Urology News Feeds
We greatly value the thoughtful ‘‘Editorial Comment’’ on our article in this issue of Urology. As our initial experience, in this report we showed the feasibility and potential benefits of Single-port (SP) extraperitoneal robotic radical prostatectomy (RRP) in 60 patients.
Ureteral Rest is Associated with Improved Outcomes in Patients Undergoing Robotic Ureteral Reconstruction of Proximal and Middle Ureteral Strictures
To evaluate the effect of ureteral rest on outcomes of robotic ureteral reconstruction.
Contemporary Incidence and Predictors of Occult Inguinal Lymph Node Metastases in Men with Clinically Node-Negative (cN0) Penile Cancer
To (1) examine the contemporary incidence of occult inguinal LN metastases and (2) identify predictors of occult inguinal LN metastases to improve selection of cN0 patients for inguinal lymphadenectomy (ILND).
Efficacy and Incontinence Rates After Urethroplasty for Radiation-Induced Urethral Stenosis: A Systematic Review and Meta-Analysis
: To estimate the efficacy of urethroplasty and rates of de novo stress urinary incontinence (SUI) in the specific setting of radiation-induced urethral stenosis (RIUS).
Primary renal angiosarcoma with lymph node metastasis– a rare intriguing malignancy with a grim outcome
Malignant mesenchymal tumors of the adult kidney constituting leiomyosarcoma, angiosarcoma, rhabdomyosarcoma, osteosarcoma, synovial sarcoma, and Ewing sarcoma1 encompass only 0.8 to 2.7% of all renal tumors but harbinger poorer prognosis. 2, 3 Primary angiosarcomas of the kidney are extremely rare localized/ multicentric highly aggressive tumors that cannot be differentiated from renal cell carcinomas clinically/ radiologically. The pathological examination definitively determines the diagnosis.
Penile ring entrapment (PRE) is a rare Urological emergency, which may risk tissue loss if not managed appropriately. We present the case of a 59-year-old man with PRE secondary to placement of 14 metallic rings for sexual pleasure. We recommend involvement of the Fire Emergency Service if local equipment is inadequate for urgent penile ring removal.
The crisp autumn wind broke the silence as we waited in a perfectly homogenous line. The instructor, hiding in our shadows, started her interrogation. “If you had more than ten books at home while growing up, step forward.” I moved forward like many around me. “If you have been able to freely express your religion, step forward…If you or your family never had to move due to financial inabilities, step forward…If you feel comfortable with people knowing your sexual orientation, step forward...” I looked around at my peers—piercing into their identity, beliefs, pasts.
A systematic review on the use of qualitative and quantitative contrast-enhanced ultrasound in diagnosing testicular abnormalities
Greyscale and colour doppler ultrasound (CDUS) are the standard when investigating testicular lesions. However, they cannot provide information on the microvasculature. As such, differentiating benign from malignant tumours is challenging. Contrast-enhanced ultrasound (CEUS) uses ultrasound contrast agents (UCA) which are exclusively intravascular to image the microvasculature. This review assessed CEUS outcomes in investigating intra-testicular lesions and concluded that qualitative CEUS provides the most advantage by confirming vascularity, thus differentiating non-neoplastic from neoplastic lesions with added confidence, allowing for appropriate management.
Ureteroscopic Performance of High Power Super Pulse Thulium Fiber Laser for the Treatment of Urolithiasis: Results of the First Case Series in North America
To report the first case series of ureterorenoscopy in North America using the High Power Super Pulse Thulium Fiber Laser for the treatment of upper urinary tract stones.
Physician practices are rapidly consolidating in the United States, as small independently owned groups merge or are acquired by larger hospital systems.1–9 Multiple factors motivate this shift, including the capital required for entrepreneurial activities,8 reimbursement patterns,2,10 administrative burdens,6,11 and the need for infrastructure to participate in quality measurements and population health management initiatives.12–14 While some published analyses demonstrate hospital integration in select specialty practices, such as cardiology and oncology,15 changes in urologist practice organization in recent years are not well understood.
CROSS-SECTIONAL SURVEY-BASED STUDY OF UNDERREPRESENTED MINORITIES IN UROLOGY ACADEMIC LEADERSHIP ROLES
To define the current proportion of underrepresented minority (URM) academic urologists in leadership positions.
To assess patient-reported outcomes of oncoplastic penile reconstruction using standardised questionnaires. Whilst organ-preserving penile cancer surgery has evolved aiming to preserve genital function, reduce psychological morbidity of radical penectomy and maximise patient quality of life, few studies have evaluated patients’ final perceptions.
Letter to the editor Re: Wilson et al. Outpatient Extraperitoneal Single-Port Robotic Radical Prostatectomy. Urology 2020; 144: 142-146.
We congratulate Kaouk and colleagues1 for presenting their encouraging data on outpatient robotic radical prostatectomy using the single port (SP) robot. Majority (∼90%) of patients had NCCN intermediate or high risk prostate cancer, and underwent concomitant nerve sparing (90%), with about ∼50% having extraprostatic disease and a quarter having positive margins on final pathology. Nearly 90% of patients were able to be discharged the same day, and opiates were increasingly less likely prescribed.
Endovascular Stapler Complications During Minimally Invasive Nephrectomy: An Updated Review of the FDA MAUDE database from 2009-2019
To characterize the rates of endovascular stapler complications during hilar ligation in minimally invasive radical nephrectomy over the last 10 years.
A 29-year-old African American male presented to our emergency department with a five-day history of perineal pain and tender swelling of the left perineal body with no evidence of trauma. Physical examination revealed a firm left proximal corpus cavernosum body. Laboratory tests were within normal limits. Pelvic MRI confirmed the presence of a large left-sided unilateral corporal cavernosum partial thrombosis (UCCPT) filling the proximal third of the left corpus cavernosum. The patient was managed conservatively with anticoagulation, pain control, and pelvic rest.
A population-based study comparing outcomes for patients with metastatic castrate resistant prostate cancer treated by urologists or medical oncologists with first line abiraterone acetate or enzalutamide
To compare toxicity and all-cause mortality for mCRPC patients receiving first line oral systemic therapy prescribed by medical oncologists and urologists.
Beta-Adrenergic Antagonists and Cancer Specific Survival in Patients with Advanced Prostate Cancer: A Veterans Administration Cohort Study
To interrogate the National Veterans Health Administration (VA) database to determine if beta-blocker use at time of initiation of androgen therapy deprivation (ADT) would result in improved oncological outcomes in advanced prostate cancer.
To query a cohort of program directors to better understand the contemporary landscape of parental leave for urology trainees. The American Board of Urology mandates that a resident must work 46 weeks annually in order to not extend residency. We hypothesize that formal parental leave policies may vary by institution and may not be easily accessible.
To demonstrate a technique for performing orchidopexy and split-thickness skin graft for patients with deficient scrotal skin after debridement for Fournier's gangrene. This is an alternative strategy to healing by secondary intention, flaps, or testicular thigh pouches.
Impact of Age, Education level and Occupation on the ability to use the ICIQ-bladder diary: results from a community cohort study using a predefined clinical history
To assess difficulties in filling the International Consultation on Incontinence Questionnaire Bladder Diary (ICIQ-BD), determining the most troublesome items and patients’ characteristics (age, education level and professional activity) related to these difficulties.