Urology (Gold Journal) In Press

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Representation Matters: One Urology Residency Program's Approach to Increasing Workforce Diversity

Tue, 12/27/2022 - 00:00
To address the challenge in urology in recruiting physicians from backgrounds racially and ethnically underrepresented in medicine (URiM), we sought to design, implement, and evaluate methods for recruiting URiM candidates to our urology residency program.
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An Outcomes Comparison between Holmium Laser Enucleation of the Prostate, Open Simple Prostatectomy, and Robotic Simple Prostatectomy for Large Gland Benign Prostatic Hypertrophy

Tue, 12/27/2022 - 00:00
To compare perioperative outcomes between Holmium laser enucleation of the prostate (HoLEP), open simple prostatectomy (OSP), and robotic simple prostatectomy (RSP) for large prostates (> 80 cc).
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Guideline-nonconformant investigational treatments for erectile dysfunction: What are patients learning?

Tue, 12/27/2022 - 00:00
To evaluate the validity of YouTube content on shockwave, platelet-rich plasma, and stem cell therapies for erectile dysfunction (ED). The consumerization of men's health is particularly notable among regenerative ED treatments, and the popularity of these treatments has been amplified by social media sites such as YouTube.
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Robotic Sacrohysteropexy with Concurrent Rectopexy using Fascia Lata Graft

Sun, 12/25/2022 - 00:00
Introduction and Objectives: There is limited data regarding the use of mesh for pelvic organ prolapse (POP) repair in young women of childbearing age who wish to preserve their uterus (1). Sacrohysteropexy with concurrent rectopexy can be performed in this population with a biologic graft, to decrease the risk of contamination with colorectal surgery and allow for future pregnancy (2-4). We present the surgical management of prolapse repair in a young woman with uterine and rectosigmoid prolapse, causing rectal outlet obstruction.
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Time Course and Risk Factors for Repeat Procedures after Ureteroscopy or Shockwave Lithotripsy

Sat, 12/24/2022 - 00:00
To determine risk factors and time course for repeat procedures after ureteroscopy (URS) or shockwave lithotripsy (SWL) procedure using a large employer-based claims database.
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Testicular Core Extraction: Important Technique for Determining Sperm Retrieval Method in Non-obstructive Azoospermia

Sat, 12/24/2022 - 00:00
To assess the value of preliminary testicular core extraction (TCE) as a tool for determining whether to pursue cTESE versus mTESE to minimize both financial burden and procedural complexity.
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The assessment of TikTok as a source of quality health information on varicoceles

Sat, 12/24/2022 - 00:00
To evaluate the quality of varicocele information on TikTok, a popular video platform that adolescent patients are now turning to as a source of medical information before visiting a doctor.
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Natural history of multiple recurrences in intermediate-risk non-muscle invasive bladder cancer: lessons from a prospective cohort

Sat, 12/24/2022 - 00:00
Objective: To describe the risk of multiple recurrences in intermediate-risk non-muscle invasive bladder cancer (IR-NMIBC) and their impact on progression. Prognostic studies of IR-NMIBC have focused on initial recurrences, yet little is known about subsequent recurrences and their impact on progression.Materials and Methods: IR-NMIBC patients from the Be-Well Study, a prospective cohort study of NMIBC patients diagnosed from 2015-2019 at Kaiser Permanente Northern California, were identified. The frequency of first, second, and third intravesical recurrences of urothelial carcinoma were characterized using conditional Kaplan-Meier analyses and random-effects shared-frailty models.
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A novel strategy to obtain continence of a hypoplastic bladder in a patient with an ectopic ureter accompanied by a solitary kidney

Fri, 12/23/2022 - 00:00
Hypoplastic urinary bladder is a rare anomaly, and its management is controversial. A female newborn delivered without complications at 38 weeks’ gestation had a left multicystic dysplastic kidney, right hydronephroureterosis, and anorectal malformation with rectovestibular fistula. No bladder could be identified. Precise examination at age 1 month revealed a small but structured bladder and an ectopic ureter opening into the urethra. A double-J stent was inserted into the right renal pelvis for bladder cycling.
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Renal Functional Outcomes in Patients with Angiomyolipomas: Surveillance vs. Embolization vs. Nephrectomy

Fri, 12/23/2022 - 00:00
To investigate renal functional outcomes of surveillance, embolization, and surgery for angiomyolipomas (AML).
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Frank B. Bicknell: Pioneer in Pediatric Urology and Founder of the American Urological Association History Forum

Fri, 12/23/2022 - 00:00
Frank Bartholomew Bicknell (1907-1999) grew up in Grosse Pointe, Michigan and attended the University of Michigan (1925-1928) and University of Michigan Medical School (1928-1932) prior to his internship and urology residency at the Receiving Hospital in Detroit Michigan (1932-1936).1 He served in the Merchant Marine in the 1930s, sailing around the world and married Alesia Loranger in 1942. In 1943 he was a Captain in the Army at Station Hospital, Fort Belvoir, Virgina and served as a major in World War II.
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Implementation and Usability of an Electronic Medical Record-Based Ureteral Stent Tracker

Fri, 12/23/2022 - 00:00
To design and implement a simple electronic medical record-based ureteral stent tracker. To assess its impact on stent dwell time and stent-related complications.
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Late Complication of Orthotopic T-Pouch Ileal Neobladder Diversion

Fri, 12/23/2022 - 00:00
A 69-year-old female with history of squamous cell carcinoma of the bladder who underwent anterior pelvic exenteration with an orthotopic T-pouch ileal neobladder 20 years ago was referred to the urology clinic because of worsening renal function. At time of urologic evaluation, the patient was voiding volitionally with a low post-void residual. Despite complete bladder emptying and a fluoroscopic cystogram demonstrating no evidence of reflux, she was recommended by her local urologist to perform clean intermittent catheterization 4-5 times/day, but her renal function continued to deteriorate.
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Deep learning-based seminal vesicle and vas deferens recognition in the posterior approach of robot-assisted radical prostatectomy

Fri, 12/23/2022 - 00:00
To develop a convolutional neural network to recognize the seminal vesicle and vas deferens (SV-VD) in the posterior approach of robot-assisted radical prostatectomy (RARP) and assess the performance of the convolutional neural network model under clinically relevant conditions.
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MODELING THE UROLOGY RESIDENCY APPLICATION AND MATCH PROCESS: A MATHEMATICAL ARGUMENT FOR APPLICATION AND INTERVIEW CAPS

Fri, 12/23/2022 - 00:00
To develop a mathematical model to predict the effects of an application and interview cap on the urology match success rate.
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BUCCAL MUCOSA VAGINOPLASTY THROUGH AN ANTERIOR SAGITTAL TRANSRECTAL APPROACH (ASTRA) FOR MANAGEMENT OF YOLK SAC TUMOR IN A 3-YEAR OLD GIRL

Thu, 12/22/2022 - 00:00
Vaginal yolk sac tumours (vYST) are rare pediatric malignant tumours and the most common form of vaginal germ-cell tumours in children. They are almost exclusively found in females under 3 years of age. Treatment involves local excision either with or without chemotherapy. Herein, we describe a case of a 3 year old girl with vaginal Yolk sac tumor, who underwent buccal mucosa vaginoplasty through an anterior sagittal transrectal approach (ASTRA), as an effective oncological procedure, with preservation of reproductive function.
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Ergonomics in Urology: Silent contributor to burnout among women in Urology?

Thu, 12/22/2022 - 00:00
Industrial medicine and occupational health date back to almost 400 years ago. However, surgical practice remains a neglected area when it comes to ergonomic practices. While standing desks and adjustable stands are now widely available in office environments, ergonomic considerations have been introduced to the operating room at a much slower pace. There have been studies on ergonomics in general surgery, plastic surgery, interventional radiology, and interventional cardiology1, 2. However, literature regarding ergonomics among urologists and urology trainees in the United States is limited.
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Early Urology Exposure Increases Success in the Residency Match: An Institutional Experience

Thu, 12/22/2022 - 00:00
Kim and colleagues present an interesting study of 1,814 urology residents who matched across the 2016-2021 application cycles to elucidate institution-specific factors influencing applicant success.1 The authors identified various predictors including faculty size, NIH funding, department ranking, student h-index, geographic region, and presence of a home residency program. Importantly, the study recognizes that a key limitation is the lack of information about specific medical school curricula, commenting that further analysis is necessary to understand the impacts of curricular programming at schools which demonstrate higher success in the match.
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Histologic Analysis of Buccal Graft Quality Stratified by Tobacco Use in Patients Undergoing Substitution Urethroplasty

Tue, 12/20/2022 - 00:00
To determine if there are histologic differences relative to tobacco exposure in buccal mucosa. Substitution urethroplasty outcomes may be worse in tobacco users and we investigate if the buccal graft is inherently damaged due to chronic tobacco exposure.
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The effect of a peritoneal iliac flap on lymphocele formation after robotic radical prostatectomy: Results from the PLUS trial

Mon, 12/19/2022 - 00:00
To assess the effectiveness of a peritoneal flap on the formation of lymphoceles after robotic assisted radical prostatectomy with bilateral extended pelvic lymph node dissection.
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