Urology News Feeds

Male Circumcision Complications - A systematic review, meta-analysis and meta-regression

Urology (Gold Journal) In Press - Tue, 02/02/2021 - 00:00
To determine the risk of complications requiring treatment following male circumcision by health-care professionals and to explore the impact of participant characteristics, type of circumcision and study design.
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Photoselective Vaporization of the Prostate in the Management of Lower Urinary Tract Symptoms in Prostate Cancer Patients on Active Surveillance

Urology (Gold Journal) In Press - Mon, 02/01/2021 - 00:00
To demonstrate the safety and efficacy of photoselective vaporization of the prostate in alleviating refractory lower urinary tract symptoms in prostate cancer patients who are managed with active surveillance and to explore the association of this procedure with PSA levels and cancer progression rates.
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The Clinical and Pathologic Relevance of a Prostate MRI Diagnosis of "Prostatitis"

Urology (Gold Journal) In Press - Mon, 02/01/2021 - 00:00
To investigate the relationship between MRI evidence of prostatitis with clinical symptomatology. Non-malignant abnormalities in peripheral zone are common in prostate mpMRI. These findings are sometimes reported as “prostatitis” or “inflammation” and lead to patient anxiety and urologic referral.
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Demographic and Socioeconomic Factors Associated with Urinary Stone Disease Management in a Large Urban US Population

Urology (Gold Journal) In Press - Fri, 01/29/2021 - 00:00
To determine the influence of socioeconomic parameters on urinary stone surgeries.
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Patterns of recurrence, detection rates, and impact of 18-F Fluciclovine PET/CT on the management of men with recurrent prostate cancer

Urology (Gold Journal) In Press - Thu, 01/28/2021 - 00:00
To evaluate the characteristics of FACBC PET/CT in detecting recurrent prostate cancer after radiation or prostatectomy. The secondary aim was to determine the impact of FACBC PET/CT on radiation treatment recommendations in men with biochemical recurrence post-prostatectomy.
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Guideline-Discordant Preoperative Gentamicin Dosing and the Risk of Gentamicin Associated Nephrotoxicity in Urologic Surgery

Urology (Gold Journal) In Press - Thu, 01/28/2021 - 00:00
To determine the rate of and predictors for guideline-discordant preoperative gentamicin dosing in urologic surgery and to assess the risk of nephrotoxicity in patients who receive the recommended high-dose prophylaxis.
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ERECTILE FUNCTION POST PROSTATE BIOPSY: A SYSTEMATIC REVIEW AND META-ANALYSIS

Urology (Gold Journal) In Press - Thu, 01/28/2021 - 00:00
To determine the effect of prostate biopsy on erectile function we conducted a systematic review and meta-analysis up to August 2020. Mean difference of International Index of Erectile Function-5 (IIEF5) compared to baseline scores were pooled at one, three and six-months using a random effect model. Of 47 full text articles identified, 7 were included in the meta-analysis. A significant reduction in mean IIEF5 of 4.61 (0.32-8.91, p=0.04) was found at one-month post biopsy. This resolved with non-significant differences at three- and six-months post procedure.
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Long-term Kidney Outcomes in Exstrophy-Epispadias Complex: How Patients Present as Adults

Urology (Gold Journal) In Press - Thu, 01/28/2021 - 00:00
To characterize kidney function in patients with exstrophy-epispadias complex (EEC) at time of presentation for adult urologic care.
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Testosterone and Estrogen Repletion in a Hypogonadal Environment Improves Post-operative Angiogenesis

Urology (Gold Journal) In Press - Thu, 01/28/2021 - 00:00
To determine the effects of perioperative hormone supplementation on postoperative periurethral angiogenesis in the setting of hypogonadism, we analyzed the urethral tissue of castrated Sprague Dawley rats supplemented with testosterone or estrogen who underwent a urethral surgery and compared it to those that did not.
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Protective Effects of Metformin against Biochemical Failure Following Radical Prostatectomy or Radiation Therapy in Localized Prostate Cancer

Urology (Gold Journal) In Press - Wed, 01/27/2021 - 00:00
To assess the impact of metformin on biochemical failure (BF) in localized prostate cancers (PC) treated with radical prostatectomy (RP) or radiation therapy (RT).
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Prescribing Trends in Post-Operative Pain Management After Urologic Surgery: A Quality Care Investigation for Healthcare Providers

Urology (Gold Journal) In Press - Fri, 01/22/2021 - 00:00
To assess prescribing and refilling trends of narcotics in postoperative urology patients at our institution. Although the opioid epidemic remains a public health threat, no series has assessed prescribing patterns across urologic surgery disciplines following discharge.
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RE: Retzius Sparing Prostatectomy Effect on Symptomatic Lymphocele Rates

Urology (Gold Journal) In Press - Fri, 01/22/2021 - 00:00
We read with great interest the article by Wong et al.1 reporting on the lymphocele rates following Retzius sparing robotic radical prostatectomy and recently published in Urology. The authors should be commended for describing very honestly a complication which is probably under reported in the scientific literature2. We have been devoting a lot of attention to the assessment of post-prostatectomy complications3 and we have shown that the overall complications rate increases if the patients are actively searched during the first three postoperative months to verify their actual condition.
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Letter-to-the-Editor Reply

Urology (Gold Journal) In Press - Fri, 01/22/2021 - 00:00
We thank you for your interest in our recent article evaluating patients’ HRQOL and stone-free status following kidney stone surgery. We are pleased with the dialogue our findings are generating and hope this propels the emphasis of HRQOL as an important measurement of treatment success. We acknowledge the limitations of retrospective cross-sectional studies, such as ours. Despite this, we hope our study serves as a guide for future studies.
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Streeper NM, Galida M, Boltz S, Li S, Nakada SY, Raffin EP, Brown DR, Pais VM, Chan JYH, Scotland KB, Chew BH, Penniston KL (2020) Is Stone-Free Status After Surgical Intervention for Kidney Stones Associated with Better Health-Related Quality of Life?...

Urology (Gold Journal) In Press - Fri, 01/22/2021 - 00:00
I read the article ‘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’ by Streeper et al.1 with great interest. In their article authors aimed to determine the effects of residual fragments of patients’ quality of life using a stone-specific and validated questionnaire (Wisconsin Stone Quality of Life (WISQOL) following endoscopic stone surgery. The authors reported that there was no statistically significance between QoL scores of patients rendered stone free and patients had residual fragments.
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The management of complications of feminizing gender affirming genital surgery

Urology (Gold Journal) In Press - Fri, 01/22/2021 - 00:00
Penile inversion vaginoplasty is the most common technique used for gender affirming genital surgery in the treatment of gender dysphoria among transwomen. As vaginoplasty becomes more widely available, the management of associated complications has become its own field. There is a relative dearth of literature on surgery for complications following vaginoplasty. This review illustrates surgical technique and management options for patient reported complaints and complications following vaginoplasty.
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Magnetic Double-J-Stent Removal without General Anaesthesia in Children

Urology (Gold Journal) In Press - Fri, 01/22/2021 - 00:00
To show the feasibility of magnetic double-J-stent (mDJS) removal without general anesthesia in infants and children.
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Robotic-Assisted Vaginectomy during Staged Gender-Affirming Penile Reconstruction Surgery: Technique and Outcomes

Urology (Gold Journal) In Press - Fri, 01/22/2021 - 00:00
To report our novel technique and mid-term follow up for robotic-assisted laparoscopic vaginectomy (RALV), a component procedure of staged gender-affirming penile reconstructive surgery (GAPRS).
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Laparoscopic upper-pole heminephrectomy for the management of duplex kidney: outcomes of a multicenter cohort.

Urology (Gold Journal) In Press - Fri, 01/22/2021 - 00:00
To analyze the outcomes of patients undergoing upper-pole heminephrectomy surgery and to assess the different variables that may have an impact on outcome, specifically regarding morbidity and the need for further surgeries.
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Prostatic Urethral Lift in Patients with Obstructive Median Lobes: A Single Surgeon Experience at an Academic Center

Urology (Gold Journal) In Press - Fri, 01/22/2021 - 00:00
To examine the long-term efficacy of Prostatic Urethral Lift (PUL) for treating men, with or without an obstructive median lobe (OML), who suffer from lower urinary tract symptoms (LUTS) attributed to benign prostatic hyperplasia (BPH).
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Re: Pentosan Polysulfate Maculopathy: What Urologists Should Know in 2020

Urology (Gold Journal) In Press - Fri, 01/22/2021 - 00:00
I was pleased to see the systematic review of pentosan polysulfate (PPS) maculopathy by Paredes Mogica and De1, in which the authors provide a valuable summary of our current understanding of this condition. Although there is a growing body of literature on the topic in ophthalmic journals2-6, it is important that urologists assimilate our findings of this drug-associated retinal disease when making treatment decisions for patients with interstitial cystitis (IC).
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