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ABSTRACT Objective: To report outcomes from the largest multicenter series of penile cancer patients undergoing video endoscopic inguinal lymphadenectomy (VEIL). Materials and Methods: Retrospective multicenter analysis. Authors of 21 centers from the Penile Cancer Collaborative Coalition-Latin America (PeC-LA) were included. All centers performed the procedure following the same previously described standardized technique. Inclusion criteria included penile cancer patients with no palpable lymph nodes and intermediate/high-risk disease and those with non-fixed palpable lymph nodes less than 4 cm in diameter. Categorical variables are shown as percentages and frequencies whereas continuous variables as mean and range. Results: From 2006 to 2020, 210 VEIL procedures were performed in 105 patients. Mean age was 58 (45-68) years old. Mean operative time was 90 minutes (60-120). Mean lymph node yield was 10 nodes (6-16). Complication rate was 15.7%, including severe complications in 1.9% of procedures. Lymphatic and skin complications were noted in 8.6 and 4.8% of patients, respectively. Histopathological analysis revealed lymph node involvement in 26.7% of patients with non-palpable nodes. Inguinal recurrence was observed in 2.8% of patients. 10y- overall survival was 74.2% and 10-y cancer specific survival was 84.8%. CSS for pN0, pN1, pN2 and pN3 were 100%, 82.4%, 72.7% and 9.1%, respectively. Conclusion: VEIL seems to offer appropriate long term oncological control with minimal morbidity. In the absence of non-invasive stratification measures such as dynamic sentinel node biopsy, VEIL emerged as the alternative for the management of non-bulky lymph nodes in penile cancer.

https://doi.org/10.1590/s1677-5538.ibju.2023.0065

True open access to urological science at the International Brazilian Journal of Urology
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Gomes, Cristiano Mendes

; Reis, Leonardo O.

International braz j urol

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aug 2023, Volume 49 N. 4 Pages 407 - 408

Abstract: En | Text: En | PDF: En

https://doi.org/10.1590/s1677-5538.ibju.2023.04.02

Will the advances in retrograde intrarenal surgery extinguish percutaneous nephrolithotomy for stones larger than 2 cm?
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Azal Neto, Wilmar

; de Salles, Lukas Costa

; di Domenico, Bruno

; Miyaoka, Ricardo

; Reis, Leonardo O.

International braz j urol

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feb 2023, Volume 49 N. 1 Pages 143 - 149

Abstract: En | Text: En | PDF: En

https://doi.org/10.1590/s1677-5538.ibju.2022.0533

Incontinence after laparoscopic radical prostatectomy: a reverse systematic review
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Azal Neto, Wilmar

; Capibaribe, Diego M.

; Col, Luciana S. B. Dal

; Andrade, Danilo L.

; Moretti, Tomas B. C.

; Reis, Leonardo O.

International braz j urol

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jun 2022, Volume 48 N. 3 Pages 389 - 396

Abstract: En | Text: En | PDF: En

ABSTRACT Purpose: To report the prevalence of the definitions used to identify post-prostatectomy incontinence (PPI) after laparoscopic radical prostatectomy (LRP), and to compare the rates of PPI over time under different criteria. Materials and Methods: In the period from January 1, 2000, until December 31, 2017, we used a recently described methodology to perform evidence acquisition called reverse systematic review (RSR). The continence definition and rates were evaluated and compared at 1, 3, 6, 12, and >18 months post-operative. Moreover, the RSR showed the “natural history” of PPI after LRP. Results: We identified 353 review articles in the systematized search, 137 studies about PPI were selected for data collection, and finally were included 203 reports (nr) with 51.436 patients. The most used criterion of continence was No pad (nr=121; 59.6%), the second one was Safety pad (nr=57; 28.1%). A statistically significant difference between continence criteria was identified only at >18 months (p=0.044). From 2013 until the end of our analysis, the Safety pad and Others became the most reported. Conclusion: RSR revealed the “natural history” of PPI after the LRP technique, and showed that through time the Safety pad concept was mainly used. However, paradoxically, we demonstrated that the two most utilized criteria, Safety pad and No pad, had similar PPI outcomes. Further effort should be made to standardize the PPI denomination to evaluate, compare and discuss the urinary post-operatory function.

https://doi.org/10.1590/s1677-5538.ibju.2021.0632

Perception of castration value over cost in the metastatic prostate cancer scenario: a contemporary pharmacoeconomic perspective
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Col, Luciana Saboya Brito Dal

; Andrade, Danilo L.

; Gon, Lucas M.

; Capibaribe, Diego M.

; Amaro, Marcelo P.

; Truzzi, Natássia C. C.

; Malkomes, Barbara R.

; Reis, Leonardo O.

International braz j urol

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jan 2022, Volume 48 N. 1 Pages 175 - 179

Abstract: En | Text: En | PDF: En

https://doi.org/10.1590/s1677-5538.ibju.2021.0258

How to draw the line between partial and radical nephrectomy
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Capibaribe, Diego Moreira

; Coelho, Marcos Oliveira Siebra

; Reis, Leonardo O.

International braz j urol

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aug 2021, Volume 47 N. 4 Pages 784 - 786

Abstract: En | Text: En | PDF: En

https://doi.org/10.1590/s1677-5538.ibju.2020.0149.1 100 downloads

How to avert a hidden trap: the severe obturator nerve reflex
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Capibaribe, Diego Moreira

; Col, Luciana Saboya Brito Dal

; Jalalizadeh, Mehrsa

; Reis, Leonardo O.

International braz j urol

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jun 2021, Volume 47 N. 3 Pages 594 - 595

Abstract: En | Text: En | PDF: En

https://doi.org/10.1590/s1677-5538.ibju.2020.0568.1 216 downloads

Correlation of tools for objective evaluation of infravesical obstruction of men with lower urinary tract symptoms
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Mazzariol Jr., Orestes

; Reis, Leonardo O.

; Palma, Paulo R.

International braz j urol

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aug 2019, Volume 45 N. 4 Pages 775 - 781

Abstract: En | Text: En | PDF: En

ABSTRACT Purpose To identify how the most frequently used parameters in daily clinical practice diagnosing bladder outlet obstruction (BOO) due to benign prostate hyperplasia (BPH) correlate to each other. Materials and methods The study included 452 patients with lower urinary tract symptoms (LUTS) of the UNICAMP urology outpatient clinic of LUTS. Inclusion criteria: patients with BOO due to BPH who agreed to participate in the study. Exclusion criteria: patients with urinary tract infection, neurological diseases that compromised the lower urinary tract, prior prostatic surgery, radiotherapy or urethral stenosis. Patient assessment: history, international prostate symptoms score (IPSS), nocturnal quality of life score (NQoL) questionnaires, physical and digital rectal examination (DRE), PSA, transabdominal ultrasound with intravesical prostate protrusion (IPP), post-mictional residue and free uroflowmetry. Results There was no strong Spearman correlation among the studied variables. The only moderate correlations occurred between IPSS and NQoL (p <0001; c=0.56) and between IPP and prostate volume (p <0001; c=0.57). Weak correlations between IPP and post-mictional residue (p <0001; c=0.31) and free uroflowmetry (p <0001; c=-0.26); and between IPSS and free uroflowmetry (p <0001, c=-0.21) were observed. Conclusion In this study, we found moderate, weak, very weak and absent correlation among the various parameters used in the diagnosis and management of BOO due to BPH. As the value of these tools is variable, the creation of a logical and objective algorithm was not possible and the treatment is based on the interpretation of clinical symptoms.

https://doi.org/10.1590/s1677-5538.ibju.2018.0706 537 downloads

10.

Radical prostatectomy for high-risk prostate cancer | Opinion: YES
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Reis, Leonardo O.

; Montenegro, Rodrigo

; Trinh, Quoc-Dien

International braz j urol

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jun 2019, Volume 45 N. 3 Pages 424 - 427

Abstract: En | Text: En | PDF: En

https://doi.org/10.1590/s1677-5538.ibju.2019.03.02 994 downloads

11.

Super active surveillance for low-risk prostate cancer | Opinion: Yes
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Reis, Leonardo O.

; Andrade, Danilo L.

; Bianco Jr., Fernando J.

International braz j urol

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apr 2019, Volume 45 N. 2 Pages 210 - 214

Abstract: En | Text: En | PDF: En

https://doi.org/10.1590/s1677-5538.ibju.2019.02.02 821 downloads

12.

HPV vaccination is fundamental for reducing or erradicate penile cancer | Opinion: YES
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Voris, Brunno Raphael Iamashita

; Visintin, Carolina Del Negro

; Reis, Leonardo O.

International braz j urol

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oct 2018, Volume 44 N. 5 Pages 859 - 861

Abstract: En | Text: En | PDF: En

https://doi.org/10.1590/s1677-5538.ibju.2018.05.02 616 downloads

13.

Prostate Cancer – Local Treatment after Radiorecurrence: Surgery - Back to the future?
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Reis, Leonardo O.

; Nguyen, Paul L.

International braz j urol

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jun 2018, Volume 44 N. 3 Pages 433 - 434

Abstract: En | Text: En | PDF: En

https://doi.org/10.1590/s1677-5538.ibju.2018.03.04 932 downloads

14.

Schooling impacts on the overactive bladder diagnosis in women
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Ferreira, Larissa R.

; Gameiro, Monica O.

; Kawano, Paulo R.

; Yamamoto, Hamilto A.

; Guerra, Rodrigo

; Reis, Leonardo O.

; Amaro, João L.

International braz j urol

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dec 2017, Volume 43 N. 6 Pages 1129 - 1135

Abstract: En | Text: En | PDF: En

ABSTRACT Objective: To evaluate the overactive bladder (OAB) diagnosis using OAB-V8 and ICIQOAB questionnaires in women with different schooling and cultural levels. Materials and Methods: Three hundred and eighty six healthy women answered a clinical questionnaire filling out information about schooling, demographic and gynecological data. The OAB-V8 and ICIQ-OAB questionnaires were used to evaluate OAB diagnosis and symptoms; and the QS-F questionnaire, to determine the sexual function. All questionnaires were validated in Portuguese. Results: The mean age was 37.3 years-old. Regarding to schooling level, 23.1% had concluded primary education; 65.8%, secondary school; and 11.1% had higher education. Considering the OAB-V8 (score ≥8), 51.8% of evaluated women had OAB diagnosis. There was a positive linear correlation between the OAB-V8 and ICIQ-OAB questionnaires in its sections “a” (r=0.812, p<0.001) and “b” (r=759, p<0.001). There was a positive linear correlation between age and the amount of time used to answer the OAB-V8, ICIQ-OAB and QS-F questionnaires (p<0.001). The ICIQ-OAB was the hardest to answer for all schooling levels when compared to the other questionnaires. Women who had concluded primary and secondary education significantly demanded more help to answer all questionnaires than those with higher education (p<0.05). Furthermore, women with higher education took significantly less time answering all questionnaires when compared to their less educated counterparts (primary and secondary schooling), since they were quicker to answer each individual question. Conclusion: Educational level and ageing had an impact on women response using different questionnaires for OAB and sexual function evaluations.

https://doi.org/10.1590/s1677-5538.ibju.2016.0575 785 downloads

15.

Cocaine abuse that presents with acute scrotal pain and mimics testicular torsion
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Tamanini, José Tadeu Nunes

; Salzani, Vagner Tadeu

; Tamanini, Juliana Milhomem

; Iessenco, Filipe

; Reis, Leonardo O.

International braz j urol

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oct 2016, Volume 42 N. 5 Pages 1028 - 1032

Abstract: En | Text: En | PDF: En

ABSTRACT Report case (s) relevant aspects: Man, 27 years old, complaining of acute testicular pain by 2 hours in the remaining left testicle. Denies fever, lower urinary tract symptoms such as dysuria, urinary frequency, concommitant or prior urethral discharge to the painful condition. He underwent right orchiectomy 13 years ago by testicular torsion. He is a chronic user of cocaine for 15 years and during the last three days the drug use was continuous and intense. Proposed premise substantiating case (s) description: Initial diagnostic hypothesis: Syndromic: Acute Scrotum Syndrome (SEA) Main Etiologic (testicular torsion) Secondary Etiologic (acute orchiepididymitis) Briefly delineates what might it add? Lines of research That Could be Addressed: In this challenging clinical case we presented an alternative and new etiologic diangosis for the acute scrotum which the main etiologic factor remains testicular torsion. This new diangosis is acute testicular ischemia as a complication of cocaine abuse.

https://doi.org/10.1590/S1677-5538.IBJU.2015.0663 1892 downloads

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