The development of the vasectomy as a form of permanent sterilization was first described in the 1900’s.1 However, the indications for vasectomy were vastly different than those in contemporary practice. Initial series were performed on institutionalized persons including criminals, the “mentally defective,” and the “insane”.2 This practice became widespread and ushered in the Eugenics Movement of the early 20th century, aiming to ensure the health of the human race by eliminating “defective genes”.
Ureterosciatic hernia and ureteral diverticulum are rare conditions. Only a few cases with surgical management for these conditions have been reported. We report a case of ureteral diverticulum due to ureterosciatic hernia in an 85-year-old woman admitted for septic shock. Computed tomography and retrograde ureterography revealed obstructive ureterosciatic hernia. During intraoperative laparoscopic mesh repair for the hernia after urosepsis treatment, we noted ureteral diverticulum that was also detected endoscopically at the herniated ureter wall.
International Publication Patterns on Operative Management of Wilms Tumor: A Review by Surgeon Specialty and Surgical Modality
To review the temporal trends in the published literature of the surgical management of Wilms tumor (WT) relative to surgical modality and authorship by surgeon specialty (pediatric urology [PU] vs. pediatric surgery [PS]).
Early Increased Urinary IL-2 and IL-10 Levels were Associated with Development of Chronic UTI in a Murine Model
To analyze factors during early stage of urinary tract infection (UTI) that are associated with development of chronic UTI.
The coexistence of persistent Mullerian duct syndrome (PMDS) with transverse testicular ectopia (TTE) is extremely rare. Due to a lack of distinctive clinical features in the early stages, PMDS coexists with TTE is usually diagnosed when patients are examined for other diseases, including cryptorchidism and inguinal hernia.We present a case of a 51-year-old man who presented with a recurrent left indirect inguinal hernia for 2 years and right congenital cryptorchidism. The patient was diagnosed as PMDS with TTE by preoperative magnetic resonance imaging and underwent laparoscopic resection of the right transverse ectopic testis and Mullerian duct residues.
Arterioureteral fistula in the setting of an indwelling ureteral stent, ileal conduit and history of pelvic radiation
Arterioureteral fistulas (AUF) are rare, life-threatening developments that often cause episodes of acute hemorrhage requiring immediate surgical intervention. While significant blood loss leading to hemodynamic instability is a severe manifestation of AUFs, this is an uncommon initial presentation. In a majority of patients, the only presenting symptom of an AUF is intermittent hematuria, ranging from microscopic hematuria to massive hemorrhage.1 Hematuria is a nonspecific symptom with a broad differential diagnosis which can often time delay the recognition and management of this urologic emergency.
Bilateral synchronous testicular germ cell tumors in children: Case report and review of the literatüre
Bilateral testicular tumors are very rare in pediatric patients and only a few case reports have been reported. These patients have a high risk of sterility due to bilateral orchiectomy and subsequent gonadotoxic treatments. Therefore, if possible, testis-sparing surgery should be performed in patients with benign masses and testicular tissue preservation may be recommended in order to maintain fertility in later life. We present a 23 months-old-boy with synchronous bilateral testicular tumor managed with unilateral orchiectomy and testis-sparing surgery and testicular tissue cryopreservation performed to the controlateral side.
Retinoblastoma in Infancy with Subsequent Bladder Leiomyosarcoma in Adulthood: Genomic Considerations
Hereditary retinoblastoma is attributed to germline mutation in an RB1 tumor suppressor gene followed by somatic mutation in the other allele. This report details a case of leiomyosarcoma of the bladder in a 24-year-old man with a history of retinoblastoma treated by enucleation and radiotherapy in infancy. Leiomyosarcoma is the most common secondary soft tissue malignancy in retinoblastoma survivors; however, leiomyosarcoma of the bladder in retinoblastoma survivors is very rare. Survivors of hereditary retinoblastoma should be monitored closely for secondary malignancies, and there should be an increased suspicion of malignancy.
The patient is an otherwise-healthy 69-year-old Caucasian male with a history of prostate cancer who underwent uncomplicated robot-assisted laparoscopic prostatectomy (RALP). Following the prostatectomy, his tumor was histologically assessed a Gleason score of 4 + 3, with areas of cribriform pattern, pathologic stage T2 (tumor confined within the prostate) and was removed with free surgical margins (R0). One year later, the patient presented to a genitourinary cancer clinic with biochemical recurrence with elevated prostate-specific antigen (PSA) levels from postoperatively undetectable to 0.17 ng/mL at a one-year follow-up and 0.37 ng/mL six months later.
Prevention strategies have been effective in many areas of human health, yet have not been utilized for lower urinary tract symptoms (LUTS) or bladder health (BH). This commentary outlines LUTS prevention research initiatives underway within the NIH-sponsored Prevention of Lower Urinary Tract Symptoms Research Consortium (PLUS). Prevention science involves the systematic study of factors associated with health and health problems, termed protective and risk factors, respectively. PLUS is enhancing traditional prevention science approaches through use of: 1) a transdisciplinary team science approach, 2) both qualitative and quantitative research methodology (mixed methodology), and 3) community engagement.
Ventral Buccal Mucosa Graft Urethroplasty with Gracilis Muscle Flap for High Risk, Long Segment Urethral Strictures: A 20-Year Experience
To evaluate our 20-year experience of urethroplasty with ventral buccal mucosa graft (BMG) and gracilis muscle flap coverage for long segment urethral strictures unfit for standard repair due to a compromised graft bed and poor vascular supply.
Use of Botulinum Toxin A (BoNT-A) in Detrusor External Sphincter Dyssynergia (DESD): A Systematic Review and Meta-Analysis
We performed a systematic review to examine the efficacy and outcomes of Botulinum Toxin A (BoNT-A) as the primary intervention strategy for patients with detrusor sphincter dyssynergia (DESD). Eleven studies were included in the analysis (n=353; 16% female, 84% male). BoNT-A was effective in 60 – 78% of patients for reducing post-void residual, mean detrusor pressure, detrusor leak point pressure, and mean urethral pressure 1 month after injection. Most patients required reinjection after an average of 4-9 months.
Contrast-Enhanced Urodynamic Vector Projectile Imaging (CE-UroVPI) for Urethral Voiding Visualization: Principles and Phantom Studies
To devise a new urodynamic imaging framework that can provide time-resolved visualization of urinary flow and urethral deformation during the initiation phase of voiding.
The effect of a sharp increase in estrogen levels on OVERACTIVE BLADDER symptoms in women undergoing ovulation induction
To assess the effect of a sharp increase in estrogen levels on overactive bladder (OAB) symptoms among women undergoing ovulation induction.
To describe patients presenting with urologic complications following pelvic radiation therapy and estimate the financial costs incurred in their treatment.
Cutaneous larva migrans (CLM) also termed as “ creeping eruption”, is a parasitic infestation produced by burrowing of the larva of Ancylostoma braziliense. The larva enters intact or abraded skin following exposure with soil contaminated with faeces. Solitary tracts involving feet, hands, buttocks, and genitalia are usually encountered. Although CLM is an endemic tropical disease; in this era of global migration, physicians worldwide should promptly diagnose and treat the condition.
The proposed image reports the case of penile calciphylaxis. Calciphylaxis is a rare obliterative small vessel vasculopathy associated with diabetes mellitus, end-stage renal disease. Penile involvement is even rarer with only 50 cases reported, and agreement on appropriate diagnosis and management is unclear. This rarity exposes, as in our situation, to misdiagnosis, with possible iatrogeny (dermocorticoides in the case of balanitis). As the biopsy of the glans is not recommended, the clinical diagnosis is essential.
To explore the current practice patterns for the management of renal cysts internationally among pediatric urologists and nephrologists.
A New Simplified Biplanar (0-90°) Fluoroscopic Puncture Technique for Percutaneous Nephrolithotomy. Reducing Fluoroscopy without Ultrasound. Initial Experience and Outcomes
To present our simplified bi-planar fluoroscopic puncture technique, its reduction in the fluoroscopic screening time as well as outcomes and the initial experience for percutaneous nephrolithotomy.
To treat mild to moderate apical compartment prolapse while preserving the uterus, our extraperitoneal uterosacral ligament hysteropexy repair technique was developed. Hysterectomy for prolapse accounted for 13% of all benign hysterectomies, which is the third most common reason . Although concomitant hysterectomy risks at time of prolapse surgery are not well defined, risks associated with hysterectomy have been well described in the literature. Additionally, it is well known that anterior compartment prolapse often has an apical component .