Urology News Feeds

Impact of obesity on perioperative outcomes at robotic-assisted and open radical prostatectomy: results from the National Inpatient Sample

Urology (Gold Journal) In Press - Sat, 07/20/2019 - 00:00
To test the effect of obesity (body mass index [BMI] ≥30 kg/m2) on perioperative outcomes and total hospital charges (THC) at robot-assisted vs. open radical prostatectomy (RARP vs. ORP).
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Urethral Stricture is Frequently a Morbid Condition: Incidence and Factors Associated with Complications Related to Urethral Stricture

Urology (Gold Journal) In Press - Thu, 07/18/2019 - 00:00
To determine the frequency of complications related to urethral stricture and identify clinical factors associated with them.
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TOTAL MOTILE SPERM COUNT TREND OVER TIME: EVALUATION OF SEMEN ANALYSES FROM 119,972 MEN FROM SUBFERTILE COUPLES

Urology (Gold Journal) In Press - Thu, 07/18/2019 - 00:00
To determine whether a clinically-relevant change in the total motile sperm count (TMSC) over time exists within the subfertile population.
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Author Reply: Comparing Medicolegal Risk Surrounding Vasectomy in Spanish and American Society

Urology (Gold Journal) In Press - Thu, 07/18/2019 - 00:00
We thank the authors for sharing the Catalonian experience and how it both complements and differs from the US experience. We recognize the limitations of WestLaw which, nonetheless, is the most comprehensive dataset available in US. International data clearly confirms that urologists are at considerably high medicolegal risk, and must take certain steps to minimize this. One aspect in particular that must be addressed is communication. Dealing with recovery and complications from procedures can be a lonely experience for patients.
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Vasectomy litigation in Spain. The importance of post-vasectomy pregnancy

Urology (Gold Journal) In Press - Thu, 07/18/2019 - 00:00
We would like to congratulate Blazek et al.1 for their thoughtful legal review of litigation in vasectomy cases. Nevertheless, great limitations have been reported at Westlaw legal data base studies.
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Effects of estrogen on spermatogenesis in transgender women

Urology (Gold Journal) In Press - Sat, 07/13/2019 - 00:00
To characterize spermatogenesis in the estrogenized transgender patient.
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A comparison of clinical outcomes of operating room versus office-based ureteral stenting with the novel use of nitrous oxide sedation

Urology (Gold Journal) In Press - Sat, 07/13/2019 - 00:00
To examine the safety and effectiveness of placing ureteral stents in an office-based setting versus in the operating room.
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Evaluation of asymptomatic microscopic hematuria by renal ultrasound to detect upper tract malignancy: a 20-year experience in a community hospital

Urology (Gold Journal) In Press - Sat, 07/13/2019 - 00:00
To evaluate the sensitivity of ultrasound imaging in detecting upper urinary tract malignancy in patients with asymptomatic microscopic hematuria (AMH) in an outpatient community setting.
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Domain Comparison Between 6 Validated Questionnaires Administered to Women with Urinary Incontinence

Urology (Gold Journal) In Press - Sat, 07/13/2019 - 00:00
To compare patients’ questionnaire-reported UI symptoms to determine which have the best concordance.
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Performance of a Natural Language Processing Method to Extract Stone Composition from the Electronic Health Record

Urology (Gold Journal) In Press - Sat, 07/13/2019 - 00:00
To demonstrate the utility of a natural language processing (NLP) algorithm for mining kidney stone composition in a large-scale electronic health records (EHR) repository.
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Size is not everything that matters: preoperative CT predictors of stone free after RIRS

Urology (Gold Journal) In Press - Sat, 07/13/2019 - 00:00
to define computed tomography (CT) predictors of residual fragments after retrograde intrarenal surgery (RIRS) for kidney stones up to 20 mm in patients never submitted to surgical procedures for stone removal.
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Nocturia: A Highly Prevalent Disorder with Multifaceted Consequences

Urology (Gold Journal) In Press - Sat, 07/13/2019 - 00:00
Nocturia is a bothersome, multifactorial condition with many underlying causes and contributing factors. Nocturnal polyuria (NP; overproduction of urine at night) is a frequent component. The prevalence of nocturia increases with age; specific estimates of prevalence are influenced by frequency thresholds used to define it. There is a tendency toward higher prevalence in young women than young men, which is reversed in later life.The association between frequency of nocturnal voiding and sleep disruption is well-documented.
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Use of a Novel Articulating Laparoscopic Needle Driver for Partial nephrectomy: an initial experience

Urology (Gold Journal) In Press - Sat, 07/13/2019 - 00:00
To demonstrate the clinical feasibility of an articulated laparoscopic needle driver to assist in the performance of laparoscopic PN (LPN). Previous studies have demonstrated under-utilization of minimally invasive techniques for patients undergoing partial nephrectomy (PN).
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Nerves in the areas posterior to the prostate base contribute to erectile function: An intraoperative electrical stimulation assessment

Urology (Gold Journal) In Press - Fri, 07/12/2019 - 00:00
To confirm the distribution of functional nerves involved in erectile function at the posterior of the prostate base, intraoperative nerve stimulation was performed during robot-assisted radical prostatectomy (RARP)
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Predicting Short-Term Outcomes After Radical Cystectomy Based on Frailty

Urology (Gold Journal) In Press - Fri, 07/12/2019 - 00:00
To evaluate the impact of frailty on adverse perioperative outcomes in patients treated with radical cystectomy for bladder cancer.
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Upper Tract Urothelial Carcinoma grade prediction based on the ureteroscopic appearance: caution should be taken

Urology (Gold Journal) In Press - Thu, 07/11/2019 - 00:00
To investigate the diagnostic accuracy, inter-rater and intra-rater agreement of grade predictions based on the visual appearance of papillary upper tract urothelial carcinoma (UTUC) during digital ureteroscopy.
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Lynch syndrome in urologic malignancies – what does the urologist need to know?

Urology (Gold Journal) In Press - Thu, 07/11/2019 - 00:00
Lynch Syndrome (LS) entails a defective DNA mismatch repair system, which is the post-replicative proofreading and editing system, ensuring our genome's integrity. LS predisposes to several cancers, most commonly colorectal and endometrial cancers. LS occurs in approximately 1 in 250–1,000 people.LS is associated with urological malignancies with upper tract urothelial carcinoma the most common, although still clinically underestimated. Other urologic malignancies possibly associated with LS include bladder, prostate, testis, and renal cell carcinoma.
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Images in Clinical Urology: Laparoscopic repair of Bochdalek Hernia, presenting as a renal colic

Urology (Gold Journal) In Press - Thu, 07/11/2019 - 00:00
Bochdalek hernia (BH) is a postero-lateral diaphragmatic congenital defect. Although most commonly diagnosed at birth, 0.17-6% of cases can also be seen in adults.A third of the cases may contain abdominal organs like small bowel, kidney or spleen.In our literature search we only found 3 reported cases of urinary obstruction secondary to herniation of the renal pelvis through a BH. Here we describe a rare case of upper urinary tract obstruction caused by a BH successfully treated by laparoscopic surgery in our center.
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Hidradenocarcinoma of the scrotum

Urology (Gold Journal) In Press - Thu, 07/11/2019 - 00:00
Lesions of the skin and soft tissues of the penis and scrotum may be confusing in urological practice, since rare differential diagnoses can be challenging to providers with limited dermatological experience. Hidradenocarcinoma is one of such diagnoses, a rare and aggressive malignant tumor originating from sweat glands.A 61 year-old man presented with a nodule in the penoscrotal region which had appeared 1 year before consultation. He had no history of penile lesions, sexually transmitted diseases or other complaints.
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“A National Study Demonstrating the Need for Improved Frailty Indices for Preoperative Risk Assessment of Common Urologic Procedures”

Urology (Gold Journal) In Press - Thu, 07/11/2019 - 00:00
To compare the associations between frailty indices and postoperative complications among older adults undergoing common urologic procedures. Frailty is known to be strongly associated with poor postoperative complications; however, the optimal way to measure frailty remains unknown.
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