Urology News Feeds

The History of Gender-Affirming Vaginoplasty Technique

Urology (Gold Journal) In Press - Thu, 04/21/2022 - 00:00
Evidence of gender variance is present throughout all societies of human history, dating back to the earliest cultures of which we have anthropologic record.1 The phenomenon first came to the attention of modern medicine around the turn of the twentieth century, where it was described as a psychiatric illness by Richard von Krafft-Ebing and other early sexologists.1,2 With the primordial classification of the condition as a form of delusional disorder, all means of psychotherapy were attempted to convince patients to abandon the belief they were trapped in the wrong sex body and to accept their assigned gender.
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Mortality and Reoperation Following Midurethral Sling versus Urethral Bulking In Older Women

Urology (Gold Journal) In Press - Tue, 04/19/2022 - 00:00
: To examine differences in mortality, retreatment rates, and comorbidities that may be risk factors for retreatment among Medicare beneficiaries (age 65+) undergoing midurethral sling versus urethral bulking.
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Heineke-Mikulicz Preputioplasty: Surgical Technique and Outcomes

Urology (Gold Journal) In Press - Wed, 04/13/2022 - 00:00
To provide a summary of surgical technique and outcomes for Heineke-Mikulicz preputioplasty (HMP), a foreskin-preserving surgical treatment for phimosis in the adult population.
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Urology Clinical Challenge: Intra-Scrotal Mass

Urology (Gold Journal) In Press - Wed, 04/13/2022 - 00:00
A 38-year old male with a complex medical history, including epilepsy, renal failure and two prior hernia repairs, presents to clinic with a left extratesticular scrotal mass first palpated two years ago. Most of the history is gathered from the patient's mother and father due to his underlying intellectual disability. The mass is described as small, hard, and mobile within the left inferior scrotum. Patient denies pain associated with the mass, dysuria or hematuria, or urinary tract infections.
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Ultrasound assessment of penile blood flow following caudal block in children; a pilot study

Urology (Gold Journal) In Press - Tue, 04/12/2022 - 00:00
: To characterize penile arterial and venous blood flow in association with caudal block.
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Propensity-Score Matched Analysis Between Extraperitoneal Single Port and Intraperitoneal Multiport Radical Prostatectomy: A Single-Institutional Experience

Urology (Gold Journal) In Press - Tue, 04/12/2022 - 00:00
: To compare the perioperative results and intermediate-term functional outcomes of single port and multiport robotic-assisted laparoscopic prostatectomy by using a propensity-score analysis.
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Long-term Survival Rates of Inflatable Penile Prostheses: Systematic Review and Meta-Analysis

Urology (Gold Journal) In Press - Mon, 04/11/2022 - 00:00
To determine long-term survival of inflatable penile prosthesis (PP) and identify potential factors that may influence device survival.
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Urodynamic Curve Patterns may Predict Female Bladder Outlet Obstruction and Detrusor Underactivity

Urology (Gold Journal) In Press - Sat, 04/09/2022 - 00:00
To search for independent predictors for distinguishing bladder outlet obstruction (BOO) and detrusor underactivity (DU) in female patients with voiding difficulty.
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Inflammatory Vulvar Dermatoses (Part I)

Urology (Gold Journal) In Press - Sat, 04/09/2022 - 00:00
Vulvar disease is common, and urologists are often the first providers to see patients with a vulvar skin condition. Primary vulvar dermatoses can be localized to the anogenital area or a manifestation of more diffuse cutaneous disease. Additionally, secondary dermatoses can develop from exogenous agents and inflammatory vaginitis. Vulvar conditions are challenging to diagnose due to location and different types of skin and mucosal epithelium involved. Herein, we provide an overview of non-infectious inflammatory vulvar dermatoses (Part I) and benign and malignant vulvar neoplasms (Part II), grouped by morphologic findings.
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Massive hydronephrosis, countless lithiasis and upper urinary tract carcinoma

Urology (Gold Journal) In Press - Sat, 04/09/2022 - 00:00
A 51-year-old otherwise healthy man presented to the emergency department with a 6-month history of weight loss, asthenia, lumbar pain and hematuria. Urinalysis was notable for hematuria without significant pyuria. Hemoglobin was 10.3 g/dL and serum creatinine was 1.2 mg/dL. The remainder of the complete blood count, metabolic panel, and coagulation parameters were normal. An abdominal x-ray was done and based on the findings of this a CT scan was performed (Figure 2).
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Clinical Challenge in Urology: Management of a 11-year-old boy with Tuberous Sclerosis associated Renal Cell Carcinoma

Urology (Gold Journal) In Press - Sat, 04/09/2022 - 00:00
A 11-year-old boy had bilateral renal masses discovered on ultrasound during workup for hypertension and epilepsy. A clinical suspicion of Tuberous Sclerosis Complex was raised.
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Pathologic Findings and Management of Renal Mass in Horseshoe Kidneys

Urology (Gold Journal) In Press - Fri, 04/08/2022 - 00:00
Objectives: To evaluate the management, surgical outcomes, and pathological findings in patients with tumor in a horseshoe-kidney(HK). HK patients present unique challenges due to aberrant vascular anatomy and risk of renal insufficiency. We hypothesized that many tumors in this setting may be indolent or benign.Materials and Methods: Patients managed for renal mass in HK at our center(1999-2021) were reviewed. Baseline characteristics, surgical approach, complications, functional outcomes, pathology, and survival were analyzed.
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Hypospadias with severe chordee: effect of urethral plate transection on penile length

Urology (Gold Journal) In Press - Thu, 04/07/2022 - 00:00
To present our experience with urethral plate (UP) transection to treat hypospadias with severe chordee and examined the effects of this procedure on penile length. The technique involved transecting the UP to correct curvature, facilitating elongation of penile length and reconstruction of the urethra.
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Preliminary Outcomes after Same Day Discharge Protocol for Robot-Assisted Partial Nephrectomy: A Single Centre Experience

Urology (Gold Journal) In Press - Thu, 04/07/2022 - 00:00
: To assess the feasibility and safety of same-day discharge (SDD) surgery after robot-assisted partial nephrectomy (RAPN) in patients with small renal tumours.
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Ectopic Vas Deferens in a Male Infant

Urology (Gold Journal) In Press - Sat, 04/02/2022 - 00:00
Vas deferens ectopia is a rare congenital anomaly associated with urinary tract and anorectal anomalies. It is important to recognize the complex embryology of the reproductive, urinary, and lower enteric systems to understand how these processes can go awry.11 As the ureteric bud arises from the mesonephric duct, a failure of the channel that connects the two to obliterate can produce an ectopic vas deferens connected to the ureter or bladder7. We present a 2-month-old male with vas deferens ectopia.
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Foley Catheter Balloon Rupture and Risk of Free Fragment Formation

Urology (Gold Journal) In Press - Sat, 04/02/2022 - 00:00
: To assess the volume of foley catheter balloon rupture and the incidence of free fragment formation.
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Pubertal Suppression and Surgical Management of a Patient with 5-alpha Reductase Deficiency

Urology (Gold Journal) In Press - Sat, 04/02/2022 - 00:00
Five-alpha reductase type 2 deficiency (5αRD2) is a rare cause of atypical genitalia in newborns. There are no definitive guidelines regarding management of children with this disorder. While many children are raised as female given the under-virilized appearance of their external genitalia at birth, these patients are historically counseled to undergo male puberty, resulting in a change in gender identity from female to male in more than half of post-pubertal patients. Here we report the first case of a patient with 5αRD2who identified as female from a very early age, strongly desired gender-affirming surgery, and elected to initiate puberty-blocking therapy prior to the onset of male puberty.
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John Kelso Ormond – More Than a Syndrome

Urology (Gold Journal) In Press - Fri, 04/01/2022 - 00:00
“If you always do what you've always done, you'll always get you what you've always got”.
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Prostate Cancer Disparities in Hispanics using the National Cancer Database

Urology (Gold Journal) In Press - Sat, 03/26/2022 - 00:00
: To evaluate the differences in prostate cancer characteristics and treatment between Hispanic Americans with different countries of origin using the National Cancer Database.
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Letter to the Editor

Urology (Gold Journal) In Press - Wed, 03/23/2022 - 00:00
We read the case report entitled “Plexiform Penile Neurofibroma: A Case Report of a Rare Entity in a Pre-Pubertal Child” by Issa et al.1 In this case report, authors described surgical removal of the lesion. We disagree with the management approach chosen by the authors. We would like to challenge the authors regarding this, particularly as it has not been mentioned whether the tumour was localised or not.
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