Urology (Gold Journal) In Press

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The Influence of Indentation Deformity on Outcomes with Intralesional Collagenase Clostridium histolyticum Monotherapy for Peyronie's Disease

Mon, 02/10/2020 - 00:00
To identify patient-specific factors associated with patient-reported improvements in functional outcomes after intralesional Collagenase Clostridium histolyticum for Peyronie's Disease (PD).
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Seminoma In A Young Phenotypic Female With Turner Syndrome 45,XO/46,XY Mosaicism: A Case Report With Review Of The Literature

Mon, 02/10/2020 - 00:00
Turner syndrome is a chromosomal disorder that occurs in an estimated 1 in 2500 female live births. It is estimated that 6-12% of all Turner syndrome patients will be a mosaic with Y-chromosomal elements putting them at risk for gonadoblastoma and subsequent dysgerminoma. While 30-50% of this population demonstrate gonadoblastoma, we only found 23 reported cases of dysgerminoma in the literature, and no reported cases of seminoma. We present the first case of seminoma in a phenotypic Turner 15-year-old female after prophylactic gonadectomy.
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Performance Optimization Strategies for Complex Endourologic Procedures

Sat, 02/08/2020 - 00:00
The shift in urology towards minimally-invasive endoscopic surgery has reduced the morbidity associated with common ailments such as kidney or ureteral stones. Urologists have grown more comfortable performing complex endoscopic procedures over the past several decades, while simultaneously, improvements in technology have facilitated these rapid developments. There remains opportunity for the practicing urologist to understand the intrinsic and extrinsic factors that may affect their performance, well-being, and outcomes.
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Treatment of estrogen levels in the management of hypogonadism: An anonymous survey of ISSM members

Sat, 02/08/2020 - 00:00
To assess the variability in management of estrogen levels in men treated with testosterone therapy (TTh). With the significant increase in the last two decades in the treatment of hypogonadism and the use of TTh, detailed guidelines for the management of estrogen levels are necessary. (1)
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How Much Is Not Enough? Contextualizing Recent Trends in the Urology Residency Match

Fri, 02/07/2020 - 00:00
Wong and colleagues suggest that recent trends in the urology residency match—specifically declining numbers of applicants and rising overall rates of students successfully matching into residency positions—should intensify recruitment efforts by academic urology departments.1 We agree with the authors that, as a community of urologists, researchers, educators, and trainees, we should “ensure that the future urology workforce will have enough diverse and bright physicians” to serve the population.
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Reply to “How Much is Not Enough? Contextualizing Recent Trends in Urology Residency Match”

Fri, 02/07/2020 - 00:00
We thank the authors for their insightful commentary on our study. We agree that the decreased number of applicants does not necessarily portend an adverse impact on the future urology workforce, especially since many heavily weighted application variables do not correlate with urology resident success.1 We also agree that the low overall number and high variability of unfilled residency positions annually limit its role as a gauge of the quality of the applicant pool. And the perceived competitiveness of the field and the lack of consistent counseling probably promotes a cyclical trend in application numbers, as observed in other specialties.
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Stressors and coping mechanisms related to burnout within urology

Tue, 02/04/2020 - 00:00
To identify factors and stress coping mechanisms associated with burnout within the field of urology.
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Vitamin D and Kidney Stones

Tue, 02/04/2020 - 00:00
This review explores the relationship between vitamin D supplementation and lithogenesis. A causal relationship has been assumed despite myriad studies demonstrating that therapeutic doses of vitamin D do not increase lithogenic risk. Select stone formers may be at increased risk for recurrence with vitamin D supplementation, possibly from CYP24A1 gene mutations. Additionally, the evidence for who is vitamin D deficient, and the benefits of supplementation in those not at risk for rickets, is sparse.
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CHALLENGES OF VERY LONG-TERM REPORTING IN STRESS URINARY INCONTINENCE SURGERIES IN WOMEN

Tue, 02/04/2020 - 00:00
To review studies on surgeries to correct stress urinary incontinence (SUI) with very long-term results (≥ 10 years) to explore the challenges in reporting long-term follow-up.
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Can we clinically distinguish anejaculation from retrograde ejaculation in patients on α1A-blockers therapy for lower urinary tract symptoms?

Tue, 02/04/2020 - 00:00
To investigate the physiopathology of ejaculatory disorders (EjD) and discriminate between retrograde ejaculation (REj) and anejaculation (AEj) induced by α1A-blockers, through the association between the mean post-orgasm seminal vesicle volume and the presence of sperm in mid-stream urine, in patients with moderate-to-severe lower urinary tract symptoms (LUTS) secondary to benign prostatic enlargement.
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Impact of spinal defects on urinary and sexual outcome in adults with anorectal malformations – a cross-sectional study

Tue, 02/04/2020 - 00:00
To examine the impact of spinal defects on urinary function, sexual outcome and quality of life in adult patients born with anorectal malformations.
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Marijuana, lower urinary tract symptoms, and pain in the urologic patient

Mon, 02/03/2020 - 00:00
To describe marijuana's clinical role for urologic symptoms.
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Buried Penis Surgical Correction: Midline Incision Rotation Flaps

Thu, 01/30/2020 - 00:00
To improve cosmetic and functional results of buried penis correction in boys using a modified universal surgical approach – Midline Incision Rotation Flaps.
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Refinement Surgical Technique, and Perioperative and Functional Outcomes in Patients with Robotic Intracorporeal Hautmann Orthotopic Neobladder

Wed, 01/29/2020 - 00:00
To illustrate our refinement technique for robotic intracorporeal orthotopic Hautmann neobladder with adherence to open surgical principles and evaluate perioperative and functional outcomes.
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Gender Gap in Industry Relationships and Scholarly Impact Among Academic Urologists in the United States

Wed, 01/29/2020 - 00:00
To examine the distribution of industry payments to male and female academic urologists and the relationship between industry funding, academic rank and scholarly impact.
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Association between Daily Water Intake and 24-hour Urine Volume Among Adolescents with Kidney Stones

Tue, 01/28/2020 - 00:00
To determine the association between daily water intake and 24-hour urine volume among adolescents with nephrolithiasis in order to estimate a “fluid prescription”, the additional water intake needed to increase urine volume to a target goal.
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Massive Neobladder Stones in Post-Cystectomy Patient Lost to Follow Up

Tue, 01/28/2020 - 00:00
A 59-year-old man with a history of muscle-invasive bladder cancer status post cystectomy with neobladder creation presented to the Emergency Department with a 4 month history of lower abdominal pain, dysuria and intermittent hematuria. He was found to have 2 massive bladder stones on CT scan, measuring 12 × 10.5 × 14 cm and 6.5 × 7.5 × 10 cm. Stones were successfully removed via open neocystolithotomy. Stones were composed of a mixture of Calcium phosphate (80%) and Calcium carbonate (20%).
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Robot Assisted Simultaneous Pyeloplasty and Ureteric Reimplantation for Unilateral Double Obstruction of the Ureter: Technical feasibility, Tips and Tricks

Tue, 01/28/2020 - 00:00
To highlight the feasibility and technical details of performing simultaneous ipsilateral pyeloplasty and ureteric re-implantation for simultaneous proximal and distal obstruction of the ureter.
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Accuracy of Ultrasound in Identifying Renal Scarring as Compared to DMSA Scan

Tue, 01/28/2020 - 00:00
To assess the accuracy of renal ultrasound (RUS) in detecting renal scarring (RS).
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Perineal urethrostomy for complicated anterior urethral strictures: indications and patient's choice. An analysis at a single institution

Tue, 01/28/2020 - 00:00
To explore indications for a definitive perineal urethrostomy (PU). To objectify the proportion of patients not completing the final stage procedure in an intended multi-stage urethroplasty. To analyze the incentives for both of these scenarios.
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