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Editorial Comment

Functional recovery after PN can be an important factor for cancer survivorship. However, our ability as surgeons to predict a new baseline glomerular filtration rate after PN remains limited and associations between tumor complexity and functional outcomes are not strong enough for clinical use. More accurate methods to predict new baseline glomerular filtration rate after PN along with selective performance of renal mass biopsy would improve patient counseling about RN vs PN. Choices of warm, cold or no ischemia and selection for tumor enucleation could also be influenced by such information.
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Metabolomics approach for male lower urinary tract symptoms: An identification of possible biomarkers and potential targets for new treatments

We identified metabolites using a metabolomics approach and investigated the association between these metabolites and lower urinary tract symptoms (LUTS).
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Congenital Stenosis of External Orifice of Urethra in Female

Urology (Gold Journal) In Press - Tue, 11/21/2017 - 06:00
Limited numbers of pediatric stenosis of external orifice of urethra have been reported. We report a case of congenital stenosis of external orifice of urethra in a female child who underwent meatoplasty. As an initial strategy for congenital stenosis of external orifice of urethra in girls, dilatation of stenosed urethral meatus may be another management of choice.
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Conservatively Managed Peyronie's Disease – Long-Term Survey Results From Patients Electing Non-Surgical and Non-Injection Therapies

Urology (Gold Journal) In Press - Tue, 11/21/2017 - 06:00
To evaluate patient-reported temporal changes in penile curvature, pain, shortening, sexual function, and quality of life in men electing conservative treatment for PD.
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Clinical Utility of Routine Follow-Up Cystography in the Management of Traumatic Bladder Ruptures

Urology (Gold Journal) In Press - Tue, 11/21/2017 - 06:00
To evaluate if follow-up cystography alters clinical management in patients following treatment of traumatic bladder ruptures.
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Re: “Minimally Invasive Inguinal Lymphadenectomy in the Management of Penile Carcinoma.” (# Url-D-17-01935)

Urology (Gold Journal) In Press - Tue, 11/21/2017 - 06:00
We thank “***”(editor please enter letter's lead author's last name) and colleagues for their comments regarding our evaluation of minimally-invasive inguinal lymphadenectomy.
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Editorial Comment

Urology (Gold Journal) In Press - Tue, 11/21/2017 - 06:00
Amidst ever-rising health care expenditures in the United States, stakeholders and policymakers have turned to alternative payment models as mechanisms to control costs. These tools also aim to maintain—and possibly improve—the quality of health care delivered in this country. Bundled payment programs are an alternative payment model that have shown promise in curtailing costs and maintaining quality among patients undergoing lower extremity joint (e.g., hip and knee) replacement.1 As Dr. Ellimoottil and co-authors demonstrate in the above article, the wide 2-fold variation in episode costs for urological cancer operations makes consideration of bundled payment programs in these instances quite appealing at first glance.
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Erratum to “Postoperative Adjuvant and Salvage Radiotherapy for Prostate Cancer: Impact on Freedom From Biochemical Relapse and Survival”

Urology (Gold Journal) In Press - Mon, 11/20/2017 - 06:00
The authors regret that one of the authors was inadvertently omitted from the article “Postoperative Adjuvant and Salvage Radiotherapy for Prostate Cancer: Impact on Freedom From Biochemical Relapse and Survival” (Urology 2004;64:928-986). Endre Z. Neulander should be the fourth author and the author line should read:
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Reply

Urology (Gold Journal) In Press - Mon, 11/20/2017 - 06:00
This is a response to the editorial comment on our article “Quantitative Analysis of Technological Innovation in Urology.” We thank the editor for the insightful comments on our paper. We would like to make the following points in response:
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Editorial Comment

Urology (Gold Journal) In Press - Mon, 11/20/2017 - 06:00
Innovation in urology can take many forms, but innovations in new technologies produce both papers and patents as inventors both disseminate and protect novel inventions. In Quantitative Analysis of Technological Innovation in Urology, the authors mined this intellectual “paper trail” to quantitatively assess recent surgical technological innovations in urology. Many innovations developed through clinical practice, such as new best practices and obvious improvements, cannot be patented, although 100 years ago this was a common practice.
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Editorial Comment

This retrospective review of MTF transgender patients who underwent primary penile inversion vaginoplasty has the conclusion that age, BMI and HRT are not associated with complications.
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Impact of Cystectomy with Urinary Diversion upon Tracked Receipt of Opioid Prescriptions among Patients with Interstitial Cystitis/Bladder Pain Syndrome

Urology (Gold Journal) In Press - Mon, 11/20/2017 - 06:00
To compare opioid requirements before and after cystectomy for end stage Interstitial Cystitis/Bladder Pain Syndrome (IC/BPS) using a statewide tracking system.
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Estimated Minimal Residual Membranous Urethral Length on Preoperative Magnetic Resonance Imaging Can be a New Predictor for Continence after Radical Prostatectomy

Urology (Gold Journal) In Press - Mon, 11/20/2017 - 06:00
To identify a parameter predicting postoperative recovery of urinary continence after radical prostatectomy, associations between parameters on preoperative magnetic resonance imaging (MRI) and postoperative continence status were investigated.
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Pubo-Urethral Stump Angle Measured on Preoperative MRI Predicts Urethroplasty Type for Pelvic Fracture Urethral Injury Repair

Urology (Gold Journal) In Press - Mon, 11/20/2017 - 06:00
To examine whether the type of delayed urethroplasty required for pelvic fracture urethral injury (PFUI), which is not easily predicted from conventional urethrography findings, can be predicted from preoperative magnetic resonance imaging (MRI) results.
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Standardized and Simplified Retroperitoneal Lymph Node Dissection during Retroperitoneal Laparoscopic Radical Nephroureterectomy for Urothelial Carcinoma of the Upper Ureter or Renal Pelvis: en-Bloc Resection Technique

Urology (Gold Journal) In Press - Mon, 11/20/2017 - 06:00
OBJECTIVETo describe our en-bloc technique of retroperitoneal lymph node dissection (RPLND) during retroperitoneal laparoscopic radical nephroureterectomy (RNU) for upper urinary tract urothelial carcinoma (UTUC) and evaluate perioperative outcomes.METHODSFrom 2002 to 2015, 114 patients with UTUC located at the pelvis and/or upper or middle ureter underwent retroperitoneal laparoscopic RNU at two institutions. Performance of RPLND began in February 2009. The template of RPLND included the renal hilar and para-aortic lymph nodes (left side) and the renal hilar, paracaval, retrocaval, and intra-aortocaval lymph nodes (right side).
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Impact of primary tumor location on survival from EORTC advanced urothelial cancer studies

The prognostic relevance of primary location of urothelial carcinoma (UC) on survival has been poorly investigated.
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RE: How Far Can We Go With the Keys Already in Our Pocket? The Case of PSAD!

Urology (Gold Journal) In Press - Mon, 11/20/2017 - 06:00
Prostate cancer (PCa) is a major public health concern. Despite attempts to reduce health-care costs, care expenditures in the United States in 2024 will account for 20% of the gross domestic product, and the largest single portion of the projected cost increases will be for PCa care.1
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How Far Can We Go With the Keys Already in Our Pocket? The Case of PSAD!

Urology (Gold Journal) In Press - Mon, 11/20/2017 - 06:00
The poor concordance between clinical assessment and pathological findings with potential inappropriate therapeutic recommendations in prostate cancer (PCa) is a current challenge. Like present series, we have already described that patients presenting upgrading on pathological report had smaller prostates and higher PSA, consequently, higher PSAD.1
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What causes pain in the lower left abdomen?

MedicalNewsToday - Sun, 11/19/2017 - 08:00
There are a range of conditions that can cause pain in the lower left abdomin, including gas, diverticulitis, and hernias. Learn more in this article.
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