Urology News Feeds

To evaluate the additional effects of mirabegron to alpha-1 adrenergic antagonist on lower urinary tract symptoms of patients who underwent 125I-brachytherapy for prostate cancer.

To evaluate the surgical effects of robotic paravaginal repair and sacrocolpopexy in patients diagnosed with lateral cystocele due to paravaginal defect.

To determine the incidence and predictive factors for conversion to an open procedure during Holmium Laser Enucleation of Prostate (HoLEP).

To analyze the National Hospital Ambulatory Medical Care Survey (NHAMCS) database to determine geographic and temporal trends, as well as variables associated with the likelihood of receiving an opioid prescription for urolithiasis in US EDs.

A 62-year-old nondiabetic female presented to the emergency room with hematuria followed by anuria of 3 days duration. She had been discharged one week prior after a ten day hospital admission for COVID 19 infection. On examination she was dyspneic with right renal angle tenderness. Her blood pressure was 80/50mmhg, respiratory rate 24 /minute and heart rate was 120 /minute and oxygen saturation of 85% on room air. Serum creatinine was 3.5mg/dl, total leucocyte count 35000 cells/cu mm, random blood glucose levels of 468mg/dl, serum potassium 6.1mmol/L.

To determine the predictive factors for successful retrieval of sperm from testicles before microdissection-testicular sperm extraction (micro-TESE) in patients with Klinefelter syndrome (KS) in order to counsel these patients regarding the likelihood of findings sperm.

To describe our contemporary experience with aspiration and sclerotherapy (AS) as a non-surgical alternative for patients with symptomatic hydrocele and spermatocele who prefer non-surgical treatment.

To evaluate surgical outcomes stratified by posterior urethral obstruction (PUO) etiology in men undergoing definitive robotic posterior urethral reconstruction.

Objective: To evaluate the outcomes of a narcotic-sparing clinical pathway after robotic-assisted radical cystectomy (RARC) with ileal conduit targeting discharge on postoperative day #2 and report postoperative narcotic consumption, pain scores, and the resulting length of stay (LOS).Methods: We reviewed a single-surgeon series of consecutive RARCs between August 2015-September 2020. Acetaminophen and ketorolac were given with thorough patient education reserving oral narcotics for breakthrough pain.

We read with great interest the manuscript by Xu and colleagues, who presented a case series (n=4) of robotic assisted laparoscopic parastomal hernia (PSH) repair. They described a novel method of repair, including use of the single port (SP) robotic system in 3 patients. Given our experience in this field in a high-volume tertiary referral center, including completing the PUBMIC (Prophylactic Use of Biologic Mesh in Ileal Conduit) trial, a randomized trial of using mesh to prevent parastomal hernia (NCT02439060), we want to highlight some points in this paper.

To investigate if localized amyloidosis of the seminal tract (LAST) is associated with subsequent development of systemic amyloidosis. Prior reports recorded no systemic amyloidosis at the time of LAST diagnosis. However, no follow-up studies exist to confirm that LAST is not a risk factor for subsequent development of systemic amyloidosis.

We would like to thank Drs. Ghoreifi and Djaladat for their interest in our work and their thoughtful response to our recently published manuscript. They bring up two important points which we would like to address.

Inguinal lymph node dissection is an essential component in the diagnosis, management, and treatment of penile cancer. Recent advances in minimally invasive surgery may play an important role in decreasing the adverse effects and complications of lymph node dissections. We present our technique utilizing a Single-Port robotic assisted laparoscopic bilateral inguinal lymph node dissection (ILND) in a patient with pT3N2Mx penile cancer s/p partial penectomy and sentinel lymph node biopsy.

To examine the effect of diagnostic ureteroscopy (URS) and ureteral access sheath usage on bladder recurrence following radical nephroureterectomy (RNU).

To improve women's experiences with mesh mid-urethral sling (MUS) surgery for treatment of stress urinary incontinence (SUI), we sought to qualitatively examine patient perspectives of MUS surgery, organize resulting patient-derived themes, and present our findings as potential springboards for future research and quality improvement efforts.

A 59-year-old male presented to his primary care physician with dysuria and was empirically treated for a urinary tract infection with ciprofloxacin for two weeks. He subsequently developed left testicular pain and was seen in the emergency department (ED) where urine culture grew less than 10,000 colony forming units of gram negative rods. Testicular ultrasound (US) at that time was normal, and he was discharged home with double strength trimethoprim-sulfamethoxazole from the ED. He re-presented to the ED 6 days later with continued left testicular pain and was found to be febrile to 100.4F with otherwise normal laboratory values.

: To investigate sexual excitation (SE) and sexual inhibition (SI) profiles in men with erectile dysfunction (ED) and to examine how these dimensions discriminate between men with and without ED.

To assess and present our experience with the management and outcomes of female pelvic organ prolapse in the adult congenital genitourinary patient population.

To better understand the pain requirements of urologic patients in the post-operative outpatient setting. Healthcare providers are one of the leading contributors to the current opioid epidemic. Understanding opioid prescribing practices and patients’ narcotic requirements while not over-prescribing opioids is a public health priority.

Ureteric stents are an important tool in urology and have a wide range of indications. While they offer a number of advantages, limitations remain despite modern advancements. These include discomfort, migration and encrustation. Standard removal is via cystoscopy but in the paediatric setting this mandates general anaesthetic, which holds disadvantages. Alternative removal methods include use of extraction strings and magnetic retrieval devices, which can be performed in the outpatient setting.