MyMedR

A newly developed porcine training model for transurethral piecemeal and en bloc resection of bladder tumour

Teoh JY, Cho CL, Wei Y, Isotani S, Tiong HY, Ong TA, et al.

World J Urol, 2019 Sep;37(9):1879-1887.

PMID: 30560297 DOI: 10.1007/s00345-018-2602-2

PURPOSE: The Asian Urological Surgery Training & Education Group (AUSTEG) has been established to provide training and education to young urologists in Asia. We developed and validated a porcine bladder training model for transurethral resection of bladder tumour (TURBT).

METHODS: Urology residents and specialists were invited to test the training model. They were asked to complete a pre-task questionnaire, to perform piecemeal and en bloc resection of 'bladder tumours' within the training model, and to complete a post-task questionnaire afterwards. Their performances were assessed by faculty members of the AUSTEG. For the face validity, a pre-task questionnaire consisting of six statements on TURBT and the training model were set. For the content validity, a post-task questionnaire consisting of 14 items on the details of the training model were set. For the construct validity, a Global Rating Scale was used to assess the participants' performances. The participants were stratified into two groups (junior surgeons and senior surgeons groups) according to their duration of urology training.

RESULTS: For the pre-task questionnaire, a mean score of ≥ 4.0 out of 5.0 was achieved in 5 out of 6 statements. For the post-task questionnaire, a mean score of ≥ 4.5 out of 5.0 was achieved in every item. For the Global Rating Scale, the senior surgeons group had higher scores than the junior surgeons group in 8 out of 11 items as well as the total score.

CONCLUSION: A porcine TURBT training model has been developed, and its face, content and construct validity has been established.

Matched MeSH terms: Urology/education*

Fulltext Experience from Malaysia During the COVID-19 Movement Control Order

Khor V, Arunasalam A, Azli S, Khairul-Asri MG, Fahmy O

Urology, 2020 07;141:179-180.

PMID: 32339556 DOI: 10.1016/j.urology.2020.04.070

Matched MeSH terms: Urology*

The Modified Urdu version of International Prostate Symptom Score: A psychometric validation study

Salman M, Khan AH, Sulaiman SAS, Hughes J, Khan JH, Hussain K

Turk J Urol, 2018 Jul;44(4):335-340.

PMID: 29932403 DOI: 10.5152/tud.2018.44834

OBJECTIVE: The objective of the current study was to develop an Urdu version of the International Prostate Symptom Score (IPSS-U) and validate it for Pakistani patients suffering from lower urinary tract symptoms (LUTS).
MATERIAL AND METHODS: IPSS-U was developed by a two-step forward and back translation and to evaluate its psychometric properties, a prospective study involving patients suffering from LUTS (n=267) was conducted at Outpatient Urology Department, Mayo Hospital, Lahore, Pakistan. Internal consistency and reproducibility were assessed using Cronbach's alpha and the Intra-Class Correlation Coefficient (ICC). Moreover, exploratory, and confirmatory factor analyses were performed to determine dimensionality of IPSS-U items.
RESULTS: Overall reliability of IPSS-U was satisfactory (Cronbach's alpha=0.72, ICC of symptom questions=0.92 and ICC of QOL index=0.75). Exploratory factor analysis revealed that two factors were consistent, which together explained 59.8% of the variance. IPSS-U items 1, 3, 5 and 6 were components of the first factor whereas item 2, 4 and 7 were components of the second factor. All the items loaded high on their factors and there were no cross loadings. Moreover, confirmatory factor analysis also showed two-factor model, with acceptable fitting patterns.
CONCLUSION: IPSS-U is a valid and reliable non-gender specific instrument to assess the frequency and severity of LUTS in Urdu-speaking population.

Matched MeSH terms: Urology

Development of urology and nephrology at General Hospital, Kuala Lumpur from 1962-1974

Sreenevasan G

Med J Malaysia, 1995 May;50 Suppl A:S14-9.

PMID: 10968007

Matched MeSH terms: Urology/history; Urology Department, Hospital/history*

Fulltext Urological Service at the General Hospital, Kuala Terengganu

Naidu RR

Med J Malaysia, 1986 Sep;41(3):250-3.

PMID: 3670142

Matched MeSH terms: Urology Department, Hospital*

Urinary stones in Malaysia--its incidence and management

Sreenevasan G

Med J Malaysia, 1990 Jun;45(2):92-112.

PMID: 2152025

The life of Lord Moynihan is briefly reviewed. Incidence of stones in Peninsular Malaysia appears to show the same trend as in other industrialised countries. Management of urinary calculi both prior to and after the introduction of ESWL in a personal series is discussed. More than 90% of urinary stones are now treated by ESWL threatening the place of surgery in Urology. The pattern of incorporating renal transplantation into the urological training programme as practised in the Institute of Urology and Nephrology in Malaysia is suggested as a way to assure a place for surgery in Urology.

Matched MeSH terms: Urology/history

Fulltext A romance with urology in Malaysia

Spreenevasan G

Med J Malaysia, 1986 Sep;41(3):239-49.

PMID: 3312974

Matched MeSH terms: Urology/history*

Triage of urology referrals and outpatient service during COVID-19 pandemic: experience from a single centre in Malaysia

Ong LK, Sivaneswaran L, Mohd Najib A, Devindran M, Say BL, Rohan MJ

Med J Malaysia, 2020 07;75(4):400-402.

PMID: 32724002

In Malaysia, COVID-19 pandemic recorded considerable number of cases. Many hospitals have been converted into COVID-19 centres to manage these cases. The Penang General Hospital was designated as a hybrid hospital to manage both COVID-19 and non-COVID-19 cases. Consequently, services across specialties, including urology have been affected. Triage of referrals was necessary to ensure optimum patient care, thus we designed a triage system to address this situation. A record screening system of patients was also implemented to limit outpatient appointments. We share this early experience in managing urology patients during this pandemic.

Matched MeSH terms: Urology*

Fulltext Pneumatic ureterolithotripsy in paediatric and adolescent patients: a ten-year experience at the Hospital Universiti Sains Malaysia

Hussein NS, Gohar MR

Singapore Med J, 2011 Jan;52(1):42-6.

PMID: 21298240

Two to three percent of stone disease cases occur in the paediatric age group. It is common in some parts of the world, such as in Turkey, India and Thailand. More than 50 percent of stones in children are still managed through open surgery. Ureteroscopic intervention for children remains a challenging treatment option. However, in contemporary urology practice, this mode of intervention is becoming more common. In this retrospective study, we reviewed our experiences with ureteroscopy and pneumatic lithotripsy in the paediatric and adolescent age group.

Matched MeSH terms: Urology/methods

Fulltext Urology services in a tertiary hospital: continuing work during the COVID-19 Movement Control Order in Malaysia

Khor V, Sidhu S, Muhammad Afiq MFO, Pushpanathan M, Fahmy O, Khairul Asri MG, et al.

Singapore Med J, 2024 Mar 01;65(Suppl 1):S35-S40.

PMID: 35139632 DOI: 10.11622/smedj.2022008

Matched MeSH terms: Urology*

Fulltext Urology Coverage for Obstetric and Gynecological Operative Procedures Should Go Hand in Hand in a Hospital Setting

Al-Shaiji TF

Rev Bras Ginecol Obstet, 2021 Nov;43(11):883-884.

PMID: 34872148 DOI: 10.1055/s-0041-1739165

Matched MeSH terms: Urology*

Fulltext Urology-Related Conditions Should Not Be Overlooked in Women with Polycystic Ovary Syndrome

Al-Shaiji TF

Rev Bras Ginecol Obstet, 2021 Oct;43(10):793.

PMID: 34784637 DOI: 10.1055/s-0041-1736552

Matched MeSH terms: Urology*

Fulltext To Share or Not to Share: Malaysian Healthcare Professionals' Views on Localized Prostate Cancer Treatment Decision Making Roles

Lee YK, Lee PY, Cheong AT, Ng CJ, Abdullah KL, Ong TA, et al.

PLoS One, 2015;10(11):e0142812.

PMID: 26559947 DOI: 10.1371/journal.pone.0142812

AIM: To explore the views of Malaysian healthcare professionals (HCPs) on stakeholders' decision making roles in localized prostate cancer (PCa) treatment.
METHODS: Qualitative interviews and focus groups were conducted with HCPs treating PCa. Data was analysed using a thematic approach. Four in-depth interviews and three focus group discussions were conducted between December 2012 and March 2013 using a topic guide. Interviews were audio-recorded, transcribed verbatim, and analysed thematically.
FINDINGS: The participants comprised private urologists (n = 4), government urologists (n = 6), urology trainees (n = 6), government policy maker (n = 1) and oncologists (n = 3). HCP perceptions of the roles of the three parties involved (HCPs, patients, family) included: HCP as the main decision maker, HCP as a guide to patients' decision making, HCP as a facilitator to family involvement, patients as main decision maker and patient prefers HCP to decide. HCPs preferred to share the decision with patients due to equipoise between prostate treatment options. Family culture was important as family members often decided on the patient's treatment due to Malaysia's close-knit family culture.
CONCLUSIONS: A range of decision making roles were reported by HCPs. It is thus important that stakeholder roles are clarified during PCa treatment decisions. HCPs need to cultivate an awareness of sociocultural norms and family dynamics when supporting non-Western patients in making decisions about PCa.

Matched MeSH terms: Urology

Fulltext Robotic surgery: where are we today?

Obaid, Kadhim Jawad, Sood, Suneet

Medical Health Reviews, 2009;2009(1):59-73.

MyJurnal

Robotic surgery is a technique that uses mechanical, computercontrolled arms to conduct surgical operations. It carries the advantages of minimal access associated with laparoscopic surgery, and of precision associated with open surgery. It is also feasible to conduct robotic surgery with the surgeon far away, by “telerobotics”. The robot is more versatile than the human arm, and less susceptible to tremors. The view is excellent, and it is possible to conduct more intricate procedures than are possible with the human hand. Robotics has been in use for over seven years, and the initial experience shows that the success rate is over 90%, with only about 10% of cases needing to be converted to open surgery. Blood loss is low, and tumour margins in cancer surgery are satisfactory. Surgeons have used robotics for procedures in urology, gastrointestinal surgery, gynecology, cardiac surgery, neurosurgery, orthopedics, and other specialties. Presently, robotics suffers from two major disadvantages: one, that it is very expensive, and two, that robotic procedures take significantly longer than do open or laparoscopic procedures.

Matched MeSH terms: Urology

Intrauterine contraceptive device embedded in bladder wall with calculus formation removed successfully with open surgery

Tan JH, Lip H, Ong W, Omar S

Malays Fam Physician, 2019;14(2):29-31.

PMID: 31827733

An Intrauterine contraceptive devices (IUCD) is commonly inserted by the primary health care physician. It can migrate into pelvic or abdominal organs. When a pregnancy occurs following an insertion of an IUCD, there should be a high suspicion of uterine perforation or possible migration. A radiograph can be done in the primary health care clinic to search for a missing IUCD. Early referral to the urology service is warranted when a patient presents with recurrent urinary tract infections. Removal of an intravesical IUCD can be managed with cystoscopy, laparoscopy or open surgery. Herein, we report a case of IUCD migration into the bladder. This case will highlight the importance of proper technique, careful insertion and the role of ultrasound.

Matched MeSH terms: Urology

Bilateral emphysematous pyelitis: a rare encounter in urology

Tan C C K Ho GH, Bahadzor B, Praveen S, Goh EH, Syahril AS, Zulkifli MZ

Clin Ter, 2013;164(4):319-21.

PMID: 24045515 DOI: 10.7417/CT.2013.1580

Gas-forming infection of the kidneys can affect either the parenchyma or the collecting system. They are known as emphysematous pyelonephritis (EPN) and emphysematous pyelitis (EP) respectively. Bilateral EPN is a fairly established entity and numerous articles about this condition have been published. However, much less is known about bilateral EP. We report a rare case of bilateral EP and a literature review of this disease. A 66-year-old woman with long-standing bilateral staghorn calculi presented with bilateral EP and severe sepsis. She was treated with antibiotics and bilateral double-J stents to drain the upper urinary tracts. She recovered after 1 month of intensive care and medical therapy. Percutaneous nephrolithotomy (PCNL) had been scheduled to treat her staghorn calculi. A literature search on MEDLINE and Google Scholar with the terms "bilateral emphysematous pyelitis" only found 1 case report in English and another 2 reports in the Korean language that discussed bilateral EP. The collective experience of these few cases, including the present case, suggests that bilateral EP runs a more benign course than bilateral EPN. It should be diagnosed as soon as possible with computed tomography (CT) scans of the renal system. Current evidence shows that can be treated successfully with timely antibiotics. Drainage of the collecting system either percutaneously or with placement of double-J stents might facilitate recovery.

Matched MeSH terms: Urology

Dentist-Urologist Interplay in the Dental Management of Penile Prosthesis Patient

Ramasamy C

J Coll Physicians Surg Pak, 2015 Aug;25(8):628.

PMID: 26305318 DOI: 08.2015/JCPSP.628628

Matched MeSH terms: Urology

Fulltext The prevalence of postoperative symptoms within 24 hours after ambulatory surgery in a University Hospital

Adlin Dasima, A.K., Karis, M.

Journal of Surgical Academia, 2013;3(2):32-38.

MyJurnal

Ambulatory surgery has now becoming increasingly popular and it is generally well accepted. Major complications following ambulatory surgery are very rare but certain postoperative symptoms can be very unpleasant and distressing to the patients. Follow-up phone calls regarding their well being at home following the surgery may give us the clue and allow us to identify certain problems that can be sorted out immediately or as a reference for a better service in future. The present study was carried out to determine the prevalence of common postoperative symptoms and their subsequent effects within 24 hours after ambulatory surgery by follow-up phone calls. We prospectively studied 199 ASA I and II patients, but only 187 patients were analyzed. Patients had undergone general surgery, orthopaedic, urology, gynaecology or ear, nose and throat (ENT) surgery. Pain was scored based on Numerical Rating Scale (NRS). Majority of patients (70.8%) had only mild pain prior to discharge home. At 24 hours postoperatively, pain was the commonest symptom reported (92.5%) followed by sleepiness (72.2%), dizziness (49.7%), sore throat (17.1%), nausea and vomiting (7.5%) and headache (7%). Sleep was mildly affected in nearly 50% of the patients. Fifty seven percent of patients did not need assistance in performing daily activities during the 24 hours, post surgery. Majority of patients were satisfied (81.3%) with ambulatory surgery. In conclusion, pain was the commonest postoperative symptom encountered following the surgery. Sleep was mildly affected by the postoperative symptoms. Most of the patients did not need assistance in performing their daily activities following surgery. All patients were able to return to at least more than 50% of their normal daily activities at 24 hours after the surgery. Overall satisfaction towards ambulatory surgery was good.

Matched MeSH terms: Urology

Fulltext Squamous cell carcinoma of scrotum: a rare case of scrotal neoplasm

Shanggar, K., Ng, C.H., Razack, A.H., Dublin, N.

JUMMEC, 2010;13(1):59-62.

MyJurnal

Malignant tumours of the scrotum are very rare. Several type of occupations have been identified as high risk for the development of SCC of scrotum e.g paraffin and shale oil workers (1), textile workers (2) etc. We report a rare case of SCC of scrotum. Search of our records in the Urology and Pathology departments of our Centre showed that this is the only case of SCC of the scrotum in the last 10 years.

Matched MeSH terms: Urology

Fulltext Asian School of Urology, Young Leaders' Workshop, Kyoto 2010

Ogawa O

Int J Urol, 2011 Jan;18(1):87-91.

PMID: 21198942 DOI: 10.1111/j.1442-2042.2010.02659.x

As part of the 20th Anniversary Celebration of the Urological Association of Asia (UAA), the Asian School of Urology, Young Leaders' Workshop was held in Kyoto, 23-25 April 2010. The workshop focused on future national Asian leaders in the field of Urology and was arranged by the Asian School of Urology (ASU), an educational branch of the UAA, and Dr Osamu Ogawa, the workshop Organizer. Urologists from several Japanese universities contributed to the workshop as advisors, taskforce members, and group members. The workshop was also actively supported by Dr Allen Chiu (Taiwan) and Dr Stephen Lim (Singapore). A younger generation of urologists was invited to attend the workshop and, in all, 29 delegates from 17 countries (Australia, Bangladesh, Cambodia, China, India, Indonesia, Iran, Korea, Malaysia, Myanmar, Nepal, Philippines, Singapore, Sri Lanka, Taiwan, Thailand, and Vietnam), chosen on the basis of recommendations from local councils, attended. The purpose of the workshop was to open channels of communication between future Asian leaders in Urology. The workshop topic was "Asian Clinical Guidelines". Workshop participants were divided into five groups addressing distinct issues associated with the notion of clinical guidelines: Group A, General Problems; Group B, Prostate Cancer; Group C, Stone Disease; Group D, Infectious Diseases; and Group E, Bladder Cancer. The workshop consisted of an introductory session, followed by three main sessions, each of which consisted of a group discussion of specific problems associated with the establishment of Asian Guidelines for Urological Diseases and how best to deal with them, followed by a plenary presentation of the outcomes.

Matched MeSH terms: Urology/standards*

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