Urology News Feeds
“There are more things in heaven and Earth, Horatio, than are dreamt of in your philosophy”-Hamlet—The last decade has put a spotlight on the protean issues surrounding gender and sexual identities. All stakeholders from patients to society and government are weighing in on vastly varied areas from sexual organ function, anatomy, and physiology to psycho-sexual health, related gender issues, and patient and family rights, equity, autonomy, and protections, both legal and ethical. Deeply embedded in this field is the protean urological subject of development, variations, and congenital anomalies of the external genitalia—CAEG.
Persistent anhydramnios after placement of a vesicoamniotic shunt is a rare but potentially serious concern in a patient in utero. We present the case a male fetus who at 32 weeks gestation had bilateral hydroureteronephrosis, a distended bladder, and anhydramnios. A vesicoamniotic shunt was placed, but the anhydramnios persisted. Postnatally, the child was found to have a migrated shunt, left grade V vesicoureteral reflux (VUR) and posterior urethral valves (PUV). He underwent a PUV ablation and removal of the migrated shunt.
A retrospective look at term outcomes after definitive surgical repair for traumatic pelvic fracture urethral injuries – does initial management make a difference?
To compare the long-term outcomes of initial management of pelvic fracture urethral injury (PFUI) in a large cohort of trauma patients undergoing urethral reconstruction.
Understanding Patient Expectations and Determinants of Satisfaction in an Outpatient Urology Clinic at an Academic Medical Center
To examine and better understand expectations and facilitators of satisfaction amongst patients presenting to an ambulatory urology clinic at an academic medical center.
Low complexity cases of neonatal hydrometrocolpos from imperforate hymen are typically treated with hymenotomy or hymenectomy. Although this is commonly performed in the operating room (OR), bedside management is also safe and effective. We present a case of prenatally diagnosed, simple hydrometrocolpos treated via bedside hymenotomy on the first day of life. The patient received peri-procedural antibiotics prior to the procedure and had full resolution of hydrometrocolpos without any complication or need for further intervention.
To evaluate long-term renal function following radical cystectomy (RC) for bladder cancer and identify risk factors associated with postoperative decline in renal function.
The number of transgender (or trans) individuals, including those who have a binary and/or non-binary gender identity, seeking gender-affirming hormone therapy is increasing.1 In this brief review, we aim to provide an overview of gender affirmation and synthesise current literature describing case reports and management of testicular cancer in trans people using feminising hormone therapy.
Evaluation of Routine Postoperative Labs Following Robotic Assisted Partial Nephrectomy in Patients with Normal Preoperative Renal Function
Objective: To evaluate predictors of abnormal routine postoperative day 1 (POD1) labs in patients with normal pre-operative renal function following robotic assisted partial nephrectomy (RAPN) and the associated clinical outcomes of these lab results.Methods: We analyzed 500 consecutive RAPN from a single surgeon series. Patients with chronic kidney disease (CKD) III or greater were excluded from the study. 393 RAPN were included in the analysis. Routine POD1 lab tests including hemoglobin (Hgb), creatinine, potassium, and sodium were evaluated to determine rates of abnormal values and rates of clinical intervention.
Single Position Laparoscopic Radical Nephrectomy and Tumor Thrombectomy for Left Renal Cell Carcinoma with High-Risk Mayo 0 Thrombus
Background: Approximately 4-10% of locally advanced renal cell carcinomas have venous tumor thrombus . It is become a tendency to treat this complex pathology with a minimally invasive approach, without compromising oncological outcomes [2-5]. For the left renal cancer with high-risk mayo grade 0 and 1 tumor thrombus, due to the obstruction of the superior mesenteric artery and the influence of the lateral position, laparoscopic surgery cannot take into account the two vital surgical steps of "tumor thrombectomy" and "nephrectomy" in a single position at the same time, making it has become a problematic issue in minimally invasive treatment.
An 86-year-old male who underwent radical cystectomy with ileal conduit for bladder cancer (pT3aN0) presented with rapidly growing lesion of the lip 18 months after surgery. Physical exam demonstrated a 1 cm poorly circumscribed, dark, raised and tender lesion on the upper lip (Fig. 1). Surveillance CT chest, abdomen and pelvis was negative for recurrence.
Single Port vs. Multiport Robotic Pyeloplasty: Propensity-Score Matched Analysis of Perioperative and Follow-Up Outcomes
To compare the perioperative and postoperative outcomes of single port robotic pyeloplasty and multiport robotic pyeloplasty using a propensity-score matched analysis.
Onco-testicular sperm extraction (oncoTESE): A Contemporary Concept Review and Report of Australian Sperm Retrieval Rates and Fertility Outcomes
: To assess sperm retrieval rates of oncoTESE in men with testicular tumours and coexisting severe spermatogenic impairment.
Ureter-first approach and reduction of pelvis: Standardizing handling of ureteropelvic junction during pyeloplasty
To present our ‘ureter-first’ approach as a standardized step-wise incision-making technique to deal with all types of uretero-pelvic junction (UPJ) anatomy during pyeloplasty. Pyeloplasty is a common surgery performed for UPJ obstruction, with Anderson-Hynes’ pyeloplasty being the commonest. However, there is great variability in handling UPJ and incision-making among the surgeons with no detailed standardized description that can be followed in all cases, notwithstanding broad descriptions of incision lines.
: To determine if limited food access census tracts (LFACTs) and food swamp census tracts (FSCTs) are associated with increased risk for repeat kidney stone surgery. And to elucidate the relationship between community-level food retail environment relative to community-level income on repeat stone surgery over time.
Re: Stress Urinary Incontinence After Urethral Diverticulum Repair Without Concomitant Anti-Incontinence Procedure
Letter to editor
: To conduct a nationwide evaluation of student and program director (PD) perspectives of virtual subinternships that took place during the COVID-19 pandemic.
: To characterize the epidemiological profile of metastatic BC and assess mortality rate with respect to race and gender across the three most common histologies of bladder cancer—Transitional Cell Carcinoma (TCC), ADC (Adenocarcinoma), and SCC (Squamous Cell Carcinoma).
To investigate which preoperative findings portend poor improvement in storage symptoms in patients undergoing plasma kinetic enucleation of prostate (PKEP).
Adrenal tumors cover a broad spectrum from benign to neoplastic entities, and differential diagnosis for these tumors are a clinical challenge in urology. Here, we present an otherwise healthy 62-year-old-male with fever in whom an apparent right adrenal tumor with thrombus in the inferior vena cava was found by computed tomography. Although their general condition rapidly deteriorated after the patient's admission, a prompt and accurate diagnosis of the adrenal tumor, without prioritizing empirical therapy, led to appropriate treatment strategies that allowed the patient to recover.
Utilizing Preoperative Magnetic Resonance Imaging to Self-Assess Enucleation Ratio in Holmium Laser Enucleation of the Prostate
: To determine if transition zone (TZ) volume as measured by magnetic resonance imaging (MRI) correlates closely with specimen weight and postoperative prostate-specific antigen (PSA) and to determine if this correlation improved with increased experience. We hypothesize that information from a preoperative MRI can be leveraged to self-assess competency in HoLEP.