Urology News Feeds

An Unusual Cause of Acute Kidney Injury Following Blunt Abdominal Trauma

Urology (Gold Journal) In Press - Tue, 03/22/2022 - 00:00
A 28-year-old female was admitted to the emergency department following a car crash forty minutes before arrival with hemodynamic instability and diffuse abdominal pain. Physical exam revealed a systolic blood pressure of 70mmHg, a heart rate of 110 beats/min, a respiratory rate of 22 breaths/min, and generalized abdominal pain on palpation, with peritoneal signs. No evidence of fractures was seen on x-ray. Focused assessment with sonography for trauma (FAST) was positive, reporting the presence of fluid in the hepatorenal fossa.
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Leukemic deposit masquerading as renal abscess: Clinical challenge

Urology (Gold Journal) In Press - Tue, 03/22/2022 - 00:00
A 13-year-old male presented to the emergency with complaints of high-grade fever and left flank pain for the past five days. He denied associated dysuria, hematuria, nausea, vomiting, or chills, and described the flank pain as dull and aching. His medical history was notable for a T cell acute lymphoblastic leukemia (T-ALL) diagnosed six months previously, for which he had received three rounds of chemotherapy (consisting of Cyclophosphamide, Doxorubicin, Oncovin, Prednisone). A complete blood count demonstrated anemia with a hemoglobin of 7.8 g/dL and leukocytosis with lymphocytic predominance.
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Nephrostomy Balloon & Sheath Suprapubic Tube placement—A minimally invasive approach to Large Caliber Suprapubic Tube Placement.

Urology (Gold Journal) In Press - Mon, 03/21/2022 - 00:00
: Suprapubic tubes (SPT) are a vital tool in the management of complex urologic voiding conditions. There are numerous methods of SPT placement, each with pros/cons: peel-away kits are easy to place, but often have small caliber SPTs i.e., 12 or 14 Fr, prone to kinking, that require serial upsizing to achieve the desired caliber; open SPT placements permit an initial large caliber SPT but are more invasive, particularly in obese patients. This video demonstrates a minimally invasive technique for SPT placement in patients with preserved urethral access to the bladder that safely allows for initial, precise placement of large caliber (>20F) catheters using the Nephromax® nephrostomy balloon/sheath (NBS-SPT).
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Cognitive Function after Cardiopulmonary Bypass and Deep Hypothermic Circulatory Arrest in Management of Renal Cell Carcinoma with Vena Caval Thrombus

Urology (Gold Journal) In Press - Mon, 03/21/2022 - 00:00
To compare cognitive outcomes of patients undergoing open radical nephrectomy (RN) and inferior vena cava (IVC) thrombectomy with versus without cardiopulmonary bypass (CBP) and deep hypothermic circulatory arrest (DHCA).
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Surgical and Functional Outcomes of Bladder Neck Incision for Primary Vesico-Urethral Anastomosis Stricture after Robot-assisted Radical Prostatectomy are Influenced by the Presence of Pre- or Postoperative Radiotherapy

Urology (Gold Journal) In Press - Sat, 03/19/2022 - 00:00
: To report the intermediate- to long-term outcomes of bladder neck incision (BNI) for vesico-urethral anastomosis stricture (VUAS) after robot-assisted radical prostatectomy (RARP) and the influence of pre- or post-RARP radiotherapy on these outcomes.
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Real-World Prostate-Specific Antigen Response and Treatment Adherence of Apalutamide in Patients with Non-Metastatic Castration-Resistant Prostate Cancer

Urology (Gold Journal) In Press - Sat, 03/19/2022 - 00:00
To describe prostate-specific antigen (PSA) response and treatment adherence, overall and stratified by race, for patients with non-metastatic castration-resistant prostate cancer (nmCRPC) treated with apalutamide.
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The Management of Acute Urinary Retention

Urology (Gold Journal) In Press - Sat, 03/19/2022 - 00:00
A 54-year-old male with diabetes presents to the emergency room with five days of abdominal distension and pain. He is tachycardic but afebrile. Physical exam reveals a severely distended, though non-tender, abdomen and an enlarged prostate. No focal neurological deficits are appreciated. Laboratory results show a leukocytosis of 18.1 K/mm3, a lactate of 4.9 mmol/L, and a potassium of 6.6 mmol/L. Serum creatinine is 10.4 mg/dL with an eGFR of 5 mL/min/1.73 m2. There is nephrotic range proteinuria on urinalysis.
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Maximum Flow Rate Is Lowest in the Early Morning in Hospitalized Men With Nocturia Evaluated Over 24 Hours by Toilet Uroflowmetry

Urology (Gold Journal) In Press - Fri, 03/18/2022 - 00:00
: To investigate urination parameters measured by toilet uroflowmetry in hospitalized men with nocturia over a 24-hour period to clarify the circadian rhythm of urination. Physicians often encounter male patients with complaints of low maximum flow rate only in the early morning. However, this has not been proved scientifically because most urinary examinations are generally performed for outpatients only during the daytime.
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Opioid-limiting pain control after transurethral resection of the prostate: a randomized controlled trial

Urology (Gold Journal) In Press - Fri, 03/18/2022 - 00:00
: To assess whether a multimodal opioid-limiting protocol and patient education intervention can reduce postoperative opioid use following transurethral resection of the prostate (TURP).
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Global patent landscape of benign prostatic hyperplasia drugs

Urology (Gold Journal) In Press - Fri, 03/18/2022 - 00:00
Benign prostatic hyperplasia (BPH) drugs were first approved for the mainstream market about 20 years ago. The fixed patent term warns of possibly transforming the landscape of BPH drugs as technological and commercial substitution causes the displacement of established technologies and competitors by newer ones. However, very few studies focus on patents of BPH drugs, though many literature reviews have analyzed this topic from technological and clinical perspectives. This article aims to characterize the changing landscape of BPH drugs by investigating patent documents derived from pipeline projects.
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Toradol to Reduce Ureteroscopy Symptoms Trial (TRUST)

Urology (Gold Journal) In Press - Fri, 03/18/2022 - 00:00
To assess the use of intraoperative IV ketorolac (Toradol) on the peri-operative total morphine milligram equivalent (MME) requirements of patients undergoing ureteroscopy for nephrolithiasis.
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