Urology (Gold Journal) In Press

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Protective Effects of Metformin against Biochemical Failure Following Radical Prostatectomy or Radiation Therapy in Localized Prostate Cancer

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

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

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

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?...

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

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

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

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.

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

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

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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Infrapubic Insertion of Penile Implants in Transmen after Phalloplasty

Fri, 01/22/2021 - 00:00
To describe the infrapubic approach to penile prosthesis insertion in transmen after phalloplasty.
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Efficacy and Safety of Vibegron Add-on Therapy in Men with Persistent Storage Symptoms after Receiving Alpha 1-Blocker or Phosphodiesterase 5 Inhibitor: A Preliminary Study

Wed, 01/20/2021 - 00:00
To investigate the efficacy and safety of vibegron add-on therapy in men with persistent storage symptoms receiving α-1 blockers or PDE5 inhibitor for benign prostatic hyperplasia and then determine the independent factors affecting the efficacy of vibegron.
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A laparoscopic approach to parastomal hernia repair with re-siting of urinary stoma

Wed, 01/20/2021 - 00:00
Parastomal and ventral hernias are common complications in patients with continent catheterizable channels or incontinent urinary diversions. Patients with neurogenic bladder are at particularly high risk due to weak abdominal wall musculature, and hernia repair often requires re-siting of their stoma. While parastomal hernia repair with urinary stoma re-siting has acceptable long-term success rates, it often necessitates a laparotomy which is associated with significant morbidity.
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The impact of physician productivity models on access to subspecialty care: A white paper from the Society for the Study of Male Reproduction and the Society for Male Reproduction and Urology

Tue, 01/19/2021 - 00:00
Male infertility is a common disease. Male infertility is also a core competency of urology training and clinical practice. In this white paper from the Society for the Study of Male Reproduction and Society for Male Reproduction and Urology, we identify and define different physician productivity plans. We then describe the advantages and disadvantages of various physician productivity measurement systems for male infertility practices. We close with recommendations for measuring productivity in male infertility practices that we hope urologists and administrators can use when creating productivity plans for male infertility practices.
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Efficacy and Safety of Ningmitai Capsule in Patients with Chronic Prostatitis/Chronic Pelvic Pain Syndrome: A Multicenter, Randomized, Double-blind, Placebo-controlled Trial

Tue, 01/19/2021 - 00:00
To validate the efficacy and safety of Ningmitai capsule (NMT) in the patients with chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS).
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Technique and outcomes of hand-assist laparoscopic continent cutaneous ileocecocystoplasty

Tue, 01/19/2021 - 00:00
Continent cutaneous ileocecocystoplasty (CCIC) involves reconfiguring the ileocecal segment for use as a bladder augment and continent catheterizable channel. CCIC requires release of the hepatic flexure of the colon, which necessitates a longer midline laparotomy than would be required for a standard bladder augmentation. This is associated with high rates of ventral and parastomal hernias.
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Post-operative and survival outcomes after cytoreductive surgery in the treatment of metastatic upper tract urothelial carcinoma

Tue, 01/19/2021 - 00:00
To analyze utilization and outcomes of cytoreductive surgery (CRS) after systemic chemotherapy in select patients with metastatic upper tract urothelial carcinoma (UTUC).
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An exploratory analysis of tamsulosin for Overactive Bladder (OAB) in men with varying voiding symptom burden

Tue, 01/19/2021 - 00:00
To evaluate tamsulosin (α-blocker therapy) for male overactive bladder (OAB) and to examine if indicators of concomitant benign prostatic hyperplasia (BPH) are associated with OAB symptom improvement.
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