Urology News Feeds

Comparison of Multi-Parametric MRI of the Prostate to 3D Prostate Computer Aided Designs and 3D-Printed Prostate Models for Pre-Operative Planning of Radical Prostatectomies: A Pilot Study

Urology (Gold Journal) In Press - Sun, 09/05/2021 - 00:00
Objective: To evaluate the use of 3D computed aided designs and 3D-printed models as pre-operative planning tools for urologists, in addition to radiologist interpreted mp-MRIS, prior to radical prostatectomy procedures.Methods: Ten patients with biopsy-positive lesions detected on mp-MRI were retrospectively selected. Radiologists identified lesion locations using a Prostate Imaging-Reporting and Data System (PI-RADS) map and segmented the prostate, lesion(s), and surrounding anatomy to create 3D-CADs and 3D-printed models for each patient.
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Influence of histologic types and subtypes on survival outcomes of intermediate-high and high-risk renal cell carcinoma following nephrectomy: Findings from the SEER database.

Urology (Gold Journal) In Press - Sat, 09/04/2021 - 00:00
To understand the influence of histologic subtypes on the survival outcomes of intermediate-high and high-risk renal cell carcinoma (RCC) following nephrectomy
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Robotic Assisted Repair of Post-Ileal Conduit Parastomal Hernia: Technique and Outcomes

Urology (Gold Journal) In Press - Thu, 09/02/2021 - 00:00
: To describe a novel method of robotic assisted laparoscopic parastomal hernia repair (RAL-PHR), including the evolving use of the Da Vinci Single Port (SP) robotic system.
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Voices from the Pipeline: Experiences of Black Medical Students Destined for Urology

Urology (Gold Journal) In Press - Wed, 09/01/2021 - 00:00
Historically, physicians underrepresented in medicine (URM) perform a disproportionate amount of service related to diversity and inclusion (D&I).1 Without appropriate recognition, this service may hamper academic progression and promotion, and contribute to career dissatisfaction.2,3 Currently, we do not fully understand how D&I service expectations and activism affect the overall bandwidth of URM students, particularly those interested in competitive fields such as urology. Racial representation among urology residents lags behind other specialties, with a significantly lower proportion of URM, as defined as the aggregate of Asian or Pacific Islander, Hispanic, Black, Native American/Alaskan and Other, trainees (Urology: 17.7%-30.8%) when compared to other fields (42.3%).
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Opioid-Free Discharge is Not Associated with Increased Unplanned Healthcare Encounters after Ureteroscopy: Results from a Statewide Quality Improvement Collaborative

Urology (Gold Journal) In Press - Tue, 08/31/2021 - 00:00
To evaluate patient factors associated with post-ureteroscopy opioid prescriptions, provider-level variation in opioid prescribing, and the relationship between opioid-free discharges and ED visits.
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The First Black Woman in Urology in the United States

Urology (Gold Journal) In Press - Mon, 08/30/2021 - 00:00
Carol Joan Bennett was born into a family of ten in Pittsburgh. Her mother, an early childhood educator in a Montessori school, demonstrated that being both a nurturing parent and having a career outside the home were possible. Indeed, Dr. Bennett's great-grandmother, Ms. Georgia Myrtle Teal, earned a Bachelor's degree from Cornell University and a Master's in Education from Columbia University in the 1920s, a significant feat for a Black woman before the Civil Rights movement. With that heritage, anything was achievable.
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Penile Extra-Tunical Graft Reconstruction of Peyronie's Disease Concavity Deformities

Urology (Gold Journal) In Press - Mon, 08/30/2021 - 00:00
To report our initial experience with the extra-tunical grafting (ETG) procedure. This procedure was recently introduced by UCSF investigators as a tunica-sparing technique for management of penile concavity deformities.
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Symptom Resolution and Recurrent Urinary Incontinence Following Removal of Painful Midurethral Slings

Urology (Gold Journal) In Press - Mon, 08/30/2021 - 00:00
To evaluate pain improvement and recurrent stress incontinence (SUI) following painful synthetic midurethral sling (MUS) removal.
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Enhanced Recovery After Surgery in the Urinary Diversion Population: Are Protocols Applied Differently in the Benign Indication Population?

Urology (Gold Journal) In Press - Mon, 08/30/2021 - 00:00
To retrospectively evaluate enhanced recovery after surgery (ERAS) protocol administration, hospital length of stay, 30-day readmission, and complication rates among cystectomy and/or urinary diversion patients with benign or malignant indication.
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Men converting from clomiphene citrate to Natesto with a desire to maintain spermatogenesis should be followed closely.

Urology (Gold Journal) In Press - Sun, 08/29/2021 - 00:00
To report a case of a testosterone deficient man desiring maintenance of spermatogenesis converting from clomiphene citrate (CC) to Natesto, who had a decrease in gonadotropins and semen parameter values after making this medication change. The data on men maintaining gonadotropins and semen parameter values after converting from CC to Natesto is also reported.
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Restoration of Continence after Prostatectomy Is Associated with Weight Loss: A Pilot Study

Urology (Gold Journal) In Press - Sun, 08/29/2021 - 00:00
To examine association between post-prostatectomy incontinence (PPI) severity and weight changes before and after restoration of continence via artificial urinary sphincter (AUS).
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Trends in the Racial and Ethnic Diversity in the US Urology Workforce

Urology (Gold Journal) In Press - Sun, 08/29/2021 - 00:00
To examine the historical trends and factors underlying the current state of racial/ethnic representation within the urology workforce at each stage of the educational pipeline.
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Assessment of the Educational Value of Distal Hypospadias Repair Videos on YouTube

Urology (Gold Journal) In Press - Fri, 08/27/2021 - 00:00
To evaluate the quality of YouTube videos depicting distal hypospadias repair.
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A Systematic Review and Meta-Analysis of Dual Therapy in Patients with Advanced Renal Cell Carcinoma of Favourable Risk

Urology (Gold Journal) In Press - Fri, 08/27/2021 - 00:00
Objective: To define the impact of first-line dual therapy involving immune checkpoint inhibitors (ICI) on survival outcomes in patients with advanced renal cell carcinoma (aRCC) of International Metastatic RCC Database Consortium (IMDC) favourable-risk.Materials and Methods: Systematic review of Medline, EMBASE, and Cochrane Central Register of Controlled trials were conducted to select all phase II/III RCTs involving first-line, palliative-intent dual therapy in aRCC patients of favourable-risk.
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Evaluation Of Peri-Operative Outcomes Associated With Resident Involvement On Tumor Resection And Renorrhaphy During Robotic-Assisted Partial Nephrectomy

Urology (Gold Journal) In Press - Fri, 08/27/2021 - 00:00
To evaluate perioperative outcomes of resident trainee involvement in tumor resection and renorrhaphy during robotic assisted partial nephrectomy (RAPN).
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Prospective Assessment of Patient-Perceived Short-Term Changes in Penile Appearance After Urethroplasty

Urology (Gold Journal) In Press - Fri, 08/27/2021 - 00:00
To define the incidence and associations of patient-reported penile curvature and shortening after urethroplasty. Alterations in penile curvature or length post-urethroplasty are associated with patient dissatisfaction but are poorly described.
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A cross-sectional analysis of barriers associated with non-attendance at a urology telehealth clinic in a safety-net hospital

Urology (Gold Journal) In Press - Fri, 08/27/2021 - 00:00
To analyze the factors associated with non-attendance at a urology telehealth clinic in a large urban safety-net hospital after institutional-mandated transition to telehealth due to COVID-19.
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Utilization of the glue-clot technique for removal of small lower pole calculi in pediatric patients: case series

Urology (Gold Journal) In Press - Wed, 08/25/2021 - 00:00
Glue-clot technique has been described as a method to remove small stone fragments in adults undergoing endourological management of renal calculi. In this case series, we share our experience of using this technique for retrieval of stone fragments in four children who underwent ureterorenoscopy. The fragments were mainly located in the lower calyces rendering stone extraction challenging. We were able to achieve complete clearance in all patients. This series represents the first use of glue-clot technique in pediatric ureterorenoscopy.
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Germline Mutations in African American Men with Prostate Cancer: Incidence, Implications and Diagnostic Disparities

Urology (Gold Journal) In Press - Wed, 08/25/2021 - 00:00
Recent data suggests that African American men (AAM) with prostate cancer (PCa) exhibit genetic alterations in highly penetrant germline genes, as well as low penetrant single nucleotide polymorphisms. The importance of germline variants of uncertain significance (VUS) remain poorly elucidated and given the elevated rates of VUS in AAM compared to Caucasians with PCa, further studies are needed to facilitate potential reclassification of VUS. Ongoing efforts to include AAM in genomics research is of paramount importance in order to ensure applicability of discoveries across diverse populations and potentially reduce PCa disparities as we embark on the era of precision medicine.
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Individual patient data meta-analysis of discrimination of the four kallikrein panel associated with the inclusion of prostate volume

Urology (Gold Journal) In Press - Tue, 08/24/2021 - 00:00
To assess whether adding prostate volume to the kallikrein panel improves discrimination for ISUP Grade Group 2 or higher (GG2+) disease, as some men may have volume measurements available at the time of blood draw. While prostate volume predicts biopsy outcome, it requires an imaging procedure for measurement. The four kallikrein panel - commercially available as the 4Kscore - predicts risk of GG2+ disease and requires only a blood draw.
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