Urology News Feeds

An Uncommon Case of a Traumatic Corporal Cutaneous Fistula

Urology (Gold Journal) In Press - Fri, 04/19/2019 - 00:00
Penetrating perineal trauma is an unusual urologic injury. Even less common is a delayed presentation. Herein we present the case of a patient with delayed development of a corporal cutaneous fistula three months following perineal trauma.
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Small bowel adenocarcinoma of ileal ureter 40 years after ureteral reconstructive surgery

Urology (Gold Journal) In Press - Fri, 04/19/2019 - 00:00
Malignant neoplasm arising from ileal ureter used for ureteral reconstructive surgery is an exceedingly rare event. Ureteroileoplasty was being performed since the beginning of the last century, but it was described more extensively in literature during the 1950s.1,2 Recurrent urinary infections, chronic renal failure, urolithiasis, anastomotic stricture, metabolic acidosis and chronic dilation of the graft had been described as late complications of ureteroileoplasty.3,4 Herein, we describe history, imaging and pathologic findings of a small bowel adenocarcinoma arising from ileal ureter in a woman of 78 year-old, subjected to ureteroileoplasty about forty years earlier.
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Possible drop metastasis after treatment of renal cell carcinoma with percutaneous cryoablation

Urology (Gold Journal) In Press - Fri, 04/19/2019 - 00:00
A 69-year-old male with no documented past medical history presented to an outside institution with a 2.9 cm left lower pole renal mass that was incidentally discovered on imaging performed for abdominal and back pain. He denied any history of hematuria or flank pain. He was referred to the interventional radiology service for CT-guided percutaneous biopsy and cryoablation of the left renal mass. Three core needle biopsies were performed using a 20 gauge cutting needle with coaxial technique. Hydrodissection was used to displace the colon in preparation for cryoablation due to the lesion's anterior location.
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International and Multi-Institutional Assessment of Factors Associated with Performance and Quality of Lymph Node Dissection during Radical Nephrectomy

Urology (Gold Journal) In Press - Fri, 04/19/2019 - 00:00
To determine factors associated with performance and quality of lymph node dissection during radical nephrectomy.
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Pediatric urinary stone disease in the United States: The Urologic Diseases in America Project

Urology (Gold Journal) In Press - Thu, 04/18/2019 - 00:00
To examine the recent epidemiology of pediatric urinary stone disease (USD) in the United States.
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Downstream Studies Following the Use of Bone Scan in the Staging of Muscle-invasive Bladder Cancer

Urology (Gold Journal) In Press - Thu, 04/18/2019 - 00:00
To quantify the use of downstream studies following staging bone scans in patients with muscle-invasive bladder cancer. Bone scans may be obtained in high-risk bladder cancer patients prior to radical cystectomy to exclude bone metastases. However, false positive bone scans can occur, resulting in the need for additional studies.
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A Thoughtful Pause for Sparing Oopherectomy

Urology (Gold Journal) In Press - Thu, 04/18/2019 - 00:00
We read with interest the recent article by Abboud et al1 regarding ovarian malignancy in women after radical cystectomy (RC). The authors demonstrate a low rate of subsequent ovarian malignancy, and conclude that oophorectomy at the time of RC may be omitted. While we applaud the goal to spare the undesirable morbidity of oophorectomy, we suggest a pause to blanket implementation of this recommendation.
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OVOTESTICULAR DISORDER OF SEX DEVELOPMENT: A RARE CASE OF LATERAL SUBTYPE 45X/46XY KARIOTYPE DIAGNOSED IN ADULTHOOD

Urology (Gold Journal) In Press - Thu, 04/18/2019 - 00:00
A 53-year-old male referred to our Centre because of hypergonadotropic hypogonadism detected during urological follow-up for urethral lithiasis. Physical Examination showed short stature, micropenis, ambiguous external genitalia, normal secondary sexual characteristics. Karyotype: 45 × 0/46XY. Abdominal MRI revealed the presence of uterus-like structure, right annex and left testes without prostate. He underwent laparoscopic removal of dysgenetic tissues; histological examination confirmed the presence of little uterus, fallopian tubes, little atrophic ovary, and vaginal tract; left testes was atrophic with sclero-jalinosis of seminal tubes and Leydig's cells hyperplasia.
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The Use of Full Thickness Skin Graft Phalloplasty During Adult Acquired Buried Penis Repair

Urology (Gold Journal) In Press - Thu, 04/18/2019 - 00:00
To evaluate the feasibility and outcomes of full thickness penile skin grafting (FTSG) for phalloplasty during acquired buried penis repair.
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TUMOR BUDDING: PROGNOSTIC VALUE IN MUSCLE-INVASIVE BLADDER CANCER

Urology (Gold Journal) In Press - Fri, 04/12/2019 - 00:00
To assess if 'tumour budding' (TB) behaves as a poor prognostic factor in muscle-invasive bladder carcinoma (MIBC). TB is the presence of tumour cells isolated or in small groups of fewer than five cells located at the tumour invasion front.
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Genetic and Environmental Influences on Urinary Conditions in Men: A Classical Twin Study

Urology (Gold Journal) In Press - Fri, 04/12/2019 - 00:00
To evaluate the genetic and environmental relationship among prostatitis and other urological conditions, including benign prostatic hyperplasia (BPH) and prostate cancer (CaP), a classical twin design and biometric modeling was used. While prostatitis – characterized by pain and voiding symptoms, no clear etiology, and functional and quality of life impairments – co-occurs with other urinary conditions, the degree of shared overlapping etiological processes among them remains unclear. We examined the contribution of genetic and environmental factors to these conditions and the etiology of their associations at the level of genetic and environmental influences.
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The Impact of 68Ga-PSMA PET/CT and PET/MRI on the Management of Prostate Cancer

Urology (Gold Journal) In Press - Fri, 04/12/2019 - 00:00
Prostate-specific-membrane-antigen (PSMA) is a transmembrane protein with significantly increased expression in the cells and metastases of prostate carcinoma (PCa). PSMA-expression correlates with higher serum levels of prostate-specific-antigen (PSA) and a higher Gleason Score (GS). This finding has led to the development of novel imaging modalities such as 68Ga-/18F-labeled PSMA PET/CT and PET/MRI. This article reviews the literature pertaining to various new imaging technologies for the management of PCa.
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The Incidence and Durability of Compensatory Hypertrophy in Pediatric Patients with Solitary Kidneys

Urology (Gold Journal) In Press - Fri, 04/12/2019 - 00:00
To evaluate the incidence and durability of compensatory hypertrophy with solitary kidneys in the setting of those with multicystic dysplastic kidney or Wilms tumor status post nephrectomy.
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Second reported case of pediatric bladder alveolar soft part sarcoma as secondary malignancy after prior cytotoxic chemotherapy

Urology (Gold Journal) In Press - Fri, 04/12/2019 - 00:00
Alveolar soft part sarcoma (ASPS) is a rare malignancy with high rates of metastasis at presentation, defined by an unclear cellular origin and a unique unbalanced ASPSCR1-TFE3 translocation (der(17)t(X:17)(p11:q25))1. ASPS is insensitive to chemotherapy and has been reported to involve the bladder only twice in the pediatric literature; once as a primary malignancy2, and once as a secondary malignancy after cytotoxic chemotherapy3. Herein, we report the third case of pediatric bladder ASPS in a female patient who received cytotoxic chemotherapy for low-risk neuroblastoma.
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Use of Office Versus Ambulatory Surgery Center Setting and Associated Ancillary Services on Healthcare Cost Burden for Vasectomy Procedures

Urology (Gold Journal) In Press - Mon, 04/08/2019 - 00:00
To analyze variation in total healthcare costs for vasectomies performed in the United States, based on procedure setting and use of ancillary pathology services.
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Tips and Tricks for Performing a Retrograde Pyelogram

Urology (Gold Journal) In Press - Fri, 04/05/2019 - 00:00
To demonstrate indications, review tools and techniques, as well as abnormal findings when performing a retrograde pyelogram.
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ROBOT-ASSISTED PARTIAL NEPHRECTOMY AND BILATERAL PYELOLITHOTOMY IN ECTOPIC PELVIC KIDNEYS

Urology (Gold Journal) In Press - Fri, 04/05/2019 - 00:00
To show how to perform a robot-assisted partial nephrectomy and bilateral pyelolithotomy in ectopic pelvic kidneys. This is a congenital abnormality of position and rotation1 frequently associated with urolithiasis.2 Renal cell carcinoma is a very rare event in pelvic kidneys.3,4 These two findings in the same patient could be a surgical challenge and whenever possible a “one stage” treatment is preferred.
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Factors influencing the feasibility of segmental artery clamping during retroperitoneal laparoscopic partial nephrectomy

Urology (Gold Journal) In Press - Fri, 04/05/2019 - 00:00
To investigate factors that may predict successful precise segmental artery clamping during retroperitoneal laparoscopic partial nephrectomy (LPN) for treatment of T1 kidney tumor.
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Letter to the Editor on: Bladder Agenesis and Associated Pelvic Arterial Anomaly in 2 Female Pediatric Patients

Urology (Gold Journal) In Press - Thu, 04/04/2019 - 00:00
In their recently published case report, Lowery et al presented two patients with bladder agenesis and concomitant pelvic arterial anomaly and suggested the two anatomical variants are causally related.1 Bladder agenesis is extremely rare with only 25 live births recorded in the literature.2 With so few patients to study, much of what is known is through case reports such as Lowery's.
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Editorial Comment/Author Response to "Letter to the Editor on: Bladder Agenesis and Associated Pelvic Arterial Anomaly in 2 Female Pediatric Patients" (#URL-D-19-00427)

Urology (Gold Journal) In Press - Thu, 04/04/2019 - 00:00
Since bladder agenesis is exceedingly rare, it is likely that we will never know the etiology of this malformation, or whether it could be the end result shared by more than one mechanism of maldevelopment. We agree with the authors of the “Letter to the Editor” that most published bladder agenesis cases do not comment on presence or absence of anomalous pelvic arterial anatomy. Thus, the authors are likely correct that the vascular malformation is not the root cause in most bladder agenesis cases.
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