International Brazilian Journal of Urology

Página Principal
Brasil
Rio de Janeiro, RJ
International Brazilian Journal of Urology

Founded in 1975 as the Jornal Brasileiro de Urologia, rebranded in 2000 as the International Braz J Urol, the journal marks its 50th anniversary in 2024.

With an impact factor of 3.7 it continues to be a key resource in urological research and advancement

11/11/2025

Saiu a 1ª edição de 2026 do International Brazilian Journal of Urology!
Iniciamos o ano com pesquisas inéditas nas áreas de oncologia urológica, cirurgia reconstrutiva, andrologia e tecnologias minimamente invasivas.
O Int Braz J Urol segue firme entre os principais periódicos de urologia do mundo, com Fator de Impacto 4.5 e rigor científico reconhecido internacionalmente.

📘 Acesse a edição completa:
👉 https://intbrazjurol.com.br/current-edition/vol-52-n-01-2026/
International Braz J Urol

29/07/2025

📢 New Article Alert – Int Braz J Urol

🦠 Infection Prophylaxis in Urological Diagnostic and Surgical Procedures
A narrative review and recommendations

👨‍⚕️ Truzzi JC, Figueiredo AA, Correia J*P, Pontes J, Cabrini M, Ramacciotti LS, Campos CCC, Anzolch KMJ, Cunha APLC, Mestrinho BV, Koifman L, Broglio M, Barroso U, Favorito LA, Bessa Júnior J
📍 From leading Brazilian institutions and the USC Institute of Urology (USA)

🔍 This expert consensus offers practical guidance for infection prevention in urological practice — a critical topic for improving patient safety and outcomes.

📖 Read now:https://intbrazjurol.com.br/pdf/vol51n06/IBJU20250333.pdf

🔗
International Braz J Urol

28/07/2025

ABSTRACT

Purpose: Ureterocalicostomy refers to the anastomosis of the lower pole calyces with the ureter after excision of the hydronephrotic lower renal pole (1, 2). Indications for ureterocalicostomy include previous failed pyeloplasty, ureteropelvic junction obstruction (UPJO) with anatomical abnormalities, such as intrarenal pelvis or short ureter (3) and proximal ureteral strictures (4). The purpose of this video is to demonstrate the technique of Robotic-Assisted Laparoscopic Ureterocalicostomy (RALUC) in a patient with UPJO and intrarenal pelvis.
Materials and Methods: Preoperatively, a retrograde ureteropyelography was performed. A transperitoneal approach with the Hassan technique was used, followed by the introduction of four additional DaVinci® trocars. The first step of the procedure is dissection of the retroperitoneum, the proximal ureter and lower part of the kidney including the renal hilum. The proximal ureter is dissected below the stricture. The lower pole artery is selectively bulldogged, and the lower pole of the kidney is resected in a circular manner to get broad based access to the lowest calix. The “Garland” suture technique is used to control hemostasis of the lower pole of the kidney. Therefore, a running, “low tension”, circular suture is performed along the whole renal defect. This provides sufficient parenchymal hemostasis without narrowing the access to the lower calix. The ureter is then spatulated and sutured to the lower calix. The video shows step by step the ureterocalical anastomosis in single knot technique and explains tips and tricks...

Read more:
https://intbrazjurol.com.br/pdf/vol51n05/IBJU20250125.pdf

International Braz J Urol

25/07/2025

ABSTRACT: Introduction: Retroperitoneal lymph node dissection (RPLND) is indicated for testicular cancer patients with residual masses post-chemotherapy or stage I-II non-seminomatous germ cell tumors (NSGCT) (1, 2). Open RPLND remains the standard but carries significant morbidity. The laparoscopic approach, while minimally invasive, presents notable technical challenges (3). Robotic-assisted RPLND (rRPLND) offers a minimally invasive alternative with comparable oncological outcomes (4, 5). The Da Vinci Single Port (SP) system presents new possibilities for reducing surgical morbidity (6, 7).
Methods: We report a case of SP-rRPLND using a unilateral modified template and a lower anterior access (LAA) in a 41-year-old man with NSGCT (pT2, UICC Stage IB) who underwent left orchiectomy, followed by adjuvant chemotherapy. A CT scan revealed a 3.5 cm residual retroperitoneal mass in the left hilar region.
The surgical procedure, performed with the Da Vinci SP system, involved a 2.5 cm McBurney incision for retroperitoneal access. Instrument configuration followed a “Camera below” setting. The unilateral left-sided modified template guided dissection from the aortic bifurcation to the renal hilum, preserving vascular structures. A 3,5 cm residual mass and para-aortic nodes were excised with the help of flexible Greena® applicator for clips...

Read more:
https://intbrazjurol.com.br/pdf/vol51n05/IBJU20250092.pdf

International Braz J Urol

24/07/2025

🎥 Men, take note! Watching your own cystoscopy in real-time may actually reduce your pain.

In a study of 400 patients, self-visualization during cystoscopy significantly reduced pain in men with no prior experience — with pain scores dropping from 4.8 to 1.4 during scope insertion and from 3.1 to 0.9 during bladder evaluation.

🧠 It also helped lower anxiety and increase satisfaction and willingness to repeat the procedure — for both men and women.

🔹 For men: less pain, more control.
🔹 For everyone: less fear, more empowerment.

👉 Ask your urologist if you can watch your cystoscopy — it might just change your experience!

International Braz J Urol

23/07/2025

Bricker or Wallace? This definitive meta‑analysis of 1,903 patients across 14 studies shows no difference in overall stricture rates—but Wallace anastomosis cuts strictures in ileal‑conduit diversions (OR 0.35; 95% CI 0.19–0.64) and in non‑radiated patients (OR 0.29; 95% CI 0.14–0.61), guiding personalized post‑cystectomy reconstruction for optimal outcomes.

Read more:https://intbrazjurol.com.br/pdf/vol51n05/IBJU20250100.pdf

International Braz J Urol

22/07/2025

Think global, operate local: Telesurgery isn’t science fiction—it’s the next frontier of robotic surgery. By applying proven anesthetic protocols over high‑speed 5G networks, we ensure patient safety, hemodynamic stability, and rapid recovery—no matter where the surgeon sits.

Read more:https://intbrazjurol.com.br/pdf/vol51n05/IBJU20250247.pdf

International Braz J Urol

21/07/2025

Male infertility affects 17% of couples worldwide—are you ready to follow the Andrology Committee’s definitive diagnostic roadmap? From detailed medical history and focused physical exam to rigorous semen analysis and advanced genetic testing, Male Infertility: Diagnostic Approach delivers the evidence‑based steps to uncover both reversible and irreversible causes and optimize patient care.

Read more:https://intbrazjurol.com.br/pdf/vol51n05/IBJU20250223.pdf

International Braz J Urol

18/07/2025

“Anatomy in Action: How Pe**le Microdissection Is Paving the Way for Living‑Donor Pe**le Transplants”
Discover the hidden branches of the pudendal arteries and learn why precise vascular mapping is the next leap forward in transplant urology.

Read more in:https://intbrazjurol.com.br/pdf/vol51n05/IBJU202501951.pdf

International Braz J Urol

14/07/2025

🧠 Could preserved pe**le tissue after gender-affirming surgery help others?
A groundbreaking cadaveric study explored the technical feasibility of using remaining pe**le structures — including corpora cavernosa, g***s tissue, and anterior urethra — for potential live donor pe**le transplantation.
🔍 Study involved 31 male cadavers
✅ All dissections successfully completed
🩺 Anatomical structures consistently preserved
📖 Read the full article in the International Brazilian Journal of Urology
**leTransplant

Read more: https://intbrazjurol.com.br/current-edition/vol-51-n-05-2025/
International Braz J Urol

11/07/2025

🤖 RALPN vs. SAE in Renal Angiomyolipoma: Which Wins Long-Term?
A new matched-cohort study compares robot-assisted laparoscopic partial nephrectomy (RALPN) and selective arterial embolization (SAE) in treating sporadic renal AML.
🔹 Fewer reinterventions with RALPN
🔹 Similar complication and renal function profiles
🔹 SAE had lower blood loss and shorter hospital stay
📊 Only RALPN independently predicted reduced need for secondary treatment.
📖 Full article in the International Brazilian Journal of Urology

Read more: https://intbrazjurol.com.br/current-edition/vol-51-n-05-2025/

International Braz J Urol

10/07/2025

🌙 Tackling Treatment-Resistant Enuresis: A New Combined Approach Shows Promise!
A randomized clinical trial shows that combining desmopressin acetate with parasacral transcutaneous electrical nerve stimulation (PTENS) significantly reduced wet nights in children and adolescents with primary monosymptomatic enuresis (PMNE)—and the effect lasted 6 months post-treatment.
🔋 15 weeks of electrotherapy
📉 Lasting reduction in wet nights
📊 Statistically significant improvement vs. placebo
📖 Read the full study in the International Brazilian Journal of Urology

Read more: https://intbrazjurol.com.br/current-edition/vol-51-n-05-2025/

International Braz J Urol

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