Urology News Feeds

The 10-item LURN Symptom Index (LURN SI-10) detects additional symptoms and shows convergent validity with the IPSS in men presenting with lower urinary tract symptoms

Urology (Gold Journal) In Press - Wed, 11/09/2022 - 00:00
To determine how the LURN-SI-10, a novel questionnaire developed by the Symptoms of Lower Urinary Tract Dysfunction Research Network (LURN), compares with the International Prostate Symptom Score (IPSS) in men with lower urinary tract symptoms (LUTS) attributed to benign prostatic hyperplasia (BPH). Specifically, to assess convergent validity and determine how frequently the LURN-SI-10 identifies symptoms not captured by the IPSS.
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Chronic spontaneous urticaria in patients with interstitial cystitis/bladder pain syndrome: Insights from big data analyses

Urology (Gold Journal) In Press - Fri, 11/04/2022 - 00:00
To examine the association between chronic spontaneous urticaria (CSU) and interstitial cystitis/bladder pain syndrome (IC/BPS).
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Prospective Assessment of Genital Pain in Patients with Urethral Stricture: Incidence, Associations and Impact of Urethroplasty

Urology (Gold Journal) In Press - Fri, 11/04/2022 - 00:00
To assess the incidence of genital pain in patients with urethral stricture and examine the impact of urethroplasty. Genital pain is a common and challenging urological condition and potentially associated with urethral stricture.
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Application of Tunica Vaginalis Flap for Epispadias Repair in the Epispadias-Exstrophy Complex

Urology (Gold Journal) In Press - Wed, 11/02/2022 - 00:00
To describe long-term outcomes and experience with the tunica vaginalis flap (TVF) as a tissue augment for complex epispadias repair.
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Bullseye Technique to Optimize S3 Foramen Access: Applying a Trusted Endourology Technique to Pelvic Medicine

Urology (Gold Journal) In Press - Wed, 11/02/2022 - 00:00
Sacral neuromodulation (SNM) is an advanced therapy that stimulates sacral spinal nerves to modulate bladder or bowel dysfunction and is approved for the treatment of overactive bladder, fecal incontinence, and non-obstructive urinary retention. Prior to implantation, a successful trial period must be performed via percutaneous nerve evaluation (PNE) or a staged trial to assess treatment efficacy. Ideal lead placement in the S3 foramen is imperative to produce an adequate response and successful outcome.
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Post-procedural antibiotic use and associated outcomes after common urologic procedures across a national healthcare system

Urology (Gold Journal) In Press - Wed, 11/02/2022 - 00:00
To quantify the benefits and harms of post-procedural antibiotic use after common urologic procedures.
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Unusual Renal Mass in a Pediatric Patient

Urology (Gold Journal) In Press - Wed, 11/02/2022 - 00:00
Renal cell carcinoma (RCC) is rare in the pediatric population, comprising about 5% of renal neoplasms in children.1 Out of all childhood cases of RCC, translocation RCCs (tRCC) is the most common.2 It is well described in the literature that exposure to alkylating agents such as cyclophosphamide and/or topoisomerase II inhibitors such as doxorubicin and etoposide, is a risk factor for the development of Xp11 (or TFE3) tRCC.3 Herein is a case of tRCC development in a patient with history of exposure to topoisomerase II inhibitors and alkylating agents to treat a common childhood malignancy.
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Obstructing ureteral calculi and presumed infection: Impact of antimicrobial duration and time from decompression to stone treatment in developing urosepsis

Urology (Gold Journal) In Press - Wed, 11/02/2022 - 00:00
To determine whether the duration of antibiotic treatment and timing between urgent renal decompression and stone intervention impacts the risk of developing urosepsis following definitive stone treatment.
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The Fate of the Unmatched Urology Applicant

Urology (Gold Journal) In Press - Wed, 11/02/2022 - 00:00
To determine the outcomes and eventual career paths for unmatched applicants by evaluating a historical cohort of unmatched applicants in the Urology Match.
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Preference Signaling and Virtual Interviews: The New Urology Residency Match

Urology (Gold Journal) In Press - Tue, 11/01/2022 - 00:00
To define applicant response to the preference signaling program and continuing virtual aspects of the 2022 Urology Residency Match to guide future decisions surrounding this process.
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Indications and Outcomes for Intermittent Catheterization following Bulbar AUS Cuff Placement

Urology (Gold Journal) In Press - Mon, 10/31/2022 - 00:00
To evaluate the functional and surgical impact of CIC protocols in men with a bulbar AUS in place. Stress urinary incontinence (SUI) and poor bladder emptying are both sequelae of prostate cancer treatment, though there is sparse data to guide concomitant management. The safety of intermittent catheterization (CIC) in men with an artificial urinary sphincter (AUS) at the bulbar urethra remains unclear.
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Family planning and fertility counseling perspectives of gender diverse adults and youth pursuing or receiving gender affirming hormone therapy

Urology (Gold Journal) In Press - Fri, 10/28/2022 - 00:00
To describe family planning and fertility counseling perspectives of reproductive-age gender diverse adults and youth pursuing gender affirming hormone therapy.
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Multifocal Paraganglioma in Teenager Presenting with Hypertension

Urology (Gold Journal) In Press - Fri, 10/21/2022 - 00:00
Pediatric hypertension represents a rare though increasingly common medical problem. When encountered, a workup to determine the etiology should be conducted. In this report, we detail an unusual case in which a teenager presenting with hypertension was found to have multifocal paragangliomas. We illustrate important considerations in management which include appropriate preoperative labs and imaging, collaboration with endocrinology for preoperative alpha-blockade, surgical management with close perioperative hemodynamic control, and genetic evaluation for patients with multifocal disease, diagnosis at early age, or family history as these cases are often associated with genetic alterations and other syndromes.
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Inverted-Y ureteric duplication with paraureteric diverticulum presenting with bladder outlet obstruction in an infant- A diagnostic dilemma

Urology (Gold Journal) In Press - Fri, 10/21/2022 - 00:00
The ectopic ureter and paraureteric diverticulum are two known common urological anomalies of pediatric patients. Another rare entity is inverted-Y ureteric duplication. We report a case of a three-month-old boy presented with bladder outlet obstruction, where surgical excision of large bladder diverticulum with left ureter and small kidney was done. Histopathology confirmed the presence of inverted-Y ureteric duplication with left dysplastic kidney. The report defines the first case of infantile bladder outlet obstruction having the co-existing congenital genitourinary anomaly of inverted Y-partial ureteric duplication with obstructive ectopic ureter and ipsilateral paraureteric diverticula.
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Value Based Payment Shift for Independent Urology Practices: Roadmap and Barriers

Urology (Gold Journal) In Press - Fri, 10/21/2022 - 00:00
Value-based payment (VBP) reform remains an increasingly relevant path for healthcare transformation. VBP aligns financial incentives with higher quality care at a lower cost for patient populations. This bipartisan commitment to VBP remains a top priority for the Centers for Medicare and Medicaid Services (CMS) with a goal to include all Medicare beneficiaries in a VBP model with accountability for total cost of care and quality by 2030.1 Further, the COVID-19 public health emergency highlighted the dependency of the fee-for-service (FFS) payment system on patient volume.
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Letter to the editor- Opioid-Free Ureteroscopy: Are Academic Urologists Lagging Behind Private Practice?

Urology (Gold Journal) In Press - Fri, 10/21/2022 - 00:00
We read the recent article by Jones et al published in Urology with great interest1. In their single-institution retrospective chart review of all ureteroscopies, they concluded that there was a significant difference in opioid prescribing between private and academic practitioners, whilst demonstrating a trend toward zero post-ureteroscopy opioids. They stated that private practice surgeons prescribed fewer oral morphine equivalents (OMEs) initially and achieved a median of zero OMEs earlier than academic surgeons.
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Someone Like Me: An Examination of the Importance of Race-Concordant Mentorship in Urology

Urology (Gold Journal) In Press - Wed, 10/19/2022 - 00:00
To describe differences in urology mentorship exposure for medical students across race/ethnicity and to explore how much potential mentees valued the importance of race-concordant mentorship.
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2 Year Functional Outcomes Stratified According to Baseline Erectile Function Following Partial Gland Cryo-Ablation

Urology (Gold Journal) In Press - Wed, 10/19/2022 - 00:00
Our purpose was to critically evaluate time dependent sexual function following primary partial gland cryo-ablation (PGCA) stratified according to baseline erectile function.
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Evaluation of the Cost-Effectiveness of Surgical Treatment Options for Benign Prostatic Hyperplasia

Urology (Gold Journal) In Press - Tue, 10/18/2022 - 00:00
To compare the cost-effectiveness of surgical interventions for BPH.
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Herman Louis Kretschmer: from Urologic Pathology to Presidency

Urology (Gold Journal) In Press - Mon, 10/17/2022 - 00:00
Herman Louis Kretschmer was born on April 22, 1879, in Chicago, Illinois, where he would spend most of his life.1 He graduated from the Northwestern University School of Pharmacy in 1900 and magna cum laude from Northwestern University Medical School in 1904. Kretschmer completed his internship at Alexian Brothers Hospital.2
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