Urology News Feeds
We present a unique case of ureterocutaneous fistula secondary to an obstructed ureteric stone. A fistulagram confirmed a communication between right flank and the proximal ureter. Ureterocutanoues fistula in the absence of trauma, iatrogenic causes, granulomatous infection or malignancy is highly unusual.
Bilateral Ureteropelvic Junction Disruptions in a 17-Year-Old with Bilateral Ureteral Duplications: Impact of Unrecognized Duplications and Unique Management of Nephrocutaneous Fistula
A case of bilateral ureteropelvic junction (UPJ) disruptions in a patient with bilateral duplication anomalies is presented. A UPJ disruption with a duplication anomaly has not been reported let alone bilateral duplication anomalies. The unrecognized duplication anomalies led to isolated and obstructed upper pole segments that were managed by bilateral heminephrectomies. A nephrocutaneous fistula developed after one of the heminephrectomies that was successfully managed using a method of percutaneous fulguration and fibrin sealant.
Aphallia, or penile agenesis, is rare (1:30million)1 and associated with other urogenital anomalies.2 Under 100 cases of aphallia have been reported worldwide.1 Pathogenesis is uncertain but thought to be failure of formation of the genital tubercle.2 We present a case of complete penile agenesis with anorectal and urological malformations.References:1. Kane A D, Ngom G, Ndour O, Alumeti D M. Aphallia: A case report and literature review. Afr J Paediatr Surg [serial online] 2011 [cited 2019 Jan 10];8:324-5.
Ureteral Sextuplication With a Blind-ending Ureter Originating from the Upper Pole in a Boy: A Case Report
We experienced an extremely rare case of ureteral sextuplication with a blind-ending ureter originating from the upper pole. The patient had six separate ureters and six renal pelvises with one ureteral orifice. The left kidney was hypoplastic and its differential function was 6.5%. The patient underwent definitive surgical treatment to repair the anomaly (ureteroureterostomy and reimplantation of the formed ureter). The surgery was successful and the postoperative course was uneventful. We herein report the first such case in the English-language literature and discuss the etiology of this ureteral anomaly, the method of diagnostic imaging, and the treatment.
Renal lymphangectasia is a benign malformation of the lymphatics which can be perirenal or peripelvic in location. Diagnosis is made on imaging including ultrasound, computed tomography (CT) or MRI. We present an unusual case of renal lymphangectasia presenting with gross hematuria and flank pain diagnosed on CT.
To assess the qualitative and quantitative changes on prostate multiparametric magnetic resonance imaging (mpMRI) following partial gland ablation (PGA) with cryotherapy and correlate with histopathology.
To investigate the methodological quality of systematic reviews (SRs) published in the urological literature.
Re: Baker et al.: Optimizing opioid pain medication use after vasectomy. A Prospective study. (Urology 2019 Nov 25. pii: S0090-4295(19)31030-1)
I read with great interest the article by Baker et al in a recent issue of the journal.1 The authors performed a prospective study on 76 patients and concluded that opioid medication use after vasectomy is variable though correlated with age. The authors should be commended for performing a well-designed study in an important topic (e.g. pain and opioid consumption) in patients undergoing surgery.2,3 The need to identify the highest risk patients so specific preventive analgesic strategies can be tailored to patients who will benefit the most is of great interest in perioperative medicine.
Epidural Anesthesia is associated with increased complications in Cystectomy Patients: A NSQIP Analysis
To identify differences in short term outcomes and readmission rates in cystectomy patients managed with general anesthesia compared to those undergoing general anesthesia and adjuvant epidural anesthesia.
Evaluation of apparent diffusion coefficient as a predictor of grade reclassification in men on active surveillance for prostate cancer
To evaluate the association between apparent diffusion coefficient (ADC) on initial multiparametric MRI (mpMRI) and biopsy grade reclassification (GR) to Grade Group (GG) ≥ 2 prostate cancer (PCa) in men on active surveillance (AS) with GG 1 PCa.
to provide an update on the web pages of academic Urology departments in the United States and to evaluate for consistency of information available to applicants.
Chemoradiotherapy-induced Cytodifferentiation in Bladder/Prostate Rhabdomyosarcoma with Genetic Downregulation of Myogenin and MyoD1 Gene Expression: A Case Study and Review of the Literature
Rhabdomyosarcoma is the most common sarcoma diagnosed in childhood and adolescence, arising from the bladder/prostate in only 5-10% of cases. Treatment-induced cytodifferention of tumor cells into mature rhabdomyoblasts has been reported following chemoradiation and is thought to suggest a more favorable outcome. We report a case of embryonal rhabdomyosarcoma of the bladder/prostate that exhibited extensive cytodifferentiation with downregulation of myogenin and MyoD1 gene expression in rhabdomyoblasts following treatment with chemoradiation therapy.
To develop prostate cancer-specific physician-hospital networks to define hospital-based units that more accurately group hospitals, providers, and the patients they serve.
Temporal Changes in Demographic and Clinical Characteristics of Men With Prostate Cancer Electing for Conservative Management in the United States
To characterize the role of clinical and sociodemographic factors in the use of conservative management for localized prostate cancer in the US between 2010 and 2015, and to understand how those factors evolved in light of the recent national increase in conservative management rates.
To characterize the bulbospongiosus muscle (BSM) in patients with bulbar urethral strictures.
To better understand promotion timelines across gender and race/ethnicity and how academic output impacts promotion in urology.
To examine the association between shift work sleep disorder (SWSD), a primary circadian rhythm disorder characterized by excessive daytime sleepiness associated with shift work, and hypogonadal symptoms in shift workers .
Lichen Sclerosus in Prepubertal Girls: An Uncommon but Treatable Cause of Lower Urinary Tract Symptoms
Lichen sclerosus (LS) is a chronic inflammatory dermatosis commonly visualized in the anogenital region with porcelain-white atrophic patches that extend to the perianal region in a figure-of-eight configuration. While LS is known to increase lower urinary tract symptoms and incontinence in postmenopausal women, the age distribution is bimodal and literature on the LS impact in prepubertal girls remains limited. There is an association with autoimmune conditions and the pathogenesis is thought to be autoimmune with an underlying genetic predisposition.
The first experience of using the pedicled labia minora flap for urethral lengthening in transgender men undergoing anterolateral thigh and superficial circumflex iliac artery perforator flap phalloplasty: a multicenter study on clinical outcomes.
To describe the novel surgical technique of urethral lengthening in anterolateral thigh (ALT) and superficial circumflex iliac artery perforator flap (SCIP) phalloplasty with a pedicled labia minora flap (PLMF) and report on the clinical outcomes.
To demonstrate the feasibility, surgical technique and initial outcomes of robotic vaginoplasty with peritoneal flap (Davydov) technique for vaginal reconstruction.