Journal of Urology ( White Journal) In Press
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Are WHO recommendations to perform two consecutive semen analyses for reliable diagnosis of male infertility still valid?
To evaluate whether a second semen analysis as suggested by the World Health Organization (WHO) Laboratory Manual for the Examination of Human Semen and Sperm-Cervical Mucus Interaction improves diagnostic reliability in the evaluation of male infertility.
Quality of Care in the Treatment of Localized Intermediate and High Risk Prostate Cancer at Minority Serving Hospitals
To investigate quality of care at minority-serving hospitals (MSH) compared to other institutions for men with localized intermediate and high-risk prostate cancer (PCa).
Clinical, pathologic, and oncologic findings of radical prostatectomy patients with extraprostatic extension diagnosed on pre-operative prostate biopsy
Prostatic adenocarcinoma (PCa) with extraprostatic extension (EPE) detected on prostate needle biopsy (PNB) is an uncommon finding. We aimed to describe the clinical and pathologic findings in a large cohort of PCa patients treated with radical prostatectomy (RP) who had EPE identified on PNB.
Clinical results of transarterial embolization to control postoperative vascular complications after partial nephrectomy
To evaluate the safety and clinical efficacy of transarterial embolization for vascular complications after partial nephrectomy.
Robot-assisted laparoscopic reoperative repair for failed pyeloplasty in children: an updated series
Among children with recurrent obstruction after pyeloplasty, reoperative pyeloplasty is commonly utilized. We previously reported on reoperative robot-assisted laparoscopic repair for failed pyeloplasty in 16 children and concluded that short term and intermediate outcomes were comparable to open reoperative repair. This updated series reports on longer-term outcomes from an extended series.
Tumor complexity remains the primary modality by which urologists determine surgical approach and treatment strategy. R.E.N.A.L. and PADUA scores are the most popularly used nephrometry systems. Notwithstanding the common items contributing to the scores, some differences exist between PADUA and R.E.N.A.L. systems, translating into a different final score when assessing the tumor complexity of a renal mass. This represents an issue during quantitative syntheses of literature data and in the setting of retrospective multicentric analyses.
Effect of Vitamin D Therapy on Sexual Function in Women with Sexual Dysfunction and Vitamin D Deficiency: a Randomized, Double-blind, Placebo-controlled Clinical Trial
To investigate the effect of vitamin D therapy on sexual function in women with low vitamin D levels and sexual dysfunction.
Utilization of Active Surveillance as Initial Management for Newly Diagnosed Prostate Cancer: Data from the Pennsylvania Urologic Regional Collaborative
We aimed to describe contemporary active surveillance (AS) utilization and variation in a regional prostate cancer collaborative, and to identify demographic and disease-specific factors associated with the use of AS for men with newly diagnosed prostate cancer.
Feasibility of a fully-implanted, nickel-sized and shaped tibial nerve stimulator for the treatment of overactive bladder syndrome with urgency urinary incontinence
We conducted a clinical feasibility trial to evaluate the safety and efficacy of a fully-implanted, primary battery-powered, nickel-sized and shaped neuromodulation device called the eCoinTM (Valencia Technologies Corp., Valencia, CA, USA) for tibial nerve stimulation to treat refractory urgency urinary incontinence.
The prognostic value of the proportion/architectural patterns of intraductal carcinoma of the prostate (IDC-P) in patients with de novo metastatic prostate cancer
Intraductal carcinoma of the prostate (IDC-P) is an adverse prognosticator of prostate cancer (PCa). However, the roles of the IDC-P proportion and architectural patterns in patient outcomes remain unclear.
Risk Prediction of Prostate Cancer with Single Nucleotide Polymorphisms (SNPs) and Prostate-Specific Antigen (PSA)
Combined information on single nucleotide polymorphisms (SNPs) and prostate-specific antigen (PSA) offers opportunities for improving the performance of screening by risk stratification. We aimed to predict the risk of prostate cancer (PrCa) based on PSA together with SNPs information.
Describing the Spectrum of Patient Reported Outcomes after Radical Prostatectomy: Providing Information to Improve Patient Counseling and Shared Decision Making
Preoperative counseling incorporating the best-case, worst-case, and most-likely outcome scenarios aid patients’ decision making. This information is not readily available for prostate cancer counseling because most patient reported outcomes are presented as averages, which minimize individual patient experiences. Using the Expanded Prostate Index Composite (EPIC), we present data to characterize the best and worst-case after prostatectomy.
Emerging complications following alternative reservoir placement during inflatable penile prosthesis placement: a 5-year multi-institutional experience.
Alternative, or ectopic, reservoir placement (ARP) has recently gained popularity among prosthetic surgeons in order to avoid injury to pelvic structures during inflatable penile prosthesis (IPP) implantation. However, the true incidence of complications associated with these new techniques remain understudied. We carried out a 5-year multi-center retrospective study with the aim to evaluate complications related to alternative reservoir placement.
Long-term discontinuations of botulinum toxin A intradetrusor injections for neurogenic detrusor overactivity: a multicenter study
Data on long-term outcomes of intradetrusor injections of botulinum toxin A (BTX-A) for neurogenic detrusor overactivity (NDO) are lacking. The aim of the present manuscript was to assess the outcomes of intradetrusor injections of BTX-A for NDO after more than 10 years of follow-up.
Perioperative Oral Nutrition Supplementation Reduces Prevalence of Sarcopenia following Radical Cystectomy: Results of a Prospective Randomized Controlled Trial
We designed a prospective randomized controlled pilot trial to investigate the effects of an enriched oral nutrition supplement (ONS) on body composition and clinical outcomes following radical cystectomy (RC).
Estimating Minimally Important Differences for the Bladder Cancer Index Using Distribution- and Anchor-Based Approaches
The Bladder Cancer Index is a validated condition-specific health questionnaire assessing urinary, bowel and sexual function and quality of life among bladder cancer patients. We aimed to establish minimally important difference score thresholds that signal clinical importance.
Concurrent radiotherapy and panitumumab after lymph node dissection and induction chemotherapy for invasive bladder cancer
In this prospective study we evaluated safety and efficacy of concurrent radiotherapy and panitumumab following neoadjuvant/induction chemotherapy (ICT) and pelvic lymph node dissection (PLND) as a bladder preserving therapy for invasive bladder cancer (BC).
To perform an updated systematic review and meta-analysis evaluating patient important outcomes for patients undergoing robot-assisted radical cystectomy (RARC) and open radical cystectomy (ORC).
This study explores the effect of Agent Orange (AO) exposure on prostate cancer (PCa) survival in Veterans Affairs (VA) patients receiving androgen deprivation therapy (ADT) for advanced PCa.
Psychiatric Diagnoses and Other Factors Associated with Emergency Department Return within 30 Days of Ureteroscopy
Emergency department(ED) visits after ureteroscopy(URS) are costly and inconvenient. To better understand those at risk, we aim to identify patient demographic, medical and surgical factors associated with 30-day ED presentation following URS for urolithiasis with particular attention paid to those with a history of a psychiatric diagnosis(PD).