Journal of Urology ( White Journal) In Press
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Intermediate-Term Outcomes of Men with Very Low/Low and Intermediate/High Risk Prostate Cancer Managed by Active Surveillance
To compare intermediate-term clinical outcomes among men with favorable risk and intermediate/high risk prostate cancer (PCa) managed with active surveillance (AS).
Comparison of biochemical recurrence free survival after radical prostatectomy triggered by grade reclassification on active surveillance, and men newly diagnosed with similar grade disease
Comparison of biochemical recurrence between men in active surveillance undergoing radical prostatectomy triggered by grade reclassification, and men diagnosed with similar grade disease undergoing immediate radical prostatectomy.
It is critical to determine which men truly harbor indolent disease when deciding which men are suitable candidates for active surveillance for low risk prostate cancer. This is especially important for African American men, who have been shown to present with earlier, aggressive disease and are more likely to experience upgrading and biochemical failure after treatment when initially eligible for active surveillance.1,2 A plethora of serum, urine and tissue based tests add incremental value to the predictive ability of the known risk factors of PSA, Gleason sum and clinical tumor classification.
Urologists performing PN by any approach face similar challenges, which must be articulated to the patient prior to the operation. Potential adverse events include bleeding, urinary fistula formation, infection and conversion to RN (reference 18 in article) if for technical reasons PN cannot be executed. This group of high volume robotic surgeons reports their RN conversion rate of 3.1% and the patients most likely to require conversion due to worse baseline kidney function, larger tumor size and greater tumor complexity.
Robotic partial nephrectomy has advanced significantly. Early in its evolution cautious application dictated that complex tumors were avoided. Now with experience there are few, if any, tumors not amenable to RPN when OPN is possible, although not for all surgeons and institutions.
Interpreting patient-reported urinary and sexual function outcomes across multiple validated instruments
Comparing patient-reported outcomes such as urinary and erectile function across institutions is critical for prostate cancer research and quality assurance. Such comparisons are complicated by the use of different questionnaires. We aimed to develop a method to convert scores between four commonly used instruments.
Clinical Outcomes in Patients with Panurothelial Carcinoma Treated with Radical Nephroureterectomy Following Cystectomy for Metachronous Recurrence
We report pathologic, functional, and oncologic outcomes in patients treated with radical nephroureterectomy following radical cystectomy.
Robotic intra-corporeal urinary diversion has mostly been utilized for ileal conduit or orthotopic neobladder diversion. Herein, we present the initial series, detailed technique and outcomes of robotic intra-corporeal Indiana pouch, with minimum 1-year follow-up.
Winston Churchill is quoted as saying “Democracy is the worst form of government except all the others.” A similar sentiment about the peer review process for evaluating scientific manuscripts is often expressed by many. However, the fact is no alternative system has been developed which has proven to be superior to peer review, which is considered the backbone of scientific and medical research.
The long-term prognosis for children with spina bifida (SB) has greatly improved in the last 50 years.1 Until the latter half of the 20th century children with SB infrequently lived to adolescence. In the early part of the 21st century adults with SB are now so numerous that urologists struggle with how best to cope with a “tidal wave” of patients with SB who have aged out of pediatric clinics.2 In the 1970s ileal conduits represented state-of-the-art urological care for patients with SB. In 2017 incontinent diversions are used only rarely.
Robot-Assisted Laparoscopic Extravesical Ureteral Reimplantation for Primary Vesicoureteral Reflux in Children
The study by Boysen et al in this issue of The Journal represents a great step in helping us answer lingering questions regarding the current efficacy and safety of robot-assisted laparoscopic extravesical ureteral reimplantation (RALUR-EV) for the treatment of vesicoureteral reflux (VUR) in children.1 We praise the many contributors who embarked on this multi-institutional study with good intentions. It is imperative that we examine competitive surgical options concerning “QCCC” yield, ie quality (success and complication rate), convalescence (with associated pain medication requirements), cost and cosmesis.
A. Tow, R. Holtzer, C. Wang, A. Sharan, S. J. Kim, A. Gladstein, Y. Blum and J. Verghese
Re: Association of Pre-Operative Medication Use with Post-Operative Delirium in Surgical Oncology Patients Receiving Comprehensive Geriatric Assessment
Y. M. Jeong, E. Lee, K. I. Kim, J. E. Chung, H. In Park, B. K. Lee and H. S. Gwak
Re: Comprehensive Geriatric Assessment is a Useful Predictive Tool for Postoperative Delirium after Gastrointestinal Surgery in Old-Old Adults
Y. Maekawa, K. Sugimoto, M. Yamasaki, Y. Takeya, K. Yamamoto, M. Ohishi, T. Ogihara, A. Shintani, Y. Doki, M. Mori and H. Rakugi
Combining Transcutaneous Electrical Nerve Stimulation (TENS) with oxybutynin is superior to monotherapy in children with urge incontinence – a randomized, placebo-controlled study
To evaluate if combination therapy with TENS and oxybutynin results in a superior treatment response than monotherapy with the two modalities in childhood urge incontinence.
Vascular-Targeted Photodynamic Therapy with Padeliporfin for Low Risk Prostate Cancer Treatment: Mid-Term Oncological Outcomes
To assess the mid-term oncological outcomes of vascular-targeted photodynamic therapy with padeliporfin for low-risk prostate cancer treatment.
We examined post-prostatectomy orgasmic function (OF) and assessed for potential predictors.
Re: Transplanted Human Stem Cell-Derived Interneuron Precursors Mitigate Mouse Bladder Dysfunction and Central Neuropathic Pain after Spinal Cord Injury
T. M. Fandel, A. Trivedi, C. R. Nicholas, H. Zhang, J. Chen, A. F. Martinez, L. J. Noble-Haeusslein and A. R. Kriegstein
M. A. Denys, R. Anding, A. Tubaro, P. Abrams and K. Everaert