Urology News Feeds

To evaluate contemporary trends in the management of SRMs and how patient age has impacted practice patterns

A 38-year-old Caucasian male with a complex urologic history of renal transplantation and ileal conduit urinary diversion was admitted with acute renal failure and found to have an obstructing ileal conduit mass. The patient's history was notable for posterior urethral valves status post ablation as an infant, construction of a catheterizable channel at age 2, ileal conduit urinary diversion at age 4, left nephrectomy for recurrent pyelonephritis in a nonfunctioning kidney at age 7, and living-related kidney transplant for progressive chronic kidney disease at age 27.

To demonstrate the surgical considerations for managing retained UroLift implants when performing HOLEP. Prostatic Urethral Lift via the UroLift System has become a common treatment modality to manage symptoms associated with benign prostatic hyperplasia. The UroLift procedure uses non-absorbable implants to retract obstructing prostate lobes. Retreatment rates following UroLift have been reported at 13.6% over 5 years. 1 We anticipate an increasing number of men seeking definitive surgical management after failed Urolift.

Vaginal fibroepithelial polyps in newborn females are rare. There are only four previously documented reports.1-4 There have been no reported cases of a single infant with multiple broad-based polyps that were not amendable to full resection. All other reported cases of this particular disorder in the newborn period have been of a singular fibroepithelial vaginal polyp. In this case report, the diagnosis and management of a neonatal female with a rare type of interlabial mass is reviewed.

To model the risk of radiation-induced malignancy from CT Urography in evaluation of gross hematuria and contrast this with the benefits of urinary tract cancer detection when compared to renal ultrasound.

To present our experience using the early unclamping technique for robotic partial nephrectomy with particular attention to delayed complications, namely pseudoaneurysm and urine leak. We hypothesized that early hilar unclamping allows for improved control of end arteries and renorrhaphy after tumor resection, reducing overall delayed complications after partial nephrectomy with no increased risk of blood transfusion.

We present a 53-year-old man with a multilocular solid and cystic mass measuring 19 cm on cross-sectional imaging. After undergoing pelvic mass excision, final histopathology confirmed the diagnosis of primary prostatic stromal tumor of uncertain malignant potential (STUMP). Prostatic STUMPs are rare mesenchymal tumors with diverse histological patterns. They are distinct from prostatic stromal sarcomas as they do not behave aggressively, although some may occasionally demonstrate local recurrence after resection.

To present a configurable mathematical method to optimize long term clinical decision-making for benign prostatic hyperplasia.

To evaluate the impact of Greenlight™ 180W photoselective vaporization of the prostate (PVP) and endoscopic enucleation of the prostate (GreenLEP) on ejaculatory and erectile functions (EF).

To evaluate the outcomes of Thulium laser enucleation of the prostate (ThuLEP) in men aged ≥75 years compared to youngers. Traditional surgery has increased and significant morbidity in older men. Lasers have been introduced as an alternative approach to overcome the morbidity of traditional surgery.

To assess blood loss during holmium laser enucleation of the prostate (HoLEP) and investigate the factors influencing it.

To identify factors associated with non-muscle invasive bladder cancer (NMIBC) AUA guideline compliance in a rural state, to evaluate compliance rates over time, and to assess the impact of patient and provider rurality on delivery of NMIBC care.

The objective of this study is to report a benign mesenchymal neoplasm, cellular angiofibroma (CAF). We describe a 34-year-old male with a 4-month history of a painless right inguinal mass. CT scan of the abdomen and pelvis showed a 6.6 cm, oval-shaped mass without any distinguishing radiographical features. Surgical excision of the mass was performed. Tissue was extracted for immunohistochemical analysis, which stained positive for CD34 and Desmin, confirming CAF of the spermatic cord. Thus, this report highlights the importance of a challenging diagnostic case for providers due to the narrow range of imaging modalities and therefore limited treatment options.

To describe a novel surgical option for cystolithiasis management in female patients with no urethral access and prior abdominal surgeries. We present a 51-year-old female with a history of traumatic spinal cord injury with pelvic fractures and resultant neurogenic bladder. She underwent transabdominal bladder neck closure and bladder augmentation with continent diversion two years prior. CT abdomen/pelvis demonstrated a 3cm stone and significant amount of bowel anterior to the bladder.

To present outcomes of a simplified GreenLight laser enucleation of the prostate (GreenLEP) technique and to inform urologists considering incorporation of enucleation into their practice.

To quantify how surgeons translate two-dimensional (2D) CT or MRI data to a three-dimensional (3D) model and evaluate if 3D printed models improve tumor localization.

To describe utilization patterns of ureteral stent placement during ESWL.

Nocturnal polyuria (NP), the most common etiology of nocturia, can be caused by various medical conditions, including cardiovascular disease, obstructive sleep apnea, renal tubular dysfunction, as well as medications (e.g. diuretics) and/or behavioral patterns. NP in the absence of underlying medical conditions has been described as nocturnal polyuria syndrome (NPS) and is thought be the result of impaired circadian release of endogenous arginine vasopressin (AVP). Desmopressin, a synthetic AVP analog, has been shown to be an effective replacement therapy in adults with nocturia due to NP.

Acute pancreatitis a common diagnosis. Although extremely rare, extravasated pancreatic fluid has the potential to third-space into the peritoneal cavity or retroperitoneal space. We report the case of a 33-year old male with idiopathic subacute pancreatitis who developed acute scrotal pain and swelling. Computer tomography (CT) of the abdomen/pelvis revealed tracking of peritoneal fluid into the scrotum consistent with a pancreatic hydrocele, confirmed by ultrasound. He was taken to the operating room for exploration and evacuation of the scrotal hydrocele.

An otherwise healthy 25-year-old woman diagnosed with a renal neoplasm on work-up of new onset hypertension was referred to Urology clinic for further evaluation and management. The patient initially presented to her primary care provider three weeks prior for a well visit and was diagnosed with stage 2 hypertension with a blood pressure of 172/117 mmHg and heart rate of 87 beats per minute. She endorsed history of intermittent headaches, but denied palpitations, diaphoresis, anxiety, or visual changes.