Urology News Feeds

Delay to Inguinal Lymph Node Dissection Greater than 3 months Predicts Poorer Recurrence Free Survival for Penile Cancer Patients

It is unknown if concomitant inguinal lymph node dissection (ILND) at time of penectomy improves outcomes for penile cancer patients. We analyzed predictors for regional recurrence as well as recurrence free (RFS) and disease specific (DSS) survival based on time of ILND, and determine an optimal time for performance of ILND.
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Editorial Comment

Urology (Gold Journal) In Press - Sat, 06/24/2017 - 00:00
It is difficult for many of us to comprehend that we have been flying in space for over 50 years, and except for a one-year gap between the Russian Mir Station and the International Space Stations (ISS), most of the past 28 years have seen a continual human presence in low Earth orbit. Aside from the risks associated with leaving the planet and the remoteness of spacecraft, human health and performance in space is dominated by the condition of weightlessness. The removal of the gravity-driven hydrostatic gradient along with predictable anthropomorphic changes drives a set of global adaptive responses in nearly every physiologic system.
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Five home remedies for UTIs

MedicalNewsToday - Fri, 06/23/2017 - 05:00
In this article, learn about what you can do at home to help alleviate the symptoms of a urinary tract infection, as well as when to see a doctor.
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Editorial comment

Urology (Gold Journal) In Press - Fri, 06/23/2017 - 00:00
In this issue of Urology, the Soria et al report an intriguing study describing late recurrences following radical cystectomy (RC) for bladder cancer.1 A total of 1652 mostly muscle-invasive bladder cancer (MIBC) patients undergoing RC were evaluated in this large, multicenter, retrospective study. Of these, 548 (33.2%) patients recurred with a median time to recurrence of 1 year. Late recurrences defined as those occurring >5 years after RC occurred in 67 patients, i.e. 12.2% of recurrences and 4.1% of all patients who underwent RC.
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Glans Necrosis Following Penile Prosthesis Implantation: Prevention and Treatment Suggestions

Urology (Gold Journal) In Press - Thu, 06/22/2017 - 00:00
To examine possible etiology and treatment outcomes in 21 patients with glans necrosis following penile prosthesis implantation.
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Ultra-Low Radiation Exposure during Flexible Ureteroscopy in Nephrolithiasis Patients – How Far Can We Go?

Urology (Gold Journal) In Press - Thu, 06/22/2017 - 00:00
To evaluate the feasibility and clinical performance of a novel surgeon technique and protocol targeting ultra-low fluoroscopy usage in retrograde intrarenal surgery (RIRS).
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Post-Operative Complications of Spina Bifida Patients Undergoing Urological Laparotomy: a Multi-Institutional Analysis

Urology (Gold Journal) In Press - Wed, 06/21/2017 - 00:00
To characterize peri-operative morbidity and mortality of adult spina bifida patients undergoing laparotomy.
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In Vitro Comparison of Holmium Lasers: Evidence for Shorter Fragmentation Time and Decreased Retropulsion Using a Modern Variable Pulse Laser

Urology (Gold Journal) In Press - Wed, 06/21/2017 - 00:00
To compare the performance of variable and fixed pulse lasers on stone phantoms in vitro.
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Natural history of contralateral hypertrophy in patients with multicystic dysplastic kidneys

To evaluate predictive factors for compensatory hypertrophy and renal outcomes in a large cohort of patients with multicystic dysplastic kidneys (MCDK).
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Real-Time Changes in Brain Activity During Sacral Neuromodulation for Overactive Bladder

To use functional magnetic resonance imaging(fMRI) for identifying changes in brain activity during sacral neuromodulation(SNM) in women with overactive bladder(OAB) who were responsive to therapy.
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Kidney cancer prognosis: What you need to know

MedicalNewsToday - Mon, 06/19/2017 - 02:00
In this article, learn about kidney cancer, how it is diagnosed, and the different tests that may be undertaken. What is cancer staging?
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Re: Chronic Orchalgia after Surgical Exploration for Acute Scrotal Pain in Children

J. Hart, G. Pastore, M. Jones, A. Barker, J. Khosa and N. Samnakay
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Re: Peristeen® Transanal Irrigation in Paediatric Patients with Anorectal Malformations and Spinal Cord Lesions: A Multicentre Italian Study

P. Midrio, G. Mosiello, E. Ausili, P. Gamba, A. Marte, L. Lombardi, B. D. Iacobelli, E. Caponcelli, S. Marrello, M. Meroni, G. Brisighelli, E. Leva and C. Rendeli
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Room to Grow: What is the Current Role of Neuromodulation in Pediatric Bowel-Bladder Dysfunction?

Childhood voiding dysfunction or bowel-bladder dysfunction in the absence of an underlying neurological condition is characterized by a heterogeneous collection of symptoms, including fecal and urinary frequency/urgency and incontinence, urinary retention and chronic constipation. Historically treatment options have included behavioral modification (timed voiding, biofeedback), oral pharmacological agents (alpha blockers, anticholinergics, stool softeners) and surgical intervention for patients with severe/refractory dysfunction.
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Mesh Sling Removals: Why, When, How and Consequences

Surgical treatments for pelvic organ prolapse (POP) and stress urinary incontinence (SUI) using transvaginal mesh kits have provoked debates, controversies, strong opinions and class action liability lawsuits against mesh kit manufacturers. While the use of transvaginal mesh for POP reconstruction has waned considerably, using mesh slings (via the midurethral retropubic and midurethral transobturator approaches) for SUI remains popular. AUGS (American Urogynecologic Society) and SUFU (Society of Urodynamics, Female Pelvic Medicine and Urogenital Reconstruction) issued a joint position statement in January 2014 supporting midurethral mesh slings as the gold standard for surgical treatment of SUI.
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Reply by Authors

We absolutely agree that Ho:YAG lithotripsy is most efficient when stones are targeted directly with the laser fiber. Nevertheless the presence of multiple calyceal stones often presents a particular challenge, especially with hard stones such as CaOx monohydrate. Direct fragmentation will produce fragments exponentially. Targeting each stone separately may not always be easy due to kidney movement or retropulsion at high energy and short pulse fragmentation settings (reference 10 in article). Also, fragmentation and extraction may be time-consuming.
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Editorial Comment

The Ho:YAG laser works by a photothermal mechanism that involves direct absorption of photons on the stone surface.1 Ho:YAG lithotripsy is most efficient when the stone is in a fixed position and the stone surface is targeted in contact mode with the laser fiber oriented to the stone surface at a normal incidence (references 2 and 13 in article).1 Occasionally circumstances may render contact mode laser lithotripsy problematic. For example, in a calyx the fiber might not orient at all to the stone surface.
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