Long strictures of the upper third of this ureter are generally recurrent and happen after endourological and reconstructive processes non-medullary thyroid cancer . Having less native tissues and an impossibility of substitution by bowel portion in some instances dictates the utilization of alternate medical techniques. Our first experience of laparoscopic onlay ureteroplasty making use of buccal graft for long stricture associated with the upper 3rd of the ureter is explained when you look at the article. The size of the stricture had been 6 cm. The procedure time was 210 mins, while blood loss amount ended up being less than 100 ml. The in-patient did not have any surgical problems. Drains were eliminated in prompt way. The patient was released through the hospital in a reasonable problem on the 8-th time. The ureteral stent was eliminated after four weeks. Kidney ultrasound had been performed on a monthly basis. In accordance with IVU after 4 months, the anastomosis ended up being totally patent. This technique can be viewed as an option to more complicated procedures in selected clients.Bilateral nephrolithiasis the most prevalent and severe kind of urinary rock infection, that is typically linked with endocrinological conditions. These patients can be frequently addressed inside our hospital. A clinical situation of client with bilateral nephrolithiasis who undergone to bilateral simultaneous retrograde intrarenal surgery is provided. The evaluation of medical publications specialized in the problem was completed. The outcomes of this research, which involved 60 clients aged 22 to 40 years, are provided. The instructions for additional clinical search tend to be recommended. According to our study, there clearly was a correlation between energy drinks usage and decreased ejaculate quality. To assess the morphological and functional traits of spermatozoa and DNA security in patients with regular seed variables along with an ITZ exceeding the limit value. 85 men were examined for semen quality parameters. The morphological anomalies of head, center piece, and tail of spermatozoa were predicted and presented in illustrations. Due to outcomes elaborated the index of teratozoospermia had been calculated. Then the Comet assay ended up being done. In the preliminary evaluation of client fertility the eye is dedicated to an extensive study of sperm DNA morphology and security.Within the initial evaluation of patient fertility the eye should really be focused on a comprehensive study of sperm DNA morphology and security. To determine the likelihood of carrying out minimally invasive percutaneous nephrolithotomy (PCNL) under ultrasound guidance with the use of X-ray through the accessibility system development. The outcomes of 102 mini-PNL processes, carried out by just one physician during the period 2018-2019, had been reviewed retrospectively. At first, ureteral catheter Ch5 was put in an ipsilateral ureter. Further, a puncture regarding the collecting system ended up being performed with an advancement associated with guidewire. In the next phase, a dilation of area was done utilizing X-ray assistance for the safe formation regarding the working station, accompanied by holmium lithotripsy. At the end a nephrostomy or JJ-stent had been kept. The mean age the patients had been 53.13+/-12.9, while typical BMI was 29.3+/-6.5. As a whole, there have been 44.1% of females. The common rock size ended up being 20.7+/-10.9 mm; 45.1per cent see more of stones were left-sided. Staghorn stones accounted for 15.7% of situations and hydronephrosis had been pre-existing immunity present in 18.6% of clients. The time for producing renal access, dilation of . Nonetheless, this method also offers disadvantages, including longer puncture amount of time in morbidly obese patients without hydronephrosis. With developing experience, the amount of unsuccessful renal punctures decreases, as well as operative time. The use of fluoroscopy during dilatation regarding the nephrostomy region permits preventing additional injuries for the gathering system.Urethral pain syndrome (UPS) is characterized by the event of persistent or recurrent pain within the urethra in the lack of a confirmed infection as well as other obvious neighborhood pathological changes. The study of the pathogenetic aspects is important first of all for comprehending the causes of the illness, to suggest efficient therapy, specific tips for the avoidance and treatment of this illness will also be absent. This paper provides the advanced experience of our research group regarding the study for the urethral state by the in vivo cross-polarization optical coherence tomography (CP OCT) strategy, as well as the link between the microbiota evaluation within the urethral tissues. The purpose of the research would be to look for the risk facets for UPS and also the personality of changes in the urethral tissues, making use of the information of 1) concomitant pathology, 2) structural alterations in the urethral wall surface in UPS when comparing to persistent cystitis of bacterial etiology 3) studying the microbiota of urethral cells.