Urology News Feeds
Urinary Bladder Versus Gastrointestinal Tissue: a Comparative Study of Their Biomechanical Properties for Urinary Tract Reconstruction
ObjectiveTo evaluate the mechanical properties of gastrointestinal (GI) tissue segments and to compare them with the urinary bladder for urinary tract reconstruction.MethodsUrinary bladders and GI tissue segments were sourced from porcine models (n=6, 7 months old [5 male; 1 female]). Uniaxial planar tension tests were performed on bladder tissue and Cauchy stress-stretch ratio responses were compared with stomach, jejunum, ileum and colonic GI tissue.ResultsThe biomechanical properties of the bladder differed significantly to jejunum, ileum and colonic GI tissue.
The authors have astutely identified the key issue prompting our analysis of testicular germ cell tumor (TGCT) outcomes in Hispanics, namely, the significant demographic shifts occurring throughout the country. Although our own institution in Texas has historically cared for a large Hispanic population—both native born and recent immigrants—Hispanics are the fastest-growing demographic in the United States,1 and the proportion of Hispanic patients we care for, and indeed the rest of the country cares for, will continue to rise.
Hispanics account for a large and growing share of the population of the United States: they currently make up 1 in 5 of the people living in the U.S. and are projected to account for 1 in 4 residents by 20451. Recent studies have shown that although non-Hispanic white (NHW) men have the highest incidence of testicular germ cell tumors (TGCTs), there has been a significant increase in the rate of TGCTs in Hispanic men in the last 25 years2,3. Over the next decade, incidence rates among Hispanic men are forecast to continue to increase and surpass the rates among NHW men by 20263.
To assess the use of a handheld optical coherence tomography (OCT) probe for the evaluation of intraoperative surgical margins during partial nephrectomy (PN).
IMPACT of ALLERGY and RESISTANCE on ANTIBIOTIC SELECTION for RECURRENT URINARY TRACT INFECTIONS in OLDER WOMEN
To review the impact of antibiotic allergy and resistance in older women with recurrent urinary tract infections (RUTIs) as determinants for a suitable oral antibiotic treatment choice.
Incidental Discovery of Adenocarcinoma of an Augmented Bladder in a Patient with Myelomenigocele Undergoing Cystolithotomy
Bladder malignancy in patients with congenital bladder anomalies who have undergone bladder augmentation is a rare but well recognized condition. These patients present with locally advanced or metastatic disease and have poor survival. We report a case of a patient with myelomeningocele who was incidentally found to have a high grade intestinal type adenocarcinoma of her bladder augment at the time of cystolithotomy. This case highlights the need to continue to follow patients with congenital bladder anomalies and questions if there are better screening methods available.
Percutaneous Tibial Nerve Stimulation in the Office Setting: Real World Experience of Over 100 Patients
To examine the outcomes and compliance with percutaneous tibial nerve stimulation (PTNS) for overactive bladder symptoms (OAB).
Evaluation of Urinary DNA Methylation as a Marker for Recurrent Bladder Cancer: a Two-Center Prospective Study
To clarify the clinical utility of urinary DNA methylation for detection of intravesical recurrence of non-muscle invasive BCa (NMIBC), we performed a 2 center prospective study.
Incidence of Stress Urinary Incontinence Following Posterior Urethroplasty for Radiation-Induced Urethral Strictures
To identify the frequency of de novo SUI after posterior excision and primary anastomotic (EPA) urethroplasty in patients with radiation-induced urethral strictures (RIUS) and compare to patients with pelvic fracture urethral injuries (PFUI).
Population-Based Analysis of Treatment Toxicity among Men with Castration-Resistant Prostate Cancer: a Phase IV Study
To assess the toxicity and effectiveness of contemporary metastatic castrate-resistant prostate cancer (mCRPC) treatments at a population-level, among all patients in Ontario particularly treated with newer agents including abiraterone, enzalutamide, docetaxel and cabazitaxel.
Incidence of Visible Haematuria among Antithrombotic Agents: a Systematic Review of Over 175,000 Patients
To determine the probability of visible haematuria with antithrombotic agents and to evaluate association of urological etiology in antithrombotic-related haematuria
Combined Partial Penectomy with Bilateral Robotic Inguinal Lymphadenectomy Using Near Infrared Fluorescence Guidance.
To describe our novel technique for performing a combined partial penectomy and bilateral robotic inguinal lymphadenectomy (ILDN) using intraoperative near infrared (NIR) fluorescence guidance with Indocyanine Green (ICG) and the DaVinci Firefly camera system.
To improve confirmation of complete tumor thrombus removal in advanced malignancy, we report on our experience using intraoperative vena cavoscopy using a flexible cystoscope to confirm complete thrombus resection. Patients with renal cell carcinoma (RCC) or testicular cancer (TC) associated with inferior vena caval tumor involvement benefit from surgical resection of the primary tumor and tumor thrombus. Intraoperative assessment of the vena cava represents a technical challenge, particularly when the thrombus is friable, involves the hepatic veins, or there is caudal extension of thrombus towards the bifurcation.
We read the editorial comment on our work with great interest and thank the authors for launching an important discussion regarding the underlying reasons for heterogeneous adoption of prostate-specific antigen (PSA) testing recommendations on a state-level.
Following the United States Preventative Services Task Force (USPSTF) recommendation against prostate specific antigen (PSA) testing in 2011, we have seen many publications highlighting that utilization of PSA testing has decreased nationwide.1 The state-by-state analysis published here adds to the growing literature that the USPSTF testing recommendations led to decreased PSA screening. However, the authors of this manuscript cleverly subset this into geography and determine that the adoption of these guidelines isn't uniform.