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Title: Acute epigastric pain: Unexpected urologic findings on CT
A 43-year-old male presented to the emergency department with complaints of non-radiating epigastric pain for the last five days. Pain was not associated with food intake, fever,vomiting, altered bowel habits and not relieved by proton pump inhibitors. His medical history was notable only for obesity, and prior surgeries included a right orchiectomy for cryptorchidism and remote appendectomy. Abdomen was soft, non-tender with no palpable masses. An ultrasound of the abdomen revealed hyperechogenicity of peri-pancreatic and mesenteric fat, with minimal perihepatic free fluid.
Evaluation of recurrent gross hematuria in a patient with metastatic prostate and concomitant metastatic kidney cancer
This is a 67-year-old man with a history of atrial fibrillation (CHADS-VASc Score of 3 on therapeutic anticoagulation), heart failure, chronic kidney disease (baseline creatine 2.2), and metastatic prostate cancer treated with androgen deprivation therapy and docetaxel as well as channel transurethral resection of the prostate for bothersome lower urinary tract symptoms. He presented with a pathologic femur fracture and biopsy demonstrated clear cell renal cell carcinoma. Computed tomography urogram demonstrated an 8-cm left inferior pole renal mass (Figure 1).
Insurance type and area deprivation are associated with worse overall mortality for patients with muscle-invasive bladder cancer
To examine the association of area-level socioeconomic status, rural-urban residence, and type of insurance with overall and cancer-specific mortality among patients with muscle-invasive bladder cancer.
Dysfunctional voiding: exploring disease transition from childhood to adulthood
To improve our transitional care, we explored how childhood dysfunctional voiding (DV) develops into adulthood. DV is a common condition in both children and adults. However, the long-term course of childhood DV into adulthood is unknown and treatment over the ages differs.
Inferior Vesical Fissure- A Rare Variant of Exstrophy Bladder: Case report with Literature Review
Exstrophy of the bladder is a rare anomaly with an incidence of 1 in 30,000-50,000 live births. The variants of the exstrophy complex are even rarer, and constitute about 8% of the total cases.1–5 Inferior vesical fissure or fistula (IVF) is an extremely rare variant of bladder exstrophy in which the musculoskeletal findings of exstrophy, namely, divergent recti, a wide pubic diastasis and a low-set umbilicus are present, but the exstrophy is limited to the bladder-neck region and the remainder of the viscus and penis are normal.
A matched-pair analysis comparing systematic prostate biopsy by conventional transrectal ultrasound-guidance versus software-based predefined 3D-guidance
To compare software-based three-dimensional-guided systematic prostate biopsy (3D-GSB) with conventional transrectal ultrasound (TRUS)-guided systematic biopsy (TGSB) regarding prostate cancer (PCa) detection rates (CDR).
Robot-Assisted Laparoscopic Pyeloplasty: Experience of a Single Pediatric Institution, including Long-Term and Safety Outcomes
To evaluate the efficacy and safety of robot-assisted laparoscopic pyeloplasty (RALP) and describe the short and long-term outcomes of pediatric RALP.
Bilateral pedicled scrotal flaps as an alternative to skin graft in penile shaft defects repair
To analyze surgical and functional outcomes of bilateral pedicled scrotal flaps for penile shaft reconstruction.
Robotic-assisted laparoscopic bilateral ileal ureter replacement with extracorporeal ileal segment preparation for bilateral extensive ureteral strictures: the initial experience
To present our initial experience and evaluate perioperative, and follow-up outcomes following the novel technique of robot-assisted laparoscopic bilateral ileal ureter replacement (IUR) with extracorporeal ileal segment preparation for bilateral extensive ureteral strictures (BEUS).
Factors Related to Differential Treatment and Practice Limitations Amongst Urologists: A Report of AUA 2021 Census Data
Assess rates of urologist-reported differential treatment in practice and practice limitations based on characteristics of urologists’ identity.
Revisiting Postoperative Pediatric Urology Opioid Prescriptions
To measure our opioid prescription rate, determine if our rate has decreased since 2019, and identify areas for future interventions to further decrease our opioid prescription rate.
Identification of Clinically Insignificant Renal Calculi on Sonography
To determine factors predicting if a radiologists’ report of a “stone” on ultrasound (US) was not actually a clinically significant stone, based on subsequent computed tomogram (CT). US often overestimates stone-size and various pathologic entities are also hyperechoic, thus a subsequent CT without a clinically significant stone may represent unnecessary radiation exposure. A decision-tree and nomogram were developed to predict when stones are unlikely on subsequent CT.
Single Port vs Multiport Robot-Assisted Simple Prostatectomy: A Multi-Institutional Study from the SPARC
To compare robot-assisted simple prostatectomy intraoperative and postoperative outcomes between single-port (SP) and multi-port (MP) robotic systems in a multi-institutional setting.
Telehealth sterilization consultation does not impact likelihood of vasectomy: A retrospective institutional analysis
To evaluate if telehealth consultations would impact the likelihood of patients following through with vasectomies.
Safety and Efficacy of Long-Acting Liposomal Bupivacaine Plus Bupivacaine Hydrochloride for Dorsal Penile Block During Ambulatory Pediatric Urologic Surgery
We evaluate the tolerability and efficacy of preoperative dorsal penile nerve block with Exparel plus bupivacaine hydrochloride in children >6 years old undergoing ambulatory urologic surgery. We demonstrate that the drug combination is well-tolerated, with appropriate analgesic efficacy in the recovery room as well as at 48-hour and 10-14 day follow-up periods. These preliminary data justify the need to perform a prospective, randomized trial comparing Exparel plus bupivacaine hydrochloride to other common local anesthetic regimens used in pediatric urologic surgery.
Robot Assisted Prostatic Utricle Reconstruction using the Carrel patch principle to preserve fertility.
Prostatic utricle (PU) with normal external genitalia is an uncommon congenital anomaly. About 14% develop epididymitis. This rare presentation should warn involvement of the ejaculatory ducts. Minimally invasive robot-assisted utricle resection is the preferred method.
Variation in Statewide Intravesical Treatment Rates for Non-Muscle Invasive Bladder Cancer During the BCG Drug Shortage
To measure the changes in treatment patterns for non-muscle invasive bladder cancer before and during the BCG drug shortage.
Disparities in Prostate Cancer Screening for Transgender Women: An Analysis of the MarketScan Database
To describe the prevalence of PSA screening amongst transgender women. A transgender individual is someone whose gender identity differs from their birth sex or the societal norms of that assigned sex. There are no formal guidelines regarding PSA screening in transgender women, even though they retain prostatic tissue throughout the gender-affirming process, and there is a lack of existing data to adequately inform clinical practice.
Triangular flap extension to create a meatal appearance in phalloplasty without urethral lengthening.
Some transgender men opt for phalloplasty without urethral lengthening as genital gender-affirming surgical procedure.
Using IsoPSA with PI-RADS Score May Help Refine Biopsy Decision Making in Patients with Elevated PSA
To assess how IsoPSA, a structure-based serum assay which has been prospectively validated in detecting clinically significant prostate cancer (csPCa), can help the biopsy decision process when combined with the Prostate Imaging Reporting and Data Systems (PI-RADS).