Urology News Feeds

Hemi-Kock Continent Stoma with Augmentation Enterocystoplasty: Modifications and Outcomes

Urology (Gold Journal) In Press - Sat, 12/11/2021 - 00:00
: To evaluate the long-term outcomes and impact of surgical modifications on the need for secondary surgery of the Hemi-Kock continent catheterizable stoma, comprising a detubularized ileal segment with an attached stapled ileoileal intussusception of the catheterizable channel, in patients with complex lower urinary tract disorders. The technique may be used for augmentation in patients with reduced bladder capacity who require a continent catheterizable channel. Compared to the flap and ileocecal valve procedures, the hemi-Kock technique has not been widely adopted.
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We must stop misusing the term prostatitis.

Urology (Gold Journal) In Press - Sat, 12/11/2021 - 00:00
Chief complaints and referrals continue to include the word “prostatitis.” A recent PubMed search revealed the persistence of “CP/CPPS” (Chronic Prostatitis/Chronic Pelvic Pain), whether mood, semen quality, weather or brain functional connectivity were being correlated, and whether the interventions employed acupuncture, psychotherapy or low intensity shockwave therapy.
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Urinary MyProstateScore (MPS) to rule out clinically-significant cancer in men with equivocal (PI-RADS 3) multiparametric MRI: addressing an unmet clinical need

Urology (Gold Journal) In Press - Fri, 12/10/2021 - 00:00
To evaluate the complementary value of urinary MyProstateScore (MPS) testing and multiparametric MRI (mpMRI) and assess outcomes in patients with equivocal mpMRI.
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Distance from Critical Pelvic Structures: Radiographic Comparison of High Submuscular and Space of Retzius IPP Reservoir Placement Techniques

Urology (Gold Journal) In Press - Thu, 12/09/2021 - 00:00
: To evaluate the distance from critical pelvic structures (CPS, defined as bladder and iliac vessels) among inflatable penile prosthesis (IPP) reservoirs placed into the space of Retzius (SOR) and high submuscular (HSM) locations using cross-sectional imaging. IPP reservoir placement into the HSM location has been proposed as a strategy to prevent injury due to greater distance from CPS.
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Sigmoid Vaginoplasty Using the Modified Single Monti Tube Following Vaginectomy for Rhabdomyosarcoma

Urology (Gold Journal) In Press - Thu, 12/09/2021 - 00:00
Options for vaginal reconstruction include buccal mucosal grafts, skin grafts, skin flaps, peritoneal flaps and different bowel segments. Sigmoid vaginoplasty has several advantages including natural lubrication, lower stenosis rates, regular dilation is not usually required and the anatomic proximity that allows the neovagina to reach the perineum 1. Vaginoplasty using non-tailored bowel segments requires a long bowel segment and may cause tension on the vascular pedicle that may result in ischemia and stenosis of the neovagina.
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Intraoperative ventilatory pressures during robotic assisted vs open radical cystectomy

Urology (Gold Journal) In Press - Thu, 12/09/2021 - 00:00
: To investigate whether Robotic assisted radical cystectomy (RARC) is associated with increased postoperative pulmonary complications compared to open radical cystectomy (ORC). RARC poses challenges for ventilation with positioning and abdominal insufflation. Conventionally protective mechanical ventilation may be challenging, especially in patients with obesity or pulmonary comorbidities. Given the proven benefits of RARC compared to ORC, the risk of postoperative pulmonary complications merits further investigation.
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Concomitant repair of meatal stenosis and urethral fistula does not increase the risk of fistula recurrence post-hypospadias surgery

Urology (Gold Journal) In Press - Thu, 12/09/2021 - 00:00
: To evaluate whether meatal stenosis treated concomitantly with urethral fistula repair alters the results of fistula closure.
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Developing a Patient-Centered Model of Prostate Cancer Care: Patient Satisfaction with a Survivorship Program Embedded in Urologic-oncologic Care.

Urology (Gold Journal) In Press - Wed, 12/08/2021 - 00:00
To evaluate patients’ and partners’ satisfaction with a prostate cancer survivorship program embedded in urologic-oncologic care. As a part of quality improvement activity, we developed a patient and partner-centered, biopsychosocial support program for men and partners coping with the urinary and sexual side-effects of surgical treatment for prostate cancer. The program became a part of usual care for all prostate cancer patients.
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Robotic Assisted Caval Replacement for Recurrent Renal Cell Carcinoma Invading the wall of the IVC

Urology (Gold Journal) In Press - Tue, 12/07/2021 - 00:00
To describe a case of robotic inferior vena cava resection for an advanced case of renal cell carcinoma with accompanying robotic caval replacement using a synthetic graft.
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Prospective Evaluation of Intradetrusor Injections of OnabotulinumtoxinA in Adults with Spinal Dysraphism

Urology (Gold Journal) In Press - Tue, 12/07/2021 - 00:00
To prospectively evaluate the effectiveness of OnabotulinumtoxinA (BTX-A) on neurogenic overactive bladder (nOAB) in adults with congenital spinal dysraphism (CSD).
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Detection rate of CIS during TURBT following shift from PDD to NBI in a single University Hospital

Urology (Gold Journal) In Press - Tue, 12/07/2021 - 00:00
To examine whether or not the detection rate of CIS was significantly higher after switching from PDD guided TURBT to NBI guided TURBT.
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Bladder cancer in a long-term survivor of the prune belly syndrome

Urology (Gold Journal) In Press - Mon, 12/06/2021 - 00:00
Prune belly syndrome (PBS) is a rare but morbid complexity of congenital anomalies that consists of abdominal wall defect, bilateral cryptorchidism, and urinary tract dilation. With the recent advances in perinatal care, the life expectancy of patients with PBS has improved. Although renal and sexual outcomes are frequently discussed in the literature, little is known about urinary tract malignancies in adulthood. Herein, we present a case of advanced bladder cancer in a 38-year-old man with PBS.
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Antioxidants in male infertility

Urology (Gold Journal) In Press - Fri, 12/03/2021 - 00:00
Objective: To study the effect of three antioxidants viz. selenium, carnitine and coenzyme Q10, alone or in combination, on both semen parameters and pregnancy rates in couples with male factor infertility.Methods: Using PRISMA guidelines, a systematic search was performed of the PubMed®, Scopus®, EMBASE®, and Web of Science® databases for randomized studies comparing selenium, carnitine or coenzyme Q10 with placebo in the treatment of male infertility and reporting semen and pregnancy outcomes.
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Surgeon-Administered Transversus Abdominis Plane (TAP) Block is Associated with Decreased Opioid Usage and Length of Stay following Radical Cystectomy

Urology (Gold Journal) In Press - Thu, 12/02/2021 - 00:00
Objective: To study the effect of surgeon-administered Transversus Abdominis Plane block (sTAP) on opioid usage and length of stay (LOS).Methods: Starting in April 2018, two surgeons at our institution gradually introduced sTAP for radical cystectomy (RC) patients. We performed a retrospective observational cohort analysis of RC patients catalogued in a prospectively maintained database using the ERAS Interactive Auditing System. Two surgeons adopted the sTAP block technique in April 2018. We included patients undergoing RC for bladder malignancy under ERAS protocol between 1/2017-8/2020.
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Resident Mental Health & Burnout: Current Practices and Perspectives of Urology Program Directors

Urology (Gold Journal) In Press - Wed, 12/01/2021 - 00:00
To understand perspectives of urology program directors (PDs) regarding the management and screening of resident mental health and burnout.
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Promotional payments to medical oncologists and urologists and prescriptions for abiraterone and enzalutamide

Urology (Gold Journal) In Press - Tue, 11/30/2021 - 00:00
To understand the influence of drug manufacturers on the prescribing patterns of medical oncologists and urologists, we examined the relationship between promotional payments from the manufacturers of abiraterone and enzalutamide and prescriptions for either drug by medical oncologists and urologists.
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Ovotesticular Disorder Mimicking Acute Spermatic Cord Torsion

Urology (Gold Journal) In Press - Sun, 11/28/2021 - 00:00
Ovotesticular disorder is a rare form of sexual development in which a patient may have one ovary and one testis, or more commonly a gonad or gonads containing both ovarian and testicular tissue. Patients with this condition typically present in infancy with ambiguous genitalia. Delayed presentations of clinically symptomatic, older patients with normal external genitalia are extremely rare. We present a case of a 14-year-old male with normal external genitalia who presented with symptoms and signs consistent with spermatic cord torsion but found to have ovotesticular disorder on evaluation.
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Race as a predictor of recurrence and complications after urethroplasty in men with urethral stricture disease

Urology (Gold Journal) In Press - Sun, 11/28/2021 - 00:00
To determine the role of race in surgical outcomes of and complications after urethroplasty.
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Comparison of perioperative outcomes and clinical characteristics of Calcium, Matrix and Struvite stones from a single institution

Urology (Gold Journal) In Press - Fri, 11/26/2021 - 00:00
To define risk factors and perioperative outcomes for matrix stones and compare these outcomes with struvite and calcium stone cohorts.
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Stress urinary incontinence after urethral diverticulum repair Without Concomitant Anti-Incontinence Procedure

Urology (Gold Journal) In Press - Fri, 11/26/2021 - 00:00
It seems that their comments are generally in agreement with our viewpoints. “However, these two papers failed to report the incorrect diagnosis of SUI, and urine accumulates in the diverticulum and flows out after pressurization, which is mistaken for SUI.” The authors insist here on the challenge of diagnosing true SUI when a diverticulum is present, a condition called pseudo-incontinence, which corresponds to the emptying of the fluid content of the diverticulum pocket during stress efforts. This was discussed in several sections of our manuscript and is the main reason why we generally omit urodynamic testing in these women.
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