Urology News Feeds
59-year-old male with history of low-grade Ta urothelial carcinoma of the bladder was noted to have a right lateral wall recurrence on surveillance cystoscopy, which appeared to be ulcerative and necrotic. He subsequently underwent a transurethral resection of bladder tumor (TURBT) with intraoperative intravesical Mitomycin-C (MMC) instillation. His urine cytology and surgical pathology were both negative for malignancy. He subsequently developed significant bothersome lower urinary tract symptoms (LUTS) starting about a month later, including urinary urgency, urinary frequency, incomplete bladder emptying, suprapubic pain and intermittent gross hematuria.
Single Port Robotic Extra-peritoneal Dual Kidney Transplantation: Initial Pre-Clinical Experience and Description of the Technique
To describe the surgical technique for single-port robotic extraperitoneal dual kidney transplantation (DKT) using the SP® surgical system (Intuitive Surgical, Sunnyvale, CA, USA) in a pre-clinical model.
To evaluate our initial experience with a multi-institutional workshop model of MRI/US fusion biopsy simulation for resident education.
Inferior vena cava resection and reconstruction with bovine pericardium for renal cell carcinoma: complications and outcomes
To assess the post-operative complication rate and overall survival when bovine pericardium is used as graft material for inferior vena cava reconstructions in patients with renal cell carcinoma. The ideal graft material is yet to be established, with synthetic grafts widely studied and used in the current literature.
Prenatal Diagnosis of Concomitant Accessory Scrotum and Diphallia in the Accessory Tissues: Case Report
A case of accessory scrotum with duplicated penis (diphallia) in a male fetus is reported because of its rarity. This case is presented with proved negative androgen receptors in the accessory genitalia. The results of excisional surgery as well as immunostaining for androgen receptors in the resected specimens are presented as well. The outcomes of prenatal ultrasonography, clinical examination of the infant and pathological findings of the resected accessory genitalia are also discussed.
Robot- assisted Laparoscopic Extravesical Cross-trigonal Ureteral Re-implantation with Tailoring for Primary Obstructive Megaureter
To describe a novel, minimally invasive surgical technique, robotic-assisted laparoscopic dismembered extravesical cross-trigonal ureteral reimplantation (RADECUR) for primary obstructive megaureter (POM) and to report a case series of thirteen patients.
Comparative Effectiveness of Transurethral Prostate Procedures at Enabling Urologic Medication Discontinuation: a Retrospective Analysis
To test the hypothesis that transurethral prostate procedures (TUPPs) eliminating tissue result in greater medication discontinuation and lower de-novo initiation rates than procedures inducing tissue necrosis.
Robot assisted cystectomy with holmium laser debridement for osteomyelitis of the pubic symphysis with urinary fistula
To assess the success of robot assisted holmium laser debridement (RALD) of the pubic symphysis for osteomyelitis of the pubic symphysis with associated urosymphyseal fistula (USF). Traditionally, excision of the fistulous tract and concomitant cystectomy with urinary diversion and pubic symphyseal debridement has been done using an open approach. This paper presents patients who were successfully managed with this approach.
To define age-specific normal Color Doppler Duplex Ultrasound parameters in a large institutional database of men without organic erectile dysfunction.
Pathological characteristics of prostate cancer occurring in younger men: a retrospective study of prostatectomy patients
To determine if differences exist in the pathological characteristics of prostate cancer occurring in younger men as compared to the disease when it occurs in older men.
To determine if targeted and modulated radiofrequency ablation (RFA) of the urinary bladder using our novel ablation device (Denerblate) reduces bladder nerve density, potentially leading to a novel strategy for the management of overactive bladder.
Superior Mesenteric Artery Syndrome – A Rare Complication Following Left Radical Nephrectomy and IVC Thrombectomy.
The patient is an 49-year-old male who was referred to our tertiary centre for management of a large left renal mass. He had been evaluated elsewhere for vague left side abdominal pain and contrast enhanced computed tomography (CT) of his abdomen had revealed a large left renal mass with level III inferior vena caval (IVC) thrombus and regional adenopathy(Figure 1A,B). He denied any history of recent acute weight loss and his body mass index was 26.4 Kg/m2.Review of the CT images showed that the left renal vein which had the tumour thrombus was retro-aortic in position .
A 47 years old male with history of longstanding lower back pain, presented to the Emergency department for increased lower back pain. Pain was described as a radicular pain, shooting to bilateral lower extremities, with concomitant bilateral lower extremities paresthesia. Under physical examination there was a mild tenderness to spine, straight leg raise test was positive on left lower extremity, and normal anal sphincter.
To evaluate feasibility of percutaneous nephrolithotomy (PCNL) for complex nephrolithiasis in patients 80 years of age and older compared to younger individuals.
To determine whether use of renal mass biopsy may be associated with a reduction in surgery for patients with small, localized renal cell carcinoma (cT1aN0M0), especially among older patients and patients with greater comorbidity burden.
To measure the incidence of persistent opioid use following ureteroscopy (URS). Over 100 Americans die every day from opioid overdose. Recent studies suggest that many opioid addictions surface after surgery.
To determine whether women overactive bladder symptoms would report more frequent unhealthy toileting behaviors.
Discrepancy between Expectations and Experiences after Prostate Cancer Treatment: A Dutch Multicenter Study
To evaluate possible discrepancies between patients’ expectations concerning sexual side effects related to prostate cancer (PCa) treatment, based on the obtained information prior to treatment. Moreover, to determine if demographic or clinical factors may have an effect on the accuracy of patients’ expectations concerning sexual side effects after treatment.
Persistent Incontinence following surgery for ureteric triplication with contralateral duplication – a management dilemma
Ureteral triplication is a rare congenital anomaly of urinary tract with wide spectrum of presentation. The presentation with incontinence has usually been taken as a sign of ureteral ectopia in these cases. However, ectopia cannot explain all cases with incontinence. We report a case of a 14-year-old girl with ureteral triplication with contralateral duplication and vesicoureteral reflux of the upper moiety on the triplicate side and dysplastic upper moiety on duplicated side, who had persistent incontinence following a left ureteroureterostomy and right heminephrectomy.
A 31-year-old pregnant female who was at 16 weeks gestational age presented to the emergency room with severe right sided flank pain and low-grade fevers. She denied hematuria or dysuria. She had a mother with endometrial cancer and no family history of renal malignancy or congenital anomalies. Her physical exam was notable for a large and tender right upper quadrant mass and a gravid uterus. The rest of her exam was unremarkable as were her basic chemistries and blood counts. Urinalysis was positive for nitrites and leukocyte esterase, and urine culture grew >100,000 colonies of E.