Urology News Feeds
To describe a technique for perineal urethrostomy (PU) revision using a posterior thigh propeller flap for a complex repair at high risk for stenosis.
Wilms Tumor is the most common malignancy in children. Open traditional approach is often aggressive and offers a burden on the patient's life, imposing longer hospital stays, scarring, and higher levels of complications. Here we present a case of a small child with Wilms tumor on the right kidney that was successfully treated with minimally invasive surgery, with no tumor spillage or rupture, hospital discharge in the next day, and good oncological outcome, with one-year recurrence-free follow up.
An Analysis of a Commercial Database on the Use of Erectile Dysfunction Treatments for Men with Employer-sponsored Health Insurance
To investigate the annual erectile dysfunction (ED) prevalence among men enrolled in an employer-sponsored health insurance (ESHI) plan and evaluate ED treatment profiles among those with an ED diagnosis.
Histological investigation of the female vesicourethral junction and adjacent tissues for nerve-sparing radical cystectomy
To understand the structures around the vesicourethral junction and to improve functional outcomes after nerve-sparing radical cystectomy with orthotopic urinary diversion for female patients, we histologically elucidated the fibromuscular construction and nerve distribution around the vesicourethral junction.
Does Timing of Diagnosis and Management of Iatrogenic Ureter Injuries Affect Outcomes? Experience from a tertiary center
To report urologic outcomes from a series of IUIs, sustained during non-urologic procedures, with regards to timing of diagnosis and management of the injury. Iatrogenic ureteral injury (IUI) is the most common mechanism of ureteral trauma. Injuries can be intraoperatively diagnosed (IOD) or postoperatively diagnosed (POD).
Multicystic Dysplastic Kidney (MCDK) is a developmental disease that results in a lobulated kidney of noncommunicating cysts and abnormal parenchymal tissue. Dysplastic kidneys are usually benign and often involute over time with conservative management. The second most common cause of palpable abdominal mass in a neonate, MCDK can cause respiratory distress secondary to extrinsic compression. However, such cases are sparse. Here we present the case of an otherwise healthy term newborn with an exceptionally large MCDK requiring CPAP support and intubation.
Urethral coitus is a rarely reported cause of female urinary incontinence and has been most commonly described in women with vaginal and hymenal anomalies. Herein,we report a 41-year-old woman with a complex obstetric history,who presented with continuous urinary incontinence. On evaluation, she was found to have an abnormally dilated urethral orifice and vaginal stenosis suggestive of chronic urethral coitus . She underwent a reduction urethroplasty with autologous sling insertion and a vaginoplasty using vaginal flaps.
Extended Primary Anastomosis with Penile Plication (EPAPP): A Promising New Alternative to Perineal Urethrostomy for Reconstruction of Long Urethral Strictures
To present excision and primary anastomosis (EPA) urethroplasty as a highly reliable method of reconstruction for short bulbar urethral strictures. Longer strictures are often managed with grafting techniques to ensure a tension free repair. Here we report our initial experience with a new, extended anastomotic technique for long bulbar strictures that incorporates plication of the ventral corporal bodies to reduce the distance between the urethral ends and obviates the need for grafting.
Converting men from Clomiphene Citrate to Natesto for hypogonadism improves libido, maintains semen parameters, and reduces estradiol
To evaluate outcomes including libido, semen parameters, testosterone, estradiol (E2), follicle stimulating hormone (FSH), and luteinizing hormone (LH) when converting men with low libido on Clomiphene Citrate (CC) to Natesto.
Defining the current landscape of women in Urology: an analysis of female applicants, residents, and faculty at AUA-accredited residency programs
To describe the current landscape of women in academic Urology and determine if there is a correlation between female applicant matches and the proportion of female faculty/residents at their home institution or matched program.
Association of Renal Glomerular and Tubular Function with Renal Outcome in Patients with Posterior Urethral Valves
To analyze renal glomerular and tubular function and their association in patients operated for posterior urethral valves (PUV) and to prognosticate the risk for end-stage kidney disease (ESKD)
PNEUMORENUM - A TECHNIQUE TO EASE LAPAROSCOPIC NEPHRECTOMY IN GIANT HYDRONEPHROTIC NON-FUNCTIONING KIDNEY
Laparoscopic nephrectomy in a giant hydronephrotic non-functioning kidney occupying the most of the abdomen is challenging task. To overcome the difficulty in laparoscopic dissection of such kidneys we described a technique “Pneumorenum”, wherein the kidney is decompressed by suction through a 5mm trocar inserted directly into kidney under vision. Following suction decompression, the kidney is inflated later during dissection with carbon dioxide gas to moderate size to do the dissection in an easy manner.
Variants of bladder exstrophy are a rare but diverse spectrum of bladder exstrophy-epispadias complex. This case series describes a group of four unique exstrophy variant cases who had an intact phallus, but a completely open bladder plate. These patients underwent exstrophy repair and concomitant umbilicoplasty at the Civil Hospital, Ahmedabad as part of the U.S.-India Multi-institutional Bladder Exstrophy Collaboration and were followed at the same institution. We believe that a detailed assessment of bladder neck prior to reconstructive repair and bladder closure would be beneficial in these cases as the extent of bladder neck involvement would affect reconstructive approach.
National trends in neuromodulation for urinary incontinence among insured adult women and men, 2004-2013: the Urologic Diseases in America Project
To examine US trends in neuromodulation for urinary incontinence (UI) treatment from 2004-2013.
In 1943, Southwestern Medical College (now University of Texas Southwestern Medical Center or UTSW) was founded in an old army barracks adjacent to Dallas’ public hospital, Parkland Hospital. In the 1950s, UTSW, still a collection of temporary facilities and “shacks” along the side of a nearly abandoned road, hired a young nephrologist named Donald Seldin as its Dean, who began a rigorous academic and physical transformation of the institution 1. Seldin later said, “The medical school in the 1950s had almost no financial resources whatsoever and the facilities were poor.
Is Stone-Free Status After Surgical Intervention for Kidney Stones Associated with Better Health-Related Quality of Life? - A Multicenter Study from the North American Stone Quality of Life Consortium
To compare the health-related quality of life (HRQOL) of patients with residual fragments after surgical intervention for kidney stones to patients that are stone-free using the disease-specific WISQOL questionnaire. Kidney stones contribute to impaired HRQOL, which is increasingly recognized as an important healthcare outcome measurement.
Adrenal incidentalomas are common neoplasms and while they are often benign, they have the potential to be malignant. The American Urological Association guidelines state that adrenal incidentalomas should be surgically resected if they are large, metabolically active, and display malignant characteristics. Other groups have suggested that growth kinetics be factored in as well. We present a case of an adult woman with adrenal incidentaloma which was subsequently discovered to be a primary adrenal leiomyosarcoma, a rare subtype of soft tissue tumors.
The Impact of Histopathological Features of Prostate Cancerous Lesions on Multiparametric Magnetic Resonance Imaging Findings using PI-RADS version 2
To determine the square measure threshold of prostate cancer lesions in pathological specimens showing PI-RADS categories 3 to 5, and to identify the pathological characteristics of cancerous lesions over the threshold.
To create and validate a grading scale that facilitates communication between providers managing gross hematuria (GH).
Challenging Ethical Scenarios in the Surgical Treatment of Erectile Dysfunction: A Survey of High-Volume Penile Prosthesis Surgeons
To investigate how surgeons approach ethically challenging scenarios that arise in penile prosthesis surgery and identify patient-related factors that impact their approach.