Urology News Feeds
The aim of this study was to evaluate the use of TENS for children with MNE without nocturnal polyuria. It may seem a simple question but that is the strength of the study. A simple question is answered well in a well designed study.
Transcutaneous Electrical Nerve Stimulation in Children with Monosymptomatic Nocturnal Enuresis: A Randomized, Double-Blind, Placebo Controlled Study
In a third of all children with monosymptomatic nocturnal enuresis their condition is refractory to first line treatments. Transcutaneous electrical nerve stimulation has been documented to be efficacious in children with daytime incontinence. We investigated the effect of transcutaneous electrical nerve stimulation in children with monosymptomatic nocturnal enuresis without nocturnal polyuria.
Change in PSA concentration in men with PSA < 2.5 ng/mL taking low-dose finasteride or dutasteride for male androgenetic alopecia
This retrospective cohort study aimed to assess the effect on PSA concentrations of low-dose finasteride or dutasteride treatment for male androgenetic alopecia whose baseline serum PSA < 2.5 ng/mL.
Contrast-enhanced ultrasound as a radiation free alternative to fluoroscopic nephrostogram for evaluating ureteral patency
To compare contrast-enhanced ultrasound and fluoroscopic nephrostography in the evaluation of ureteral patency following percutaneous nephrolithotomy.
Effectiveness and complications of augmentation cystoplasty with or without non-refluxing ureteral reimplantation in adult patients with long-standing bladder dysfunction: A single center 11 year experience in 173 cases
To review our experience for effectiveness and complications of augmentation cystoplasty (AC) with or without non-refluxing ureteral reimplantation in adult patients with long-standing bladder dysfunction
In this retrospective study Sorokin et al reviewed the patterns of abdominal recurrences detected by cross-sectional imaging following partial nephrectomy for T1 kidney cancer. In 197 patients they detected a total of 7 recurrences with more frequent recurrences in those with T1b vs T1a disease. Four recurrences developed after 3 years. It is important to note that all recurrences would have likely been detected by ultrasound. The authors propose increasing the duration of surveillance and subclassifying T1 cases in future guidelines.
“Change is inevitable; change is constant.” This well-known quote credited to Benjamin Disraeli reflects the reality of many aspects of life, including academic medicine. By questioning dogma and challenging the (implied) truths of today, we propel our specialty forward. Undoubtedly, as we innovate, some concepts and ideas will evolve, and not always in the expected direction. Yet inactivity and complacency without challenging the status quo prevent us from doing things better. Innovation and conflicts with conventional wisdom carry risk, which naturally generates fear of failure and discomfort.
The authors present an innovative variation on Kaefer’s procedure,1 which gained the support of the British Association of Paediatric Urologists as a second line temporizing option (after stenting) in infants (references 6 and 12 in article). However, the majority of NRMU cases will resolve spontaneously and intervention is only indicated for obstruction and/or symptoms. Reduced function is a better indicator of obstruction than are dilatation or poor drainage and, thus, a mercaptoacetyltriglycine diuretic renogram is desirable.
The authors present a simplification of the Kaefer side-to-side refluxing ureterovesicostomy for relief of nonrefluxing megaureter.1 Most patients experienced improvement in hydronephrosis but 20% required additional procedures. The inclusion of a few nonNRMU cases adds heterogeneity and challenges the generalizability of the results.
The concept of trading neonatal UVJ obstruction for reflux was first introduced for the management of ureterocele.1 In 2005 our group expanded this paradigm to other forms of UVJ obstruction by introducing the concept of the refluxing reimplant.2 It has subsequently been shown that this procedure can easily be completed in less than 30 minutes, avoids the risk of stomal stenosis seen with ureterostomy and carries no higher risk of subsequent pyelonephritis than cutaneous diversion (reference 14 in article).
Laparoscopic Partial Nephrectomy with Sequential Precise Tumor-Specific Segmental Renal Artery Clamping for Multiple Ipsilateral Renal Tumors: a New Treatment Approach and Initial Experience
To present our surgical approach and initial experience of laparoscopic partial nephrectomy (LPN) with sequential precise tumor-specific segmental renal artery clamping in patients with multiple ipsilateral renal tumors.
The Burden of Cystoscopic Bladder Cancer Surveillance: Anxiety, Discomfort, and Patient Preferences for Decision Making
ObjectiveTo examine discomfort, anxiety, and preferences for decision-making in patients undergoing surveillance cystoscopy for non-muscle-invasive bladder cancer (NMIBC).MethodsVeterans with a prior diagnosis of NMIBC completed validated survey instruments assessing procedural discomfort, worry, and satisfaction, and were invited to participate in semi-structured focus groups about their experience and desire to be involved in surveillance decision-making. Focus group transcripts were analyzed qualitatively, using (1) systematic iterative coding, (2) triangulation involving multiple perspectives from urologists and an implementation scientist, and (3) searching and accounting for disconfirming evidence.
Ileal Ureter Replacement Combined with Boari Flap-Psoas Hitch to Treat Full-Length Ureteral Defects: Technique and Initial Experience
To evaluate the feasibility of ileal ureter replacement combined with Boari flap-psoas hitch procedure for the management of full-length ureteral defects (>20 cm).
Internal Urethrotomy with Intralesional Mitomycin C: an Effective Option for Endoscopic Management of Recurrent Bulbar and Bulbomembranous Urethral Strictures
To describe our experience with direct visual internal urethrotomy (DVIU) and mitomycin C (MMC) for recurrent bulbar/bulbomembranous urethral strictures of radiation and non-radiation induced etiologies.
Thirty Day Morbidity of Abdominal Sacrocolpopexy is Influenced by Additional Surgical Treatment for Stress Urinary Incontinence
To assess the impact of concurrent anti-incontinence procedure (AIP) at time of abdominal sacrocolpopexy (ASC) on 30-day complications, readmission, and reoperation.
An Intraprostatic Modified Release Formulation of Antiandrogen 2-Hydroxyflutamide for Localized Prostate Cancer
To investigate tolerability, safety and antitumor effects of a novel intra-prostatic depot formulation of antiandrogen 2-hydroxyflutamide (2-HOF in NanoZolid®) in men with localized prostate cancer (PCa).
Clinical Outcomes of Chemotherapy-Naïve Men with Metastatic Castration-Resistant Prostate Cancer and Low Baseline PSA Treated with Enzalutamide vs Placebo
Metastatic castration-resistant prostate cancer with low baseline prostate-specific antigen represents an early stage in the natural history of castration-resistant prostate cancer disease progression (low-volume disease), low prostate-specific antigen–producing disease, or disease less dependent on androgen receptor biology (high-volume disease). We analyzed outcomes in men with low prostate-specific antigen and high disease burden who received the oral androgen-receptor inhibitor enzalutamide in the PREVAIL study.
PSMA-targeted F-DCFPyL PET/CT in the Preoperative Staging of Men with High-risk Prostate Cancer: Results of a Prospective Phase II Single-Center Study
To prospectively evaluate the diagnostic performance of PSMA-targeted 18F-DCFPyL PET/CT in the preoperative staging of men at high risk of harboring metastatic prostate cancer despite a negative conventional staging evaluation.
Comparison of urinary tract infection rates associated with transurethral catheterization, suprapubic tube and clean intermittent catheterization in the postoperative setting: a network meta-analysis
A network meta-analysis was performed of available randomized controlled trials (RCT) to elucidate the risks of urinary tract infection (UTI) associated with transurethral catheterization (TUC), suprapubic tube (SPT) and intermittent catheterization (IC) in the postoperative setting.
Surgical management of proximal and mid ureteral strictures not amenable to primary excision and anastomosis is challenging. Although buccal mucosa graft is commonly utilized during substitution urethroplasty, its use in substitution ureteroplasty is limited. We describe our technique for robotic ureteroplasty with buccal mucosa graft for the management of complex ureteral strictures and report our outcomes.