Urology News Feeds
Single-port robotic urological surgery using Purpose-built Single-port Surgical System: Single-institutional experience with the first 100 cases
To present a comprehensive report regarding our experience with single-port robotic surgery in our first 100 consecutive patients. We describe the diversity of procedures that can be performed with this platform as well as the challenges and complications we had with the application of this novel technology.
To assess whether the beneficial perioperative effects of alvimopan differ with surgical approach for patients who undergo open radical cystectomy (ORC) vs robot-assisted radical cystectomy (RARC).
To assess the current practice of routine preoperative testing before urethroplasty and to determine if the results are clinically significant.
To demonstrate a novel prototype microfluidic system for rapid isolation of sperm from real and simulated microdissection testicular sperm extraction (microTESE) samples.
We report a 22-year old gentleman who presented with post micturition urinary dribbling for nearly one year along with urinary urgency and frequency. He had a history of brain tuberculosis two years back and was hospitalized for four months with a urethral catheter. Examination revealed a 3cm cystic swelling in the peno-scrotal junction. On pressing the sac, a gush of urine came out through the urethral meatus. A micturating cysto-urethrogram revealed a huge anterior urethral diverticulum. Cystoscopic assessment also confirmed the diagnosis and demonstrated classic transillumination.
Characteristics, Burden, and Necessity of Inpatient Consults for Academic and Private Practice Urologists
To compare differences in the characteristics and outcomes of inpatient consults between academic and private practice urologists.
To evaluate the recurrence and functional outcomes in a primarily hereditary cohort of patients undergoing partial adrenalectomy for pheochromocytoma.
A 50-year-old man presented with palpable abdominal mass which on CT revealed a large tumor replacing the entire right kidney, filling the right hemi-abdomen and travelling down the ureter into the bladder with retroperitoneal lymphadenopathy. Urine cytology and metastatic workup were negative. Ultrasound guided renal biopsy revealed diffuse large B cell lymphoma (DLBCL) and the patient was started on combination chemotherapy. Primary urinary tract lymphomas comprise <1% of all renal tumors and primary urinary tract DLBCL lymphomas carry a worse prognosis than nodal DLBCL.
Bladder Herniation as an Auto-Augmentation Technique in Bladder Exstrophy: Initial Experience in Patients with Small Bladder Plate
To present our long-term experience of bladder plate herniation technique in patients with bladder exstrophy epispadias complex (BEEC) and inadequate bladder plate.
Mechanical complications from menstrual cups are rare, with only four reported cases of ureteral obstruction. Clinicians should be aware of gynecologic devices in patients with acute abdominopelvic pain because simple removal may obviate the need for further expensive work-up or exposure to ionizing radiation.
Adenocarcinomas represent 2% of bladder cancers and originate from the bladder urothelium or the urachus.1 Urachal adenocarcinoma constitutes less than 0.5% of all bladder cancers.2 We report a urachal adenocarcinoma case managed surgically with two incisions and an emphasis on cosmesis while maintaining oncologic principles.
Ureteral Triplication- Laparoscopic Partial Nephrectomy with Highly Selective Arterial Dissection: Description of Surgical Technique
Ureteral triplication is a rare congenital malformation with a wide spectrum of presentation that requires a high index of suspicion in order to diagnose. To date, only about 100 cases have been published in medical literature. Smith et al.1 proposed a classification for ureteral triplication that describes it as three separate ureters and three separate ureteral orifices with no interconnection between ureters. In this video, we present a surgical approach for laparoscopic partial nephrectomy of both upper moieties in the context of ureteral triplication.
Intrauterine devices(IUD) are used by women worldwide as the most conventional method of reversible contraception.Migration of an IUD to pelvic or abdominal organs is considered rare.We report a case of a 67 year old female who had neglected to remove her IUD for 20 years. She visited our clinic because of recurrent UTI's the previous year. After assessment and clinical investigation it was found that the coil had a late onset migration to the urinary bladder, with calculus formation, causing the patients’ symptoms.
The patient is a 42-year-old male referred for the evaluation of worsening lower urinary tract symptoms. His complaints include worsening urgency, frequency, dysuria, decreased urinary flow, and spraying of the urine stream over the past several years. He also complains of chafing, cracking and bleeding of the skin about the tip of the penis with erections and intercourse. He previously underwent an attempt at cystoscopy which confirmed the presence of a distal penile urethral stricture, for which he was instructed to treat with topical and intraurethral application of 0.025% triamcinolone acetonide cream.
A 90-year old man with no significant past medical history presented to urology clinic complaining of gross hematuria, urinary frequency, and dysuria. Previous urine cytology was atypical but two white-light cystoscopies failed to show any lesions. The patient was taken for intraoperative blue light cystoscopy, which revealed multiple lesions that were then resected. Pathology revealed high grade urothelial carcinoma with lamina propria invasion and the patient was managed successfully with Bacille Calmette Guerin therapy.
Anterior urethral valves are a rare cause of obstructed voiding in adolescent children and are often unheard by adult urologists. In this case report, we discuss the management of two adolescent patients who were referred to us with obstructive voiding symptoms with a diagnosis of neurogenic bladder and posterior urethral valves respectively but on evaluation were found to have anterior urethral valves. This article highlights the need for considering anterior urethral valve as an important differential diagnosis in children and adolescents presenting with obstructive voiding symptoms so as to avoid delay in diagnosis and management in young boys.
Comparison of cognitive function after robot-assisted prostatectomy and open retropubic radical prostatectomy: A prospective observational single-center study
To assess the effects of robot-assisted radical prostatectomy in the Trendelenburg position on postoperative neurocognitive outcomes this study compared cognitive function between patients who underwent robot-assisted radical prostatectomy and those who underwent open retropubic radical prostatectomy.
To define the relationship between urology RVUs and measures of surgical complexity and physician workload. Secondary objectives include: 1) identifying procedures with outlying RVU values for their measures of surgical complexity and workload; and 2) calculating projected RVU values for these procedures.
Voiding Cystourethrogram in Children with Unilateral Multicystic Dysplastic Kidney: Is it still necessary?
To evaluate the value of the voiding cystourethrogram (VCUG) in children with multicystic dysplastic kidney (MCDK) who have a normal versus abnormal contralateral kidney and bladder ultrasound (US), and assess the risk of having vesicoureteral reflux (VUR) or urinary tract infection (UTI) based on the US results.
Fate of Pediatric Renal Angiomyolipoma During mTOR Inhibitor Treatment in Tuberous Sclerosis Complex
To evaluate the clinical and radiographic follow up of renal angiomyolipoma (AML) in pediatric patients with tuberous sclerosis (TSC) on mTOR inhibitors.