PDFIntroduction: Novel laser technologies have been developed for the minimally invasive surgical management of benign prostatic hyperplasia (BPH). The objective of this study was to assess the safety and efficacy of MOSESTM technology versus the thulium fiber laser (TFL) in patients with BPH undergoing transurethral enucleation of the prostate.
Methods: We conducted a retrospective review of prospectively collected data of eighty-two patients who underwent transurethral enucleation of the prostate using MOSESTM or TFL technologies from August 2020 to September 2021.
To the Editor, Aristolochic acid is one of major causes for upper tract urothelial carcinoma, especially in younger population. While it is mentioned as a cause in guidelines, little is actually known about the toxin by urologists. We are aiming in our letter to provide some direct and clear information to ourselves that would help us to know more about that toxin and how it can adversely affect our patients [.
View Article and Find Full Text PDFObjective: This study aimed to investigate the clinical and pathological characteristics of patients with de novo muscle-invasive bladder cancer (MIBC) who underwent radical cystectomy in Northern Ontario.
Methods: This is a retrospective cross-sectional study of patients with de novo T2 MIBC who underwent radical cystectomy over a 2-year-period in Thunder Bay Regional Health Sciences Centre. Clinical and pathological characteristics of Trans Urethral Resection of Bladder Tumors and cystectomy specimens were analyzed.
Objective: To determine the safety and efficacy of same-day urethral catheter removal after laser vaporization of the prostate and to identify factors contributing to a successful trial of void (TOV).
Methods: We conducted a retrospective analysis of 98 patients who underwent laser vaporization of the prostate using GreenLight or Holmium Xpeeda laser fibers from April 2018 to March 2021. All patients included in the study were offered a same-day TOV and had their catheters removed 3 hours postoperatively.
Introduction: Guidelines surrounding the management of T4b muscle-invasive bladder cancer (MIBC) with radical cystectomy (RC) are limited and lack clarity. Our objective was to analyze our single-center experience to provide additional insight into the role of RC.
Methods: We performed a retrospective data analysis using clinical, radiological, and pathological information for all patients managed by RC for cT4b MIBC at the Thunder Bay Regional Health Sciences Centre (July 2015 to July 2020).