Urology News Feeds

Most Gleason 8 Biopsies are Downgraded on Prostatectomy: Does 4+4=7?

Non-representative biopsy sampling of prostate cancers with a biopsy Gleason score of 8 can adversely influence decisions regarding androgen deprivation among men receiving primary radiation therapy. The frequency of and factors associated with downgrading of Gleason 8 biopsies at prostatectomy are not well known.
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Postoperative complications following primary penile inversion vaginoplasty among 330 male-to-female transgender patients

Studies of surgical complications from penile inversion vaginoplasty are limited due to small sample sizes. We describe postoperative complications after penile inversion vaginoplasty and evaluate age, BMI, and years on hormone replacement therapy (HRT) as risk factors for complications.
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This Month in Adult Urology

Learning to use a surgical robot is easy. Learning to perform robotic surgery is not. The same corollary applies with open surgery. Facility at tying knots or handling a scalpel is not the same as knowing how to perform surgical procedures. Nonetheless, basic technical abilities are a prerequisite to skillfully conducting surgery. This became a pertinent issue with the introduction of the robot as it was necessary for surgeons to acquire a new and foreign skill set. Assessing when a surgeon has sufficient proficiency with surgical robotic skills has been a subject of ongoing interest and debate.
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Re: Surgical Histopathology for Suspected Oncocytoma on Renal Mass Biopsy: A Systematic Review and Meta-Analysis

H. D. Patel, S. C. Druskin, S. P. Rowe, P. M. Pierorazio, M. A. Gorin and M. E. Allaf
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Re: A Phase II Study of Intermittent Sunitinib in Previously Untreated Patients with Metastatic Renal Cell Carcinoma

M. C. Ornstein, L. S. Wood, P. Elson, K. D. Allman, J. Beach, A. Martin, B. R. Zanick, P. Grivas, T. Gilligan, J. A. Garcia and B. I. Rini
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Re: Stability of Geriatric Syndromes in Hospitalized Medicare Beneficiaries Discharged to Skilled Nursing Facilities

S. F. Simmons, S. Bell, A. A. Saraf, C. S. Coelho, E. A. Long, J. M. Jacobsen, J. F. Schnelle and E. E. Vasilevskis
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Re: Associations of Various Health-Ratings with Geriatric Giants, Mortality and Life Satisfaction in Older People

T. Puvill, J. Lindenberg, J. Gussekloo, A. J. de Craen, J. P. Slaets and R. G. Westendorp
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Percutaneous Vesicoscopic Approach for Retrograde Ureteroscopy Following Cohen Cross-Trigonal Ureteral Reimplantation

Urology (Gold Journal) In Press - Tue, 10/10/2017 - 00:00
Obtaining retrograde access into a ureter that has been previously reimplanted in a cross-trigonal fashion can be a challenging procedure. We describe a percutaneous vesicoscopic approach to obtain access into a reimplanted ureter in order to perform ureteroscopy and laser lithotripsy.
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Predictive Factors of Overactive Bladder after Artificial Urinary Sphincter Implantation in Men with Post-Prostatectomy Incontinence

Urology (Gold Journal) In Press - Tue, 10/10/2017 - 00:00
To investigate the rates and predictive factors associated with the development of de novo overactive bladder (OAB) and assess the effects of de novo OAB on surgical outcomes after artificial urinary sphincter (AUS).
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Giant Abdominal Wall Pseudocyst after Open Radical Cystectomy

Urology (Gold Journal) In Press - Tue, 10/10/2017 - 00:00
An abdominal wall pseudocyst refers to an encapsulated collection of fluid located superficially in the rectus abdominal muscles. This uncommon complication is diagnosed based on physical examination and computed tomography results. However, the etiology of its formation remains unclear. It can be effectively treated by surgery including complete excision of the cyst. Here, we report imaging findings of a giant pseudocyst in the anterior abdominal wall, following an open radical cystectomy.
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A Survey of Morcellator Preference and Cost Comparison of the Lumenis® VersaCut™ and Wolf Piranha Morcellators

Urology (Gold Journal) In Press - Tue, 10/10/2017 - 00:00
To evaluate OR costs associated with the two available morcellators in the United States in a matched cohort and to determine BPH surgeon's morcellator preference.
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Comparative Analysis of Surgery, Thermal Ablation and Active Surveillance for Renal Oncocytic Neoplasms

Urology (Gold Journal) In Press - Tue, 10/10/2017 - 00:00
To compare oncologic and procedural outcomes for renal oncocytic tumors treated with surgery, thermal ablation or active surveillance.
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The Association Between Mortality and Distance to Treatment Facility in Patients with Muscle Invasive Bladder Cancer

Regionalization of bladder cancer treatment is suggested to improve quality of care. As an unintended consequence, some patients travel farther for care with unknown implications on outcomes. We characterize the relationship between distance and overall mortality in patients with invasive bladder cancer and those who undergo radical cystectomy.
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Biopsy Core Features are Poor Predictors of Adverse Pathology in Men with Grade Group 1 Prostate Cancer

Active surveillance (AS) is often restricted to patients with low-risk prostate cancer (PCa) with three or fewer positive cores. We aimed to identify predictors of adverse pathology for low-risk PCa treated with radical prostatectomy (RP) and to determine if a threshold number of positive cores could help the decision process for AS.
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Quantitative Analysis of Technological Innovation in Urology

Urology (Gold Journal) In Press - Mon, 10/09/2017 - 00:00
To assess major areas of technological innovation in urology in the last 20 years using patent and publication data.
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Pseudomyxoma Peritonei Arising From Urachal Mucinous Adenocarcinoma

Urology (Gold Journal) In Press - Mon, 10/09/2017 - 00:00
Pseudomyxoma peritonei is a rare clinical condition which can arise from various primary tumors with different biological behaviour. An intraperitoneal spread of mucus is the characteristic of the disease. Here we provide images from a rare entity, a pseudomyxoma peritonei arising from urachal mucinous adenocarcinoma. If clinical suspicion is high, the preoperative imaging could be almost pathognomonic of the disease.
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A Survey Regarding Preference in Management of Bilateral Stone Disease and Comparison of Clavien Complication Rate in Bilateral Versus Unilateral Percutaneous Nephrolithotomy

Urology (Gold Journal) In Press - Mon, 10/09/2017 - 00:00
To discuss complications of simultaneous bilateral percutaneous nephrolithotomy (SB-PCNL) when compared to unilateral percutaneous nephrolithotomy (U-PCNL) and survey surgeon preference in bilateral stone disease management.
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