Urology News Feeds

Scrotal fetus in fetu in a newborn: A rare case report

Urology (Gold Journal) In Press - Wed, 05/25/2022 - 00:00
Fetus in fetu is a rare phenomenon of infancy, separate from conjoined twins, teratomas, and acardiac twins. The pathogenesis is not well understood but has been theorized to originate from either the involution of a twin or the differentiation of a teratoma. While the majority of these are found in the retroperitoneum, the presence of a fetus in fetu within the scrotum is exceedingly rare. We present the diagnosis and management of a case of fetus in fetu in the scrotum of a newborn male including radiologic imaging and pathologic examination.
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Management of Inpatient macroscopic haematuria: a typical urology emergency with a high mortality

Urology (Gold Journal) In Press - Wed, 05/25/2022 - 00:00
To review the in-patient (IP) management patterns and 30-day outcomes of patients admitted with macroscopic haematuria (MH) over a 1-year-period in a single-institution, aiming to clarify management for such cases in the future.
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Resection of Pubic Symphysis and Cystectomy Significantly Improves Short-Term Patient-Reported Physical Functioning among Patients with Pubovesical Fistula and Pubic Bone Osteomyelitis

Urology (Gold Journal) In Press - Wed, 05/25/2022 - 00:00
To investigate the impact of extirpative surgery for pubic bone osteomyelitis with pubovesical fistula on prostate cancer survivors’ physical and mental health.
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Collateral Damage from Fetal Interventions: Increasing the Complexity of Complex Patients

Urology (Gold Journal) In Press - Mon, 05/23/2022 - 00:00
Fetal interventions are often key to fetal survival and growth; however, they can often have complications causing significant morbidity and mortality. This case highlights not only a complication of fetal surgery, but also a very unusual diagnosis. We present the case of a male fetus who was diagnosed with urethral atresia and subsequently underwent two vesicoamniotic shunt placements. At birth, he was diagnosed with Megacystis Microcolon Intestinal Hypoperistalsis Syndrome and was noted to have rectovesical and vesicocutaneous fistulae likely iatrogenically created from shunt placement.
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Abdominal Evisceration: A Rare Complication of In Utero Vesicoamniotic Shunting

Urology (Gold Journal) In Press - Mon, 05/23/2022 - 00:00
Vesicoamniotic shunting (VAS) is one of the most common surgical options in selected cases of severe fetal obstructive uropathy. Abdominal evisceration (AE) secondary to VAS has been reported in only eight cases. A pregnant woman underwent VAS due to lower urinary tract obstruction with severe oligohydramnios. AE was observed at birth. Subsequently, he underwent abdominal surgical repair and urethral dilations due to segmental urethral atresia. At 21-months-follow-up, the patient is breathing spontaneously, undergoing peritoneal dialysis, voiding small amounts of urine, and being fed via G-tube.
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Bilateral Ureterovesical Junction Obstruction Resulting in Anuria in a Three-Week-Old Infant

Urology (Gold Journal) In Press - Mon, 05/23/2022 - 00:00
Bilateral megaureter with ureterovesical junction obstruction is exceedingly rare. We present a case of a 3-week-old boy who presented in acute renal failure and found to have bilateral megaureter. He was initially decompressed with bilateral percutaneous nephrostomy tubes and once stable underwent bilateral ureterostomy. At 6 months old, renal ultrasound showed stable mild right sided hydronephrosis.
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Opioid and Multimodal Analgesia Use Following Urological Trauma

Urology (Gold Journal) In Press - Mon, 05/23/2022 - 00:00
: To examine opioid use following Urological trauma. Increased opioid use is associated with inferior outcomes and risk of dependence, particularly in vulnerable populations. In contrast, multimodal analgesia following trauma allows decreased pain and readmission. Currently there is a paucity of data describing opioid usage following urological trauma. The purpose of this study was to assess utilization of opioids and multimodal pain regimens following urologic trauma.
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Impact of high-fidelity nonbiological kidney puncture trainer on residents’ skills during 30-day practical course

Urology (Gold Journal) In Press - Sun, 05/22/2022 - 00:00
To describe the manufacture of the non-biological kidney cavity puncture trainer under ultrasound control and its benefits during the 30-day learning course of junior residents.
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Characterization of Pediatric Genital Injuries Due to Consumer Products from 2011 to 2020

Urology (Gold Journal) In Press - Sun, 05/22/2022 - 00:00
To describe demographic trends of consumer product-related injuries in the pediatric cohort from 2011 – 2020.
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Sacrocolpopexy Techniques for the Savvy Surgeon

Urology (Gold Journal) In Press - Tue, 05/17/2022 - 00:00
Laparoscopic sacrocolpopexy (LSCP) can be challenging even for the experienced surgeon. Knowledge and adequate visualization of the sacral and pelvic anatomy is paramount to prevent potentially catastrophic intra-operative hemorrhage, nerve or ureteral injury, and to facilitate presacral dissection. We highlight several techniques to maximize surgical efficiency, optimize visualization of the sacral anatomy during presacral dissection, as well as a method to facilitate peritoneal closure over the mesh during LSCP.
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Impact of Duration of Antibiotic Prophylaxis on Incidence of UTI after OnabotulinumtoxinA Injection

Urology (Gold Journal) In Press - Mon, 05/16/2022 - 00:00
To assess the impact of duration of antibiotic prophylaxis on incidence of UTI after intravesical OnabotulinumtoxinA (BTX) injection.
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Long-term follow-up and success rate of ventral inlay buccal mucosal graft urethroplasty for female urethral stricture disease.

Urology (Gold Journal) In Press - Mon, 05/16/2022 - 00:00
To determine the long-term success of ventral inlay buccal-mucosal graft urethroplasty (Vi-BMGU) for female urethral strictures (FUS).
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Massive urethral bleeding following urethral catheterization induced by a pseudoaneurysm

Urology (Gold Journal) In Press - Mon, 05/16/2022 - 00:00
A 58-year-old male patient who had a history of benign prostate hyperplasia, presented with chronic urinary retention and admitted for urinary catheter exchange . There was profuse bleeding of about 1000 mL noticed from the urethra after the reinsertion of Foley Catheter. No tender lump palpable was detected based on the physical examination findings. The level of hemoglobin was declined from 103 g/L to 72 g/L. Following continuous bladder irrigation, fluid induction and blood transfusion were performed.
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HIGH RISK DISEASE AND POOR FOLLOWUP: THE IMPORTANCE OF RENAL MASS BIOPSY IN A COHORT OF VETERANS

Urology (Gold Journal) In Press - Mon, 05/16/2022 - 00:00
To assess the clinical utility of RMB in our multi-state system. Renal mass biopsy (RMB) is useful in the management of masses ≤ 4 cm (T1a), but evaluation of RMB in the uniquely vulnerable Veteran population is lacking.
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Favorable Outcomes with Early Component Separation, Primary Closure of Necrotizing Soft Tissue Infections of the Genitalia (Fournier's Gangrene) Debridement Wound Defects

Urology (Gold Journal) In Press - Sun, 05/15/2022 - 00:00
To evaluate the efficacy of early necrotizing soft-tissue infections of the genitalia (NSTIG) component separation, primary wound closure (CSC). We hypothesized that early CSC would be safe, decrease the need for split-thickness skin grafting (STSG) and decrease wound convalescence time.
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Patient-Reported and Physiologic Outcomes Following Pelvic Exenteration for Non-Repairable Radiated Rectourethral Fistula

Urology (Gold Journal) In Press - Sun, 05/15/2022 - 00:00
: To investigate the impact of pelvic exenteration (PelvEX) on patient-reported pain, distress, and quality of life along with physiologic indicators of health in cancer survivors with radiated, non-repairable rectourethral fistula (RUF).
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Surveillance After Ureteroneocystostomy: Is it Necessary?

Urology (Gold Journal) In Press - Sat, 05/14/2022 - 00:00
To determine the utility of post-operative imaging after ureteroneocystostomy and whether long-term symptom or radiographic surveillance aided in the detection of recurrent obstruction.
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Gender-Based Pay Gap in Urology: A Review of the Literature and Potential Solutions

Urology (Gold Journal) In Press - Sat, 05/14/2022 - 00:00
Studies have repeatedly demonstrated salary-based gender disparities in the field of Urology. These disparities persist even when accounting for contributing factors such as years of experience, hours worked, and practice setting, suggesting that inherent gender bias exists. In addition to salary discrepancies, female urologists are also less likely to be promoted and less likely to hold leadership positions as compared to male urologists. We review the data supporting these disparities and provide tangible, evidence-based solutions for the field of Urology going forward.
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Current landscape of andrology fellowship programs and the effect of gender on post-fellowship practice patterns

Urology (Gold Journal) In Press - Fri, 05/13/2022 - 00:00
: To evaluate the current landscape of andrology fellowships, characteristics of past fellows, and post-fellowship career paths of fellowship graduates.
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Delayed Sigmoid Colon Erosion by Artificial Urinary Sphincter Tubing

Urology (Gold Journal) In Press - Wed, 05/11/2022 - 00:00
A 65-year-old male presents with groin discomfort from a left inguinal hernia. He has a history of prostate cancer status-post radiation therapy and prostatic stenosis treated with urethroplasty. He subsequently developed severe urinary incontinence and underwent artificial urinary sphincter (AUS) placement in 2016. The AUS was replaced in June 2020 due to mechanical failure; he has since experienced no issues and maintained excellent continence.
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