Urology News Feeds

To introduce a quality improvement initiative tracking robotic instrument failures on a per case basis. It is imperative to understand rates of failure, financial implications of failures, and identify factors suggesting common mechanisms of failure.

A 56 year-old female presented to an outside institution for several days of abnormal uterine bleeding. At that time, she underwent a dilation and curettage and was discharged. Five days post-operatively, she presented to the emergency room with abdominal cramping, vaginal bleeding, hematuria, and left flank pain. Cross-sectional imaging was obtained which revealed left moderate hydronephrosis and a soft tissue mid-ureteral mass (figure 1 & 2). The endometrial biopsy performed by gynecology resulted in only endometrial hyperplasia.

Despite advances in standard-of-care treatment for prostate cancer, including pelvic radiotherapy and radical prostatectomy with lymph node dissection, biochemical recurrence remains a problem with some studies reporting up to 30% of patients with biochemical recurrence at 10-years following treatment. Upon detection of a rise in serum prostate-specific antigen following treatment, clinicians are left with the dilemma of how best to treat these patients. Frequently, these patients are restaged with CT of the abdomen and pelvis or MRI of the pelvis in addition to a nuclear medicine bone scan.

To evaluate the effect of a scar-free surgical approach, the modified McIndoe technique, in cases of vaginal agenesis.

To investigate the whole-brain functional connectivity strength (FCS) of patients with the overactive bladder syndrome (OAB).

To determine trends and predictors of adjuvant therapy in patients with adverse features at radical prostatectomy (RP), and to investigate the associations of adjuvant therapy and adverse feature type with survival.

To create an online resource that teaches urologists how to interpret prostate multi-parametric MRIs (mpMRI). As prostate mpMRI becomes widely adopted for cancer diagnosis and targeted biopsy, it is increasingly important that urologists are comfortable and experienced in assessing the images. The purpose of this study was to create an online mpMRI ibook and measure its effect on instilling proficiency amongst urology residents.

To investigate the long-term durability of retropubic suburethral sling procedure for female stress urinary incontinence (SUI) and to identify urodynamic factors that might predict long-term successful outcomes.

To test the prevalence and predictors of major acute cardiovascular events (MACE) after transurethral prostate surgery (TPS).

To understand cystoscopic surveillance practices among patients with low-risk non-muscle-invasive bladder cancer (NMIBC) within the Department of Veterans Affairs (VA).

To review the Society of Genitourinary Reconstructive Surgeons fellowship and matching process. There are currently 20 fellowships offered. A centralized match began in 2013-2014. Fellowship directors and graduated fellows were surveyed regarding their experience in their matching process, fellowship, employment opportunities, and their current practice.

To improve the technique and results of microsurgical denervation of the spermatic cord (MDSC) for men with chronic scrotal content pain (CSCP), we describe a novel approach at the level of the internal inguinal ring for the complete transection of the nerves running both inside and outside the spermatic cord for adults and children.

To investigate the adoption of abiraterone and enzalutamide by urologists. Abiraterone and enzalutamide are oral therapies approved for the treatment of metastatic castration-resistant prostate cancer, a disease most commonly treated by medical oncologists.

Seminoma is a very common germ cell tumor of the testicle. It is a malignant neoplasm and is one of the most treatable and curable cancers, with a survival rate of over 95% if discovered in early stages. Primary extra-gonadal germ cell tumors are rare, and nearly two third are seminomatous tumors.1 As majority of the extra gonadal GCTs originate from the midline structures, commonly reported locations include the mediastinum, thymus, retroperitoneal organs and pineal gland.2,3 Extra gonadal GCTs have a good prognosis and a low rate of metastatic potential.

To characterize current practice patterns of urologists in the management of intravenous (IV) contrast allergy in the setting of endourologic procedures.

To determine social factors associated with advanced stone disease (defined as unilateral stone burden >2cm) at time of presentation to a regional stone referral center. Little is known about social determinants of urolithiasis. We hypothesize that socioeconomic factors impact kidney stone severity at intake to referral centers.

When thinking of the great men and women of urology, one might consider the early pioneers in treatment of stones, voiding dysfunction, infertility, or cancer. Throughout history, urologists have also been technological leaders and have been at the cutting edge of medicine and public health. One such leader, Walter D. Greene, emerged in the “Queen City” of Buffalo, New York at the turn of the 20th century, when one of the most serious issues facing American cities was the outbreak of venereal and infectious diseases.

To examine treatment variability, disparities, and quality among newly diagnosed non-muscle invasive bladder cancer (NMIBC) patients, and to identify factors associated with treatment use in a large, diverse integrated delivery system.

Transurethral resection of prostate (TURP) still remains the “gold standard” surgical treatment for benign prostatic hyperplasia (BPH). In recent years, holmium laser enucleation of prostate (HoLEP) gets more and more popularity in the world. Our objective is to compare the efficacy and safety of HoLEP and TURP for BPH. Eleven studies met our eligibility criteria including 1339 patients. The prostate sizes of the all included studies were smaller than 100 g. Overall, in patients with small to mid-sized prostates, HoLEP offers safer clinical outcomes with less blood drop and potentially better long-term relief of bladder outlet obstruction.

To define clinical features and surgical management of urethra-cavernosal fistulas (UCF).