Urology News Feeds
National trends in CT utilization and estimated CT-related radiation exposure in the evaluation and follow-up of stone patients
To describe trends in computed tomography (CT) use and estimate the radiation exposure among stone formers using a national insurance claims database.
Two-year follow-up in bipolar transurethral enucleation and resection of the prostate in comparison with bipolar transurethral resection of the prostate in treatment of large prostates. randomized controlled trial
To assess the safety and long term-efficacy of bipolar transurethral enucleation and resection of the prostate (B-TUERP) in the treatment of enlarged prostate in comparison with bipolar transurethral resection of the prostate (B-TURP).
To determine the long-term outcome of transobturator sling for male Stress Urinary Incontinence (SUI) clustered according to pre-operative SUI severity, and to identify predictors of treatment success durability and failure occurrence in long-term follow-up.
Chemoradiation Versus Radical Cystectomy for Muscle-Invasive Bladder Cancer: A Propensity Score-Weighted Comparative Analysis Using the National Cancer Database
To address the overarching question whether chemoradiation therapy (CMT) offers overall survival (OS) similar to that of radical cystectomy (RC) in muscle-invasive bladder cancer (MIBC), we performed analyses using the National Cancer Database (NCDB).
An 83-year-old female presented to her primary care physician for abdominal discomfort, associated with worsening abdominal distension. Her abdomen had become distended over the past several months and she also complained of urinary frequency and constipation. She denied any fever or chills and otherwise did not feel unwell. She also denied any hematuria or previous urinary tract infections. On physical examination, she was alert and oriented with obvious abdominal distension. Abdominal palpation revealed a large, firm, and mobile protuberance along the left side primarily at or below the level of the umbilicus.
EXTRAPERITONEAL ROBOT-ASSISTED VESICOURETHRAL RECONSTRUCTION TO MANAGE ANASTOMOTIC STRICTURE FOLLOWING RADICAL PROSTATECTOMY
To demonstrate the feasibility of robot-assisted vesicourethral reconstruction. Vesicourethral anastomotic stricture following radical prostatectomy is a real challenge for reconstructive surgery when facing several endoscopic management failures.
Male infertility and future cardiometabolic health: Does the association vary by sociodemographic factors?
To determine whether the association between male infertility and incident cardiometabolic disease is modified by socioeconomics, race, or geographic region.
Prostate Contrast Enhanced Transrectal Ultrasound (CE-TRUS) Evaluation of the Prostate with Whole Mount Prostatectomy Correlation
To investigate the diagnostic accuracy of contrast enhanced transrectal ultrasound (CE-TRUS) in comparison with whole-mount radical prostatectomy specimens.
Fraley's syndrome is a rare cause of obstruction of the collecting system. It results from an extrinsic vascular compression of a calyceal infundibulum by a branch of the renal artery. Clinicians should be aware of this syndrome when facing an isolated dilatation of a calyx, classically an upper pole calyx dilatation, with a defect in the superior infundibulum on CT urography. Here, we pictorially present the conservative surgical treatment of a Fraley's syndrome. After identification of the artery responsible for the obstruction, the infundibulum was opened, uncrossed from the vessel and closed by an end-to-end anastomosis.
Regional Variation in Shock Wave Lithotripsy Utilization among Medicare Patients with Nephrolithiasis
To characterize shock wave lithotripsy (SWL) utilization and assess for regional variation in the use of this procedure across the United States.
To measure decisional quality, physician loyalty, and treatment preference in patients diagnosed with urolithiasis, a “preference-sensitive” condition, to identify areas of improvement to be addressed by a targeted shared decision-making intervention.
Ultrasound-Guided Access and Dilation for Percutaneous Nephrolithotomy (PCNL) in the Supine Position: a step-by-step approach
Ultrasound guidance for percutaneous nephrolithotomy (PCNL) has gained acceptance amongst urologists given its numerous advantages over fluoroscopy. While traditionally performed in the prone position, this video demonstrates a step-by-step approach to performing PCNL in the supine position, solely under ultrasound guidance.
Over-reliance on p values in Urology: Fragility of findings in the hydronephrosis literature calls for systematic reporting of robustness indicators
To review the robustness of hydronephrosis (HN) literature with the application of fragility index (FI) and fragility quotient (FQ) calculations.
Women in urology are a growing fraction of our workforce with 2017 American Urological Association (AUA) census data revealing 8.8% of practicing urologists and approximately 36% of urology trainees are female.1 While this growth is encouraging, women are historically known to have decreased rates of promotion, compensation and receive fewer opportunities leading to career advancement.2 The aforementioned census data reveals that women are infrequently represented as full professors in comparison to men in academic settings.
Improving Fluid Intake Behavior Among Patients with Kidney Stones: Understanding Patients’ Experiences and Acceptability of Digital Health Technology
To understand kidney stone patients’ experiences with increasing fluid intake, common barriers to adherence, and technology-mediated intervention techniques that may improve adherence in this population. Increasing fluid intake to produce at least 2.5L of urine daily is a well-established preventive strategy to reduce the risk of kidney stones. Unfortunately, adherence with this well-known and inexpensive recommendation is commonly below 50%.
To provide a step-by-step guide for performing in-office transperineal prostate biopsy using biplanar ultrasound guidance.
Pathophysiologic Mechanisms of Nocturia and Nocturnal Polyuria: The Contribution of Cellular Function, the Urinary Bladder Urothelium, and Circadian Rhythm
Alterations to arginine vasopressin (AVP) secretion, the urinary bladder urothelium (UT) and other components of the bladder, and the water homeostasis biosystem may be relevant to the pathophysiology of nocturia and nocturnal polyuria (NP). AVP is the primary hormone involved in water homeostasis. Disruption to the physiological release of AVP or its target effects may relate to several urinary disturbances. Circadian dysregulation and the effects of aging, e.g., the development of oxidative stress and mitochondrial dysfunction, may play a role in nocturia voiding symptoms.
To determine the prevalence of penile cancer in patients with adult acquired buried penis. Penile cancer is a rare but aggressive cancer. Several case reports have recently been published that indicate that adult acquired buried penis (AABP) may increase the risk of penile cancer.
To report on the long term oncologic outcomes of three subtypes of low grade cystic renal epithelial neoplasms - multilocular cystic neoplasm of low malignant potential (MCLMP), cystic clear cell RCC (ccRCC), and cystic clear cell papillary RCC (ccpRCC), following 2016 reorganization by the World Health Organization.
DISTAL DOUBLE CUFF VS. TRANSCORPORAL CUFF AS SALVAGE OPTIONS – A PROSPECTIVE ANALYSIS OF DIFFERENT ARTIFICIAL URINARY SPHINCTER (AMS 800) IMPLANTATION SITES
To analyze functional outcomes and complication rates of distal double-cuffs (DC) or transcorporal cuffs (TC) as salvage approaches in high-risk patients, since there is an ongoing debate about optimal cuff-placement in a salvage setting (SV). Existing studies analyzing DC or TC are controversial with respect to functional outcomes and complication rates. Studies directly comparing both approaches in SV are scarce.