Urology News Feeds
An 86-year old lady was referred for a 3 cm bladder stone 28 years after Burch colposuspension. Cystoscopy showed a stone over a non-absorbable suture, eroding from the right anterolateral bladder wall. The patient underwent a transurethral holmium laser lithotripsy and thulium laser removal of the eroded bladder wall. A high index of suspicion of suture erosion should always be present in case of de-novo symptoms in women who underwent colposuspension, even in the long term period.
Ureteritis cystica is rare, benign entity that associates with chronic urothelial irritation such as recurrent urinary tract infection or nephrolithiasis. It is often diagnosed incidentally on routine imaging or ureteroscopy in asymptomatic individuals. In this case report, we present the retrograde pyelogram and ureteroscopy images of a rare case of extensive unilateral ureteritis cystica in a 78-year-old female presenting for elective stone surgery.
Evaluation of Short-Term Outcomes Following Overlapping Urologic Surgery at a Large Academic Medical Center
To explore the effect of overlapping surgery on the risk of adverse outcomes in urologic surgery.
To determine if preoperative catheter dependence or specimen weight is associated with failed trial without catheter (TWOC) following holmium laser enucleation of the prostate (HoLEP).
An electronic form for reporting results of targeted prostate biopsy: Urology Integrated Diagnostic Report (Uro-IDR)
To detail the development of an electronic report that graphically conveys all relevant information from targeted prostate biopsy.
To describe and assess the implementation and effectiveness of a RCA based program in Urology residency. The Accreditation Council for Graduate Medical Education states programs should encourage patient safety (PS) and provide formal PS education. However, data suggests most programs fall short. Root Cause Analysis (RCA) has been established as an effective method for event analysis and PS.
Efficacy and safety of 1470-nm Diode Laser Enucleation of the Prostate in Individuals with Benign Prostatic Hyperplasia Continuously Administered Oral Anticoagulants or Antiplatelet Drugs
To evaluate the efficacy and safety of 1470-nm Diode Laser Enucleation of the Prostate (DiLEP) in patients with benign prostatic hyperplasia (BPH) continuously receiving oral anticoagulants or antiplatelet drugs.
To assess the safety, feasibility and treatment outcomes of Holmium Laser Enucleation of the Prostate (HoLEP) as a same day surgery (SDS).
We present a unique case of ureterocutaneous fistula secondary to an obstructed ureteric stone. A fistulagram confirmed a communication between right flank and the proximal ureter. Ureterocutanoues fistula in the absence of trauma, iatrogenic causes, granulomatous infection or malignancy is highly unusual.
Bilateral Ureteropelvic Junction Disruptions in a 17-Year-Old with Bilateral Ureteral Duplications: Impact of Unrecognized Duplications and Unique Management of Nephrocutaneous Fistula
A case of bilateral ureteropelvic junction (UPJ) disruptions in a patient with bilateral duplication anomalies is presented. A UPJ disruption with a duplication anomaly has not been reported let alone bilateral duplication anomalies. The unrecognized duplication anomalies led to isolated and obstructed upper pole segments that were managed by bilateral heminephrectomies. A nephrocutaneous fistula developed after one of the heminephrectomies that was successfully managed using a method of percutaneous fulguration and fibrin sealant.
Aphallia, or penile agenesis, is rare (1:30million)1 and associated with other urogenital anomalies.2 Under 100 cases of aphallia have been reported worldwide.1 Pathogenesis is uncertain but thought to be failure of formation of the genital tubercle.2 We present a case of complete penile agenesis with anorectal and urological malformations.References:1. Kane A D, Ngom G, Ndour O, Alumeti D M. Aphallia: A case report and literature review. Afr J Paediatr Surg [serial online] 2011 [cited 2019 Jan 10];8:324-5.
Ureteral Sextuplication With a Blind-ending Ureter Originating from the Upper Pole in a Boy: A Case Report
We experienced an extremely rare case of ureteral sextuplication with a blind-ending ureter originating from the upper pole. The patient had six separate ureters and six renal pelvises with one ureteral orifice. The left kidney was hypoplastic and its differential function was 6.5%. The patient underwent definitive surgical treatment to repair the anomaly (ureteroureterostomy and reimplantation of the formed ureter). The surgery was successful and the postoperative course was uneventful. We herein report the first such case in the English-language literature and discuss the etiology of this ureteral anomaly, the method of diagnostic imaging, and the treatment.
Renal lymphangectasia is a benign malformation of the lymphatics which can be perirenal or peripelvic in location. Diagnosis is made on imaging including ultrasound, computed tomography (CT) or MRI. We present an unusual case of renal lymphangectasia presenting with gross hematuria and flank pain diagnosed on CT.
To assess the qualitative and quantitative changes on prostate multiparametric magnetic resonance imaging (mpMRI) following partial gland ablation (PGA) with cryotherapy and correlate with histopathology.
To investigate the methodological quality of systematic reviews (SRs) published in the urological literature.
Re: Baker et al.: Optimizing opioid pain medication use after vasectomy. A Prospective study. (Urology 2019 Nov 25. pii: S0090-4295(19)31030-1)
I read with great interest the article by Baker et al in a recent issue of the journal.1 The authors performed a prospective study on 76 patients and concluded that opioid medication use after vasectomy is variable though correlated with age. The authors should be commended for performing a well-designed study in an important topic (e.g. pain and opioid consumption) in patients undergoing surgery.2,3 The need to identify the highest risk patients so specific preventive analgesic strategies can be tailored to patients who will benefit the most is of great interest in perioperative medicine.
Epidural Anesthesia is associated with increased complications in Cystectomy Patients: A NSQIP Analysis
To identify differences in short term outcomes and readmission rates in cystectomy patients managed with general anesthesia compared to those undergoing general anesthesia and adjuvant epidural anesthesia.
Evaluation of apparent diffusion coefficient as a predictor of grade reclassification in men on active surveillance for prostate cancer
To evaluate the association between apparent diffusion coefficient (ADC) on initial multiparametric MRI (mpMRI) and biopsy grade reclassification (GR) to Grade Group (GG) ≥ 2 prostate cancer (PCa) in men on active surveillance (AS) with GG 1 PCa.
to provide an update on the web pages of academic Urology departments in the United States and to evaluate for consistency of information available to applicants.
Chemoradiotherapy-induced Cytodifferentiation in Bladder/Prostate Rhabdomyosarcoma with Genetic Downregulation of Myogenin and MyoD1 Gene Expression: A Case Study and Review of the Literature
Rhabdomyosarcoma is the most common sarcoma diagnosed in childhood and adolescence, arising from the bladder/prostate in only 5-10% of cases. Treatment-induced cytodifferention of tumor cells into mature rhabdomyoblasts has been reported following chemoradiation and is thought to suggest a more favorable outcome. We report a case of embryonal rhabdomyosarcoma of the bladder/prostate that exhibited extensive cytodifferentiation with downregulation of myogenin and MyoD1 gene expression in rhabdomyoblasts following treatment with chemoradiation therapy.