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Predictive value of Cribriform and Intraductal Carcinoma for the Nomogram-Based Selection of Prostate Cancer Patients for Pelvic Lymph Node Dissection

Mon, 07/04/2022 - 00:00
To assess the predictive value of biopsy-identified cribriform carcinoma and/or intraductal carcinoma (CR/IDC) within the Briganti and MSKCC nomograms predicting lymph node metastasis (LNM) in patients with primary prostate cancer (PCa).
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Prostatic Abscess – A Rare Causative Organism

Mon, 07/04/2022 - 00:00
A 60-year-old male with diabetes presented with fatigue, urinary frequency, and suprapubic pain for 2 weeks. Patient resides in southern California and denied other symptoms. Laboratory workup showed leukocytosis (16.4 bil/L) and hyperglycemia (463 mg/dL) and urine culture grew 50,000 cfu/mL mixed flora with negative blood cultures. After no clinical improvement with piperacillin/tazobactam for presumed UTI, computed tomography demonstrated a multi-loculated prostatic abscess with regional cystitis (Figure 1).
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Incidental tuberculosis epididymitis/epididymo-orchitis: a retrospective analysis at a tertiary center in Taiwan

Mon, 07/04/2022 - 00:00
To determine the earliest noticeable manifestation and diagnosis in patients diagnosed with tuberculosis (TB) epididymitis/epididymo-orchitis incidentally and to analyze their responses to surgical and medical treatment.
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Primary Ewing sarcoma of the testicle in an adolescent patient

Mon, 07/04/2022 - 00:00
Extraosseous Ewing sarcoma with genitourinary tract involvement is rare. We present a case of primary Ewing sarcoma of the testis with review of the literature. While primary Ewing sarcoma of the testis is unusual, it is important to appropriately diagnose. This case emphasizes the benefits of prompt and appropriate evaluation, pathologic work-up, and treatment of testicular tumors.
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The “fragile” urethra as a predictor of early artificial urinary sphincter erosion

Mon, 07/04/2022 - 00:00
To identify predictors of early artificial sphincter (AUS) erosion among a cohort of men with erosion, who underwent AUS placement by either university or community-based surgeons.
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The Growth of Advanced Practice Providers in Urology Procedural Care: Evidence from Public and Private Health Insurers

Mon, 07/04/2022 - 00:00
To understand the growing role of advanced practice providers (APPs) in urologic care, we investigated urology procedural claims submitted to public and private health insurers.
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The Omission of Genitourinary Physical Exam in Telehealth Pre-Vasectomy Consults Does Not Reduce Rates of Office Procedure Completion

Fri, 07/01/2022 - 00:00
: To determine whether the omission of pre-procedure genitourinary exam for vasectomy inherent to a virtual consultation reduces the likelihood of successfully completing in-office vasectomy. Currently, the AUA Vasectomy guidelines encourage in-person examination when possible, though COVID-19 has catalyzed the uptake of virtual consultations at many institutions. We hypothesized that rates of completed in-office vasectomy do not significantly differ between patients examined during consultation in the office and those seen virtually with no exam.
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App-based Yoga of Immortals: A Novel, Easy-to-use Intervention in the Management of Urinary Incontinence

Thu, 06/30/2022 - 00:00
To study the effectiveness Yoga of Immortals (YOI) intervention in participants with urinary incontinence (UI) of all types. YOI uniquely combines specific yogic postures, breathing exercises, sound therapy & meditation and is practiced by many for general well-being.
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Evaluation of renal function and scars in children with primary vesicoureteral reflux

Wed, 06/29/2022 - 00:00
To evaluate growth, glomerular and tubular function, renal damage, scars in children affected by primary VUR.
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Opioid-Free Ureteroscopy: Are Academic Urologists Lagging Behind Private Practice?

Wed, 06/29/2022 - 00:00
: To examine overall trends in opioid prescribing after ureteroscopy and compared opioid use between private and academic practice settings. We also analyzed the potential for spillover effect from an unrelated opioid-reduction initiative for major oncologic surgery.
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Estimated Glomerular Filtration Rate Predicts Complications Following Artificial Urinary Sphincter Surgery

Wed, 06/29/2022 - 00:00
Objective: To assess whether estimated glomerular filtration rate (eGFR) independently predicts adverse outcomes after AUS surgery.Methods: Using a large national database, we identified adult males who underwent AUS surgery between 2005-2019. To calculate eGFR (ml/min/1.73 m2), the Cockroft-Gault equation was utilized. Patients were classified into five different groups: 0-29 (advanced chronic kidney disease [CKD]), 30-59 (Stage III CKD), 60-89 (Stage II CKD), 90-119 (normal), and >120 (hyperfiltration).
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Effect of COVID-19 on Graduating Urology Resident Case Logs: Analysis of the Accreditation Council of Graduate Medical Education National Data Reports

Wed, 06/29/2022 - 00:00
: To assess the national case logs of the first graduating urologic resident cohorts to have trained during the COVID-19 pandemic for effects on surgical volumes.
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Medicare accountable care organizations: post-acute care use and post-surgical outcomes in urologic cancer surgery

Mon, 06/27/2022 - 00:00
To evaluate association between Medicare accountable care organizations (ACOs) participation of hospitals on post-acute care (PAC) use and spending, and post-surgical outcomes in Medicare beneficiaries undergoing urologic cancer surgeries. Despite increasing prevalence of urologic cancer and surgical care contributing to a large proportion of total health care costs, and recent Medicare payment reforms such as accountable care organizations, the role of ACOs in urologic cancer care has been unexplored.
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The Lack of a Physical Exam During New Patient Telehealth Visits Does Not Impact Plans for Office and Operating Room Procedures

Mon, 06/27/2022 - 00:00
: To understand how the lack of a physical exam during new patient video visits can impact urological surgery planning during the COVID-19 pandemic.
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Cost-Effectiveness of 90-Day Single-Use Flexible Cystoscope Trial: Single Center Micro-Costing Analysis and User Satisfaction

Mon, 06/27/2022 - 00:00
To evaluate cost-effectiveness and user satisfaction of a single-use flexible cystoscope at a tertiary care center we conducted a 90-day trial. Single-use flexible cystoscope advancements have introduced alternative options to reusable scopes. However, there is a paucity of cost-effectiveness and provider satisfaction studies examining the implementation of a hospital-based transition to single-use cystoscopes.
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The Urologist's Guide to Religion and Male Factor Fertility Treatment

Mon, 06/27/2022 - 00:00
Semen quality in the United States has been declining since at least the early twentieth century. A review published in the British Medical Journal evaluated semen parameters of 14,947 men across 61 papers published between 1938 and 1991, and found a clear decrease in both semen volume and mean sperm count1. Male factor infertility, however, is hardly a novel concern. There are innumerable references to male fertility which have ingratiated themselves into religions and cultures over millennia which continue to play a role in societal attitudes towards male factor infertility.
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A 40-year litigation review of transurethral surgeries for benign prostatic hyperplasia

Mon, 06/27/2022 - 00:00
To describe litigation patterns of transurethral surgery in the treatment of benign prostatic hyperplasia including verdicts, types of lawsuits, plaintiff claims, and timing of the claims.
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Analysis of Holmium Laser Enucleation of Prostate Fixed Operating Room Times

Mon, 06/27/2022 - 00:00
To evaluate factors influencing fixed operating room time during holmium laser enucleation of the prostate.
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Comparing Pathologic and Survival Outcomes Between Primary and Secondary Muscle Invasive Bladder Cancer when treated by Radical Cystectomy With or Without Neoadjuvant Chemotherapy

Mon, 06/27/2022 - 00:00
: To compare pathologic and survival outcomes between primary muscle invasive (pMIBC) and secondary muscle invasive (sMIBC) bladder cancer patients who were treated with or without cisplatin-based neoadjuvant chemotherapy (NAC) followed by radical cystectomy (RC).
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Association Between Alcohol Intake and Prostate Specific Antigen Screening: Results from a National Behavioral Survey

Mon, 06/27/2022 - 00:00
: To assess the association between self-reported alcohol use and prostate cancer (PCa) screening using the U.S.-based Behavioral Risk Factor Surveillance System (BRFSS) survey.
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