Urology News Feeds
FINANCIAL BURDEN OF RECURRENT URINARY TRACT INFECTIONS IN WOMEN: A TIME-DRIVEN ACTIVITY-BASED COST ANALYSIS
To utilize Time-Driven Activity-Based Costing [TDABC] to quantify costs of managing recurrent urinary tract infections [RUTI] in women.
Juvenile granulosa cell tumors (JGCT) of the ovary are rare sex cord-stromal ovarian tumors that are typically diagnosed during the first two decades of life. Most patients present with precocious puberty in the early stages of disease. We present a rare case of asymptomatic uterine torsion from a 15-centimeter JGCT in a 5-year-old girl with elevated inhibin B, breast development, vaginal bleeding and a palpable right-sided abdominal mass.
The patient is an 86-year-old male who presented with hematuria and discoloration of his left hemiscrotum. He had a past medical history significant for atrial fibrillation on apixaban, coronary artery disease, hypertension, diabetes, and a repaired 8-cm abdominal aortic aneurysm. He had recently been successfully treated for a urinary tract infection. He also had history of inguinal hernia for over three years for which he had consulted a general surgeon who recommended observation in view of the patient's multiple comorbidities and absence of symptoms.
Patient Characteristics Associated with Completion of 24-hour Urine Analyses Among Children and Adolescents with Nephrolithiasis
To inform the development of strategies to improve adherence to guidelines, we sought to identify characteristics of pediatric patients with nephrolithiasis associated with completing 24-hour urine analyses.
Is very high power/frequency really necessary during laser lithotripsy? RE: Understanding the Popcorn Effect During Holmium Laser Lithotripsy for Dusting (Aldoukhi et al, Urology. 2018 Dec;122:52-57)
While the endo-urological community is still wondering about the most effective laser settings and strategies for intracorporeal lithotripsy, Aldoukhi et al1 recently tested in a laboratory setting different popcorning scenarios. Aside from the main study outcomes, the authors concluded that overall results trend favored using the highest frequency settings possible, regardless of pulse energy. More specifically, they claimed that settings with higher frequency may improve dusting outcomes.
To determine patient factors prompting anterior abdominal wall placement of the sacral nerve stimulator implantable pulse generator and investigate revision and infection rates for buttock (standard) and abdominal placement.
Reply to: Letter-to-the-editor: Understanding the popcorn effect during holmium laser lithotripsy for dusting
We thank the authors for their interest in our study. Our fundamental finding was that increasing the pulse frequency and the overall power led to significantly more fragmentation during popcorning. This was similar to what was also reported by Emiliani and colleagues.1 Moreover, we found that increasing the distance between the fiber tip and the stone decreased fragmentation. As noted, figure 2 showed that the percentage of submillimeter fragments when utilizing 40Hz and 80Hz at 0.5J was 67% and 73%, respectively.
Robotic Pyelolithotomy for the Intact Removal of a Complete Staghorn Calculus: A Feasible Approach Even After a Previous Open Pyelolithotomy
To describe the steps and technique of a robotic pyelolithotomy for complete removal of a left staghorn stone after a previous open pyelolithotomy.
To determine the most cost-effective approach to the management of distal ureteral stones in children given the potential for recurrent renal colic during a trial of passage versus potential stent discomfort and complications of ureteroscopy.
Acute kidney injury induced by pneumoperitoneum pressure via a mitochondrial injury-dependent mechanism in a rabbit model of different degrees of hydronephrosis
To clarify the effect of mitochondrial injury during laparoscopic surgery of the kidney in different degrees of hydronephrosis in rabbit model.
The relative efficacy and safety of mirabegron and onabotulinumtoxinA in patients with overactive bladder who have previously been managed with an antimuscarinic: A network meta-analysis
This study compared the efficacy and safety of mirabegron and onabotulinumtoxinA in the management of treatment-experienced patients with overactive bladder. The network meta-analysis was based on evidence from a systematic literature review of randomized controlled trials and a post-hoc analysis of treatment-experienced subpopulations from mirabegron studies. Nineteen trials described in 21 publications were included. Overall, compared to mirabegron, there was some evidence that onabotulinumtoxinA was associated with improved outcomes, including reductions in the number of micturitions in a 24-hour period, and the number of incontinence episodes.
Expanded Prostate Cancer Index Composite-26 (EPIC-26) Online: Validation of an Internet-Based Instrument for Assessment of Health-Related Quality of Life after Treatment for Localized Prostate Cancer
To test the validity of an Internet-based version of EPIC-26 versus the phone-based version. Most men will survive for years after treatment for localized prostate cancer (PCa) and may experience lasting treatment-related toxicities affecting health-related quality of life (HRQoL). The Expanded Prostate Cancer Index Composite (EPIC-26) is a validated instrument that measures HRQoL across 5 PCa-specific domains. Previously, EPIC-26 was administered via phone in a large multicenter clinical trial.
Testicular Volume Changes in Laparoscopic Staged Fowler-Stephens Orchiopexy: Studying the Impact of Testicular Vessel Division
To study the effect of testicular vessel division on testicular volume during laparoscopic staged Fowler Stephens orchiopexy (LSFSO).
To explore the use of neo-vaginal advancement flaps in the treatment of distal urethral strictures with description of the techniques and preliminary results in transwomen.
Distribution of Semen Parameters Among Adolescent Males Undergoing Fertility Preservation in a Multicenter International Cohort
To determine the distribution of semen parameters among adolescent and adult males presenting for fertility preservation.
To understand trends in pediatric cases performed during urology residency including intra-resident variability and cases performed relative to required minimums.
Downgrading of Grade Group After Radical Prostatectomy: Comparison of Multiparametric Magnetic Resonance Imaging Guided Fusion Biopsy and Standard 12-Core Biopsy
To analyze the factors associated with Grade group (GG) downgrading post-radical prostatectomy.
Consistencies and discrepancies between the expectations of urology trainees and the experience of practicing urologists
To compare the expectations of urology trainees with the experience of practicing urologists.
To examine trends in underrepresented minority (URM) representation in urology residency. Comparison is made between URM representation in urology residency and URM representation in other surgical fields as well as all medical fields. We hypothesized that percentage of URM in urology has been limited when compared to both surgical fields and all other fields.