Urology News Feeds
Impact of high-fidelity nonbiological kidney puncture trainer on residents’ skills during 30-day practical course
To describe the manufacture of the non-biological kidney cavity puncture trainer under ultrasound control and its benefits during the 30-day learning course of junior residents.
To describe demographic trends of consumer product-related injuries in the pediatric cohort from 2011 – 2020.
Laparoscopic sacrocolpopexy (LSCP) can be challenging even for the experienced surgeon. Knowledge and adequate visualization of the sacral and pelvic anatomy is paramount to prevent potentially catastrophic intra-operative hemorrhage, nerve or ureteral injury, and to facilitate presacral dissection. We highlight several techniques to maximize surgical efficiency, optimize visualization of the sacral anatomy during presacral dissection, as well as a method to facilitate peritoneal closure over the mesh during LSCP.
To assess the impact of duration of antibiotic prophylaxis on incidence of UTI after intravesical OnabotulinumtoxinA (BTX) injection.
Long-term follow-up and success rate of ventral inlay buccal mucosal graft urethroplasty for female urethral stricture disease.
To determine the long-term success of ventral inlay buccal-mucosal graft urethroplasty (Vi-BMGU) for female urethral strictures (FUS).
A 58-year-old male patient who had a history of benign prostate hyperplasia, presented with chronic urinary retention and admitted for urinary catheter exchange . There was profuse bleeding of about 1000 mL noticed from the urethra after the reinsertion of Foley Catheter. No tender lump palpable was detected based on the physical examination findings. The level of hemoglobin was declined from 103 g/L to 72 g/L. Following continuous bladder irrigation, fluid induction and blood transfusion were performed.
To assess the clinical utility of RMB in our multi-state system. Renal mass biopsy (RMB) is useful in the management of masses ≤ 4 cm (T1a), but evaluation of RMB in the uniquely vulnerable Veteran population is lacking.
Favorable Outcomes with Early Component Separation, Primary Closure of Necrotizing Soft Tissue Infections of the Genitalia (Fournier's Gangrene) Debridement Wound Defects
To evaluate the efficacy of early necrotizing soft-tissue infections of the genitalia (NSTIG) component separation, primary wound closure (CSC). We hypothesized that early CSC would be safe, decrease the need for split-thickness skin grafting (STSG) and decrease wound convalescence time.
Patient-Reported and Physiologic Outcomes Following Pelvic Exenteration for Non-Repairable Radiated Rectourethral Fistula
: To investigate the impact of pelvic exenteration (PelvEX) on patient-reported pain, distress, and quality of life along with physiologic indicators of health in cancer survivors with radiated, non-repairable rectourethral fistula (RUF).
To determine the utility of post-operative imaging after ureteroneocystostomy and whether long-term symptom or radiographic surveillance aided in the detection of recurrent obstruction.
Studies have repeatedly demonstrated salary-based gender disparities in the field of Urology. These disparities persist even when accounting for contributing factors such as years of experience, hours worked, and practice setting, suggesting that inherent gender bias exists. In addition to salary discrepancies, female urologists are also less likely to be promoted and less likely to hold leadership positions as compared to male urologists. We review the data supporting these disparities and provide tangible, evidence-based solutions for the field of Urology going forward.
Current landscape of andrology fellowship programs and the effect of gender on post-fellowship practice patterns
: To evaluate the current landscape of andrology fellowships, characteristics of past fellows, and post-fellowship career paths of fellowship graduates.
A 65-year-old male presents with groin discomfort from a left inguinal hernia. He has a history of prostate cancer status-post radiation therapy and prostatic stenosis treated with urethroplasty. He subsequently developed severe urinary incontinence and underwent artificial urinary sphincter (AUS) placement in 2016. The AUS was replaced in June 2020 due to mechanical failure; he has since experienced no issues and maintained excellent continence.
Interdisciplinary Management of Extramammary Paget's Disease using Mohs Micrographic Surgery with Frozen Section Cytokeratin-7 Immunostains
: To describe local recurrence rates and patient reported outcomes when Mohs micrographic surgery with cytokeratin-7 immunostains (MMS-CK7) is included in the interdisciplinary management of extramammary Paget's Disease (EMPD).
Penile inversion vaginoplasty still remains the gold standard in genital gender affirming surgeries in transwomen. However, insufficiency of the penile skin due to either radical circumcision or puberty blockers presents great challenge in vaginal reconstruction.1 Peritoneal pull-through vaginoplasty is well known technique for the treatment of vaginal absence in cis-woman due to vaginal agenesis or trauma.2
We have fully read the accurate article by Golan et al (1) concerning claims for medical professional liability involving urology trainees. Limitations of legal research databases for these purposes have been commented (2).
To raise awareness that patients with proximal ureteral stricture who elect for nephrectomy can consider donating the kidney. We present a series of patients undergoing therapeutic living donor nephrectomy (TLDN), a scenario in which a patient undergoing nephrectomy for an underlying medical problem donates the kidney to a person with end-stage renal disease. This practice is underutilized, and only a single TLDN with proximal ureteral stricture has been previously described. We aim to help define the indications, risks, and benefits for patients.
Comparison of empiric preventative pharmacologic therapies on stone recurrence among patients with kidney stone disease
To compare the frequency of stone-related events among patients receiving thiazides, alkali citrate, and allopurinol without prior 24-hour urine testing. It is unknown whether one preventative pharmacological therapy (PPT) medication class is more beneficial for reducing kidney stone recurrence when prescribed empirically.
To determine the significance of presurgical planning of three-dimensional (3D) printing for resection of a large abdominal pheochromocytoma (PCC) and paraganglioma (PGL).
The Anatomy of Female Sexual Arousal: Princess Marie Bonaparte, The Halban-Narjani Procedure, and the Art of Constantin Brancusi
The great-grandniece of Napoleon Bonaparte (1769-1821), Princess Marie Bonaparte (1882-1962), dedicated her career and body to the study of the female orgasm. A respected psychoanalyst and contemporary of Sigmund Freud (1856-1939), Bonaparte helped develop, and then underwent, the urogynecological surgery known as the Halban-Narjani procedure. This procedure, in which the clitoris is surgically relocated more proximally to the vagina to produce orgasm by vaginal penetration, ultimately proved unsuccessful.