Urology News Feeds
Percutaneous Tibial Nerve Stimulation Therapy for Overactive Bladder Syndrome: Clinical Effectiveness, Urodynamic and Durability Evaluation.
To evaluate percutaneous tibial nerve stimulation (PTNS) effectiveness, durability and impact on the pathophysiology of overactive bladder syndrome (OAB) in patients who have been previously treated with antimuscarinics without success.
For several years the standard medication used to treat children with overactive bladder has been oxybutynin or tolteridine primarily because of limited data on the safety and efficacy of these medications, familiarity based on decades of use and the liquid formulations available for children. Newer medications introduced in the adult population have the advantage of bladder receptor selectivity, thus reducing the risks of side effects that frequently limit use of more standard therapy in children.
We have come a long way from describing patients with “prostatitis” as “busy, nervous and meticulous”1 or referring only men with negative expressed prostatic secretions to psychologists. Our improved understanding of UCPPS validates the physical symptoms and the psychosocial comorbidities.2 The current thorough study reminds us that UCPPS is a multifactorial condition requiring a comprehensive nonurological approach. Through the efforts of these authors we are better equipped to validate and support patients, which in and of itself provides therapeutic benefit.
Using catheters to access the blood during hemodialysis continues to be linked with increased rates of bloodstream infections, according to a recent analysis of data from US dialysis facilities.
We investigate a patient with right kidney agenesis. Imaging showed the presence of a cystic mass dislocating the bladder.The specimen showed three formations: a kidney remnant, a ureter with blind-ending branch and a cysts, from this departed another tubular structure, considered the deferential duct. The specimen was sampled. The supposed kidney was formed by cystic structures.Examination of the tubular structures disclosed smooth muscle fibers with no lumen, while the cyst was surrounded by fibrous and hemorrhagic walls.
According to The International Consultation on Incontinence (ICS), the aim of urodynamic studies (UDS) in clinical practice is to evaluate a patient's lower urinary tract function with at least one complete and representative filling-voiding-post voiding cycle by testing with relevant pressures and flowmetry.1 International guidelines state that UDS is preferably performed with fluid-filled catheters. 2,3 However, although air-filled catheters are widely used, further research is needed before these catheters can be recommended for routine clinical use.
Sling procedures for the treatment of stress urinary incontinence: Comparison of national practice patterns between urologists and gynecologists
Sling procedures have become the dominant method of surgical management of stress urinary incontinence and are frequently performed by both urologists and gynecologists. Few studies investigating trends in surgical management have focused on differences in provision of care between the specialties. In this study, we sought to compare national practice patterns of sling procedures by provider type.
Re: Incidental Findings in Abdominal Dual-Energy Computed Tomography: Correlation between True Noncontrast and Virtual Noncontrast Images Considering Renal and Liver Cysts and Adrenal Masses
K. Slebocki, B. Kraus, D. H. Chang, M. Hellmich, D. Maintz and C. Bangard
A. Bagrodia, B. H. Lee, W. Lee, E. K. Cha, J. P. Sfakianos, G. Iyer, E. J. Pietzak, S. P. Gao, E. C. Zabor, I. Ostrovnaya, S. D. Kaffenberger, A. Syed, M. E. Arcila, R. S. Chaganti, R. Kundra, J. Eng, J. Hreiki, V. Vacic, K. Arora, D. M. Oschwald, M. F. Berger, D. F. Bajorin, M. S. Bains, N. Schultz, V. E. Reuter, J. Sheinfeld, G. J. Bosl, H. A. Al-Ahmadie, D. B. Solit and D. R. Feldman
Re: Effectiveness of Adjuvant Chemotherapy after Radical Nephroureterectomy for Locally Advanced and/or Positive Regional Lymph Node Upper Tract Urothelial Carcinoma
T. Seisen, R. E. Krasnow, J. Bellmunt, M. Rouprêt, J. J. Leow, S. R. Lipsitz, M. W. Vetterlein, M. A. Preston, N. Hanna, A. S. Kibel, M. Sun, T. K. Choueiri, Q. D. Trinh and S. L. Chang
Re: Continuous Normothermic Ex Vivo Kidney Perfusion is Superior to Brief Normothermic Perfusion following Static Cold Storage in Donation after Circulatory Death Pig Kidney Transplantation
J. M. Kaths, J. Y. Cen, Y. M. Chun, J. Echeverri, I. Linares, S. Ganesh, P. Yip, R. John, D. Bagli, I. Mucsi, A. Ghanekar, D. R. Grant, L. A. Robinson and M. Selzner
Re: Variation in the Use of Open Pyeloplasty, Minimally Invasive Pyeloplasty, and Endopyelotomy for the Treatment of Ureteropelvic Junction Obstruction in Adults
B. L. Jacobs, J. C. Lai, R. Seelam, J. M. Hanley, J. S. Wolf, Jr., B. K. Hollenbeck, J. M. Hollingsworth, A. W. Dick, C. M. Setodji and C. S. Saigal
The comment states that our “findings are interesting and have immense clinical application.” We would like to provide clarification about some of the concerns in the comment. In our work we did in fact explore the role of salt and protein consumption. We had previously examined salt and protein consumption individually but chose the DASH score because it already incorporates them. We also attempted to define kidney stone type in a large validation study (reference 7 in article). We reviewed medical records in a subgroup of participants who reported a kidney stone.
Using data on 3 large cohorts Ferraro et al report that several modifiable risk factors are associated with a lower risk of incident kidney stones, including fluid intake, BMI, DASH diet, dietary calcium intake and sugar sweetened beverages. These findings are interesting and have immense clinical application.
The above commentary nicely crystallizes the basic pathophysiological tenants of stricture formation and explains how increasing age is theorized to place patients at risk of poor outcomes. Our collective experience demonstrates that patients are often indiscriminately subjected to age bias when counseled on the various treatment options for urethral stricture disease. There appears to be a decidedly lower threshold to employ repetitive, even scheduled endoscopic treatments for older patients in an effort to avoid “major surgery.” Heyns et al analyzed pre-referral stricture management for patients who eventually underwent urethroplasty, noting that patients with 5-6 endoscopic interventions before referral had an average age of 60.2 years vs 46.6 years in those receiving 1-2 interventions.
Urethroplasty is the definitive surgical treatment for strictures with a success rate of 85-90% for simple procedures and about 80% for extremely complex repairs.1
In this editorial reviewing surgical options for benign prostatic hyperplasia Parsons concludes that holmium laser enucleation of the prostate (HoLEP) and robot-assisted simple prostatectomy (RASP) for large volume glands result in equivalent outcomes. We have concerns with use of the term “equivalent” in the absence of level 1 evidence supporting this assertion.
Electroacupuncture improved stress urinary incontinence - that's when a woman can experience an involuntary loss of urine such as when sneezing or coughing - but acupuncture did not increase the...
The primary aim was to evaluate the use of sexual dissatisfaction as a marker of poor overall health. Secondary objectives were to assess the effect of age on this measure and the utility of the Brief Sexual Symptom Checklist (BSSC) for general practitioners (GPs) and patients.
To analyze the association between US urology department Twitter presence and U.S. News and World Report (USNWR) reputation scores, to examine the content, informational value, and intended audience of these platforms, and to identify objectives for Twitter use.