Urology News Feeds

Five Year Follow-up Results of a Prospective, Multicenter Study in Overactive Bladder Subjects Treated with Sacral Neuromodulation

To evaluate therapeutic success rate, changes in quality of life (QOL) and safety with sacral neuromodulation (SNM) at 5 years after InterStim™ implant. Subjects with bothersome symptoms of overactive bladder (OAB) including urinary urge incontinence (UI) and/or urgency-frequency (UF), who had failed at least 1 anticholinergic medication and had at least 1 medication untried were included.
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Biopsy-Detected Gleason Pattern 5 is Associated with Recurrence, Metastasis, and Mortality in a Cohort of Men with High-Risk Prostate Cancer

To evaluate the relative risk of biochemical recurrence (BCR), metastasis, and death from prostate cancer contributed by biopsy Gleason pattern 5 among high-risk men with Gleason 8–10 disease in the Shared Equal Access Regional Cancer Hospital (SEARCH) cohort.
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Simple test predicts return of bladder cancer

MedicalNewsToday - Mon, 07/10/2017 - 02:00
Scientists have devised a simple test for an earlier and more accurate warning of returning bladder cancer than existing methods, according to research published in the British Journal of Cancer.
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National Guidelines Can Have Divergent Regional Implications

Urology (Gold Journal) In Press - Mon, 07/10/2017 - 00:00
The authors have reported on their prostate biopsy experience since the 2012 United States Preventive Services Task Force (USPSTF) recommendations. Despite having a pre-2012 pattern of low initial screening in their region, the authors still found significant differences in their outcomes by the most recent time period, with a rise in PSA at biopsy, a decrease in the diagnosis of low-grade disease, and an increase in the diagnosis of high-grade disease, all with a stable rate of benign biopsies.
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Cloacal Duplication: Single Center Experience in the Management of a Rare Anomaly

Urology (Gold Journal) In Press - Mon, 07/10/2017 - 00:00
Cloacal duplication is an exceedingly rare group of anomalies with a limited number of cases reported so far. The anomaly may be confined to partial bladder duplication or it may involve complete duplication of the urogenital tract, hindgut, spine, lower limbs and vascular structures. Every case is unique and ought to be approached individually. By means of imaging studies and endoscopy, anatomic details should be carefully defined before endorsing surgical correction. A satisfactory outcome can be achieved in the majority of cases.
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Melamine Poisoning Pediatric Urolithiasis Treatment in Gansu, China 5-Yrfollow-Up Analysis

Urology (Gold Journal) In Press - Mon, 07/10/2017 - 00:00
To investigate the clinical characteristics of urolithiasis children retrospectively who ingested melamine-poisoned formula as infants and report a five-year follow-up analysis.
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The Effects Of Neoadjuvant Axitinib On Anthropometric Parameters In Patients With Locally Advanced Non-Metastatic Renal Cell Carcinoma

Urology (Gold Journal) In Press - Mon, 07/10/2017 - 00:00
To examine the effect that neoadjuvant axitinib for the treatment of localized renal cell carcinoma has on body compartment composition.
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Magnetic Resonance Imaging and Pelvic Fracture Urethral Injuries

Urology (Gold Journal) In Press - Mon, 07/10/2017 - 00:00
Pelvic fracture urethral injuries (PFUI) are devastating lesions leading to fibrosis and urethral disruption resulting in recurrent strictures, urinary incontinence, fistulae and even erectile dysfunction, representing a management problem for the urologist. Magnetic resonance imaging (MRI) may be a valuable tool in establishing or confirming the diagnosis by providing detailed anatomy and estimating disease extent. We present a comprehensive review of the current literature on the role of MRI on diagnostic evaluation and surgical management of these patients.
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Comparative Evaluation of Bladder Specific Health Related Quality of Life (HRQOL) Instruments for Bladder Cancer

Urology (Gold Journal) In Press - Mon, 07/10/2017 - 00:00
To compare two bladder cancer specific health related quality of life instruments (HRQOL) in the same patient population. Previous HRQOL studies in cystectomy patients have yielded conflicting results. Using a cross sectional study design we examined the only two validated Bladder Cancer Specific (HRQOL) measures.
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Can a Simplified 12-Hour Night Time Urine Collection Predict Urinary Stone Risk?

Urology (Gold Journal) In Press - Mon, 07/10/2017 - 00:00
To determine if there is correlation between night time 12-hour and traditional 24-hour urine collection in regards to chemistry values and the super-saturations of calcium oxalate, calcium phosphate, and uric acid for the metabolic evaluation of nephrolithiasis.
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Scrotal Ultrasound for Pain: Low Frequency of Absolute Surgical Indications

Urology (Gold Journal) In Press - Mon, 07/10/2017 - 00:00
To examine the results of scrotal ultrasounds conducted for scrotal or testicular pain and review the pathologic findings of orchiectomies done for lesions that were suspicious for malignancy on ultrasound.
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Reply by Authors

We agree that prospective studies are required to place this field on a more solid foundation. Nevertheless, it is perhaps a good time to take stock of what we have learned about functional recovery after PN (reference 1 in article).1,2 Clinical relevance is not debatable. New baseline GFR can impact survival on a longitudinal basis, particularly in patients with preexisting chronic kidney disease. Ischemia was once thought to be the most important factor affecting functional recovery after PN. Great efforts were made to eliminate ischemia and yet the benefit was marginal at best.
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Editorial Comment

Dong et al report that renorrhaphy related DPM seems to have more of an impact than excised parenchyma on the functional outcome after PN. Notwithstanding the limitations of the study (retrospective design, different types of ischemia and estimation of parenchymal mass based on in vivo and ex vivo measurements) we agree with these findings.
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Deep Infiltrating Endometriosis – Urinary Tract Involvement and Predictive Factors for Major Surgery

Urology (Gold Journal) In Press - Fri, 07/07/2017 - 00:00
To evaluate urinary tract involvement by deep infiltrating endometriosis (DIE) as well as the surgical treatment and existence of predictive factors for major urologic surgery.
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Distal Ureteral Diameter Ratio is Predictive of Breakthrough Febrile Urinary Tract Infection

Distal ureteral diameter ratio (UDR) is an objective measure that is prognostic of spontaneous vesicoureteral reflux (VUR) resolution. Along with likelihood of resolution, improved identification of children at risk for recurrent febrile urinary tract infections (fUTI) may impact management decisions. We evaluated the utility of UDR as a predictive factor for breakthrough fUTI.
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Robotic versus Open Level I-II Inferior Vena Cava Thrombectomy: A Matched Group Comparative Analysis

To compare treatment outcomes of robotic inferior vena cava (IVC) thrombectomy (R-IVCTE) vs open IVC thrombectomy (O-IVCTE) for renal tumors with level I-II IVC tumor thrombus.
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Robotic buccal mucosal graft ureteroplasty for complex ureteral stricture

Urology (Gold Journal) In Press - Thu, 07/06/2017 - 00:00
To demonstrate robot assisted ureterolysis and buccal mucosal graft (BMG) ureteroplasty for the management of a complex, long recurrent ureteral stricture developing after ureterolysis, and also demonstrate the use of Near-infrared fluorescence imaging (NIRF), and intraoperative ureteroscopy during this procedure.
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Urinary Diversion with Versus Without Bowel Anastomosis in Patients with Existing Colostomy: a Multi-Institutional Study

Urology (Gold Journal) In Press - Thu, 07/06/2017 - 00:00
To describe the short-term outcomes with the bowel anastomosis vs. no bowel anastomosis approach in adult patients undergoing urinary diversion.
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Surgical Management of Adult Acquired Buried Penis: Escutcheonectomy, Scrotectomy, and Penile Split Thickness Skin Graft

Urology (Gold Journal) In Press - Thu, 07/06/2017 - 00:00
To demonstrate the surgical management of adult acquired buried penis (AABP). Affected patients have poor sexual function, urinary dribbling with subsequent skin breakdown, mood disturbance, lichen sclerosus with subsequent urethral stricture, and poor quality of life (QoL). Previous efforts have described limited repairs including isolated resection of the escutcheon which unfortunately often leads to reburying. We present a more extensive surgical repair including escutcheonectomy, scrotoplasty, and penile split-thickness skin graft (STSG) to provide durable definitive repair.
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Urinary-Cutaneous Fistulae Following Conservative Management of Extraperitoneal Bladder Ruptures

Urology (Gold Journal) In Press - Thu, 07/06/2017 - 00:00
To evaluate our experience with urinary−cutaneous fistulae (UCF) in patients following conservative management of extraperitoneal bladder ruptures (EBR) due to blunt trauma.
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