Urology News Feeds
Corynebacterium species, typically considered contaminants in urine culture, can cause encrusted cystitis (EC), a form of chronic urinary tract infection (UTI) causing pain, bladder necrosis, renal failure, and death. Delayed diagnosis is common due to its rarity and the fastidious nature of Corynebacterium urealyticum (CU). Reported mostly in elderly and immunocompromised patients, EC is rare in pediatric patients. A female adolescent on high dose steroids developed persistent dysuria after urinary catheterization.
To compare pressure, dilation, and histology in a porcine model after stenting with a pigtail suture stent (PSS)–where the ureteral and bladder component consists of a suture–and a double J (DJ) stent.
Preoperative Predictors of Failure of Microsurgical Spermatic Cord Denervation for Men with Chronic Orchialgia.
To evaluate predictors of failure of microsurgical spermatic cord denervation (MSCD) for men with chronic orchialgia.
The Middle East has become known as the “Stone Belt” region due to its high prevalence of urinary stones.1 This phenomenon is well documented in even the early civilizations of Medieval Persia,2 Egypt, and Mesopotamia.1 In 1917, during World War I, Palestine came under British legal rule until the founding of the Israeli state in 1948. Researchers described urolithiasis in Jerusalem in 19303 and again in 1936.4 However, this subject was hardly investigated until the end of the 1950s, until internal physician Dr.
Lichen sclerosus and phimosis – discrepancies between clinical and pathological diagnosis and its consequences
To assess the accuracy of clinical diagnoses and the true incidence of lichen sclerosus (LS) in patients with phimosis.
Urinary Tract Infection after Robot-Assisted Laparoscopic Pyeloplasty: Are Urine Cultures and Antibiotics Helpful?
To evaluate how variations in peri-operative urine culture (UCx) and antibiotic prophylaxis utilization following robot assisted laparoscopic pyeloplasty (RALP) affect post-RALP urinary tract infection (UTI) rates in children, then use data to generate a standardized care pathway.
Natural history of asymptomatic pseudoaneurysm soon after robot-assisted partial nephrectomy: single center prospective study
To prospectively investigate the natural history of asymptomatic pseudoaneurysm after robotic-assisted partial nephrectomy.
Effect of continued perioperative anticoagulant therapy on bleeding outcomes following robot-assisted radical prostatectomy
To assess the impact of continued perioperative anticoagulant drug administration on bleeding and complications in patients undergoing robot-assisted radical prostatectomy.
Ureteroceles in children are detected with prenatal sonography and less commonly during the evaluation following a urinary tract infection. Rarely do ureteroceles in the pediatric population present with stones, particularly in a bilateral fashion. We present a case of a 5-year-old boy found to have bilateral intravesical single system ureteroceles harboring multiple large calculi treated successfully with a staged endoscopic approach.
Variability in Kidney Function Estimates in Emerging Adults with Spina Bifida: Implications for Transitioning from Pediatric to Adult Care
To examine the variability of estimated glomerular filtration rate (eGFR) in emerging adults with spina bifida by comparing multiple equations across the transitional age period, hypothesizing that creatinine (Cr)-based equations show greater variability than cystatin-C (CysC)- or combination-based equations.
Clinical and Molecular Characterization of Microphthalmia-Associated Transcription Factor (MITF)-Related Renal Cell Carcinoma
To characterize the clinical presentation, genomic alterations, pathologic phenotype and clinical management of microphthalmia-associated transcription factor (MITF) familial renal cell carcinoma (RCC), caused by a member of the TFE3, TFEB and MITF family of transcription factor genes.
To evaluate whether the practice of procedure-time overlapping surgery (OS) is associated with inferior outcomes compared to non-overlapping surgery (NOS) in urology, to address the paucity of data surrounding urologic surgeries to support or refute this practice.
PTEN Hamartoma-Tumor-Syndrome (PHTS) describes a series of conditions characterized by germline-mutation of the PTEN tumor-suppressor gene. PHTS patients have an increased lifetime risk of multiple malignancies, including thyroid, breast, and endometrial cancers. PHTS patients also have 20-30 fold increased risk of renal cell carcinoma (RCC) compared to age-matched controls. As with many hereditary RCC syndromes, tumors present early and multifocally. We present a case of one of the youngest patients diagnosed with RCC in PHTS and review the urologic implications of this syndrome.
To evaluate patient-specific and perioperative factors that may be predictive of bladder perforation during midurethral sling placement.
To quantify the yearly prostate cancer incidence per 100,000 men, comparing consecutive years from 2010 through 2016. In the years immediately following the 2011/2012 U.S. Preventive Services Task Force update to prostate specific antigen (PSA) screening guidelines, PSA screening, biopsy, and subsequent prostate cancer diagnosis and definitive local treatment have declined. We performed an analysis of stage and grade at diagnosis for prostate cancer in the US, in the years following the 2011/2012 update.
Holmium Laser Enucleation of Prostate Within 6 Weeks of Transrectal Ultrasound Guided Prostate Biopsy is Safe and Effective
To evaluate the safety and efficacy of performing Holmium laser enucleation of the prostate (HoLEP) for the treatment of bladder outlet obstruction secondary to an enlarged prostate within 6-weeks of a transrectal ultrasound (TRUS) guided prostate biopsy.
Single-Incision Midurethral Sling by the Dynamic Intraoperative Standing Sling Technique as an Office-Based Procedure: A Pilot Study
To assess the safety, feasibility, and short-term success of placing Solyx™ (Boston Scientific, Marlborough, MA) single-incision midurethral sling (SIMUS) using the Dynamic Intraoperative Standing Sling Technique (DISST©) in an office setting under local anesthesia.
Contemporary Assessment of the Most Cited Clinical, Basic Science, and Guidelines Papers in Urology: A Reference for Urology Journal Club
To perform bibliometric analysis of the top cited articles in urology as a guide for journal club article selection.
Cost effectiveness of sacral neuromodulation and OnabotulinumtoxinA in managing refractory idiopathic overactive bladder
Little information from clinical and modelled studies are available on cost-effectiveness of OnabotulinumtoxinA (BTX) and sacral neuromodulation (SNM) for the treatment of idiopathic overactive bladder (OAB). We aimed to summarise the evidence in this regard from different healthcare systems. Seven studies from 5 countries were reviewed. Some modelled studies with a 10-year time frame showed that SNM became dominant long-term; others suggested BTX was more cost effective at <5 years. There was considerable heterogeneity in the base case / sensitivity analysis and statistical modelling amongst the studies.
Influence of body mass index on the surgical outcomes of flexible ureteroscopy for pediatric upper urinary tract calculi—a single surgeon experience
To examine the association between body mass index (BMI) and surgical outcomes of flexible ureteroscopy (FURS) for pediatric upper urinary tract calculi and to estimate the influence of BMI percentile on the learning curve of pediatric FURS.