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Retropubic midurethral sling (RMUS) procedures have become a gold standard for primary stress urinary incontinence (SUI) with more than 3 million synthetic midurethral slings placed since 1995.1 Owing to its minimally invasive approach, there is risk of injury to adjacent structures including the bladder, urethra, major vessels, or bowel. Bowel perforation is a rare complication that often presents in the immediate postoperative period. We report a case of incidentally noted sling mesh in the cecum on screening colonoscopy in an asymptomatic patient four years following RMUS surgery, with no progressive symptoms on close follow-up and no change on colonoscopy six years postoperatively.
Potential Financial Bias from Speakers at US Food and Drug Administration's Bone, Reproductive, and Urologic Drugs Advisory Committee Meetings
The Bone, Reproductive, and Urologic Drugs Advisory Committee (BRUDAC) is one of 33 Food and Drug Administration (FDA) advisory committees that reviews evidence, hears testimonies, and makes suggestions for or against drug approval to the FDA. Advisory committees typically comprise 10–15 fixed or standing members (BRUDAC has 11 members), including a chairperson.1 Voting members include scientific experts, a consumer representative, and an FDA patient representative; non-voting members include industry representatives2,3 (Table 1).
Multiparametric magnetic resonance imaging (mpMRI) plays an important role in the detection of clinically significant prostate cancer. However, there is some overlap between prostate cancer and granulomatous prostatitis1,2. We describe the imaging features of granulomatous prostatitis, which frequently mimics prostate cancer, and differential diagnosis between these conditions according to Prostate Imaging-Reporting and Data System (PI-RADS) version 2.13,4.
To analyze treatment results of staged surgical repair of proximal forms of hypospadias according to Bracka's technique using preputial vs buccal grafts.
Determining Clinically-Based Factors Associated with Reclassification in the Pre-MRI Era using a Large Prospective Active Surveillance Cohort
To report biopsy-related and oncologic outcomes in a large prospective active surveillance cohort that was initiated in the pre-MRI era and to additionally identify clinical factors associated with disease reclassification in order to inform future studies designed to improve enrollment and follow-up on AS.
Treatment preferences of patients with benign prostatic hyperplasia before and after using a web-based decision aid
To evaluate treatment preferences of patients with lower urinary tract symptoms suggestive of benign prostatic hyperplasia (LUTS/BPH) before and after using a web-based decision aid (DA).
To assess the PCa detection rates of contrast-enhanced, transrectal subharmonic ultrasound imaging (SHI).
To characterize trends in the incidence and severity of post-biopsy infection using nationally representative data, given that population-based data have revealed an increasing incidence of post-prostate biopsy infections through 2007. Little is known about contemporary trends in prostate biopsy related infections and associated risk-factors, particularly considering the increased focus on preventative strategies.
A New Customized Ureteral Stent with Non-Refluxing Silicone End-Piece to Alleviate Stent-Related Symptoms in Malignant Diseases
To evaluate the stent-related symptoms using a new customized ureteral stent with a non-refluxing silicone end-piece.
Impact of MRI and targeted biopsies on eligibility and disease reclassification in MRI-positive candidates for active surveillance on systematic biopsies
To assess the impact of concomitant targeted biopsies (TB) for predicting final disease reclassification in MRI-positive low-risk prostate cancer patients eligible for active surveillance (AS) on systematic biopsies (SB).
To improve the tolerability of transrectal ultrasound guided prostate biopsy through use of diaphragmatic breathing.
Jackstone calculus is a rare bladder stone with a unique appearance, presenting a stippled and spiculated contour. Correct diagnosis is important because it may have therapeutic implications, as this distinctive shape correlates with a specific mineral composition of calcium oxalate dihydrate, which tend to be easily fragmented by lithotripsy, allowing to attempt an endoscopic treatment instead of surgery in larger stones.We present the case of a 77-year-old male where a 2 cm bladder calculus was incidentally found on CT, with features that allowed to make straightforward the diagnosis of a jackstone calculus.
To explore a series of classic bladder exstrophy (CBE) cases referred to the authors’ institution where primary closure with penile disassembly epispadias repair was complicated by penile injury. The penile disassembly technique is frequently combined with bladder closure in patients with CBE undergoing the complete primary repair of exstrophy (CPRE). Penile disassembly has been posited as a risk for penile injury by ischemic mechanisms.
Total Autologous Fascia Lata Anterior and Apical Pelvic Organ Prolapse Repair: A New Technique and Initial Experience
To address renewed interest in non-mesh transvaginal Pelvic Organ Prolapse (POP) repair since the FDA reclassification of transvaginal mesh, our goal was to develop a transvaginal sacrospinous fixation for anterior and apical POP using only autologous fascia lata. We report our experience in thirty-three patients.
Robot-Assist Laparoscopic Radical Cystectomy and Sigmoid Orthotopic Neobladder Reconstruction for a Bladder Rhabdomyosarcoma Child: Case Report and Literature Review
A six-month-old child was admitted into our center with complaint of hydronephrosis in June 2018. He was diagnosed as embryoid rhabdomyosarcoma after cystoscopy with biopsy. After 22Gy radiotherapy and 4 cycles chemotherapy(VAC), robot-assisted radical cystectomy was performed. The orthotopic neobladder was reconstructed with sigmoid colon and bilateral ureter were reimplanted in Politano-Leadbetter technique. The patient was discharged after 14 days and chemotherapy was continued. Recent ultrasound examination showed that his maximal bladder capacity had increased to 120 ml, and intravenous urography revealed no urine leakage.
Adult Wilms tumors (nephroblastomas) are exceedingly rare with less than 500 cases reported in the literature. To our knowledge, ours is the first reported case of a patient with velocardiofacial syndrome (Shprintzen syndrome) acquiring an adult Wilms tumor. The case highlights the possible role of chromosome 22q aberrations towards the pathogenesis of a subset of Wilms tumors.
Efficacy and safety of supracostal access for mini percutaneous nephrolithotomy in pediatric patients
To evaluate the efficacy and safety of supracostal percutaneous nephrolithotomy (PCNL) through the 11th intercostal space and compare it with subcostal PCNL in children with renal calculi.
Urinary diversion disparity following radical cystectomy for bladder cancer in the Hispanic population
To determine if disparities in quality of surgical care exist between Hispanics and non-Hispanics undergoing radical cystectomy for bladder cancer.
“WATCH” SHAPED BUCCAL MUCOSA GRAFT FOR SIMULTANEOUS CORRECTION OF SEVERE CHORDEE AND URETHROPLASTY AS A ONE-STAGE REPAIR OF SCROTAL HYPOSPADIAS
Scrotal hypospadias still presents a challenge for reconstructive urologists. We present a novel and one-stage technique of using a specially shaped buccal mucosa graft for simultaneous ventral tunica grafting and urethroplasty for severe hypospadias repair.
To describe the gonadal features of patients with 45,X/46,XY mosaicism, and to evaluate the prevalence of gonadal tumor in different phenotypes.