Urology News Feeds

The Patient Beyond the Sphincter–Cognitive and Functional Considerations Affecting the Natural History of Artificial Urinary Sphincters

Urology (Gold Journal) In Press - Sat, 11/30/2019 - 00:00
Artificial urinary sphincters (AUS) are common. Life expectancy at average implantation (71.5 years) is 14 years. During this period patients must still possess manual dexterity and cognitive capabilities needed to operate the AUS, otherwise it is practically unfunctional. Still, available data regarding AUS durability deal with medical&mechanical factors. Issues as age related deteriorating manual dexterity&cognitive capabilities precluding patients from operating an apparently intact AUS have not been addressed.
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Neurofibromatosis-1 and Rhabdomyosarcoma: An Unusual Recurrence

Urology (Gold Journal) In Press - Sat, 11/30/2019 - 00:00
Neurofibromatosis-1 (NF-1) has a known increased risk of malignancy with rhabdomyosarcoma occurring in up to 6% of patients. Here we report on an 8-year-old male with a history of NF-1and previously treated stage 3, group III bladder/prostate embryonal rhabdomyosarcoma (diagnosed at 18 months old) who presented with penile swelling concerning for priapism. Imaging and subsequent biopsy confirmed embryonal rhabdomyosarcoma of the penile corporal bodies. Penile rhabdomyosarcoma is exceedingly rare, with less than 15 case reports in the literature.
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Urethral Defect in Setting of Recurrent Urethral Foreign Body Insertion

Urology (Gold Journal) In Press - Sat, 11/30/2019 - 00:00
We present a case of recurrent episodes of foreign body insertion into the urethra, ultimately resulting in urethral defect at the penoscrotal junction. We have decided against treating the urethral defect as it facilitates non-operative retrieval of the urethral foreign bodies. We present our experience and rationale for the clinical management of this complex patient.
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A preliminary study on the impact of detrusor overactivity on the efficacy of selective bladder denervation for the treatment of female refractory overactive bladder

Urology (Gold Journal) In Press - Sat, 11/30/2019 - 00:00
To determine whether the presence of detrusor overactivity (DO) is associated with the 12-week and 12-month clinical outcomes of selective bladder denervation (SBD) in women with refractory overactive bladder (OAB).
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Comparative study of Holmium Laser Enucleation of the Prostate (HoLEP) with MOSES Enabled Pulsed Laser Modulation

Urology (Gold Journal) In Press - Fri, 11/29/2019 - 00:00
To compare outcomes for patients undergoing Holmium Laser Enucleation of the Prostate (HoLEP) for lower urinary tract symptoms secondary to benign prostate hyperplasia (LUTS/BPH) using 3 different laser fibers and two different laser energy modes.
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Willingness to Participate in Home Screening for Urologic Cancers in the General Population: An Online Survey of Over 1,400 Adults

Urology (Gold Journal) In Press - Fri, 11/29/2019 - 00:00
To assess willingness of adults to undergo home screening for urologic cancers via urine dipstick and determine the effect of an educational pamphlet on hematuria on screening willingness and knowledge of hematuria.
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Robotic Excision of Vaginal Remnant/Urethral Diverticulum for Relief of Urinary Symptoms Following Phalloplasty in Transgender Men

Urology (Gold Journal) In Press - Fri, 11/29/2019 - 00:00
To describe the technique of robotic remnant vaginectomy/excision of urethral diverticulum in transmen and report post-operative outcomes.
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A case of ureterocutaneous fistula after nephrectomy

Urology (Gold Journal) In Press - Fri, 11/29/2019 - 00:00
A 79-year-old female presented to our urologic outpatient clinic with a chief complaint of intermittent discharge over her left flank operation scar for several years. The patient's medical history is significant for hypertension, lumbar spondylolisthesis status post posterior lumbar inter body fusion, and left nephrectomy due to infected stone disease 40 years ago. She described the discharge as coming directly out of the nephrectomy scar, watery and semi-transparent in nature, and without odor.
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Robotic Bladder Neck Reconstruction with Mitrofanoff Appendicovesicostomy in a Neurogenic Bladder Patient

Urology (Gold Journal) In Press - Fri, 11/29/2019 - 00:00
Robot-assisted laparoscopic (RAL) techniques for the management of neurogenic bladder involves complex procedures using lower urinary tract and bowel. When medical therapy fails, surgery aims to preserve upper tract function and social continence [1].Traditionally, the procedure was performed in an open approach, but newer minimally-invasive techniques offer improved cosmesis, reduced pain and length of stay [2]. A series of 38 cases showed the feasibility and safety of this approach [3]. Here, we describe a RAL bladder neck reconstruction/appendicovesicostomy (BNR/APV) in a 7-year-old with neurogenic bladder.
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“Sterile” Epididymal Abscess with Contralateral Intratesticular Recurrence

Urology (Gold Journal) In Press - Fri, 11/29/2019 - 00:00
Bacterial infection from sexually transmitted diseases or urinary tract infection may result in epididymitis via bacterial ascent through the urogenital tract.1 Epididymitis is a clinical diagnosis associated with the presence of an enlarged, inflamed, painful unilateral epididymis, with or without voiding complaints. Orchitis usually occurs with epididymitis (except when the etiology is viral).1 Symptoms may be gradual in onset and signs of systemic infection, such as fever, may also be present.
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Is it time to say goodbye to culture and sensitivity? The case for culture-independent urology.

Urology (Gold Journal) In Press - Thu, 11/28/2019 - 00:00
Next-Generation sequencing (NGS) has highlighted the limitations of conventional culture methods in the role of urology whilst discovering the intricate details of the role of microbiota in urologic health and disease. This review article explores: the utility and limitations of conventional culture methods; how culture-independent technologies are revolutionising medicine; and how the implementation of these technologies may lead to improved patient outcomes. Finally, this article discusses the barriers to widespread adoption of culture-independent technologies, with suggestions for how these hurdles may be overcome.
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Prostate Cancer in Men with Treated Advanced Heart Failure: Should we keep Screening?

Urology (Gold Journal) In Press - Thu, 11/28/2019 - 00:00
To evaluate the outcomes of men diagnosed with prostate cancer (PCa) following implanted treatments for advanced heart failure. Given the increasingly favorable 10-year life expectancy, MedStar Washington Hospital Center (MWHC) screens heart transplant (HT) candidates for PCa and other malignancies prior to intervention.
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The Association of Urologic Oncology Fellowship Training and Diagnostic Yield of Prostate Biopsy

Urology (Gold Journal) In Press - Wed, 11/27/2019 - 00:00
To determine the relationship between urologic oncology fellowship training (UOFT) and diagnostic yield of prostate biopsy.
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Reversing the Decline in Urology Residency Applications: An Analysis of Medical School Factors Critical to Maintaining Student Interest

Urology (Gold Journal) In Press - Wed, 11/27/2019 - 00:00
To identify institutional factors that predict medical student decision to apply for the urology match.
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Eighteen-Year Review of Resident Performance on the American Urological Association In-Service Examination

Urology (Gold Journal) In Press - Wed, 11/27/2019 - 00:00
To analyze national performance trends of urology residents on the American Urological Association In-Service Examination (ISE) over the last 18 years.
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OPTIMIZING OPIOID PAIN MEDICATION USE AFTER VASECTOMY. A PROSPECTIVE STUDY

Urology (Gold Journal) In Press - Mon, 11/25/2019 - 00:00
To act as good stewards, urologists need to balance patient's pain requirements against the risk of narcotic abuse.
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POOR COMPLIANCE WITH POST-VASECTOMY SEMEN TESTING: ANALYSIS OF FACTORS AND BARRIERS

Urology (Gold Journal) In Press - Mon, 11/25/2019 - 00:00
To ensure procedure success, American Urological Association Guidelines recommend post-vasectomy semen analysis; however, current literature suggests poor compliance. We sought to measure post-vasectomy semen analysis compliance and assess barriers to completion.
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Health Care Disparities in Urologic Oncology: A Systematic Review

Urology (Gold Journal) In Press - Sat, 11/23/2019 - 00:00
For prostate cancer (PCa), we review racial differences in incidence, androgen pathways, growth factors, tumor location, rate of definitive treatment, and outcomes. We review the effect of race on risk-stratification and discuss studies of active surveillance in the African American (AA) population. For bladder cancer, race- and gender- associated differences in incidence, sex hormone pathways. For renal cell carcinoma (RCC), disparities in incidence, genetic factors, tumor pathology, time to presentation, and disease specific survival have been observed.
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Local Control of Perineal Rhabdomyosarcoma: Are Current Recommendations Adequate?

Urology (Gold Journal) In Press - Sat, 11/23/2019 - 00:00
Rhabdomyosarcoma (RMS) is a rare malignancy that can develop in nearly any soft-tissue of the body. Location of the primary tumor affects treatment strategy and prognosis, and RMS of the perineal areas can be especially difficult to treat successfully. RMS is treated systemically with chemotherapy. Local control options include surgical excision, radiation treatment (RT), or a combination of the two. Treating RMS with RT can be challenging due to the absence of standardized dosage protocols, along with the presence of conflicting recommendations in the literature.
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Frequency and Variability of Advice Given to Parents on Care of the Uncircumcised Penis by Pediatric Residents: A Need to Improve Education

Urology (Gold Journal) In Press - Fri, 11/22/2019 - 00:00
To understand the extent to which pediatricians are providing advice on care of the uncircumcised penis and the advice they are providing. We hypothesized that pediatric residents lack preparedness to offer parents advice on caring for the uncircumcised penis and as such are unlikely to offer such advice.
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