Urology News Feeds

Trends in Female Representation in Urology Residency: Impact on Workforce Projections

Urology (Gold Journal) In Press - Mon, 11/16/2020 - 00:00
Accurate, reliable projections of the health care workforce can inform employment trends, policy decisions, and insights about the training pipeline. In urology, worrisome forecasts about inadequate postgraduate training positions to replace retiring surgeons and meet increasing demand from an aging population have spurred continued legislative advocacy to increase physician supply.1 These efforts have focused primarily on quantity—how many new urologists are entering the workforce, or how many U.S.
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The role of emotional condition in patients with lower urinary tract symptoms performing uroflowmetry

Urology (Gold Journal) In Press - Mon, 11/16/2020 - 00:00
To evaluate the prevalence of the general and uroflowmetry (UF)-related anxiety in patients performing UF, and to assess whether anxiety may affect patient's micturition at UF.
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SINGLE-PORT ROBOTIC SURGERY ALLOWS SAME-DAY DISCHARGE IN MAJORITY OF CASES

Urology (Gold Journal) In Press - Mon, 11/16/2020 - 00:00
To assess the influence of single-port (SP) robotic surgery on length of stay (LOS) in our initial experience using the da Vinci SP® robot as compared with traditional, multiport procedures.
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Listening to Women: A Qualitative Analysis of Experiences after Complications from Mesh Mid-urethral Sling Surgery

Urology (Gold Journal) In Press - Fri, 11/13/2020 - 00:00
To gain a detailed understanding of women's experiences after undergoing revision surgery for mesh mid-urethral sling (MUS) complications, qualitatively organize those experiences, and present insights as potential springboards for future research.
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Prenatally Diagnosed Solid Renal Mass

Urology (Gold Journal) In Press - Fri, 11/13/2020 - 00:00
Congenital mesoblastic nephroma (CMN) is the most common renal neoplasm diagnosed in the first month of life of which 15% occur prenatally. We present a prenatal diagnosis of a 5.8 cm solid renal mass identified on the 36-week ultrasound. Labor was induced at 38 weeks and a female infant was delivered vaginally without complications. The post-natal ultrasound demonstrated a 6.3 cm heterogeneous mass nearly replacing the kidney. The infant underwent a radical nephrectomy on the first day of life and pathology confirmed stage II classic CMN with negative margins and nodes.
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RESECTION OF INFERIOR VENA CAVA WITHOUT RECONSTRUCTION FOR INTRAVASCULAR INTRUSION OF WILMS’ TUMOR

Urology (Gold Journal) In Press - Fri, 11/13/2020 - 00:00
Persistent inferior vena cava (IVC) tumor thrombus in Wilms’ tumor (WT) patients represents a management challenge. We describe three pediatric cases with preoperative evaluation documenting complete IVC occlusion and well-developed collaterals. They underwent nephrectomy and tumor thrombus removal accomplished with circumferential resection of the retrohepatic IVC without vascular reconstruction. All patients are asymptomatic and disease-free at 9, 2.5, and 2 years after stopping therapy. Cavectomy without reconstruction is safe and well tolerated in WT patients with completely occlusive IVC tumor thrombus.
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Do Hispanic men have worse outcomes after radical prostatectomy? Results from SEARCH

Urology (Gold Journal) In Press - Fri, 11/13/2020 - 00:00
To examine the associations between ethnicity and outcomes after radical prostatectomy (RP) among Hispanics. While non-Hispanic Black men have worse prostate cancer (PC) outcomes, there is limited data on outcomes of Hispanic men, especially after RP.
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A 4–year–old boy with right renal space–occupying lesion diagnosed with inflammatory pseudotumor: A rare case report

Urology (Gold Journal) In Press - Fri, 11/13/2020 - 00:00
A 4-year-old boy with space–occupying lesion of the right kidney underwent partial nephrectomy and perinephric lymph node dissection, and the mass was histopathologically diagnosed as IPT, accompanied with lymph nodes reactive hyperplasia. During the subsequent 20 months’ follow-up, the child was all clinically very well, the residual right kidney germinated approximately to the same size as the left one by catch-up growth, remained normal glomerular filtration rate, and did not require additional therapy.
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Bladder duplication- a case series

Urology (Gold Journal) In Press - Fri, 11/13/2020 - 00:00
To describe five cases with complete urinary bladder duplication, their associated conditions, and their respective treatment. Urinary bladder duplication is an extremely rare congenital anomaly of the urinary system. So far about 70 cases have been published in the English literature, most of them as case reports and a few case series.
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Bilateral Robot-Assisted Laparoscopic Orchiopexy for Undescended Testes

Urology (Gold Journal) In Press - Wed, 11/11/2020 - 00:00
To describe our technique for surgically treating cryptorchidism with bilateral robot-assisted laparoscopic orchiopexy.
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Renal, Bladder and Sexual Outcomes in Adult Men with History of Posterior Urethral Valves Treated in Childhood

Urology (Gold Journal) In Press - Wed, 11/11/2020 - 00:00
To determine the adulthood outcomes of bladder, kidney and sexual functions of posterior urethral valve (PUV) patients.
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Removal of a steel ring causing penile strangulation without the use of powered tools or sharp blades

Urology (Gold Journal) In Press - Tue, 11/10/2020 - 00:00
Penile strangulation is an uncommon urologic emergency that requires prompt evaluation and treatment to avoid disastrous consequences. Strangulation has been reported with objects ranging from hair tourniquets, to plastic rings, to iron rings. Strangulation with these devices can result in vascular congestion of the penis, swelling and eventual gangrene of the penis distal to the constricting device. We present a case report of a 43-year-old male who had a 2-day history of penile pain and swelling secondary to a metal ring constricting the proximal phallus.
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Multi-Centered Assessment of Clinical Outcomes and Factors Associated With Failure of the Adjustable TransObturator Male System (ATOMS)

Urology (Gold Journal) In Press - Mon, 11/09/2020 - 00:00
To assess postoperative outcomes from the Adjustable TransObturator Male System (ATOMS) and identify factors influencing failure to achieve continence.
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Decreased recurrence of urolithiasis after simultaneous ureteroscopic surgery for ureter and ipsilateral renal calculi: comparison to shockwave lithotripsy for ureter calculi alone.

Urology (Gold Journal) In Press - Mon, 11/09/2020 - 00:00
To compare follow-up outcomes of ureteroscopy (URS) and shockwave lithotripsy (SWL) for ureter calculi in the setting of asymptomatic renal calculi <15 mm.
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Tumor Thrombus into the Inferior Vena Cava after resection of Renal Cell Carcinoma: recurrence or tumor thrombus left behind?

Urology (Gold Journal) In Press - Mon, 11/09/2020 - 00:00
To describe a series of 3 cases of renal cell carcinoma (RCC) that developed a metachronic recurrence in the form of inferior vena cava (IVC) tumor thrombus (TT) after a first attempt of curative intent by means of radical nephrectomy (RN).
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Side Effects of Intravesical BCG and Chemotherapy for Bladder Cancer: What They Are and How To Manage Them

Urology (Gold Journal) In Press - Mon, 11/09/2020 - 00:00
Intravesical therapy for non-muscle invasive bladder cancer decreases recurrence and progression but carries a high risk of side effects, which limit patient adherence. Appropriate management of the toxicities from intravesical therapy requires consideration of the agent used, the side effects experienced, and the timing of those side effects. Management strategies for intravesical toxicities ideally improve patient tolerance without sacrificing oncologic outcomes. This review aims to provide a comprehensive overview of the available evidence regarding the side effects of intravesical therapies for non-muscle invasive bladder cancer and to propose practical strategies for toxicity management.
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Dedicated Residency Research Time and Its Relationship to Urologic Career Academic Success

Urology (Gold Journal) In Press - Fri, 11/06/2020 - 00:00
To explore the relationship between research time during urologic training and career academic success.
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Prospective Observational Study of a Racially Diverse Group of Men on Active Surveillance for Prostate Cancer

Urology (Gold Journal) In Press - Fri, 11/06/2020 - 00:00
To evaluate the risk upgrading of AS, we reviewed the outcomes of African American men after electing AS. Active surveillance (AS) is the standard of care for men with low-grade prostate cancer (PCa). AA are known to have more advanced PCa features and are more likely to die from PCa, thus subsequent disease progression for AA on AS is unclear.
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Clips can be safely used for vascular control of the renal vessels during laparoscopic donor nephrectomy

Urology (Gold Journal) In Press - Fri, 11/06/2020 - 00:00
To review our experience using clips to control the renal vessels during laparoscopic donor nephrectomy (LDN) and determine the safety of this practice.
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Pelvic pseudoaneurysm as a cause of severe hematuria after robotic-assisted radical prostatectomy

Urology (Gold Journal) In Press - Thu, 11/05/2020 - 00:00
A 61-year-old male underwent extraperitoneal robotic-assisted radical prostatectomy (RARP). He was readmitted on the 15th POD due to gross hematuria with resolution after bladder irrigation. It returned on the 21st POD. The CT angiography evidenced the pseudoaneurysm of the left internal iliac artery. Selective embolization (SE) was effectively performed, with no additional bleeding or pelvic ischemia. Endovascular therapy is the preferred method of treatment. We aim to alert the medical society regarding this rare but serious complication.
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