Urology News Feeds

To assess the quality, understandability, actionability, accuracy and commercial bias of podcasts regarding stress urinary incontinence (SUI).

We have reviewed, with interest, the article by Pham et al1 regarding effects of selective serotonin reuptake inhibitors (SSRIs) on semen parameters. This retrospective review was done on 153 men who were taking SSRIs to evaluate the potential effect of these medications on semen parameters, as a reflection of male fertility. Some studies have suggested even higher rates of SSRI use in the population of men who are attempting to contribute to pregnancies, reflective of the importance of considering such medications and their fertility effects.

A 58-year-old male presented with a 2-year history of a right scrotal swelling, which he noted to be progressively increasing in size and discomfort. He denied any significant past medical history. His surgical history was notable for a bilateral laparoscopic inguinal hernia repair with mesh approximately 10 years prior.

To clarify the link between germline variants in fumarate hydratase (FH), hereditary leiomyomatosis and renal cell cancer (HLRCC), and paraganglioma (PGL) and pheochromocytoma (PCC) we utilize a well-annotated hereditary cancer testing database.

To review historical and examination findings in patients presenting to a tertiary care center for evaluation of Chronic Scrotal Content Pain (CSCP) defined by persistent/bothersome pain present for > 3-months.

Paratesticular fibrous pseudotumor (PFPs) is an uncommon intra-scrotal mass that originated from tunica vaginalis and resulted in a reactive fibrous proliferation after a history of inflammation, infection, trauma, or hydrocele. We report here on a case of a 17-year-old man with a mass in the hemiscrotum that was found to be PFP in the orchidectomy specimen pathologic examination. The diagnosis of PFPs, before and during the operation, can be complicated despite it being a benign tumor. Radical orchidectomy is usually performed for these types of lesions.

To assess the types of POP surgery performed and patients' morbidity and mortality according to race and ethnicity in the United States.

A 22-year-old Chinese female, who was unmarried and denied sex history, came to our hospital for further evaluation of abdominal masses, which were found during a routine examination two weeks ago. She did not have any symptoms. Both the abdominal ultrasound and enhanced computed tomography (CT) showed large masses in the uterus, and the largest one was a cystic-solid mixed mass (18.8cmx6.0cmx11.4cm) in the anterior and upper part of the uterine fundus (Fig. 1). Pertinent laboratory values showed a decrease of hemoglobin (99g/L) and an elevation of carbohydrate antigen 125 (CA125, 49.3U/ml).

The prostatic utricle cyst is usually an asymptomatic enlargement of the persistent remnant of Mullerian duct in males, especially seen associated with hypospadias and usually needs no active intervention. However occasionally they can become symptomatic and can present with complaints of impotence, ejaculatory pain, difficult voiding, urinary retention and abdominal pain. Hematuria is a rare symptom in such patients and is usually due to infection. However rarely it can be a harbinger of a more sinister complication like a malignancy.

To re-examine and improve the cystoscopy process for women based on patient input. While cystoscopy is a common urological procedure, women perceive it as invasive, personal, and fear-inducing. Patients want to be treated as individuals and not just another “procedure.”

We greatly appreciate the comments from Dr. Schlegel and Dr. Niederberger regarding the complex relationship between serotonin reuptake inhibitors (SSRIs) and male reproductive health.1 Given the high prevalence of SSRI use among men of reproductive age, this is an important topic that warrants continued investigation and consideration. Although our study did not identify adverse effects of SSRIs on bulk semen parameters, we could not evaluate the effect of SSRIs on sperm DNA fragmentation due to limitations of the data source.

To determine which patient-reported symptoms are associated with satisfaction after urethroplasty.

To understand whether patients taking Sodium-glucose co-transporter 2 inhibitors (SGLT2i) would be at a similar risk of genitourinary device infection or failure as patients not taking these medications.

to better understand the internet advertising material published on clinician websites for the 30,000 men who undergo evaluation for vasectomy reversal (VR), which is a technically demanding procedure requiring microsurgical expertise.

A vaginal septum is a type of Mullerian anomaly that can be longitudinal or transverse, separating the vagina into two canals. Vaginal septa occur due to lack of fusion and recanalization of Mullerian structures, and often present with voiding dysfunction with potential impact on fertility and sexual function. We describe a rare case of concomitant transverse and longitudinal vaginal septa and discuss its presentation. Additionally, we present a unique surgical management of these anomalies. The patient had an uncomplicated postoperative course and had no continence issues on long term follow up.

To improve upon prior attempts to predict which patients will pass their obstructing ureteral stones, we developed a machine learning algorithm to predict the passage of obstructing ureteral stones using only the CT scan at a patient's initial presentation.

To assess the comparative safety and effectiveness of two prostate cancer treatment ablation modalities—irreversible electroporation (IRE) and high-intensity focused ultrasound (HIFU). 

To evaluate the safety and efficacy of platelet rich plasma (PRP) injections as a therapeutic modality for mild to moderate erectile dysfunction.

To characterize direct-to-consumer men's health clinics by reviewing their online content. Increasing numbers of patients are seeking treatment for erectile dysfunction and hypogonadism from direct-to-consumer “men's health” clinics. Treatments are often used off-label, with lack of transparency of provider credentials and qualifications.

Extracranial malignant rhabdoid tumors (MRT) are very rare and aggressive tumors. They are typically associated with an extremely poor prognosis, particularly when seen in the infant and neonatal population. Here we present the case of a newborn female born with a large vaginal mass and evidence of prenatal lower urinary tract obstruction (LUTO) that was determined to be a MRT of vaginal origin. In this report, we will also discuss an overview of extracranial MRT tumor biology and treatment considerations.