Volume 1, Issue 1, 2026
Original Article
Journal of Urology and Andrology Research, 1(1), 2026, juar001
ABSTRACT:
Introduction: Peyronie's disease (PD) is characterized by the development of fibrous plaques within the tunica albuginea, leading to penile deformity and significant psychological distress. While various surgical options exist, plaque incision or excision with grafting remains the gold standard for correcting complex or severe curvatures (>60–70°). This review evaluates the clinical outcomes, technical success, and complication rates of various autograft materials.
Historically, dermal grafts were the first autografts used but have fallen out of favor due to high rates of penile shortening (45–70%) and de novo ED (up to 66.7%). Saphenous vein grafts (SVG) demonstrate an initial success rate of ~85.6%, though long-term follow-up indicates a decline in straightness and rising ED rates (22.5%). Tunica albuginea and tunica vaginalis grafts show high technical success (90–100%) with low metabolic demand. More contemporary options, specifically fascia (lata and temporalis) and buccal mucosa grafts (BMG), show superior outcomes. Fascia grafts report technical success rates near 100% with minimal shortening. BMG demonstrates a 94.1% success rate with low de novo ED (0–10%) and rapid tissue integration.
Historically, dermal grafts were the first autografts used but have fallen out of favor due to high rates of penile shortening (45–70%) and de novo ED (up to 66.7%). Saphenous vein grafts (SVG) demonstrate an initial success rate of ~85.6%, though long-term follow-up indicates a decline in straightness and rising ED rates (22.5%). Tunica albuginea and tunica vaginalis grafts show high technical success (90–100%) with low metabolic demand. More contemporary options, specifically fascia (lata and temporalis) and buccal mucosa grafts (BMG), show superior outcomes. Fascia grafts report technical success rates near 100% with minimal shortening. BMG demonstrates a 94.1% success rate with low de novo ED (0–10%) and rapid tissue integration.
Short Communication
Journal of Urology and Andrology Research, 1(1), 2026, juar002
ABSTRACT:
Retrograde intrarenal surgery (RIRS) is one of the modern minimally invasive endoscopic techniques used in the treatment of nephrolithiasis. The aim of this study was to evaluate the clinical efficacy and postoperative complications of the RIRS procedure.
A total of 50 patients who underwent RIRS were included in the study. The patients were aged between 55 and 65 years. Among them, 28 were males and 22 were females. The average stone size was greater than 1.5 cm, with a density ranging from 1000 to 1200 HU.All procedures were performed under general anesthesia. A flexible ureteroscope and holmium laser were used during surgery. The average operative time ranged from 1.5 to 2 hours.The study demonstrated a 100% stone-free rate. The overall postoperative complication rate was 8%. According to the Traxer (PULS) classification, no ureteral injury (Grade 0) was detected in 98% of cases, while minor Grade 1 ureteral injury was observed in 2% of patients.
The results indicate that RIRS is a highly effective and safe method for the treatment of nephrolithiasis.
A total of 50 patients who underwent RIRS were included in the study. The patients were aged between 55 and 65 years. Among them, 28 were males and 22 were females. The average stone size was greater than 1.5 cm, with a density ranging from 1000 to 1200 HU.All procedures were performed under general anesthesia. A flexible ureteroscope and holmium laser were used during surgery. The average operative time ranged from 1.5 to 2 hours.The study demonstrated a 100% stone-free rate. The overall postoperative complication rate was 8%. According to the Traxer (PULS) classification, no ureteral injury (Grade 0) was detected in 98% of cases, while minor Grade 1 ureteral injury was observed in 2% of patients.
The results indicate that RIRS is a highly effective and safe method for the treatment of nephrolithiasis.