Urology News Feeds

A Retroperitoneal Serous Cystadenoma of Müllerian Origin Masquerading as a Massive Renal Cyst

Urology (Gold Journal) In Press - Mon, 04/10/2017 - 00:00
A 78 year old female presented to the Urology clinic with a large, symptomatic left-sided abdominal cyst for many years believed to be renal in etiology and had been percutaneously drained three times prior with persistent regrowth. The patient underwent laparoscopic resection of this mass which proved to be a completely distinct retroperitoneal cystic structure and not renal in nature. Pathological analysis ultimately revealed a rare occurrence: a benign retroperitoneal Müllerian serous cystadenoma.
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Predicting Complications Following Robot-Assisted Partial Nephrectomy with the ACS-NSQIP Universal Surgical Risk Calculator

We evaluated the predictive value of the American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) surgical risk calculator in a tertiary referral cohort of patients undergoing robot-assisted partial nephrectomy (RAPN).
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Devascularized Parenchymal Mass Associated with Partial Nephrectomy: Predictive Factors and Impact on Functional Recovery

Parenchymal mass loss is the predominant factor associated with functional outcomes after partial nephrectomy (PN), and is primarily due to excised parenchymal mass (EPM) and/or devascularized parenchymal mass (DPM). We evaluate the importance of EPM and DPM relative to functional recovery after PN.
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Staged Tubularized Auto-Graft (STAG) Repair for Primary Proximal Hypospadias with ≥30° Ventral Curvature

We report outcomes in consecutive patients with primary proximal hypospadias and ventral curvature≥ 30° after degloving, all repaired by 2-stage tubularized autografts (STAG), a variation of the Nicolle-Bracka procedure.
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What causes an overactive bladder?

MedicalNewsToday - Fri, 04/07/2017 - 05:00
Learn about why some people have an overactive bladder, causing the need for frequent or sudden urination. What can be done to prevent it?
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Majority of incontinence treatments deliver poor results

MedicalNewsToday - Fri, 04/07/2017 - 02:00
Surgery is the most reliable method of treatment for incontinence - curing the condition in just over eight in ten cases; other types of treatment, meanwhile, do not deliver the same kind of...
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The Impact of Health Literacy and Clinicodemographic Factors on Use of Discharge Services After Radical Cystectomy

There are few data regarding the relationship between health literacy and discharge disposition. We hypothesized that patient discharge needs after radical cystectomy (RC) are affected by health literacy.
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Focal Laser Ablation of Prostate Cancer: Feasibility of MRI/US Fusion for Guidance

Focal laser ablation (FLA) is a potential treatment for some men with prostate cancer (CaP). As currently practiced, FLA is performed by radiologists in a MRI unit (in-bore). We evaluated the safety and feasibility of performing FLA in a urology clinic (out-of-bore), using magnetic resonance imaging-ultrasound (MRI/US) fusion for guidance.
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Severity of Preoperative Proteinuria is a Risk Factor for Overall Mortality in Patients Undergoing Nephrectomy

Chronic kidney disease may adversely affect survival following nephrectomy. Proteinuria is increasingly used as a marker for kidney disease. However, the relationship between preoperative proteinuria and survival following nephrectomy remains incompletely characterized. We sought to evaluate the association of preoperative proteinuria with overall and cancer-specific survival using our institutional nephrectomy registry.
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Safety of Mesh Use in Vaginal Cystocele Repair: Analysis of National Patient Characteristics and Complications

The use of mesh in vaginal cystocele repair has declined. We analyzed the American College of Surgeons National Surgical Quality Improvement Project (NSQIP) database to compare outcomes of repairs with and without mesh.
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Editorial Comment

OAB is a highly prevalent condition, impacting approximately 16% of adults in the United States and significantly reducing quality of life.1 The recommended treatment options are well described in the AUA (American Urological Society)/SUFU (Society of Urodynamics, Female Pelvic Medicine and Urogenital Reconstruction) OAB guidelines, including tier 1—behavioral therapy, tier 2—oral medications (antimuscarinics and β3-agonists) and tier 3—onabotulinumtoxinA, sacral neuromodulation and PTNS.2 The lack of long-term persistence of the oral medications is well documented.
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Editorial Comment

Despite evidence of benefit1 tibial nerve stimulation is not widely performed with current technology since the delivery of therapy is often resource intensive and the response is hard to predict. Percutaneous delivery of therapy and application of therapy by the patient potentially could revolutionize the use of tibial nerve stimulation. Needle-free (transcutaneous) stimulation, in which an implant is placed adjacent to the target site, thereby enabling the patient to self-administer tibial nerve stimulation, could clearly have a great impact.
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Overactive bladder: Symptoms, myths, and misconceptions

MedicalNewsToday - Thu, 04/06/2017 - 05:00
In this article learn about overactive bladder. What is it, what are the symptoms and who does it affect? Is it the same as stress urinary incontinence?
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The Relationship between Diabetes, Diabetes Severity, Diabetes Biomarkers and the Presence of Lower Urinary Tract Symptoms: Findings From the National Health and Nutrition Examination Survey (NHANES)

Urology (Gold Journal) In Press - Thu, 04/06/2017 - 00:00
To characterize the associations between diabetes mellitus (DM) and lower urinary tract symptoms (LUTS). This study focuses on the relationships between specific diabetic characteristics (e.g. severity, biomarkers) and the prevalence of LUTS.
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From Galen's Urine to Harvey's Blood

Urology (Gold Journal) In Press - Thu, 04/06/2017 - 00:00
“If Harvey had a foothold on Galen's shoulder, he was nevertheless gazing off in a different direction.”
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Differences in Cavernosal Artery Parameters According to Different Anatomic Sampling Locations during the Diagnosis of Vascular Erectile Dysfunction Using Duplex Ultrasound

Urology (Gold Journal) In Press - Thu, 04/06/2017 - 00:00
Objective.To establish a standard location for examining penile cavernosal arteries (CAs) using dynamic duplex Doppler ultrasound (PDDU) examination in the diagnosis of non-arterial erectile dysfunction (ED) or arterial insufficiency.Materials and Methods.Two groups of 105 patients each were enrolled. The first group (age 56.3 ± 6.0 years) displayed clinical patterns of arterial insufficiency; the second group (age 35.2 ± 4.7 years) displayed clinical patterns of non-arterial ED. The patients had their peak systolic velocity (PSV), end diastolic velocity (EDV), resistive index (RI = PSV-EDV/PSV x 100) and acceleration time of the cavernosal arteries measured using PDDU at the crura and at the midpoint between the penoscrotal junction and the coronal sulcus (mid penis).
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Trans-scrotal Near Infrared Spectroscopy as a Diagnostic Test for Testis Torsion in Pediatric Acute Scrotum: A Prospective Comparison to Gold Standard Diagnostic Test Study

A rapid test for testicular torsion in children may obviate delay for testicular ultrasound. This study assessed testicular tissue percent saturation of oxygen (%StO2) measured by trans-scrotal near-infrared spectroscopy (NIRS) as a diagnostic test for pediatric testicular torsion.
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