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A fast urine stream sometimes causes urine to appear foamy. However, foamy urine is also a symptom of several medical conditions. In this article, learn about the potential causes, including dehydration, kidney disease, and diabetes. We also explore treatment options and when to see a doctor.
The Journal of Urology® improves patient care by delivering to our readers the most current advances in the field, especially those with clinical implications and translation. Most often, this information is provided in the form of original scientific articles, review articles and guidelines. The Urological Survey section of The Journal broadens the focus to include pertinent papers published in other journals.
In recent years there has been a dramatic increase in the number and availability of tools that assess risk following the diagnosis of PCa. These developments have occurred largely in 2 parallel tracks, including optimization of mpMRI, and discovery and validation of tissue based genomic tests (reference 4 in article).1 With little comparative study it has remained unclear whether these modalities are redundant or new prognostic value can be gleaned from additional testing (reference 17 in article).
Genomic science has opened a new world of possibilities for understanding and treating men with prostate cancer. It enables for the first time ever the ability to directly assess the biological potential of the tumor in an individual and, thus, offers the promise of individualized treatment strategies based on biology rather than histology.
This group examined a well characterized cohort of 183 patients who underwent IVC tumor thrombectomy and radical nephrectomy in a contemporary 10-year time frame at a highly experienced, high volume center. An important take home message is that symptomatic VTE develops postoperatively in a high fraction of patients, essentially more than 1 of 5, with VTE within 30 days after surgery in most of them. This is a much higher rate of VTE than has been observed for other complex genitourinary cancer surgeries, such as radical cystectomy.
The incidence of VTE following major surgery is increased because of a pro-inflammatory hypercoagulable condition associated with anesthesia, surgical tissue manipulation and limited mobility during recovery. Cancer diagnosis also increases the risk of VTE and mortality is significantly higher in patients with cancer after a VTE diagnosis.1
Epsom salt is a widely available home remedy for many ailments, including constipation. A person can use Epsom salt as a laxative by mixing it with the right amount of water. In this article, learn how to use Epsom salt for constipation safely. We also cover the possible risks and when to see a doctor.
Ileus is a temporary and often painful lack of movement in the bowel. This can lead to a bowel obstruction. Ileus is a common complication of abdominal surgery. In this article we take a close look at ileus, including symptoms, causes, and diagnosis. We also cover treatment and recovery from ileus.
Among the many questions raised when prostate biopsy is to be MRI guided is what difference does it make if the MRI reveals more than 1 ROI? Patel et al help answer that question in the current study. It is not the number of ROIs but rather the degree of suspicion of any one of them, assessed in terms of the PI-RADS score, which portends the likelihood of serious cancer.
The benefits of cytoreductive nephrectomy have been established based on the results of 2 prospective, randomized controlled trials that were done during the cytokine era (reference 2 in article).1 It is important to remember that most of the phase III trials which led to the approval of vascular endothelial growth factor receptor-tyrosine kinase inhibitors required initial CN prior to enrollment. Today initial CN continues to remain the recommended treatment in patients with mRCC in whom systemic therapy is anticipated (reference 1 in article).
The effect of thiazide and potassium citrate use on the health-related quality of life of patients with urolithiasis
It is unknown whether benefits of medical management of urolithiasis outweigh potential side effects of utilized medications including potassium citrate (Kcit) and thiazide diuretics. Therefore, we sought to evaluate the relationship between Kcit or thiazides and overall stone-related health related quality of life (HRQOL).
To present a original technique of robotic-assisted urethra-sparing simple prostatectomy (RAUSP) for treating patients with benign prostatic hyperplasia (BPH).
Plaque calcification: An important predictor of collagenase clostridium histolyticum treatment outcomes for men with Peyronie's Disease
To compare outcomes of men with or without calcified plaques undergoing collagenase clostridium histolyticum (CCH) injections for Peyronie's Disease (PD) and identify predictors of CCH success.
Infantile hemangiomas (IH) are the most common in the head and neck region.1 They can occur anywhere in the skin, however, urethral hemangiomas are very rare.We describe a case report of a three years old boy with extensive lesions of IH in the anterior urethra. Urethral IH were disappeared during one year of oral administration of propranolol though it brought on urinary retention.This is the first report about oral propranolol treatment in a child with urethral IH. Oral administration of propranolol may be effective for urethral IH and beneficial especially for lesions requiring extensive surgical resection and reconstruction.
A urine specific gravity test shows the density of urine compared with water. It can help doctors diagnose a variety of conditions, including dehydration, kidney problems, and a rare type of diabetes. Find out how to prepare for the test and what to expect. The article also explains about normal and abnormal results.
Most people will have bad breath at least once in their life, but it is unusual for breath to smell like urine. Possible causes range from nasal congestion to chronic kidney disease (CKD). Treatment depends on the underlying cause. Here, learn more about why breath might smell like urine and how to treat it.
: To determine rates and types of peripartum morbidity among delivering women with spina bifida (SB) compared to those without SB. The rates of pregnancy and delivery among women with SB have been significantly increasing. Current knowledge of peripartum outcomes for these women is limited.
Re: Choi et al.: Effect of Intercostal Nerve Block and Nephrostomy Tract Infiltration With Ropivacaine on Postoperative Pain Control After Tubeless Percutaneous Nephrolithotomy: A Prospective, Randomized, and Case-controlled Trial (Urology 2018;114:49-55)
I read with great interest the article by Choi et al in a recent issue of the journal.1 The authors performed a prospective and randomized study on 226 patients undergoing tubeless percutaneous nephrolithotomy and concluded that nephrostomy tract infiltration is safe and effective in alleviating early postoperative pain. The authors should be congratulated for performing a well-designed study in an important topic (e.g., acute pain) in patients undergoing urologic procedures.2,3 In addition the current emphasis on the need to reduce the use of opioids by using multimodal analgesic strategies makes the topic very relevant in perioperative medicine.
Technique for Docking and Port Placement using a Purpose-Built Robotic System (SP1098) in human cadaver
To describe step-by-step the port placement and the robot docking of the new purpose-built robotic platform for R-LESS. The feasibility of different approaches to the pelvic fossa and the retroperitoneum was reported in cadaver models.
Cowper's gland syringoceles are rare cystic dilations of the Cowper's gland duct. They are typically diagnosed in childhood but occasionally occur in adults. We report the case of a 28-year-old man who presented with a painful perineal and inferior scrotal mass and was found to have a large Cowper's gland syringocele extending into the scrotum associated with a scrotal abscess. Treatment consisted of surgical excision. The magnetic resonance imaging findings of this case are described.