Urology News Feeds
Kidneys with more than 3 arteries are very rare and decision to use or not these organs can be difficult, because there is an increased risk of post-transplant vascular complications, with a higher risk of worse outcome.Here we report a case of a successful transplant a deceased donor left kidney with 5 arteries, using two separate wide patches containing 3 and 2 arteries, respectively.These kidneys should be considered as a source for maximize the number of organs available, but a careful selection of the recipient is also crucial for minimize the risk of complications.
Non-stented tubularized incised plate distal hypospadias repair; a single center 5 years’ experience
To report our immediate and delayed outcomes of non-stented tubularized incised plate (TIP) distal hypospadias repair.
Endovascular Management of Renal Arteriovenous Fistula with Large Aneurysm Masquerading as a Renal Cyst
Large renal aneurysms can masquerade as simple renal cysts on ultrasound, especially if Doppler examination is not routinely done to assess flow characteristics. We present a case report of a 26 year old male, as a clinical challenge in urology, who had minimal symptoms, yet had an arteriovenous fistula (AVF) with a large aneurysm which was diagnosed as a parapelvic cyst on ultrasound. Endovascular treatment of the AVF was done using a vascular plug with satisfactory outcomes.
Mirabegron versus solifenacin in multiple sclerosis patients with overactive bladder symptoms: a prospective comparative non-randomized study
To determine the patient-perceived effectiveness and tolerability of mirabegron compared to solifenacin in a multiple sclerosis (MS) population with overactive bladder (OAB) symptoms.
To identify racial and sex disparities in the treatment and outcomes of muscle-invasive bladder cancer (MIBC) using a nationwide oncology outcomes database.
Warfarin induced spontaneous retroperitoneal hemorrhage in a patient with metallic mitral valve – dilemmas in management
We report a 70-year-old gentleman who attended the emergency department with a one day history of sudden onset right sided flank pain. He was on warfarin due to metallic mitral valve. On presentation, he was hemodynamically stable, but his international normalised ratio was deranged at 4.7. An initial non-contrast computed tomography (CT) scan of abdomen showed a large right retroperitoneal hematoma and subsequent CT renal angiogram revealed evidence of active bleeding. There were dilemmas whether or not to reverse the effect of warfarin, proceed with angio-embolisation or explore the patient surgically.
“My life is in your hands doctora, whatever you think is best.” What a phrase to hear as a urologist in training. It is, on one hand, exciting to accept the responsibility which we have trained so hard to prepare for. On the other hand, that phrase conveys the immense gravity of such responsibility. In this particular case, my patient was a middle-aged man, Spanish-speaking, with a new diagnosis of low-intermediate risk prostate cancer. I was trying to explain to him his diagnosis and his options, including ADT/radiation and surgery.
Contemporary treatment patterns for Non-Muscle Invasive Bladder Cancer: Has the Use of Radical Cystectomy changed in the BCG Shortage Era?
To examine recent treatment trends for NMIBC, and specifically, to assess whether there was a change in use radical cystectomy (RC) between 2008-2015 using data from the Surveillance, Epidemiology, and End Results database.
Author´s Reply to Editorial Comments to the Original Article: A New Simplified Biplanar (0-90°) Fluoroscopic Puncture Technique for Percutaneous Nephrolithotomy. Reducing Fluoroscopy without Ultrasound. Initial Experience and Outcomes.
We appreciate the author's comments, and we are sure they will help reinforce the main principles of the new simplified 0-90° biplanar fluoroscopic puncture technique1.
A Multi-institutional Experience with Robotic Ureteroplasty with Buccal Mucosa Graft: An Updated Analysis of Intermediate-Term Outcomes
To update our prior multi-institutional experience with robotic ureteroplasty with buccal mucosa graft and analyze our intermediate-term outcomes. Although our previous multi-institutional report provided significant insight into the safety and efficacy associated with robotic ureteroplasty with buccal mucosa graft, it was limited by small patient numbers.
To evaluate multidisciplinary female representation at urologic oncology conferences, we reviewed speakership trends at contemporary Society of Urologic Oncology (SUO) and American Society of Clinical Oncology Genitourinary Symposium (GU-ASCO) annual meetings.
Comment: A New Simplified Biplanar (0-90°) Fluoroscopic Puncture Technique for Percutaneous Nephrolithotomy. Reducing Fluoroscopy Without Ultrasound. Initial Experience and Outcomes.
Percutaneous renal access is the most crucial step in having a complication free percutaneous nephrolithotomy (PCNL).Despite the advances in technology, access still generates interest amongst endourologists. The three most important steps in a good percutaneous renal access are to determine the skin site from where the puncture should be made, what should be the trajectory of the puncture and at what depth a successful puncture will be achieved.
We sought to evaluate reproductive outcomes in men undergoing vasectomy reversal (VR) aged ≥50 versus <50 years.
Renal hilar clamping during a robotic partial nephrectomy is essential for a successful, nephron-sparing tumor resection. Standard robotic bulldog clamps are modified to accommodate multiport robotic surgical systems with alterations including knobs to fit robotic forceps and reduced spring tension. Despite the lower spring tension, a standard robotic bulldog clamp cannot be loaded and opened using one Single Port robotic arm. The angled path instrument cables take through multiple robotic arm articulations lowers the maximum force generated by Single Port instruments to below what is necessary to load and open a robotic bulldog clamp.
The recent murders of Breonna Taylor, George Floyd, Tony McDade, and countless others, and the disproportionate toll of COVID-19 on communities of color, have exposed deep wounds in our country. As our nation confronts systemic racism, we must all reflect upon our own contributions to the current crisis and on actions we must take to create sustainable change.
The remaining ipsilateral ureteral orifice provokes intravesical tumor recurrence after nephroureterectomy for upper tract urothelial carcinoma: A multicenter study with a mid-term follow-up
To investigate the impact of the remnant ureteral orifice (RUO) on the prognosis of upper tract urothelial carcinoma (UTUC), because the presence of an ipsilateral intact ureteral orifice is not an uncommon finding during follow-up cystoscopy despite the clinical relevance of bladder cuffing during radical nephroureterectomy (RNU) for the management of UTUC.
Urothelial carcinoma (UC) is the fifth most common malignancy in the world and is comprised of bladder tumors (90%) and upper-tract urinary carcinomas (UTUC) (5-10%).1 Patients with both bladder and upper tract involvement have increased risk of distant metastasis with the most important prognostic determinants being tumor grade and stage.2
Novel creation of a non-everted stoma during ileal conduit urinary diversion: technique and short-term outcomes
To report our experience with a non-everted stoma technique used in ileal conduit urinary diversion. We successfully utilize this technique in patients when traditional everted stoma maturation is difficult due to a thick abdominal wall, bulky mesentery, and poor bowel compliance.
Can YouTube English videos be recommended as an accurate source for learning about testicular self-examination?
To evaluate the content, reliability and quality of the most viewed YouTube videos related to testicular self-examination (TSE).
A novel surgical technique for treatment of renal stones in preschool-aged patients: initial experience with needle-perc
To describe and evaluate our newly developed minimal instrumentation technique, needle-perc, for treatment of preschool-aged patients with renal stones. To the best of our knowledge, this is the smallest endoscopic equipment for percutaneous nephrolithotomy reported thus far.