Urology News Feeds
A 53-year-old male with history of colon cancer status post neoadjuvant chemotherapy, radiation and colectomy, hyperlipidemia, non-insulin-dependent diabetes mellitus, obesity, hernia repair, and asthma presented to the urology clinic complaining of left inguinal swelling. Upon presentation, vital signs were unremarkable, but physical exam revealed a firm, palpable, nontender abnormality of the left inguinal region. Subsequent CT scan with IV contrast revealed a large presacral fluid collection (7.0 × 2.4 cm) and complex cystic structure arising from the left tunica albuginea (3.8 × 3.0 cm) adjacent to the left corpora cavernosa.
To describe the risks of urinary diversion performed to address adverse effects of gynecologic radiation, with the hypothesis that high grade complications would be more common in sarcopenic women and in those undergoing continent diversion (vs. non-continent) or concomitant cystectomy (vs. bladder-sparing diversion).
The clinical application and potential roles of circulating tumor cells in bladder cancer and prostate cancer
Circulating tumor cells (CTCs) are considered to be promising biomarkers in malignant diseases. Recently, molecular profiles of CTCs in prostate cancer (PCa) and the role of CTCs in neoadjuvant chemotherapy and transurethral resections of bladder cancer (BCa) are intensely studied. However, localized PCa and non-muscle-invasive BCa are less investigated and discussed. Moreover, the benefit and feasibility of clinical applications of CTCs should be critically questioned and reevaluated. This review focuses mainly on clinical issues and lesser on methodologies, and summarizes the quintessence of available works dealing with clinical applications of CTCs in PCa and BCa management.
. To evaluate to what extend urinary continence develops during puberty in patients with classic bladder exstrophy (CBE) and epispadias.
To demonstrate the surgical technique of dual kidney transplantation in ipsilateral iliac fossa using da Vinci Si robotic platform
Unconventional Use Of The Lithoclast To Aid In The Treatment of Large Distal Ureteral Stone Burden In A Patient With A Ureterocele
Large ureteral stone burden can present significant challenges for the urologist to treat. Here we present the retrograde use of the Lithoclast Select TM, in a dilated distal ureter after incision of a ureterocele.
To evaluate whether video visits were being used as substitutes to clinic visits prior to COVID-19 at our institution's outpatient urology centers.
To determine predictors of success for sacral neuromodulation in women with overactive bladder, urinary retention, and fecal incontinence.
The degradation of the laser fiber due to prolonged activation is a common and well-described experience. Cutting the fiber has been suggested as a strategy for restoring its effectiveness. Aldoukhi et al1 tested in vitro the degradation of two different fibers during both fragmentation and dusting of Begostones. The lithotripsy efficacy of factory-new disposable and reconditioned reusable fibers was compared both in their native setup (i.e. transparent tip) and after being cut with Mayo scissor (no stripping).
We thank the authors for their interest in our study. Our main finding was that cutting the fiber tip results in a reduction in power output and lithotripsy. The amount of fragmentation is far greater with a brand-new tip, versus one that is cut with Mayo Scissors. The parameters used in our study, lithotripsy of 3.6 minutes and 2.2 kJ, could be considered on the lower end of clinically reported parameters1. Ritchie and colleagues performed laser lithotripsy for 10 minutes duration and found the stripped fiber provided greater fragmentation compared to an unstripped fiber2.
Relevance of the endoscopic evaluation in the diagnosis of Bladder Pain Syndrome/Interstitial Cystitis
: In 2008 the European Society for the Study of Interstitial Cystitis (ESSIC) established the diagnostic criteria and classification of Bladder Pain Syndrome/Interstitial Cystitis (BPS/IC), based on clinical features and cystoscopy results. The present study aims to assess the relevance of the endoscopic evaluation in clinically suspected cases of BPS/IC, using ESSIC criteria.
Assessment of advanced peri-operative outcomes to identify the true learning curve of robotic-assisted partial nephrectomy
To evaluate the learning curve of robotic-assisted partial nephrectomy (RAPN) as it pertains to operative time (OT) and advanced peri-operative variables such as achievement of trifecta, post-operative complications, 30-day readmission rates (RR), warm ischemia time (WIT) and functional volume loss (FVL).
To assess the safety and feasibility of extraperitoneal single-port robotic assisted laparoscopic radical prostatectomy using the da VinciⓇ SP robotic platform for same-day surgery.
The AUA Residents and Fellows Committee (RFC) sought to investigate parental leave trends among United States (US) residents and to define any relation to burnout. With the help of the AUA Data Committee and AUA Science and Quality Council, the RFC developed a trainee module for the AUA 2019 Census.1 Of the 512 responses received, 415 were validated US residents, making this survey the largest representative sample of trainees to date.2 Residents were provided a range of resources and asked to prioritize the ones most important to them in preventing burnout.
Near-infrared fluorescence imaging of ureters with intravenous indocyanine green during radical cystectomy to prevent ureteroenteric anastomotic strictures
: To determine whether intraoperative near-infrared fluorescence imaging (NFI) of the distal ureter using intravenous indocyanine green (ICG) could provide assessment of vascular adequacy and potentially decrease the risk of ureteroenteric anastomotic stricture (UAS).
To assess predictors of PSMA expression in a genomic database; positron emission tomography (PET) with PSMA-targeted radiopharmaceuticals is increasingly being utilized.
Since the first reported case of the novel coronavirus disease 2019 (COVID-19) in Washington State,1 the United States has become the global epicenter of the pandemic. With many predicting critical shortages of hospital beds, ventilators, and health care providers in New York City (NYC), the NewYork-Presbyterian Hospital and Columbia University Irving Medical Center (CUIMC) quickly implemented system-wide changes to prepare our response. As of May 26, 2020, NYC itself had 204,111 cases and 20,795 deaths, the latter only surpassed by five countries outside the United States.
Retro-ureteral small bowel herniation resulting in bowel obstruction following Robotic Cystectomy with extracorporeal Ileal Conduit
An 80-year-old male with a history of atrial fibrillation on apixaban, hypertension, hyperlipidemia and bladder cancer underwent robotic cystectomy with extracorporeal ileal conduit 8 years prior. His final pathology showed multifocal carcinoma in situ (pTisN0Mx). Although he had no recurrence of disease, his course was complicated by recurrent urinary tract infections, some resulting in urosepsis, for which he followed with Infectious Diseases and was managed with chronic antibiotic prophylaxis.
To better characterize recovery after minimally invasive kidney surgery, we present a study describing patient-reported health-related quality of life (HRQOL) following minimally invasive radical nephrectomy (RN) and partial nephrectomy (PN).
Testicular torsion is well-known urologic emergency. It warrants urgent diagnosis and surgical intervention for successful outcomes. The incidence of undescended testis in new born is 2-8% and reduces to <1% by 1 year of age. In majority of cases, it is located in inguinal canal. Though undescended testis is a known risk factor for testicular torsion, there are limited cases reports in the literature. Testicular torsion in undescended testis is difficult to diagnose due to vague symptoms and absence of testicular signs.