Urology News Feeds
MANAGEMENT OF RECURRENT PELVIC FLUID COLLECTIONS IN ADULT MALE BLADDER EXSTROPHY PATIENTS WITH MAINTAINANCE OF ERECTILE FUNCTION
“To describe management options for pelvic fluid collections in adult patients with classic bladder exstrophy.”
EDITORIAL COMMENT for manuscript: “Variant Presentations of the Exstrophy-Epispadias Complex: A 40 Year Experience” Manuscript Number: URL-D-18-01394R1
This manuscript is extremely valuable as it brings this unique cohort to the rest of the pediatric urology community. It is unlikely this type of experience will be replicated.
Proper patient selection and meticulous suturing were the keys to success in my experience with pyeloplasty. The attraction of the present publication is the presentation of both aspects. Are there good reasons to treat uretero pelvic obstruction (UPJO) different from what is proposed by the authors?
We greatly appreciate the thoughtful comments in regards to our manuscript, which highlight a number of important issues about the use of PSMA-PET. It should be noted at the outset that PSMA-PET should not be considered a standard imaging modality. In the United States, PSMA-PET is investigational and is not FDA approved. Although PSMA-PET may be considered standard of care in a few countries, its use in the United States is limited to clinical trials. Nonetheless, the prevalence of PSMA-PET is likely to increase the next few years, as we should be close to approval of this agent in the coming year.
Impact of Staging 68Ga-PSMA-11 PET scans on radiation treatment plans in patients with prostate cancer by Thomas Hope et al.
Hope et al.1 report on the impact of pre-treatment 68Ga-PSMA-PET/CT or PET/MRI in the management of 45 patients with high risk prostate cancer (PCA). Results of PSMA-PET/CTs were compared to the findings of CT scans and skeletal scintigraphy. Based on their data, PSMA-PET imaging resulted in changes of radiation therapy (RT) dose and volumes in 47% of the patients due to newly diagnosed N1/M1a disease. RT changes resulted in the extension of CTV covering the small pelvis and even the retroperitoneum or a RT boost to avid lymph nodes.
To evaluate the use of a new single port robotic system, da Vinci SP ® (Intuitive Surgical, Sunnyvale, CA, USA) in performing retzius-sparing radical prostatectomy in a cadaveric model.
MRI-Defined PSA Density Significantly Improves the Risk Prediction for Clinically Significant Prostate Cancer on Biopsy
To evaluate the predictive value of MRI-defined prostate-specific antigen (PSA) density and MRI interpretation for the detection of clinically significant prostate cancer (PCa).
Evaluation of Generic Versus Condition-Specific Quality of Life Indicators for Successful Urethral Stricture Surgery
To compare the utility of generic health quality of life (QOL) and disease-specific indicators as patient reported outcomes measures (PROM) for urethral stricture surgery.
Impact of staging 68Ga-PSMA-11 PET scans on radiation treatment plans in patients with prostate cancer
To evaluate the impact of staging 68Ga-PSMA-11 PET imaging on radiotherapy (RT) dose and volumes in patients with prostate cancer.
A bowel obstruction occurs when something blocks part of the small or large intestine. This blockage can be a serious problem if it is left untreated, so a person should speak to a doctor if they experience any of the symptoms. Learn more about these symptoms, the causes, treatment options, and diet tips here.
In the study “Non-Muscle Invasive Bladder Cancer Influences Physical Health Related Quality of Life and Urinary Incontinence, [insert first author name] and colleagues examine patient-reported quality of life and urinary incontinence outcomes associated with the diagnosis and management of non-muscle invasive bladder cancer. The study is based on SEER cancer registry data linked to patient-reported outcomes (PROs) data collected as part of the Medical Health Outcomes Survey (SEER-MHOS), which allowed the authors to not only evaluate patient-reported outcomes in a representative sample of bladder cancer patients managed with endoscopic and intravesical treatments, but also benchmark those outcomes to surveys taken from non-cancer controls who participated in MHOS as part of their Medicare Advantage plan.
To investigate the diagnosis, surgical management and outcomes in patients with variant EEC. Variant presentations of the exstrophy-epispadias complex (EEC) span a wide range of abnormalities. The rarity and diversity of EEC variants can lead to challenges in the diagnosis and subsequent management of this population.
We would like to thank [insert name of reviewer] for [his/her] thoughtful examination of this manuscript. As outlined, a major finding of this work is that patients with high-risk non-muscle invasive bladder cancer (NMIBC) as defined by the European Urological Association and American Urological Association [ref] had significantly worse patient reported outcomes compared to those with non-high-risk disease. The survey tools utilized for the Medicare Health Outcomes Survey (MHOS) are not cancer specific instruments, yet still demonstrated statistically and clinically significant decreases in physical and mental health-related quality of life.
To describe the presentation of a rare isolated ureteropelvic junction injury resulting from a mechanical fall on ice.
Non-Muscle Invasive Bladder Cancer Influences Physical Health Related Quality of Life and Urinary Incontinence
To evaluate the effects of non-muscle invasive bladder cancer (NMIBC) on health-related quality of life (HRQOL) and urinary function within patients diagnosed with NMIBC as compared to the general population.
UROFLOWMETRY BEFORE AND AFTER MEATOTOMY IN BOYS WITH SYMPTOMATIC MEATAL STENOSIS FOLLOWING NEONATAL CIRCUMCISION – A LONG-TERM PROSPECTIVE STUDY
To assess uroflowmetry in the long-term follow-up of symptomatic meatal stenosis patients prior to and following meatotomy. Severity of symptoms and treatment success have been defined by patient history, physical examination and witnessed voiding. Uroflowmetry might add objective parameters for the assessment, however long term data is lacking.
Comparison of recurrence and postoperative complications between 3 different techniques for surgical repair of idiopathic hydrocele
To determine if recurrence rates and complication rates differ between three different techniques for treatment of idiopathic hydrocele: Jaboulay bottleneck, Hydrocelectomy, or Lord's technique.
To evaluate outcomes after focal ablative therapy for renal cell carcinoma (RCC) in transplant allograft kidneys
Randomized Controlled Trial of Aquablation vs. Transurethral Resection of the Prostate in Benign Prostatic Hyperplasia: One-Year Outcomes
To report 1-year safety and efficacy outcomes after either Aquablation or TURP for the treatment of lower urinary tract symptoms related to BPH.
Efficacy and Safety of Non-Invasive Intravesical Instillation of Onabotulinum Toxin-A for Overactive Bladder and Interstitial Cystitis/Bladder Pain Syndrome: Systematic Review and Meta-analysis
To investigate the efficacy and safety of non-invasive intravesical instillation of OBTX-A through systematic review and meta-analysis. Recently, several studies of non-invasive intravesical instillation of Onabotulinum Toxin-A (OBTX-A) have been published. However, its efficacy is not well validated yet compared to well-known efficacy of minimally invasive intravesical injection of OBTX-A.