Urology News Feeds
: To evaluate the prevalence of urinary (UI) and fecal incontinence (FI) and the incontinence-related quality of life (QoL) in adolescent and adult patients with cloacal exstrophy (CE) in Germany.
Buccal reharvest for urethroplasty after graft site closure is safe and does not affect long-term oral health
To understand the effects of reharvest on safety and long-term oral health in patients requiring buccal mucosa reharvest from a previously harvested and closed site for management of recurrent urethral stricture disease.
It was with great interest that I read “Ureteral Injuries Secondary to Blunt Abdominal Trauma: A 15-Year Review of Presentation, Management, and Outcomes at a Level 1 Trauma Center”. In this review, the authors explore their single institution experience with blunt ureteral injuries. Outside of the National Trauma Data Bank (NTDB) series1, this work represents the largest series of this very rare phenomenon. This study reinforces several important points from the American Urological Association (AUA) urotrauma guidelines2: delayed-phase computed tomography (CT) is the best tool for early detection of ureteral injuries, and complete ureteral injuries should be repaired as early as possible.
A novel transvesicoscopic ureteral reimplantation technique to treat an infantile ectopic ureter in a single system
An ectopic ureter is a significant urinary tract malformation often treated during early childhood and is surgically managed based on its condition. Generally, only extravesical ureteral reimplantation is available as a treatment option for an ectopic ureter with well-preserved renal function. This report describes a case of a 28-months-old girl with an ectopic ureter in a single system who experienced repeated febrile urinary tract infections, successfully treated using a transvesicoscopic ureteral reimplantation as a minimally invasive treatment.
Risk factors for recurrent urinary tract infection in children with neurogenic bladder following clean intermittent catheterization
To investigate the risk factors for recurrent urinary tract infection (UTI) in children with a neurogenic bladder (NB) managed by clean intermittent catheterization (CIC).
LONGITUDINAL CHANGES IN THE PELVIC PAIN ONLY AND WIDESPREAD PAIN PHENOTYPES OVER ONE YEAR IN THE MAPP-I UROLOGIC CHRONIC PELVIC PAIN SYNDROME (UCPPS) COHORT
To examine how often urologic chronic pelvic pain syndrome (UCPPS) patients progressed from Pelvic Pain Only at baseline to Widespread Pain, or vice versa, during one-year longitudinal follow-up.
To review the evaluation and management of urologic pathology related to mitochondiral diseases (MD) in childhood.
COVID-19, the clinical condition caused by the SARS-CoV-2 virus, has been associated with massive cytokine storm and damage to multiple organ systems. Although evidence for the detection of SARS-CoV-2 virus in the testis remains scarce, testicular damage and dysregulation of gonadotropins associated with inflammation has been reported. Additionally, as a result of the rapidly evolving pandemic, frequently updated medical interventions and public policies leading to delays of care can play a role in fertility.
Robotic Repair of Ureteroenteric Stricture Following Radical Cystectomy: A Multi-Institutional Experience
To examine the safety, feasibility and durability of robotic reimplantation of ureteroenteric stricture after radical cystectomy.
Disparities in Cancer Specific and Overall Survival Outcomes in African Americans with Renal Cell Carcinoma: Analysis from the International Marker Consortium for Renal Cancer (INMARC)
To investigate association of African-American race and survival in Renal Cell Carcinoma (RCC).
To evaluate whether racial disparities in MRI-Bx usage persisted after correction for socioeconomic, demographic, and clinical factors.
To describe the current landscape of first and last female authorship in urology journals relative to the journals’ impact factor. We hypothesized that women would have a smaller proportion of publications in journals with higher impact factors.
An analysis of the evidence underpinning the American Urologic Association clinical practice guidelines
Objective: To evaluate the reporting quality of systematic reviews (SRs) underpinning the American Urologic Association (AUA) clinical practice guidelines (CPGs).Methods: We searched the AUA for CPGs from 2015-2021. We extracted all SRs from the reference sections and two independent investigators evaluated eligible SR/meta-analysis using the PRISMA (Preferred Reporting Instrument for Systematic Reviews and Meta-Analyses) and AMSTAR-2 (A Measurement Tool to Assess Systematic Reviews 2) instruments.
Consumption of a healthy plant-based diet is associated with a decreased risk of erectile dysfunction: a cross-sectional study of the National Health and Nutrition Examination Survey
Purpose: To investigate the association between the plant-based content of diet and erectile dysfunction in men from the National Health and Nutrition Examination Survey (NHANES).Methods: We collected de-identified information from the NHANES database on demographics, comorbidities, diet, and erectile dysfunction (ED). Exclusion criteria were age <20 or >70 years, incomplete plant-based diet index information, history of prostate cancer, or other missing information. Using the food frequency questionnaire, an overall plant-based diet index (PDI) and healthful plant-based diet index (hPDI) were developed.
: To evaluate the clinical and prognostic details of periurethral abscess (PUA) formation following urethroplasty (UP).
Objective: To determine the odds of accessing telemedicine either by phone or by video during the COVID-19 pandemic.Methods: We performed a retrospective study of patients who were seen at a single academic institution for a urologic condition between March 15, 2020 and September 30, 2020. The primary outcome was to determine characteristics associated with participating in a telemedicine appointment (video or telephone) using logistic regression multivariable analysis. We used a backward model selection and variables that were least significant were removed.
Neighborhood Socioeconomic Disadvantage Associated with Increased 90-day Mortality Following Radical Cystectomy
To examine relationships between neighborhood socioeconomic disadvantage and outcomes following radical cystectomy (RC).
Wording of American Urological Association Guideline Recommendations Does Not Signal the Strength of Recommendation
To systematically analyze the wording of American Urological Association (AUA) clinical practice guidelines’ recommendations.
Complete pathologic response to pembrolizumab and axitinib in a patient with sarcomatoid RCC and ocrelizumab-treated multiple sclerosis
Non-clear cell renal cell carcinoma (RCC) is a heterogeneous disease. We report a case of sarcomatoid non-clear cell RCC in a patient with underlying multiple sclerosis (MS) on immunosuppression with a complete pathologic response to pembrolizumab and axitinib. Comprehensive genomic profiling revealed pathogenic mutations in SETD2 and TP53 with high RNA expression levels of immune checkpoint proteins. Our case illustrates the importance of treatment selection based on presence of sarcomatoid features, underlying autoimmune disease, and genomic profiling.
Barriers to implementation of a same-day discharge pathway for Holmium Laser Enucleation of the Prostate
To investigate perceived barriers to successful same-day discharge (SDD) after holmium laser enucleation of the prostate (HoLEP) from the perspective of surgical and nursing staff members.