Urology (Gold Journal) In Press

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.

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).

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.

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.

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.

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).

To evaluate the efficacy and safety of robot-assisted laparoscopic pyeloplasty (RALP) and describe the short and long-term outcomes of pediatric RALP.

To analyze surgical and functional outcomes of bilateral pedicled scrotal flaps for penile shaft reconstruction.

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).

Assess rates of urologist-reported differential treatment in practice and practice limitations based on characteristics of urologists’ identity.

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.

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.

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.

To evaluate if telehealth consultations would impact the likelihood of patients following through with vasectomies.

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.

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.

To measure the changes in treatment patterns for non-muscle invasive bladder cancer before and during the BCG drug shortage.

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.

Some transgender men opt for phalloplasty without urethral lengthening as genital gender-affirming surgical procedure.

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).