Urology News Feeds

Robot-Assisted Laparoscopic Extravesical Ureteral Reimplantation for Primary Vesicoureteral Reflux in Children

The study by Boysen et al in this issue of The Journal represents a great step in helping us answer lingering questions regarding the current efficacy and safety of robot-assisted laparoscopic extravesical ureteral reimplantation (RALUR-EV) for the treatment of vesicoureteral reflux (VUR) in children.1 We praise the many contributors who embarked on this multi-institutional study with good intentions. It is imperative that we examine competitive surgical options concerning “QCCC” yield, ie quality (success and complication rate), convalescence (with associated pain medication requirements), cost and cosmesis.
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Re: Cognitive Reserve and Postoperative Delirium in Older Adults

A. Tow, R. Holtzer, C. Wang, A. Sharan, S. J. Kim, A. Gladstein, Y. Blum and J. Verghese
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Re: Comprehensive Geriatric Assessment is a Useful Predictive Tool for Postoperative Delirium after Gastrointestinal Surgery in Old-Old Adults

Y. Maekawa, K. Sugimoto, M. Yamasaki, Y. Takeya, K. Yamamoto, M. Ohishi, T. Ogihara, A. Shintani, Y. Doki, M. Mori and H. Rakugi
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Combining Transcutaneous Electrical Nerve Stimulation (TENS) with oxybutynin is superior to monotherapy in children with urge incontinence – a randomized, placebo-controlled study

To evaluate if combination therapy with TENS and oxybutynin results in a superior treatment response than monotherapy with the two modalities in childhood urge incontinence.
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Structural Variations of the Prostatic Urethra Within the Prostate Predict the Severities of Obstructive Symptoms: a Prospective Multicenter Observational Study

Urology (Gold Journal) In Press - Sat, 03/18/2017 - 00:00
To describe distinctive morphologic variations of the prostate associated with the prostatic urethra, and to determine whether structural changes of the urethra within the prostate resulting from gland enlargement, rather than prostrate volume itself, lead to male lower urinary tract symptom (LUTS).
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Urethral Mobilization as an Alternative Procedure for Distal Hypospadias Repair

Urology (Gold Journal) In Press - Sat, 03/18/2017 - 00:00
To evaluated the urethral mobilization procedure as the main technique in management of glanular, coronal, subcoronal, and distal penile hypospadias.
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Biliary Stent Migration: A Rare Cause of a Bladder Stone

Urology (Gold Journal) In Press - Sat, 03/18/2017 - 00:00
Our patient presented with dysuria and pneumaturia without any prior urologic instrumentation. History included choledocolithiasis requiring ERCP and biliary stenting. Imaging showed a large bladder stone. She was taken to surgery and found to have diverticulitis. The sigmoid was resected and the bladder found to have a small fistula tract. The bladder was opened and a large calculus was identified and extracted. The stone was opened and found to contain a biliary stent. While biliary stenting is generally considered safe, migration can occur.
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Urological Management and Complications in Spinal Cord Injury Patients: a 40- to 50-Year Follow-Up Study

Urology (Gold Journal) In Press - Sat, 03/18/2017 - 00:00
To assess the management and types of urological complications in spinal cord injury (SCI) patients and to explore the risk factors for these complications.
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Permanent Bulbar Urethral Ligation: Emerging Treatment Option for Incontinent Men with End-Stage Urethra

Urology (Gold Journal) In Press - Sat, 03/18/2017 - 00:00
To report our experience with permanent urethral ligation for severe incontinence among men with end-stage urethra.
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Negative Multi-Parametric MRI of the Prostate Predicts Absence of Clinically Significant Prostate Cancer on 12-Core Template Prostate Biopsy.

Urology (Gold Journal) In Press - Sat, 03/18/2017 - 00:00
Objective:To determine the negative predictive value of multiparametric-MRI (mpMRI), we evaluated the frequency of prostate cancer detection by 12-core template mapping biopsy in men whose mpMRI showed no suspicious regions.Methods:670 patients underwent mpMRI followed by transrectal ultrasound-(TRUS) guided systematic prostate biopsy from December 2012 to June 2016. Of this cohort, 100 patients had a negative mpMRI. mpMRI imaging sequences included T2-weighted, diffusion-weighted imaging, and dynamic contrast enhancement sequences.
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The State of Pre-Screening Discussions About PSA Testing Following Implementation of the 2012 USPSTF Task Force Statement

Urology (Gold Journal) In Press - Sat, 03/18/2017 - 00:00
To determine if the quality of pre-screening discussions has changed following release of the USPSTF statement against prostate cancer screening.
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Adding Mirabegron to Solifenacin to Treat Overactive Bladder Has Little Impact on Post-Void Residual Volume or Urinary Retention Risk

Urology (Gold Journal) In Press - Sat, 03/18/2017 - 00:00
Urinary retention is a complex and important urological health issue that describes the inability to completely empty the bladder1. The sudden inability to void is termed acute urinary retention, which is usually accompanied by pain and severe urgency, and can have serious consequences if untreated2. Occasionally, acute urinary retention may be precipitated by an event such as infection or medication; thus the definition is further subdivided into precipitated or spontaneous1. Chronic urinary retention describes the persistent inability to completely empty the bladder, and is usually painless and imperceptible to the patient3.
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Author Reply

Urology (Gold Journal) In Press - Sat, 03/18/2017 - 00:00
Patients remain misinformed or underinformed about the indications and risks associated with testosterone replacement therapy (TRT), despite the Food and Drug Administration's Drug Safety Communications regarding testosterone products.1 Most patients are unaware of the association between low serum testosterone, medical comorbidities, such as obesity, diabetes mellitus, and obstructive sleep apnea, and generally unhealthy lifestyles, characterized by stress, lack of physical exercise, poor sleep hygiene, and poor dietary intake.
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Editorial Comment

Urology (Gold Journal) In Press - Sat, 03/18/2017 - 00:00
The issue of patient knowledge and or perceptions about a medical condition and treatment is always intriguing. The disconnect between what the medical community knows and where patients get their information; what education level they actually understand their body, and how much they hear and retain this information is the essence of awareness, communication, and compliance with care in medicine. The gap between patient knowledge and best medical information is often vast and requires providers many times to backtrack on what patients know or think they know as the truth based on the best evidence.
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Author Reply

Urology (Gold Journal) In Press - Sat, 03/18/2017 - 00:00
We agree that there is still a certain controversy about the risks and the efficacy of pregnancy in patients with a history of urinary diversion. However, our study proved that it is safe and showed a good mothers' and children's outcome with a minimum of risks under strict multidisciplinary monitoring. In our study, the main underlying conditions and types of urinary diversion were represented. Nevertheless, we totally agree with the stated objection that the question remains whether these observations and recommendations can be transferred to women in childbearing age with a neobladder.
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Editorial Comment

Urology (Gold Journal) In Press - Sat, 03/18/2017 - 00:00
Controversy remains about the wisdom and efficacy of pregnancy in women of childbearing age who have a history of urinary diversion. This retrospective study evaluated 37 pregnancies in women with continent diversion, generally for exstrophy or neurogenic bladder.
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Vascular-Targeted Photodynamic Therapy with Padeliporfin for Low Risk Prostate Cancer Treatment: Mid-Term Oncological Outcomes

To assess the mid-term oncological outcomes of vascular-targeted photodynamic therapy with padeliporfin for low-risk prostate cancer treatment.
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Orgasmic function after radical prostatectomy

We examined post-prostatectomy orgasmic function (OF) and assessed for potential predictors.
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Re: Transplanted Human Stem Cell-Derived Interneuron Precursors Mitigate Mouse Bladder Dysfunction and Central Neuropathic Pain after Spinal Cord Injury

T. M. Fandel, A. Trivedi, C. R. Nicholas, H. Zhang, J. Chen, A. F. Martinez, L. J. Noble-Haeusslein and A. R. Kriegstein
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