Urology reports (St. - Petersburg)

Medical peer-review journal for practitioners and researchers is published quarterly since 2011

  • Since 2018 selected papers are translated and published in English
  • Since 2020 - in Chinese.
  • Special Issues (conference proceedings) are published in Russian.

Editor-in-Cheif: professor Vladimir Tkachuk
Honored Scientist of the Russian Federation, professor of the Department of Urology of the Academician I.P. Pavlov First St. Petersburg State Medical University of the Ministry of Healthcare of the Russian Federation, chairman of the St. Petersburg Society of Urology named after S.P. Fedorov, honorary member of the European Association of Urology).

The journal «Urology reports (St. - Petersburg)» accepts for consideration original manuscripts, which are original articles, scientific reviews, lectures for doctors, clinical observations, as well as materials informing about important dates in the history of urology and the results of past scientific congresses and conferences. The journal publishes the results of experimental and clinical studies presented by domestic and foreign authors regarding epidemiology, etiology, pathogenesis, clinical course, diagnosis, treatment and prevention of urological diseases. The articles touch upon the problems of not only general urology, but also of certain areas of urological science - neurourology, andrology, oncourology, urogynecology, reproductive health of men and others, as well as related specialties.

The journal is published with the assistance of the Department of Urology Academician I.P. Pavlov First St. Petersburg State Medical University of the Ministry of Healthcare of the Russian Federation and St. Petersburg Society of Urology named after S.P. Fedorov.

The journal is intended for urologists, researchers and faculty of medical schools, as well as specialists in related specialties.


The journal is issued with the assistance of the Department of Urology in  St.-Petersburg State Pavlov Medical University



Editorial news: 'Urology Reports (St. Petersburg)' journal accepted for indexing in SCOPUS

Posted: 20.07.2023


The 'Urology Reports (St. Petersburg)' journal has been successfully evaluated and accepted for indexing in the SCOPUS database.

The Scopus Content Selection & Advisory Board (CSAB) has reviewed the journal and approved it for coverage. The message from CSAB was received on 06.07.2023.

All articles published in the journal from 2023 are subject for indexation.

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Vol 13, No 2 (2023)

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Original articles

Thulium laser enucleation of the prostate in patients with large benign prostate hyperplasia and acute urinary retention
Kostenkov N.Y., Al-Shukri S.K., Nevirovich E.S., Mosiychuk O.M., Kuzmin I.V., Tkachuk I.N.

BACKGROUND: Benign prostatic hyperplasia is the most common urological disease in older men, leading to the development of bladder outlet obstruction and a decrease in the quality of life of patients. The choice of the method of surgical treatment of benign prostatic hyperplasia with large prostate volumes is the subject of discussion. There is also no unified approach to the management of patients with acute urinary retention due to benign prostatic hyperplasia.

AIM: To evaluate the results of thulium laser enucleation of the prostate in patients with large benign prostatic hyperplasia associated with acute urinary retention.

MATERIALS AND METHODS: The present study included the results of treatment of 237 patients with benign prostatic hyperplasia with a prostate volume of more than 80 cm3, of which 97 were hospitalized in the urology department for acute urinary retention. The age of the patients ranged from 51 to 89 years (average 70.2 years). The volume of the prostate gland ranged from 80 to 150 cm3 (mean 128.3 cm3). The control examination was performed on the 2nd day, as well as 3, 6 and 12 months after the surgery.

RESULTS: Surgical intervention was performed using a thulium fiber laser device FiberLase U1 (IRE-Polyus, Russia) with a power of 120 W. The time of surgery ranged from 63 to 127 minutes (average 74.3 minutes). The irrigation system was turned off on the 1st day of the postoperative period. The duration of urethral catheterization averaged 2.7 days. None of the patients in the study required blood transfusion or repeated surgery to coagulate the vessels of the prostate bed. After removal of the urethral catheter, all patients urinated on the first attempt. In 7 patients (2.95%), after removal of the urethral catheter, urinary incontinence was observed, during the first 6 months after the operation, urinary retention was restored in all of them. We did not note significant differences during the intra-, early and late postoperative period in operated BPH patients with and without acute urinary retention.

CONCLUSIONS: ThuLEP is an effective and safe method of surgical treatment of patients with benign prostatic hyperplasia with a prostate volume of more than 80 cm3, complicated by acute urinary retention.

Urology reports (St. - Petersburg). 2023;13(2):109-115
pages 109-115 views
The effect of surgical treatment on the quality of life of kidney cancer patients with single bone metastases
Kostritsky S.V., Shirokorad V.I., Alekseev B.Y., Semenov D.V., Kalpinsky A.S., Korneva Y.S.

BACKGROUND: Renal cell cancer is complicated with bone metastases quite often, which are determined in a third of patients at the time of diagnosis of the primary tumor. The development of skeletal complications causes the complexity of managing such patients, which requires optimizing treatment tactics using combined methods and improving the quality of life after treatment.

AIM: The aim of this study is to assess the quality of life of renal cell cancer patients with single metastases in the bones before and after surgical treatment in combination with targeted therapy and without it.

MATERIALS AND METHODS: The study included 62 patients with single bone metastases of renal cell cancer with the presence of skeletal related events. 20 patients (group 1) underwent surgical treatment of metastases after surgery on the primary focus in combination with targeted therapy, 42 patients (group 2) underwent only surgical treatment of metastases. The quality of life was assessed using the EORTC QLQ-C30 questionnaire before and after surgery within and between groups.

RESULTS: Comparison of the survey influence on life quality in group 1 before and after treatment revealed that 8 out of 30 indicators of the EORTC QLQ-C30 questionnaire did not show a statistically significant change. These include: any restrictions in daily activities, as well as doing what you like, decreased appetite, nausea, shortness of breath, diarrhea, fatigue, financial difficulties. The remaining 22 indicators of the scale showed a statistically significant improvement. Comparison of quality of life indicators in group 2 before and after treatment showed that for 3 out of 30 indicators of the EORTC QLQ-C30 questionnaire, no statistically significant changes were registered, among them: the severity of pain syndrome, the presence of financial difficulties and health status over the past week. Statistically significant improvement was revealed for the remaining 27 indicators of the scale. Prior to treatment, difficulties in taking a short walk, doing daily chores, doing favorite things are more pronounced in group 1, and the need for rest in group 2 patients. After surgery, the indicators associated with daily activity were worse in group 1 patients, while the severity of the pain syndrome, its effect on daily activity, the need for rest, a sense of tension, and the effect on the emotional background were more noticeable in group 2 patients. Both before and after surgery, group 1 patients had a better assessment of both their health and quality of life over the past week.

CONCLUSIONS: The comparative analysis of the treatment confirmed our hypothesis that the most rational and effective combination is an active surgical tactic in combination with targeted therapy for bone oligometastases of renal cell cancer.

Urology reports (St. - Petersburg). 2023;13(2):117-126
pages 117-126 views
Treatment of urethral trauma in penile fracture
Shanava G.S., Mosoyan M.S., Sivakov A.A., Shanava G.G.

BACKGROUND: Penile fracture is a rare injury that most often occurs during intercourse. In 2–38 % of cases, a penile fracture is accompanied by an injury to the urethra.

AIM: To determine rational treatment of patients with urethral injuries of varying severity as a result of a penile fracture.

MATERIALS AND METHODS: The retrospective group of the study included 8 patients in whom a penile fracture was accompanied by an injury to the urethra. Among them, in 6 (75%) patients, along with a rupture of the albuginea and urethra, unilateral damage of cavernous body was observed. The severity of trauma to the penis and urethra was assessed according to the classification of the American Association for the Surgery of Trauma (AAST).

RESULTS: According to the diagnostic results, the fracture of the penis in all patients corresponded to the grade III according to the AAST classification. Urethral injury in 7 patients was grade III, and one was grade I according to the AAST classification. Patients with grade III urethral injury underwent primary urethral plastic surgery. A patient with grade I was treated conservatively. In all patients the bladder was drained with a urethral catheter. Penile fracture was treated surgically in all cases.

CONCLUSIONS: A penile fracture associated with urethral trauma always requires immediate surgical treatment. In case of injuries of the urethra I–II grade according to AAST, the urethral catheter installation and conservative management are indicated. In case of injury of the urethra III, IV, V grade according to AAST, urgent primary urethroplasty is necessary. Damage to the corpora cavernosa and albuginea require surgical treatment after restoration of the integrity of the urethra.

Urology reports (St. - Petersburg). 2023;13(2):127-133
pages 127-133 views
Comparative assessment of perioperative and functional results of organ saving surgery for localized renal cell carcinoma in patients of different age groups
Popov S.V., Mirzabekov M.M., Guseinov R.G., Pomeshkin E.V., Neymark B.A., Urazmetov A.R.

BACKGROUND: The number of older patients with kidney tumors is steadily increasing. Surgical methods are the main ones in the treatment of patients with localized forms of renal cell carcinoma, including the elderly.

AIM: to conduct a comparative analysis of perioperative data and functional results of surgical interventions for renal cell carcinoma in patients of different age groups.

MATERIALS AND METHODS: The study included 256 patients with kidney tumors (mean age 65.2 ± 8.6 years). 146 (57.0%) patients aged 56 to 64 years made up group I, and 110 (43.0%) patients aged 65 to 75 years — group II. In 210 (82.0%) patients, the tumor diameter did not exceed 4 cm (T1a), in 46 (18.0%) patients it ranged from 4 to 6.2 cm (T1b). Radical nephrectomy and partial nephrectomy were performed respectively in 44 (30.1%) and 102 (69.9%) patients of group I and 58 (52.7%) and 52 (47.3%) patients of group II. All operations were performed laparoscopically.

RESULTS: In patients of group I, the duration of radical nephrectomy was 115.0 ± 18.0 min, and partial nephrectomy — 135.5 ± 25.0 min (p < 0.0001), in patients of group II, 120.0 ± 20.5 and 138.0 ± 25.5 min (p < 0.0001), respectively. Warm ischemia time during partial nephrectomy was 17.6 ± 1.2 min in patients of group I and 18.2 ± 1.5 min in patients of group II (p = 0.25). The volume of blood loss in patients of both groups I and II was significantly higher during partial nephrectomy. The average volume of blood loss in patients of group I was 130.0 ± 20.0 ml when performing radical nephrectomy and 236.5 ± 20.0 ml when performing partial nephrectomy (p < 0.0001), and in group II — 125.0 ± 18.5 ml for radical nephrectomy and 246.0 ± 22.0 ml for partial nephrectomy (p < 0.0001). The frequency of significant complications did not differ in patients of groups I and II. Grade IIIa complications according to the Clavien–Dindo classification of surgical complications were observed in 5 (3.4%) patients of group I and 4 (3.9%) patients of group II (p > 0.05), and grade IIIb in 3 (2.1%) and 2 (1.8%) patients (p > 0.05). Intraoperative bleeding developed in 19 (7.4%) patients: in 13 (8.4%) of 154 patients with partial nephrectomy, and in 6 (5.9%) of 102 patients with radical nephrectomy. In the early postoperative period in patients of group I after radical nephrectomy and partial nephrectomy, normal glomerular filtration rates was observed in 34.0% and 54.0% of patients, respectively, and in group II — in 31.0% and 52.0% of patients, respectively. Renal function significantly decreased in patients of both groups after radical nephrectomy compared with partial nephrectomy (p < 0.05). The results of GFR 3 months after surgery improved in patients after partial nephrectomy, and did not change significantly in the radical nephrectomy group.

CONCLUSIONS: The results of the study showed no differences in perioperative parameters (volume of intraoperative blood loss, warm ischemia time) during radical nephrectomy and partial nephrectomy in patients aged 56–64 and 65–75 years. The functional results of partial nephrectomy in patients of both groups were better compared to patients after radical nephrectomy. Thus, our data indicate the justification for performing organ-preserving operations, including in elderly patients.

Urology reports (St. - Petersburg). 2023;13(2):135-144
pages 135-144 views


Dysfunctions of the lower urinary tract in patients with multiple sclerosis. Pathogenesis, symptomatics, diagnosis
Kuzmin I.V.

Multiple sclerosis is a chronic autoimmune demyelinating disease, one of the most common symptoms of which are urinary disorders. The review article provides information on the epidemiology, pathogenesis, symptoms, clinical course and diagnostic features of neurogenic dysfunctions of the lower urinary tract in patients with multiple sclerosis. Attention is drawn to the need for early diagnosis of urinary tract dysfunctions, which predetermines the timely initiation and effectiveness of treatment.

Urology reports (St. - Petersburg). 2023;13(2):145-156
pages 145-156 views
Amyand’s hernia in adult and pediatric practice. Urological aspects
Shchedrov D.N., Shormanov I.S., Garova D.Y., Sidorova N.A.

Amyand’s hernia, an inguinal hernia that contains the appendix within the hernia sac, is a rare condition in surgical, and even more so in urological practice. It is difficult to diagnose due to its low frequency, anatomical atypicality and urgency. There are no review publications on this issue, and those that are available are mainly descriptions of individual cases. In this article an attempt was made to highlight the largest possible number of clinical observations that reflect the urological aspects of the problem and present them in a systematic manner. Aim — to analyze the available publications covering the urological aspects of Amyand’s hernia.

The literature review was carried out on the basis of publications covering the urological aspects of Amyand’s hernia in adults and children, published in PubMed databases and Scientific Electronic Library eLibrary.ru. The search was carried out by the following keywords: “Amyand’s hernia”, “acute scrotum”, “inflammatory diseases of the scrotum”, “Fournier’s phlegmon”, “scrotal fistula” (in Russian and English). Taking into account the rarity of the analyzed problem, the analysis includes publications for the last 15 years. 189 publications related to the topic of the review were identified. 38 publications of the greatest scientific and practical interest were selected directly for citation in the review. The maximum number of available publications reflecting the “urological aspects” of Amyand’s hernia has been analyzed, and an attempt has been made to systematize them clinically. The variety of clinical manifestations caused by Amyand’s hernia is commonly referred to in the English literature as “Amyand’s hernia syndrome”. We have identified the following variants of the clinical course: scrotal fistula — a casuistic variant described in detail only by C. Amyand; picture of the “acute scrotum” syndrome — the most frequent variant of the clinical course of Amyand’s hernia with scrotal manifestations is noted mainly in childhood, however, it can also occur in adults in all age groups; phlegmon of the scrotum, phlegmon of Fournier — an extremely rare variant of the clinical course with scrotal manifestations, publications on this subject are rare.

Amyand’s hernia being a rare surgical problem in both children and adults, has a number of urological “masks”, causing diagnostic difficulties and is of some interest to the urologists.

Urology reports (St. - Petersburg). 2023;13(2):157-164
pages 157-164 views
Evolution of the diagnosis of erectile dysfunction
Volokitin E.V., Kyzlasov P.S., Kuzmin I.V., Sokolshchik M.M., Mustafayev A.T., Efimova E.V.

The third millennium marked an increase in interest in the quality of human life and well-being. Human sexual health has become an integral part of a harmonious life. Great interest in the problem of erectile dysfunction is due to the increase in the number of patients with this pathology in the world. Many scientific studies have made progress in understanding the physio logy of erection. Starting its development from an objective examination, questioning, assessment of psychological history, the diagnosis of erectile dysfunction has stepped to new heights, such as multislice dynamic pharmacocavernosography using 3D modeling and positron emission tomography in combination with visual sexual stimulation or erectogenic pharmacological stimuli. The article presents data on the historical aspects of the study of erectile dysfunction and trends in the development of its diagnosis from ancient times to the present day. The main instrumental research methods that are actively used to diagnose the disease at the present time are described.

Urology reports (St. - Petersburg). 2023;13(2):165-175
pages 165-175 views

Case reports

Diagnostics and treatment of bladder diverticula
Sivakov A.A., Protoshchak V.V., Gozalishvili S.M., Osipov A.V., Shanava G.S., Ismailov K.I., Movsisyan A.T.

Diverticula of the bladder in adults in most cases are secondary and develop against the background of bladder outlet obstruction. Their true prevalence is unknown. More often, they are small in size and clinically asymptomatic. In cases where the diverticulum of the bladder is complicated by a chronic recurrent infection, stones, tumor or hydronephrosis on the side of the lesion, diverticulectomy is indicated. Approaches to diagnosis and treatment options for this pathology are considered on several clinical examples.

Urology reports (St. - Petersburg). 2023;13(2):177-185
pages 177-185 views
Complicated course of solitary kidney cysts in patients with a new coronavirus infection
Suleymanov S.I., Kadyrov Z.A., Musohranov V.V., Babkin A.S., Aguzarov A.M., Bagaturiya K.K., Ashurov Z.I., Tyagun A.A., Fedorov D.A.

The article describes the clinical manifestations of a solitary kidney cyst, methods for diagnosing this disease, as well as possible complications and videoendoscopic methods of surgical treatment.

The presented nosology is a fairly common lesion of the kidneys with clinically significant symptoms that manifest at any age. In most cases, simple kidney cysts are an accidental finding on ultrasound examination and, with small sizes, do not require active observation and treatment. In a small percentage of cases, cysts can be complicated by bleeding, infection or rupture, after which there is a need for active surgical treatment. As a clinical example illustrating the options for endoscopic treatment of a complicated course of solitary kidney cyst, the data of 2 patients with a new coronavirus infection, in whom a hemorrhage into the cavity of a large cyst was diagnosed in the postcovid period against the background of continued anticoagulant therapy, are presented. The article describes in detail the clinical manifestations of the disease, options and stages of surgical treatment from laparoscopic and retroperitoneal approaches in a multidisciplinary hospital.

Urology reports (St. - Petersburg). 2023;13(2):187-194
pages 187-194 views
Bladder endometriosis. Clinical case and literature review
Guseva A.I.

The article presents information about the clinical manifestations, diagnosis and treatment of bladder endometriosis. The issues of etiology and pathogenesis of endometriosis are considered in detail. The classification of extragenital endometriosis is given. Information about the prevalence of endometriosis of the urinary system is given. A clinical observation of a patient with endometriosis of the bladder that developed after surgery on the pelvic organs is presented.

Urology reports (St. - Petersburg). 2023;13(2):197-203
pages 197-203 views

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