Urology (Gold Journal) In Press

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.

1) To describe the authors’ technique of ALT phalloplasty with staged skin graft urethroplasty and 2) to report the surgical outcomes and complications of this technique in a preliminary patient cohort.

To assess the incidence of discordant testicular pathology in men undergoing bilateral microdissection testicular sperm extraction (mTESE) and association with sperm retrieval rate.

To maximize procedure volume and minimize workflow inefficiency in our urological procedure clinic, we hypothesized that for staff (nurses/medical assistants) and patient teams, team workflow duration (the time required to complete team duties for a single appointment) could be reduced by 50% with a targeted workflow intervention developed using the Model for Improvement and Plan-Do-Study-Act (PDSA) cycles. Workflow inefficiency leads to wasted time and workplace dissatisfaction, resulting in lost revenue due to low procedure volume and high staff turnover.

To catalogue and characterise device failures and adverse events related to flexible ureteroscopes from a national database.

Urethral diverticula are rare in children, especially in the absence of trauma. We present a case of a 9-year-old girl with pain with micturition, incontinence, and recurrent urinary tract infections. Diagnosis of urethral diverticulum was made by MRI. A robot-assisted transabdominal laparoscopic diverticulectomy was performed without complication. The patient experienced a significant improvement in symptoms.

To develop and validate a model to predict whether patients undergoing URS will receive a stent.

To evaluate if implementation of a percutaneous nephrolithotomy (PCNL) equipment whiteboard can improve communication accuracy of surgical equipment, streamline operative efficiency, and decrease unnecessary case equipment costs.

To develop a short form of the Wisconsin Stone Quality of Life (WISQOL): 1) identify the smallest subset of items from WSIQOL that accurately predict patients’ health-related quality of life (HRQOL), and 2) in a clinical patient population, test these items – grouped together to form the WISQOL-short form (SF) – and assess its convergent validity.

To develop and evaluate a mobile phone-based skills assessment tool that measures procedural competency of urology residents learning to perform a common, non-robotic urology procedure as a means of tracking current skillset and improvement over time.

Testicular torsion (TT) is a surgical emergency requiring early diagnosis and surgical intervention to avoid testicular loss. We report three pediatric TT cases with testicular salvage to visualize the blood flow by indocyanine green fluorescence imaging (ICG-FI) on the tunica albuginea of the testis. ICG-FI could not confirm blood flow in the testicular parenchyma; however, it could be detected in postoperative ultrasonography. Blood visualization of the tunica albuginea by ICG-FI may have potential criteria for testicular salvage.

In some instances, sacral neuromodulation (SNM) devices need to be removed. Traditionally, permanent lead and/or implantable pulse generator (IPG) removals are done in the operating room under sedation. Our objective is to present our experience removing SNM components under local in the office.

To demonstrate the clinical spectrum and challenges associated with clinical management of epitheloid angiomyolipomas (eAML).