Urology News Feeds
Bladder Necrosis at Time of Presentation with Ulcerative Colitis in an 8-year-old Female: a Case Report
A case of bladder necrosis in an 8-year-old female at time of presentation of ulcerative colitis (UC) is presented. A case of bladder necrosis in a pediatric patient outside of the neonatal period has not been reported. The patient presented with abdominal pain, bloody stools, hematuria, and acute renal failure. She was acutely management with bilateral nephrostomy tube placement. Bladder and colon biopsies revealed diagnosis of UC and bladder necrosis. The UC was medically managed. The bladder did not regenerate after several months of observation and ileal conduit urinary diversion was performed.
: To evaluate racial, gender, and socioeconomic differences in the treatment of metastatic renal cell carcinoma (mRCC) and their impact on survival.
Geographic Variations in Pharmacy Services and Availability of Commonly Prescribed Pediatric Urology Medications: An Opportunity to Improve Health Equity in Washington State
To describe geographic and sociodemographic variations in operating hours and availability of medications commonly prescribed by pediatric urologists at Washington State retail pharmacies.
To compare 30-day complication rates after prolapse repair and sling procedures across racial/ethnic groups, and evaluate trends over time.
Advancements in the identification of EV derived mRNA biomarkers for liquid biopsy of clear cell renal cell carcinomas
To propose EV-derived mRNA as a potential diagnostic biomarker detecting the presence of clear cell renal cell carcinoma (ccRCC). There is currently no kidney cancer specific screening or diagnostic technology. Therefore, one-third of kidney cancer diagnoses occur after the cancer has metastasized and is past curative measures
To 1) determine the prevalence of urologic malignancy in women evaluated for microhematuria (MH) in a large university-based urology practice, 2) describe clinical features shared by women with MH, and 3) evaluate a risk score for urologic malignancy in women with MH.
Response to the Letter-to-the-Editor: “Erectile Dysfunction and Treatment: An Analysis of Associated Chronic Health Conditions”
To characterize circumcision-related litigation in the United States (US) and factors predictive of lawsuit outcome. Circumcision is a common urologic procedure with medical and ethical nuances.
To provide the first nationwide characterization of the clinical learning environment in American urological training programs.
Hemangiomas are benign proliferations of blood vessels, and urethral hemangiomas are extremely rare presentations of this condition. As the condition is quite rare, there is very little literature about best management strategies. The best resources for determining management are case reports which focus on treatment via transurethral ablation or endoscopic resection. However, there is no guidance on management of urethral hemangiomas which are refractory to these minimally invasive methods. Herein, we summarize the literature for urethral hemangioma management, present the case of a male presenting with refractory hematuria due to a hemangioma in the penile urethra, and describe the operative technique for the open excision and reconstruction of this hemangioma.
Editorial Response to: “The Pioneering and Diverse Contributions of Leonard N. Zinman, M.D. to Urology”
In chronicling the various contributions of Leonard N. Zinman, MD to Urology, we intended to raise awareness of the great significance of a man who was far too humble to have sought recognition for his achievements. Dr. Leonard Zinman was the quintessential academic surgeon: a highly-skilled surgeon inspired by his patients to achieve best outcomes in even the most challenging cases, and an innovative scientist who translated his intellectual curiosity and clinical acumen into advancements in urologic care.
Implications of a Novel Biopsy Downloading System on Prostate Cancer Detection Rate, Surveillance and Focal Therapy – A Prospective Study
: To examine the SmartBx, a novel biopsy downloading system, allowing downloading of biopsy cores with maximal core preservation as prostate biopsy sampling lacks preservation of core configuration & orientation.
: To share the cases of pelvic fracture urethral distraction defect (PFUDD) in preschool boys and evaluate the transperineal anastomotic urethroplasty strategy for the treatment of these cases.
Addressing urologic health disparities in sexual and gender minority communities through patient-centered outcomes research
Sexual and gender minority (SGM) communities face stigma and discrimination that impact all aspects of health. To better understand and improve their urologic health outcomes, we must study SGM patients as a distinct population and pursue research on outcomes identified as priorities to SGM communities. Patient-centered outcomes research (PCOR) is a methodology which is increasingly familiar to urologists and is crucial to adequately addressing SGM health in future urological research. We review existing literature focused on urologic outcomes of SGM populations and highlight specific PCOR initiatives built on SGM community engagement.
Awareness, clinical experience and knowledge of female genital mutilation/cutting among female pelvic medicine and reconstructive surgeons in the United States
: To promote the recognition and care of patients with female genital mutilation/cutting (FGM/C), we aimed to evaluate the awareness, clinical experience and knowledge of FGM/C among female pelvic medicine and reconstructive surgery (FPMRS) specialists. FGM/C is a cultural practice whereby there is removal of external female genitalia for non-therapeutic reasons. Despite the high prevalence of urogynecologic complications, there is a paucity of literature discussing FGM/C from the lens of urologists and urogynecologists.
Association Between Industry Payments and Published Position on Use of Devices for the Treatment of Lower Urinary Tract Symptoms
: To determine the impact of industry payments to authors of opinion articles on the Urolift and Rezum devices. We also examined the extent to which authors omitted acknowledgements of financial conflicts-of-interest.
A 38-year-old woman arrived at the emergency department complaining of left lower back pain, nausea, malaise, and mild chest discomfort. On physical examination she was pale and had multiple skin fibromas. Her abdominal exam was benign, and she was vitally stable. Her heart rate was 90 beats per minute. Labs were notable with a reported hemoglobin level of 9 mg/dl. Given her symptoms, a CT of her chest, abdomen and pelvis was performed. A bleeding angiomyolipoma on the left kidney was identified (figure 1), along with a hyperdense lesion on the base of the left lung, compatible with incipient pulmonary lymphangiomyomatosis (figure 2).
Wilms tumors are the most common renal malignancy of childhood, often presenting as asymptomatic abdominal masses. These tumors can occur either in a unilateral or bilateral fashion, with bilateral tumors more commonly associated with various genetic syndromes and familial inheritance with some known loci. Bilateral tumors present challenges with regards to balancing oncologic control with renal function. Here, we present an unusual case of a young female patient diagnosed with bilateral Wilms tumors on the background of a strong family history and unknown genetic loci.
Letter-to-the-Editor: “Erectile Dysfunction and Treatment: An Analysis of Associated Chronic Health Conditions”
The article entitled “Erectile Dysfunction and Treatment: An Analysis of Associated Chronic Health Conditions” by Lindsey Wright et al. recently published online ahead of print in Urology 2021 Aug 21;S0090-4295(21)00782-2. highlights one of the many reasons why “Men's Health” is in need of a reformation.
The Future is Female: The Influence of Female Faculty and Resident Representation on Female Applicant Match Rate Amongst Urology Residency Programs Over 3 Years
To investigate whether there is a correlation between the proportion of female faculty and residents at urology residency programs and the proportion of females matched to those programs.