Urology News Feeds

Hypothermic Cooling Measured by Thermal MRI Imaging; Feasibility and Implications for Virtual Imaging in the Urogenital Pelvis.

Urology (Gold Journal) In Press - Tue, 07/18/2017 - 00:00
To study the combination of thermal MRI imaging and novel hypothermic cooling, via an Endorectal Cooling Balloon (ECB) to assess the effective dispersion and temperature drop in pelvic tissue to potentially reduce inflammatory cascade in surgical applications.
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Prone Percutaneous Nephrolithotomy: Does Bolster Orientation Matter?

Urology (Gold Journal) In Press - Tue, 07/18/2017 - 00:00
To assess whether horizontal versus vertical bolster orientation affects kidney position during prone percutaneous nephrolithotomy as this could impact the need for supracostal access and therefore the likelihood of pleural injury.
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Long-term testosterone therapy improves urinary and sexual function and quality of life in men with hypogonadism: Results from a propensity-matched subgroup of a controlled registry study

To investigate the effects of long-term testosterone (T) therapy (TTh) on urinary and sexual functions and quality of life (QoL) in hypogonadal men.
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Psychological Health and Pediatric Urology: The Missing Chapter in Our Surgical Atlas

In the book, Unaccountable, Makary describes 2 surgeons, Hodad and Raptor.1 Hodad was an acronym for “Hands of Death and Destruction.” Although he was a poor surgeon with many complications, Hodad’s patients worshiped him for his compassionate bedside manner and warm demeanor. Raptor, on the other hand, was an outstanding technical surgeon with good judgment. Unfortunately he was curt and abrasive and often offended patients, who hated him. Ironically many asked to have their care transferred to Hodad.
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Re: Presence of Invasive Cribriform or Intraductal Growth at Biopsy Outperforms Percentage Grade 4 in Predicting Outcome of Gleason Score 3+4=7 Prostate Cancer

C. F. Kweldam, I. P. Kümmerlin, D. Nieboer, E. W. Steyerberg, C. H. Bangma, L. Incrocci, T. H. van der Kwast, M. J. Roobol and G. J. van Leenders
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Re: Association between Radiation Therapy, Surgery, or Observation for Localized Prostate Cancer and Patient-Reported Outcomes after 3 Years

D. A. Barocas, J. Alvarez, M. J. Resnick, T. Koyama, K. E. Hoffman, M. D. Tyson, R. Conwill, D. McCollum, M. R. Cooperberg, M. Goodman, S. Greenfield, A. S. Hamilton, M. Hashibe, S. H. Kaplan, L. E. Paddock, A. M. Stroup, X. C. Wu and D. F. Penson
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Re: Association between Radiation Therapy, Surgery, or Observation for Localized Prostate Cancer and Patient-Reported Outcomes after 3 Years

D. A. Barocas, J. Alvarez, M. J. Resnick, T. Koyama, K. E. Hoffman, M. D. Tyson, R. Conwill, D. McCollum, M. R. Cooperberg, M. Goodman, S. Greenfield, A. S. Hamilton, M. Hashibe, S. H. Kaplan, L. E. Paddock, A. M. Stroup, X. C. Wu and D. F. Penson
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Re: Germline Mutations in ATM and BRCA1/2 Distinguish Risk for Lethal and Indolent Prostate Cancer and are Associated with Early Age at Death

R. Na, S. L. Zheng, M. Han, H. Yu, D. Jiang, S. Shah, C. M. Ewing, L. Zhang, K. Novakovic, J. Petkewicz, K. Gulukota, D. L. Helseth, Jr., M. Quinn, E. Humphries, K. E. Wiley, S. D. Isaacs, Y. Wu, X. Liu, N. Zhang, C. H. Wang, J. Khandekar, P. J. Hulick, D. H. Shevrin, K. A. Cooney, Z. Shen, A. W. Partin, H. B. Carter, M. A. Carducci, M. A. Eisenberger, S. R. Denmeade, M. McGuire, P. C. Walsh, B. T. Helfand, C. B. Brendler, Q. Ding, J. Xu and W. B. Isaacs
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Re: Active Surveillance in Younger Men with Prostate Cancer

M. S. Leapman, J. E. Cowan, H. G. Nguyen, K. K. Shinohara, N. Perez, M. R. Cooperberg, W. J. Catalona and P. R. Carroll
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Surgery for early prostate cancer may not save lives

MedicalNewsToday - Mon, 07/17/2017 - 02:00
Most men just as likely to survive with limited or no treatment.A major 20-year study provides further evidence that prostate cancer surgery offers negligible benefits to many men with...
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Editorial Comment

The authors should be congratulated on continuing their initial phase III trial as an open label, prospective study to monitor the long-term safety and tolerability of solifenacin. Given that oxybutynin is the only Food and Drug Administration approved medication for OAB in children, there is a great need to expand the pediatric urologist’s armamentarium for this common diagnosis.
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Retroperitoneal Lymphadenectomy in High-Risk Non-Metastatic Renal Cell Carcinoma: An Analysis of the ASSURE (ECOG-ACRIN 2805) Adjuvant Trial

Lymphadenectomy (LND) is a well-established practice in many urologic malignancies; however, its role in renal cell carcinoma (RCC) is less clear. Our primary objective was to determine whether LND impacted survival in patients with fully resected high-risk RCC.
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Caution with Use of the Expanded Prostate Cancer Index Composite-50 Urinary Bother Scale: How Voiding Dysfunction Modifies Its Performance

We evaluated the agreement between patient-reported urinary function and bother, and sexual function and bother in radical prostatectomy (RP) patients to help inform possible non-functional, modifiable mechanisms for patient bother.
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Analysis of factors associated with patient or caretaker regret following surgery for fecal incontinence

The Malone Antegrade Continence Enema (MACE) has been a successful and widely used procedure to achieve fecal continence in children. We present data on the previously uninvestigated issue of patient and caretaker regret following surgery for intractable constipation and fecal incontinence.
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Value of Tracking Biopsy in Men Undergoing Active Surveillance of Prostate Cancer

To compare the upgrading rate obtained by re-sampling precise spots of prostate cancer (tracking biopsy) vs conventional systematic re-sampling, during follow-up of; men in active surveillance.
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A Comprehensive Analysis of Cribriform Morphology on MR/US Fusion Biopsy Correlated with Radical Prostatectomy Specimens

Recently, a large body of evidence has emerged recognizing that cribriform morphology is an aggressive prostate cancer morphological pattern associated with higher cancer-specific mortality. In a comprehensive analysis, we compared traditional and contemporary prostate biopsy techniques for detection of prostate cancer with cribriform morphology and used radical prostatectomy as a reference standard.
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Blood platelet volume represents a novel prognostic factor in non-metastatic renal cell carcinoma patients and improves the predictive ability of established prognostic scores

The average size of blood platelets determined by the mean platelet volume (MPV), might represent a biologically meaningful parameter in carcinogenesis and potentially serve as novel prognostic biomarker in renal cell carcinoma (RCC).
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The Use of Prostate-Specific Antigen Screening in Purchased Versus Direct Care Settings: Data from the Tricare Military Database

Fee for service (FFS) reimbursement incentives may affect care. We sought to compare odds of PSA screening among former and active duty United States (US) military service members based on receipt of primary care from integrated military health facilities versus community providers reimbursed via FFS.
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Re: Sharp Decline in Prostate Cancer Treatment among Men in the General Population, but Not among Diagnosed Men

T. Borza, S. R. Kaufman, V. B. Shahinian, P. Yan, D. C. Miller, T. A. Skolarus and B. K. Hollenbeck
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