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Inflammatory expression profiles in bladder exstrophy smooth muscle: normalization over time
To test the hypothesis that phenotypes in bladder exstrophy result from alterations in detrusor smooth muscle cell (SMC) gene expression.
Periurethral Mass Clinical Challenge Case
77-year-old female initially presented with urgency and difficulty emptying her bladder. On physical exam there was fluctuant mass-like periurethral fullness and a 10F catheter could not be passed. Cystoscopy demonstrated urethral narrowing. Transperineal ultrasound demonstrated thickening circumferentially around the urethra and MRI demonstrated urethral wall thickening or surrounding periurethral mass (Figures 1 and 2), without evidence of a urethral diverticulum. Her postvoid residual urine volume was elevated and urodynamics showed obstruction.
V.I.P. Score: A Comprehensive Grading System to Predict Difficulty of HoLEP Procedure for Small-to-Moderate Sized Prostate (<120 ml)
To develop a comprehensive scoring system in addition to the conventionally used prostatic volume (PV), for predicting the difficulty of holmium laser enucleation of the prostate (HoLEP) that may arise with small-to-moderate sized prostate.
Endoscopic Laser Dissection Combined with Laparoscopic Pneumovesical Repair of Vesicovaginal Fistula:A Novel Technique and Case Report
To present a novel technique for the repair of vesicovaginal fistula (VVF) in a transgender patient.
3D Printing Technology used to Create a High-Fidelity Ureteroscopy Simulator: Development and Validity Assessment (Rein-3D-Print - UroCCR-39)
To create and assess the validity of a high-fidelity, 3D-printed, flexible ureteroscopy simulator resulting from a real case.
Undrained infected urinoma after blunt renal trauma
A 65-year-old man presented with left-sided flank pain and distended abdomen after being returned by airplane from abroad where he had experienced a motorcycle accident with polytrauma (grade III splenic and grade IV renal rupture, bilateral lung contusion, left-sided fracture of the orbita and sinus maxillaris) 22 days earlier. Nine days after trauma, left-sided renal pseudoaneurysm was treated with coil embolization. Neither a ureteral stent nor a percutaneous drain was placed. At presentation, leukocytes (18.9 GPt/L, normal:
Vaginoscopy with Laser Treatment of Symptomatic Upper Vaginal Mesh Exposure after prior Mesh Sacrocolpopexy
To describe the technique of vaginoscopy with Holmium:YAG and Thulium laser treatment of upper vaginal mesh exposure after mesh sacrocolpopexy (MSC) as well as evaluate treatment efficacy.
The Impact of Within-Consultation and Pre-Consultation Decision Aids for Localized Prostate Cancer on Patient Knowledge: Results of a Patient-Level Randomized Trial
To evaluate the role of timing (either before or during initial consultation) on the effectiveness of DAs to support shared decision making (SDM) in a minority-enriched sample of patients with localized prostate cancer using a patient-level randomized controlled trial design.
Urinalysis exhibits excellent predictive capacity for the absence of urinary tract infection
To assess predictive value of urinalysis for negative urine culture and absence of urinary tract infection, re-evaluate the microbial growth threshold for positive urine culture result, and describe antimicrobial resistance features. Urine culture is associated with 27% of U.S. hospitalizations, and unnecessary antibiotic prescription is a main antibiotic resistance contributor.
A Single Center's Changing Trends in the Management and Outcomes of Primary Closure of Classic Bladder Exstrophy: An Evolving Landscape
To investigate management trends in a single institution with a large referral population in classic bladder exstrophy (CBE) over the past twenty years.
An Enhancing Renal Mass in Metastatic Prostate Cancer
A 59-year-old male with a history of metastatic prostate cancer (mPCa) was seen in clinic. He had been diagnosed four years prior and received docetaxel and hormonal therapy. Response to systemic treatment was excellent and he underwent radical prostatectomy with lymph node dissection as part of a clinical trial. Final pathology was ypT3bN1 with left seminal vesicle invasion and negative margins. His PSA was undetectable post-operatively and he received adjuvant pelvic radiation. Cross-sectional imaging after radiation was negative for residual metastatic disease.
Lycopene in prevention of infertility after testicular surgery
Tuncer et al1 reported a case of testicular replantation following wrong-site surgery in a young man with testicular cancer. They have successfully treated the patient, but they had concerns about poor recovery of sperms after surgery due to ischemia time resulting in oxidative stress and inflammation. In testicular amputation cases, preservation of the fertility poses a challenge. However, it is now possible to cryopreserve functional sperm from amputated testis in a post-pubertal patient. In addition, nutritional interventions may help protect the sperms from oxidative damage during their development by preventing oxidative stress and inflammation2-4.
Robotic-Assisted Augmented Roof Ureteroplasty with Appendiceal Onlay Flap
Mid-to-proximal ureteral strictures pose a surgical challenge that historically required ileal ureter substitution, downward nephropexy, or renal autotransplantation. Ureteral reconstruction techniques involving buccal mucosa or appendix have gained traction with success rates approaching 90%.
What's in a p-value? A fragility analysis of RCTs in the AUA guidelines for benign prostatic hyperplasia
To use the Fragility Index (FI) and Fragility Quotient (FQ) to assess the strength of statistically significant findings for randomized controlled trials (RCTs) cited in the American Urological Association (AUA) guidelines for benign prostatic hyperplasia.
The Impact of the Virtual Interview on Candidate Experience and Outcomes: Society of Academic Urologists National Survey of Interns Who Participated in the 2020-2021 Urology Match
To examine retrospective experiences with the virtual interview (VI) process among post-graduate year 1 (PGY1) urology residents who participated in the 2020-2021 American Urologic Association (AUA) Match cycle.
Pelvic Exenteration and Abdomino-Perineal Resection in a Transgender Female with Squamous Cell Carcinoma of Unknown Origin
A 56-year-old adult presented 25 years after penile inversion genital gender affirming vaginoplasty with complaints of abdominal pain and purulent neovaginal discharge. Physical exam revealed a patent neovagina with diffuse tumor involving the cul-de-sac and rectum. She was sexually active. A neo-urethral meatus was patent and functional without involvement. Colonoscopy revealed an obstructing rectal mass. Cross sectional imaging revealed a 10-cm mass in the pelvis, extending from the anterior rectal wall to the posterior bladder wall.
INTERNATIONAL SURVEY ON URODYNAMIC INVESTIGATIONS IN WOMEN UNDERGOING STRESS URINARY INCONTINENCE SURGERY
To evaluate the role of invasive urodynamics (UD) in women candidates for stress urinary incontinence (SUI) surgery.
Utilizing a Questionnaire to Implement a Risk-Based Antibiotic Prophylaxis Protocol for Transrectal Prostate Biopsy
To develop and evaluate a risk-based antibiotic prophylaxis protocol for patients undergoing transrectal prostate biopsy.
Penile and foreskin stretching practices through time and culture
Currently, the medical literature suggests there is objective benefit to penile stretching and traction therapy in Peyronie's disease, in post-prostatectomy patients to prevent penile shortening, in erectile dysfunction prior to placement of an inflatable prosthesis, and for men concerned about penile length.1 While this evidence in the literature regarding the medical benefit of penile traction therapy is quite recent, penile stretching practices are not new from a historical perspective.
Current practice patterns in the surgical management of benign prostatic hyperplasia
To use American Board of Urology (ABU) case log data to elucidate practice patterns for BPH surgery. Several modalities have been introduced in recent decades have caused significant practice variation.