Urology News Feeds
Urine tests for diabetes check for protein, ketones, and glucose. They are frequently used for diagnosing and monitoring diabetes. Learn more.
The study by Routh et al (page 000) in this issue of The Journal is state-of-the-art health services research, with impressive and sophisticated statistical analyses to determine whether participant centers in the National Spina Bifida Patient Registry (NSBPR) vary in their rates of bladder reconstruction.1 They determined that bladder reconstruction rates do indeed vary, and are associated with a variety of disease related and nondisease related factors.
To assess the post-pubertal outcome of ventral penile curvature repaired in infancy in terms of recurrence and aesthetics.
Men with Severe Oligospermia Appear to Benefit From Varicocele Repair: a Cost-Effectiveness Analysis of Assisted Reproductive Technology
To evaluate the outcomes of men who underwent varicocelectomy for TMSC < 2 million and to perform a cost effectiveness analysis of IUI and IVF/ICSI after varicocelectomy.
To investigate payment variation for three common urological cancer surgeries and evaluate the potential for applying bundled payment programs to these procedures.
Spontaneous Regeneration of Nerve Fiber and Irreversibility of Corporal Smooth Muscle Fibrosis after Cavernous Nerve Crush Injury: Evidence From Serial Transmission Electron Microscopy and Intracavernous Pressure
To determine the pathophysiological progresses following bilateral cavernous nerve crushing (BCNC) injury, as an index for a treatment point and establishment of adequate treatment strategies for neurogenic erectile dysfunction (ED).
Protective Effect of a Rho-Kinase Inhibitor on Bladder Dysfunction in a Rat Model of Chronic Bladder Ischemia
To investigate the effect of fasudil, a Rho-kinase inhibitor, on chronic ischemia-related bladder dysfunction.
To assess renal function in the operated kidney at different time points post partial nephrectomy (PN) and establish the time in which optimal recovery occurs. Recovery of renal function post-PN has received significant attention. However, the optimal time to determine full recovery has not been clearly established.
Re: Deebel et al.: Prostate Cancer in Transgender Women: Incidence, Etiopathogenesis, and Management Challenges (Urology 2017, http://dx.doi.org/doi:10.1016/j.urology.2017.08.032)
Deebel et al highlight substantial gaps in our understanding of prostate cancer in transgender women. However, clarification and contextualization of terminology and concepts in the article is needed to better serve its purpose of improving care among transgender patients.
This is an important study for its timeliness in addressing a significant need towards the effective use of medical data in various applications including epidemiological investigations and for developing biomarker-associated outcome models. As the authors illustrate, currently available data sources such as the SEER-Medicare data and many electronic medical record systems do not have longitudinal, searchable pathology data as pathology reports are included as text files. As digitized patient data becomes more commonplace, abstraction tools which apply advances in artificial intelligence (AI) and machine learning will no doubt enable the automated analysis of pathology records in the future.
Diabetic nephropathy is kidney disease that occurs in people with diabetes. It can cause serious complications, including kidney failure. Learn more.
Artificial urinary sphincter in male patients with spina bifida: Comparison of perioperative and functional outcomes between bulbar urethra and bladder neck cuff placement
To evaluate the perioperative and long-term functional outcomes of bladder neck and peribulbar cuff placement of an artificial urinary sphincter (AUS) in a population of adult male patients with spinal dysraphism.
Biologic behavior and long-term outcomes of carcinoma in situ in upper urinary tract managed by radical nephroureterectomy
Carcinoma in situ (CIS) in urothelial carcinoma generally has poor prognosis, but the outcomes of pure/primary CIS tumor (p-CIS) and the behavior of concomitant CIS (c-CIS) with pTa-pT4 upper tract urothelial carcinoma (UTUC) managed by nephroureterectomy has not been specified. The aim of our study was to explore the biological and prognostic features of c-CIS, compared with p-CIS.
Vesicoureteral reflux remains an incompletely understood condition with its diagnosis and subsequent management becoming increasingly controversial since the publication of the AAP revised practice parameters in 2011 (reference 2 in article). Garcia-Roig et al demonstrated a significant national decline in voiding cystourethrogram encounters and antireflux procedures following guideline implementation, consistent with other recent reports.1 These studies provide important data regarding the diagnosis and surgical correction of reflux, and perhaps highlight a step forward in limiting the overtreatment of a common condition.
Natural History and Conservative Treatment Outcomes for Hydroceles: a Retrospective Review of One Center's Experience
To elucidate epidemiological data and hydrocele progression, we reviewed pediatric patients diagnosed with hydroceles in our institution retrospectively.
Children are at increased risk of renal injuries from blunt trauma. Four phase CT with intravenous contrast (non contrast, arterial, nephrographic, and pyelographic phases) is the choice for initial imaging, although ultrasonography might be used in the children with minimal symptoms. The American Association for the Surgery of Trauma developed the known system for renal injury grading, which was modified in 2011. The management of pediatric renal injuries has largely shifted towards conservative means.
Variation in Radiologic and Urologic Computed Tomography Interpretation of Urinary Tract Stone Burden: Results From ReSKU
To compare the measured stone burden recorded between urologists and radiologists, and examine how these differences could potentially impact stone management. As current urologic stone surgery guideline recommendations are based on stone size, accurate stone measurements are crucial to direct appropriate treatment. This study investigated the discrepant interpretation that often exists between urologic surgeons and radiologists' estimation of patient urinary stone burden.
PSA Density is a Good Predictor of Upstaging and Upgrading, According to the New Grading System: the Keys We are Seeking May be Already in Our Pocket.
To analyse the performance of Prostate specific antigen density (PSAD) as a predictor of upstaging and Prognostic Grade Group (PGG) upgrading.
To report our center's experience with Enhanced Recovery after Surgery (ERAS) pathway for radical cystectomy (RC), specifically evaluating complications, LOS, 30- and 90-day readmissions, and hospital charges. Pathways of this type have been shown to decrease length of stay (LOS) and post-operative ileus. However, concerns persist that ERAS is costly and increases readmissions. To date, limited studies have evaluated these concerns.