Urology News Feeds

Comparative study of percutaneous tic technique versus standard percutaneous nephrolithotomy

Urology (Gold Journal) In Press - Tue, 02/18/2020 - 00:00
To compare the PERC-tic technique, described as placement of dual wires under fluoroscopic guidance adjacent to the stone within the obstructed calyx, to standard percutaneous nephrolithotomy (PCNL) with working wires secured down the ureter.
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Combining Drive Time and Urologist Density to Understand Access to Urologic Care

Urology (Gold Journal) In Press - Tue, 02/18/2020 - 00:00
To improve our understanding of timely access to urologic care, we leveraged driving time combined with a measure of urologist density.
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Ectopic intravesical ejaculatory ducts: case report of bulking agent injection for treatment of recurrent epididymitis in a patient with anorectal malformation

Urology (Gold Journal) In Press - Sat, 02/15/2020 - 00:00
As far as we know this is the first report on bulking agent injection into intravesical ectopic ejaculatory orifices reported in the English literature. During a follow-up period of 16 months, the child was free of episodes of EO. Deflux injection in this rare anomaly of intravesical refluxing ducts had prevented irreversible damage to the testes from recurrent EO. Thus, it may be a better option than vasectomy when antibiotic treatment fails.
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Female Authorship Publishing Trends and Forecasting in Pediatric Urology: Are we Closer to Gender Equality?

Urology (Gold Journal) In Press - Fri, 02/14/2020 - 00:00
To review the literature of 5 pediatric urology topics and conduct gender based and forecasting analyses of first and corresponding authors.
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Decrease in Urologic Discharge Opioid Prescribing after Mandatory Query of Statewide Prescription Drug Monitoring Program

Urology (Gold Journal) In Press - Thu, 02/13/2020 - 00:00
To examine the effectiveness of the introduction of the Pennsylvania Prescription Drug Monitoring Program (PDMP) on discharge postoperative opioid prescriptions in patients undergoing major urologic procedures within a large single tertiary care hospital. Opioids have historically been prescribed to control postoperative pain, but with growing concern regarding opioid overdose, misuse, and diversion, measures have been introduced to curb opioid prescribing. Numerous states have introduced PDMP programs as a method to search patients’ prior opioid prescriptions.
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The pathophysiology and therapy of erectile dysfunction in a newly discovered treatise by Wolfgang Reichart (1486–circa 1547)

Urology (Gold Journal) In Press - Thu, 02/13/2020 - 00:00
The pathophysiology of erectile dysfunction was highly contested in Renaissance medicine due to the believe in witches and incantations.1,2 A newly-found treatise by the physician Wolfgang Reichart (1486–circa 1547) challenges the contemporary view that bewitchment as a cause of impotence defies any natural explanation. Reichart studied in Tübingen and worked as a town physician of Ulm since 1512. Nearly 600 letters of his letters are preserved, but only half of them are edited. The letters are not primarily medical in nature except one casuistry on melancholy and circa 60 letters which can be considered epistolary medicine.
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A novel anterior bladder tube for traumatic bladder neck contracture in females: initial results

Urology (Gold Journal) In Press - Wed, 02/12/2020 - 00:00
To describe a novel tabularized bladder flap technique for repair of post-traumatic obliterate bladder neck and urethral stricture in women. Traumatic genitourinary injury in females is rare, and generally associated with pelvic fracture. Obliterate bladder neck is frequent in such cases. The options for obliterate strictures are limited with Tanagho‘s repair as one option. Limitations of Tanagho's repair include bladder neck being shifted antero-superiorly posing voiding issues, posteriorly directed suture-line risking fistula formation with vagina and rotational tug of bladder putting tension at suture line.
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Evaluation, treatment, and insurance coverage for couples with male factor infertility in the US: A cross-sectional analysis of survey data

Urology (Gold Journal) In Press - Tue, 02/11/2020 - 00:00
To characterize the evaluation, treatment, and insurance coverage among couples with male factor infertility in the US.
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Pressure Regulating Balloon Herniation: A Correctable Cause of Artificial Urinary Sphincter Malfunction

Urology (Gold Journal) In Press - Mon, 02/10/2020 - 00:00
To report our experience with isolated PRB replacement for AUS malfunction in the setting of PRB herniation.
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The Influence of Indentation Deformity on Outcomes with Intralesional Collagenase Clostridium histolyticum Monotherapy for Peyronie's Disease

Urology (Gold Journal) In Press - Mon, 02/10/2020 - 00:00
To identify patient-specific factors associated with patient-reported improvements in functional outcomes after intralesional Collagenase Clostridium histolyticum for Peyronie's Disease (PD).
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Seminoma In A Young Phenotypic Female With Turner Syndrome 45,XO/46,XY Mosaicism: A Case Report With Review Of The Literature

Urology (Gold Journal) In Press - Mon, 02/10/2020 - 00:00
Turner syndrome is a chromosomal disorder that occurs in an estimated 1 in 2500 female live births. It is estimated that 6-12% of all Turner syndrome patients will be a mosaic with Y-chromosomal elements putting them at risk for gonadoblastoma and subsequent dysgerminoma. While 30-50% of this population demonstrate gonadoblastoma, we only found 23 reported cases of dysgerminoma in the literature, and no reported cases of seminoma. We present the first case of seminoma in a phenotypic Turner 15-year-old female after prophylactic gonadectomy.
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Performance Optimization Strategies for Complex Endourologic Procedures

Urology (Gold Journal) In Press - Sat, 02/08/2020 - 00:00
The shift in urology towards minimally-invasive endoscopic surgery has reduced the morbidity associated with common ailments such as kidney or ureteral stones. Urologists have grown more comfortable performing complex endoscopic procedures over the past several decades, while simultaneously, improvements in technology have facilitated these rapid developments. There remains opportunity for the practicing urologist to understand the intrinsic and extrinsic factors that may affect their performance, well-being, and outcomes.
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Treatment of estrogen levels in the management of hypogonadism: An anonymous survey of ISSM members

Urology (Gold Journal) In Press - Sat, 02/08/2020 - 00:00
To assess the variability in management of estrogen levels in men treated with testosterone therapy (TTh). With the significant increase in the last two decades in the treatment of hypogonadism and the use of TTh, detailed guidelines for the management of estrogen levels are necessary. (1)
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How Much Is Not Enough? Contextualizing Recent Trends in the Urology Residency Match

Urology (Gold Journal) In Press - Fri, 02/07/2020 - 00:00
Wong and colleagues suggest that recent trends in the urology residency match—specifically declining numbers of applicants and rising overall rates of students successfully matching into residency positions—should intensify recruitment efforts by academic urology departments.1 We agree with the authors that, as a community of urologists, researchers, educators, and trainees, we should “ensure that the future urology workforce will have enough diverse and bright physicians” to serve the population.
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Reply to “How Much is Not Enough? Contextualizing Recent Trends in Urology Residency Match”

Urology (Gold Journal) In Press - Fri, 02/07/2020 - 00:00
We thank the authors for their insightful commentary on our study. We agree that the decreased number of applicants does not necessarily portend an adverse impact on the future urology workforce, especially since many heavily weighted application variables do not correlate with urology resident success.1 We also agree that the low overall number and high variability of unfilled residency positions annually limit its role as a gauge of the quality of the applicant pool. And the perceived competitiveness of the field and the lack of consistent counseling probably promotes a cyclical trend in application numbers, as observed in other specialties.
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Stressors and coping mechanisms related to burnout within urology

Urology (Gold Journal) In Press - Tue, 02/04/2020 - 00:00
To identify factors and stress coping mechanisms associated with burnout within the field of urology.
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Vitamin D and Kidney Stones

Urology (Gold Journal) In Press - Tue, 02/04/2020 - 00:00
This review explores the relationship between vitamin D supplementation and lithogenesis. A causal relationship has been assumed despite myriad studies demonstrating that therapeutic doses of vitamin D do not increase lithogenic risk. Select stone formers may be at increased risk for recurrence with vitamin D supplementation, possibly from CYP24A1 gene mutations. Additionally, the evidence for who is vitamin D deficient, and the benefits of supplementation in those not at risk for rickets, is sparse.
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CHALLENGES OF VERY LONG-TERM REPORTING IN STRESS URINARY INCONTINENCE SURGERIES IN WOMEN

Urology (Gold Journal) In Press - Tue, 02/04/2020 - 00:00
To review studies on surgeries to correct stress urinary incontinence (SUI) with very long-term results (≥ 10 years) to explore the challenges in reporting long-term follow-up.
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Can we clinically distinguish anejaculation from retrograde ejaculation in patients on α1A-blockers therapy for lower urinary tract symptoms?

Urology (Gold Journal) In Press - Tue, 02/04/2020 - 00:00
To investigate the physiopathology of ejaculatory disorders (EjD) and discriminate between retrograde ejaculation (REj) and anejaculation (AEj) induced by α1A-blockers, through the association between the mean post-orgasm seminal vesicle volume and the presence of sperm in mid-stream urine, in patients with moderate-to-severe lower urinary tract symptoms (LUTS) secondary to benign prostatic enlargement.
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