Urology News Feeds
Testicular torsion in children is not uncommon emergency problem which occur due to twist in the spermatic cord leading to ischemia or infarction to testicle. Hemorrhagic infarction can occur following testicular torsion is globally, however, in extremely rare situation such infarction can be segmental.Segmental testicular infarction (STI) was reported in an infant due to epididymitis and a newborn with STI in 1 testicle with complete infarction in the contralateral testicle due to birth trauma.
To prove that incidence of UTI after a pediatric urodynamic study (UDS) is low, and that patients without urine culture (UC) analysis prior to a UDS will not have a significant increase in the incidence of UTI (post-UDS UTI).
Patterns of initial metastatic recurrence after surgery for high-risk non-metastatic renal cell carcinoma
To evaluate postoperative recurrence patterns for high-risk non-metastatic renal cell carcinoma (RCC) and to identify prognostic factors associated with site-specific metastatic recurrence using a multi-institutional contemporary cohort.
Outreach and influence of surgical societies` recommendations on minimally invasive surgery during the COVID-19 pandemic – an anonymized international urologic expert inquiry
To assess the outreach and influence of the main recommendations of surgical governing bodies on adaptation of minimally invasive laparoscopic surgery (MIS) procedures during the COVID-19 pandemic in an anonymized multi-institutional survey.
Impact of the MyProstateScore (MPS) test on the clinical decision to undergo prostate biopsy: results from a contemporary academic practice
To evaluate the association of the MyProstateScore(MPS) urine test on the decision to undergo biopsy in men referred for prostate biopsy in urology practice.
Inflammatory Myofibroblastic Tumor of the Urinary Bladder and Ureter in Children: Experience of a Tertiary Referral Center
To present the clinicopathological characteristics and outcome of children with bladder and ureteral inflammatory myofibroblastic tumors (IMTs) in our center.
Significant Management Variability of Urethral stricture Disease in United States: Data from the AUA Quality (AQUA) Registry
To determine the degree of contemporary practice variation for the treatment of urethral stricture disease (USD) given repeated endoscopic management yields poor long-term success.
Supernumerary Kidney Associated with Horseshoe Malformation and Ureteric Stricture with Hydroureteronephrosis – A Rare Case
Supernumerary kidney is an accessory kidney with its own vasculature, collecting-system and encapsulated parenchyma with about 100 cases reported in the literature. However, there is no report of supernumerary kidney associated with horseshoe malformation with ureteric stricture. We report a rare case of 20-months-old female admitted with left-sided abdomen lump and mild abdominal pain. During surgery, supernumerary kidney with horseshoe component with grossly-dilated left-sided pelvicalyceal system and proximal 1-cm of left-ureter, distal to which whole of left-ureter was noncanalized, was seen.
Variations in Peri-Operative Antibiotic Prescriptions Among Academic Urologists After Ambulatory Endoscopic Urologic Surgery: Impact on Infection Rates and Validation of 2019 Best Practice Statement
: To evaluate adherence to the AUA best practice statement guidelines regarding antibiotic duration in the peri-operative setting for endoscopic urologic surgery. We assessed concordance to these guidelines among adult urologists at a single academic institution and its correlation with post-operative positive urine cultures as it relates to the revised 2019 best practice statement.
Safety and Efficacy of Collagenase Clostridium histolyticum in the Treatment of Acute Phase Peyronie's Disease: A multi-institutional analysis
To study, in a multi-institutional setting, the efficacy/safety outcomes in acute phase Peyronie's Disease (PD) of multiple high-volume centers employing CCH to treat PD, which is defined as the abnormal formation of fibrous plaque(s) in the tunica albuginea of the penis. It is a chronic condition that afflicts 3% to 13% of the US male population. There is no current multi-institutional research on the efficacy and safety of collagenase Clostridium histolyticum (CCH) in the treatment of acute phase PD.
Robot-assisted laparoscopic bladder diverticulectomy: adaptation of techniques for a variety of clinical presentations
To report our experience in robot-assisted laparoscopic bladder diverticulectomy (RALBD) with a focus on technical modifications aimed at accommodating for differences in anatomy and pathologies.
Overtreatment and underutilization of watchful waiting in men with limited life expectancy: an analysis of the Michigan Urological Surgery Improvement Collaborative Registry
To determine rates of watchful waiting (WW) vs. treatment in prostate cancer (PCa) and limited life expectancy (LE) and assess determinants of management.
To establish the rates of self-reported SDM and decision aid use among practicing urologists. Additionally, we aim to determine the practice factors that influence SDM use.
Does ureteral stent drainage prior to cystectomy increase the risk of subsequent upper tract urothelial carcinoma and ureteral complications?
To guide management of preoperative hydronephrosis prior to radical cystectomy (RC), we compared post-RC risks of upper tract urothelial carcinoma (UTUC) and ureteroenteric anastomotic complications between ureteral stent and percutaneous nephrostomy tube drainage.
To assess the histologic findings in the pubic bone resected during extirpative surgery for urinary pubic symphysis fistula (UPF). The concurrent presence of osteomyelitis and the need for bone resection at time of extirpative surgery for UPF has been debated. We hypothesized that UPF results in histopathologically confirmed osteomyelitis, underscoring the importance of bone resection at the time of surgery.
To better understand the risk of genitourinary malignancies in the renal transplant patient. Currently, no consensus exists regarding screening and intervention, with much of the clinical decision-making based on historical practices established before recent progress in immunosuppression protocols and in genitourinary cancer diagnosis and management.
A 21-year old Hispanic female arrived to the emergency department (ED) with sudden onset of generalized abdominal pain. She reported drinking alcohol the night before and stated that the symptoms developed after she was done drinking, about 19 hours prior to presentation. She denied any falls, trauma or injury when she was out drinking. Movement, and inspiration exacerbated the pain. The patient also reported that she has had no desire to void since the pain started. She took ibuprofen, but it did not provide relief.
High submuscular (HSM) placement of inflatable penile prosthesis (IPP) reservoirs is a promising new FDA approved alternative to traditional space of Retzius (SOR) reservoir placement. In 2011, we began placing all reservoirs in a HSM position at our tertiary center. In 2014, we proposed a refined, “Five-Step” HSM reservoir placement technique (FST) to prevent deep pelvic complications.
Three-tiered sub-classification system of high-risk prostate cancer in men managed with radical prostatectomy: Implications for treatment decision-making
: To inform treatment decisions for patients with high-risk prostate cancer (PCa), we determined rates of adverse pathologic factors and overall survival (OS) among subgroups of high-risk men.
To demonstrate our hypothesis that the presence of extravasation on post-operative urethrogram is inconsequential for disease recurrence in urethroplasty post-operative follow-up.