Urology News Feeds

To describe the step-by-step technique for robotic intracorporeal ileal conduit urinary diversion (ICUD) following radical cystectomy performed by using the novel da Vinci SP surgical system (Intuitive Surgical, Sunnyvale, CA).

Indocyanine green (ICG) is a dye used for fluorescent-guided surgery. This review article addresses the recent surge in reported uses of ICG in various surgical fields, and provides a comprehensive and up to date review of the uses of ICG in urologic surgery.

To report and evaluate our open surgical technique for the treatment of parastomal hernias after ileal conduit urinary diversion and results using a specifically designed, three-dimensional intraperitoneal onlay mesh aiming to minimize parastomal hernia recurrence and perioperative complications.

To determine the role of non-invasive, minimally invasive diagnostic modalities and current management recommendations for cN0 PNC, a literature review using PubMed® and Web of Science® search engines were conducted. We found that for predicting ILN+: physical exam has limitations, nomograms are not validated, conventional CT/MRI/PET scans have minimal role, and DSLNB is the most reliable minimally invasive modality. Adverse pathological features: G3, stage ≥ T2, presence of LVI, and rare histopathological variants are important predictors of ILN+ and their presence warrants prophylactic ILND or DSLNB.

To determine how often prostate- and bladder-specific medications for lower urinary tract symptoms (LUTS) are used following a transurethral prostatectomy (TURP).

To describe the patient experience and chief concerns with urethroplasty to improve physician understanding and patient education. Online discussion boards allow patients with urethral stricture disease (USD) to connect with other USD patients. It is unknown how men use these web resources and what information is available about urethroplasty.

59-year-old African American male was referred for urologic evaluation of symptomatic anogenital warts. The patient was initially diagnosed with anogenital warts one year prior, however he did not seek further evaluation at that time. Subsequently, the lesions grew in size and number resulting in pain and occasional bleeding ultimately prompting him to seek medical attention. Additionally, he noted worsening post-void dribbling but denied other lower urinary tract symptoms (LUTS) or hematuria. The patient has a past medical history of benign prostatic hyperplasia (BPH) treated with Tamsulosin and Acquired Immune Deficiency Syndrome (AIDS) treated with Highly Active Antiretroviral Therapy (HAART).

Crizotinib is a first generation tyrosine kinase inhibitor for ALK gene positive non-small cell lung cancer (ALK+ NSCLC). The FDA approved its use in 2011.1 There has been a recent recognition of crizotinib associated renal cysts (CARCs).

To analyze the full spectrum of patients presenting with radiologically-identified infiltrative renal masses(IRMs), including those managed surgically or otherwise, with focus on clinical presentation/prognosis.

To validate a Parental Assessment of Children's External genitalia scale for Females (PACE-F) for girls with Congenital Adrenal Hyperplasia (CAH) by adapting the validated adult Female Genital Self-Image Scale.

This commentary introduces the concept of preventable cancer death associated with bladder preservation for muscle-invasive bladder cancer (MIBC). Neoadjuvant chemotherapy (NAC) and radical cystectomy (RC) is the standard of care for most MIBC. Another approach is bladder preservation. Trimodal therapy (complete transurethral resection (TUR) and chemo-radiation1 or NAC and bladder-sparing surgery (BSS),2 offer survival rates similar with cystectomy in properly selected cases. Tumor recurrence in the bladder is common after bladder sparing, however the impact of local recurrence on mortality is not well defined nor emphasized in bladder preservation studies.

To identify which active surveillance (AS) candidates benefit most from confirmatory biopsies to exclude grade underclassification.

To describe a novel surgical technique for reconstruction of a case of refractory bladder neck contracture (BNC) using a robotic-assisted laparoscopic (RAL) transvesical approach for sub-trigonal inlay of buccal mucosal graft. BNC is a well-described yet uncommon adverse event after BPH surgery. Endoscopic management is successful in many patients but refractory cases may require reconstructive surgery.

Fibroepithelial polyps represent a rare cause of intrinsic ureteropelvic junction obstruction in the pediatric population, accounting for less than 5% of cases. Herein, we present this peculiar case of a 10-year-old boy with multiple large intra-luminal FEPs resembling Medusa's hair and the challenges associated with its subsequent treatment plan.

To assesses the efficacy of Ultrasound Guided Targeted Cryoablation (UTC) of the peri-spermatic cord as a salvage treatment for patients who failed microsurgical denervation of the spermatic cord (MDSC)

Immune checkpoint inhibitors (ICI), nivolumab, pembrolizumab, atezolizumab, durvalumab and avelumab, are currently approved for locally advanced and metastatic urothelial cancer. Unfortunately, adverse events associated with these medications are not entirely uncommon. Of those patients suffering from adverse events associated with ICI therapy, approximately 20% experience an immune-related adverse event (irAE).1 These high-grade events as defined by CTCAE have led to countless discontinuations of ICI therapies.

To evaluate the efficacy and functionality of robotic telerounding among Korean patients using the RP-7 robot system and a questionnaire survey comparing the results of robotic telerounding and standard rounding in Korean patients.

To report 12-month safety and effectiveness outcomes of the Aquablation procedure for the treatment of men with symptomatic BPH and large-volume prostates.

To understand uncertainties and knowledge gaps regarding lymphatic drainage in renal tumours, we performed two prospective studies to demonstrate regional lymph node (LN) drainage with sentinel lymph node (SN) imaging and biopsy. Here, we report the technique and perioperative safety of retroperitoneal SN dissection with different surgical approaches.

To discuss a novel technique of dual kidney transplantation that has not been described in literature.