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Editorial Comment

Urology (Gold Journal) In Press - Thu, 11/02/2017 - 05:00
Urinary diversion for benign disease is often performed for quality of life indications and for prevention of adverse long-term sequelae, such as chronic kidney disease. However, the survival or even quality of life benefits of urinary diversion in the non-oncologic setting have yet to be firmly established, despite its known surgical morbidity. The authors present their data examining perioperative risk factors for morbidity and mortality following urinary diversion, as well as their cohort's intermediate-term survival rates.
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How often should you poop each day?

MedicalNewsToday - Wed, 11/01/2017 - 07:00
A look at how many times you should poop a day, including what is normal and abnormal, factors affecting how often you go, and when to see a doctor.
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This Month in Pediatric Urology

The majority of children who suffer blunt abdominal trauma are evaluated with contrast computerized tomography (CT) to identify and stage abdominal and urological injuries. The classic triphasic scan with late imaging, which includes delayed post-contrast imaging to completely evaluate suspected renal injury, is considered the gold standard. With increasing sensitivity regarding radiation exposure in children, some centers eliminate the delayed image, irrespective of the grading of the renal injury on initial contrast images.
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Systematic Review of Decision Aids for the Management of Men with Localized Prostate Cancer.

Urology (Gold Journal) In Press - Tue, 10/31/2017 - 05:00
A broader range of decisional tools should be investigated. This paper will update the decisional outcome data and assess the features of decisional tool. Literature search strictly followed the PRISMA guideline. Articles that cited Lin et al. and Violette et al. were searched. Features of decisional tools were analyzed using the IPDASi criteria. The scores of the 31 decisional tools ranged from 6 to 15, which did not correlate proportionally with the positive decisional outcomes. Personal importance appeared to be a significant component.
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Reply by Authors

In the comment a pioneer in AS of bladder cancer (reference 5 in article) documents the need for a conservative cost-effective strategy to manage low grade Ta bladder tumors. We report AS in a select subset of patients with a robust proof of concept. However, the statement remains unsatisfactory. In our series we noted about a 50% failure rate. Such data document how poorly we are doing in selecting ideal candidates for AS.
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Editorial Comment

LG bladder tumors are the most common urothelial neoplasm. Despite the “benign” behavior of these bladder tumors subsequent similar tumors often develop in patients. The required endoscopic monitoring and treatment account for a significant part of the high cost of bladder cancer care. Lazzeri et al emphasize the advantages to the patient and the health care system of AS of patients with small, new papillary LG Ta appearing bladder tumors following a prior histological diagnosis of LG Ta or possibly LG T1a bladder cancer.
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Editorial Comment

Endoscopic urethrotomy and self-dilation continue to be the most commonly performed treatments for urethral strictures despite dismal long-term success rates (reference 20 in article). Although urethroplasty is the definitive surgical treatment for urethral strictures, it continues to be underused, performed at less than 10% of all stricture procedures.1
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