BRAZ J UROL

151 Pages·2016·12.86 MB·English

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OFFICIAL JOURNAL OF THE BRAZILIAN SOCIETY OF UROLOGY
VOLUME 40, NUMBER 4, JULY - AUGUST, 2014
EDITION
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XXXV Brazilian Congress of Urology ess Avm.br
October 31 - November 4, 2015 - Rio de Janeiro - RJ - Brazil ull Text wOwnliw.nber aAzjcucrol.co
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INTERNATIONAL
BRAZ J UROL
OFFICIAL JOURNAL OF THE BRAZILIAN SOCIETY OF UROLOGY - SBU
EDITOR-IN-CHIEF
Sidney Glina
ABC Medical School and
Ipiranga Hospital, SP, Brazil
ASSOCIATE EDITORS
Fernando Kim Leonardo O. Reis Luciano A. Favorito Marcus V. Sadi
Univ. of Colorado, Univ. of Campinas - State Univ. of Rio de Fed. Univ. of Sao Paulo -
Denver, CO, USA UNICAMP, SP, Brazil Janeiro, RJ, Brazil UNIFESP, SP, Brazil
Sandro Esteves Stênio de Cássio Zequi
Androfert, Campinas Urology Division,
SP, Brazil AC Camargo Cancer Center -
Fund. A. Prudente, SP, Brazil
SECTION EDITORS
REVISIONS BASIC SCIENCE SEXUAL MEDICINE ONCOLOGY
Gustavo Carvalhal Leopoldo A. Ribeiro Filho Ernani L. Rhoden Lucas Nogueira
Pontifícia Universidade State University of Sao Paulo, Federal Foundation of Federal University of
Católica, Rio Grande do Sul, SP, Brazil Med. Sci., RS, Brazil Minas Gerais,
RS, Brazil MG, Brazil
FEMALE UROLOGY INFERTILITY NEUROUROLOGY Antonio A. Ornellas
Joao Luiz Amaro Marcello Cocuzza Márcio Josbete Prado National Cancer Institute
Paulista University, UNESP School of Medicine USP, Federal Univ. of Bahia, Rio de Janeiro,
Botucatu, SP, Brazil SP, Brazil Salvador, BA, Brazil RJ, Brazil
PEDIATRIC UROLOGY UROPATHOLOGY BENIGN PROSTATE DISEASE Marcus V. Sadi
Adriano Calado Athanase Billis Fernando G. Almeida Federal University of
University of Pernambuco University of Campinas, Federal Univ of Sao Paulo, Sao Paulo - UNIFESP,
UPE, PE, Brazil Unicamp, SP, Brazil SP, Brazil SP, Brazil
INTERNATIONAL
BRAZ J UROL
RECONSTRUCTIVE UROLOGY LITHIASIS LAPAROSCOPY AND ROBOTICS TRANSPLANT
Décio Streit Eduardo Mazzucchi Anuar I. Mitre William Nahas
Sao Lucas Hospital, PUC, School of Medicine USP, University of Sao Paulo, USP, School of Medicine USP,
Porto Alegre, RS, Brazil SP, Brazil Sao Paulo, Brazil SP, Brazil

CLINICAL CASES VIDEO SECTION RADIOLOGY PAGE
Leonardo O. Reis Philippe E. Spiess Erich K. Lang
University of Campinas, H. Lee Moffi tt Cancer Center Johns Hopkins Medical Institutions
Unicamp, SP, Brazil Tampa, Florida, USA Baltimore, Maryland, USA
CONSULTING EDITORS
A. Lopez-Beltran Antonio C. Martins C. F. Heyns Fernando Pires Vaz
Cordoba University Sch. Med. State Univ. of Sao Paulo University of Stellenbosch Hosp. Serv. the State of
Cordoba, Spain Ribeirao Preto, SP, Brazil Tygerberg, South Africa Rio de Janeiro, RJ, Brazil
Antonio C. Westphalen Antonio C. L. Pompeo Claudio Teloken Flavio Trigo Rocha
University of California, ABC Medical School, FFFCMPA - Porto Alegre, School of Medicine USP,
San Francisco, CA, USA SP, Brazil RS, Brazil SP, Brazil

Adilson Prando Antonio Corrêa Lopes Neto Donna M. Peehl Francisco T. Denes
Vera Cruz Hospital ABC Medical School, Stanford University Sch. Med. University of Sao Paulo, USP,
Campinas, SP, Brazil SP, Brazil Stanford, CA, USA Sao Paulo, Brazil

A.J. Stephenson Antonio Macedo Jr. Erik Busby Franklin C. Lowe
Cleveland Clinic Federal Univ. of Sao Paulo University of Alabama Columbia University
Cleveland, OH, USA Sao Paulo, SP, Brazil Birmingham, AL, USA New York, NY, USA

Ahmed I. El-Sakka A. Marmo Lucon Eugene Minevich Glenn M. Preminger
Suez Canal University Sch. Med. Univ. of Sao Paulo, USP Univ. of Cincinnati Med. Ctr. Duke University Medical Ctr.
Ismailia, Egypt Sao Paulo, Brazil Cincinnati, OH, USA Durham, NC, USA

Alan M. Nieder Arthur T. Rosenfi eld Evangelos N. Liatsikos Guido Barbagli
Columbia University Yale University Sch. Medicine University of Patras Ctr. Urethral & Genitalia
Miami Beach, FL, USA New Haven, CT, USA Patras, Greece Surgery, Arezzo, Italy

Alexandre L. Furtado Ashok Agarwal F. Hadziselimovic Hann-Chorng Kuo
Coimbra University Hospital Cleveland Clinic Foundation Ktk-Kindertagesklinik Buddhist Tzu Chi Sch. Med.
Coimbra, Portugal Cleveland, Ohio, USA Liestal, Switzerland Hualien, Taiwan

Allen F. Morey Athanasios Papatsoris Fabio Lorenzetti Homero Bruschini
Univ. Texas SW Med. Ctr. Univ. of Athens, Sismanoglio Clinic Hospital University of Sao Paulo, USP
Dallas, Texas, USA Hospital, Athens, Greece Caieiras, Sao Paulo, Brazil Sao Paulo, SP, Brazil

Andre G. Cavalcanti Barry A. Kogan Fabio Pasqualotto Hubert Swana
Federal University of the State Albany Medical College Univ. of Caxias do Sul Nemours Children’s Clinic
of Rio de Janeiro, RJ, Brazil Albany, NY, USA RS, Brazil Orlando, Florida, USA
Andreas Bohle Boris Chertin Ferdinand Frauscher J. L. Pippi Salle
Helios Agnes Karll Hospital Shaare Zedek Med. Ctr. Medical University Innsbruck University of Toronto
Bad Schwartau, Germany Jerusalem, Israel Innsbruck, Austria Toronto, ON, Canada
Anthony J. Schaeffer Cassio Andreoni Fernand Labrie Jack W. McAninch
Northwestern University Federal University of Laval University Med. Ctr. Univ. California San Francisco
Chicago, IL, USA Sao Paulo, SP, Brazil Quebec, Canada San Francisco, CA, USA
INTERNATIONAL
BRAZ J UROL
Jae-Seung Paick Karim Kader Mauricio Rubinstein Roger R. Dmochowski
Seoul National University Wake Forest University Federal University State RJ Vanderbilt Univ. Sch. Med.,
Hospital, Seoul, Korea Winston-Salem, NC, USA Rio de Janeiro, RJ, Brazil Nashville, Tennessee, USA
Jeffrey A. Cadeddu Karl-Dietrich Sievert Michael B. Chancellor Sean P. Elliott
Univ. of Texas Southwestern University of Tuebingen William Beaumont Hospital University of Minnesota
Dallas, Texas, USA Tuebingen, Germany Royal Oak, MI, USA Minneapolis, MN, USA
Jeffrey P. Weiss Katia R. M. Leite Miguel Zerati Filho Serge Carreau
SUNY Downstate Med. School, University of Sao Paulo, USP Inst of Urology and Nephrology University of Caen Basse-
Brooklyn, New York, USA Sao Paulo, SP, Brazil S. J. do Rio Preto, SP, Brazil Normandie, Caen, France
Jens Rassweiler Laurence Baskin Monish Aron Sharokh F. Shiriat
University of Heidelberg Univ. California San Francisco Cleveland Clinic Foundation Weill Cornell Medical
Heilbronn, Germany San Francisco, CA, USA Los Angeles, CA, USA College, USA
Joaquim A. Claro Liang Cheng Monthira Tanthanuch Silvio Tucci Jr.
Federal Univ. of Sao Paulo Indiana Univ. Sch. Medicine, Prince of Songkla University, State University of Sao Paulo
Sao Paulo, Brazil Indianapolis, IN, USA Haad Yai, Thailand Riberao Preto, Brazil
John Denstedt Lisias N. Castilho Nestor Schor Simon Horenblas
University of Western Ontario Catholic University Federal Univ. of Sao Paulo Inst Antoni, Amsterdam,
London, ON, Canada Campinas, SP, Brazil Sao Paulo, SP, Brazil The Netherlands
John M. Fitzpatrick Luca Incrocci Paulo Monti Sittiporn Srinualnad
Mater Misericordiae Hospital Erasmus Mc-Daniel Cancer Ctr. Federal University of Faculty of Medicine Siriraj
Dublin, Republic of Ireland Rotterdam, The Netherlands Triângulo Mineiro, MG, Brazil Hospital, Bangkok, Thailand
Jonathan I. Epstein Luiz E. M. Cardoso Paulo Rodrigues Stephen Y. Nakada
The Johns Hopkins University State Univ. of Rio de Janeiro Hospital Benef Portuguese of University of Wisconsin
Baltimore, MD, USA Rio de Janeiro, RJ, Brazil Sao Paulo, SP, Brazil Madison, WI, USA
Jose Carlos Truzzi Luiz F. Poli de Figueiredo Rafael Carrion Tariq Hakki
University of Santo Amaro University of São Paulo Univ. of South Florida Univ. of South Florida
Sao Paulo, SP São Paulo, SP, Brazil Tampa, Florida, USA Tampa, FL, USA
Jose Edson Pontes M. Chad Wallis Ralph V. Clayman Truls E. Bjerklund Johansen
Wayne State University University of Utah Univ. California Irvine Med. Aarhus University Hospital
Detroit, MI, USA Salt Lake City, Utah, USA Ctr., Orange, California, USA Aarhus, Denmark
Jose J. Correa M. Manoharan Renan Ufl acker Ubirajara Ferreira
Ces University University of Miami Sch. Med. Medical Univ. South Carolina State University of
Medellin, Columbia Miami, FL, USA Charleston, SC, USA Campinas, Sao Paulo, Brazil
Judd W. Moul Marcos F. Dall’Oglio Ricardo Miyaoka Valdemar Ortiz
Duke University Med. Ctr. University of Sao Paulo, USP State Univ. Campinas Federal University of
Durham, NC, USA Sao Paulo, Brazil Campinas, SP, Brazil Sao Paulo, SP, Brazil
Joseph L. Chin M. Tobias-Machado Richard A. Santucci Vincent Delmas
University of Western Ontario ABC Medical School Wayne State University Universite Rene Descartes
London, ON, Canada Sao Paulo, SP, Brazil Detroit, MI, USA Paris, France
Julio Pow-Sang Margaret S. Pearle Rodolfo Borges V. R. Patel
Moffi tt Cancer Center Univ. of Texas Southwestern Faculty of Medicine of Ri- University of Central Florida,
Tampa, Florida, USA Dallas, Texas, USA beirao Preto, SP, Brazil USA
K. Mutaguchi Matthew C. Biagioli Rodolfo Montironi Wade J. Sexton
Hiroshima University Med. Sci. Moffi tt Cancer Center Polytechnic Univ. of Marche Moffi tt Cancer Center
Hiroshima, Japan Tampa, Florida, USA Region, Ancona, Italy Tampa, Florida, USA
INTERNATIONAL
BRAZ J UROL
Waldemar S. Costa Wassim Kassouf Wilfrido Castaneda
State Univ. of Rio de Janeiro McGill University University of Minnesota
Rio de Janeiro, Brazil Montreal, Canada Minneapolis, MN, USA
Wojtek Rowinski Wolfgang Weidner
Univ. of Warmia and Mazury Justus-Liebig Univ. Giessen
Olsztyn, Poland Giessen, Germany
FORMER EDITORS
Alberto Gentile (Founder) G. Menezes de Góes Sami Arap Miriam Dambros
(1975 - 1980) (1984 - 1985) (1994 - 1997) (2011)
Lino L. Lenz Sami Arap Sérgio D. Aguinaga Sidney Glina
(1981) (1986 - 1987) (1998 - 1999) (2012 - )
Rubem A. Arruda N. Rodrigues Netto Jr Francisco J. B. Sampaio
(1982 - 1983) (1988 - 1993) (2000 - 2010)

EDITORIAL PRODUCTION
PRODUCTION EDITOR TECHNICAL EDITOR
Bruno Nogueira Ricardo de Morais
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is not responsible for any injury to persons caused by usage of products, new ideas and dosage of drugs proposed in the manuscripts.
CONTENTS Volume 40 | number 4 | July . August, 2014 | INT BRAZ J UROL
EDITOR’S COMMENT
442 Sidney Glina, MD, PhD
REVIEW ARTICLE
443 Clinical relevance of routine semen analysis and controversies surrounding the 2010 World
Health Organization criteria for semen examination
Sandro C. Esteves
ORIGINAL ARTICLE
454 Change in the risk stratification of prostate cancer after Slide Review by a uropathologist:
the experience of a reference center for the treatment of prostate cancer
George Camara-Lopes, Gustavo Nader Marta, Elton Trigo Teixeira Leite, Gabriela Silva
Moreira de Siqueira, Samir Abdallah Hanna, João Luis Fernandes da Silva, L. H. Camara-
-Lopes, Katia R. M. Leite (Editorial Comment by Igor Nunes-Silva, MD and Marcos Tobias-
Machado, MD)
463 Human glutathione S-transferase polymorphisms associated with prostate cancer in the
Brazilian population
Renata Almeida de Sá, Aline dos Santos Moreira, Pedro Hernan Cabello, Antonio Augusto
Ornellas, Eduardo Butinhão Costa, Cintia da Silva Matos, Gilda Alves, Ana Hatagima
474 External beam radiation therapy and a low-dose-rate brachytherapy boost without or with
androgen deprivation therapy for prostate cancer
Tobin J. Strom, Sean Z. Hutchinson, Kushagra Shrinath, Alex A. Cruz, Nicholas B.
Figura, Kevin Nethers, Matthew C. Biagioli, Daniel C. Fernandez, Randy V. Heysek,
Richard B. Wilder
484 Clinical utility of prostate-specific antigen mass ratio for prediction of prostate cancer
detection on a repeated prostate biopsy
Won Ki Lee, Sangchul Lee, Sung Kyu Hong, Sang Eun Lee, Won Suk Choi, Seok-Soo Byun
INT BRAZ J UROL contents
493 The merits of cytology in the workup for upper tract urothelial carcinoma - a contemporary
review of a perplexing issue
E.F. Sverrisson, T. Kim, P.N. Espiritu, W.J. Sexton, J.M. Pow-Sang, J. Dhillon, P.E. Spiess
499 Increased Tissue Factor Expression is an Independent Predictor of Mortality in Clear Cell Carci-
noma of the Kidney
Daniel D´Oliveira Silva, Jorge Antonio Pastro Noronha, Vinicius Duval da Silva, Gustavo
Franco Carvalhal
507 Use of the probability of stone formation (PSF) score to assess stone forming risk and treatment
response in a cohort of Brazilian stone formers
Benjamin Turney, William Robertson, Oliver Wiseman, Carmen Regina P. R. Amaro, Victor A.
Leitão, Isabela Leme da Silva, João Luiz Amaro
513 Value of color doppler ultrasound, kub and urinalysis in diagnosis of renal colic due to ureteral
stones
Mahmoud Abdel-Gawad, Ravi Kadasne, Chandrashekar Anjikar, Emad Elsobky
520 A new problem in inflammatory bladder diseases: Use of mobile phones!
Orhan Koca, Ali Murat Gökçe, Mehmet Akyüz, Feriha Ercan, Necati Yurdakul, Muhammet
Ihsan Karaman
526 Laparoscopic Sacral Uteropexy with Cravat Technique--Experience and Results
Murat Api, Semra Kayatas, Aysen Boza, Hakan Nazik, Hakan Aytan
533 Is Diagnostic Cystoscopy Painful? Analysis of 1,320 Consecutive Procedures
Alexander Greenstein, Ithamar Greenstein, Solomon Senderovich, Nicola J. Mabjeesh
539 Ureteroneocystostomy in primary vesicoureteral reflux: critical retrospective analysis of factors
affecting the postoperative urinary tract infection rates
Hasan Serkan Dogan, Ali Cansu Bozaci, Burhan Ozdemir, Senol Tonyali, Serdar Tekgul
546 Effects of chronic administration of tamsulosin and tadalafil, alone or in combination, in rats with
bladder outlet obstruction induced by chronic nitric oxide deficiency
Rommel Prata Regadas, Ricardo Reges, João Batista Gadelha Cerqueira, Daniel Gabrielle Sucu-
pira, Francisco Vagnaldo F. Jamacaru, Manoel Odorico de Moraes, Lúcio Flávio Gonzaga-Silva
553 Effects of Human Umbilical Cord Mesenchymal Stem Cells on Renal Ischaemia-reperfusion In-
jury in Rats
Zhenyu Qiu, Dun Zhou, Dongxiao Sun
INT BRAZ J UROL contents
562 Garlic supplemented diet attenuates gentamicin nephrotoxicity ın rats
Ilker Seckiner, Omer Bayrak, Murat Can, A. Gorkem Mungan, N. Aydin Mungan
ChALLENGING CLINICAL CASES
568 A novel endoscopic treatment for renal arteriopelvic fistula post-percutaneous nephrolitho-
tomy (PCNL)
Danny Chao, Alym N. Abdulla, Soojin Kim, Jen Hoogenes, Edward D. Matsumoto
RADIOLOGY PAGE
574 Incidental detection of retroperitoneal lymphangioleiomyomatosis (LAM) - CT and MRI findings
with relevance to the urologist
Chandan Phukan, Shailesh Prabhu, Vivek Venkatramani
VIDEO SECTION
576 Transurethral resection of fibrotic scar tissue combined with temporary urethral stent place-
ment for patients with in anterior urethral stricture
Cheol Yong Yoon, Ji Yun Chae, Jong Wook Kim, Jin Wook Kim, Mi Mi Oh, Hong Seok Park, Du
Geon Moon, Jun Cheon, Jeong Gu Lee, Jae Jong Kim (Editorial Comment by Hubert Swana, MD)
578 Step-by-Step robotic heminephrectomy for duplicated renal collecting system
Homayoun Zargar, Jihad H. Kaouk, Oktay Akca, Riccardo Autorino, Luis Felipe Brandao, Hum-
berto Laydner, Jayram Krishnan, Dinesh Samarasekera, Georges P. Haber, Robert J. Stein (Editorial
Comment by Philippe E. Spiess, MD)
580 INFORMATION FOR AUThORS
EDITOR’S
COMMENT Volume 40 | number 4 | July . August, 2014 | INT BRAZ J UROL
doi: 10.1590/S1677-5538.IBJU.2014.04.01
40th Edition
The International Brazilian Journal of Urology was founded in 1971 with the name of Jornal
Brasileiro de Urologia (Brazilian Journal of Urology), official organ of scientific publishing of the Brazi-
lian Society of Urology. It represented the realization of the Brazilian urologists dreams: the development
of their own scientific journal. Since 1927, the year in which the Society was founded, the idea of a
scientific magazine was pursued with frustrated titles as “Clínica Urológica” (Urologic Clinic), “Archivos
Brasileiros de Clínica Urológica” (Brazilian Archives of Urological Clinic) and “Revista Brasileira de Uro-
logia” (Brazilian Magazine of Urology), that were discontinued (1).
In 1973 it was published almost by hand (which is considered the number zero edition) the Jornal
Brasileiro de Urologia (JBU) (Brazilian Journal of Urology), but only after January 1975 the journal started
to be printed continuously, under the leadership of Alberto Gentile, who was considered the founder of JBU
and his first editor, then called editor-in -chief (1).
Due to the growing internationalization, in 2000 the name of the journal was changed to Brazilian
Journal of Urology, including articles in English and Portuguese, and in 2002, it was adopted the name
International Brazilian Journal of Urology (IBJU), including all articles in English. Ten years ago IBJU was
indexed at PubMed/Medline and became an open access journal with free access to all articles at www.
brazjurol.com.br.
IBJU has some aspects that distinguish it from other magazines: likewise, all articles are submitted
to a blind peer-review and primarily publishes original articles, reviews, challenging clinical cases and vide-
os. It pioneered the publishing of the Video Section. On the contrary, it is a free access magazine that does
not charge the authors including the translation to English of the Portuguese submitted articles.
We have reached the 40th Edition, and thirty-eight countries are being published, with a median of
700 articles of submitted papers per year. There is a renowned Editorial Committee and many reviewers of
all over the world, to whom we thank for their voluntary effort for reviewing our articles free of charge.
IBJU philosophy is to publish well conducted articles and researches, interestingly to urologists,
whether or not the article will be cited; we have increased the number of published articles per year, with a
lowering of our impact factor, in order to accommodate more papers, to attend the authors who seek IBJU.
We know that investigators must publish their work in order to disclose their findings and to excel in the
scientific community, the main reason of the existence of a magazine.
I am sure that the dreams of the Brazilian Society of Urology pioneers were accomplished. IBJU is
worthy of pride by the Brazilian urologists and is earning a growing place in the international urological
community.
RefeRence
1. Aguinaga, Sergio D´Ávila: História da Sociedade Brasileira de Urologia: 1926 a 2005. Rio de Janeiro: SBU – Sociedade
Brasileira de Urologia, 2005.
Sidney Glina, MD, PhD
Editor-In-Chief
Internacional Braz J Urol
442
Vol. 40 (4): 443-453, July . August, 2014
REVIEW ARTICLE
doi: 10.1590/S1677-5538.IBJU.2014.04.02
Clinical relevance of routine semen analysis and controversies
surrounding the 2010 World Health Organization criteria
for semen examination
_______________________________________________
Sandro C. Esteves
ANDROFERT, Andrology & Human Reproduction Clinic, Campinas, SP, Brazil
ABSTRACT ARTICLE INFO
______________________________________________________________ ______________________
Semen analysis is the corner stone of infertility evaluation as it provides information Key words:
on the functional status of the seminiferous tubules, epididymis and accessory sex Infertility, Male; Semen
glands. The methods on how the human semen should be evaluated are provided by the Analysis; Andrology; Diagnosis;
World Health Organization, which periodically releases manuals that include specific Spermatozoa; Reference Values;
protocols and reference standards. In 2010, the WHO published new criteria for human Therapeutics
semen characteristics that were markedly lower than those previously reported. In this
review initially it is discussed the limitations of semen analysis as a surrogate measure
of a man’s ability to father a pregnancy. Secondly, it is analyzed methodology issues Int Braz J Urol. 2014; 40: 443-53
that could explain why the newly released reference values were different from those
earlier reported. Thirdly, it is speculated on the likely effects of the 2010 WHO criteria _____________________
in the management of male infertility. Due to the several inherent limitations of semen
Submitted for publication:
analysis as a surrogate marker of male infertility, physicians should exercise caution
November 16, 2013
when interpreting results. A template for semen analysis reports that incorporates the
distribution of the semen characteristics of recent fathers in centiles rather than solely
_____________________
the minimum thresholds could aid clinicians to better understand how a given patient
results compare with the reference population. Importantly, a male infertility evalua- Accepted after revision:
tion must go far beyond a simple semen analysis, as it has to be complemented with a February 19, 2014
proper physical examination, a comprehensive history taking, and relevant endocrine,
genetic, and other investigations.
INTRODUCTION subsequent updates in 1987, 1992, 1999 and 2010,
WHO manuals provided substantial improvements on
The World Health Organization (WHO) pe- how to assess the seminal parameters. The reference
riodically releases manuals for the laboratory exa- values that were thought to be compatible with nor-
mination and processing of human semen. While mal male fertility have also changed (Table-1) (1-4).
laboratories use these manuals as a practical guide of In its latest fifth edition (WHO 2010) the se-
standardized methods for performing semen analyses men analysis reference values are markedly lower
clinicians rely on the reference of normal limits for than those of previous editions. Much debate has
interpreting semen analysis results. The first manual, taken place thereafter, and a series of reports has
published in 1980, summarized the clinical experien- questioned the validity of the newly released refe-
ce and research from the previous eighty years. In its rence values (5-9).
443