Urology News Feeds

Evolving Trends for Selected Treatments of T1a Renal Cell Carcinoma

Urology (Gold Journal) In Press - Thu, 07/04/2019 - 00:00
To evaluate contemporary trends in the management of SRMs and how patient age has impacted practice patterns
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Acute Renal Transplant Failure Secondary to an Obstructing Ileal Conduit Adenocarcinoma: Case Report and Literature Review

Urology (Gold Journal) In Press - Tue, 07/02/2019 - 00:00
A 38-year-old Caucasian male with a complex urologic history of renal transplantation and ileal conduit urinary diversion was admitted with acute renal failure and found to have an obstructing ileal conduit mass. The patient's history was notable for posterior urethral valves status post ablation as an infant, construction of a catheterizable channel at age 2, ileal conduit urinary diversion at age 4, left nephrectomy for recurrent pyelonephritis in a nonfunctioning kidney at age 7, and living-related kidney transplant for progressive chronic kidney disease at age 27.
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Holmium Laser Enucleation of the Prostate After Failed UroLift: Surgical Considerations for the Management of Non-Absorbable Implants

Urology (Gold Journal) In Press - Mon, 07/01/2019 - 00:00
To demonstrate the surgical considerations for managing retained UroLift implants when performing HOLEP. Prostatic Urethral Lift via the UroLift System has become a common treatment modality to manage symptoms associated with benign prostatic hyperplasia. The UroLift procedure uses non-absorbable implants to retract obstructing prostate lobes. Retreatment rates following UroLift have been reported at 13.6% over 5 years. 1 We anticipate an increasing number of men seeking definitive surgical management after failed Urolift.
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Fibroepithelial Vaginal Polyps in a Newborn Female

Urology (Gold Journal) In Press - Thu, 06/27/2019 - 00:00
Vaginal fibroepithelial polyps in newborn females are rare. There are only four previously documented reports.1-4 There have been no reported cases of a single infant with multiple broad-based polyps that were not amendable to full resection. All other reported cases of this particular disorder in the newborn period have been of a singular fibroepithelial vaginal polyp. In this case report, the diagnosis and management of a neonatal female with a rare type of interlabial mass is reviewed.
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Evaluation of the Risks and Benefits of CT Urography for Assessment of Gross Hematuria

Urology (Gold Journal) In Press - Thu, 06/27/2019 - 00:00
To model the risk of radiation-induced malignancy from CT Urography in evaluation of gross hematuria and contrast this with the benefits of urinary tract cancer detection when compared to renal ultrasound.
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Eliminating pseudoaneurysm and urine leak after robotic partial nephrectomy: results using the early unclamping technique

Urology (Gold Journal) In Press - Wed, 06/26/2019 - 00:00
To present our experience using the early unclamping technique for robotic partial nephrectomy with particular attention to delayed complications, namely pseudoaneurysm and urine leak. We hypothesized that early hilar unclamping allows for improved control of end arteries and renorrhaphy after tumor resection, reducing overall delayed complications after partial nephrectomy with no increased risk of blood transfusion.
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Prostatic stromal tumors of uncertain malignant potential

Urology (Gold Journal) In Press - Wed, 06/26/2019 - 00:00
We present a 53-year-old man with a multilocular solid and cystic mass measuring 19 cm on cross-sectional imaging. After undergoing pelvic mass excision, final histopathology confirmed the diagnosis of primary prostatic stromal tumor of uncertain malignant potential (STUMP). Prostatic STUMPs are rare mesenchymal tumors with diverse histological patterns. They are distinct from prostatic stromal sarcomas as they do not behave aggressively, although some may occasionally demonstrate local recurrence after resection.
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Optimized Clinical Decision Making: A Configurable Markov Model for Benign Prostatic Hyperplasia Treatment

Urology (Gold Journal) In Press - Wed, 06/26/2019 - 00:00
To present a configurable mathematical method to optimize long term clinical decision-making for benign prostatic hyperplasia.
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PROSPECTIVE ASSESSEMENT OF THE SEXUAL FUNCTION AFTER GREENLIGHT™ ENDOSCOPIC ENUCLEATION AND GREENLIGHT™ 180W XPS PHOTOSELECTIVE VAPORIZATION OF THE PROSTATE

Urology (Gold Journal) In Press - Wed, 06/26/2019 - 00:00
To evaluate the impact of Greenlight™ 180W photoselective vaporization of the prostate (PVP) and endoscopic enucleation of the prostate (GreenLEP) on ejaculatory and erectile functions (EF).
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Are outcomes of Thulium Laser Enucleation of the Prostate different in men aged 75 and over? A propensity score analysis

Urology (Gold Journal) In Press - Tue, 06/25/2019 - 00:00
To evaluate the outcomes of Thulium laser enucleation of the prostate (ThuLEP) in men aged ≥75 years compared to youngers. Traditional surgery has increased and significant morbidity in older men. Lasers have been introduced as an alternative approach to overcome the morbidity of traditional surgery.
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Factors influencing intraoperative blood loss in patients undergoing Holmium Laser Enucleation of the Prostate (HoLEP) for Benign Prostatic Hyperplasia: a large multicenter analysis.

Urology (Gold Journal) In Press - Tue, 06/25/2019 - 00:00
To assess blood loss during holmium laser enucleation of the prostate (HoLEP) and investigate the factors influencing it.
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COMPLIANCE WITH AMERICAN UROLOGICAL ASSOCIATION GUIDELINES FOR NON-MUSCLE INVASIVE BLADDER CANCER REMAINS POOR: ASSESSING FACTORS ASSOCIATED WITH NON-COMPLIANCE AND SURVIVAL IN A RURAL STATE

Urology (Gold Journal) In Press - Tue, 06/25/2019 - 00:00
To identify factors associated with non-muscle invasive bladder cancer (NMIBC) AUA guideline compliance in a rural state, to evaluate compliance rates over time, and to assess the impact of patient and provider rurality on delivery of NMIBC care.
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A Case Study Evaluating the Diagnosis and Treatment of a Rare Mesenchymal Tumor

Urology (Gold Journal) In Press - Mon, 06/24/2019 - 00:00
The objective of this study is to report a benign mesenchymal neoplasm, cellular angiofibroma (CAF). We describe a 34-year-old male with a 4-month history of a painless right inguinal mass. CT scan of the abdomen and pelvis showed a 6.6 cm, oval-shaped mass without any distinguishing radiographical features. Surgical excision of the mass was performed. Tissue was extracted for immunohistochemical analysis, which stained positive for CD34 and Desmin, confirming CAF of the spermatic cord. Thus, this report highlights the importance of a challenging diagnostic case for providers due to the narrow range of imaging modalities and therefore limited treatment options.
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Transvaginal Cystolithotomy: A Novel Approach

Urology (Gold Journal) In Press - Sat, 06/22/2019 - 00:00
To describe a novel surgical option for cystolithiasis management in female patients with no urethral access and prior abdominal surgeries. We present a 51-year-old female with a history of traumatic spinal cord injury with pelvic fractures and resultant neurogenic bladder. She underwent transabdominal bladder neck closure and bladder augmentation with continent diversion two years prior. CT abdomen/pelvis demonstrated a 3cm stone and significant amount of bowel anterior to the bladder.
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GreenLight Laser Enucleation of the Prostate (GreenLEP): Initial Experience with a Simplified Technique

Urology (Gold Journal) In Press - Fri, 06/21/2019 - 00:00
To present outcomes of a simplified GreenLight laser enucleation of the prostate (GreenLEP) technique and to inform urologists considering incorporation of enucleation into their practice.
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“Pin the Tumor on the Kidney:” An Evaluation of how Surgeons Translate CT and MRI data to 3D Models

Urology (Gold Journal) In Press - Fri, 06/21/2019 - 00:00
To quantify how surgeons translate two-dimensional (2D) CT or MRI data to a three-dimensional (3D) model and evaluate if 3D printed models improve tumor localization.
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Ureteral Stent Placement during Shockwave Lithotripsy: Characterizing Guideline Discordant Practice

Urology (Gold Journal) In Press - Fri, 06/21/2019 - 00:00
To describe utilization patterns of ureteral stent placement during ESWL.
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Future Considerations in Nocturia and Nocturnal Polyuria

Urology (Gold Journal) In Press - Fri, 06/21/2019 - 00:00
Nocturnal polyuria (NP), the most common etiology of nocturia, can be caused by various medical conditions, including cardiovascular disease, obstructive sleep apnea, renal tubular dysfunction, as well as medications (e.g. diuretics) and/or behavioral patterns. NP in the absence of underlying medical conditions has been described as nocturnal polyuria syndrome (NPS) and is thought be the result of impaired circadian release of endogenous arginine vasopressin (AVP). Desmopressin, a synthetic AVP analog, has been shown to be an effective replacement therapy in adults with nocturia due to NP.
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Scrotal Hydrocele in Acute Pancreatitis

Urology (Gold Journal) In Press - Fri, 06/21/2019 - 00:00
Acute pancreatitis a common diagnosis. Although extremely rare, extravasated pancreatic fluid has the potential to third-space into the peritoneal cavity or retroperitoneal space. We report the case of a 33-year old male with idiopathic subacute pancreatitis who developed acute scrotal pain and swelling. Computer tomography (CT) of the abdomen/pelvis revealed tracking of peritoneal fluid into the scrotum consistent with a pancreatic hydrocele, confirmed by ultrasound. He was taken to the operating room for exploration and evacuation of the scrotal hydrocele.
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Juxtaglomerular Cell Tumor: A Rare, Curable Cause of Hypertension in a Young Patient

Urology (Gold Journal) In Press - Fri, 06/21/2019 - 00:00
An otherwise healthy 25-year-old woman diagnosed with a renal neoplasm on work-up of new onset hypertension was referred to Urology clinic for further evaluation and management. The patient initially presented to her primary care provider three weeks prior for a well visit and was diagnosed with stage 2 hypertension with a blood pressure of 172/117 mmHg and heart rate of 87 beats per minute. She endorsed history of intermittent headaches, but denied palpitations, diaphoresis, anxiety, or visual changes.
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