Urology News Feeds
MANAGEMENT OF VESICOURETERAL REFLUX IN A PATIENT WITH RECURRENT FEBRILE URINARY TRACT INFECTIONS, NEUROGENIC BLADDER, AND URETERAL TRIPLICATION
Ureteral triplication is a rare anomaly with about 100 total cases reported in the literature. In this case presentation, we present a case of ureteral triplication in a young female with a history of neurogenic bladder secondary to L5 lipomeningocele who presented with recurrent febrile UTIs and VUR despite antibiotic prophylaxis. Given her high grade reflux, she underwent ureteral reimplantation which ultimately led to resolution of her UTIs and reflux. Later in her clinical course, toilet training unmasked additional bladder dysfunction and she was successfully managed with CIC and anticholinergics.
Liposomal Bupivacaine Local Infiltration for Buccal Mucosal Graft Harvest Site Pain Control: A Single-blinded Randomized Controlled Trial
To assess efficacy and safety of liposomal bupivacaine (LB) infiltration of the buccal mucosal graft (BMG) harvest site in alleviating pain by evaluating the postoperative narcotic usage, pain score and morbidities.
LET'S TALK ABOUT SEX: SPECIAL CONSIDERATIONS IN REPRODUCTIVE CARE AND SEXUAL EDUCATION IN YOUNG WOMEN WITH SPINA BIFIDA
Medical advances in the last several decades have allowed an increasing number of children with spina bifida to reach adolescence and adulthood. As they reach puberty, girls with spina bifida face unique social and health challenges to their sexuality, such as orthopedic restrictions, continence and pelvic floor disorders. Recent research efforts have focused on better understanding female sexual desires, dysfunctions and activity and the role of the physician in educating this vulnerable population.
Urological Services in Public Hospitals Suffered a Greater Detriment than Private Hospitals During the Battle of COVID-19
The Coronavirus disease-19 (COVID-19) has been regarded as the most challenging global health crisis since its declaration as pandemic on 11th March 2020 by the World Health Organization (WHO) 1. As COVID-19 swept through continents, health care services across all specialties, including urology were disrupted 2.
Multi-Institutional Experience Comparing Outcomes of Adult Patients Undergoing Secondary versus Primary Robotic Pyeloplasty
To describe surgical techniques and peri-operative outcomes with secondary robotic pyeloplasty (RP), and compare them to those of primary RP.
Targeted focal cryoablation for prostate cancer with real-time Transrectal Ultrasound guided free-hands technique: A step-by-step technique
For targeted prostate cryoablation, template-grid technique is widely adapted. As long as using template-grid, the angle of cryoprobe placement is limited in one direction through grid-hole. Accordingly, the neurovascular bundles are injured by the ice-ball formation outside of the prostate. The free-hands technique allows the ice-ball to cover the entire cancer and preserve neurovascular bundles because of the ideal ice-ball formation within prostate and along with the prostate contour.
To compare outcomes of patients who underwent robotic sacrocolpopexy (RSC) with and without concomitant mid-urethral sling (MUS) placement for prophylaxis or treatment of pre-operative stress urinary incontinence (SUI)
Pharmacological dilutional therapy using the vasopressin antagonist tolvaptan for young patients with cystinuria: a pilot investigation
To perform a pilot study of short-term safety, tolerability, and impact on urinary stone risk parameters of the vasopressin V2-receptor antagonist tolvaptan (which increases urinary excretion of free water) among adolescents and young adults with cystinuria.
Congenital lymphedema of the external genitalia is a rare, disfiguring disorder. We describe here a case of a 3-year-old male with primary foreskin lymphedema persisting since birth. A compact, heterogenous swelling of the foreskin's distal third was observed, inhibiting preputial retraction (phimosis). Right lower extremity lymphedema was also observed in this case, while no further abnormalities were found. Surgery was performed, maintaining the foreskin, producing an excellent result with no recurrence at 10 months follow up.
A 46-year-old female patient presented to her gynecologist who complained of one-month history of irregular vaginal bleeding and abdominal pain two months ago. She first visited the local hospital, abdominal B-mode ultrasound showed multiple myomas of the uterus. The patient had severe vaginal bleeding symptoms and no fertility requirements, so laparoscopic hysterectomy was a suitable treatment option. It was found that the lower segment ureter and the uterine tumor were obviously adhered during the operation.
Gastric cancer is a rare long-term complication in gastrocystoplasty. We report two cases of gastric adenocarcinoma and review the literature for similar cases. A total of 14 cases are identified. The majority of patients are males, presented with hematuria, and developed cancer at a younger age, more than 10 years after gastrocystoplasty. Long-term follow up information was limited, but 5 patients (36%) died within five years of diagnosis. Annual surveillance for malignancy may not be effective due to its rarity.
This is a case of an 8-year-old boy with a chief complaint of left-lower-quadrate abdominal pain for 3 days. Examination revealed swollen left hemi-scrotum and scrotal ultrasound showed a para-testicular cystic mass, which was later proven to be a torsion of a benign scrotal tunica cyst during emergent scrotal exploration. Torsion of the tunica vaginalis cyst is a rare cause of acute scrotum, and we present this case to share our experience of diagnosis and management of this peculiar disease.
Total glans resurfacing for the management of superficial penile cancer: a retrospective cohort analysis in a tertiary referral center
To report surgical and oncological outcomes of total glans resurfacing (TGS) in a consecutive series of superficial penile cancers.
To evaluate the clinical features, pathologic features, and prevalence of human papilloma virus (HPV) in squamous cell carcinoma (SCC) of the bladder. SCC of the bladder is known to be associated with conditions that cause chronic inflammation/irritation. The literature is inconsistent regarding the association of HPV with pure SCC of the bladder.
Multiphoton Microscopic Study of the Renal Cell Carcinoma Pseudocapsule: Implications for Tumour Enucleation
To utilise Multiphoton Microscopy as a novel imaging technique to characterize and quantify collagen at the Renal Cell Carcinoma Pseudocapsule, to assess for both intra-tumoral and inter-tumoral variation of collagen characteristics. MPM combines Second Harmonic Generation and Two Photon Excitation Fluorescence to image extracellular matrix architecture.
To assess the efficacy, safety, and outcomes of sacral nerve stimulation (SNS) for Parkinson's Disease (PD) patients with overactive bladder (OAB) symptoms.
To report a multi-institutional experience with robotic appendiceal ureteroplasty.
School toileting environment, bullying, and lower urinary tract symptoms (LUTS) in a population of adolescent and young adult girls: Preventing Lower Urinary Tract Symptoms Consortium (PLUS) analysis of Avon Longitudinal Study of Parents and Children ...
To examine whether the school toilet environment at age 13, including bullying at toilets, is associated with female LUTS at ages 13 and 19, as little is known about the association among school toilet environment, voiding behaviors, and lower urinary tract symptoms (LUTS) in adolescent girls.
Combined MRI-targeted plus systematic confirmatory biopsy improves risk stratification for patients enrolling on active surveillance for prostate cancer
To evaluate the efficacy of combined MRI-targeted plus systematic 12-core biopsy (Cbx) to aid in the selection of patients for active surveillance (AS).
Associations Between Female Sex and Treatment Patterns and Outcomes for Muscle-invasive Bladder Cancer
To investigate the association of female sex with the selected treatment for patients with nonmetastatic muscle-invasive bladder cancer. Sex is a known independent predictor of death from bladder cancer. A potential explanation for this survival disparity is difference in treatment pattern and stage presentation among males and females.