Urology News Feeds

Re: Primary Realignment for Pelvic Fracture Urethral Injury is Associated with Prolonged Time to Urethroplasty and Increased Stenosis Complexity

A. Horiguchi, M. Shinchi, A. Masunaga, K. Okubo, K. Kawamura, K. Ojima, K. Ito, T. Asano and R. Azuma
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Re: Natural History of Low-Stage Urethral Strictures

R. S. Purohit, R. Golan, F. Copeli, J. Weinberger, M. Benedon, G. Mekel and J. G. Blaivas
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Re: Robot-Assisted Kidney Transplantation: The European Experience

A. Breda, A. Territo, L. Gausa, V. Tuğcu, A. Alcaraz, M. Musquera, K. Decaestecker, L. Desender, M. Stockle, M. Janssen, P. Fornara, N. Mohammed, G. Siena, S. Serni, L. Guirado, C. Facundo and N. Doumerc
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Re: Trial of Transplantation of HCV-Infected Kidneys into Uninfected Recipients

D. S. Goldberg, P. L. Abt, E. A. Blumberg, V. M. Van Deerlin, M. Levine, K. R. Reddy, R. D. Bloom, S. M. Nazarian, D. Sawinski, P. Porrett, A. Naji, R. Hasz, L. Suplee, J. Trofe-Clark, A. Sicilia, M. McCauley, M. Farooqi, C. Gentile, J. Smith and P. P. Reese
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Why does my urine smell like ammonia?

MedicalNewsToday - Tue, 02/13/2018 - 11:00
A look at urine that smells like ammonia, which can have many causes. Included is detail on when to see a doctor and treatments for the condition.
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FDA BRUDAC 2018 Criteria for Interstitial Cystitis/Bladder Pain Syndrome Clinical Trials: Future Direction for Research

For 3 decades the 1988 NIDDK (National Institutes of Diabetes and Digestive and Kidney Diseases) criteria for the research definition of interstitial cystitis (IC) has not only driven the design and outcomes for clinical trials, but also shaped the definition of the clinical condition.1 In the last 4 decades only 2 interventions, intravesical dimethyl sulfoxide (RIMSO-50) and pentosan polysulfate sodium (Elmiron), have been approved (1978 and 1996, respectively) for the treatment of IC. On December 7, 2017 the FDA (U.S.
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Re: Fuchs et al.: Is Delayed Phase Computed Tomography Imaging Necessary After Blunt Renal Trauma in Children? (Urology 2017; in press)

Urology (Gold Journal) In Press - Tue, 02/13/2018 - 00:00
In this single center, retrospective study, the authors evaluated whether failure to obtain delayed phase imaging at presentation affects outcomes following pediatric renal trauma. They found that no differences in rates of subsequent urologic interventions, repeat computed tomography (CT) scans or readmission rates when comparing children who did or did not undergo delayed phase imaging. As such, they question the necessity of routinely obtaining delayed imaging in pediatric renal trauma patients.
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Re: Is Delayed Phase Computed Tomography Imaging Necessary After Blunt Renal Trauma in Children? (Urology)

Urology (Gold Journal) In Press - Tue, 02/13/2018 - 00:00
We thank the author(s) of the Letter to the Editor for taking the time to bring up important points regarding our paper. In our study we attempted to evaluate if there was a difference in clinical outcomes for children who underwent computed tomography (CT) scan with delayed imaging for blunt renal trauma and those who did not. We approached this topic in the context of current guidelines emphasizing the importance of decreasing the level of radiation exposure in children whenever clinically feasible.
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Re: is Delayed Phase Computed Tomography Imaging Necessary after Blunt Renal Trauma in Children?

Urology (Gold Journal) In Press - Tue, 02/13/2018 - 00:00
In this single center, retrospective study, the authors evaluated whether failure to obtain delayed phase imaging at presentation affects outcomes following pediatric renal trauma. They found that no differences in rates of subsequent urologic interventions, repeat CT scans or readmission rates when comparing children who did or did not undergo delayed phase imaging. As such, they question the necessity of routinely obtaining delayed imaging in pediatric renal trauma patients. While we commend the authors for their attempts to minimize radiation exposure, we believe drawing conclusions regarding the safety of omitting delayed imaging is premature.
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Re: Is Delayed Phase CT Imaging Necessary after Blunt Renal Trauma in Children?

Urology (Gold Journal) In Press - Tue, 02/13/2018 - 00:00
We thank the author(s) of the letter-to-the-editor for taking the time to bring up important points regarding our manuscript. In our study we attempted to evaluate if there was a difference in clinical outcomes for children who underwent CT scan with delayed imaging for blunt renal trauma and those who did not. We approached this topic in the context of current guidelines emphasizing the importance of decreasing the level of radiation exposure in children whenever clinically feasible. We fully acknowledge however that any attempt at decreasing radiation exposure cannot interfere with clinical needs and that the limitations of our study prohibit change in practice until further data is available.
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Bladder Re-augmentation in Classic Bladder Exstrophy: Risk Factors and Prevention

Urology (Gold Journal) In Press - Mon, 02/12/2018 - 00:00
To characterize the causes of re-augmentation in patients with classic bladder exstrophy (CBE).
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80-W GreenLight Laser Vaporization Versus Transurethral Resection of the Prostate for Treatment of Benign Prostatic Obstruction: 5-Year Outcomes of a Single-Center Prospective Randomized Trial

Urology (Gold Journal) In Press - Mon, 02/12/2018 - 00:00
To assess long term functional and safety follow-up data after 80-W GreenLight photoselective vaporization (GL PV) of the prostate and transurethral resection of the prostate (TURP).
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Reply by Authors

LUTS are increasing in super aging society and greatly influence patient quality of life. Although LUTS are usually managed by several medications, some symptoms in patients persist even after ordinary treatment due to the unclear mechanisms of LUTS. In current study to develop new treatments we tried to find cues in the detailed etiology of LUTS using metabolomics analysis.
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Editorial Comment

Benign prostatic hyperplasia/LUTS remain a highly prevalent condition that can cause significant morbidity as men age. Although there have been numerous studies describing risk factors for benign prostatic hyperplasia/LUTS, the true etiology remains elusive.1 This pilot study by Mitsui et al offers a tantalizing new concept: that alterations in metabolism as reflected in plasma metabolites may be associated with LUTS. Their findings that LUTS are associated with an increase in plasma levels of glutamate and with lower arginine, asparagine and inosine monophosphate suggest that metabolic shifts may have a role in LUTS among men.
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Bladder Re-Augmentation in Classic Bladder Exstrophy: Risk Factors and Prevention

Urology (Gold Journal) In Press - Mon, 02/12/2018 - 00:00
To characterize the causes of re-augmentation in patients with classic bladder exstrophy.
Categories: Urology News Feeds

80-W GreenLight Laser Vaporization Versus Transurethral Resection of the Prostate for Treatment of Benign Prostatic Obstruction: 5-Year Outcomes of a Single-Center Prospective Randomized Trial

Urology (Gold Journal) In Press - Mon, 02/12/2018 - 00:00
To assess long term functional and safety follow-up data after 80-W GreenLight photoselective vaporization (GL PV) of the prostate and transurethral resection of the prostate (TURP).
Categories: Urology News Feeds

What is penis shrinkage and why does it happen?

MedicalNewsToday - Sun, 02/11/2018 - 08:00
A look at penis shrinkage, which is the decrease in penis size. Included is detail on why it happens, when to see a doctor, and what is normal.
Categories: Urology News Feeds

All you need to know about UTIs in men

MedicalNewsToday - Sat, 02/10/2018 - 11:00
Learn all about urinary tract infections in men, which are less frequent but can be more serious than UTIs in women. We look at symptoms and treatments.
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This Month in Adult Urology

Often clinicians would prefer to overlook the economic implications of medicine and simply provide the indicated care for their patients. Some health care delivery systems permit aspects of such an approach more than others but all require the physician to be involved in the process. In fact, decisions made by the doctor often are the primary driving factor in health care utilization and, consequently, costs. As indicated by Juan et al (page 000) from Ann Arbor, Michigan in this issue of The Journal, there can be considerable variation in health care expenditure for what otherwise are similar medical problems.
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