Urology News Feeds

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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Re: Rates of Prostate Surgery and Acute Urinary Retention for Benign Prostatic Hyperplasia in Men Treated with Dutasteride or Finasteride

J. G. Kuiper, I. D. Bezemer, M. T. Driessen, A. Vasylyev, C. G. Roehrborn, F. J. Penning-van Beest and R. M. Herings
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Re: Detrusor Muscle in TUR-Derived Bladder Tumor Specimens: Can we Actually Improve the Surgical Quality?

P. Capogrosso, U. Capitanio, E. Ventimiglia, L. Boeri, A. Briganti, R. Colombo, F. Montorsi and A. Salonia
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Re: Effects of Immunonutrition for Cystectomy on Immune Response and Infection Rates: A Pilot Randomized Controlled Clinical Trial

J. M. Hamilton-Reeves, M. D. Bechtel, L. K. Hand, A. Schleper, T. M. Yankee, P. Chalise, E. K. Lee, M. Mirza, H. Wyre, J. Griffin and J. M. Holzbeierlein
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Rhabdomyolysis: Causes, symptoms, and treatment


MedicalNewsToday - Wed, 07/05/2017 - 02:00
Rhabdomyolysis is when skeletal muscle tissue deteriorates. This may cause kidney failure. In this article, learn how to diagnose and treat rhabdomyolysis.
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Clostridium Difficile Infection in Contemporary Urologic Practice

Urology (Gold Journal) In Press - Wed, 07/05/2017 - 00:00
Clostridium difficile infection (CDI) is a high-impact hospital acquired condition and chief driver of excess morbidity, mortality, and treatment cost. Diagnosis, treatment, and prevention of clostridium difficile infection is key component of any hospital based practice. Urologists see a small percentage of all patients with CDI, however they traditionally utilize antibiotic agents that put patients at risk for CDI. Urologic procedures making use of bowel have a significantly higher rate of CDI than other procdures.
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