Urology (Gold Journal) In Press

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Epidural Anesthesia is associated with increased complications in Cystectomy Patients: A NSQIP Analysis

Wed, 01/15/2020 - 00:00
To identify differences in short term outcomes and readmission rates in cystectomy patients managed with general anesthesia compared to those undergoing general anesthesia and adjuvant epidural anesthesia.
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Evaluation of apparent diffusion coefficient as a predictor of grade reclassification in men on active surveillance for prostate cancer

Wed, 01/15/2020 - 00:00
To evaluate the association between apparent diffusion coefficient (ADC) on initial multiparametric MRI (mpMRI) and biopsy grade reclassification (GR) to Grade Group (GG) ≥ 2 prostate cancer (PCa) in men on active surveillance (AS) with GG 1 PCa.
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Content Analysis of ACGME Accredited Urology Residency Program Webpages

Wed, 01/15/2020 - 00:00
to provide an update on the web pages of academic Urology departments in the United States and to evaluate for consistency of information available to applicants.
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Chemoradiotherapy-induced Cytodifferentiation in Bladder/Prostate Rhabdomyosarcoma with Genetic Downregulation of Myogenin and MyoD1 Gene Expression: A Case Study and Review of the Literature

Mon, 01/13/2020 - 00:00
Rhabdomyosarcoma is the most common sarcoma diagnosed in childhood and adolescence, arising from the bladder/prostate in only 5-10% of cases. Treatment-induced cytodifferention of tumor cells into mature rhabdomyoblasts has been reported following chemoradiation and is thought to suggest a more favorable outcome. We report a case of embryonal rhabdomyosarcoma of the bladder/prostate that exhibited extensive cytodifferentiation with downregulation of myogenin and MyoD1 gene expression in rhabdomyoblasts following treatment with chemoradiation therapy.
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The development and validation of prostate cancer-specific physician-hospital networks

Mon, 01/13/2020 - 00:00
To develop prostate cancer-specific physician-hospital networks to define hospital-based units that more accurately group hospitals, providers, and the patients they serve.
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Temporal Changes in Demographic and Clinical Characteristics of Men With Prostate Cancer Electing for Conservative Management in the United States

Mon, 01/13/2020 - 00:00
To characterize the role of clinical and sociodemographic factors in the use of conservative management for localized prostate cancer in the US between 2010 and 2015, and to understand how those factors evolved in light of the recent national increase in conservative management rates.
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STRUCTURAL ANALYSIS OF THE BULBOSPONGIOSUS MUSCLE IN PATIENTS WITH BULBAR URETHRAL STRICTURES

Wed, 01/08/2020 - 00:00
To characterize the bulbospongiosus muscle (BSM) in patients with bulbar urethral strictures.
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PROMOTION DISPARITIES IN ACADEMIC UROLOGY

Mon, 01/06/2020 - 00:00
To better understand promotion timelines across gender and race/ethnicity and how academic output impacts promotion in urology.
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Increased Risk of Hypogonadal Symptoms in Shift Workers with Shift Work Sleep Disorder

Mon, 01/06/2020 - 00:00
To examine the association between shift work sleep disorder (SWSD), a primary circadian rhythm disorder characterized by excessive daytime sleepiness associated with shift work, and hypogonadal symptoms in shift workers .
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Lichen Sclerosus in Prepubertal Girls: An Uncommon but Treatable Cause of Lower Urinary Tract Symptoms

Mon, 01/06/2020 - 00:00
Lichen sclerosus (LS) is a chronic inflammatory dermatosis commonly visualized in the anogenital region with porcelain-white atrophic patches that extend to the perianal region in a figure-of-eight configuration. While LS is known to increase lower urinary tract symptoms and incontinence in postmenopausal women, the age distribution is bimodal and literature on the LS impact in prepubertal girls remains limited. There is an association with autoimmune conditions and the pathogenesis is thought to be autoimmune with an underlying genetic predisposition.
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The first experience of using the pedicled labia minora flap for urethral lengthening in transgender men undergoing anterolateral thigh and superficial circumflex iliac artery perforator flap phalloplasty: a multicenter study on clinical outcomes.

Sun, 01/05/2020 - 00:00
To describe the novel surgical technique of urethral lengthening in anterolateral thigh (ALT) and superficial circumflex iliac artery perforator flap (SCIP) phalloplasty with a pedicled labia minora flap (PLMF) and report on the clinical outcomes.
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Single Port and Multi-Port Approaches for Robotic Vaginoplasty with the Davydov Technique

Sun, 01/05/2020 - 00:00
To demonstrate the feasibility, surgical technique and initial outcomes of robotic vaginoplasty with peritoneal flap (Davydov) technique for vaginal reconstruction.
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Does Incidental Discovery of Synthetic Sling in the Colon Require Treatment?

Sun, 01/05/2020 - 00:00
Retropubic midurethral sling (RMUS) procedures have become a gold standard for primary stress urinary incontinence (SUI) with more than 3 million synthetic midurethral slings placed since 1995.1 Owing to its minimally invasive approach, there is risk of injury to adjacent structures including the bladder, urethra, major vessels, or bowel. Bowel perforation is a rare complication that often presents in the immediate postoperative period. We report a case of incidentally noted sling mesh in the cecum on screening colonoscopy in an asymptomatic patient four years following RMUS surgery, with no progressive symptoms on close follow-up and no change on colonoscopy six years postoperatively.
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Potential Financial Bias from Speakers at US Food and Drug Administration's Bone, Reproductive, and Urologic Drugs Advisory Committee Meetings

Sun, 01/05/2020 - 00:00
The Bone, Reproductive, and Urologic Drugs Advisory Committee (BRUDAC) is one of 33 Food and Drug Administration (FDA) advisory committees that reviews evidence, hears testimonies, and makes suggestions for or against drug approval to the FDA. Advisory committees typically comprise 10–15 fixed or standing members (BRUDAC has 11 members), including a chairperson.1 Voting members include scientific experts, a consumer representative, and an FDA patient representative; non-voting members include industry representatives2,3 (Table 1).
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Granulomatous Prostatitis Mimicking Prostate Cancer

Tue, 12/31/2019 - 00:00
Multiparametric magnetic resonance imaging (mpMRI) plays an important role in the detection of clinically significant prostate cancer. However, there is some overlap between prostate cancer and granulomatous prostatitis1,2. We describe the imaging features of granulomatous prostatitis, which frequently mimics prostate cancer, and differential diagnosis between these conditions according to Prostate Imaging-Reporting and Data System (PI-RADS) version 2.13,4.
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Bracka's Method of Proximal Hypospadias Repair: Preputial Skin or Buccal Mucosa?

Tue, 12/31/2019 - 00:00
To analyze treatment results of staged surgical repair of proximal forms of hypospadias according to Bracka's technique using preputial vs buccal grafts.
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Determining Clinically-Based Factors Associated with Reclassification in the Pre-MRI Era using a Large Prospective Active Surveillance Cohort

Mon, 12/30/2019 - 00:00
To report biopsy-related and oncologic outcomes in a large prospective active surveillance cohort that was initiated in the pre-MRI era and to additionally identify clinical factors associated with disease reclassification in order to inform future studies designed to improve enrollment and follow-up on AS.
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Treatment preferences of patients with benign prostatic hyperplasia before and after using a web-based decision aid

Mon, 12/30/2019 - 00:00
To evaluate treatment preferences of patients with lower urinary tract symptoms suggestive of benign prostatic hyperplasia (LUTS/BPH) before and after using a web-based decision aid (DA).
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Transrectal Subharmonic Ultrasound Imaging for Prostate Cancer Detection

Mon, 12/30/2019 - 00:00
To assess the PCa detection rates of contrast-enhanced, transrectal subharmonic ultrasound imaging (SHI).
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Risk factors for infection after prostate biopsy in the United States

Mon, 12/30/2019 - 00:00
To characterize trends in the incidence and severity of post-biopsy infection using nationally representative data, given that population-based data have revealed an increasing incidence of post-prostate biopsy infections through 2007. Little is known about contemporary trends in prostate biopsy related infections and associated risk-factors, particularly considering the increased focus on preventative strategies.
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