Urology News Feeds

Jean Oliver: Master of the Nephron

Urology (Gold Journal) In Press - Fri, 06/12/2020 - 00:00
The purview of the urologist is the collecting system, while that of the nephrologist is the nephron. Jean Redman Oliver (Figure 1, b. 8/19/1889, d. 11/19/1976), a pathologist, was able to bridge this gap through meticulous dissections, hand drawn illustrations, and experiments which underpin our current understanding of renal anatomy and physiology. The work of Jean Oliver has popularized the contemporary understanding of the nephron as a three-dimensional structure spanning superficial cortex to the tip of the papilla.
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Striatum-related Intrinsic Connectivity Deficits in Lifelong Premature Ejaculation Patients

Urology (Gold Journal) In Press - Fri, 06/12/2020 - 00:00
: To investigate abnormal intrinsic connectivity of striatum in lifelong premature ejaculation (PE) patients compared with healthy controls (HCs)
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NEPHROLITHIASIS AND ELEVATED URINARY AMMONIUM: A MATCHED COMPARATIVE STUDY

Urology (Gold Journal) In Press - Fri, 06/12/2020 - 00:00
To describe the associations between elevated urinary ammonium and clinical characteristics of kidney stone formers. A 24-hour urine test is recommended in high-risk patients to identify urinary abnormalities and select interventions to reduce the recurrence risk. While elevations in urine ammonium may be seen in acidosis, diarrhea, high protein diets or due to pathogenic bacteria, the clinical characteristics of these patients has not been previously described.
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The Association Between 24-Hour Urine and Stone Recurrence Among High Risk Kidney Stone Formers: A Population Level Assessment

Urology (Gold Journal) In Press - Fri, 06/12/2020 - 00:00
To determine if obtaining a 24-hour urine collection (24HU) in stone formers is associated with decreased recurrent stone episodes.
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Switching to single-use flexible ureteroscopes for stones management: financial impact and solutions to reduce the cost over a 5-year period

Urology (Gold Journal) In Press - Fri, 06/12/2020 - 00:00
To assess the financial impact of switching to single-use ureteroscopes (sURS) in urolithiasis management for a hospital, over a 5-year period, and to identify possible solutions to contain or reduce it.
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Gender-Based Differences in Career Plans, Salary Expectations, and Business Preparedness Among Urology Residents

Urology (Gold Journal) In Press - Fri, 06/12/2020 - 00:00
To characterize gender-related differences between the values and salary expectations of US urology residents.
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Chemoablation in Urothelial Carcinoma: A Systematic Review and Future Perspectives

Urology (Gold Journal) In Press - Thu, 06/11/2020 - 00:00
Chemoablation is an emerging treatment for urothelial carcinomas. This review provides an overview of the evidence for intracavitary chemoablation in the treatment of urothelial carcinomas. The benefits of such agents include a reduction in morbidity and diseased organ preservation. While numerous agents have shown promise, research is limited due to small patient cohorts, varying follow-up, and no standardized methodology to assess response. Therefore, to date, chemoablation has not been widely adopted.
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Sex differences in prevalence and patient behavior regarding lower urinary tract symptoms among Japanese medical checkup examinees

Urology (Gold Journal) In Press - Thu, 06/11/2020 - 00:00
To evaluate the prevalence of lower urinary tract symptoms (LUTS) and patient behavior regarding LUTS and to reveal sex differences among medical checkup examinees.
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3D Printing, Augmented Reality, and Virtual Reality for the Assessment and Management of Kidney and Prostate Cancer: A Systematic Review

Urology (Gold Journal) In Press - Thu, 06/11/2020 - 00:00
Three-dimensional (3D) printing, augmented reality (AR), and virtual reality (VR) technologies have an increasing presence in the management of prostate and kidney cancer.  To assess the utility of 3D printing, AR, and VR for 1) quantitative outcomes, 2) surgical planning, 3) intra-operative guidance, 4) training and simulation, and 5) patient education for patients with kidney and prostate cancer a systematic literature review was performed. Existing evidence demonstrates improvement in clinical outcomes, surgical planning and intra-operative guidance, as well as training.
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Direct-to-consumer internet prescription platforms overlook crucial pathology found during traditional office evaluation of young men with erectile dysfunction

Urology (Gold Journal) In Press - Wed, 06/10/2020 - 00:00
To determine comorbidities in young men with erectile dysfunction (ED) who are increasingly targeted by direct-to-consumer (DTC) internet platforms that sell phosphodiesterase-5 (PDE-5) inhibitors without comprehensive clinical evaluation; and, further, to characterize the portrayal of DTC platforms by popular news media.
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Access to Academic Female Pelvic Medicine and Reconstructive Surgery Providers for New Patient Visits: How long are wait times?

Urology (Gold Journal) In Press - Wed, 06/10/2020 - 00:00
To determine the wait times to see an academic Female Pelvic Medicine and Reconstructive Surgery (FPMRS) urologist or gynecologist and to identify factors that may impact these wait times.
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Right Place, Right Time: Serendipitous Opportunities in a Urology Fellowship Disrupted by the COVID-19 Pandemic

Urology (Gold Journal) In Press - Wed, 06/10/2020 - 00:00
The COVID-19 pandemic has significantly disrupted postgraduate Urology training. In this letter, I share my motivations to pursue fellowship training, and share the serendipitous opportunities I received to contribute to my host country and fellow countrymen during the COVID-19 pandemic.
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POSTERIOR REVERSIBLE ENCEPHALOPATHY SYNDROME FOLLOWING FAILURE OF CONSERVATIVE MANAGEMENT IN RENAL TRAUMA: CASE REPORT

Urology (Gold Journal) In Press - Wed, 06/10/2020 - 00:00
Blunt renal trauma is relatively common in children. Conservative management has become the mainstay of treatment. A 4-year-old boy presented following a fall onto his right abdomen resulting in renal trauma. Initial conservative management was followed by complete embolization of the kidney. The resulting continued hypertension, as well as endothelial disruption, resulted in PRES as manifested by a single instance of generalized seizure. The patient regained normal neurological function following nephrectomy.
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Effective Prevention of Recurrent UTIs with Vaginal Estrogen: Pearls for a Urological Approach to Genitourinary Syndrome of Menopause

Urology (Gold Journal) In Press - Wed, 06/10/2020 - 00:00
To review the available data related to the prevention of recurrent urinary tract infection (rUTI) in postmenopausal women with vaginal estrogen preparations and provide the urologic community with the confidence to identify and treat genitourinary syndrome of menopause (GSM).
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Reply to: “Testicular appendage torsion- To explore the other side or not?”

Urology (Gold Journal) In Press - Tue, 06/09/2020 - 00:00
In order to optimize testicular salvage, urgent surgical exploration remains the current standard of practice for the acute scrotum when testicular torsion is suspected clinically. In the case of true testicular torsion, bilateral exploration of the scrotum, with either orchiopexy or orchiectomy for the affected side and prophylactic orchiopexy of the contralateral side is standard of care. However, a significant portion of patients who present with acute scrotum are often found to have torsion of the testicular appendage rather than torsion of the spermatic cord upon exploration.
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Grand Rounds: Presentation of a Large and Debilitating Fungating Anogenital Lesion

Urology (Gold Journal) In Press - Tue, 06/09/2020 - 00:00
A 65-year-old Caucasian man presented with a 24-year history of perineal leakage, bleeding, and mobility limitations associated with enlarging anogenital mass. He delayed addressing this issue due to myocardial infarction and cardiac stenting requiring long-term anticoagulation. Other past medical history included diabetes mellitus, chronic kidney disease, obstructive sleep apnea, hypertension, and benign prostatic hyperplasia. He never pursued a biopsy or culture of the area.
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Fournier's Gangrene in Females: Presentation and Management at a Tertiary Center

Urology (Gold Journal) In Press - Tue, 06/09/2020 - 00:00
: To report and compare presentation and management of Fournier's Gangrene (FG) in female vs. male patients at a single tertiary care center.
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Title: Female Sexual Dysfunction – Awareness and Education Among Resident Physicians

Urology (Gold Journal) In Press - Tue, 06/09/2020 - 00:00
: To develop a better understanding of the strengths and deficiencies of female sexual health education and the attitudes toward female sexual health amongst urology, obstetrics and gynecology (OB-GYN), psychiatry, and family medicine trainees.Female sexual dysfunction (FSD) is characterized as distress related to sexual pain, interest/arousal, or orgasm. Despite the high prevalence of FSD there are few clinical resources available for patients and providers in Canada.
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Necrotizing Fasciitis Following Routine Genitourinary Surgery In Healthy Infants

Urology (Gold Journal) In Press - Tue, 06/09/2020 - 00:00
Morbidity and mortality associated with pediatric necrotizing fasciitis are strongly dependent on early diagnosis and timely intervention. Yet, the lack of early cutaneous findings and nonspecific symptoms may result in initial delayed diagnosis or misdiagnosis. Infants may be particularly at risk of missed or delayed diagnosis due to inherent barriers in communication and rarity of the condition, especially among healthy patients. We describe two cases of necrotizing fasciitis following routine genitourinary surgery in healthy infants.
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The 17-Gene Genomic Prostate Score Test as a Predictor of Outcomes in Men with Unfavorable Intermediate Risk Prostate Cancer

Urology (Gold Journal) In Press - Sun, 06/07/2020 - 00:00
To evaluate the association of the Genomic Prostate Score (GPS) assay result with biochemical recurrence (BCR), distant metastases (DM), and prostate-specific death (PCD) in unfavorable intermediate (UFI) risk prostate cancer patients. The GPS assay is used to help guide management decisions for newly diagnosed low and favorable intermediate (FI) risk disease.
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