Urology News Feeds
Compare to congenital mesoblastic nephroma (CMN) in fetus, congenital wilms tumor is extremely rare. Herein we report a case of congenital bilateral solid masses on antenatal ultrasound. The mass was evaluated by USG and contrast CT scan in postnatal period, and the patient was undergoing tumor enucleation separately in short period after neoadjuvant chemotherapy. The diagnosis was confirmed by histology analysis for each side, and the treatment was taken according to the International Society of Pediatric Oncology(SIOP).
Nephrectomy after High-Grade Renal Trauma is Associated with Higher Mortality: Results from the Multi-institutional Genitourinary Trauma Study (MiGUTS)
To test the hypothesis that undergoing nephrectomy after high-grade renal trauma is associated with higher mortality rates.
Feasibility and Utility of Mobile Applications for the Evaluation of Urology Residents’ Surgical Competence
To provide real-time assessment and feedback on the competency of urology residents’ surgical skill via mobile applications and examine their feasibility and utility.
Psoas muscle mass can predict postsurgical outcomes in patients who undergo radical cystectomy and urinary diversion reconstruction
To morphometrically measure to muscle mass which may reflect physical components of frailty. Hence, we evaluated the association between L4 total psoas area (TPA) and operative outcome after radical cystectomy (RC) for bladder cancer.
Spontaneous pubertal onset in a male patient with mixed gonadal dysgenesis with mosaicism 45,X/ 46, X, mar (Y)/ 47,X,mar(Y),+mar(Y) - Pediatric Case Report
This report describes an adolescent with Mixed Gonadal Dysgenesis and unexpected mosaicism [karyotype 46,X,mar(Y)/ 47,X, mar(Y),+mar(Y)].). Diagnosis with 1 month of age due to atypical genitalia. He presented a right streak gonad, which was removed due to the risk for germ cell tumor, and a left testis with epididymis barely connected and without vas deferens. Left testis maintenance was sufficient for him to undergo spontaneous puberty. The patient was non-responsive to growth hormone. Webbed neck was the only dysmorphic feature.
As urologic surgeons, it is critical that we acknowledge the prevalence of medical experimentation in the history of surgical intervention. In many situations, vulnerable populations, such as enslaved people, immigrants, people of color, and women, have been subject to experimentation (Image 1).1-5 Historically, the appalling nature of these experiments was justified by medical gain—though these gains may have been overstated or mischaracterized. The cumulative result is the prevailing sentiment of medical mistrust that persists today, notably among Black men and women.
Same Day Discharge versus Overnight Observation Protocols – Similar Outcomes Following Artificial Urinary Sphincter Surgery
To analyze our institutional experience transitioning from overnight observation (OBS) to same day surgery (SDS) for artificial urinary sphincter (AUS) procedures. Prior research has questioned the need for OBS following AUS surgery.
Reoperation for Channel Complications in Children with Continent Cutaneous Catheterizable Channels: The Test of Time
to examine the durability of continent cutaneous catheterizable urinary channels (CCCC) in children and assess whether channel complications continue to arise with extended follow-up. Previous studies demonstrated that complications of CCCC cluster in the early years following surgery.
Persistent Genital Arousal and Major Depressive Disorder in an Adolescent Male: Case Report and Discussion
Persistent genital arousal disorder [PGAD] is a distressing physiologic arousal condition with no psychologic etiology. We highlight identification and treatment of PGAD and associated mental comorbidities in a 15-year-old male who presented to Pediatric Urology with PGAD with pain, and resultant depression and suicidal ideation. After failure of conservative pharmacologic management, MRI of the lumbosacral spine demonstrated an L5-S1 annular tear and herniation of the nucleus pulposus. The patient underwent transforaminal steroid injection with reduction in symptoms, and eventually lumbar discectomy with near complete resolution of symptoms.
IMPACT OF AGE AND RACE ON HEALTH-RELATED QUALITY OF LIFE OUTCOMES IN PATIENTS UNDERGOING RADICAL PROSTATECTOMY FOR LOCALIZED PROSTATE CANCER
To investigate impact of age and race on health-related quality of life (HRQoL) in men undergoing radical prostatectomy (RP) using a prospectively maintained, racially diverse cohort.
To estimate the association between an erectile dysfunction (ED) diagnosis and other chronic health conditions, as well as, the association between receiving ED treatment and these conditions.
Does switching Bacillus Calmette-Guerin strains during maintenance therapy affect the outcome in non-muscle invasive bladder cancer?
To compare the patients who have recieved one type of BCG strain during maintenance therapy with patients treated with multiple BCG strains.
Integrated Ultrasound with Urodynamics Illustrates Effect of Bladder Volume on Upper Tract Dilation: Should We Trust Surveillance Ultrasounds?
To evaluate if ultrasound during urodynamics (uUS) will show that traditional ultrasound (tUS) routinely underestimates the potential magnitude of upper tract dilation (UTD).
As this is a submission to an essay competition, no abstract has been included. The submitted essay can be found under Manuscript submission.
Objective: To evaluate the clinical profile and the organisms producing adjustable transobturator male system (ATOMS) infection in a contemporary series.Methods: Multicenter retrospective study evaluating patients undergoing ATOMS explant for clinical signs of infection from a series of 902 patients treated in 9 academic institutions. Clinical and microbiological data were evaluated.Results: Infection presented in 24 patients (2.7%). The median age was 73±7yrs and the median interval from ATOMS implantation to explant 11±26.5mo.
Currently, Black men in the United States are greater than 1.5 times as likely to be diagnosed with prostate cancer and more than twice as likely to succumb to the disease. While racial disparities in prostate cancer have been well documented, we must analyze these disparities in the correct context. Discussion of these disparities without correctly describing race as a social construct and acknowledging the impact of structural racism is insufficient. This article reviews the disparities seen in screening, treatment, outcomes, and clinical trial participation.
To identify risk factors associated with an inaccurate diagnosis, delayed referral, and/or inappropriate ultrasound in consecutive referrals for an undescended testicle.
We present a case of a young premenopausal female patient who was found to have a left-sided renal mass consistent with angiomyolipoma (AML) with Mayo Level IIIa vena caval tumor thrombus. The patient is of Jehovah's witness faith and would not accept blood transfusion. The following case report discusses workup and treatment for AML with tumor thrombus extension, as well as pre-operative optimization and intra-operative techniques during nephrectomy and thrombectomy to minimize blood loss in a patient unaccepting of blood transfusion.
Incidence of Venous Thromboembolism and Safety of Perioperative Subcutaneous Heparin During Inflatable Penile Prosthesis Surgery
: To identify the incidence of venous thromboembolism (VTE) risk factors, postoperative VTE, and to assess the morbidity of perioperative pharmacologic VTE prophylaxis in men undergoing inflatable penile prosthesis (IPP) surgery.