Urology News Feeds
Tumors discovered antenatally are rare and the prognosis is generally poor. We present a case of a fetal left renal mass, initially discovered via routine prenatal ultrasound. The mother was an otherwise healthy gravida four para one 30-year-old female with two previous miscarriages, reportedly secondary to septate uterus. Further imaging and subsequent genetic testing was consistent with an antenatal Wilms’ tumor with a mutation in the NPHP1 gene. The newborn received chemotherapy and had no evidence of reccurrence at three months follow-up.
Acute Presentation of Previously Unrecognized Congenital UPJ Obstruction 5 Weeks after Radical Retropubic Prostatectomy
A 61-year-old Caucasian male presented to the emergency department (ED) with a three-day history of increasing fatigue and recent onset of fever and shaking chills. He did not have any localizing signs or symptoms. Importantly, the patient had undergone open radical retropubic prostatectomy (RRP) five weeks prior for pT3aNxMxR0 Gleason 3+4=7 prostate cancer identified on biopsy for elevation in serum prostate specific antigen (5.38 ng/ml). This patient had a preoperative right-sided nodule (consistent with cT2b disease) and Gleason 3+4=7 in 8 of 12 cores.
Association between Tumor Multifocality on Multi-parametric MRI and Detection of Clinically-Significant Prostate Cancer in Lesions with Prostate Imaging Reporting and Data System (PI-RADS) Score 4
To investigate whether presence of multifocality on multi-parametric magnetic resonance imaging (mpMRI) would increase the likelihood of detecting clinically-significant prostate cancer (csPCa) in a PI-RADS 4 lesion.
Diagnostic performance of prostate multiparametric magnetic resonance imaging in African-American men
To compare test performance of multiparametric magnetic resonance imaging (mpMRI) for detection of prostate cancer (PCa) in African-American men (AAM) and white men (WM) using the Prostate Imaging Reporting and Data System (PIRADS) in unmatched groups as well as a cohort matched for clinical factors.
To present the surgical approach to a cystic renal mass suspicious for malignancy in a 22 month old female.
Robot-assisted radical prostatectomy due to a primary carcinoid prostatic tumour in a three-year-old child: a case report
We present an extremely rare case of a 3-year-old child with a primary carcinoid tumour of the prostate. A 3-year-old boy presented with failure to thrive, constipation, recurrent respiratory tract infections and pain in the genital area. His karyotype was normal and cystic fibrosis and coeliac disease were excluded prior to further investigation. An abdominopelvic CT scan revealed a prostatic mass. Transrectal ultrasound-guided prostate biopsy was therefore performed and pathological examination revealed a carcinoid tumour.
To evaluate the safety, efficacy, and oncologic control of percutaneous image-guided cryoablation in the treatment of completely endophytic renal masses. Percutaneous image-guided cryoablation is a minimally invasive and effective treatment for small renal masses. Image-guided cryoablation is an attractive treatment for completely endophytic tumors given the challenge in visualization of such lesions during surgical extirpation.
The minimum clinically important difference of the International Consultation on Incontinence Questionnaires (ICIQ-UI SF and ICIQ-LUTSqol)
To estimate the minimum clinically important difference (MCID) of the International Consultation on Incontinence Questionnaire-Urinary Incontinence Short Form (ICIQ-UI SF) and the International Consultation on Incontinence Questionnaire-Lower Urinary Tract Symptoms Quality of Life (ICIQ-LUTSqol) using both anchor-based and distribution-based methods for women with stress urinary incontinence undergoing non-surgical treatment.
The Management and Efficacy of Surgical Techniques used for Erosive Mesh in the Urethra and Bladder: A Systematic Review
This study reports the re-operation and symptom resolution rates of different techniques used in surgical excision of genitourinary mesh erosions. A comprehensive systematic review was completed after searching electronic databases for studies involving outcomes of mesh erosion in humans that were managed surgically using a transvaginal, cystoscopic, or abdominal approach. Surgical outcomes were reported in percentages, ranges, and simple pooling to generate trends in management techniques. There were 177 cases that met our inclusion criteria.
To determine the importance of the duration of in-hospital management of patients with testicular torsion for testes survival. The time from onset of symptoms until surgery is a well-known factor determining testicular survival but there is no data regarding the contribution of in-hospital management duration to testicular survival. Unlike the time from onset of symptoms until seeking medical attention, the time from registration to the ED to the time of detorsion - "Door To Detorsion time" (DTD) is dependent on medical providers and should be minimized.
Fetal rhabdomyomatous nephroblastoma (FRN) is a rare variant of Wilms tumor with distinct morphologic features and biologic behavior compared to conventional nephroblastoma. It mainly occurs in patients under 4 years. In adults, extremely rare cases of nephroblastoma were reported. Among these cases, none has interested a FRN. We report an exceptional case of a 31-year-old woman diagnosed with FRN discovered incidentally, to illustrate clinical and histopathological characteristics of this entity.
To present the surgical approach to a multifocal Wilms tumor found on screening ultrasound in an asymptomatic 2-year-old female.
National trends in CT utilization and estimated CT-related radiation exposure in the evaluation and follow-up of stone patients
To describe trends in computed tomography (CT) use and estimate the radiation exposure among stone formers using a national insurance claims database.
Two-year follow-up in bipolar transurethral enucleation and resection of the prostate in comparison with bipolar transurethral resection of the prostate in treatment of large prostates. randomized controlled trial
To assess the safety and long term-efficacy of bipolar transurethral enucleation and resection of the prostate (B-TUERP) in the treatment of enlarged prostate in comparison with bipolar transurethral resection of the prostate (B-TURP).
To determine the long-term outcome of transobturator sling for male Stress Urinary Incontinence (SUI) clustered according to pre-operative SUI severity, and to identify predictors of treatment success durability and failure occurrence in long-term follow-up.
Chemoradiation Versus Radical Cystectomy for Muscle-Invasive Bladder Cancer: A Propensity Score-Weighted Comparative Analysis Using the National Cancer Database
To address the overarching question whether chemoradiation therapy (CMT) offers overall survival (OS) similar to that of radical cystectomy (RC) in muscle-invasive bladder cancer (MIBC), we performed analyses using the National Cancer Database (NCDB).
An 83-year-old female presented to her primary care physician for abdominal discomfort, associated with worsening abdominal distension. Her abdomen had become distended over the past several months and she also complained of urinary frequency and constipation. She denied any fever or chills and otherwise did not feel unwell. She also denied any hematuria or previous urinary tract infections. On physical examination, she was alert and oriented with obvious abdominal distension. Abdominal palpation revealed a large, firm, and mobile protuberance along the left side primarily at or below the level of the umbilicus.
EXTRAPERITONEAL ROBOT-ASSISTED VESICOURETHRAL RECONSTRUCTION TO MANAGE ANASTOMOTIC STRICTURE FOLLOWING RADICAL PROSTATECTOMY
To demonstrate the feasibility of robot-assisted vesicourethral reconstruction. Vesicourethral anastomotic stricture following radical prostatectomy is a real challenge for reconstructive surgery when facing several endoscopic management failures.
Male infertility and future cardiometabolic health: Does the association vary by sociodemographic factors?
To determine whether the association between male infertility and incident cardiometabolic disease is modified by socioeconomics, race, or geographic region.
Prostate Contrast Enhanced Transrectal Ultrasound (CE-TRUS) Evaluation of the Prostate with Whole Mount Prostatectomy Correlation
To investigate the diagnostic accuracy of contrast enhanced transrectal ultrasound (CE-TRUS) in comparison with whole-mount radical prostatectomy specimens.