Asian Journal of Research and Reports in Urology <p style="text-align: justify;"><strong>Asian Journal of Research and Reports in&nbsp;Urology</strong>&nbsp;aims to publish&nbsp;high-quality&nbsp;papers related to all aspects of&nbsp;Urology. By not excluding papers based on novelty, this journal facilitates the research and wishes to publish papers as long as they are technically correct and scientifically motivated. The journal also encourages the submission of useful reports of negative results. This is a quality controlled, OPEN peer-reviewed, open-access INTERNATIONAL journal.</p> en-US (Asian Journal of Research and Reports in Urology) (Asian Journal of Research and Reports in Urology) Thu, 28 Jul 2022 12:35:56 +0000 OJS 60 Penile Fracture with Bilateral Corpora Cavernosa Tear and Near-complete Urethral Injury Following a Motorbike Accident: A Case Report <p>Penile fracture is a blunt injury to an erected penis with a resultant rupture of the tunica albuginea of the corpus cavernosum. It is an uncommon injury most commonly sustained during sexual intercourse. Concomitant urethral injury is rare in penile fracture. Reported herein is the case of a 31-year-old man who was referred from a peripheral hospital with penile swelling, bleeding per urethra, and a urethra catheter in situ following a motorbike accident in which he was a passenger sliding his erect penis against the back of the rider. Surgical exploration was performed and a bilateral rupture of the corpora cavernosa with a near-complete urethral tear was seen. The injuries were repaired primarily. In follow-up, the patient reported satisfactory erectile function. This case highlights a new mechanism of penile fracture injury and the importance of surgical repair irrespective of the timing or severity of the penile fracture.</p> Friday Emeakpor Ogbetere ##submission.copyrightStatement## Sat, 06 Aug 2022 00:00:00 +0000 Correlation of Multiparametric MRI-estimated Vesical Imaging Reporting and Data System (VI-RADS) Score with Muscle Invasion and Tumor Grade on TURBT in Patients with Urothelial Bladder Cancer: A Prospective Cross-sectional Study <p><strong>Introduction and Objective:</strong> Differentiation between non-muscle-invasive bladder cancer (NMIBC) and muscle-invasive BC (MIBC) is one of the main challenges in BC management. Tumor grade is another parameter guiding treatment. Transurethral resection of bladder tumor (TURBT) bears an inherent risk of understaging, especially if the sample does not contain detrusor muscle. Hence, an adjunctive modality for local staging such as CT or MRI is desirable. Multi-parametric MRI (mpMRI), and the Vesical Imaging Reporting and Data System (VI-RADS) score derived therefrom is one such tool for BC local staging. The objective of the present study was to prospectively evaluate the accuracy the VI-RADS score in assessing muscle-invasiveness and tumor grade on TURBT, by using histopathological examination as the reference standard.</p> <p><strong>Methods:</strong> 50 patients with bladder tumor were included in this study conducted at the Department of Urology, Gauhati Medical College and Hospital, Guwahati, Assam (India) over 13 months from November 2020 to November 2021. All patients underwent a mpMRI of the urinary bladder prior to TURBT and a five-point VI-RADS score was obtained. The VI-RADS score was correlated with the histopathological muscle invasion and tumor grade obtained on TURBT.</p> <p><strong>Results:</strong> There was a positive correlation between the VI-RADS score and the pathological results with respect to both muscle invasion (r = 0.401, p &lt; 0.05) and tumor grade (r = 0.386, p &lt; 0.05). For muscle-invasion, the AUC of the VI-RADS score was 0.722, and for tumor grade, the AUC was 0.709. For a VI-RADS score of ≥ 3, the sensitivity and specificity to predict muscle-invasiveness were 84% and 44% respectively, and for a VI-RADS score of ≥ 4, the sensitivity and specificity to predict muscle-invasiveness were 68% and 72% respectively.</p> <p><strong>Conclusion:</strong> The reliability of VI-RADS for BC local staging and discrimination between NMIBC and MIBC has been widely reported. However, the lack of accuracy of correlation in the present study and the lack of identification of important prognostic markers for BC on MRI, such as carcinoma in-situ, lymphovascular invasion and variant histology relegates the VI-RADS score to being only an adjunct in the workup of patients with BC.</p> Siddharth Sathaye, Sasanka Kumar Barua, Puskal Kumar Bagchi, Mandeep Phukan, Debanga Sarma, Pranjit Phukon, Sachinkumar Patel ##submission.copyrightStatement## Thu, 28 Jul 2022 00:00:00 +0000 Comorbidities in Patients with Urolithiasis in KFHU <p><strong>Background: </strong>The incidence of urolithiasis is increasing globally. Several studies were done in Saudi Arabia and have reported a high incidence of stone diseases. Several risk factors give rise to the development of the stones, like gender, age, chronic disease, and abnormal weight. Proper intervention and management are essential for such patients.</p> <p><strong>Objective: </strong>Our aim in this study is to estimate the number of patients with urolithiasis and chronic diseases who underwent urological intervention to identify the risk factors in these patients.</p> <p><strong>Methods: </strong>A retrospective Cohort Study was conducted among 101 patients with known cases of chronic disease and present with stone disease, who underwent urological intervention in King Fahad University Hospital, between August 2019 to August 2021.</p> <p><strong>Results: </strong>The study shows a predominant number of male patients with a percentage of 75%. Saudi nationality is also dominant. 70% of the participants are Saudis. Most patients were more than 51 years old with a percentage of 55%, while the other patients are between 50 and 20 years. Most of the patients, like 88% of them, have abnormal weight, while the remaining are within normal weight. Hypertension and Diabetes Mellitus are the main chronic diseases in the patients, followed by Obesity. 60% of the patients were having Hypertension, while 54% complained of diabetes mellitus, and 53% of patients were obese. Most of the stones, around 66% were in multiple locations, followed by ureteric with 20% and 10% were kidney stones. Only two patients were noticed to have a stone in the bladder.&nbsp;</p> <p><strong>Conclusion: </strong>Urolithiasis is common in Saudi Arabia and many factors contribute to the formation of stones. The findings of our study suggested that Saudi old male patients with chronic diseases are at high risk of developing urolithiasis, with the requirement of urological intervention.&nbsp; stones. The findings.</p> Reem Baher Ali Aldamanhori, Faisal Zayed Alghamdi, Saud lahiq Almutairi, Fahad Saeed Alamri, Abdulaziz Adel Alajaji, Ahmad Alhashem ##submission.copyrightStatement## Mon, 08 Aug 2022 00:00:00 +0000