Urology News Feeds

Fraley's syndrome: a rare cause of obstruction of the collecting system

Urology (Gold Journal) In Press - Thu, 08/01/2019 - 00:00
Fraley's syndrome is a rare cause of obstruction of the collecting system. It results from an extrinsic vascular compression of a calyceal infundibulum by a branch of the renal artery. Clinicians should be aware of this syndrome when facing an isolated dilatation of a calyx, classically an upper pole calyx dilatation, with a defect in the superior infundibulum on CT urography. Here, we pictorially present the conservative surgical treatment of a Fraley's syndrome. After identification of the artery responsible for the obstruction, the infundibulum was opened, uncrossed from the vessel and closed by an end-to-end anastomosis.
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Regional Variation in Shock Wave Lithotripsy Utilization among Medicare Patients with Nephrolithiasis

Urology (Gold Journal) In Press - Thu, 08/01/2019 - 00:00
To characterize shock wave lithotripsy (SWL) utilization and assess for regional variation in the use of this procedure across the United States.
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Decisional Quality Among Patients Making Treatment Decisions for Urolithiasis

Urology (Gold Journal) In Press - Wed, 07/31/2019 - 00:00
To measure decisional quality, physician loyalty, and treatment preference in patients diagnosed with urolithiasis, a “preference-sensitive” condition, to identify areas of improvement to be addressed by a targeted shared decision-making intervention.
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Ultrasound-Guided Access and Dilation for Percutaneous Nephrolithotomy (PCNL) in the Supine Position: a step-by-step approach

Urology (Gold Journal) In Press - Wed, 07/31/2019 - 00:00
Ultrasound guidance for percutaneous nephrolithotomy (PCNL) has gained acceptance amongst urologists given its numerous advantages over fluoroscopy. While traditionally performed in the prone position, this video demonstrates a step-by-step approach to performing PCNL in the supine position, solely under ultrasound guidance.
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Over-reliance on p values in Urology: Fragility of findings in the hydronephrosis literature calls for systematic reporting of robustness indicators

Urology (Gold Journal) In Press - Tue, 07/30/2019 - 00:00
To review the robustness of hydronephrosis (HN) literature with the application of fragility index (FI) and fragility quotient (FQ) calculations.
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Gender Disparities in Urology: How can we close the gap?

Urology (Gold Journal) In Press - Tue, 07/30/2019 - 00:00
Women in urology are a growing fraction of our workforce with 2017 American Urological Association (AUA) census data revealing 8.8% of practicing urologists and approximately 36% of urology trainees are female.1 While this growth is encouraging, women are historically known to have decreased rates of promotion, compensation and receive fewer opportunities leading to career advancement.2 The aforementioned census data reveals that women are infrequently represented as full professors in comparison to men in academic settings.
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Improving Fluid Intake Behavior Among Patients with Kidney Stones: Understanding Patients’ Experiences and Acceptability of Digital Health Technology

Urology (Gold Journal) In Press - Tue, 07/30/2019 - 00:00
To understand kidney stone patients’ experiences with increasing fluid intake, common barriers to adherence, and technology-mediated intervention techniques that may improve adherence in this population. Increasing fluid intake to produce at least 2.5L of urine daily is a well-established preventive strategy to reduce the risk of kidney stones. Unfortunately, adherence with this well-known and inexpensive recommendation is commonly below 50%.
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In-office Transperineal Prostate Biopsy Using Biplanar Ultrasound Guidance: a Step-by-Step Guide

Urology (Gold Journal) In Press - Tue, 07/30/2019 - 00:00
To provide a step-by-step guide for performing in-office transperineal prostate biopsy using biplanar ultrasound guidance.
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Pathophysiologic Mechanisms of Nocturia and Nocturnal Polyuria: The Contribution of Cellular Function, the Urinary Bladder Urothelium, and Circadian Rhythm

Urology (Gold Journal) In Press - Mon, 07/29/2019 - 00:00
Alterations to arginine vasopressin (AVP) secretion, the urinary bladder urothelium (UT) and other components of the bladder, and the water homeostasis biosystem may be relevant to the pathophysiology of nocturia and nocturnal polyuria (NP). AVP is the primary hormone involved in water homeostasis. Disruption to the physiological release of AVP or its target effects may relate to several urinary disturbances. Circadian dysregulation and the effects of aging, e.g., the development of oxidative stress and mitochondrial dysfunction, may play a role in nocturia voiding symptoms.
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The Prevalence of Penile Cancer in patients with Adult Acquired Buried Penis

Urology (Gold Journal) In Press - Mon, 07/29/2019 - 00:00
To determine the prevalence of penile cancer in patients with adult acquired buried penis. Penile cancer is a rare but aggressive cancer. Several case reports have recently been published that indicate that adult acquired buried penis (AABP) may increase the risk of penile cancer.
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Long Term Outcomes of Patients with Low Grade Cystic Renal Epithelial Neoplasms

Urology (Gold Journal) In Press - Fri, 07/26/2019 - 00:00
To report on the long term oncologic outcomes of three subtypes of low grade cystic renal epithelial neoplasms - multilocular cystic neoplasm of low malignant potential (MCLMP), cystic clear cell RCC (ccRCC), and cystic clear cell papillary RCC (ccpRCC), following 2016 reorganization by the World Health Organization.
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DISTAL DOUBLE CUFF VS. TRANSCORPORAL CUFF AS SALVAGE OPTIONS – A PROSPECTIVE ANALYSIS OF DIFFERENT ARTIFICIAL URINARY SPHINCTER (AMS 800) IMPLANTATION SITES

Urology (Gold Journal) In Press - Thu, 07/25/2019 - 00:00
To analyze functional outcomes and complication rates of distal double-cuffs (DC) or transcorporal cuffs (TC) as salvage approaches in high-risk patients, since there is an ongoing debate about optimal cuff-placement in a salvage setting (SV). Existing studies analyzing DC or TC are controversial with respect to functional outcomes and complication rates. Studies directly comparing both approaches in SV are scarce.
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Genital neurofibromatosis Presenting as Painful Clitoromegaly

Urology (Gold Journal) In Press - Thu, 07/25/2019 - 00:00
Neurofibromatosis type 1 (NF1) is a neurocutaneous disorder caused by a mutation on chromosome 17 of the gene for neurofibromin. Patients with this condition are prone to develop benign and malignant tumors of the central and peripheral nervous systems. Genitourinary involvement in children with NF1 is uncommon and primarily affects the bladder. External genital manifestations of NF1 are rare with sporadic reports of children presenting with enlargement of their penis, clitoris, or labia due to a neurofibroma.
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Bladder outlet obstruction induced by the compression of displaced hemipelvic prosthesis after pelvic reconstruction: a case report

Urology (Gold Journal) In Press - Thu, 07/25/2019 - 00:00
Bladder outlet obstruction (BOO) is a common urological condition usually caused by benign prostatic hyperplasia, prostate cancer, urethral stricture, rarely by compression of surrounding organs. Herein we presented a BOO patient caused by the compression of displaced hemipelvic prosthesis after pelvic reconstruction. This report may help to increase awareness of BOO as a late complication of pelvic reconstruction.
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Isolated Renal Hydatid cyst masquerading as cystic renal tumour

Urology (Gold Journal) In Press - Wed, 07/24/2019 - 00:00
Hydatid disease or Echinococcosis is a zoonotic disease caused by cestode Echinococcus granulosus. In humans, isolated renal involvement or primary renal hydatid cyst of the kidney is rare and accounts for about 1-5% of all the cases of hydatid cyst. Isolated renal hydatid cyst can mimic cystic renal tumour both clinically and radiologically. We present a rare case of isolated hydatid cyst in 38 years old male who was diagnosed as a case of cystic renal tumour on radiology.
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Impact of obesity on perioperative outcomes at robotic-assisted and open radical prostatectomy: results from the National Inpatient Sample

Urology (Gold Journal) In Press - Sat, 07/20/2019 - 00:00
To test the effect of obesity (body mass index [BMI] ≥30 kg/m2) on perioperative outcomes and total hospital charges (THC) at robot-assisted vs. open radical prostatectomy (RARP vs. ORP).
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Urethral Stricture is Frequently a Morbid Condition: Incidence and Factors Associated with Complications Related to Urethral Stricture

Urology (Gold Journal) In Press - Thu, 07/18/2019 - 00:00
To determine the frequency of complications related to urethral stricture and identify clinical factors associated with them.
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TOTAL MOTILE SPERM COUNT TREND OVER TIME: EVALUATION OF SEMEN ANALYSES FROM 119,972 MEN FROM SUBFERTILE COUPLES

Urology (Gold Journal) In Press - Thu, 07/18/2019 - 00:00
To determine whether a clinically-relevant change in the total motile sperm count (TMSC) over time exists within the subfertile population.
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Author Reply: Comparing Medicolegal Risk Surrounding Vasectomy in Spanish and American Society

Urology (Gold Journal) In Press - Thu, 07/18/2019 - 00:00
We thank the authors for sharing the Catalonian experience and how it both complements and differs from the US experience. We recognize the limitations of WestLaw which, nonetheless, is the most comprehensive dataset available in US. International data clearly confirms that urologists are at considerably high medicolegal risk, and must take certain steps to minimize this. One aspect in particular that must be addressed is communication. Dealing with recovery and complications from procedures can be a lonely experience for patients.
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Vasectomy litigation in Spain. The importance of post-vasectomy pregnancy

Urology (Gold Journal) In Press - Thu, 07/18/2019 - 00:00
We would like to congratulate Blazek et al.1 for their thoughtful legal review of litigation in vasectomy cases. Nevertheless, great limitations have been reported at Westlaw legal data base studies.
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