Urology News Feeds
To characterize the status of mentorship programs for Urology residencies in the United States, highlight the importance of mentorship in the career of an urology resident, and identify the obstacles of implementing a mentorship program.
To describe a novel technique of using peripheral nerve neuromodulation (PNNM) for the treatment of refractory, mesh-induced chronic pelvic pain. Chronic pelvic pain associated with mesh can be a debilitating complication and there is currently no consensus on treatment. PNNM has been shown to be successful in the treatment of post-traumatic neuralgias but has yet to be studied in mesh complications.
Electromagnetic Guided Percutaneous Renal Access Outcomes Among Surgeons and Trainees of Different Experience Levels: A Pilot Study
To determine feasibility of an electromagentic (EM) guidance system (Auris Health, Redwood City, CA) in obtaining percutaneous renal access among urologists and trainees of different experience levels. EM-guidance is appealing for access as it allows real time, three-dimensional targeting without radiation. Few studies have explored this for percutaneous nephrolithotomy (PCNL) and none have assessed its potential to decrease the learning curve in obtaining access using traditional techniques.
To assess and analyze the contemporary causes of inhospital deaths of spina bifida patients.
Metastasis of prostate cancer (PCa) to renal pelvis is extremely rare. A 64-year-old man was hospitalized for increased prostate specific antigen (PSA) after radical prostatectomy. 68Ga-PSMA-11 PET/CT showed hydronephrosis caused by a mass in the left renal pelvis without significant uptake of PSMA tracer. The histopathology indicated metastatic PCa with a Gleason score of 5+5 but negative for prostate specific membrane antigen (PSMA) following nephroureterectomy. Although metastasis to renal pelvis is rare, the occurrence possibility could not be ignored when with hydronephrosis is found in prostate cancer patients.
Pediatric extrarenal malignant rhabdoid tumors (MRTs) are rare, aggressive tumors with a poor prognosis (20% 5-year survival). There are currently fewer than 10 published case reports of primary MRT of the bladder. We report the case of an 18 month-old female with an isolated MRT of the bladder which was initially misdiagnosed as an inflammatory myofibroblastic tumor on biopsy. We review the history, tumor biology, histology, and current management of extrarenal MRT, along with lessons learned from the difficulty with the patient's initial diagnosis.
Prostatic artery embolization in non-index benign prostatic hyperplasia patients: Single center outcomes for urinary retention and gross prostatic hematuria
To present outcomes for prostatic artery embolization (PAE) to treat urinary retention and gross prostatic hematuria in non-index benign prostatic hyperplasia (BPH) patients.
Is primary realignment appropriate for the initial management of straddle injuries to the bulbar urethra?
To compare the clinical courses of patients with straddle injuries to the bulbar urethra based on the initial management strategy for urinary drainage, mainly suprapubic tube placement (SPT) and primary realignment (PR), and to examined whether PR has a beneficial effect on subsequent urethroplasty with regards to surgical and patient-reported outcomes.
Diagnostic properties of total and free prostate-specific antigen to predict overall and clinically significant prostate cancer among men with low testosterone and prior negative biopsy
To evaluate whether total serum PSA, free-PSA ratio and PSA density have similar diagnostic properties for detecting prostate cancer (PCa) and clinically-significant (cs) PCa in men with normal testosterone compared to men with low testosterone with a prior negative biopsy.
Comparison of Open and Robot Assisted Radical Nephrectomy with Level I and II Inferior Vena Cava Tumor Thrombus: The Mayo Clinic Experience
To compare the perioperative and oncologic outcomes associated with open vs. robot assisted radical nephrectomy with tumor thrombus (RNTT). Renal cell carcinoma with venous tumor thrombus has traditionally been managed through an open surgical approach.. The robot assisted approach may offer improved perioperative outcomes compared to open, but there are few studies comparing these two.
This book is written as a comprehensive technical reference for urologists performing microsurgical vasectomy reversals. The author seeks to provide an extensive reference on those microsurgical techniques by expanding upon the various scenarios and complications urologists may encounter in their operational decision-making through an entire text based on the literature and his vast personal experience. The book is organized into 3 sections focused on presurgical considerations, specific surgical techniques and intraoperative challenges, including with decision-making, and postreversal care and potential complications.
A 73-year-old male Jehovah's Witness who declined blood transfusions was referred for 2cm of distal ureteral stones and massive prostate (Figure 1A). During cystoscopy, the ureters were not visualized. There was concern that retrograde access to the ureter might not be possible, which would necessitate a percutaneous antegrade approach.
Utility of Skin Grafting and Tissue Expansion in Penile Reconstruction for the Exstrophy-Epispadias Complex
To describe the use of additional tissue recruited for coverage after penile lengthening in male exstrophy-epispadias complex (EEC) patients using either local skin from tissue expansion (TE) or extra-genital with a skin graft (SG) and report their respective outcomes.
To provide the anatomy of the puboprostatic ligament and related structures to save urogenital competence after prostatectomy.
Corrigendum to ‘Plaque calcification: An important predictor of collagenase clostridium histolyticum treatment outcomes for men with Peyronie's Disease’
The authors regret that a version of table 1 was erroneously published in the above manuscript that did not accurately reflect the most updated data.
State of the art of Thulium laser enucleation and vapoenucleation of the prostate: a systematic review
Tm:YAG laser operates at a wavelength of 1940-2013 nm in a continuous wave mode, which enables smooth incision and rapid vaporization of prostatic tissue, with a shallow penetration of only 0.2 mm. These characteristics make Tm:YAG a versatile laser, allowing the surgeon to perform resection, vaporization, and vapoenucleation. This systematic review aims to summarize the current evidence of safety and efficacy, long-term durability, impact on sexual function following Tm:YAG laser enucleation and vapoenucleation of the prostate and to compare the outcomes of these procedures versus other surgical treatments of benign prostatic hyperplasia.
A prospective comparative study of the feasibility and reliability of telephone follow-up in female urology: the Patient Home Office Novel Evaluation (PHONE) Study
To determinate the feasibility, reliability, and patient satisfaction of telephonic follow-up in women treated for stress urinary incontinence (SUI) or pelvic organ prolapse (POP): Patient-Home-Office-Novel-Evaluation (PHONE) study.
The Role of Cytoreductive Nephrectomy for Sarcomatoid Renal Cell Carcinoma: A 29-year Institutional Experience
To assess which patients respond best following cytoreductive nephrectomy for renal cell carcinoma (RCC) with sarcomatoid dedifferentiation (sRCC) and whether outcomes are improving over time.
As gender-affirming genital surgery for transgender men becomes more common, general urologists may be confronted with unfamiliar anatomy and complications. We describe the use of voiding cystourethrogram and retrograde urethrogram in a transgender man in demonstrating the anatomy of the urethra, urethrocutaneous fistula, and a vaginal remnant after phalloplasty.
A 24-year-old male presented to the emergency department with a purpuric rash that started a week prior on the arms, trunk, and legs, along with acute onset testicular pain radiating to the lower abdomen. Ultrasound performed during that ED visit showed bilateral testicular solid masses, hypovascular or avascular, and a hypervascular left testicle and epididymis (Figure 1). Differential based on ultrasound findings included: testicular carcinoma, granulomatous epididymoorchitis such as sarcoidosis or tuberculosis, adrenal rests, lymphoma, or metastases.