Urology News Feeds

Surgical Lessons from the Miracle on the Hudson

Urology (Gold Journal) In Press - Tue, 04/20/2021 - 00:00
N/A, Narrative Medicine Article
Categories: Urology News Feeds

Triple retroaortic renal vein with tumor thrombus

Urology (Gold Journal) In Press - Tue, 04/20/2021 - 00:00
A case report of a 51-year-old man with left renal tumor and level II vena cava tumor thrombus (thrombus extending >2 cm above the renal vein, but below the hepatic veins) in a rare anatomical variant of renal vein. In nonmetastatic patients, aggressive surgical resection is widely accepted as the standard management option, but some doubts about the best practice in these patients are relevant. Surgical approach on those patients is a challenge for the surgeons, and anatomical variants make the procedure even more difficulty.
Categories: Urology News Feeds

Comparison of Robotic Surgery Video Quality Between YouTube and Curated Sources Using GEARS Criteria

Urology (Gold Journal) In Press - Tue, 04/20/2021 - 00:00
To compare the quality of robotic prostatectomy surgical videos on the popular website YouTube with more curated, professional sources using the Global Evaluative Assessment of Robotic Skills (GEARS) criteria.
Categories: Urology News Feeds

Preventing Prostate Biopsy Complications: to Augment or to Swab?

Urology (Gold Journal) In Press - Sat, 04/17/2021 - 00:00
To use data from a large, prospectively- acquired regional collaborative database to compare the risk of infectious complications associated with three American Urologic Association- recommended antibiotic prophylaxis pathways, including culture-directed or augmented antibiotics, following prostate biopsy.
Categories: Urology News Feeds

Testicular tumor markers in the spermatic vein - correlation to pathology, stage and outcome

Urology (Gold Journal) In Press - Sat, 04/17/2021 - 00:00
To report our findings in patients with determination of testicular tumor markers from the vena spermatica during inguinal orchiectomy.
Categories: Urology News Feeds

Successful Fowler-Stephens orchiopexy for an abdominal testis associated with continuous type of splenogondal fusion: A case report

Urology (Gold Journal) In Press - Thu, 04/15/2021 - 00:00
Splenogonadal fusion (SGF) is a rare congenital anomaly in which there is abnormal adhesion between splenic tissue and gonads. Several patients with cryptorchidism associated with this anomaly have undergone orchiectomy because of the suspicion of tumors. Preoperative computed tomography (CT) is useful in differentiating between SGF and tumors, and in evaluating the vasculature of the SGF. We report a boy with an abdominal testis associated with SGF. Based on the CT findings, we successfully performed Fowler-Stephens orchiopexy.
Categories: Urology News Feeds

SUPERNUMERARY TESTIS DISCOVERED UPON WORKUP OF A PARATESTICULAR MASS

Urology (Gold Journal) In Press - Wed, 04/14/2021 - 00:00
A supernumerary testis is a rare finding with limited description in the literature. Presentations of supernumerary testes vary and often involve initial discovery intraoperatively or in association with a separate condition. In this case report, we describe our experience of a patient with ultrasound imaging concerning for a left paratesticular mass. The patient was taken to the operating room where the mass was found to be an atrophic, supernumerary testis. We also address the specific anatomy encountered in our case and discuss both the intraoperative and post-operative management that resulted, in addition to reviewing relevant literature.
Categories: Urology News Feeds

Local and Regional Recurrences of Clinically Localized Renal Cell Carcinoma after Nephrectomy: A 15 Year Institutional Experience with Prognostic Features and Oncologic Outcomes

Urology (Gold Journal) In Press - Wed, 04/14/2021 - 00:00
To evaluate outcomes for patients with local recurrence (LR) of clinically localized renal cell carcinoma (RCC) without concurrent systemic metastasis from our institution, an event that occurs rarely (1-3%) after surgery. LR may be a harbinger of poor outcomes, and the best management of these patients is unclear.
Categories: Urology News Feeds

Robot-assisted Modified One-Stage Orchiopexy: Description of a Surgical Technique

Urology (Gold Journal) In Press - Wed, 04/14/2021 - 00:00
In recent years, robot-assisted laparoscopic procedures have gradually replaced standard laparoscopic procedures in the realm of pediatric urology. The potential advantages of the robot-assisted technique include a higher degree of dexterity, three-dimensional visualization and reproducibility. Although laparoscopic orchiopexy is considered to be the gold standard approach in cases of intra-abdominal testes, it can be technically challenging. A crucial point in decision-making is choosing between preservation of testicular blood vessels or sacrificing the vessels in order to achieve sufficient length, as with the one and two-stage Fowler-Stephens orchiopexy (FSO).
Categories: Urology News Feeds

Low Rates of Urologic Side Effects Following COVID Vaccination: An Analysis of the FDA Vaccine Adverse Event Reporting System

Urology (Gold Journal) In Press - Wed, 04/14/2021 - 00:00
To quantify and describe urologic adverse events and symptoms after vaccination with the Pfizer-BioNTech and Moderna COVID-19 vaccines.
Categories: Urology News Feeds

Melanotic neuroectodermal tumor of infancy in the epididymis: a rare and considerable cause of scrotal mass

Urology (Gold Journal) In Press - Wed, 04/14/2021 - 00:00
Melanotic neuroectodermal tumor of infancy (MNTI) is a rare, benign neoplasm with a predilection for children that predominantly involves the craniofacial region. Here we report two cases of MNTI involving epididymis, placing emphasis on the sonographic features. Both appeared to be hypoechoic, regular shaped masses with abundant blood supplies. The unique sonographic features and age of predilection make it possible to diagnose MNTI within the scrotum by ultrasonography.
Categories: Urology News Feeds

Clinical characterization of radiation-associated muscle-invasive bladder cancer

Urology (Gold Journal) In Press - Sun, 04/11/2021 - 00:00
To characterize the presentation, patterns of care, and outcomes of radiation-associated muscle-invasive bladder cancer (RA-MIBC) compared to primary (non-radiation associated) MIBC. RA-MIBC has been suggested to represent a more aggressive disease variant and be more difficult to treat compared to primary (non-radiation associated) MIBC.
Categories: Urology News Feeds

IS ONABOTULINUM TOXIN-A COMBINED INJECTION IN THE BOWEL PATCH AND THE BLADDER REMNANT A SAFE ALTERNATIVE TO BLADDER RE-AUGMENTATION?

Urology (Gold Journal) In Press - Sat, 04/10/2021 - 00:00
To assess both the safety and efficacy, in terms of symptomatic improvement, of botulinum toxin injections distributed in the bowel patch and the bladder remnant of failed augmented bladders.
Categories: Urology News Feeds

Stress urinary incontinence after urethral diverticulum repair without concomitant anti-incontinence procedure

Urology (Gold Journal) In Press - Sat, 04/10/2021 - 00:00
To review the rates of persistent and de novo stress urinary incontinence (SUI) following urethral diverticulum (UD) repairs performed without concomitant SUI surgical procedures.
Categories: Urology News Feeds

X-Capsular Incision for Tumor Enucleation (X-CITE)-Technique: A method to maximize renal parenchymal preservation for completely endophytic renal tumors

Urology (Gold Journal) In Press - Mon, 04/05/2021 - 00:00
To describe the X-Capsular Incision for Tumor Enucleation (X-CITE) technique to resect endophytic renal tumors while preserving the overlying renal parenchyma.
Categories: Urology News Feeds

Reply to Letter to the Editor Re: Generalizability of prostate-specific antigen (PSA) screening trials in a “real world” setting: a nationwide survey analysis

Urology (Gold Journal) In Press - Sat, 04/03/2021 - 00:00
We thank the authors for sharing their insight on our work. The Prostate, Lung, Colorectal and Ovarian cancer (PLCO) trial had important shortcomings directly affecting the interpretation of the trial, including the under-representation of African American (AA) men. As the authors allude to, this was one of the key findings of our study.1 We agree with the authors that the USPSTF recommendations decreased the nationwide prostate-specific antigen (PSA) screening rates2 and potentially led to men being diagnosed later with more aggressive prostate cancer (PCa).
Categories: Urology News Feeds

Patient Perspectives and Understanding of MRI-Directed Prostate Cancer Diagnosis

Urology (Gold Journal) In Press - Sat, 04/03/2021 - 00:00
Multiparametric magnetic resonance imaging (mpMRI) has enhanced the risk stratification for men with suspected prostate cancer1 and inevitable implementation challenges around pathway modification, capacity and quality control are well rehearsed.2 Use of pre-biopsy prostate mpMRI is now well-established following publication of multiple Level 1 evidence trials,1 however, views of men undergoing this pathway have not yet been explored, in-depth.
Categories: Urology News Feeds

FACTORS ASSOCIATED WITH CORPOROGLANDULAR SHUNTING FOR PATIENTS WITH FIRST-TIME ISCHEMIC PRIAPISM

Urology (Gold Journal) In Press - Sat, 04/03/2021 - 00:00
To establish predictive factors of patients who failed intracavernosal injection therapy and ultimately required corporoglandular shunting during first-time ischemic priapism episodes.
Categories: Urology News Feeds

Re: Generalizability of Prostate-Specific Antigen (PSA) Screening Trials in a “Real World” Setting: A Nationwide Survey Analysis. Deepansh Dalela et al. Urology. 2021;148:1-3.

Urology (Gold Journal) In Press - Sat, 04/03/2021 - 00:00
We agree with Dalela et al. that The Prostate, Lung, Colorectal and Ovarian cancer (PLCO) trial underestimates the effectiveness of Prostate Specific Antigen (PSA) based prostate cancer (PCa) screening because the PLCO trial enrolled 4.4% African-American (AA) men compared to 14.7% in the US population (metropolitan areas over 30%). Studies have shown that AA men have earlier onset and more aggressive prostate cancers. Unfortunately, based on the PLCO trial, the United States Preventive Services Task Force (USPSTF) has recommended against prostate cancer screening by issuing a Grade D (2012) and Grade C (2018).
Categories: Urology News Feeds

Testicular Adrenal Rest Tumors or Bilateral Leydig Cell Tumors?

Urology (Gold Journal) In Press - Sat, 04/03/2021 - 00:00
Testicular Adrenal Rest Tumors (TART), also known as Testicular Tumors of the Androgenital Syndrome, are benign tumors found in the testes of patients with congenital adrenal hyperplasia (CAH). While considered benign, they are significant in that they can proliferate within the rete testis and cause infertility. We present a patient who appeared to have findings consistent with TART and is in the process of malignancy rule out.
Categories: Urology News Feeds