Urology (Gold Journal) In Press

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A Novel Technique of Robotic-Assisted Simple Cystectomy During Urinary Diversion for Benign Indications

Wed, 11/30/2022 - 00:00
When urinary diversion is necessary for benign indications, the defunctionalized bladder is at risk of a number of severe complications such as bleeding, pain, pyocystis and secondary urothelial carcinoma.These complications occur in 54-80% of patients left with native bladder after diversion, and these patients go on to require completion cystectomy 20-25% of the time.Rowley et al. at the University of Michigan reported their experience in open simple cystectomy in 2011 in a series of 23 patients.  This operation, to our knowledge, has not been previously adapted to the robotic platform despite the growing prevalence of robotic surgery including for complex reconstruction and urinary diversion.  Here we report our novel adapted technique of performing robotic simple cystectomy in two index patients.
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A comparative analysis of ergonomic risk utilizing the 4K-3D exoscope versus standard operating microscope for male fertility microsurgery

Wed, 11/30/2022 - 00:00
To stratify ergonomic risk in a urologic microsurgeon using the 4K-3D exoscope versus the operating microscope (OM) with wearable technology.
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Prenatal Diagnosis of Bladder Exstrophy and OEIS over 20 Years

Tue, 11/29/2022 - 00:00
To examine the prenatal diagnosis rates of bladder exstrophy (BE) and Omphalocele-Exstrophy-Imperforate anus-Spinal Defect Syndrome (OEIS) in a large cohort of patients over a 20-year period. We hypothesized that prenatal diagnosis rates improved over time due to evolving techniques in fetal imaging.
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Role of pre‐operative ureteral stent on outcomes of retrograde intra‐renal surgery (RIRS) in children. Results from a comparative, large, multicenter series.

Tue, 11/29/2022 - 00:00
Objective: To assess outcomes of pre-stenting versus non-pre-stenting in children undergoing retrograde intrarenal surgery (RIRS) for intrarenal stones.
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Gender Disparities and Differences Among Urologists Included in Top Doctor Lists

Mon, 11/28/2022 - 00:00
To understand gender trends among urologists included in ‘Top Doctor’ lists as more women practice urology, we 1) Evaluated whether Top Doctor lists reflect a contemporary distribution of urologists by gender; 2) Describe regional differences in gender composition of lists; 3) Report similarities and differences among men and women Top Doctors.
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Sleep Disorders Are Associated with Female Sexual Desire and Genital Response - A U.S. Claims Database Analysis

Mon, 11/28/2022 - 00:00
To assess the association of common sleep disorders with female sexual dysfunction.
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CT three-dimensional visualization model in diagnosis and treatment of stress urinary incontinence: A retrospective study

Mon, 11/28/2022 - 00:00
To study the clinical effect of stress urinary incontinence sling surgery based on CT three-dimensional visualization model, and to explore the value of three-dimensional visualization model in the diagnosis and treatment of stress urinary incontinence.
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Simultaneous Renal Transplantation with Bilateral Nephrectomy and Ureterocystoplasty

Sun, 11/27/2022 - 00:00
Bladder augmentation (BA) maybe required before renal transplantation in children with end stage renal disease (ESRD). Herein we report a case of a 7-year-old boy with ESRD, contracted bladder and severe bilateral reflux secondary to posterior urethral valve (PUV), successfully managed by simultaneous bilateral nephrectomy, bilateral ureterocystoplasty and renal transplantation
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Long vs short acting testosterone treatments: A look at the risks

Sun, 11/27/2022 - 00:00
Prescriptions for testosterone therapy (TT) to treat testosterone deficiency have increased in recent years. The purpose of this review was to evaluate the risks of several treatment modalities to better counsel patients. Both short-acting and long-acting TT has been shown to restore normal serum testosterone levels and improve symptoms of testosterone deficiency. Short-acting pharmacology mimics normal physiology more closely than long-acting TT but requires multiple doses per day, while long-acting TT has a higher rate of patient adherence but is more likely to create supraphysiologic serum testosterone and pathologic sequelae.
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EPIDIDYMO-ORCHITIS LEADING TO GLOBAL TESTICULAR INFARCTION IN A PEDIATRIC PATIENT – A CASE REPORT

Sat, 11/26/2022 - 00:00
Epididymo-orchitis (EO) is a common urologic condition that rarely requires surgical intervention. Global testicular infarction is an exceedingly uncommon complication of EO and is thought to occur when severe epididymal edema compresses testicular vessels. We present a rare case of global testicular infarction secondary to epididymo-orchitis in a 17-year-old boy. Predicting which cases of EO will progress to testicular ischemia is challenging, as no clear risk factors have been identified. Early recognition of testicular compromise requires a high degree of clinical suspicion and may provide the opportunity for testis-sparing intervention.
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The effect of primary urinary diversion on kidney function in posterior urethral valve: a matched comparison

Sat, 11/26/2022 - 00:00
To determine long-term kidney outcomes in boys with posterior urethral valve (PUV) undergoing either primary valve ablation or urinary diversion with matched baseline kidney function.
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Association of serum triglyceride and stress urinary incontinence in women from the National Health and Nutrition Examination Survey: A cross-sectional study

Sat, 11/26/2022 - 00:00
To investigate the relationship between serum triglyceride levels and stress urinary incontinence (SUI) in women from the National Health and Nutrition Examination Survey (NHANES).
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Trends in Antimicrobial Prophylaxis for Inflatable Penile Prosthesis Surgery from A Large National Cohort

Sat, 11/26/2022 - 00:00
To assess changes in antibiotic prophylaxis for inflatable penile prosthesis surgery following publication of the AUA Best Practice Statement in April 2008.
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Perioperative and Oncologic Outcomes Associated with Simultaneous Radical Cystectomy and Nephroureterectomy

Thu, 11/24/2022 - 00:00
To compare the perioperative and oncologic outcomes associated with RCNU to a matched cohort undergoing RC alone. Simultaneous radical cystectomy and nephroureterectomy (RCNU) for synchronous upper tract and bladder urothelial carcinoma is an uncommon procedure. Sparse literature exists comparing outcomes in patients treated with radical cystectomy (RC) alone versus RCNU.
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Minimally-Invasive Radical Nephrectomy and Left-Sided Level II Caval Thrombectomy: a New Combined Technique

Thu, 11/24/2022 - 00:00
To present a combined multiport robotic and open approach for left radical nephrectomy and inferior vena cava thrombectomy (IVCTE) in patients with a primary left renal mass and level II IVC tumor thrombus.
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Oncological and renal function outcomes in patients who underwent simultaneous radical cystectomy and nephroureterectomy for synchronous or metachronous panurothelial carcinoma.

Thu, 11/24/2022 - 00:00
To assess clinical outcomes of patients who underwent simultaneous radical cystectomy (RC) and radical nephroureterectomy (RNU) for panurothelial carcinoma (PanUC).
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Delayed Surgical Management of an Unusual Classic Bladder Exstrophy Variant

Thu, 11/24/2022 - 00:00
Anterior abdominal wall defects are rare anomalies that can affect multiple organ systems including gastrointestinal, genitourinary, musculoskeletal, and the neurospinal axis. The highly varied, complex anatomy in this patient population creates a challenging reconstruction scenario that merits careful surgical planning. We present an unusual female variant with an anorectal malformation as well as musculoskeletal and genital abnormalities consistent with classic bladder exstrophy in which the urinary bladder, sphincter, and urethra were largely uninvolved.
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Predictive Factors for Acute Kidney Injury and Long-term Renal Function Loss After Partial Nephrectomy: A Prospective Single-Center Study

Thu, 11/24/2022 - 00:00
To find factors related to postoperative acute kidney injury (AKI) and long-term significant renal function (RF) loss after partial nephrectomy (PN) in Chinese population.
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Urology-Related Research in the Era of the COVID-19 Pandemic

Wed, 11/23/2022 - 00:00
Urology applicants who are underrepresented in medicine (URiM) and without home Urology programs face a unique set of challenges. Approximately 19% of allopathic medical schools1 and 81% of osteopathic medical schools do not have a home Urology program. These institutions educate considerable numbers of URiM students. Though the number of URiM medical students without home urology programs is unknown, the three medical schools that train the highest number of Black students do not have urology programs.
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Kidney stone prevalence based on self-report and Electronic Health Records: insight into the prevalence of active medical care for kidney stones

Wed, 11/23/2022 - 00:00
To compare rates of patient-reported kidney stone disease to Electronic Health Records (EHR) kidney stone diagnosis using a common dataset to evaluate for socio-demographic differences, including between those with and without active care.
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