Urology News Feeds
Single Incision Robotic Cystectomy and Hybrid Orthotopic Neobladder Reconstruction: a step by step description
To describe a new technique for single incision robotic cystectomy and Studer-type ileal neobladder using the single-port (SP) da Vinci® SP robotic platform.
Prospective Phase II Study to Evaluate Response to Two Induction Courses (12 intravesical instillations) of BCG Therapy for High-Risk Non-Muscle-Invasive Bladder Cancer
To test whether two sequential BCG-induction courses improves the response of high-risk non-muscle invasive bladder cancer. Achieving a complete response (CR) to BCG is critical to disease-free survival. Patients with preexisting BCG-specific immunity owing to prior exposure to BCG have longer disease-free survival than BCG-naïve patients likely due to heterologous immunity from the initial priming of the immune system. We evaluated this hypothesis in a phase II prospective clinical trial.
Workforce Diversity in Female Pelvic Medicine and Reconstructive Surgery: An analysis of the American Urological Association Census Data
To describe the current state of workforce diversity in Female Pelvic Medicine and Reconstructive Surgery (FPMRS) using the 2014-2019 American Urological Association (AUA) census data.
Characteristics and long term follow up of men who suffer ischemic priapism secondary to recreational use of intracavernosal injectable medications
To better understand patient experience, risk factors, culture, and ED outcomes surrounding recreational ICI use that led to ischemic priapism.
Letter to the Editor re: Gender Differences in Authorship in Urology: a Five-year Review of Publications in Five High-impact Journals
Appreciate the contribution by Whitley et al 1 which provides valuable perspective on female authorship in urology journals. However, there is a significant error in Table I listing the impact factor for the journals evaluated. The impact factor for The Journal of Urology is listed as 2.114 while the correct number for 2019 is 5.925.
To demonstrate placement of bedside double-j ureteral stents in an Emergent Department or hospital floor setting.
To determine characteristics of providers marketing vasectomy reversal (VR) online, degree of information available online, the ease with which patients can compare providers, and the differences in VR practice patterns between academic and private practices.
Differences in healthcare expenditures, visits, and prescriptions by race for common benign urologic conditions: Race and healthcare expenditures among urology patients
Objective: To identify differences in healthcare expenditures and utilization by race in patients treated for common benign urologic conditions.MATERIALS & METHODS: A retrospective secondary data analysis was conducted of patients with common benign urologic conditions using 2016-2018 Medical Expenditure Panel Survey data. Benign conditions included urolithiasis, cystitis, erectile dysfunction (ED), pelvic organ prolapse (POP), urinary incontinence (UI), and benign prostatic hyperplasia (BPH). Generalized linear models were used to evaluate the relationship between total healthcare expenditures and utilization and race for each condition.
Recent years have borne witness to two ongoing, interrelated phenomena: an oft-publicized decline in male fertility and mounting interest in sperm cryopreservation.1 With heavier utilization of sperm freezing and banking services, a slew of scarcely explored legal-ethical issues rise to the forefront. Chief among these is the question of posthumous conception: what happens to frozen sperm after its donor has died? This is no mere academic point; it implicates parenthood, bodily autonomy, a partner's grieving process, estate distribution, and entitlement to Social Security benefits, among myriad others.
CASE-BASED AND GUIDELINES-BASED LECTURES ARE THE MOST PREFERRED FORM OF ONLINE WEBINAR EDUCATION: RESULTS FROM THE UROLOGY COLLABORATIVE ONLINE VIDEO DIDACTICS SERIES (COViD)
Objective: To evaluate the most preferred style of online didactic lectures. The COVID-19 pandemic has had a significant impact on surgical resident education, instigating a major shift towards online webinar didactics as a major of resident teaching. We hypothesize that a case-based format of online didactics are the most preferred format for this style of lecture.Study Design: We analyzed viewer evaluations following 82 online hour-long lectures in the Urology Collaborative Online Video Didactics Lecture Series.
: To determine if patients were obtaining opioids after HoLEP from other sources – despite our opioid-free postoperative pathway – we utilized a national prescription drug monitoring program (PDMP) to review all patients who underwent HoLEP at our institution.
Midurethral sling placement is a common treatment for female stress urinary incontinence. We report a case of a woman with a nine-month history of significant pelvic and right lower extremity pain following synthetic retropubic sling placement at an outside facility. On evaluation, she had unilateral obturator neuropathy and underwent combined vaginal and robotic excision of the right arm of the sling. During surgery, the sling was adherent to the obturator nerve and passed lateral through the obturator fossa.
A 60-year-old male with a past medical history of aortic valve replacement, well-managed hypertension, hyperlipidemia, and bilateral inguinal herniorrhaphy presented to the emergency room with worsening right lower abdominal pain and gross hematuria. He was subsequently admitted due to leukocytosis (24.35 k/uL), pyuria, and elevated serum creatinine (1.37 mg/dL). Contrast-enhanced CT abdomen/pelvis demonstrated an enlarged prostate with peri-prostatic inflammatory fat stranding suspicious for acute prostatitis.
To evaluate the learning curve (LC) of two urology residents in the execution of fusion biopsy (FB) in terms of overall prostate cancer (PCa) and clinically significant (cs) PCa detection rate (DR) and according to different characteristics of the lesions on MRI
Comparative Effectiveness and Tolerability of Transperineal MRI-targeted Prostate Biopsy Under Local versus Sedation
To assess the prostate cancer diagnostic yield, complications, and costs of transperineal prostate biopsies when performed with local anesthesia versus sedation.
Comparison of Side Effects and Tolerability Between Intravesical Bacillus Calmette-Guerin, Reduced-Dose BCG, and Gemcitabine for Non-Muscle Invasive Bladder Cancer
: To compare patient-reported side effects and tolerability of full-dose Bacillus Calmette-Guérin (BCG), reduced-dose BCG, and gemcitabine one week after administration.
Our interaction with urine is often one of contention—we seek to cleanse it of bacteria, chemically alter its mineral composition, and help our patients store or rid themselves of it. But this humble waste product had a noble role in the development of modern civilization and continues to have industrial significance in the 21st century. As a source of urea and subsequently nitrogen, urine was a valuable component of many early industrial processes, from serving as a binding agent for early dyes and a processing agent for wool, to a critical element of early saltpeter and therefore gunpowder.
Diversifying Graduate Medical Education & the Urology Workforce: Re-imagining our Structures, Policies, Practices, Norms & Values
This article offers a framework for critically examining the structures, policies, norms, practices, and values that shape the Urology Match as a foundation for interventions to improve diversity, equity, inclusion and justice in the workforce. Points of leverage for transformational change in the urology workforce diversification include modifying the structure of the urology application process, optimizing reviewer factors, addressing URiM applicant experience, providing resources to applicants, and evaluating selection criteria.
Impact of Fellowship-Trained Andrology and Sexual Medicine Specialists on Performance on the Annual American Urological Association In-Service Examination
To demonstrate the distribution and impact of fellowship-trained andrology and/or sexual medicine urological specialists (FTAUS) on resident in-service examination (ISE) performance.
Salvage robotic-assisted laparoscopic radical prostatectomy following focal high-intensity focused ultrasound for ISUP 2/3 cancer
To report feasibility and outcome of salvage robotic-assisted laparoscopic radical prostatectomy (S-RALP) after focal therapy using high-intensity focused ultrasound (HIFU) treatment compared to primary robotic-assisted laparoscopic radical prostatectomy (pRALP).