Urology (Gold Journal) In Press

When confronting the young man with testicular torsion, urologists are often called upon to make a difficult decision; to preserve the testes following detorsion, or deem it beyond salvation. This decision point has significant ramifications from a medical and legal standpoint. It is easy to make this call if the symptoms have lasted under 4 hours and the testes turn from blue to pink upon detorsion in the operating room. But the decision point is more complicated if the testes fail to quickly reperfuse upon detorsion.

bladder endometriosis is the presence of stroma and endometrial glands in the thickness of the detrusor muscle. The main symptoms it produces are dysuria and hematuria whose intensity is directly proportional to the size of the nodule. It is a difficult entity to diagnose for which physical examination is essential. Treatment can be medical, with hormonal contraceptives, or surgical by transurethral resection of the nodule and laparoscopic partial cystectomy.

To evaluate trends and racial variations of pathologic complete response (CR) in patients with muscle-invasive bladder cancer undergoing cystectomy.

We thank our colleague for his learned comments regarding our recent study. Use of the MAUDE database is not without shortcomings; however, it offers certain insights into events that seem to fall outside the conventional parameters reported in studies. We agree that the dimensions of a ureteroscope are a subtle but important consideration, especially in terms of successful cannulation of ureteric orifice. However, we would point out that while single use ureteroscopes are available in a range of sizes, the vast majority of those included in this study referred to the LithovueTM that has tapered tip of 7.7Fr.

We are accustomed to embracing new technology with a bit of hype, and reviewing its pro's while in trend. However, innovations that don't stand the test of time tend to disappear into thin air, leaving no trace of the details leading to their ill fate. Pat Jones et al. have touched the much anticipated area of timely health technology assessment, reflecting on newly available single-use flexible ureteroscopy (fURS) equipment, by accessing post-marketing data from a crowd-sourced database.

Editorial comments:

The authors report on a retrospective cohort of patients diagnosed with muscle-invasive bladder cancer between 2010 and 2016 from the Pennsylvania cancer registry. They assess the association of various oncologic and socioeconomic factors with overall and bladder cancer-specific mortality. They find that the Area Deprivation Index (ADI) and Medicare/Medicaid insurance are associated with increased overall mortality, but not with increased bladder cancer-specific mortality.

To characterize the demographics, educational background, and scholarly characteristics of current urology residency program directors (PDs).

In this study, Elia et al. utilize the National Health and Nutrition Examination Survey (NHANES) to compare the prevalence of nephrolithiasis in patients with disabilities (PWD) to those without from 2013-2016. The authors estimate that nephrolithiasis prevalence was significantly higher (16.1%) in PWD as compared to those without disabilities (9.2%). This finding persisted even after controlling for known risk factors. Subgroup analysis also identified a higher prevalence of each disability domain amongst stone formers (Figure 2).

To assess ChatGPT’s performance on the AUA SASP and stratify performance by question stem complexity.

To assess, through an integrated primary and specialty care pediatric health system, the association of well-child checks prior to referral with final urological diagnosis with the aim to identify opportunities for earlier referral of care

To examine the quality and costs of care for patients evaluated for hematuria by urologic APPs and urologists. The roles of advanced practice providers (APPs) in urology are growing, but their clinical and financial outcomes compared to urologists are not well understood.

To determine whether preoperative partner involvement at clinic appointments is associated with deviation from a standardized postoperative care pathway for patients undergoing an inflatable penile prosthesis (IPP) placement.

To describe our technique for performing gender affirming graft only vaginoplasty.

To evaluate utilities of multiparametric MRI and targeted biopsy to detect clinically significant prostate cancer in men with prostatomegaly.

To collate available data via systematic review considering aetiology, presentation and treatment of Uro-Symphyseal Fistula (USF) in order to inform a contemporary management framework.

To compare postoperative outcomes of three types of endourologic surgeries (TURP, laser vaporization (LVP) and laser enucleation (LEP)) for BPH treatment using the ACS-NSQIP database.

Testosterone and dihydrotestosterone are significant drivers of male external genital development, and therefore teratogens which alter these hormone profiles have been hypothesized to cause aberrations in development. Here, we present the first case report of genitalia anomalies after prenatal exposure to spironolactone and dutasteride through 8 weeks of gestation. The patient was born with abnormal male external genitalia which was surgically managed. Long term outcomes such as gender identity, sexual function, hormonal maturation through puberty, and fertility remain unknown.

To analyze the contribution of nonprocedural operating room (OR) times to transurethral resection of bladder tumor (TURBT) operative efficiency.

To evaluate the role of emergency manual detorsion as first line management for testicular torsion in the context of the COVID-19 pandemic.