Publications by authors named "Mahir Akram"

Purpose Of Review: Bladder stones account for 5% of all urinary tract calculi. Contributing factors include bladder outflow obstruction, infections, foreign bodies, or neurogenic voiding dysfunction. This necessitates an effective treatment modality, and with advances in medical technology, minimally invasive techniques using lasers are being widely adopted.

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Article Synopsis
  • A new digital single-use flexible ureteroscope, the Pusen direct in scope suction (DISS) 7.5Fr, was evaluated in a study across six medical centers for parameters like manoeuvrability, visibility, and efficiency during laser lithotripsy for kidney stones.
  • The study included 57 patients with a majority undergoing pre-stenting; results showed a high satisfaction rate among surgeons, with an initial stone free rate of 84.21% and quality parameters rated positively on a Likert scale.
  • The Pusen DISS scope demonstrated overall good performance and satisfaction, prompting all participating surgeons to express a willingness to use it in future procedures, indicating potential benefits for future
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Article Synopsis
  • - The paper compares the management guidelines for kidney stone disease (KSD) from the American Urological Association (AUA) and the European Association of Urologists (EAU), highlighting their similarities and subtle differences.
  • - It evaluates the evidence and recommendations provided in both guidelines, encompassing imaging techniques, treatment options, and special considerations for patient groups like children and pregnant women.
  • - The authors suggest that these guidelines should be updated regularly to reflect new research, while emphasizing the importance of tailoring treatment plans to individual patient needs and preferences for optimal results.
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Introduction: The treatment of kidney stone disease (KSD) has evolved significantly with the introduction of minimally invasive endourological techniques. Advancements in technology, particularly the transition from fibreoptic to digital and single use systems and the development of smaller-diameter instruments, has improved intraoperative view and efficacy in stone treatment. The miniaturization in single-use scopes represent a recent innovation, offering potential benefits, especially in challenging cases.

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Objective: The objective of this study was to identify the characteristic features of patients with distant metastasis as the only manifestation of well-differentiated thyroid cancers and to analyze the treatment outcomes.

Methods: A retrospective review of all patients with well-differentiated thyroid cancers and distant metastasis as the sole initial presentation was carried out. Data regarding age, gender, tumor histology, site, symptoms, and treatment outcomes were collected.

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