Urology News Feeds

The first experience of using the pedicled labia minora flap for urethral lengthening in transgender men undergoing anterolateral thigh and superficial circumflex iliac artery perforator flap phalloplasty: a multicenter study on clinical outcomes.

Urology (Gold Journal) In Press - Sun, 01/05/2020 - 00:00
To describe the novel surgical technique of urethral lengthening in anterolateral thigh (ALT) and superficial circumflex iliac artery perforator flap (SCIP) phalloplasty with a pedicled labia minora flap (PLMF) and report on the clinical outcomes.
Categories: Urology News Feeds

Single Port and Multi-Port Approaches for Robotic Vaginoplasty with the Davydov Technique

Urology (Gold Journal) In Press - Sun, 01/05/2020 - 00:00
To demonstrate the feasibility, surgical technique and initial outcomes of robotic vaginoplasty with peritoneal flap (Davydov) technique for vaginal reconstruction.
Categories: Urology News Feeds

Does Incidental Discovery of Synthetic Sling in the Colon Require Treatment?

Urology (Gold Journal) In Press - Sun, 01/05/2020 - 00:00
Retropubic midurethral sling (RMUS) procedures have become a gold standard for primary stress urinary incontinence (SUI) with more than 3 million synthetic midurethral slings placed since 1995.1 Owing to its minimally invasive approach, there is risk of injury to adjacent structures including the bladder, urethra, major vessels, or bowel. Bowel perforation is a rare complication that often presents in the immediate postoperative period. We report a case of incidentally noted sling mesh in the cecum on screening colonoscopy in an asymptomatic patient four years following RMUS surgery, with no progressive symptoms on close follow-up and no change on colonoscopy six years postoperatively.
Categories: Urology News Feeds

Potential Financial Bias from Speakers at US Food and Drug Administration's Bone, Reproductive, and Urologic Drugs Advisory Committee Meetings

Urology (Gold Journal) In Press - Sun, 01/05/2020 - 00:00
The Bone, Reproductive, and Urologic Drugs Advisory Committee (BRUDAC) is one of 33 Food and Drug Administration (FDA) advisory committees that reviews evidence, hears testimonies, and makes suggestions for or against drug approval to the FDA. Advisory committees typically comprise 10–15 fixed or standing members (BRUDAC has 11 members), including a chairperson.1 Voting members include scientific experts, a consumer representative, and an FDA patient representative; non-voting members include industry representatives2,3 (Table 1).
Categories: Urology News Feeds

Granulomatous Prostatitis Mimicking Prostate Cancer

Urology (Gold Journal) In Press - Tue, 12/31/2019 - 00:00
Multiparametric magnetic resonance imaging (mpMRI) plays an important role in the detection of clinically significant prostate cancer. However, there is some overlap between prostate cancer and granulomatous prostatitis1,2. We describe the imaging features of granulomatous prostatitis, which frequently mimics prostate cancer, and differential diagnosis between these conditions according to Prostate Imaging-Reporting and Data System (PI-RADS) version 2.13,4.
Categories: Urology News Feeds

Bracka's Method of Proximal Hypospadias Repair: Preputial Skin or Buccal Mucosa?

Urology (Gold Journal) In Press - Tue, 12/31/2019 - 00:00
To analyze treatment results of staged surgical repair of proximal forms of hypospadias according to Bracka's technique using preputial vs buccal grafts.
Categories: Urology News Feeds

Determining Clinically-Based Factors Associated with Reclassification in the Pre-MRI Era using a Large Prospective Active Surveillance Cohort

Urology (Gold Journal) In Press - Mon, 12/30/2019 - 00:00
To report biopsy-related and oncologic outcomes in a large prospective active surveillance cohort that was initiated in the pre-MRI era and to additionally identify clinical factors associated with disease reclassification in order to inform future studies designed to improve enrollment and follow-up on AS.
Categories: Urology News Feeds

Treatment preferences of patients with benign prostatic hyperplasia before and after using a web-based decision aid

Urology (Gold Journal) In Press - Mon, 12/30/2019 - 00:00
To evaluate treatment preferences of patients with lower urinary tract symptoms suggestive of benign prostatic hyperplasia (LUTS/BPH) before and after using a web-based decision aid (DA).
Categories: Urology News Feeds

Transrectal Subharmonic Ultrasound Imaging for Prostate Cancer Detection

Urology (Gold Journal) In Press - Mon, 12/30/2019 - 00:00
To assess the PCa detection rates of contrast-enhanced, transrectal subharmonic ultrasound imaging (SHI).
Categories: Urology News Feeds

Risk factors for infection after prostate biopsy in the United States

Urology (Gold Journal) In Press - Mon, 12/30/2019 - 00:00
To characterize trends in the incidence and severity of post-biopsy infection using nationally representative data, given that population-based data have revealed an increasing incidence of post-prostate biopsy infections through 2007. Little is known about contemporary trends in prostate biopsy related infections and associated risk-factors, particularly considering the increased focus on preventative strategies.
Categories: Urology News Feeds

A New Customized Ureteral Stent with Non-Refluxing Silicone End-Piece to Alleviate Stent-Related Symptoms in Malignant Diseases

Urology (Gold Journal) In Press - Mon, 12/30/2019 - 00:00
To evaluate the stent-related symptoms using a new customized ureteral stent with a non-refluxing silicone end-piece.
Categories: Urology News Feeds

Impact of MRI and targeted biopsies on eligibility and disease reclassification in MRI-positive candidates for active surveillance on systematic biopsies

Urology (Gold Journal) In Press - Mon, 12/30/2019 - 00:00
To assess the impact of concomitant targeted biopsies (TB) for predicting final disease reclassification in MRI-positive low-risk prostate cancer patients eligible for active surveillance (AS) on systematic biopsies (SB).
Categories: Urology News Feeds

Effect of Diaphragmatic Breathing on Procedural Anxiety During Transrectal Prostate Biopsy

Urology (Gold Journal) In Press - Sun, 12/29/2019 - 00:00
To improve the tolerability of transrectal ultrasound guided prostate biopsy through use of diaphragmatic breathing.
Categories: Urology News Feeds

Jackstone calculus

Urology (Gold Journal) In Press - Fri, 12/27/2019 - 00:00
Jackstone calculus is a rare bladder stone with a unique appearance, presenting a stippled and spiculated contour. Correct diagnosis is important because it may have therapeutic implications, as this distinctive shape correlates with a specific mineral composition of calcium oxalate dihydrate, which tend to be easily fragmented by lithotripsy, allowing to attempt an endoscopic treatment instead of surgery in larger stones.We present the case of a 77-year-old male where a 2 cm bladder calculus was incidentally found on CT, with features that allowed to make straightforward the diagnosis of a jackstone calculus.
Categories: Urology News Feeds

Penile Disassembly in Complete Primary Repair of Bladder Exstrophy: Time for Re-Evaluation?

Urology (Gold Journal) In Press - Fri, 12/27/2019 - 00:00
To explore a series of classic bladder exstrophy (CBE) cases referred to the authors’ institution where primary closure with penile disassembly epispadias repair was complicated by penile injury. The penile disassembly technique is frequently combined with bladder closure in patients with CBE undergoing the complete primary repair of exstrophy (CPRE). Penile disassembly has been posited as a risk for penile injury by ischemic mechanisms.
Categories: Urology News Feeds

Total Autologous Fascia Lata Anterior and Apical Pelvic Organ Prolapse Repair: A New Technique and Initial Experience

Urology (Gold Journal) In Press - Fri, 12/27/2019 - 00:00
To address renewed interest in non-mesh transvaginal Pelvic Organ Prolapse (POP) repair since the FDA reclassification of transvaginal mesh, our goal was to develop a transvaginal sacrospinous fixation for anterior and apical POP using only autologous fascia lata. We report our experience in thirty-three patients.
Categories: Urology News Feeds

Robot-Assist Laparoscopic Radical Cystectomy and Sigmoid Orthotopic Neobladder Reconstruction for a Bladder Rhabdomyosarcoma Child: Case Report and Literature Review

Urology (Gold Journal) In Press - Fri, 12/27/2019 - 00:00
A six-month-old child was admitted into our center with complaint of hydronephrosis in June 2018. He was diagnosed as embryoid rhabdomyosarcoma after cystoscopy with biopsy. After 22Gy radiotherapy and 4 cycles chemotherapy(VAC), robot-assisted radical cystectomy was performed. The orthotopic neobladder was reconstructed with sigmoid colon and bilateral ureter were reimplanted in Politano-Leadbetter technique. The patient was discharged after 14 days and chemotherapy was continued. Recent ultrasound examination showed that his maximal bladder capacity had increased to 120 ml, and intravenous urography revealed no urine leakage.
Categories: Urology News Feeds

A Case of an Adult Wilms Tumour in a Patient with Velocardiofacial Syndrome

Urology (Gold Journal) In Press - Thu, 12/26/2019 - 00:00
Adult Wilms tumors (nephroblastomas) are exceedingly rare with less than 500 cases reported in the literature. To our knowledge, ours is the first reported case of a patient with velocardiofacial syndrome (Shprintzen syndrome) acquiring an adult Wilms tumor. The case highlights the possible role of chromosome 22q aberrations towards the pathogenesis of a subset of Wilms tumors.
Categories: Urology News Feeds

Efficacy and safety of supracostal access for mini percutaneous nephrolithotomy in pediatric patients

Urology (Gold Journal) In Press - Thu, 12/26/2019 - 00:00
To evaluate the efficacy and safety of supracostal percutaneous nephrolithotomy (PCNL) through the 11th intercostal space and compare it with subcostal PCNL in children with renal calculi.
Categories: Urology News Feeds

Urinary diversion disparity following radical cystectomy for bladder cancer in the Hispanic population

Urology (Gold Journal) In Press - Thu, 12/26/2019 - 00:00
To determine if disparities in quality of surgical care exist between Hispanics and non-Hispanics undergoing radical cystectomy for bladder cancer.
Categories: Urology News Feeds