Urology News Feeds

#UroStream101: Social Media as a Medium for Mentorship in Urology

Urology (Gold Journal) In Press - Mon, 08/16/2021 - 00:00
Show feasibility of and develop a program to provide mentorship for applicants to urology residency during COVID-19 using a virtual program, #UroStream101.
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Non-animal stabilized hyaluronic acid/dextranomer gel (NASHA/Dx, Deflux) for endoscopic treatment of vesicoureteral reflux: what have we learned over the last 20 years?

Urology (Gold Journal) In Press - Mon, 08/16/2021 - 00:00
Non-animal stabilized hyaluronic acid/dextranomer gel (Deflux®; NASHA/Dx) was developed as a treatment for vesicoureteral reflux (VUR) in the 1990s. To mark 20 years since the US approval of this agent, we reviewed its properties, best practice for application, and the available clinical safety and efficacy data. Long-term or randomized, controlled studies of treatment with NASHA/Dx have reported VUR resolution rates of 59–100% with low rates of febrile urinary tract infection post-treatment (4–25%), indicating long-term protection of the kidneys.
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Determining variable costs in the acute urolithiasis cycle of care through time-driven activity-based costing

Urology (Gold Journal) In Press - Thu, 08/12/2021 - 00:00
To characterize full cycle of care costs for managing an acute ureteral stone using time-driven activity-based costing.
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The Inflection Point Model: a Model to Explore the Hidden Burdens of Non-Cancerous Genitourinary Conditions

Urology (Gold Journal) In Press - Tue, 08/10/2021 - 00:00
To propose a conceptual model to identify points along the condition course where actions or inaction affect downstream burdens of non-cancerous genitourinary conditions (NCGUC).
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When is a seminoma not a seminoma? The incidence, risk factors and management of patients with testicular seminoma with discordant elevated serum alpha-fetoprotein

Urology (Gold Journal) In Press - Tue, 08/10/2021 - 00:00
: To describe the incidence, clinical and demographic factors, and treatment patterns associated with discordant elevated AFP findings in patients with pure seminomatous histology.
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The TOMATO model

Urology (Gold Journal) In Press - Tue, 08/10/2021 - 00:00
Percutaneous renal access (PCA) is one of the most difficult intervention in endourology. Hands-on training is a useful tool for a good understanding of the puncturing technique, reducing the learning curve and lowering risks of complications during first procedures. The ideal surgical simulator should efficiently improve trainees’ skills, be easily accessible, lowcost and realistic. We aim to present novel fluoroscopy-guided PCA simulator named TOMATO model.
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Management of Giant Groin Mass

Urology (Gold Journal) In Press - Sat, 08/07/2021 - 00:00
A 66-year-old male presented with intermittent cardiac ischemia and underwent evaluation for revascularization. Preoperatively, he was discovered to have a 33 × 16 cm locally invasive groin mass that had been present for ∼20 years. He was disqualified from CABG due to his giant, purulent mass, and underwent immediate coronary stenting with drug eluting stents, requiring chronic dual-antiplatelet therapy (DAPT). He continued to suffer recalcitrant purulent infection with chronic leukocytosis and developed intermittent bleeding that required recurrent transfusions and unsuccessful angioembolizations with profound impacts on his quality of life (Figure 1).
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ANTIBIOTIC DURATION AFTER URETHROPLASTY: AN ATTEMPT AT IMPROVING ANTIBIOTIC STEWARDSHIP

Urology (Gold Journal) In Press - Sat, 08/07/2021 - 00:00
OBJECTIVE: To evaluate if decreasing postop abx prophylaxis affects UTI and wound infection rates in patients following urethroplasty.METHODS: A retrospective review of patients who underwent urethroplasty from 9/2017 - 3/2020 by a single surgeon was performed. All patients received urine culture specific perioperative IV abx prior to urethroplasty and kept a urethral catheter for 3 weeks postop. Patients undergoing a urethroplasty from 9/2017 to 12/2018 received extended postop abx prophylaxis for 3 weeks until catheter removal (Group 1).
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Prostate Cancer Screening for Gay Men in the United States

Urology (Gold Journal) In Press - Sat, 08/07/2021 - 00:00
: To elucidate trends of prostate-cancer (PCa) screening in gay and bisexual men and assess the association of sexual orientation with PCa screening in the US.
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A national assessment of the association between patient race and physician visit time during new outpatient urology consultations

Urology (Gold Journal) In Press - Sat, 08/07/2021 - 00:00
To determine if there is an association between patient race and physician time spent with the patient during outpatient urology consultations.
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Feasibility and Outcomes of Renal Mass Biopsy for Anatomically Complex Renal Tumors

Urology (Gold Journal) In Press - Sat, 08/07/2021 - 00:00
: To compare the feasibility and outcomes of renal mass biopsies (RMB) of anatomically complex versus non-complex renal masses.
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Is it the Surgeon? A Re-Examination of Mid-Urethral Sling Complications

Urology (Gold Journal) In Press - Sat, 08/07/2021 - 00:00
: To identify potential technical factors during initial mid-urethral sling (MUS) placement that contribute to subsequent sling revision procedures.
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THE ROLE OF HEALTH LITERACY IN PROSTATE CANCER SCREENING

Urology (Gold Journal) In Press - Sat, 08/07/2021 - 00:00
: To determine if there is an association between self-reported health literacy and rates of prostate cancer screening through PSA testing.
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Histological Evaluation of Vaginal Cavity Remnants Excised During Neourethral Stricture Repair in Transgender Men

Urology (Gold Journal) In Press - Fri, 08/06/2021 - 00:00
To determine the prevalence of patients who require vaginal cavity remnant excision and obliteration during neourethral stricture repair and to characterize the histological composition of the excised tissue.
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Ectopic Vas Deferens Causing Recurrent Epididymo-Orchitis

Urology (Gold Journal) In Press - Wed, 08/04/2021 - 00:00
Vasal ectopia is a rare congenital anomaly arising from the close embryonic relationship between the proximal vas precursor and the common mesonephric duct. We present a case of an adolescent male with recurrent epididymitis with scrotal and inguinal abscesses found to have right ectopic vas draining into the bladder.
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Re: Dudith Pierre-Victor, Howard L. Parnes, Gerald L. Andriole, et al. Prostate Cancer Incidence and Mortality Following a Negative Biopsy in a Population Undergoing PSA Screening. Urology 2021 Jun 26;S0090-4295(21)00539-2.

Urology (Gold Journal) In Press - Mon, 08/02/2021 - 00:00
We read with great interest the recent work of Pierre-Victor et al. on prostate cancer incidence and mortality in the Prostate, Lung, Colorectal and Ovarian (PLCO) Cancer Screening Trial1. We previously reported, in 2017, on a similar cohort from this trial2. We studied men in the screening arm who screened positive (via prostate-specific antigen or digital rectal exam) during the first year of the trial, and whose linked biopsy was negative. We found a similar mortality rate after a median follow-up of 12.9 years of 1.1% (versus 1.2% in the present study).
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Demographic Differences and Disparities in the Misdiagnosis of Interstitial Cystitis/Bladder Pain Syndrome in a National Cohort of VA Patients

Urology (Gold Journal) In Press - Mon, 08/02/2021 - 00:00
To explore association between misdiagnosis of IC/BPS and demographics. Interstitial cystitis/bladder pain syndrome (IC/BPS) is associated with significant diagnostic uncertainty, resulting in frequent misdiagnosis as there is little known about the potential impact of key demographic factors.
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Immediate Artificial Urinary Sphincter (AUS) Reactivation at the Time of Urethral Cuff Exchange is Not Associated with Increased Erosion Rate

Urology (Gold Journal) In Press - Mon, 08/02/2021 - 00:00
Objectives: To retrospectively evaluate the outcomes of immediate artificial urinary sphincter (AUS) reactivation in patients after urethral cuff replacement. It is common practice to delay reactivation of an AUS for four to six weeks following surgery to replace a failed urethral cuff. This is due to concerns about local tissue edema risking obstruction and concerns for urethral erosion. Despite these concerns, there are no published data to support this practice.Methods: Retrospective chart review of single surgeon procedures performed from 2005-2020.
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Reply

Urology (Gold Journal) In Press - Mon, 08/02/2021 - 00:00
Objectives: To compare pre-orchiectomy sperm cryopreservation use in testicular cancer patients at a private tertiary care academic center and an affiliated public safety-net hospital.Methods: This was a retrospective cohort study of patients who underwent radical orchiectomy for testicular cancer at a private tertiary-care hospital, which cared primarily for patients with private health insurance, and at a public “safety-net” facility, which cared for patients regardless of insurance status. Clinical and demographic predictors of cryopreservation use prior to orchiectomy were determined by chart review.
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Spinal versus general anesthesia for Holmium laser enucleation of the prostate of high-risk patients – A propensity-score-matched-analysis

Urology (Gold Journal) In Press - Mon, 08/02/2021 - 00:00
To compare perioperative management and functional outcome of spinal anesthesia (SpA) to general anesthesia (GA) in high-risk patients treated for lower urinary tract symptoms (LUTS) with Holmium laser enucleation of the prostate (HoLEP).
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