Urology News Feeds

A Case Report of an Obstructing Ureteral Nephrogenic Adenoma in a Child Managed with Open Ileal Ureter

Urology (Gold Journal) In Press - Mon, 05/18/2020 - 00:00
Nephrogenic adenoma is a rare, benign lesion that can be encountered anywhere along the urinary tract. It is associated with genitourinary trauma, chronic inflammation, genitourinary surgery, renal transplant, urolithiasis, and radiation. In children, these lesions are almost exclusively found in the bladder. However, we report an unusual case of a 15-year-old boy with no prior urologic history who presented with an obstructing right ureteral nephrogenic adenoma that required an ileal ureter interposition and right ureterectomy.
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Gender Bias in Medicine: Does it Exist at AUA Plenary Sessions?

Urology (Gold Journal) In Press - Mon, 05/18/2020 - 00:00
To determine if gender bias exists at the plenary sessions of the American Urologic Association (AUA) annual conference by evaluating variations in the use of a professional title (PT) during speaker introductions at these sessions.
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GUESS WHO'S COMING TO DINNER: COVID-19 IN A COVID-FREE UNIT

Urology (Gold Journal) In Press - Mon, 05/18/2020 - 00:00
To assess the impact of the pandemic on surgical activity and the occurrence and features of Covid-19 in a Covid-free urologic unit in a regional hospital in Northern Italy.
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Inaccuracies in News Media Reporting about the 2019 US Food and Drug Administration Ban on Transvaginal Mesh for Pelvic Organ Prolapse Repair

Urology (Gold Journal) In Press - Mon, 05/18/2020 - 00:00
To analyze inaccuracies in the news media reporting of the 2019 US Food and Drug Administration (FDA) ban on surgical mesh for transvaginal repair of pelvic organ prolapse (POP).
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A Rare Case of Partial Unilateral Corpus Cavernosum Agenesis with Concomitant Multiple Genitourinary Anomalies

Urology (Gold Journal) In Press - Sun, 05/17/2020 - 00:00
Congenital penile agenesis is a rare condition with an incidence of 1 in 30 million, while other congenital malformations of the cavernous bodies are much less common. In a few cases in the literature, it has been reported that the reason for consulting a physician with these conditions is the insufficient erection. As a first reported case, we present a 16-year-old male patient with partial unilateral corpus cavernosum agenesis accompanying genitourinary anomalies.
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Pudendal Nerve Identified on Sectioned Images of Female Cadaveric Pelvis

Urology (Gold Journal) In Press - Sun, 05/17/2020 - 00:00
To provide an anatomical atlas made of serially sectioned images of a female cadaver that clearly demonstrated the pudendal nerve.
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Primary Female Urethral Malignant Melanoma: A Case Report

Urology (Gold Journal) In Press - Fri, 05/15/2020 - 00:00
An 89-year-old, Chinese woman presented to her urogynecologist who complained of one-month history of gross hematuria, dysuria and painful mass at the external urethral meatus. She first visited the local hospital, however, her symptoms were not relieved after several days of diluted potassium permanganate for external use and antibiotic treatment. Then she was referred to our department for further management.
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Posterior urethral polyp treated with endoscopic transurethral resection: the second pediatric case managed with holmium laser.

Urology (Gold Journal) In Press - Fri, 05/15/2020 - 00:00
Fibroepithelial urethral polyp is a rare benign tumor more common in children than adult that can cause bladder outlet obstruction.We describe a 3-year-old boy who presented with intermittent acute urinary retention affected by a fibroepithelial urethral polyp managed with endoscopic transurethral resection by HOLMIUM laser; no complications neither recurrence were observed.To our knowledge this is the second pediatric case of fibroepithelial urethral polyp treated by HOLMIUM laser.
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Re: Pelvic Hematoma Following UroLift Procedure for BPH, [Urology 2020;137:208]

Urology (Gold Journal) In Press - Thu, 05/14/2020 - 00:00
In “Pelvic Hematoma Following UroLift Procedure for BPH” [Urology 2020; 137:308], Cai et al from Weill Cornell published an important case report regarding an observed adverse event. Their diligent postoperative care led to resolution of this issue and to their patient's full recovery. Case reports tell us what is possible, and we must then consider the probability of events to decide to what extent we should describe them to our patients. When newly prescribed with tamsulosin, some patients have suffered ischemic cerebrovascular accidents; and some patients expire after TURP due to cardiac events, or develop Post-Operative Cognitive Dysfunction.
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Guidelines for Reporting of Figures and Tables for Clinical Research in Urology

Urology (Gold Journal) In Press - Thu, 05/14/2020 - 00:00
In an effort to improve the presentation of and information within tables and figures in clinical urology research, we propose a set of appropriate guidelines. We introduce six principles: (1) include graphs only if they improve the reader's ability to understand the study findings; (2) think through how a graph might best convey information, do not just select a graph from preselected options on statistical software; (3) do not use graphs to replace reporting key numbers in the text of a paper; (4) make sure that graphs give an immediate visual impression of the data; (5) make the figure beautiful; and (6) make the labels and legend clear and complete.
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Reply to Letter-to-the-Editor Commentary

Urology (Gold Journal) In Press - Thu, 05/14/2020 - 00:00
We agree that understanding the true incidence of adverse events is important context for any discussion of the safety of a new therapy or technique. In particular, serious adverse events linked to newer therapies being touted as a safer alternative to current existing treatments should be scrutinized. However, implying that using the number of hematoma reports in the United States Food and Drug Administration Manufacturer and User Facility Device Experience (FDA MAUDE) database as the numerator and the total number of cases performed globally as the denominator to determine complication rates [1] is exceedingly problematic.
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Inaccurate Operative Time Estimates Result in Undervaluation of Longer Urologic Procedures

Urology (Gold Journal) In Press - Thu, 05/14/2020 - 00:00
To assess whether inaccurate operative time estimates utilized by the Relative Value Update Committee (RUC) contribute to the undervaluation of longer urologic procedures.
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Assessment of long-term changes in lower urinary tract symptoms in patients with prostate cancer who underwent low-dose-rate prostate brachytherapy

Urology (Gold Journal) In Press - Wed, 05/13/2020 - 00:00
To investigate long-term changes in lower urinary tract symptoms (LUTS) in patients with prostate cancer (PC) who underwent low-dose-rate brachytherapy with iodine-125 (LDR-BT).
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Reframing financial incentives around reducing readmission after radical cystectomy

Urology (Gold Journal) In Press - Tue, 05/12/2020 - 00:00
To better understand the financial implications of readmission after radical cystectomy, an expensive surgery coupled with a high readmission rate. Currently, whether hospitals benefit financially from readmissions after radical cystectomy remains unclear, and potentially obscures incentives to invest in readmission reduction efforts.
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The Applicant's Perspective on Urology Residency Interviews: A Qualitative Analysis

Urology (Gold Journal) In Press - Mon, 05/11/2020 - 00:00
To better understand what urology applicants look for on interview day and what they care about in selecting a residency program through an analysis of anonymous online posts about the urology interview process.
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A TALE OF TWO CITIES: INSIGHT AND PRACTICAL CONSIDERATIONS DURING THE COVID PANDEMIC.

Urology (Gold Journal) In Press - Mon, 05/11/2020 - 00:00
There are 4,639 miles between Milan, Italy (Cestari) and Knoxville, TN (White). Milan is a cultural and economic global linchpin with a population of well over 3 million people. Knoxville is a regional hub in the State of Tennessee near the base of the Smoky Mountains with a population of around 500,000. Milan is the cornerstone of the Lombardy region in Italy, among the most deeply impacted areas of the world by SARS-CoV-2 (COVID-19). Knoxville just recorded its 175th case. There could not be a more divergent reality for the two of us.
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Botulinum Toxin Type A Therapy: Intravesical Injection or Electromotive Drug Administration

Urology (Gold Journal) In Press - Sun, 05/10/2020 - 00:00
To compare the outcomes of intravesical injection of botulinum toxin A (BoNTA) with intravesical electromotive drug administration (EMDA) of BoNTA on urinary incontinence secondary to neuropathic detrusor overactivity (NDO) in children with myelomeningocele (MMC).
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Autosomal dominant polycystic kidney disease presenting as colossal abdomen

Urology (Gold Journal) In Press - Sun, 05/10/2020 - 00:00
Autosomal dominant polycystic kidney disease (ADPKD) is an inherited, progressive systemic disorder with both renal and extra renal involvement. Commonest presentation is clusters of cysts in the kidney. About 75% develop end stage renal disease by 70 years of age. We present a case of 62-year old hypertensive male presenting with massive abdominal distention diagnosed with large cysts replacing bilateral kidneys completely along with multiple liver cysts characteristic of ADPKD.
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The Surgical Treatment and Genomic Analysis of a Rare Case of Oligometastatic Renal Cell Carcinoma of the Prostate

Urology (Gold Journal) In Press - Sun, 05/10/2020 - 00:00
An 80 year old male presented to the emergency department after an episode of gross hematuria four hours prior. Review of systems at the emergency department was positive for dysuria and chronic obstructive urinary symptoms while negative for fevers, chills, or flank pain. Of note, his past medical history includes atrial fibrillation on rivaroxaban anticoagulation, left bundle branch block, coronary artery disease (status post drug eluting stent placement to the left circumflex artery in 2003 and drug eluting stent placement to the left anterior descending artery in 2013), peripheral vascular disease (status post bilateral iliac artery stent placements in 2009), chronic obstructive pulmonary disease (COPD), hyperlipidemia, gout, nephrolithiasis, and left renal cell carcinoma (RCC) status post left hand-assisted laparoscopic radical nephrectomy in 2003.
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