Urology News Feeds

How much fiber is too much?

MedicalNewsToday - Thu, 03/22/2018 - 12:00
Eating too much fiber can cause bloating, gas, and constipation. Find out how much fiber is too much and how to relieve symptoms in this article.
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Targeted Antimicrobial Prophylaxis Does Not Always Prevent Sepsis after Transrectal Prostate Biopsy

We compared the effectiveness of targeted prophylaxis to augmented empirical prophylaxis and single agent empirical prophylaxis to prevent sepsis after transrectal prostate biopsy.
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Comparative Survival Following Initial Cytoreductive Nephrectomy Versus Initial Targeted Therapy for Metastatic Renal Cell Carcinoma

The optimal sequence of cytoreductive nephrectomy (CN) and targeted therapy (TT) in metastatic renal cell carcinoma (mRCC) is unclear. We sought to compare overall survival (OS) between patients with mRCC receiving initial CN (iCN) with or without subsequent TT versus initial TT (iTT) with or without subsequent CN.
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Intraoperative Conversion From Partial to Radical Nephrectomy: Incidence, Predictive Factors, and Outcomes

Urology (Gold Journal) In Press - Thu, 03/22/2018 - 00:00
To evaluate preoperative and intraoperative predictors of conversion to radical nephrectomy (RN) in a cohort of patients undergoing a planned partial nephrectomy (PN) for renal cell carcinoma (RCC).
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Evaluation of Vasectomy Trends in the United States.

Urology (Gold Journal) In Press - Thu, 03/22/2018 - 00:00
To use the Truven Health MarketScan® (THM) database to better approximate the annual rate of vasectomies performed in the US population, determine changes over time, regional differences, providers performing this, and if there is any monthly variation in vasectomy rates.
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Volume and Shape Assessment of Renal Radiofrequency Ablation Lesion

Urology (Gold Journal) In Press - Thu, 03/22/2018 - 00:00
To evaluate the microscopic characteristics and quantify the volume of a radiofrequency ablation (RFA) lesion.
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No Appendix is Too Short—Simultaneous Mitrofanoff Catheterizable Vesicostomy and Malone Antegrade Continence Enema (MACE) for Children with Spina Bifida

Urology (Gold Journal) In Press - Thu, 03/22/2018 - 00:00
To present the results of simultaneous creation of both Mitrofanoff stoma and Malone antegrade continence stoma (MACE) using simple division of the appendix and a cecal extension method.
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Autologous Rectus Fascia Graft Interposition Repair of Urethrocutaneous Fistulae in Female-to-Male Metoidioplasty Patients

Urology (Gold Journal) In Press - Thu, 03/22/2018 - 00:00
To describe our technique and outcomes using an autologous rectus fascia interposition graft for repair of recurrent urethrocutaneous fistulae (UCF) following metoidioplasty.
Categories: Urology News Feeds

Decisional Quality in Patients with Small Renal Masses

Urology (Gold Journal) In Press - Thu, 03/22/2018 - 00:00
To measure decisional quality in patients being counseled on treatment for small renal masses and identify potential areas of improvement.
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Sacral Neuromodulation and Twiddler's Syndrome

Urology (Gold Journal) In Press - Thu, 03/22/2018 - 00:00
Twiddler's syndrome is the deliberate, inadvertent, or subconscious manipulation of an implantable generator within its subcutaneous pocket that can lead to malposition and fracture of the associated lead. The syndrome is well recognized in patients with pacemakers, implantable cardioverter defibrillators, deep brain stimulators, and more recently in intrathecal drug delivery devices. Here we present an instance of Twiddler's syndrome after sacral neuromodulation.
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Although I can attribute the phrase to

Urology (Gold Journal) In Press - Thu, 03/22/2018 - 00:00
Although I can attribute the phrase to no singular source, I have frequently described to patients that our current robotic operating platform is “a million dollar sewing machine.” Depending upon one's purview and ego, the surgeon who has invested years of his or her life developing and refining pure laparoscopic skills may likewise make this claim about himself or herself. Perhaps both statements are true, and although this book review is not intended to exclusively address the “man versus machine” argument, it is nevertheless important to highlight the comparative outcomes among both adult and pediatric patients undergoing robotic and laparoscopic reconstructive procedures.
Categories: Urology News Feeds

Intraoperative Conversion From Partial to Radical Nephrectomy: Incidence, Predictive Factors, and Outcomes

Urology (Gold Journal) In Press - Thu, 03/22/2018 - 00:00
ObjectivesTo evaluate preoperative and intraoperative predictors of conversion to radical nephrectomy (RN) in a cohort of patients undergoing a planned partial nephrectomy (PN) for renal cell carcinoma (RCC).MethodsA single center, retrospective review was conducted using our PN database that includes patients who were scheduled to undergo PN (regardless of the approach) but were converted to RN between August 1990 and December 2016. Reasons for conversion were collected from the operative report.
Categories: Urology News Feeds

Evaluation of Vasectomy Trends in the United States.

Urology (Gold Journal) In Press - Thu, 03/22/2018 - 00:00
To use the Truven Health MarketScan® (THM) database to better approximate the annual rate of vasectomies performed in the US population, determine changes over time, regional differences, providers performing this, and if there is any monthly variation in vasectomy rates.
Categories: Urology News Feeds

Volume and Shape Assessment of Renal Radiofrequency Ablation Lesion

Urology (Gold Journal) In Press - Thu, 03/22/2018 - 00:00
To evaluate the microscopic characteristics and quantify the volume of a radiofrequency ablation (RFA) lesion.
Categories: Urology News Feeds

No Appendix is Too Short - Simultaneous Mitrofanoff Catheterizable Vesicostomy and Malone Antegrade Continence Enema (MACE) for Children with Spina Bifida

Urology (Gold Journal) In Press - Thu, 03/22/2018 - 00:00
To present the results of simultaneous creation of both Mitrofanoff stoma and Malone antegrade continence stoma (MACE) using simple division of the appendix and a cecal extension method.
Categories: Urology News Feeds

Although I can attribute the phrase to

Urology (Gold Journal) In Press - Thu, 03/22/2018 - 00:00
Although I can attribute the phrase to no singular source, I have frequently described to patients that our current robotic operating platform is “a million dollar sewing machine.” Depending upon one's purview and ego, the surgeon who has invested years of his or her life developing and refining pure laparoscopic skills may likewise make this claim about himself or herself. Perhaps both statements are true, and although this book review is not intended to exclusively address the “man versus machine” argument, it is nevertheless important to highlight the comparative outcomes among both adult and pediatric patients undergoing robotic and laparoscopic reconstructive procedures.
Categories: Urology News Feeds

Autologous Rectus Fascia Graft Interposition Repair of Urethrocutaneous Fistulae in Female-to-Male Metoidioplasty Patients

Urology (Gold Journal) In Press - Thu, 03/22/2018 - 00:00
ObjectiveTo describe our technique and outcomes using an autologous rectus fascia interposition graft for repair of recurrent urethrocutaneous fistulae (UCF) following metoidioplasty.Materials and MethodsA circumferential incision is made to the skin surrounding the UCF and carried to the level of the underlying subcutaneous tissues. The inner fistula skin edges are closed with a running 5-0 monofilament absorbable suture to obliterate the urethral side. The length of the urethral wound is measured and an appropriate sized rectus fascia graft harvested from a small transverse lower abdominal incision that is also used for concomitant percutaneous suprapubic tube placement.
Categories: Urology News Feeds

Decisional Quality in Patients with Small Renal Masses

Urology (Gold Journal) In Press - Thu, 03/22/2018 - 00:00
To measure decisional quality in patients being counseled on treatment for small renal masses and identify potential areas of improvement.
Categories: Urology News Feeds

Sacral Neuromodulation and Twiddler's Syndrome

Urology (Gold Journal) In Press - Thu, 03/22/2018 - 00:00
Twiddler's syndrome is the deliberate, inadvertent, or subconscious manipulation of an implantable generator within its subcutaneous pocket which can lead to malposition and fracture of the associated lead.1 The syndrome is well-recognized in patients with pacemakers, implantable cardioverter-defibrillators, deep brain stimulators and more recently in intrathecal drug delivery devices.1-3 Here we present an instance of Twiddler's syndrome after sacral neuromodulation [SNM].
Categories: Urology News Feeds

Targeted Antimicrobial Prophylaxis Does Not Always Prevent Sepsis after Transrectal Prostate Biopsy

We compared the effectiveness of targeted prophylaxis (TP) to augmented empirical prophylaxis (AEP) and single agent empirical prophylaxis (SAEP) in preventing sepsis after transrectal prostate biopsy (TRPB).
Categories: Urology News Feeds