Urology (Gold Journal) In Press

Intrascrotal neurofibromas are extensive tumors that grow from peripheral nerves within the scrotum and are exceedingly rare among the benign extratesticular tumors. Though the risk is low, potential for malignancy and patient discomfort make diagnosis and surgical evaluation imperative. Pediatric neurofibromas are typically only associated with Neurofibromatosis type 1. However, herein, we describe a rare case of a benign, intrascrotal plexiform neurofibroma in a 10-year-old male who lacks any stigmata associated with this genetic disorder.

A 68-year-old male with no past medical history presented to the emergency department with unilateral scrotal pain and swelling. Symptoms began three days prior with progressively worsening pain and swelling. He had one associated episode of nausea but denied lower urinary tract symptoms or other systemic symptoms. He denied any past surgical history or abdominal imaging. His physical exam showed a male without acute distress with right sided scrotal swelling. Palpation displayed non-reducible solid contents that were noncontiguous with the testicle.

To determine the cost-effectiveness of mesh placement in patients undergoing ileal conduit urinary diversion for bladder cancer. Long-term studies have shown that parastomal hernias (PSH) occur in more than half of all stomas. Mesh prophylaxis has been shown to reduce PSH after end-colostomy and ileal conduits. However, no cost-effectiveness studies on mesh prophylaxis have been performed for this population.

To assess Duke’s experience on the utility of TTMB for re-evaluating patients with persistently elevated PSA after prior negative biopsy, with pre-existing prostate cancer (PCa) already on active surveillance (AS), or considering focal therapy (FT).

To treat men with bladder neck contracture and stress urinary incontinence, neither long-term nor comparative data exist to support the superiority of simultaneous bladder neck contracture intervention at the time of artificial urinary sphincter placement (synchronous) or staged bladder neck contracture intervention followed by artificial urinary sphincter placement (asynchronous). This study aimed to compare outcomes of patients treated with synchronous and asynchronous protocols.

To investigate the application of multiparametric MRI (mp-MRI) for comprehensive evaluation of the correlation between the characteristics of the transitional zone and the International Prostate Symptom Score (IPSS) in patients with benign prostatic hyperplasia (BPH).

To apply and reproduce this scoring system in our prenatal hydronephrosis (PHN) population with UPJO-like HN, specifically looking at determining better HHS cutoffs that would allow for stratification into 3 risk categories: spontaneous HN resolution, observation, and surgery.

Patients with prostate cancer are offered a wide range of treatments from radiation therapy to chemotherapy to surgery. When giving radiation therapy, SpaceOAR hydrogel has been part of the standard treatment for the last decade to reduce unnecessary radiation exposure to the rectum. In rare cases, SpaceOAR may be placed but the patient cannot go through with radiation. The hydrogel ideally persists in the body for three months then gets absorbed at six months.

As statistical editors and reviewers, we have noticed that observational research papers submitted for publication often share a common set of problems with respect to the issue of causality. Causality can be conceptualized in counterfactual terms: would the outcome be different if we change what we do? For instance, we say that smoking causes cancer, because if we reduce smoking, we reduce cancer; conversely, even though ice cream sales closely track the rate of shark bites, we avoid a causal conclusion because banning ice cream would not make ocean swimming any safer.

To explore the clinicopathological features and prognosis of pediatric patients with malignant bladder tumors in a population-based cohort.

The treatment of invasive penile cancer is based on partial or total penectomy and perineal urethrostomy configuration.

To add to the literature which has reported higher attrition rates amongst General Surgery residents who identify as female or underrepresented in medicine (URM), we aimed to determine how these factors contribute to attrition within Urology. We hypothesized that women and URM Urology residents will similarly have higher attrition rates.

There has been a substantial increase in the attention given to men’s sexual health in the last decade because of the increased prevalence of patients reporting symptoms.1 Erectile dysfunction (ED) is becoming more common, partly due to modifiable risk factors, with a prevalence of over 50% in men between 40 to 70 years of age.2 Peyronie’s disease (PyD), a fibrotic abnormality that results in penile plaque formation that causes penile deformity and sexual dysfunction, is thought to be significantly underdiagnosed and misdiagnosed.

To investigate which treatment attributes matter to patients with stress urinary incontinence (SUI), why and how they matter, and the context in which patients consider treatment attributes. Nearly a quarter of older men have decisional regret following SUI treatment. Knowledge of what matters to patients when making SUI treatment decisions is necessary to improve goal-concordant care.

To evaluate a subset of patients who develop strictures requiring Ileal Ureter (IU) in the setting of prior urinary diversion or augmentation (ileal conduits, neobladders, continent urinary diversions). To our knowledge, there are no prior studies on patients with IU substitution into established lower urinary tract reconstructions.

To evaluate the change in PV and relationship to improvement in urinary symptom scores following Rezūm therapy.

A 67-year-old male with a history of stage 5 chronic kidney disease and pre-emptive living unrelated kidney transplant eight years prior presented to the clinic with a loud abdominal bruit, 2+ bilateral lower extremity edema, and hypertension. Laboratory evaluation revealed a serum creatinine at baseline levels of 2.5 mg/dL and microscopic hematuria on urinalysis. His post-transplant history was notable for BK virus nephropathy and persistent proteinuria, prompting four transplant biopsies, which ultimately demonstrated recurrent immunotactoid glomerulonephritis.

To evaluate the prevalence of stone disease and procedure trends among US commercial and Medicare populations.

To assess the rates of detection of clinically significant prostate cancer and complications associated with transperineal and transrectal biopsy approaches to MRI-fusion targeted biopsy.

To evaluate the association of program director (PD) gender on the proportion of female residents in urology residency programs.