Urology News Feeds

Comparison of Adjuvant Radiation Therapy before or after Artificial Urinary Sphincter Placement: a Multi-Institutional, Retrospective Analysis

Urology (Gold Journal) In Press - Wed, 12/06/2017 - 06:00
To determine if the timing of radiation therapy on artificial urinary sphincter (AUS) impacts complication rates, revision rates, and number of pads per day after placement.
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Editorial Comment

For any urologist performing radical cystectomy with an ileal conduit PSH is a common complication. Hernias are difficult to manage and can be particularly bothersome to patients. Hussein et al confirm that the rate of PSH following robotic cystectomy parallels rates described for open cystectomy. A PSH developed in approximately 20% of patients and at least a third were symptomatic. While some of them can be managed conservatively, others require surgery. This begs the question of whether prophylactic mesh during stoma formation is warranted.
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Evaluation of guidelines for surgical management of urolithiasis

Many urological societies have provided evidence-based guidelines to help the urologist in making therapeutic choices. However, the recommendations given by these guidelines may be heterogeneous because they have been developed using a variety of methods. The objective of this study was to review key guidelines on the surgical management of urinary stones to provide practical guidance for clinical application.
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Urethral Rest with Suprapubic Cystostomy in Obliterative or Nearly Obliterative Urethral Strictures: Urethrographic Changes and Implications for Management

Precise pre-operative urethral stricture characterization is important for surgical planning. A period of urethral rest by suprapubic cystostomy tube may aid in stricture characterization and may affect the surgical approach. We compare the radiographic characterization of anterior urethral strictures by fellowship-trained reconstructive urologists before and after a period of urethral rest. We then determine how this changed the planned operative approach.
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Prostate Magnetic Resonance Imaging Provides Limited Incremental Value Over the Memorial Sloan Kettering Cancer Center Pre-Radical Prostatectomy Nomogram

Urology (Gold Journal) In Press - Mon, 12/04/2017 - 06:00
To examine the incremental value of prostate MRI when used in combination with the currently available preoperative risk stratification tool the Memorial Sloan Kettering Cancer Center Pre-Radical Prostatectomy Nomogram (MSKCC).
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Policy on Posthumous Sperm Retrieval: Survey of 75 Major Academic Medical Centers

Urology (Gold Journal) In Press - Mon, 12/04/2017 - 06:00
To evaluate the presence and content of policies on posthumous sperm retrieval at 75 major academic medical centers in the U.S.
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Reply

Urology (Gold Journal) In Press - Mon, 12/04/2017 - 06:00
We thank Reynaldo Gomez for the editorial and positive comments toward our work. We have had a unique experience with early endoscopic realignment (EER) at our institution and appreciate the opportunity to share our results. We agree that the management of a pelvic fracture urethral injury (PFUI) may be selective with the option for EER if open reduction and internal fixation (ORIF) is considered mandatory and the option for immediate suprapubic tube (SPT) placement with delayed urethroplasty for the remaining patients.
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Editorial Comment

Urology (Gold Journal) In Press - Mon, 12/04/2017 - 06:00
Early management of pelvic fracture urethral injuries (PFUIs) continues to be a controversy between basically 2 treatment strategies. Strategy 1 (S1) is early endoscopic realignment (EER) passing a catheter across the injury that is left for 3-6 weeks allowing the tear to heal. The other strategy (S2) is immediate placement of a suprapubic cystostomy (SPT) leaving the urethra untouched, for a subsequent delayed perineal urethroplasty. Despite many publications, this is an unresolved dilemma because of the lack of prospective comparative studies and because of selection bias and variable definitions of success.
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Re: da Vinci Xi and Si Platforms Have Equivalent Perioperative Outcomes during Robot-Assisted Partial Nephrectomy: Preliminary Experience

A. Abdel Raheem, A. Sheikh, D. K. Kim, A. Alatawi, I. Alabdulaali, W. K. Han, Y. D. Choi and K. H. Rha
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Re: Quantification of Renal Stone Contrast with Ultrasound in Human Subjects

B. W. Cunitz, J. D. Harper, M. D. Sorensen, Y. A. Haider, J. Thiel, P. C. May, Z. Liu, M. R. Bailey, B. Dunmire and M. Bruce
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Re: α-Lipoic Acid Treatment Prevents Cystine Urolithiasis in a Mouse Model of Cystinuria

T. Zee, N. Bose, J. Zee, J. N. Beck, S. Yang, J. Parihar, M. Yang, S. Damodar, D. Hall, M. N. O’Leary, A. Ramanathan, R. R. Gerona, D. W. Killilea, T. Chi, J. Tischfield, A. Sahota, A. Kahn, M. L. Stoller and P. Kapahi
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Re: Small-Molecule Targeting of E3 Ligase Adaptor SPOP in Kidney Cancer

Z. Q. Guo, T. Zheng, B. Chen, C. Luo, S. Ouyang, S. Gong, J. Li, L. L. Mao, F. Lian, Y. Yang, Y. Huang, L. Li, J. Lu, B. Zhang, L. Zhou, H. Ding, Z. Gao, L. Zhou, G. Li, R. Zhou, K. Chen, J. Liu, Y. Wen, L. Gong, Y. Ke, S. D. Yang, X. B. Qiu, N. Zhang, J. Ren, D. Zhong, C. G. Yang, J. Liu and H. Jiang
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Re: SOX2 Promotes Lineage Plasticity and Antiandrogen Resistance in TP53- and RB1-Deficient Prostate Cancer

P. Mu, Z. Zhang, M. Benelli, W. R. Karthaus, E. Hoover, C. C. Chen, J. Wongvipat, S. Y. Ku, D. Gao, Z. Cao, N. Shah, E. J. Adams, W. Abida, P. A. Watson, D. Prandi, C. H. Huang, E. de Stanchina, S. W. Lowe, L. Ellis, H. Beltran, M. A. Rubin, D. W. Goodrich, F. Demichelis and C. L. Sawyers
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Re: Evaluation of Kidney Stones with Reduced-Radiation Dose CT: Progress from 2011-2012 to 2015-2016—Not There Yet

K. Weisenthal, P. Karthik, M. Shaw, D. Sengupta, M. Bhargavan-Chatfield, J. Burleson, A. Mustafa, M. Kalra and C. Moore
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Re: Ureteroscopic Urinary Stone Treatment among Patients with Renal Anomalies: Patient Characteristics and Treatment Outcomes

J. D. Legemate, B. Baseskioglu, J. Dobruch, J. Gutierrez-Aceves, O. Negrete, C. Rioja Sanz, M. M. Yildiz and J. J. M. C. H. de la Rosette
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