Urology (Gold Journal) In Press

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Advanced molecular imaging in histologically verified metanephric adenoma

Wed, 03/11/2020 - 00:00
Metanephric adenoma (MA) describes a rare renal tumor and is generally considered a benign lesion. However, there are cases with regional lymphogenic and distant metastases. Non-invasive diagnosis of MA using conventional imaging remains challenging. Here, we describe a case of histologically verified MA with additional advanced molecular imaging consisting of 18F-PSMA-1007 PET/CT, 99mTc-Sestamibi SPECT and contrast-enhanced ultrasound.
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Single-Port Percutaneous Transvesical Simple Prostatectomy Using the SP® Robotic System: Initial Clinical Experience

Wed, 03/11/2020 - 00:00
To present our initial experience with single-port percutaneous transvesical simple prostatectomy using the novel SP ® robotic surgical system.
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Keratinizing squamous metaplasia of the urinary bladder with white hair-like structures

Wed, 03/11/2020 - 00:00
A 74-year-old woman presented to the urology clinic with a protruding mass in her urinary bladder detected by ultrasonography. She had no symptoms. Cystoscopy revealed a 1-cm lesion with a lock of 1-cm-long white hair-like structures on the right side of the bladder. White plaques were also noted covering some areas of the bladder. Transurethral resection of the lesion and biopsy of the white plaques were performed. Pathological examination confirmed a diagnosis of keratinizing squamous metaplasia of the bladder with no evidence of malignancy.
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Caregiver Reported Reasons for Delay of Neonatal Circumcision

Mon, 03/09/2020 - 00:00
To determine caregiver-reported reasons for delay of desired neonatal circumcision.
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Strong Conflict of Interest Policies are not Associated with Decreased Industry Payments to Academic Urology Departments

Mon, 03/09/2020 - 00:00
To identify whether institutions with strong Conflicts of Interest (COI) policies receive less industry payments than those with weaker policies. While industry-physician interactions can have collaborative benefits, financial COI can undermine preservation of the integrity of professional judgment and public trust. To address this concern, academic institutions have adopted COI policies. It is unclear whether the strength of COI policy correlates with industry payments in urology.
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Patterns of industry payments to urologists from 2014-2018

Mon, 03/09/2020 - 00:00
To evaluate the patterns of financial transaction between industry and urologists in the first five years of reporting in the Open Payments Program (OPP) by comparing transactions over time, between academic and non-academic urologists, and by provider characteristics among academic urologists.
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Primary Renal Malignant Fibrous Histiocytoma in an End-stage Renal Disease Patient

Fri, 03/06/2020 - 00:00
Besides renal cell carcinoma (RCC) with increased risk reported in the dialysis population, other unusual types of renal tumors should also be considered. However, To the best of our knowledge, renal sarcomas have never been reported among end-stage renal disease (ESRD) patients undergoing dialysis in the literature. In this study, we present the first case of a primary renal malignant fibrous histiocytoma (MFH, also called undifferentiated pleomorphic sarcoma) in a 41-year-old woman with ESRD.
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Metabolic syndrome predicts worse perioperative outcomes in patients treated with partial nephrectomy for renal cell carcinoma

Fri, 03/06/2020 - 00:00
To test the association between metabolic syndrome (MetS) and its components (high blood pressure, BMI ≥ 30, altered fasting glucose, low HDL cholesterol and high triglycerides) on perioperative outcomes after partial nephrectomy (PN).
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Resident-Driven Holistic Lean Daily Management System to Enhance Care Experience at a Safety Net Hospital

Wed, 03/04/2020 - 00:00
To describe the use of Lean in urology at Zuckerberg San Francisco General (ZSFG), a community safety-net and trauma hospital that serves as a major teaching site for the University of California San Francisco.
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Emulating Target Clinical Trials of Radical Nephrectomy with or without Lymph Node Dissection for Renal Cell Carcinoma

Tue, 03/03/2020 - 00:00
To emulate two target clinical trials of radical nephrectomy (RN) with lymph node dissection (LND) versus RN alone.
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Single-port robotic urological surgery using Purpose-built Single-port Surgical System: Single-institutional experience with the first 100 cases

Tue, 03/03/2020 - 00:00
To present a comprehensive report regarding our experience with single-port robotic surgery in our first 100 consecutive patients. We describe the diversity of procedures that can be performed with this platform as well as the challenges and complications we had with the application of this novel technology.
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How the Beneficial Effects of Alvimopan Differ With Surgical Approach for Radical Cystectomy

Thu, 02/27/2020 - 00:00
To assess whether the beneficial perioperative effects of alvimopan differ with surgical approach for patients who undergo open radical cystectomy (ORC) vs robot-assisted radical cystectomy (RARC).
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Preoperative testing for urethroplasty is not associated with outcomes - A NSQIP study

Wed, 02/26/2020 - 00:00
To assess the current practice of routine preoperative testing before urethroplasty and to determine if the results are clinically significant.
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Microfluidic system for rapid isolation of sperm from microdissection TESE specimens

Wed, 02/26/2020 - 00:00
To demonstrate a novel prototype microfluidic system for rapid isolation of sperm from real and simulated microdissection testicular sperm extraction (microTESE) samples.
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Urethral catheter induced huge anterior urethral diverticulum

Tue, 02/25/2020 - 00:00
We report a 22-year old gentleman who presented with post micturition urinary dribbling for nearly one year along with urinary urgency and frequency. He had a history of brain tuberculosis two years back and was hospitalized for four months with a urethral catheter. Examination revealed a 3cm cystic swelling in the peno-scrotal junction. On pressing the sac, a gush of urine came out through the urethral meatus. A micturating cysto-urethrogram revealed a huge anterior urethral diverticulum. Cystoscopic assessment also confirmed the diagnosis and demonstrated classic transillumination.
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Characteristics, Burden, and Necessity of Inpatient Consults for Academic and Private Practice Urologists

Tue, 02/25/2020 - 00:00
To compare differences in the characteristics and outcomes of inpatient consults between academic and private practice urologists.
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Long-term Functional and Oncologic Outcomes of Partial Adrenalectomy for Pheochromocytoma

Tue, 02/25/2020 - 00:00
To evaluate the recurrence and functional outcomes in a primarily hereditary cohort of patients undergoing partial adrenalectomy for pheochromocytoma.
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A Large Renal Mass: Dilemmas with Unusual Features on Imaging

Tue, 02/25/2020 - 00:00
A 50-year-old man presented with palpable abdominal mass which on CT revealed a large tumor replacing the entire right kidney, filling the right hemi-abdomen and travelling down the ureter into the bladder with retroperitoneal lymphadenopathy. Urine cytology and metastatic workup were negative. Ultrasound guided renal biopsy revealed diffuse large B cell lymphoma (DLBCL) and the patient was started on combination chemotherapy. Primary urinary tract lymphomas comprise <1% of all renal tumors and primary urinary tract DLBCL lymphomas carry a worse prognosis than nodal DLBCL.
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Bladder Herniation as an Auto-Augmentation Technique in Bladder Exstrophy: Initial Experience in Patients with Small Bladder Plate

Mon, 02/24/2020 - 00:00
To present our long-term experience of bladder plate herniation technique in patients with bladder exstrophy epispadias complex (BEEC) and inadequate bladder plate.
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Acute Ureteral Obstruction by Deeply Inserted Menstrual Cup

Wed, 02/19/2020 - 00:00
Mechanical complications from menstrual cups are rare, with only four reported cases of ureteral obstruction. Clinicians should be aware of gynecologic devices in patients with acute abdominopelvic pain because simple removal may obviate the need for further expensive work-up or exposure to ionizing radiation.
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