Urology News Feeds
Diaphragmatic herniations of the ureter are a rare occurrence overall, with fewer than 10 cases reported. Obstructing nephrolithiasis in the setting of diaphragmatic ureteral herniation has sparsely been documented. Management options to consider include ureteroscopy and laser lithotripsy to alleviate obstruction in herniated ureters. The abnormal path of the ureter and surrounding structures pose unique risks that require careful attention and a high level of operator skill.We present imaging of an 84-year-old woman incidentally found to have right ureteral herniation through the diaphragm with an obstructing 8 mm stone in the right proximal ureter with moderate hydronephrosis.
Pure Single-Site Robot-Assisted Partial Nephrectomy Using The SP® Surgical System: Initial Clinical Experience
To describe the technique of pure single-site trans-peritoneal robotic partial nephrectomy using the da Vinci SP® surgical system.
A 27 year old Caucasian male with a history of chronic myeloid leukemia (CML), diagnosed at age 19, presented to his local emergency department with a painful persistent erection of 9 hours duration. He reported a history of two prior episodes of painful erections unrelated to sexual activity over the last two months, with each episode lasting less than four hours. Although his CML had been managed long-term with Imatinib (Gleevec), on presentation he admitted to medication noncompliance with Imatinib over the past year.
Factors that Influence Selection of Urinary Diversion among Bladder Cancer Patients in Three Community-Based Integrated Health Care Systems
To assess the relative contributions of patient and surgeon factors for predicting selection of ileal conduit (IC), neobladder (NB), or continent pouch (CP) urinary diversions (UD) for patients diagnosed with muscle-invasive/high-risk non-muscle invasive bladder cancer. This information is needed to enhance research comparing cancer survivors’ outcomes across different surgical treatment options.
To explore new therapies for castration-resistant prostate cancer (CRPC) to improve patients’ quality of life and extend life.
Traumatic penile pseudoaneurysm after straddle injury presenting with life threatening anemia: A unique case and a diagnostic challenge
Partial urethral disruption after blunt perineal trauma can be initially managed with urethral catheterization. Lower urinary tract symptoms after catheter removal should raise suspicion for urethral stricture and requires further investigation. Lesser known complications require high index of suspicion to prevent life threatening sequelae. In this report, we describe a case of blunt perineal trauma and partial urethral disruption in a pediatric patient presenting with refractory anemia due to a penile artery pseudoaneurysm.
Partially obstructed longitudinal vaginal septum presenting in adulthood with complaint of urinary incontinence
A longitudinal vaginal septum can be obstructive or non-obstructive. We report on an adult woman who presented with involuntary fluid loss per vagina and had a partially obstructive longitudinal vaginal septum. A 36 year-old nulliparous female presented with malodorous, clear, leakage per vagina that she described as “urinary incontinence”. Examination revealed a fluid filled fluctuant anterior vaginal wall with a draining sinus. Imaging revealed a solitary right kidney with duplicated ectopic fluid filled ureters inserting into a partially obstructed left hemivagina with a longitudinal vaginal septum.
When prostate cancer spreads to the bones, this is known as bone metastases. Although there is no cure for this advanced stage of prostate cancer, treatment can help relieve symptoms, improve quality of life, and extend life expectancy. Learn more here.
To illustrate our technique to construct the Institute of Urology Peking University (IUPU) orthotopic ileal bladder and present our initial experience.
Lupus is a complex and potentially serious autoimmune condition. It has a variety of symptoms and can affect different parts of the body. It is difficult to diagnose, but new scientific discoveries are making early diagnosis easier. Treatment can provide effective ways to manage symptoms and improve quality of life.
“Re:Direct Vision Internal Urethrotomy for Short Anterior Urethral Strictures and Beyond: Success Rates, Predictors of Treatment Failure and Recurrence Management”
I have read the articles of Kluth et al. named “Direct Vision Internal Urethrotomy for Short Anterior Urethral Strictures and Beyond: Success Rates, Predictors of Treatment Failure and Recurrence Management” with interest.1 In the discussion part of the article, publications of Zehri et al. were referenced.2 It is stated in the article that the success rate after internal urethrotomy is given as 37% in writing of Zehri et al. titled “Predictors of recurrence of urethral stricture disease following optical Urethrotomy”.
Reply: Letter-to-the-editor: Direct Vision Internal Urethrotomy for short anterior urethral strictures and Beyond: Success Rates, Predictors of Treatment Failure and Recurrence Management
we would like to thank the author of the letter to the editor for her or his correct notion that the recurrence rate of 37% as reported publication by Zehri et al.1 was falsely referenced as success rate in our article,2 and we would like to apologize for this erratum. However, the respective paragraph simply aims to roughly put the findings from our study into perspective of the available literature. Importantly, we did not draw any conclusions related to the erroneously assumed low success rate of 37%, and thus, we do believe that misleading or confusion due to this erratum is somehow negligible.
SYMPTOM DURATION IN PATIENTS WITH UROLOGIC CHRONIC PELVIC PAIN SYNDROME (UCPPS) IS NOT ASSOCIATED WITH PAIN SEVERITY, NON-UROLOGIC SYNDROMES AND MENTAL HEALTH SYMPTOMS: A MULTIDISCIPLINARY APPROACH TO THE STUDY OF CHRONIC PELVIC PAIN (MAPP) NETWORK STUDY
To evaluate if patients with urologic chronic pelvic pain syndromes (UCPPS) with longer duration of symptoms experience more severe pain and urologic symptoms, higher rates of chronic overlapping pain conditions (COPC) and psychosocial comorbidities than those with a more recent onset of the condition. We evaluated cross-sectional associations between UCPPS symptom duration and 1) symptom severity, 2) presence of COPC, and 3) mental health comorbidities.
Methylene blue injection via percutaneous renal cyst puncture used in flexible ureteroscope for treatment of parapelvic cysts: A modified method for easily locating cystic wall
To describe a modified technique for easily locating cystic wall during flexible ureteroscopic surgery for treatment of parapelvic renal cysts.
To describe a family in which three members presented with mixed epithelial tumor of the kidney (MEST) and were found to possess a germline mutation in CDC73, a gene which is associated with hyperparathyroidism-jaw tumor syndrome (HPT-JT).
Can the penile cuff test predict the outcome of Holmium laser enucleation of the prostate for benign prostatic obstruction?
To determine whether the penile cuff test can predict surgical outcomes prior to Holmium laser enucleation of the prostate for benign prostatic obstruction.
To describe the use of the robotic platform for proximal suture placement during perineal urethroplasty in the posterior and proximal anterior urethra. Repair of posterior urethral and proximal bulbar strictures requires deep perineal dissection, making visualization and accurate placement of sutures challenging. The robotic platform has demonstrated benefits in these characteristics in deep pelvic surgery.
En Bloc Thulium Laser Enucleation of the Prostate: a step-by-step guide to improve enucleation time and efficiency for endoscopic enucleation of prostatic adenoma
To present a reproducible step by step approach to En-Bloc Thulium Laser Enucleation of the Prostate (ThuLEP) for benign prostatic hyperplasia surgical treatment. Laser adenoma enucleation is nowadays a recognized surgical treatment for benign prostatic enlargement. Some variants to the classical 3-lobes laser techique have been proposed, in order to overcome the main concerns regarding the original procedure1, 2, 3, 4. After a vast experience with the 3-lobes ThuLEP, we developed our own en-bloc enucleation technique.
Effect of the Need for Pre-operative Dialysis on Peri-operative Outcomes on Patients Undergoing Laparoscopic Nephrectomy: An Analysis of the NSQIP Database
To investigate whether patients requiring dialysis are a higher risk surgical population and would experience more peri-operative adverse events even when undergoing a perceived less invasive operation as a laparoscopic radical nephrectomy (LRN). LRN is generally a well-tolerated surgical procedure with minimal morbidity and mortality. Prior to transplantation, dialysis patients will often have to undergo a LRN to remove a native kidney with a suspicious mass.
Medical treatments for hypogonadism do not significantly increase the risk of deep vein thrombosis over general population risk
To evaluate the risk of deep vein thrombosis (DVT) in men treated with testosterone replacement therapy (TRT) or Clomiphene Citrate (CC) and assess other etiologies for DVT as contributing factors.