Urology News Feeds

Compensated hypospermatogenesis: elevated follicle-stimulating hormone predicts decline in semen parameters among men with normal index semen analysis

Urology (Gold Journal) In Press - Fri, 01/27/2023 - 00:00
To determine whether men with elevated follicle-stimulating hormone (FSH) and normal semen analysis (SA) are more likely to experience a decline in semen parameters over time compared to men with normal FSH.
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Clinical Challenge: Patient with Genital Lymphedema, Pain, and Rash

Urology (Gold Journal) In Press - Fri, 01/27/2023 - 00:00
A 47-year-old man presented to the emergency department (ED) with 3 days of worsening scrotal pain, genital edema, erythema and yellow penile discharge, after completing 2 weeks of doxycycline. He was in an open marriage with a male partner and denied new sexual partners. In the ED he was afebrile and normotensive without tachycardia. His physical exam revealed tender genital lymphedema without crepitus or fluctuance (Figure 1A, 1B). White blood cell count (WBC) was 8.8 × 109/L, Lactate 1.9 mmol/L, and Creatinine 1.22 mg/dL.
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Variation in Provider Practice Patterns and the Perceived Need for a Shared Decision-making Tool for Neurogenic Lower Urinary Tract Dysfunction

Urology (Gold Journal) In Press - Thu, 01/26/2023 - 00:00
To evaluate NLUTD care providers’ current practice patterns, their perceived need for a shared decision-making tool for NLUTD management.
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Prosteria - National Trends and Outcomes of More Frequent than Guideline Recommended Prostate Specific Antigen Screening

Urology (Gold Journal) In Press - Wed, 01/25/2023 - 00:00
To characterize national trends in and associated outcomes of more often than annual PSA screening, which we term “prosteria”.
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Patient-Reported Financial Toxicity Associated with Management of Nephrolithiasis

Urology (Gold Journal) In Press - Wed, 01/25/2023 - 00:00
To characterize stone-related financial burden among adults with nephrolithiasis through validated questionnaires for financial toxicity.
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3D CT Urethrography with Cinematic Rendering (3DUG): A New Modality for Evaluation of Complex Urethral Anatomy and Assessment of the Postoperative Phalloplasty Urethra

Urology (Gold Journal) In Press - Wed, 01/25/2023 - 00:00
To develop an imaging modality for the postoperative phalloplasty urethra. Despite high urologic complication rates after masculinizing genital surgery, existing methods for post-surgical evaluation after phalloplasty have drawbacks. Fluoroscopic studies like the retrograde urethrogram have limitations like user-dependence and meticulous positioning but also are inadequate for the evaluation of the anatomically distinct post-phalloplasty urethra. We developed a novel protocol utilizing CT urethrography with 3D reconstruction using cinematic rendering (3DUG) for neo-urethral imaging.
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Objective Quantification of Detrusor Overactivity using Spectral Measures of Cystometry Data

Urology (Gold Journal) In Press - Wed, 01/25/2023 - 00:00
To develop scalable objective methods for differentiating patients with and without detrusor overactivity (DO) using quantitative Fast Fourier Transform (FFT)-based measures and routinely captured cystometry data
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The Utility of Radiologic and Symptomatic Surveillance After Minimally-Invasive Adult Pyeloplasty

Urology (Gold Journal) In Press - Tue, 01/24/2023 - 00:00
To evaluate different types of failure after minimally-invasive pyeloplasty (MIP) when stratified by initial radiologic study and symptoms after ureteral stent removal.
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Perceptions of Gender Equity by Urologic Subspecialty

Urology (Gold Journal) In Press - Mon, 01/23/2023 - 00:00
To evaluate how urologists in various subspecialties view the climate for female urologists, comparing perceptions of gender inequity based on characteristics including gender, subspecialty training, faculty status, parental status, and years in practice. Despite growth in female representation in urology, gender inequalities in career opportunities and compensation continue to exist.
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Time Matters: Importance of Circadian Rhythms, Disruption, and Chronotherapy in Urologic Malignancies

Urology (Gold Journal) In Press - Sat, 01/21/2023 - 00:00
The human body was evolutionarily programmed to run on cycles, termed circadian rhythms, which integrate human behavior and bodily function with the environment. Disruption to these rhythms via desynchronization have been deemed a probable carcinogen by the WHO. Subsequent research has identified alterations in multiple core clock genes when comparing tumor and benign tissues. This review will discuss core clock genes associated with urogenital malignancies and highlight impactful research regarding circadian biology use in treatment.
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Contemporary Systemic Therapies in Urothelial Carcinoma

Urology (Gold Journal) In Press - Thu, 01/19/2023 - 00:00
Prior to the past decade, systemic therapy options for muscle-invasive bladder cancer (MIBC) or locally advanced/metastatic urothelial carcinoma (la/mUC) were dismal for cisplatin-ineligible patients and after progression on chemotherapy. Although the bulk of available evidence for novel systemic therapies exists in the la/mUC setting, emerging data suggests an important role in the neoadjuvant and adjuvant spaces as well. In this narrative review, we examine the application of contemporary systemic therapies to urothelial carcinoma (UC) including immune checkpoint inhibitors (ICIs), antibody-drug conjugates (ADCs), and targeted therapies.
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Utility of pre-transplant bladder cycling for patients with a defunctionalized bladder. A randomized controlled trial

Urology (Gold Journal) In Press - Wed, 01/18/2023 - 00:00
To study the necessity of pre-transplant programmed bladder cycling (PBC) in patients with defunctionalized bladder (DB).
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Upper Tract Tumor En Bloc Enucleation: A Novel Approach to the Diagnosis and Management of Upper Tract Urothelial Carcinoma

Urology (Gold Journal) In Press - Tue, 01/17/2023 - 00:00
To describe and demonstrate our novel en bloc enucleation technique for the endoscopic diagnosis and treatment of upper tract tumors.
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Holistic assessment of quality of life predicts survival in older patients with bladder cancer

Urology (Gold Journal) In Press - Tue, 01/17/2023 - 00:00
To determine if clustering methods can use a holistic assessment of health-related quality-of-life after BC diagnosis to predict survival outcomes independent of clinical characteristics. In the United States, an estimated 81,180 cases of bladder cancer (BC) will be diagnosed in 2022. We aim to help address the knowledge gap concerning the impact of patient functional status on outcomes.
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SURGICAL OUTCOMES AT A SINGLE INSTITUTION OF INFRAPUBIC INSERTION OF MALLEABLE PENILE PROSTHESIS IN TRANSMEN

Urology (Gold Journal) In Press - Tue, 01/17/2023 - 00:00
To describe our technique for the infrapubic approach for malleable penile prosthesis (MPP) insertion after phalloplasty in transgender men and review surgical outcomes.
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Partial Component Exchange of a Non-infected Inflatable Penile Prosthesis is Associated with a Higher Complication Rate

Urology (Gold Journal) In Press - Mon, 01/16/2023 - 00:00
To describe the infectious and non-infectious complications in men undergoing IPP revision with partial and complete component exchange for mechanical malfunction.
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IATROGENIC URETEROCOLIC FISTULA IN PEDIATRIC AGE GROUP: A CASE REPORT AND REVIEW OF THE LITERATURE.

Urology (Gold Journal) In Press - Sun, 01/15/2023 - 00:00
Ureteral injury is one of the major complications related to colorectal and gynaecologic procedures. Injuries are sometimes identified intraoperatively, but the diagnosis of ureteral injury is often delayed. Ureterocolic fistula is a relatively rare condition and mostly due to obstructing calculi, diverticular disease of the colon, radiotherapy, cancer, or trauma. Here in, we present a boy with an iatrogenic left ureterocolic fistula following multiple colonic surgeries that were complicated by an un-noticed left ureteric injury.
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Effects of Gender-Affirming Hormone Therapy on Orgasm Function of Transgender Men and Women: A Long Term Follow Up

Urology (Gold Journal) In Press - Fri, 01/13/2023 - 00:00
To assess the reported changes in orgasm quality and function of transgender men (TM) and transgender women (TW) after commencing gender-affirming hormone therapy (GAHT).
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Ejaculatory Preserving Holmium Laser Enucleation of the Median Lobe: Preserving Sexual Function while Improving Urinary Outcomes

Urology (Gold Journal) In Press - Fri, 01/13/2023 - 00:00
To evaluate perioperative outcomes related to sexual and urinary function in patients who underwent a holmium laser enucleation of the prostate (HoLEP) with selective laser enucleation of the median lobe.
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Total intracorporeal versus open bladder cuffing in Robotic Radical Nephroureterectomy for Upper Tract Urothelial Carcinoma

Urology (Gold Journal) In Press - Fri, 01/13/2023 - 00:00
To evaluate a single institution experience of total intracorporeal bladder cuffing and distal ureterectomy (DUBC) in robotic radical nephrouretectomy (RNU) for upper tract urothelial carcinoma (UTUC).
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