Urology (Gold Journal) In Press
Urology RSS feed.
Updated: 18 min 29 sec ago
Using IsoPSA with PI-RADS Score May Help Refine Biopsy Decision Making in Patients with Elevated PSA
To assess how IsoPSA, a structure-based serum assay which has been prospectively validated in detecting clinically significant prostate cancer (csPCa), can help the biopsy decision process when combined with the Prostate Imaging Reporting and Data Systems (PI-RADS).
Colpocleisis techniques: An open-and-shut case for advanced pelvic organ prolapse
: To highlight several advanced surgical techniques for all types of colpocleisis. Pelvic organ prolapse is a common condition that affects up to 40% of the postmenopausal female population.1-2 Particularly for women with advanced pelvic organ prolapse who no longer desire penetrative vaginal intercourse and with multiple medical comorbidities, the obliterative approach is preferred due to decreased anesthetic needs, operative time, and perioperative morbidity.3 Additionally, colpocleisis is associated with a greater than 95% long-term efficacy with low patient regret, high satisfaction, and improved body image.
Robotic-Assisted Simple Prostatectomy: an Intrafascial Approach for a Prostate of 470g
Simple prostatectomy has been established as a management option for lower urinary tract symptoms (LUTS) due to benign prostatic hyperplasia (BPH) with glands larger than 80cc (1). Robotic-assisted simple prostatectomy (RASP) has been established as a safe and effective management option. This has been reported in multiple studies comparing it with the open approach where no statistically significant differences in complication rates have been found (2). The intrafascial approach is intended to add multiple benefits, such as not requiring continuous bladder irrigation and resection of a larger percentage of the adenoma, potentially leading to a lower reoperation rate and diagnosis of prostate cancer in patients in which this was missed preoperatively (3).
Should Men Eat More Plants? A Systematic Review of the Literature on the Effect of Plant-Forward Diets on Men's Health
To perform a systematic review of the literature on plant-based and plant-forward diets and the prevention/treatment of the following common men's health conditions: prostate cancer (PCa), erectile dysfunction (ED), and benign prostatic hyperplasia (BPH).
Radiation-induced fistulas in patients with prior pelvic radiotherapy for prostate cancer: a systematic review and meta-analysis
: To systematically aggregate and summarize existing data on fistula prevalence among patients with a history of pelvic radiotherapy for prostate cancer.
An Atypical Bladder Mass – Extra Adrenal Paraganglioma
A 53-year-old woman presents to the urology clinic with an incidentally found bladder mass on ultrasonography of the abdomen for lower abdominal discomfort. She complains of occasional headaches and palpitations. Vital signs obtain in the clinic revealed a blood pressure of 190/80 mmHg and a heart rate of 95 beats/minute. She was not taking any anti-hypertensive medication. Laboratory investigations including a basic metabolic panel, complete blood count, urine analysis was normal. Urine cytology was negative for high grade urothelial cancer.
Urethral Diverticulum Marsupialization with Modified Spence-Duckett Procedure
: To demonstrate a modified approach to the Spence-Duckett procedure for treatment of a distal urethral diverticulum. A urethral diverticulum is an outpouching of urethral mucosa occurring in 2-5% of the population.1 They are thought to commonly arise due to chronic inflammation or infection of the peri-urethral glands.2-3
Can the Sandwich Method be an Alternative Treatment Choice for BPH Patients with Large Prostates?
To compare the efficacy and safety of the sandwich method with GreenLight photoselective vaporization (GLPVP) and bipolar transurethral resection (B-TURP) with those of the enucleation method in patients with BPH and a prostate volume ≥ 80 g.
The Impact of COVID-19 on the Urology Residency Match and Geographic Proximity of Applicants
To determine the impacts of COVID-19 pandemic-related changes and program-specific characteristics on the geographic diversity of the 2021 and 2022 urology match classes.
Timing of urinary catheter removal after urethroplasty: A systematic review
: To synthesize existing evidence to evaluate the outcomes of different urinary catheter removal timing (early vs late) after urethroplasty.
A case of conservative management of intra-abdominal polyorchidism in a child.
Polyorchidism is defined as the presence of two or more testes on the same side. A 7-year-old boy (46 XY) with multiple congenital abnormalities and non-palpable bilateral gonads is presented. He underwent diagnostic laparoscopic surgery at eight months old which revealed duplicated right testes and contralateral presence of persistent left Mullerian duct structures. A successful Fowler-Stephens orchidopexy in two stages was performed on both testicles. Postoperative ultrasonography showed orthotopic right testes of 0.15 and 0.28 cc.
An Unusual Renal Mass – Thinking beyond Renal Cell Carcinoma
Differential diagnosis of this retroperitoneal mass based upon imaging characteristics includes retroperitoneal sarcoma, lymphoma, and renal cancer. It is important to perform a biopsy first to select appropriate treatment. Patient underwent ultrasound guided left renal mass biopsy. Once the preliminary biopsy results came back as concerning for high grade lymphoma, patient was admitted to the hospital for expedited workup and treatment. The final pathology diagnosis was Burkitt lymphoma (Figure 2).
The Role of Tissue Expanders in The Reconstruction of Proximal Hypospadias
To report the technique and outcomes of tissue expansion (TE) for generating additional penile skin for urethroplasty and/or skin coverage during primary or redo hypospadias repair in penoscrotal transposition (PST) patients with a proximal hypospadias.
Comorbidity of Obsessive-Compulsive Symptomatology and Bowel and Bladder Dysfunction in a Tertiary Children's Hospital: A Case Series
To improve understanding of co-occurring Obsessive-Compulsive Disorder (OCD) and Bowel and Bladder Dysfunction (BBD) in an outpatient pediatric urology clinic setting. To provide a series of clinical care recommendations to enhance the identification and integrated medical and behavioral health treatment of these disorders.
A pilot study of a novel syphon ureteral access sheath shows potential to reduce renal pressures and improve irrigant flow
To describe a novel syphon ureteral access sheath (UAS) intended for use during flexible uretero-renoscopy (fURS). We aimed to report on a pilot study as well as intrarenal pressures (IRP) and irrigant flow volumes compared to traditional UAS.
Increased Plasma Ignition Distance Practice May Prevent the Obturator Reflex Occurrences and Compare of Its Effectiveness Versus Obturator Block: A Prospective, Randomized, Controlled Study
To compare the ability of the obturator nerve block (ONB) and increased plasma ignition distance practice (IPDP) techniques to inhibit obturator nerve reflex (ONR) occurring with bipolar transurethral resection of the bladder.
120-Day ED Visits and Readmission Rates following Common Stone Procedures
To quantify emergency department (ED) visits and hospital admissions (HA) after common urologic stone procedures including ureteroscopy (URS), shockwave lithotripsy (SWL), and percutaneous nephrolithotomy (PCL) which are a concern of payors, providers, and patients.
Gender-Affirming Vaginoplasty and Vulvoplasty: An Initial Experience
To describe the initial outcomes of a new multidisciplinary gender-affirming surgery (GAS) program comprised of plastic and urologic surgeons.
Single Port Robotic Kidney Autotransplantation: Initial Case Series and Description of Technique
Minimally invasive kidney autotransplantation (KAT) have demonstrated reduced morbidity, however multiport robotic approach required patient repositioning and multiple sets of incisions. We present our initial series of single-port (SP) robotic KAT, ideal for multi-quadrant surgeries, and aim to evaluate feasibility and safety of the novel approach.
Clinical value of mixed reality-assisted puncture navigation for percutaneous nephrolithotripsy
To evaluate the clinical value of mixed reality-assisted puncture navigation (MRAPN) in percutaneous nephrolithotripsy (PCNL).