Urology News Feeds

Patient Decision-Making and Predictors of Genital Satisfaction Associated with Testicular Prostheses after Radical Orchiectomy: a Questionnaire-Based Study of Men with Germ Cell Tumors of the Testicle

Urology (Gold Journal) In Press - Sun, 10/28/2018 - 00:00
To better understand patient decision-making and genital satisfaction associated with post-orchiectomy testicular prosthesis implantation in patients with germ cell tumors of the testicle.
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Relationship between Central Obesity, General Obesity, Overactive Bladder Syndrome and Urinary Incontinence Among Male and Female Patients Seeking Care for their Lower Urinary Tract Symptoms

Urology (Gold Journal) In Press - Sat, 10/27/2018 - 00:00
To describe the relationship between metabolic factors and lower urinary tract symptoms (LUTS), overactive bladder syndrome (OAB) and urinary incontinence (UI).
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FROM PROSTATE HEALTH TO OVERACTIVE BLADDER: DEVELOPING A CROSSWALK FOR THE IPSS TO OAB-V8

Urology (Gold Journal) In Press - Fri, 10/26/2018 - 00:00
There are multiple patient-reported outcome (PRO) instruments developed for assessing the severity of lower urinary tract symptoms (LUTS) in men. Generally, the scores from different condition-specific PRO instruments cannot be compared. The purpose of this study was to develop the statistical model to enable the comparison of two common PRO instruments in male LUTS.
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How have hospital pricing practices for surgical episodes of care responded to Affordable Care Act-related Medicaid expansion?

Urology (Gold Journal) In Press - Fri, 10/26/2018 - 00:00
To determine how Medicaid expansion under the ACA has affected hospital pricing practices for surgical episodes of care.
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Combined placement of artificial urinary sphincter and inflatable penile prosthesis does not increase risk of perioperative complications or impact long-term device survival

Urology (Gold Journal) In Press - Fri, 10/26/2018 - 00:00
To determine the impact of concurrent inflatable penile prosthesis (IPP) and artificial urinary sphincter (AUS) implantation on perioperative complications and long term device survival, among men with post-prostatectomy erectile dysfunction and urinary incontinence.
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Cystadenoma Of The Seminal Vesicle: A Case Report Of Rare Seminal Vesical Tumour and review of literature

Urology (Gold Journal) In Press - Fri, 10/26/2018 - 00:00
Although the secondary involvement of the seminal vesicles by prostate cancer is relatively common, seminal vesicle as a primary site for neoplastic disease is uncommon.1 There are a wide variety of tumors among primary seminal vesicle tumors that are derived from both the epithelium and stroma. Hence, they have been classified as mixed epithelial-stromal tumours. This report describes a 32-year- old man who presented with a retrovesical cystic mass that was initially thought to be a prostatic tumour but demonstrated pathologically to be a cystadenoma of the seminal vesicles
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Vapoenucleation of the prostate using 180W GreenLight laser

Urology (Gold Journal) In Press - Thu, 10/25/2018 - 00:00
The Vapoenucleation of the prostate using green laser is an alternative hybrid technique between vaporization and enucleation. It consists in vaporizing the lateral lobes and enucleating the median lobe.The advantages compared with PVP are: a fairly fast operation, low re-operation rates, it's suitable for large glands and provides pathology specimen.The aim of this video is to demonstrate the vapoenucleation technique step-by-step.
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Utilization of Active Surveillance as Initial Management for Newly Diagnosed Prostate Cancer: Data from the Pennsylvania Urologic Regional Collaborative

We aimed to describe contemporary active surveillance (AS) utilization and variation in a regional prostate cancer collaborative, and to identify demographic and disease-specific factors associated with the use of AS for men with newly diagnosed prostate cancer.
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Feasibility of a fully-implanted, nickel-sized and shaped tibial nerve stimulator for the treatment of overactive bladder syndrome with urgency urinary incontinence

We conducted a clinical feasibility trial to evaluate the safety and efficacy of a fully-implanted, primary battery-powered, nickel-sized and shaped neuromodulation device called the eCoinTM (Valencia Technologies Corp., Valencia, CA, USA) for tibial nerve stimulation to treat refractory urgency urinary incontinence.
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The prognostic value of the proportion/architectural patterns of intraductal carcinoma of the prostate (IDC-P) in patients with de novo metastatic prostate cancer

Intraductal carcinoma of the prostate (IDC-P) is an adverse prognosticator of prostate cancer (PCa). However, the roles of the IDC-P proportion and architectural patterns in patient outcomes remain unclear.
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Single-Port Robot-Assisted Radical Prostatectomy: First Clinical Experience Using The SP® Surgical System

Urology (Gold Journal) In Press - Wed, 10/24/2018 - 00:00
To describe the first clinical experience with the novel purpose-built single-port robotic platform after FDA approval.
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Delayed return of ejaculatory function in adolescent males treated with RPLND and adjuvant therapy for paratesticular rhabdomyosarcoma

Urology (Gold Journal) In Press - Tue, 10/23/2018 - 00:00
Due to the rarity of the disease, adverse events related to ejaculatory function following the management of paratesticular rhabdomyosarcoma (ptRMS) with multi-modal therapy in adolescents are rarely discussed. Two patients, age 14 and 15 at time of diagnosis were treated with multi-modal therapy with nerve-sparing retroperitoneal lymph node dissection (NS-RPLND), chemotherapy, and radiotherapy. Each developed ejaculatory dysfunction during the treatment period, which resolved 1 year after completion of all therapies.
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Constructing and Pilot Testing a Novel Prostate MRI/US Fusion Biopsy Phantom

Urology (Gold Journal) In Press - Tue, 10/23/2018 - 00:00
To describe the design and build of a novel phantom for MRI/US fusion biopsy, and present pilot testing results from a multi-center urology resident training session.
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Management of high-grade, non-muscle invasive urothelial carcinoma in a pre-pubertal patient with TURBT and intravesical BCG

Urology (Gold Journal) In Press - Tue, 10/23/2018 - 00:00
High-grade urothelial carcinoma (UC) of the bladder is rare in the pediatric population with no established guidelines for management. We treated a single female patient, 10 years of age, who was found to have high-grade, non-muscle invasive UC endoscopically and with intravesical BCG. Given the child's age, no local adult institution could provide BCG therapy. Utilizing the experience of the local adult institutions, we developed a comprehensive protocol for first-time delivery of BCG at a free-standing children's hospital.
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The Perioperative Morbidity of Transurethral Resection of Bladder Tumor: Implications for Quality Improvement

Urology (Gold Journal) In Press - Tue, 10/23/2018 - 00:00
To characterize the perioperative morbidity of transurethral resection of bladder tumor (TURBT) in order to identify important determinants of both quality and cost in the delivery bladder cancer care.
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Real-world Impact of Minimally Invasive Versus Open Radical Cystectomy on Perioperative Outcomes and Spending

Urology (Gold Journal) In Press - Tue, 10/23/2018 - 00:00
To evaluate the effect of the minimally invasive approach on spending and perioperative outcomes for patients undergoing radical cystectomy for bladder cancer. In a randomized control trial conducted at high volume centers, robotic and open cystectomy were shown to have similar outcomes. However, because the majority of cystectomies are performed in low-volume centers, it is unknown whether these findings are broadly generalizable.
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Non-Clinical Barriers to Care for Neurogenic Patients Undergoing Complex Urologic Reconstruction

Urology (Gold Journal) In Press - Tue, 10/23/2018 - 00:00
To identify non-clinical factors affecting post-operative complication rates in patients with neurogenic bladder undergoing benign genitourinary (GU) reconstruction.
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Risk Prediction of Prostate Cancer with Single Nucleotide Polymorphisms (SNPs) and Prostate-Specific Antigen (PSA)

Combined information on single nucleotide polymorphisms (SNPs) and prostate-specific antigen (PSA) offers opportunities for improving the performance of screening by risk stratification. We aimed to predict the risk of prostate cancer (PrCa) based on PSA together with SNPs information.
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Describing the Spectrum of Patient Reported Outcomes after Radical Prostatectomy: Providing Information to Improve Patient Counseling and Shared Decision Making

Preoperative counseling incorporating the best-case, worst-case, and most-likely outcome scenarios aid patients’ decision making. This information is not readily available for prostate cancer counseling because most patient reported outcomes are presented as averages, which minimize individual patient experiences. Using the Expanded Prostate Index Composite (EPIC), we present data to characterize the best and worst-case after prostatectomy.
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Emerging complications following alternative reservoir placement during inflatable penile prosthesis placement: a 5-year multi-institutional experience.

Alternative, or ectopic, reservoir placement (ARP) has recently gained popularity among prosthetic surgeons in order to avoid injury to pelvic structures during inflatable penile prosthesis (IPP) implantation. However, the true incidence of complications associated with these new techniques remain understudied. We carried out a 5-year multi-center retrospective study with the aim to evaluate complications related to alternative reservoir placement.
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