Urology News Feeds

To assess the effect of resident involvement on patient and physician satisfaction, we evaluated the outcomes from a private urology group both prior to and after initiation of resident coverage.

Eric A. Klein, MD

Needle tract metastases can be a rare complication following percutaneous procedures for renal malignancies. We report a case of cryoprobe tract tumor seeding following cryoablation of a small biopsy proven renal cell carcinoma.

To demonstrate the substantial litigious risks associated with vasectomy, a common urological procedure. We examined the risk factors and types of negligence involved in vasectomy cases that go to trial and their associated outcomes.

A 72-year-old man presented with pain and swelling in the penis, indicating penile infection or abscess. An ultrasound was performed but unable to lead to a diagnosis of abscess. Magnetic resonance imaging (MRI) with diffusion-weighted imaging (DWI) was strongly suggestive of penile abscess. The puncture of the abscess was unsuccessful. However, pus was drained spontaneously via the urethra, and the symptoms disappeared eventually. Although ultrasound can be useful, sometimes it might be difficult to distinguish between inflammatory tissue and abscess containing necrotic tissue.

To summarize the clinical characteristics and surgical management of adrenal teratoma in adults.

To determine if urinary microbial communities similar to those described in adults exist in children and to profile the urinary and gastrointestinal microbiome in children presenting to urology for both routine and complex urologic procedures.

To assess long term clinical and functional outcomes post pyeloplasty in unilateral UPJO in poorly functioning kidneys in exclusive adult population.

To examine the relationship between treatment and subsequent functional status among prostate cancer patients.

To explore the role of cytoreductive radical prostatectomy (CRP) for locally resectable and distant oligometastatic prostate cancer (PCa).

Duplicated bladder exstrophy is an extremely rare variant of the exstrophy/epispadias complex. Duplicated exstrophy defines an exstrophic mucosal plate in hypogastric area with a normal closed bladder. We present a unique case of an anteroposterior duplicated exstrophy in a female newborn.

To compare the surgical subspecialties performing bladder exstrophy (BE) closures and characterize their practice patterns using both a national and institutional database.

Glanular venous malformations are uncommon in pediatric patients. The diagnosis can be easily achieved by observation, even if color doppler ultrasound is useful for a better characterization. Abdomino-pelvic MRI is necessary to assess the extension of complex lesions and check for associated anomalies. Several therapeutic options are reported in literature. We report three paediatric cases successfully treated by surgery with no complications and functional sequelae. Cosmetic results were satisfactory, with minimal surgical scarring.

We present a urologic case report associated with retinoblastoma (RB1) mutation. A 65-year-old man, who has a history of bilateral retinoblastoma treated with primary radiation therapy at approximately 1 year of age. He presented with a 3-month history of gross hematuria and, on initial workup, was found to have synchronous renal and urothelial malignancies. The patient underwent complete transurethral resection of high grade Ta urothelial cancer and robotic-assisted partial nephrectomy for a pT3a leiomyosarcoma.

To determine if medical therapy affects long-term clinical outcomes in uric acid stone formers (UASF).

To introduce a quality improvement initiative tracking robotic instrument failures on a per case basis. It is imperative to understand rates of failure, financial implications of failures, and identify factors suggesting common mechanisms of failure.