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Razzaghdoust A, Basiri A, Rahmatizadeh S, Mofid B, Muhammadnejad S, Parvin M. 28P Data-driven identification and prioritization of candidate targets for antibody-drug conjugate therapy across 20 common cancer types. Ann Oncol 2020. [DOI: 10.1016/j.annonc.2020.01.047] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
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Basiri A, Zare S, Simforoosh N, Tabibi A, Shakibi MH. Comparison of Renal Growth, Proteinuria and Graft Survival between Recipients of Pediatric and Adult Cadaveric Kidney Transplants. Int J Organ Transplant Med 2017; 8:97-103. [PMID: 28828169 PMCID: PMC5549006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
Abstract
BACKGROUND The shortage of cadaveric kidney donors has prompted transplant teams to expanding the donor selection criteria. The usage of pediatric cadaveric kidneys is one of those expanded criteria. But the main concern is the probability of hyperfiltration syndrome due to small renal mass of pediatric donors. OBJECTIVE To compare the graft and patient survivals, post-transplantation complications, rate and severity of proteinuria secondary to hyperfiltration injury and the kidney growth of recipients who underwent transplantation from adult (group 1) and pediatric deceased donors (group 2). METHODS In this historical cohort study, each group contains 36 patients. Outcome measures included patient and graft survivals, quality of graft function as assessed by serum creatinine (SCr) and estimated GFR (eGFR), surgical complications, proteinuria that was detected by routine urinalysis and then confirmed by a 24-h urine protein >150 mg, blood pressure, and kidney length and volume measured by early and follow-up ultrasonography. RESULTS The mean donor age in groups 1 and 2 was 36 and 6.5 years, respectively. 9 (25%) kidneys taken from pediatric donors (group 2) were offered en-bloc. The mean follow-up was 28 month. The two groups were not significantly different in terms of the incidence of DGF, rate of acute rejection, 1-year graft survival, SCr and eGFR levels, rates of surgical complications requiring surgical interventions, development of proteinuria, and rate of post-transplantation rise in blood pressure. The mean±SD kidney length within 24 hours of transplantation was significantly higher in group 1 compared to group 2 recipients (112±14 vs. 75±12 mm; p=0.001), but the rate of increase in kidney length in group 2 was significantly higher than that in group 1 recipients (43±4 vs. 10±2 mm; p=0.002) during the follow-up period. 80% of the increase in the kidney size was observed during the first 12 months of surgery; another 20% happened between 12 and 18 months. CONCLUSION We found that obligatory and compensatory growth of pediatric kidney donors can overcome the concern of hyperfiltration syndrome and that the outcome is the same as adult donors.
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Affiliation(s)
- A. Basiri
- Urology and Nephrology Research Center, Shahid Beheshti University of Medical Sciences, Shahid Labbafinejad Medical Center, Tehran, Iran
| | - S. Zare
- Shahid Sadoughi University of Medical Sciences, Yazd, Iran,Correspondence: Samad Zare, Fellowship of Kidney Transplantation, Shahid Sadoughi University of Medical Sciences, Yazd, Iran Tel: +98-353-627-1197, Fax: +98-353-627-1198, E-mail:
| | - N. Simforoosh
- Urology and Nephrology Research Center, Shahid Beheshti University of Medical Sciences, Shahid Labbafinejad Medical Center, Tehran, Iran
| | - A. Tabibi
- Urology and Nephrology Research Center, Shahid Beheshti University of Medical Sciences, Shahid Labbafinejad Medical Center, Tehran, Iran
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Hashemi M, Shahkar G, Simforoosh N, Basiri A, Ziaee SAM, Narouie B, Taheri M. Association of polymorphisms in PRKCI gene and risk of prostate cancer in a sample of Iranian Population. Cell Mol Biol (Noisy-le-grand) 2015; 61:16-21. [PMID: 26475383] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/11/2015] [Accepted: 09/30/2015] [Indexed: 06/05/2023]
Abstract
The atypical protein kinase C iota (aPKCι) is an oncoprotein encoded by the PRKCI gene. It has been reported to play multifunctional roles in cellular maintenance, cell proliferation, survival, differentiation and apoptosis. In the present study we aimed to assess the impact of PRKCI rs546950 C>T and rs4955720 C>A polymorphisms on prostate cancer (PCa) risk in a sample of Iranian population. This case-control study was done on 169 patients with pathologically confirmed PCa and 182 benign prostatic hyperplasia (BPH). The PCR-RFLP method was used for detection rs546950 C>T and rs4955720 C>A polymorphisms. Our findings showed that rs546950 polymorphism of PRKCI decreased the risk of PCa in codominant (OR=0.35, 95%CI=0.19-0.64, P<0.001, CT vs CC) and dominant (OR=0.39, 95%CI=0.22-0.69, P=0.001, CT+TT vs CC) inheritance model tested. No significant association was found between rs4955720 C>A polymorphism and PCa. In the combined analysis of these two variants subjects carrying CT/CC, CT/CA, TT/AA and CT/AA significantly decreased the risk of PCa in comparison with rs546950 CC/rs4955720 CC genotype. Haplotype analysis indicated that rs546950T/rs4955720A decreased the risk of PCa compared to CC. In conclusion, the results revealed that PRKCI rs546950 variant decreased the risk of PCa in an Iranian population. Further studies with larger sample sizes and different ethnicities are required to confirm our findings.
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Affiliation(s)
- M Hashemi
- Zahedan University of Medical Sciences Cellular and Molecular Research Center Zahedan Iran mhd.hashemi@gmail.com
| | - G Shahkar
- Zahedan University of Medical Sciences Department of Clinical Biochemistry, School of Medicine Zahedan Iran
| | - N Simforoosh
- Shahid Beheshti University of Medical Sciences Urology and Nephrology Research Center; Department of Urology, Shahid Labbafinejad Medical Center Tehran Iran
| | - A Basiri
- Shahid Beheshti University of Medical Sciences Urology and Nephrology Research Center; Department of Urology, Shahid Labbafinejad Medical Center Tehran Iran
| | - S A M Ziaee
- Shahid Beheshti University of Medical Sciences Urology and Nephrology Research Center; Department of Urology, Shahid Labbafinejad Medical Center Tehran Iran
| | - B Narouie
- Shahid Beheshti University of Medical Sciences Urology and Nephrology Research Center; Department of Urology, Shahid Labbafinejad Medical Center Tehran Iran
| | - M Taheri
- Zahedan University of Medical Sciences Genetics of Non Communicable Disease Research Center Zahedan Iran
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Amirzargar MA, Amirzargar A, Basiri A, Hajilooi M, Roshanaei G, Rajabi G, Solgi G. Pre- and Posttransplant IgA Anti-Fab Antibodies to Predict Long-term Kidney Graft Survival. Transplant Proc 2015; 47:1110-3. [PMID: 26036531 DOI: 10.1016/j.transproceed.2014.11.065] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/06/2014] [Revised: 10/26/2014] [Accepted: 11/19/2014] [Indexed: 11/26/2022]
Abstract
OBJECTIVES Immunologic factors are reliable markers for allograft monitoring, because of their seminal role in rejection process. One of these factors is the immunoglobulin (Ig)A anti-Fab of the IgG antibody. This study aimed to evaluate the predictive value of pre- and posttransplant levels of this marker for kidney allograft function and survival. METHODS Sera samples of 59 living unrelated donor kidney recipients were collected before and after transplantation (days 7, 14, and 30) and investigated for IgA anti-Fab of IgG antibody levels using enzyme-linked immunosorbent assay in relation with allograft outcome. RESULTS Among 59 patients, 15 cases (25%) including 10 with acute rejection and 5 with chronic rejection episodes showed graft failure during a mean of 5 years of follow-up. High posttransplant levels of IgA anti-Fab antibodies were observed more frequently in patients with stable graft function (SGF) compared with patients with graft failure (P = 2 × 10(-6)). None of patients with acute or chronic rejection episodes had high levels of IgA anti-Fab antibodies at day 30 posttransplant compared with the SGF group (P = 10(-6) and P = .01, respectively). In addition, high levels of IgA anti-Fab antibody correlated with lesser concentration of serum creatinine at 1 month posttransplantation (P = .01). Five-year graft survival was associated with high levels of pre- and posttransplant IgA anti-Fab antibodies (P = .02 and P = .003, respectively). CONCLUSIONS Our findings indicate the protective effect of higher levels of IgA anti-Fab antibodies regarding to kidney allograft outcomes and long-term graft survival.
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Affiliation(s)
- M A Amirzargar
- Department of Urology, Medical School, Hamadan University of Medical Sciences, Hamadan, Iran
| | - A Amirzargar
- Molecular Immunology Research Center, Medical School, Tehran University of Medical Sciences, Tehran, Iran
| | - A Basiri
- Urology Research Center, Labbafinejad Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - M Hajilooi
- Immunology Department, Medical School, Hamadan University of Medical Sciences, Hamadan, Iran
| | - G Roshanaei
- Research Center for Health Science, Department of Biostatistics and Epidemiology, School of Health, Hamadan University of Medical Sciences, Hamadan, Iran
| | - G Rajabi
- Department of Urology, Medical School, Hamadan University of Medical Sciences, Hamadan, Iran
| | - G Solgi
- Immunology Department, Medical School, Hamadan University of Medical Sciences, Hamadan, Iran; Psoriasis Research Center, Department of Dermatology, Farshchian Hospital, Hamadan University of Medical Sciences, Hamadan, Iran.
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Basiri A, Mirjalili M, Kardoust Parizi M, Moosa Nejad N. Supplementary X-Ray for Ultrasound-Guided Percutaneous Nephrolithotomy in Supine Position versus Standard Technique: A Randomized Controlled Trial. Urol Int 2013; 90:399-404. [DOI: 10.1159/000345796] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/17/2012] [Accepted: 11/13/2012] [Indexed: 11/19/2022]
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Basiri A, Mir A, Khazaeli M, Nikkar M. VID-01.01 Laparoscopic Management of Symptomatic Paracalyceal Diverticulum. Urology 2011. [DOI: 10.1016/j.urology.2011.07.464] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Simforoosh N, Abdi H, Kashi A, Zare S, Tabibi A, Daneshdezfuli A, Basiri A, Ziaee S. MP-05.06: Open prostatectomy versus transurethral resection of the prostate where do we stand in the new era? A randomized clinical trial. Urology 2010. [DOI: 10.1016/j.urology.2010.07.420] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
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Simforoosh N, Basiri A, Ziaee S, Danesh A, Tabibi A, Abdi H, Kashi H, Zare S. MP-06.01: Comparing Outcomes and Complications of Transvesical Prostatectomy Versus Transurethral Resection of Prostate. Urology 2009. [DOI: 10.1016/j.urology.2009.07.987] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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Simforoosh N, Basiri A, Ziaee S, Sharifiaghdas F, Tabibi A, Moudi E, Javaherforoosh A, Sarhangnejad R, Tajali F. UP-2.182: The Use of Unaltered Appendix Transfer in Ileal Continent Reservoir, 10 Years' Experience: A Novel Technical Modification. Urology 2009. [DOI: 10.1016/j.urology.2009.07.401] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Einollahi B, Simforoosh N, Lessan-Pezeshki M, Basiri A, Nafar M, Pour-Reza Gholi F, Firouzan A, Ahmadpour P, Makhdomi K, Ghafari A, Taghizadeh A, Tayebi Khosroshahi H. Genitourinary Tumor Following Kidney Transplantation: A Multicenter Study. Transplant Proc 2009; 41:2848-9. [DOI: 10.1016/j.transproceed.2009.07.056] [Citation(s) in RCA: 24] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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Basiri A, Nikoobakht MR, Simforoosh N, Hosseini Moghaddam SMM. Ureteroscopic management of urological complications after renal transplantation. ACTA ACUST UNITED AC 2009; 40:53-6. [PMID: 16452057 DOI: 10.1080/00365590510007838] [Citation(s) in RCA: 22] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Abstract
OBJECTIVE To determine the feasibility, safety and efficacy of diagnostic and therapeutic ureteroscopy in renal allograft ureters. MATERIAL AND METHODS We reviewed 1560 consecutive renal allografts performed between June 1989 and February 2002. A total of 28 patients (1.8%) had indications for an endoscopic procedure on the allograft ureter, as follows: obstructive ureteral calculi with a history of failed extracorporeal shock-wave lithotripsy, n=6; suspected ureteral stricture, n=3; upwardly migrated ureteral stents, n=9; and ureteral stricture at the ureteroneocystostomy site, n=10. Ureters were anastomosed to the bladder using the Leadbetter-Politano and Lich-Gregoire methods in six and 22 cases, respectively. Ureteroscopies were performed with a semi-rigid 9.8 F Wolf ureteroscope. RESULTS Identification of the ureteral orifice and insertion of a guide-wire into it was successful in 19 cases (68%). If we exclude the 10 patients with ureteral stricture, ureteroscopy was successful in 13/18 cases (72%). Four ureteral calculi (67%) were removed with the ureteroscope. Seven out of nine migrated stents (78%) were retrieved. Four patients with ureteral stricture at the ureteroneocystostomy site (40%) underwent successful ureteral dilatation and double-J ureteral catheters were also inserted. Diagnostic ureteroscopy was successful in all cases. Two complications (one urinary leakage and one symptomatic urinary tract infection) occurred and were managed conservatively. CONCLUSIONS Ureteral endoscopy is a safe and effective method for the management of urological complications after renal transplantation. This procedure can be considered the first choice, in preference to percutaneous and antegrade modalities.
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Affiliation(s)
- A Basiri
- Department of Urology and Infection, Diseases and Tropical Medicine, Tehran, Iran.
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Basiri A, Mousavi SM, Naghavi M, Araghi IA, Namini SA. Urologic diseases in the Islamic Republic of Iran: what are the public health priorities? East Mediterr Health J 2008; 14:1338-1348. [PMID: 19161109] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/27/2023]
Abstract
This study was designed to estimate the burden of urologic diseases in the Islamic Republic of Iran as a practical method for defining public health priorities. Using World Health Organization guidelines for national burden of disease studies, 6 steps were performed: selecting diseases to include; dynamic modelling of diseases; gathering data about urologic diseases; computing the local disability weights of urologic diseases; data analysis with DisMod II; and computing the disability-adjusted life years for each disease. Renal calculus, acute cystitis, chronic prostatitis, benign prostate hyperplasia, male infertility and adult polycystic kidney disease comprised the greatest burden.
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Affiliation(s)
- A Basiri
- Urology Nephrology Research Centre, Shahid Beheshti University of Medical Sciences, Tehran, Islamic Republic of Iran
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Rezaii J, Hajimohama F, Esfandiari K, Mirzazadeh M, Basiri A. Time of Jejunostomy after Upper Gastrointestinal and Respiratory
Tract Cancers would be Affecting on Complications of Jejunostomy. J of Medical Sciences 2008. [DOI: 10.3923/jms.2008.583.586] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
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Basiri A, Hosseini-Moghaddam SM, Simforoosh N, Einollahi B, Hosseini M, Foirouzan A, Pourrezagholi F, Nafar M, Zargar MA, Pourmand G, Tara A, Mombeni H, Moradi MR, Afshar AT, Gholamrezaee HR, Bohlouli A, Nezhadgashti H, Akbarzadehpasha A, Ahmad E, Salehipour M, Yazdani M, Nasrollahi A, Oghbaee N, Azad RE, Mohammadi Z, Razzaghi Z. The risk factors and laboratory diagnostics for post renal transplant tuberculosis: a case-control, country-wide study on definitive cases. Transpl Infect Dis 2008; 10:231-5. [PMID: 17655654 DOI: 10.1111/j.1399-3062.2007.00271.x] [Citation(s) in RCA: 29] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
BACKGROUND Tuberculosis (TB) is an important cause of morbidity and mortality in renal transplant recipients and, because of its infrequency and the lack of medical awareness, it is usually misdiagnosed. This study was carried out to determine frequency and weight of multiple risk factors for post kidney transplantation TB. METHODS A total of 44 cases (0.3%), out of 12,820 patients from 12 major kidney transplantation centers in Iran from 1984 to 2003, were compared with 184 healthy transplant subjects who were transplanted by the same surgical team. RESULTS The mean age of cases and controls was 37.7 (13-63) and 35.6 (8-67) years (P=0.3), respectively. The mean duration of pre-transplantation hemodialysis was 30.3 (3-168) months in cases and 18.2 (1-180) months in controls (P=0.03). A positive past history of TB was detected in 2 cases and 1 control (P=0.3). The mean doses of initial and maintenance immunosuppressive drugs in cases and controls were not significantly different. A total of 25 cases (56.8%) and 60 controls (32.6%) had rejection before diagnosis of TB (P=0.004; OR=2.7, CI(95%): 1.3-5.6). CONCLUSIONS To our knowledge, this is the first study that demonstrated an increase in the risk of post-transplant TB by increasing the duration of pre-transplant hemodialysis and the number of post-transplant rejection episodes as 2 immunocompromised states. Further study is needed to clarify our new findings, specifically in relation to different immunosuppressive regimens.
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Affiliation(s)
- A Basiri
- Urology/Nephrology Research Center, Tehran, Iran.
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Hosseini MM, Basiri A, Moghaddam SMH. Percutaneous nephrolithotomy of patients with staghorn stone and incidental purulent fluid suggestive of infection. J Endourol 2008; 21:1429-32. [PMID: 18186679 DOI: 10.1089/end.2007.0092] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
BACKGROUND AND PURPOSE Patients undergoing percutaneous nephrolithotomy (PCNL) sometimes have purulent fluid in the puncture site in spite of having no signs or symptoms of infection preoperatively. We report the safety and effectiveness of PCNL in 45 patients with staghorn renal stones and incidental purulent fluid in the pelvicaliceal system. PATIENTS AND METHODS Of 1264 patients who underwent PCNL at our medical center from February 2002 to May 2006, 45 patients had purulent fluid in the initial puncture. These patients were asymptomatic, and the preoperative work-up did not suggest infection. In 29 patients (group 1), stone removal was accomplished during the first session, while for 16 patients (group 2), a nephrostomy tube remained in place and stone removal occurred 3 to 5 days later when results of urine and nephrostomy fluid cultures were negative. We studied preoperative findings, stone-free rate, intraoperative and postoperative complications, and final outcome of these patients. RESULTS The stone-free rate was almost similar in the two groups (86.2% v 81.25%, P = 0.9). In groups 1 and 2, three (10.3%) and two (12.5%) patients experienced low-grade fever for 12 to 24 hours (P = 0.179). In group 1, urine cultures revealed Escherichia coli in three patients and Pseudomonas aeruginosa in two patients, while 24 (82.7%) patients had negative fluid cultures. In group 2, results of urine cultures showed E coli in two patients and Klebsiella pneumoniae in one patient; results of urine cultures of 13 (81.2%) patients were negative (P = 0.78). Mean operative time was 70 minutes in both groups. No intraoperative or postoperative complications other than fever were seen in both groups. CONCLUSION In patients who undergo PCNL, purulent fluid may be found incidentally in the puncture site. PCNL may be performed with full antibiotic coverage at the same session.
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Affiliation(s)
- M M Hosseini
- Division of Endourology, Urology and Nephrology Research Center, Peymanieh Hospital, Jahrom University of Medical Sciences, Jahrom, Iran
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Ziaee S, Halimi M, Aminsharifi A, Shafi H, Basiri A. POS-01.100: Management of 10-15 mm proximal ureteral stones: ureteroscopy or ESWL, a prospective patient preference trial. Urology 2007. [DOI: 10.1016/j.urology.2007.06.801] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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Basiri A, Simforoosh N, Ziaee S, Shayaninasab H, Hosseini S, Moghaddam S. POS-01.96: Comparison of three less invasive procedures for large upper ureteral stones. Urology 2007. [DOI: 10.1016/j.urology.2007.06.797] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Basiri A, Simforoosh N, Heidari M, Moghaddam SH, Otookesh H. Laparoscopic v Open Donor Nephrectomy for Pediatric Kidney Recipients: Preliminary Report of a Randomized Controlled Trial. J Endourol 2007; 21:1033-6. [DOI: 10.1089/end.2006.0208] [Citation(s) in RCA: 24] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Affiliation(s)
- A. Basiri
- Department of Urology and Renal Transplantation, Urology and Nephrology Research Center (UNRC), Shahid Labbafi Nejad Hospital, Shahid Beheshti University of Medical Science, Tehran, Iran
| | - N. Simforoosh
- Department of Urology and Renal Transplantation, Urology and Nephrology Research Center (UNRC), Shahid Labbafi Nejad Hospital, Shahid Beheshti University of Medical Science, Tehran, Iran
| | - M. Heidari
- Department of Urology, UNRC, Lorestan University of Medical Sciences, Tehran, Iran
| | - S.M. Hosseini Moghaddam
- Departments of Infectious Diseases and Tropical Medicine, Urology and Nephrology Research Center (UNRC), Shahid Labbafi Nejad Hospital, Shahid Beheshti University of Medical Science, Tehran, Iran
| | - H. Otookesh
- Department of Nephrology, Ali Asghar children Hospital, Iran University of Medical Science, Tehran, Iran
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Basiri A, Behjati S, Zand S, Moghaddam SH. Laparoscopic Pyeloplasty in Secondary Ureteropelvic Junction Obstruction after Failed Open Surgery. J Endourol 2007; 21:1045-51; discussion 1051. [DOI: 10.1089/end.2006.0414] [Citation(s) in RCA: 33] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- A. Basiri
- Urology and Nephrology Research Center (UNRC), Labbafi Nejad Medical Center, Shahid Beheshti Medical University, Tehran, Iran
| | - S. Behjati
- Urology and Nephrology Research Center (UNRC), Labbafi Nejad Medical Center, Shahid Beheshti Medical University, Tehran, Iran
| | - S. Zand
- Urology and Nephrology Research Center (UNRC), Labbafi Nejad Medical Center, Shahid Beheshti Medical University, Tehran, Iran
| | - S.M. Hosseini Moghaddam
- Urology and Nephrology Research Center (UNRC), Labbafi Nejad Medical Center, Shahid Beheshti Medical University, Tehran, Iran
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Basiri A, Otookesh H, Hoseini R, Simforoosh N, Farrokhi F. MP-15.15 (Podium): Kidney transplantation before or after augmentation cystoplasty in children with high-pressure neurogenic bladder. Urology 2007. [DOI: 10.1016/j.urology.2007.06.074] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Basiri A, Otukesh H, Hosseini-Moghaddam SM, Ghazi-Moghaddam B, Haidari M, Sharifian M, Razzaghi Z. Slow graft function after pediatric renal transplantation from volunteer live donors. Pediatr Transplant 2007; 11:477-80. [PMID: 17631014 DOI: 10.1111/j.1399-3046.2007.00695.x] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
Slow graft function (SGF) may occur during the early post-transplant period. In this paper, we present our findings regarding SGF after pediatric renal transplantation and its predictive variables. From 1985 to 2004, a total of 300 pediatric renal transplants were performed at our institution. A total of 10 cases with SGF and 50 controls that were operated by the same surgeons were enrolled in this study. The mean age of the recipients and donors was 11.4 (3-15 yr) and 28.05 yr (20-50 yr), respectively. All kidneys were retrieved from living donors. We compared patients with SGF with controls regarding four independent variables: age difference between donors and recipients, serum hemoglobin difference between donors and recipients, mean blood pressure (systolic blood pressure + 2 [diastolic blood pressure]/3) difference between donors and recipients, and weight difference between donors and recipients. The mean age of recipients was 10.5 +/- 4.1 in SGF group and 11.6 +/- 2.5 in control group (p = 0.4). The differences between donors and recipients regarding weight and mean blood pressure in subjects with SGF were not higher than other patients (42 kg vs. 37.4 kg, p = 0.4; -3 mmHg vs. -4.1 mmHg, p = 0.8). The mean hemoglobin difference between donors and recipients was 6.3 +/- 2.1 g/dL in SGF group and 6.7 +/- 2.3 g/dL in control group (p = 0.6). The differences between donors and recipients regarding age, weight, mean blood pressure and serum hemoglobin level are not predictive variables for SGF.
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Affiliation(s)
- A Basiri
- Department of Urology, Urology and Nephrology Research Center (UNRC), Labbafi Nejad Hospital, Shahid Beheshti University of Medical Science, No. 44 Boostan 9th, Pasdaran Avenue, Tehran, Iran.
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Amirzargar M, Yavangi M, Basiri A, Moghadam SH, Khosravi F, Solgi G, Gholiaf M, Khoshkho F, Dadaras F, Mahmmodi M, Ansaripour B, Amirzargar A, Nikbin B. Genetic Association of Interleukin-4, Interleukin-10, and Transforming Growth Factor-β Gene Polymorphism With Allograft Function in Renal Transplant Patients. Transplant Proc 2007; 39:954-7. [PMID: 17524861 DOI: 10.1016/j.transproceed.2007.03.054] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
Despite advances in immunosuppressive therapy in the past decade, allograft rejection remains the primary cause for kidney graft failure. Cytokines are known to be important mediators in renal allograft outcome. The aim of the present study was to ascertain whether interleukin (IL)-4, IL-10, and transforming growth factor (TGF)-beta cytokine gene polymorphisms contributed to kidney graft outcome. We evaluated single nucleotide polymorphism in IL-4 (-1098G/T, -590C/T, -33C/T), IL-10 (-1082A/G, -819C/T, -592A/C), and TGF-beta (codon 10 and 25) in 100 renal transplant recipients and 139 normal healthy control using polymerase chain reactions based on sequence-specific primers. Recipients were clinically characterized as rejection episode (RE) versus stable graft function (SGF). The results showed the frequencies of IL-4 -33 T allele in the RE, SGF, and control group to be 7%, 73%, and 28%, respectively. IL-10 -592 A allele frequency was 39% in RE, 26% in SGF, and 28% in the control group. TGF-beta codon 10 T allele was 39% in RE, 35% in SGF, and 53% in control group. In conclusion, this study suggested that some cytokine gene alleles reflected SGF among kidney transplant recipients.
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Affiliation(s)
- M Amirzargar
- Kidney Transplant Division, Ekbatan Hospital, Hamadan University of Medical Sciences, Tehran, Iran.
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Hosseini SY, Danesh AK, Parvin M, Basiri A, Javadzadeh T, Safarinejad MR, Nahabedian A. Incidental prostatic adenocarcinoma in patients with PSA less than 4 ng/ml undergoing radical cystoprostatectomy for bladder cancer in iranian men. Int Braz J Urol 2007; 33:167-73; discussion 173-5. [PMID: 17488535 DOI: 10.1590/s1677-55382007000200006] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/05/2007] [Indexed: 11/22/2022] Open
Abstract
OBJECTIVE To assess the incidence of prostate adenocarcinoma in patients undergoing radical cystoprostatectomy due to bladder cancer in Iranian men. MATERIALS AND METHODS Fifty cystoprostatectomy specimens removed due to bladder malignancy (2004-2005) at two referral centers (Shaheed Modarress and Shaheed Labbafinejad Hospitals, Tehran, Iran) were examined for the coincidental finding of prostate cancer (PCa). At the time of surgery the patient's serum PSA was less than 4 ng/mL and there were no suspicious lesions by digital rectal examination. Pathologic grade, stage, morphometric volume, number of tumor foci and association with areas of high grade prostatic intraepithelial neoplasia (HGPIN) were assessed by light microscopy. All specimens were totally embedded and whole-mounted. Clinically significant cancers were defined as tumors with >or= 0.5 mL volume, Gleason pattern 4 or 5, pT3, positive surgical margin, and multifocality > 3. RESULTS Incidentally detected cancer was found in 7 (14%) of cystoprostatectomy specimens. HGPIN was present in 1 (14.3%) of the cystoprostatectomies with incidentally detected prostate cancer. None of cystoprostatectomies without prostate cancer had HGPIN. Four (57%) of the detected cancers were significant. CONCLUSION We conclude that incidentally detected prostate cancer in Iran is lower than the rates reported in other countries. Further studies are warranted for better declaration of variability of prostate cancer between different ethnic groups.
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Affiliation(s)
- S Y Hosseini
- Urology and Nephrology Research Center, Shaheed Modarress and Shaheed Labbafinejad Hospitals, Shaheed Beheshti University of Medical Sciences, Tehran, Iran
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Basiri A, Shahrokhi S, Shayani-Nasab H, Karami H, Mohammad Ali Beigi F. V-04.10. Urology 2006. [DOI: 10.1016/j.urology.2006.08.1018] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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Basiri A, Ziaee S, Hosseini Moghaddam S, Hosseini S, Danesh A, Sharifi Aghdas F. MP-05.06. Urology 2006. [DOI: 10.1016/j.urology.2006.08.249] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
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Simforoosh N, Basiri A, Shakhssalim N, Ziaee SAM, Tabibi A, Moghaddam SMMH. Effect of Warm Ischemia on Graft Outcome in Laparoscopic Donor Nephrectomy. J Endourol 2006; 20:895-8. [PMID: 17144858 DOI: 10.1089/end.2006.20.895] [Citation(s) in RCA: 30] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
PURPOSE To assess the impact of warm ischemia time (WIT) on delayed graft function (DGF), graft loss, and graft function in laparoscopic donor nephrectomy (LDN). PATIENTS AND METHODS We prospectively studied 100 kidney recipients from LDN donors from 2001 to 2003. For comparison of graft outcome with different extents of WIT, recipients were divided into three groups: group A received kidneys having 4 to 6 minutes, group B kidneys having >6 to 10 minutes, and group C kidneys having >10 minutes of WIT. The median follow-up was 415 days (range 11-791) days. RESULTS The mean kidney WIT was 8.7 minutes (range 4-17 minutes). Graft outcome (DGF, graft loss, and median serum creatinine) was not significantly different in the three groups. CONCLUSIONS Different extents of WIT in LDN, within the range of our study, were not associated with an adverse outcome in kidney transplantation.
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Affiliation(s)
- N Simforoosh
- Department of Urology and Renal Transplantation, Urology and Nephrology Research Center, Shahid Labbafi Nejad Hospital, Shahid Beheshti University of Medical Science, Tehran, Iran.
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Basiri A, Mehrabi S, Kamran-Manesh M. MP-05.07. Urology 2006. [DOI: 10.1016/j.urology.2006.08.250] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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28
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Basiri A, Mohammad Ali Beigi F, Abdi H, Mahmoudnejad N. V-04.06. Urology 2006. [DOI: 10.1016/j.urology.2006.08.1014] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Basiri A, Simforoosh N, Shahrokhi S, Danesh A, Abdi H. UP-01.08. Urology 2006. [DOI: 10.1016/j.urology.2006.08.646] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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30
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Tabibi A, Simforoosh N, Basiri A, Abdi H, Farrokhi F. MP-07.03. Urology 2006. [DOI: 10.1016/j.urology.2006.08.291] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Simforoosh N, Basiri A, Fattahi MR, Einollahi B, Firouzan A, Pour-Reza-Gholi F, Nafar M, Farrokhi F. Living unrelated versus living related kidney transplantation: 20 years' experience with 2155 cases. Transplant Proc 2006; 38:422-5. [PMID: 16549137 DOI: 10.1016/j.transproceed.2006.01.012] [Citation(s) in RCA: 38] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/17/2022]
Abstract
PURPOSE To compare the long-term results of kidney transplantation from living unrelated donors (LURDs) with that from living related donors (LRDs). MATERIALS AND METHODS From 1984 to 2004, we performed 2155 kidney transplantations of which 374 were from LRDs and 1760 from LURDs. We reviewed and compared the long-term data from these cases. RESULTS The LURD group included 64.2% men with an overall mean age of 33.46 +/- 14.61 (range 3 to 76) years. Laparoscopic donor nephrectomy was performed in 329 cases (18.7%) with mean follow-up of 45.68 +/- 46.80 months. The LRD group included 66.5% of male recipients with overall mean age of 28.97 +/- 9.58 (range 9 to 65) years. Laparoscopic donor nephrectomy was performed in 12 cases (3.2%) of LRDs with mean follow-up of 81.15 +/- 67.03 months. One-, 3-, 5-, 10-, and 15-year graft survivals among LRDs were 91.6%, 81.7%, 76.4%, 64.4%, and 48.4%; and for LURDs, 91.5%, 86.7%, 81.4%, 68.2%, and 53.2%, respectively (P = .07). Patient survivals for 1, 3, 5, 10, and 15 years in LRDs were 94.6%, 91.9%, 83%, 79.5%, and 73.9%, and in LURDs were 93.6%, 91.7%, 89.3%, 84%, and 76.4%, respectively (P = .14). CONCLUSION The results of living unrelated kidney transplantation upon long-term follow-up with a large number of cases were as good as living related kidney transplantation. The organ shortage can be alleviated by using living unrelated kidney transplantation. To our knowledge this is the largest experience with long-term follow-up reported from one center to date.
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Affiliation(s)
- N Simforoosh
- Department of Kidney Transplantation, Shaheed Labbafinejad Medical Center, Urology and Nephrology Research Center, Shaheed Beheshti University of Medical Sciences, Tehran, Iran.
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Basiri A, Otookesh H, Simforoosh N, Hosseini R, Hosseini-Moghaddam SMM, Sharifian M. Does Pre-Transplantation Antireflux Surgery Eliminate Post-Renal Transplantation Pyelonephritis in Children? J Urol 2006; 175:1490-2. [PMID: 16516031 DOI: 10.1016/s0022-5347(05)00670-1] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/13/2005] [Indexed: 10/25/2022]
Abstract
PURPOSE Antireflux surgery for VUR before renal transplantation decreases the risk of post-kidney transplant UTI in pediatric patients with primary vesicoureteral reflux. We studied the risk of post-kidney transplant UTI in patients with or without surgical correction of VUR before transplantation compared to patients without VUR. MATERIALS AND METHODS We compared 12 patients who had VUR corrected before transplantation (group 1) to 17 patients with VUR who did not undergo antireflux surgery before transplantation (group 2) and 36 patients undergoing renal transplantation without VUR (group 3). A total of 10 patients in group 1 (83.3%) and 10 in group 2 (58.8%) had high grade VUR. RESULTS Eight patients in group 1 (66.7%), 6 in group 2 (35.3%) and 33 in group 3 (91.7%) remained free of febrile UTI during followup (p = 0.00). Among patients with high grade VUR 6 in group 1 and 1 in group 2 remained UTI-free (p = 0.02). A total of 33 patients in the control group (91.7%) remained free of febrile UTI, an incidence that was significantly lower compared to group 1 (p = 0.03) and group 2 (p = 0.00). Of the patients with high grade VUR 3 in group 1 (30%) and 4 in group 2 (40%) experienced recurrent febrile UTIs (p = 0.64). CONCLUSIONS Even after surgical correction of VUR before transplantation the frequency of febrile UTI remained higher than that in kidney transplant recipients without VUR. In cases of high grade VUR reimplantation before renal transplantation decreased the rate of febrile UTI but it was still higher than the level of risk in the control group.
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Affiliation(s)
- A Basiri
- Urology and Nephrology Research Center, Labbafi Nejad Hospital, Shahid Beheshti University of Medical Science, Tehran, Iran.
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Simforoosh N, Basiri A, Tabibi A, Fattahi MR, Semnani MN, Mahdavi KN, Majdpour HS, Behjati S. Pedicular Vascular Control in Laparoscopic Living Donor Nephrectomy: The Use of Clips Instead of Stapler in 341 Donors. Transplant Proc 2006; 38:390-1. [PMID: 16549128 DOI: 10.1016/j.transproceed.2006.01.013] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
PURPOSE To demonstrate a less expensive approach for laparoscopic donor nephrectomy. MATERIALS AND METHODS Left donor nephrectomy was done transperitoneally in flank position. Renal vein and artery were exposed and prepared for nephrectomy. Nondisposable trocars and instruments were used. The adrenal vein was clipped and its arteries were bipolar coagulated. Both renal artery and vein were clip-ligated using three medium large nonautomatic metallic clips and divided, instead of using rather expensive vascular endostapler. Kidney was hand-extracted from suprapubic incision (no Endobag was used). RESULTS Donor nephrectomy was performed in 341 donors. Mean warm ischemia time was 8.17 minutes. Mean operative time was 260.3 minutes. Conversion and reoperation was required in 2.1% and 3.8% of donors, respectively. Ureteral complications were observed in 2.1% of recipients. No vascular accident occurred from pedicular vessels. One-year graft survival in recipients was 92.6%. By this approach, at least $600 was saved in each nephrectomy. CONCLUSION Laparoscopic donor nephrectomy can be performed with a less expensive setup without adverse effects on graft outcome. Vascular control using nonautomatic clips instead of more costly vascular endostapler and also hand extraction of the kidney is safe, practical, and economical.
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Affiliation(s)
- N Simforoosh
- Department of Kidney Transplantation, Shaheed Labbafinejad Medical Center, Urology and Nephrology Research Center, Shaheed Beheshti University of Medical Sciences, Tehran, Iran.
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Otukesh H, Sharifian M, Simfroosh N, Basiri A, Hoseini R, Sedigh N, Golnari P, Rezai M, Fereshtenejad M. Outcome of renal transplantation in children with low urinary tract abnormality. Transplant Proc 2006; 37:3071-4. [PMID: 16213308 DOI: 10.1016/j.transproceed.2005.08.026] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
INTRODUCTION Patients with end-stage renal disease and lower urinary tract abnormality are often considered high risk for renal transplantation. METHODS AND SUBJECTS To examine the degree of risk, we studied patients who received renal transplants between 1985 and 2003. Forty eight patients had congenital lower urinary tract anomalies and 168 patients comprised a control group without these anomalies. RESULTS Mean age and distribution of sex were not significantly different between the case and the control group. Among patients with anomalies, 8% had delayed graft function; 75%, acute rejection; and 39.5%, chronic rejection. Among the controls 2.3% had delayed graft function; 59%, acute rejection; and 35%, chronic rejection. None of these differences was significant. Mean survival time was 6 years in affected patients and 7.3 years in the control group (P = .7). Among patients with anomalies the rate of graft survival in the first year after transplantation was 90%; and those in the third, fifth, and seventh years, 76%, 65%, and 40%, respectively. For the controls, the graft survivals were 88% at 1 year; 73% at 3 years; 70% at 5 years; and 49% at 7 years after transplantation. CONCLUSION This study showed that a history of lower urinary tract anomalies had no effect on graft function. Graft survival was not different among these patients compared with patients free of these anomalies.
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Affiliation(s)
- H Otukesh
- Labafi Nejad Hospital, Pasdaran Avenue, Tehran, Iran.
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Pour-Reza-Gholi F, Nafar M, Saeedinia A, Farrokhi F, Firouzan A, Simforoosh N, Basiri A, Einollahi B. Kidney retransplantation in comparison with first kidney transplantation. Transplant Proc 2006; 37:2962-4. [PMID: 16213274 DOI: 10.1016/j.transproceed.2005.08.034] [Citation(s) in RCA: 47] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Abstract
INTRODUCTION The aim of this study was to depict the outcome of second and third kidney allografts in comparison with first kidney allografts. METHODS Among 2150 kidney transplantations are 103 second and 5 third transplantations. Demographic characteristics and survivals of retransplanted patients were compared with a randomly selected group of first kidney recipients, consisting of two cases matched with each retransplanted patient for age, gender, and date of transplantation. RESULTS Retransplanted patients consisted of 78 men and 30 women of mean age 32.63 +/- 11.92 years. They had received kidneys from 91 living-unrelated and 17 living-related donors. Median followup was 27 months. One-, 2-, 3-, and 5-year graft survivals were 81.4%, 78.9%, 78.9%, and 73.7% among retransplants, versus 92.9%, 91.5%, 89.8%, and 85.3% in the control group, respectively (P = .0037). Patient survival was 96%, 94.6%, 92.4%, and 87.8% in the retransplant group versus 93.1%, 92.4%, 90.9%, 87.4% in the control group, respectively (P = .63). Also, graft survivals were slightly lower in female compared to male retransplant patients (P = .09). No significant difference in survival rates was seen in different age groups. CONCLUSION It seems that kidney retransplantation can yield desirable outcomes, albeit relatively lower graft survivals.
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Affiliation(s)
- F Pour-Reza-Gholi
- Urology and Nephrology Research Center, Shaheed Labbafinejad Medical Center, Shaheed Beheshti University of Medical Sciences, Tehran, Iran
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Abstract
A 73-year-old male patient with an isolated calcified hydatid cyst in the lower pole of the right kidney presented with a history of weight loss and cloudy, foul-smelling urine. Laparoscopic partial nephrectomy was performed, at which the cyst was removed en bloc. Six months postoperatively, a CT scan revealed no recurrence of hydatidosis. To our knowledge, this is the first report of laparoscopic partial nephrectomy for the treatment of isolated renal echinococcosis.
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Affiliation(s)
- A Basiri
- Urology-Nephrology Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
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Firoozan A, Hosseini Moghaddam SMM, Einollahi B, Pour-Reza-Gholi F, Nafar M, Basiri A, Ebrahimi-Rad R. Outcome of Kaposi’s Sarcoma and Graft Following Discontinuation of Immunosuppressive Drugs in Renal Transplant Recipients. Transplant Proc 2005; 37:3061-4. [PMID: 16213305 DOI: 10.1016/j.transproceed.2005.07.042] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Abstract
PURPOSE Owing to the use of immunosuppressive drugs, renal transplant recipients are at risk for malignancies including Kaposi's sarcoma (KS). Following the diagnosis, physicians tend to decrease the doses of immunosuppressive drugs to lower tumor progression rate. On the other hand, those who receive lower doses of immunosuppressive drugs are at a higher risk for acute rejection. In this study, we evaluated the outcome of KS on renal allografts following discontinuation or decrease in the doses of drugs. METHODS Since 1984, 14 (nine men and five women) among 2000 cases of renal transplantation have been diagnosed as KS. In 11 patients, cyclosporine was completely discontinued, the dosage was decreased to half of the initial dose in other cases. Except one case, we discontinued either azathioprine or mycophenolate mofetil. RESULTS During 57 months of follow-up on average, the serum creatinine level remained normal in 10 but increased in four cases. Kidney function deteriorated in two of these four patients at the beginning of study. Three patients died with normal serum creatinine levels. Discontinuation of immunosuppressive drugs caused complete remission of KS in all patients except one who received chemotherapy. CONCLUSION Discontinuation of immunosuppressants following the diagnosis of KS caused complete remission of this cancer in almost all patients and seemed to be relatively safe for kidney graft function.
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Affiliation(s)
- A Firoozan
- Urology Nephrology Research Center, Islamic Azad University-Tehran Medical Unit, Tehran, Iran.
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Otukesh H, Sharifian M, Basiri A, Simfroosh N, Hoseini R, Sedigh N, Golnari P, Rezai M, Fereshtenejad M. Mycophenolate Mofetil in Pediatric Renal Transplantation. Transplant Proc 2005; 37:3012-5. [PMID: 16213289 DOI: 10.1016/j.transproceed.2005.08.030] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
Abstract
INTRODUCTION Since kidney transplantation is the therapy of choice for children with end-stage renal disease (ESRD), we investigated the effects of mycophenolate mofetil (MMF) in pediatric renal transplantation. METHODS AND SUBJECTS Two hundred sixteen children received renal transplants between 1985 and 2003: 100 patients received MMF with cyclosporine and prednisolone (cases), and 116 patients, azathioprine with cyclosporine and prednisolone (controls). RESULTS The MMF group (100 patients) showed better graft survival and function than the AZA group (116 patients). Patients who received MMF immediately after transplantation experienced less graft loss and acute rejection episodes in the first 3 months after transplantation (P < .05). Patients who received MMF at the time of diagnosis of chronic rejection had stable renal function and remarkably better graft survival than those with chronic rejection who received AZA instead of MMF (P < .05). CONCLUSION This study suggests that MMF may stop persistent graft dysfunction in chronic rejection, improving graft survival in the short and long terms posttransplantation.
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Basiri A, Moghaddam SMMH, Simforoosh N, Einollahi B, Hosseini M, Foirouzan A, Pourrezagholi F, Nafar M, Zargar MA, Pourmand G, Tara A, Mombeni H, Moradi MR, Taghizadeh A, Gholamrezaee HR, Bohlouli A, Nezhadgashti H, Amirzadehpasha A, Ahmad E, Salehipour M, Yazdani M, Nasrollahi A, Falaknazi K, Mahdavi MR, Shamsa A, Feizzadeh B, Mojahedi MJ, Oghbaee N, Azad RE, Mohammadi Z. Preliminary Report of a Nationwide Case-Control Study for Identifying Risk Factors of Tuberculosis Following Renal Transplantation. Transplant Proc 2005; 37:3041-4. [PMID: 16213298 DOI: 10.1016/j.transproceed.2005.07.041] [Citation(s) in RCA: 29] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
BACKGROUND Tuberculosis (TB) is an important infection encountered posttransplantation, especially among patients in developing countries, where there are high incidences of morbidity and mortality. MATERIALS AND METHODS One hundred and twenty subjects (1%) from 15 major kidney transplantation centers in Iran from 1984 to 2003 were compared with 440 controls who were matched for operative time, treatment center, and surgical team. RESULTS Mean ages of research subjects and controls were 38.6 and 36.6 years (P = .04), respectively. The mean duration of pretransplantation hemodialysis was 29 months (range, 2 to 192 months) in research subjects and 20 months (range, 1 to 180 months) in controls (P = .003). Positive past history of tuberculosis was detected in 4 (3.3%) research subjects and in 7 (1.5%) controls (P = .2). Fifty-two research subjects (43.3%) and 241 controls (54.8%) had pretransplantation purified protein derivative of tuberculin less than 5 mm (P = .02). Mean dosages of initial and maintenance immunosuppressive drugs in research subjects and in controls were not significantly different. Sixty research subjects (50%) and 152 controls (34.5%) had rejection prior to diagnosis of TB (P = .03). CONCLUSION To our knowledge, this is the first study that demonstrates an increased risk of posttransplant TB by prolonged duration of pretransplant hemodialysis and number of posttransplant rejection episodes. Further study is needed to clarify these findings specifically with respect to various immunosuppressive regimens.
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Affiliation(s)
- A Basiri
- Department of Urology, UNRC, Shaheed Beheshti Medical University (SBMU), Tehran, Iran.
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Simforoosh N, Basiri A, Tabibi A, Danesh AK, Sharifi-Aghdas F, Ziaee SAM, Nooralizadeh A, Hosseini-Moghaddam SMM. A comparison between laparoscopic and open pyeloplasty in patients with ureteropelvic junction obstruction. Urol J 2004; 1:165-9. [PMID: 17914681] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 05/17/2023]
Abstract
INTRODUCTION Our aim was to compare clinical and radiological outcomes, complications, and hospital stay in laparoscopic and open pyeloplasty. MATERIALS AND METHODS From February 2002 to February 2003, 69 patients with ureteropelvic junction obstruction (UPJO) were assigned into two groups. Thirty-seven patients underwent transperitoneal laparoscopic pyeloplasty and 32 underwent open surgical pyeloplasty. Clinical symptoms were assessed before and after surgery, subjectively. Radiological assessment was also done three months postoperatively. RESULTS Mean operative time was 3.2 hours and 2.2 hours in laparoscopic and open pyeloplasty groups, respectively. Intraoperative bleeding was trivial in both groups and no complication or conversion to open surgery occurred. Postoperative complication rates were 24% and 6% in laparoscopic and open pyeloplasty groups, respectively. Mean hospital stay was similar (6.2 days) in the two groups. Mean follow-up was 16.5 months versus 11.4 months. Clinical and radiological success rates were 89% and 83.8% for laparoscopy group versus 96.5% and 87% for open pyeloplasty group. Due to recurrence of stricture, repeated surgery was performed in 4 patients of laparoscopy and 1 of open pyeloplasty groups. CONCLUSION Laparoscopic pyeloplasty is a less invasive method with less pain, cosmetic advantages, no long incision, and outcome comparable with open surgery. Hospital stay is also not longer than that in open surgeries. Hence, laparoscopic pyeloplasty can be a substitute for skilled surgeons.
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Affiliation(s)
- N Simforoosh
- Urology and Nephrology Research Center, Shaheed Labbafinejad Medical Center, Shaheed Beheshti University of Medical Sciences, Tehran, Iran.
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Basiri A, Moghaddam SMMH, Khoddam R, Nejad ST, Hakimi A. Monthly variations of urinary stone colic in Iran and its relationship to the fasting month of Ramadan. J PAK MED ASSOC 2004; 54:6-8. [PMID: 15058633] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/29/2023]
Abstract
OBJECTIVE To compare the prevalence of Renal Colic (RC) in Ramadan (the month of fasting for Moslems) with other months of the lunar year. MATERIALS AND METHODS Records of 574 subjects, who were admitted in the two medical centers of Varamin (a city in a hot region of Iran), were reviewed in order to estimate the time trend of RC. RESULTS This study included 398 males (69.3%) and 176 females (30.7%). Twenty-seven males (62.8%) and 16 females (37.2%) were admitted in Ramadan; and 371 males (69.9%) and 160 females (30.1%) in other months (p<0.4) of the year. RCs were more common in June (68 patients, 11.8%), July (65 patients, 11.3%) and November (60 patients, 10.5%). Forty-three subjects (7.5%) admitted in Ramadan; the frequency was not significantly different from mean admission of the year (48.3 +/- 17 patients). There was also no significant difference between frequency of admissions in Ramadan and mean admission during cold half of the year (36.8 +/- 18.34 patients, p = 0.3). Mean admission (64.4 +/- 3.3 patients) in warm seasons were significantly higher than Ramadan (p < 0.001). CONCLUSION Lack of difference in the two groups indicates that higher temperature rather than fasting as a cause for RCs.
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Affiliation(s)
- A Basiri
- Urology and Nephrology Research Center, Labbafi Nejad Hospital, Shahid Beheshti University of Medical Science, Tehran, Iran
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Basiri A, Maghsoudi R, Shadpour P. Laparoscopic-assisted ureterocystoplasty. Urol J 2004; 1:123-5. [PMID: 17874401] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Subscribe] [Scholar Register] [Indexed: 05/17/2023]
Affiliation(s)
- A Basiri
- Urology/Nephrology Research Center, Shaheed Labbafinejad Medical Center, Shaheed Beheshti University of Medical Sciences, Tehran, Iran
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Ziaee SAM, Nasehi A, Basiri A, Simforoosh N, Danesh AK, Sharifi-Aghdas F, Tabibi A. PCNL in the management of lower pole caliceal calculi. Urol J 2004; 1:174-6. [PMID: 17914683] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 05/17/2023]
Abstract
INTRODUCTION Several therapeutic methods are used in the management of lower pole caliceal calculi. This survey has been conducted to evaluate the safety and efficacy of percutaneous nephrolithotomy in the management of lower pole calculi. MATERIALS AND METHODS Fifty-five patients, 43 males and 12 females with a mean age of 41.5 (range 11 to 75) years, who had suffered from lower pole caliceal calculi and treated by standard percutaneous nephrolithotomy (PCNL) between 1997 and 2001, were enrolled in this study. The stones were classified as follows: small (less than 25 mm), intermediate (25 to 34 mm) and large (more than 35 mm). Mean follow-up was 6.2 months (range 2 weeks to 34 months). RESULTS The stones were completely extracted by one session PCNL in 43 patients (79%). Repeat PCNL was needed in one patient and another method was used for stone extraction in another patient. Regarding the size of stone, 88%, 79%, and 74% of small, intermediate, and large stones were completely extracted, respectively. No major complication was noted. CONCLUSION PCNL has high success rate in patients with stones larger than 2 cm and its morbidity would be low, provided that it is performed by skilled surgeons.
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Affiliation(s)
- S A M Ziaee
- Urology and Nephrology Research Center, Shaheed Labbafinejad Hospital, Shaheed Beheshti University of Medical Sciences, Tehran, Iran.
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Basiri A, Ziaee SAM, Hosseini Moghaddam SMM, Maghsoodi R, Shafi MH, Salim NS. Laparoscopic living donor nephrectomy in a center with limited laparoscopic experience. Transplant Proc 2003; 35:2549-50. [PMID: 14612009 DOI: 10.1016/j.transproceed.2003.08.053] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Affiliation(s)
- A Basiri
- Urology Nephrology Research Center, Shahid Labbafinejad Medical Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
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Poorrezagholi F, Einollahi B, Firoozan A, Nafar M, Yadegari H, Moghaddam SMMH, Simforoosh N, Basiri A, Farhangi S. Effect of daclizumab (Zenapax) on prevention of acute rejection of renal transplantation. Transplant Proc 2003; 35:2735-6. [PMID: 14612098 DOI: 10.1016/j.transproceed.2003.08.065] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Affiliation(s)
- F Poorrezagholi
- Urology Nephrology Research Center (UNRC), Labbafi Nejad Hospital, Shahid Beheshti University of Medical Science, Tehran, Iran.
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Einollahi B, Hajarizadeh B, Simforoosh N, Lessanpezeshki M, Khatami MR, Nourbala MH, Basiri A, Pourfarziani V, Firoozan A, Nafar M, Poorrezagholi F, Sharifian M, Bakhtiari S, Alavian SM. Patient and graft outcome after living donor renal transplantation in Iran: more than 15-year follow-up. Transplant Proc 2003; 35:2605-6. [PMID: 14612036 DOI: 10.1016/j.transproceed.2003.09.075] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Affiliation(s)
- B Einollahi
- Department of Nephrology, Baghiatollah University of Medical Sciences, Tehran, Iran.
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Simforoosh N, Basiri A, Pourrezagholi F, Einolahi B, Firouzan A, Moghaddam MM, Nourbala MH, Hajarizadeh B, Pourfarziani V, Lessanpezeshki M, Nafar M, Khatami MR, Moghaddam SMMH, Farhangi S. Is preemptive renal transplantation preferred? Transplant Proc 2003; 35:2598-601. [PMID: 14612034 DOI: 10.1016/j.transproceed.2003.09.026] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Affiliation(s)
- N Simforoosh
- Urology Nephrology Research Center, Shahid Beheshti University of Medical Sciences, Shahid Labbafi Nejad Hospital, Baghiyatallah Hospital, Tehran, Iran.
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Affiliation(s)
- A Basiri
- Shahid Beheshti University of Medical Sciences, Urology, Nephrology Research Center, Labbafinejad Medical Center, Tehran, Iran
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Abstract
We describe a patient who was referred to our hospital because of dysuria, frequency and a palpable mass in the suprapubic area. A specimen obtained at suprapubic exploration consisted of fatty tissue and tentative diagnosis was pelvic lipomatosis. The symptoms persisted and the entire mass was removed from its prevesical pelvic position. The pathological report was xanthogranuloma. Postoperatively, the symptoms disappeared.
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