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Total intracorporeal versus open bladder cuffing in Robotic Radical Nephroureterectomy for Upper Tract Urothelial Carcinoma

Fri, 01/13/2023 - 00:00
To evaluate a single institution experience of total intracorporeal bladder cuffing and distal ureterectomy (DUBC) in robotic radical nephrouretectomy (RNU) for upper tract urothelial carcinoma (UTUC).
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PHALLUS PRESERVATION FOR LOCALLY ADVANCED PROXIMAL PRIMARY URETHRAL CARCINOMA: TECHNIQUE AND OUTCOMES

Fri, 01/13/2023 - 00:00
To describe a novel method of penile sparing perineal urethrectomy for locally advanced proximal primary urethral cancers (PUC).
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Mending the Gap: AlloDerm as a Safe and Effective Option for Vaginal Canal Lining in Revision Robotic Assisted Gender Affirming Peritoneal Flap Vaginoplasty

Thu, 01/12/2023 - 00:00
To address instances when there is insufficient remnant tissue to perform revision following canal-deepening gender affirming vaginoplasty revisions as indicated by insufficient depth. Options for lining of the vaginal canal include skin grafts, peritoneal flaps, or intestinal segment. Our center uses robotically harvested peritoneal flaps in vaginal canal revisions. When the peritoneal flap is insufficient for full canal coverage, we use AlloDermTM, an acellular dermal matrix, for additional coverage.
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Diagnosis of Testicular Torsion and Differentiation from Other Pathologies Using Near-Infrared Spectroscopy

Thu, 01/12/2023 - 00:00
To develop near-infrared spectroscopy (NIR spectroscopy) device to diagnose testicular torsion with high sensitivity and specificity. Specifically, we aim to investigate the differentiation between testicular torsion from other pathologies such as orchidoepididymitis, varicocele, and hydrocele.
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Strategies for Difficult Fluoroscopic Landmarking During Sacral Neuromodulation Lead Placement

Tue, 01/10/2023 - 00:00
Fluoroscopic guidance is a key tool used in combination with sensory and motor testing to ensure optimal sacral neuromodulation lead placement. The objectives of this video are to briefly review bony landmarks for fluoroscopic imaging and provide strategies to overcome common obstacles during fluoroscopic mapping for sacral neuromodulation lead placement.
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Pediatric genitourinary 3D modeling and printing using multiphase post-contrast imaging segmentation

Tue, 01/10/2023 - 00:00
To describe the development and implementation of a process for creating accurate Pediatric genitourinary 3D modeling and printing with multiphase post-contrast imaging for surgical planning.
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The Diagnosis of Urinary Tract Infections Using a Novel At-home Testing Protocol to Enhance Telemedicine: A Retrospective Analysis

Mon, 01/09/2023 - 00:00
To retrospectively analyze a novel courier-based home urine collection strategy for patients with symptoms of urinary tract infections (UTIs). This model was developed to provide patient care using telehealth during the coronavirus 2019 pandemic.
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"Evaluation of women with a positive urine cytology and no demonstrable disease in the urinary tract”

Thu, 01/05/2023 - 00:00
Urinary cytology is indispensable both for the evaluation of gross hematuria and surveillance of patients with urothelial neoplasms. A positive urine cytology usually indicates the presence of urothelial carcinoma somewhere in the urinary tract. However, in women, it may also signal urothelial carcinoma involvement of the lower gynecologic tract or be the presenting sign for a primary cancer of the lower gynecologic tract or rectum. Guidelines for the evaluation of women with a positive cytology and normal urinary tract are lacking.
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AUTHORS’ RESPONSE

Wed, 01/04/2023 - 00:00
We appreciate Shah et al.’s commentary on our manuscript exploring characteristics of US medical schools that produce applicants who successfully match into a urology residency.1 We found that the presence of a home urology program and pre-residency h-index are factors most associated with a successful match. Intuitively, students graduating from medical schools with a home urology program may be advantaged because of earlier exposure to the field and easier access to mentors and research opportunities.
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HISTORY OF PERIPHERAL TIBIAL NERVE STIMULATION IN UROLOGY

Wed, 01/04/2023 - 00:00
As of 2011, an estimated 29.8 million adults in the United States were living with overactive bladder (OAB).[1] In addition to the daily intrusion in patients’ lives, this condition is associated with higher rates of falls and fractures, urinary tract and skin infections, sleep disturbances, and depression.[2] Current guideline-based treatment protocols put forth by The American Urological Association propose a multi-tiered algorithm, beginning with behavioral modifications, followed by pharmacological treatments (anti-muscarinic and β3-adrenoceptor agonists), and finally by third-line therapies including chemical denervation, Sacral Neuromodulation (SNS) or Peripheral Tibial Nerve Stimulation (PTNS).
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Urogenital Sinus Diagnosed during Workup of Recurrent Urinary Tract Infections: A Case Report

Wed, 01/04/2023 - 00:00
Urogenital sinus (UGS) is a rare anomaly characterized by a common cavity involving the reproductive and urinary tracts. We describe a patient with VACTERL syndrome who presented for urologic care at 11 years of age due to supposed “recurrent urinary tract infections” and was subsequently found to have UGS in which the vagina connected directly to the bladder. She underwent robotic UGS mobilization to disconnect the vagina from the bladder and vaginoplasty to mature the vagina to the perineum. The objective of this report is to describe the presentation, diagnosis, and management of a patient with rare high confluence UGS.
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Repurposing an ACE Malone channel for continent intermittent catheterization during re-augmentation cecocystoplasty: the MACEtrofanoff Procedure

Wed, 01/04/2023 - 00:00
To describe a surgical alternative option in select patients with neurogenic bladder and a history of Malone antegrade continence enema (MACE) who now require revision augmentation of the bladder, and/or creation of a new continent catherizable urinary channel (CCC).
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National Utilization, Reimbursement, and Urban Versus Rural Trends of Extracorporeal Shockwave Lithotripsy and Ureteroscopic Laser Lithotripsy

Wed, 01/04/2023 - 00:00
To describe temporal utilization and reimbursement trends of extracorporeal shockwave lithotripsy (ESWL) and ureteroscopy (URS) with laser lithotripsy.
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Effect of holistic review, interview blinding, and structured questions in resident selection: Can we predict who will do well in a residency interview?

Mon, 01/02/2023 - 00:00
To examine the Urology residency application process, particularly the interview. Historically, the residency interview has been vulnerable to bias and not determined to be a predictor of future residency performance. Our goal is to determine the relationship between pre-interview metrics and post-interview ranking using best practices for Urology resident selection including holistic review, blinded interviews, and structured behaviorally anchored questions.
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Prevalence and Causes of Discontinuation of Androgen Receptor Inhibitors in Advanced Prostate Cancer Patients and Analysis of Physician Management to Increase Duration of Therapy

Mon, 01/02/2023 - 00:00
To investigate the prevalence and cause of early discontinuation (DC) of androgen receptor inhibitor(ARi) in advanced prostate cancer (PCa) patients. Additionally, to study the effect of changing ARi versus dose reduction on duration of treatment (DOT).
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Commentary: A Primer on the History of Intralesional Verapamil Injection for Peyronie's Disease

Fri, 12/30/2022 - 00:00
Non-surgical treatment of Peyronie's disease remains a treatment dilemma. In spite of all the different types of treatments which have been offered since the time of de la Peyronie we still do not have a reliable and effective treatment.(1) We do have one FDA approved therapy with Collagenase Clostridium histolyticum (CCH) but there is not uniform agreement in the literature or among experts as to its efficacy. In addition, CCH is not likely to completely correct the deformity. Reported curvature reduction typically remains in the 15-30 % range and it does not correct length loss, indentation deformities or improve erectile dysfunction.
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Skin Management During Robotic Peritoneal Flap Vaginoplasty for Penoscrotal Hypoplasia Secondary to Pubertal Suppression

Fri, 12/30/2022 - 00:00
To demonstrate an approach to skin management in cases of gender-affirming vaginoplasty in the setting of penoscrotal hypoplasia. Gender-affirming penile inversion vaginoplasty is a procedure that has traditionally relied upon the use of local genital tissues to both construct the vulva and line the neovaginal canal. Improved and earlier access to pubertal suppression has resulted in an increasing number of individuals presenting for vaginoplasty with penoscrotal hypoplasia and significantly less skin available to accomplish the goals of vaginoplasty.
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The State of Robotic Partial Nephrectomy: Operative, Functional, and Oncological Outcomes from A Robust Multi-Institution Collaborative

Thu, 12/29/2022 - 00:00
To describe the most recent surgical, functional, and oncological outcomes of RPN utilizing one of the largest, prospectively maintained, multi-institution consortium of patients undergoing robotic renal surgery.
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Letter to Editor

Thu, 12/29/2022 - 00:00
We read the recent article by Inoue et al published in Urology with great interest 1. In their retrospective survey comparing the therapeutic effect of Bacille Calmette-Guèrin (BCG) intravesical instillation in older and younger patients with high-risk non-muscle-invasive bladder cancer, they concluded that the cumulative probability of recurrence after intravesical BCG instillation was significantly higher in older than in younger patients with high-grade T1 bladder cancer. In the pre-propensity score matching (PSM) series, age ≥75 years was an independent prognostic factor for both recurrence and progression in high grade T1 tumours, whereas with Tis tumours, no predictors were found.
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Association of increased age with decreased response to intravesical instillation of Bacille Calmette-Guérin in patients with high-risk non-muscle invasive bladder cancer: Retrospective multi-institute results from the Japanese Urological Oncology...

Wed, 12/28/2022 - 00:00
The following are replies to the questions in the letter-to-the-editor from Ram et al. Thank you for taking the time to read our paper and for your efforts in writing a letter.
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