This study discusses our initial experience in the field of laparoscopic management of bladder carcinoma. Ten patients with invasive bladder tumors of variable histology and ranging from stage T2 to T3b were submitted to this procedure. Intraoperative assessment, lateral dissection, posterior dissection, anterior dissection, and urethral transection were achieved laparoscopically. The specimen retrieval and continent pouch construction was performed through a limited abdominal incision. This new regimen allows precise radical lymphadenectomy, early postoperative mobility, fewer wound complications, and shorter hospital stay. The early postoperative results of this procedure are encouraging. Modification and continuous refinement of the technique is still ongoing.

Ostial lesions of the superficial femoral artery preclude the use of ipsilateral common femoral artery antegrade approach. Access via either the contralateral common femoral or the brachial arteries are the 2 alternative classical approaches. Conversely, using an ipsilateral antegrade approach, through a partially inserted sheath, usually leaves the sheath insecure and frequently hits ostial lesion itself during insertion. Dislodgment from the artery frequently occurs, resulting in loss of access. We describe a technique whereby we insert 2 to 3 cm of the sheath into the common femoral artery and the remaining part of the sheath resides in a fashioned subcutaneous tunnel of the lowermost abdomen. Technical details are provided as well as the results of using this technique on 37 patients. The technique is safe, easy to perform, and reproducible.

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Aims: To evaluate the results of staged surgical repair of proximal forms of hypospadias according to Bracka’s method using preputial or buccal grafts in the department of urology, Tanta university hospital between January 2019 and January 2022. Study Design: Prospective comparative randomized study. Place and Duration of Study: Urology department, Tanta university hospital, between January 2019 and January 2022. Methodology: Fifty male patients with severe proximal hypospadias associated with moderate to severe chordee and or poor urethral plate underwent two-stage repair with buccal mucosal or preputial graft in the department of urology, Tanta university hospital between January 2019, and January 2022 cosmetic and functional outcomes were assessed. Results: Native meatus was at proximal penile in 1, penoscrotal in 13, scrotal in 19, and perineal in 17 cases.  25 patients underwent staged hypospadias repair using preputial graft in the 1st stage and 25 patients underwent staged hypospadias repair using buccal mucosal graft. The mean age of the patients at the 1st stage was 9.5 and 8.7 months in the preputial and buccal mucosal groups respectively. The graft take was successful except only in 5 patients needed graft redo after the 1st stage. Success rate was 54.5% with preputial group and was 62% in buccal mucosal group. Conclusions: Two-stage repair with Bracka’s technique is safe and feasible for repair of primary cases of sever proximal hypospadias. Both preputial and buccal mucosal grafts are reliable and suitable urethral substitutes in staged hypospadias repair with comparable results and complications rate.