Urology News Feeds

NCCN Risk Reclassification in Black men with low and intermediate risk Prostate Cancer after genomic testing.

Urology (Gold Journal) In Press - Thu, 10/21/2021 - 00:00
Prostate cancer (PCa) in Black men has been shown to transform to clinically significant cancer earlier1, grow at a faster rate, and metastasize more often than PCa in White men2. Black men also have higher incidence, risk of biochemical recurrence, and PCa-specific mortality than men of other races. Whether this disparity in PCa outcomes is driven by molecular differences, or by other modifiable socioeconomic factors is unclear. While some studies suggest that equal-access medical care systems such as the Veterans Health Administration lessen the racial disparities in PCa1, 3, there remains a need for longer-term follow-up studies to ascertain if the disparity in PCa outcomes is entirely driven by modifiable socioeconomic factors, or if molecular differences may be partly responsible for more aggressive disease4.
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Twenty-four hour urine testing and urinary stone disease recurrence in Veterans

Urology (Gold Journal) In Press - Thu, 10/21/2021 - 00:00
To determine whether 24-hour urine testing in Veterans with USD (urinary stone disease) reduces or delays urinary stone recurrence.
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Large Variation in International Prescribing Rates of Opioids After Robotic Prostatectomy

Urology (Gold Journal) In Press - Tue, 10/19/2021 - 00:00
To compare international opioid prescribing patterns for patients undergoing robotic assisted laparoscopic prostatectomy (RALP). To our knowledge, this is the first study to assess international opioid prescribing trends among urologists.
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Whole Exome Sequencing Identifies a Rare Mutation in NACAD as a Possible Cause of COVID Orchitis in Brothers

Urology (Gold Journal) In Press - Tue, 10/19/2021 - 00:00
COVID orchitis (testicular pain) is reported in 10-15% of men with long COVID. We identified two siblings with COVID orchitis and hypothesized that genetic mutations are associated with susceptibility. Blood samples from five COVID-19 (+) men, three of whom had orchitis were evaluated by whole-exome-sequencing. A rare deletion on chromosome 7 was found in NACAD among the three men with orchitis. Interestingly, circulating ACE2 levels was decreased in men with COVID orchitis. This pilot study generated the hypothesis that men who develop COVID orchitis could have underlying genetic variants and altered levels in circulating ACE2 that may increase their risk.
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NOVEL ANTIBIOTIC-IRRIGATING WOUND PROTECTOR REDUCES INFECTIOUS COMPLICATIONS IN ROBOT-ASSISTED RADICAL CYSTECTOMY WITH EXTRACORPOREAL URINARY DIVERSION

Urology (Gold Journal) In Press - Tue, 10/19/2021 - 00:00
To determine whether use of an antibiotic-irrigating wound protector (AWP) reduces infectious complications after robotic radical cystectomy with extracorporeal urinary diversion (RCUD).
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Corrigendum to ‘Opioid Free Ureteroscopy: What is the True Failure Rate?’ [Urology Vol. 154 (2021) pp. 89-95]

Urology (Gold Journal) In Press - Sun, 10/17/2021 - 00:00
The authors regret that there is a typo in the Results section of the Abstract. “In the total cohort, benzodiazepine users had a lower risk of OF-URS failure on multivariate analysis” should read “benzodiazepine users had a higher risk of OF-URS failure”.
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The R Frank Jones Urology Interest Group: An Intentional and Strategic Pipeline Program to Increase Diversity in Urology

Urology (Gold Journal) In Press - Sat, 10/16/2021 - 00:00
Objective: To address the low numbers of urologists who are ethnically and racially underrepresented in medicine (URiM), the nonprofit organization Urology Unbound developed the R. Frank Jones Urology Interest Group (RFJUIG), a pipeline program that provides mentorship, research opportunities, and professional development for URiM students.Methods: Students complete a questionnaire as part of the registration process for the RFJUIG. This questionnaire collects demographic information and asks about their experience pursuing urology and goals for participation in the program.
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Extraperitoneal laparoscopic radical cystectomy with preservation of fertility for the treatment of Ewing sarcoma: the first report of a reliable surgical method

Urology (Gold Journal) In Press - Tue, 10/12/2021 - 00:00
To improve the complications of traditional laparoscopic radical cystectomy (LRC), a novel technique of extraperitoneal laparoscopic radical cystectomy (ELRC) with preservation of fertility was described.
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Stones and Moans: Higher number of nephrolithiasis related encounters increases the odds of opioid misuse

Urology (Gold Journal) In Press - Tue, 10/12/2021 - 00:00
To evaluate the association between kidney stones and risk of subsequent opioid misuse.
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Development of new comorbidities in patients awaiting urinary incontinence surgery following radical prostatectomy

Urology (Gold Journal) In Press - Tue, 10/12/2021 - 00:00
To examine the incidence and factors associated with the development of new comorbidities in men undergoing anti-incontinence surgery after prostate cancer (PCa) surgery. Post-prostatectomy incontinence (PPI) may deter men from engaging in physical activities and increase the risk of developing comorbidities after prostatectomy.
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The Association of Physical Activity and Urinary Incontinence in US Women: Results from a Multi-Year National Survey

Urology (Gold Journal) In Press - Sat, 10/09/2021 - 00:00
: To evaluate the relationships between physical activity, both work and recreational, and urinary incontinence among women.
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A male with a “uterus-like” mass in pelvic cavity

Urology (Gold Journal) In Press - Sat, 10/09/2021 - 00:00
A 65-year-old man presented to our clinic for physical examination. He reported no obvious symptoms. Abdominal examination revealed a well-defined mass in the pelvic area, approximately 12cm × 8cm in size. During the digital rectal examination, the upper boundary of the prostate cannot be touched clearly. Laboratory tests showed slightly elevated levels of testosterone(13.00ng/mL) and carbohydrate antigen 19-9(35.40U/mL). The free prostate specific antigen and total prostate specific antigen is 0.26ng/mL and 1.12ng/ml, both in the normal range.
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Twitter and Instagram Use in the Urology Residency Application Process

Urology (Gold Journal) In Press - Sat, 10/09/2021 - 00:00
: To define urology applicant attitudes and usage trends of social media (SM) during the 2021 urology match cycle.
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Outcomes of the Supris® Sling in an Urban Latina Population

Urology (Gold Journal) In Press - Sat, 10/09/2021 - 00:00
: To analyze patient reported outcomes, safety, and efficacy of the Supris® mid-urethral sling in a diverse population.
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Robotic-Assisted Testicular Autotransplantation

Urology (Gold Journal) In Press - Thu, 10/07/2021 - 00:00
Silber and Kelly first described the successful autotransplantation of an intra-abdominal testis in 1976. Subsequent authors incorporated laparoscopy and demonstrated the viability of transplanted testes based on serial postoperative exams. We sought to extend this experience with use of the da Vinci surgical robot, thereby demonstrating a novel robotic technique for the management of cryptorchidism.
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A Systematic Review of Racial/Ethnic Disparities in Female Pelvic Floor Disorders

Urology (Gold Journal) In Press - Thu, 10/07/2021 - 00:00
Numerous studies have investigated the influence of health disparities among women with pelvic floor disorders with varied results. Racial/ethnic disparities, in particular, inconsistently indicate differences in prevalence of disease, disease severity, and treatment outcomes. We aim to review the body of literature examining racial/ethnic disparities in pelvic floor disorders, including overactive bladder, stress urinary incontinence, pelvic organ prolapse, and interstitial cystitis. A better understanding of these disparities may help guide clinicians, researchers, and advocates in providing improved education, outreach opportunities, and access to care in minority women with pelvic floor disorders.
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Resolution of Hydronephrosis and Pain to Predict Stone Passage for Patients with Acute Renal Colic

Urology (Gold Journal) In Press - Thu, 10/07/2021 - 00:00
To study patients who presented to the Emergency Department with acute renal colic to determine if resolution of hydronephrosis and pain accurately predicts stone passage on follow-up CT.
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Variation of Serum PSA Levels in COVID-19 Infected Male Patients with Benign Prostatic Hyperplasia (BPH): A Prospective Cohort Study

Urology (Gold Journal) In Press - Wed, 10/06/2021 - 00:00
To investigate the effect of SARS CoV-2 on serum total PSA levels in men with BPH diagnosed with COVID-19.
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Naming the Problem: Publishing Trends within in Urology on Race, Health Disparities and Structural Racism

Urology (Gold Journal) In Press - Tue, 10/05/2021 - 00:00
To assess publishing trends regarding the contribution of societal systems on health disparities within the urology literature.
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Ring Flap Metoidioplasty

Urology (Gold Journal) In Press - Tue, 10/05/2021 - 00:00
To describe our technique for performing ring flap metoidioplasty in transgender men.
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