Urology News Feeds

Predicting the Impacted Ureteral Stone with Computed Tomography

Urology (Gold Journal) In Press - 22 hours 7 min ago
To evaluate whether pre-operative computed tomography (CT) findings could predict the presence of an impacted stone. Preoperative identification of an impacted ureteral stone may influence patient preparation and operative decisions. Factors predicting ureteral stone impaction have not been clearly identified.
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Endo-Satinsky clamp hybrid in situ perfusion in retroperitoneoscopic donor nephrectomy for right-sided kidney

Urology (Gold Journal) In Press - 22 hours 7 min ago
To introduce our hybrid technique using an endo-Satinsky clamp and in situ cold perfusion for right-sided retroperitoneoscopic donor nephrectomy (RDN) and to investigate efficacy and safety compared with those standard right-sided RDN.
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Outcomes for Intravesical Abobotulinumtoxin A (Dysport®) Treatment in the Active Management of Overactive Bladder Symptoms – A Prospective Study

Urology (Gold Journal) In Press - 22 hours 7 min ago
To present the results our active management protocol for bothersome Overactive Bladder symptoms using abobotulinumtoxinA (Dysport ®) over a nine-year period.
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Factors Associated with Secondary Overtriage in Renal Trauma

Urology (Gold Journal) In Press - 22 hours 7 min ago
To examine secondary overtriage for isolated renal trauma patients and to use secondary overtriage criteria to determine factors associated with unnecessary inter-hospital transfers in patients with isolated renal trauma.
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Urologist practice structure and spending for prostate cancer care

Urology (Gold Journal) In Press - 22 hours 7 min ago
To investigate the impact of urologist practice structure on health care spending for men with prostate cancer. We hypothesize that three elements of urologist practice structure may influence spending for prostate cancer care: urologist participation within a multispecialty group (MSG), practice size among single specialty urology groups and intensity-modulated radiation therapy (IMRT) ownership.
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Three-year active surveillance outcomes in a contemporary community urology cohort in the United States

Urology (Gold Journal) In Press - 22 hours 7 min ago
To determine the 3-year outcomes of men with prostate cancer managed with active surveillance (AS) in a cohort of geographically diverse community-based urology practices. AS is the management of choice for a majority of men with lower risk prostate cancer.1,2,3 Little is known about the contemporary “real-world” follow-up and adherence rates in the most common setting of urologic care, community (private) practice.4
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Modeling the Incidence of Secondary Malignancy Related to Ionizing Radiation use in the Management of Nephrolithiasis

Urology (Gold Journal) In Press - Tue, 04/23/2019 - 00:00
To model the risk of secondary malignancy and associated mortality due to ionizing radiation from the evaluation and management of nephrolithiasis.
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The Distribution of Post-Void Residual (PVR) Volumes in People Seeking Care in the Symptoms of Lower Urinary Tract Dysfunction Network (LURN) Observational Cohort Study with Comparison to Asymptomatic Populations

Urology (Gold Journal) In Press - Sun, 04/21/2019 - 00:00
To describe the distribution of post-void residual (PVR) volumes across patients with and without lower urinary tract symptoms (LUTS) and examine relationships between self-reported voiding symptoms, storage symptoms, and PVR.
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Urinary and Sexual Outcomes following Bulbar Urethroplasty - An Analysis of Two Common Approaches

Urology (Gold Journal) In Press - Fri, 04/19/2019 - 00:00
To report success and patient reported urinary and sexual outcomes of patients who underwent anastomotic urethroplasty and dorsal buccal onlay urethroplasty.
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The histopathological correlation of Bosniak 3 cyst sub-classification

Urology (Gold Journal) In Press - Fri, 04/19/2019 - 00:00
To evaluate the histopathological correlation of recently described subclassification of Bosniak category 3 cysts (3s and 3n).
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The Impact of Frailty on Artificial Urinary Sphincter Placement and Removal Procedures

Urology (Gold Journal) In Press - Fri, 04/19/2019 - 00:00
To determine whether frailty is associated with increased odds of 30-day surgical complications among men undergoing both artificial urinary sphincter (AUS placement and removal procedures and to determine whether frailty was associated with increased odds of having an AUS removal procedure.
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Prostate Leiomyosarcoma: a rare misleading tumour

Urology (Gold Journal) In Press - Fri, 04/19/2019 - 00:00
A 73 year-old male patient presented with a history of moderate LUTS, namely frequency, nocturia and weak urinary stream. He had no history of previous surgery, or any medical conditions of notice, and he is a non-smoker, nonalcoholic. He has been diagnosed with benign prostate hyperplasia (BPH) ten years before, for which he was then being treated with dutasteride and tansulosin. Because of having slightly elevated PSA, which had been stable at 6ng/mL over the past years, the patient had also undergone to two twelve-core transrectal ultrasound guided (TRUS) biopsies.
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An Uncommon Case of a Traumatic Corporal Cutaneous Fistula

Urology (Gold Journal) In Press - Fri, 04/19/2019 - 00:00
Penetrating perineal trauma is an unusual urologic injury. Even less common is a delayed presentation. Herein we present the case of a patient with delayed development of a corporal cutaneous fistula three months following perineal trauma.
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Small bowel adenocarcinoma of ileal ureter 40 years after ureteral reconstructive surgery

Urology (Gold Journal) In Press - Fri, 04/19/2019 - 00:00
Malignant neoplasm arising from ileal ureter used for ureteral reconstructive surgery is an exceedingly rare event. Ureteroileoplasty was being performed since the beginning of the last century, but it was described more extensively in literature during the 1950s.1,2 Recurrent urinary infections, chronic renal failure, urolithiasis, anastomotic stricture, metabolic acidosis and chronic dilation of the graft had been described as late complications of ureteroileoplasty.3,4 Herein, we describe history, imaging and pathologic findings of a small bowel adenocarcinoma arising from ileal ureter in a woman of 78 year-old, subjected to ureteroileoplasty about forty years earlier.
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Possible drop metastasis after treatment of renal cell carcinoma with percutaneous cryoablation

Urology (Gold Journal) In Press - Fri, 04/19/2019 - 00:00
A 69-year-old male with no documented past medical history presented to an outside institution with a 2.9 cm left lower pole renal mass that was incidentally discovered on imaging performed for abdominal and back pain. He denied any history of hematuria or flank pain. He was referred to the interventional radiology service for CT-guided percutaneous biopsy and cryoablation of the left renal mass. Three core needle biopsies were performed using a 20 gauge cutting needle with coaxial technique. Hydrodissection was used to displace the colon in preparation for cryoablation due to the lesion's anterior location.
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International and Multi-Institutional Assessment of Factors Associated with Performance and Quality of Lymph Node Dissection during Radical Nephrectomy

Urology (Gold Journal) In Press - Fri, 04/19/2019 - 00:00
To determine factors associated with performance and quality of lymph node dissection during radical nephrectomy.
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Pediatric urinary stone disease in the United States: The Urologic Diseases in America Project

Urology (Gold Journal) In Press - Thu, 04/18/2019 - 00:00
To examine the recent epidemiology of pediatric urinary stone disease (USD) in the United States.
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Downstream Studies Following the Use of Bone Scan in the Staging of Muscle-invasive Bladder Cancer

Urology (Gold Journal) In Press - Thu, 04/18/2019 - 00:00
To quantify the use of downstream studies following staging bone scans in patients with muscle-invasive bladder cancer. Bone scans may be obtained in high-risk bladder cancer patients prior to radical cystectomy to exclude bone metastases. However, false positive bone scans can occur, resulting in the need for additional studies.
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A Thoughtful Pause for Sparing Oopherectomy

Urology (Gold Journal) In Press - Thu, 04/18/2019 - 00:00
We read with interest the recent article by Abboud et al1 regarding ovarian malignancy in women after radical cystectomy (RC). The authors demonstrate a low rate of subsequent ovarian malignancy, and conclude that oophorectomy at the time of RC may be omitted. While we applaud the goal to spare the undesirable morbidity of oophorectomy, we suggest a pause to blanket implementation of this recommendation.
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OVOTESTICULAR DISORDER OF SEX DEVELOPMENT: A RARE CASE OF LATERAL SUBTYPE 45X/46XY KARIOTYPE DIAGNOSED IN ADULTHOOD

Urology (Gold Journal) In Press - Thu, 04/18/2019 - 00:00
A 53-year-old male referred to our Centre because of hypergonadotropic hypogonadism detected during urological follow-up for urethral lithiasis. Physical Examination showed short stature, micropenis, ambiguous external genitalia, normal secondary sexual characteristics. Karyotype: 45 × 0/46XY. Abdominal MRI revealed the presence of uterus-like structure, right annex and left testes without prostate. He underwent laparoscopic removal of dysgenetic tissues; histological examination confirmed the presence of little uterus, fallopian tubes, little atrophic ovary, and vaginal tract; left testes was atrophic with sclero-jalinosis of seminal tubes and Leydig's cells hyperplasia.
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