Urology News Feeds

Persistent opioid usage after urologic intervention and the impact of tramadol

Urology (Gold Journal) In Press - Thu, 07/29/2021 - 00:00
: To determine if patients who receive tramadol are as likely to develop persistent usage compared to other opioids after urologic surgery and procedures.
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Patient Satisfaction with Telephone Versus Video- Televisits: A Cross-Sectional Survey of an Urban, Multiethnic Population

Urology (Gold Journal) In Press - Thu, 07/29/2021 - 00:00
: To examine differences between telephone- and video-televisits and identify whether visit modality is associated with satisfaction in an urban, academic general urology practice.
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Urologists for Equity: A Collective Approach Towards Diversity, Equity and Inclusion in Urology

Urology (Gold Journal) In Press - Thu, 07/29/2021 - 00:00
Urologists for Equity (UFE) is built upon the idea that harnessing the collective creativity and energy of a community can propel meaningful change. The work of creating diversity, equity, and inclusion (DEI) in urology has been a long process driven by individuals whose identities were not represented in our field: most visibly Dr. R. Frank Jones, who became the first Black Diplomate of the American Board of Urology in 1936, Dr. Elisabeth Pickett, the first woman to be board certified in urology in 1962, and those who continue to overcome deeply-rooted norms that oppose diversity within their own institutions1,2.
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Functional and oncological outcomes of renal surgery for hilar tumors: informing the decisions in risk-adapted management.

Urology (Gold Journal) In Press - Wed, 07/28/2021 - 00:00
: No consensus exists on whether renal hilar tumors should be considered for radical (RN) or partial nephrectomy (PN). In this study we aim to describe the safety and efficacy of PN for surgically managed renal hilar tumors
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Evaluating Quality Improvement and Patient Safety Amongst Practicing Urologists: Analysis of the 2018 American Urological Association Census

Urology (Gold Journal) In Press - Wed, 07/28/2021 - 00:00
Objective. To describe factors associated with QIPS participation using 2018 American Urological Association (AUA) Census data. Quality improvement and patient safety (QIPS) have become increasingly important in medicine. However, studies about QIPS in urology suggest low levels of participation, with little known about factors predicting non-participation.Methods. Results from 2,339 census respondents were weighted to estimate 12,660 practicing urologists in the United States. Our primary outcome was participation in QIPS.
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Factors Influencing the Decision for Fresh Versus Cryopreserved Microdissection Testicular Sperm Extraction for Non-Obstructive Azoospermia

Urology (Gold Journal) In Press - Wed, 07/28/2021 - 00:00
OBJECTIVE: To determine reproductive urologists’ (RU) practice patterns for microdissection testicular sperm extraction (microTESE) and factors associated with use of fresh versus frozen microTESE for non-obstructive azoospermia (NOA).MATERIALS AND METHODS: We electronically surveyed Society for Study of Male Reproduction members with a 21-item questionnaire. Our primary outcomes were to determine RU preference for fresh or frozen microTESE and to understand barriers to performing microTESE. Pearson's chi-square and Fisher's exact tests were used to analyze categorical outcomes and candidate predictor variables.
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ROBOT‑ASSISTED LAPAROSCOPIC EXTRA-VESICAL URETERAL REIMPLANTATION (RALUR/REVUR) FOR PEDIATRIC VESICOURETERAL REFLUX: A SYSTEMATIC REVIEW OF LITERATURE

Urology (Gold Journal) In Press - Mon, 07/26/2021 - 00:00
This literature review aimed to assess the outcomes of robot-assisted laparoscopic extra-vesical ureteral reimplantation (RALUR/REVUR) in standard, complex and re-operative cases.Twenty-two studies (period 2008-2019) containing 1362 children receiving RALUR/REVUR, were included. Unilateral repair was faster compared to bilateral (p=0.0000). The overall patient success rate was 92%. The mean post-operative complications rate was 10.7%. The mean re-operations rate was 3.9%.The available data show that RALUR/REVUR can be a first line surgical approach for pediatric VUR at most centers with the caveat that learning curves for the surgeons are expected as with most new surgical procedures.
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The COVID-19 Residency Application Cycle Did Not Affect Geographic Dispersal Patterns Among Applicants Entering the Urology Match: A Quantitative Mapping Study

Urology (Gold Journal) In Press - Sun, 07/25/2021 - 00:00
: To assess whether pandemic-related restrictions with video-based interviewing increased geographic clustering of urology applicants matching at a residency program near where they were raised or attended medical school.
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Amyloidosis of the urinary bladder: a systematic review and a proposed management algorithm

Urology (Gold Journal) In Press - Sat, 07/24/2021 - 00:00
To propose an algorithm for the management of bladder amyloidosis based on a systematic review of the literature, given that the bladder is the second most commonly affected organ of the urinary tract in the course of systemic or localized amyloidosis.
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Long-term Follow Up of Ileal Ureteral Replacement for Complex Ureteral Strictures: Single Institution Study

Urology (Gold Journal) In Press - Fri, 07/23/2021 - 00:00
To report our 16 year experience with ileal ureter interposition for complex ureteral stricture. Ureteral reconstruction continues to evolve to include less invasive techniques to successfully manage ureteral stricture. However, long, complex, obliterative and especially radiated ureteral strictures are not amenable to less invasive techniques and may require Ileal ureter interposition.
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Real World Data of Penile Cancer Treatment at a High-Volume Center in South America: Insights and Survival Trends

Urology (Gold Journal) In Press - Fri, 07/23/2021 - 00:00
To report survival trends and oncological outcomes of penile cancer surgically treated patients, at a high-volume center, treating more than 25 patients each year, in a high incidence country.
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Supporting Black Voices in Urology: A Student Perspective

Urology (Gold Journal) In Press - Thu, 07/22/2021 - 00:00
Abstract not applicable for narrative piece.
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The Impact of Race, Ethnicity and Insurance Status on Surgery Rates for Benign Prostatic Hyperplasia

Urology (Gold Journal) In Press - Thu, 07/22/2021 - 00:00
To determine whether patient race/ethnicity are associated with differences in likelihood of undergoing surgical treatment for LUTS/BPH.
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Assessing the Impact of Hospital Dismissal Summary Readability on Patient Outcomes Following Prostatectomy

Urology (Gold Journal) In Press - Thu, 07/22/2021 - 00:00
: To assess the impact of decreasing the reading level of hospital dismissal summary information on the number of unplanned patient contacts with providers following robot-assisted radical prostatectomy.
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Impact of Plant-Based Diet on PSA Level: Data from the National Health and Nutrition Examination Survey

Urology (Gold Journal) In Press - Thu, 07/22/2021 - 00:00
: To determine the potential association between plant-based dietary content and PSA levels among men enrolled in the National Health and Nutrition Examination Survey (NHANES).
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Disparities in prostate cancer survival according to neighborhood archetypes, a population-based study

Urology (Gold Journal) In Press - Thu, 07/22/2021 - 00:00
To examine survival among men with prostate cancer according to neighborhood archetypes. As an advancement beyond measures of neighborhood socioeconomic status (nSES) or specific measures of the neighborhood environment, archetypes consider interactions among many social and built environment attributes.
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Anesthetic Bladder Capacity is a Clinical Biomarker for Interstitial Cystitis/Bladder Pain Syndrome Subtypes

Urology (Gold Journal) In Press - Wed, 07/21/2021 - 00:00
To further examine anesthetic bladder capacity as a biomarker for interstitial cystitis/bladder pain syndrome (IC/BPS) patient subtypes, we evaluated demographic and clinical characteristics in a large and heterogeneous female patient cohort.
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Thinking of Draining a Renal Abscess? Wait! – Could Be Acute Lobar Nephronia

Urology (Gold Journal) In Press - Wed, 07/21/2021 - 00:00
Acute Lobar Nephronia (ALN) is a rare infective condition of the kidney currently described only in case reports and small case series. The diagnosis of ALN is made by characteristic clinico-radiological findings. Differentiation from acute pyelonephritis, renal abscess and renal tumor is crucial for proper management and to avoid unnecessary diagnostic interventions. Herein, we report a 58-year-old woman with a uncontrolled diabetes mellitus,who was diagnosed clinically as acute pyelonephritis and treated with standard duration of antibiotics but had recurrence of symptoms.
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Clinical Presentation of Urologic Chronic Pelvic Pain Syndrome (UCPPS) Varies with Presenting Age – Implication on Patient Evaluation

Urology (Gold Journal) In Press - Wed, 07/21/2021 - 00:00
To compare the clinical presentation of UCPPS from a large clinical practice grouped by their presenting age to improve the evaluation of this condition.
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Perspectives of the modern Black urology applicant

Urology (Gold Journal) In Press - Wed, 07/21/2021 - 00:00
As general surgery and surgical subspecialties have recognized and worked toward intentional diversification of their workforce, urology has been slow to respond in kind.1 The 2019 AUA census reports only 2% of practicing urologists identify as Black, whereas 11.7% and 84.7% identify as Asian and White, respectively.2 Similarly, the 2019 Urologist in Training census reports only 3.1% of trainees identify as Black, 21.4% and 67.5% are considered Asian and White, respectively.2 With approximately 13% of the United States population identifying as Black or African American,3 the field of urology has a defined racial demographic endpoint to meet the goal of racial congruence between the country and the field.
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