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  1. Fahmy O, El-Fayoumi AR, Gakis G, Amend B, Khairul-Asri MG, Stenzl A, et al.
    Cent European J Urol, 2015;68(4):466-70.
    PMID: 26855804 DOI: 10.5173/ceju.2015.627
    Laparoscopic pyeloplasty is considered a standard treatment for ureteropelvic junction obstruction (UPJO). However, the presence of another pathology makes it a more challenging operation and guides the surgeon towards open conversion. In this study, we present our experience in difficult pyeloplasty cases managed by laparoscopy.
  2. Khor V, Fahmy O, Lee CKS, Khairul-Asri MG
    Cent European J Urol, 2023;76(4):311-314.
    PMID: 38230320 DOI: 10.5173/ceju.2023.91
    Intravesical Bacillus Calmette-Guérin (BCG) therapy is a standard treatment for non-muscle invasive bladder cancer, but some patients experience side effects that lead to treatment discontinuation. Local side effects are typically mild, while systemic side effects can be severe and life-threatening. BCG therapy has immunotherapy effects on bladder cancer, but the mechanism is not fully understood. Due to its effect on the immune system, patients may also develop rare autoimmune complications, such as neuropathy. This case report suggests a potential association between BCG therapy and Guillain-Barré Syndrome (GBS), as a patient developed GBS after receiving intravesical BCG therapy for invasive bladder cancer.
  3. Nedbal C, Kar Kei Yuen S, Tramanzoli P, Maggi M, Giulioni C, De Stefano V, et al.
    Cent European J Urol, 2024;77(3):547-565.
    PMID: 40115468 DOI: 10.5173/ceju.2024.89
    INTRODUCTION: To provide a comprehensive review of survey trends in urology, aiming to provide insight into changes in publication in the new millennium. Surveys in healthcare allow for a better understanding of the knowledge, attitudes, and practice patterns as well as gaps in healthcare systems.

    MATERIAL AND METHODS: A comprehensive review of all "surveys in urology answered by urologists" was performed through the PubMed and Scopus databases, according to the SPICE framework. Included surveys were divided according to the subject: "Uro-oncology", "Urolithiasis", "Mental health" "Resident training", and "Miscellaneous". Publications were then divided into 2 main periods: Period-1 (2000-2011) and Period-2 (2012-2023).

    RESULTS: A total of 361 surveys have been published since 2000, with a significant overall increasing trend in the recent decade (p <0.001). A significantly increasing focus is seen for publications on resident training (n = 86; +660%; p = 0.003), mental health (n = 31; +650%; p = 0.001), urolithiasis (n = 40; +371%; p = 0.002), and uro-oncology (n = 94; +230%, p ≤0.001). In subanalysis, the largest increase in publications was noted for surveys on radical prostatectomy (+175%, p = 0.024), surgical treatment of urolithiasis (+320%, p = 0.040), quality of resident education (+483%, p <0.001), and personal satisfaction with resident training (+500%, p = 0.005).

    CONCLUSIONS: Over the decades, surveys have served as an effective interactive tool for urologists to engage and investigate different aspects of practice and training across sub-specialties. In modern times, better evaluation tools integrated with AI will provide a bigger platform for urologists to use surveys as part of their armamentarium to address and evaluate not only clinical practices but also emotional challenges, training needs, and inequalities that hinder progress in urology.

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