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Testosterone therapy for high-risk prostate cancer survivors: a systematic review and meta-analysis

Fri, 09/21/2018 - 00:00
A systematic review and meta-analysis was performed to determine the relationship between testosterone therapy and risk of recurrence in testosterone-deficient survivors of curatively treated high-risk prostate cancer. Primary outcome was the risk of biochemical recurrence (BCR) in 109 high-risk patients in 13 included studies (1997-2017). Biochemical and symptomatic effects of therapy were also reviewed. The BCR rate was 0.00 (0.00-0.05), lower than the expected rate for high-risk prostate cancer survivors, suggesting that testosterone therapy may not increase their BCR risk.
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Surgical Outcomes of Three vs Four Arm Robotic Partial Nephrectomy: Is the Fourth Arm Necessary?

Fri, 09/21/2018 - 00:00
To compare the cost, efficacy, and safety of 3-arm versus 4-arm technique in robotic partial nephrectomy (RPN). Surgeons may either elect to utilize three versus four robotic instruments depending on preference. The purpose of this study is to compare the outcomes between the two techniques.
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The History of Urology at the Minneapolis Veterans Affairs Health Care System

Fri, 09/21/2018 - 00:00
The Veterans Health Administration (VHA) is the largest health care system in the United States, serving more than 8.9 million Veterans each year.1 It is estimated that sixty percent of all medical residents train within the 168 Veterans Affairs (VA) Medical Centers, making the VA the largest provider of healthcare training in the United States.1 Within the VA system, the Minneapolis VA Health Care System is one of the largest training programs. Many leaders in Urology have trained or served at the Section of Urology within the Minneapolis VA.
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Reply by the Authors: Shock-wave Lithotripsy for Pediatric Patients: Which Nomogram Can Better Predict Postoperative Outcomes?

Thu, 09/20/2018 - 00:00
The prediction of the success rate of SWL is an important issue, especially for pediatric patients. Therefore, clinicians should use these nomograms more often in daily practice to improve surgical planning. In our study, we compared the accuracy of the Onal and Dogan nomograms. We demonstrated that both nomograms are effective and independent predictors of stone-free rate. We used objective variables such as gender, age, stone size, number of stones, stone localization, and history of previous treatment.
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Comparison of Post-Radical Cystectomy Ileus Rates Using GIA-80 versus GIA-60 Intestinal Stapler Device

Thu, 09/20/2018 - 00:00
To assess the impact on recovery of bowel function using an 80 mm versus 60 mm gastrointestinal anastomosis (GIA) stapler following radical cystectomy and urinary diversion (RC/UD) for bladder cancer.
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Deputy Editor of Female Urology, Urodynamics, Incontinence, and Pelvic Floor Reconstructive Surgery: Craig Comiter

Thu, 09/20/2018 - 00:00
Dr. Comiter received his undergraduate degree from Harvard College, and his medical degree from Harvard Medical School. He stayed in Boston for his residency, serving as resident in general surgery at the Brigham and Women's Hospital, and then completed his urology residency at the Harvard Program in Urology. In 1998, Dr. Comiter served as Clinical Instructor and Fellow in Neurourology and Urodynamics at the University of California in Los Angeles.
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Distal urethroplasty and glanuloplasty procedure can be suitable for all types of glanular / subcoronal hypospadias

Wed, 09/19/2018 - 00:00
To correct all types of glanular/subcoronal hypospadias, we performed surgery named the distal urethroplasty and glanuloplasty procedure (DUG procedure). We analyzed cases that we have experienced.
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Surgical Hints for Robot-Assisted Transvesical Simple Prostatectomy

Sat, 09/15/2018 - 00:00
To report a step-by-step technique for robot-assisted transvesical simple prostatectomy (RASP) focusing on surgical hints to facilitate the procedure.
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Rates and Risk Factors for Future Stress Urinary Incontinence Surgery After Pelvic Organ Prolapse Repair in a Large Population Based Cohort in California

Fri, 09/14/2018 - 00:00
To determine the rate and risk factors for future stress incontinence (SUI) surgery in a large population based cohort of previously continent women following pelvic organ prolapse (POP) repair without concomitant SUI treatment.
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Comparison between Thulium laser VapoEnucleation and GreenLight laser photoselective vaporization of the prostate in real-life setting: propensity score analysis

Fri, 09/14/2018 - 00:00
To compare in daily practice efficacy and safety of standard 180-Watt GreenLight laser photo-selective vaporization (PVP) and Thulium laser Vaporesection of the prostate (ThuVEP).
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“Utilization of BCG for Non-Muscle Invasive Bladder Cancer in an Era of BCG Supply Shortages”

Thu, 09/13/2018 - 00:00
To study trends in Bacillus Calmette-Guerin (BCG) utilization for non-muscle invasive bladder cancer (NMIBC) before and during national BCG shortages.
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The impact of chronic pelvic ischemia on LUTS and urinary levels of neuro-inflammatory, inflammatory and oxidative stress markers in elderly men: a case-control study

Thu, 09/13/2018 - 00:00
To investigate LUTS and urinary levels of neuro-inflammatory, inflammatory and oxidative stress markers in elderly men with chronic pelvic ischemia (CPI) caused by significant aorto-iliac disease.
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A Rare Case of Triplicate Ureter

Thu, 09/13/2018 - 00:00
Ureter triplication is an extremely rare congenital anomaly of the urinary system with approximately 100 cases reported in medical literature since it was first described in 1870. It is classified into 4 types, and commonly associated with ipsilateral or contralateral urological anomalies. In this report, we present a case of a pediatric Type III- triplicate ureter associated with ipsilateral vesicoureteral reflux and contralateral idiopathic renal atrophy that was discovered during kidney transplant work-up.
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Modified Nephrometry Score with Body Mass Index More Accurately Predicts Ischemic Time in Transabdominal Laparoscopic Partial Nephrectomy for Small Renal Masses

Thu, 09/13/2018 - 00:00
: To accurately predict the ischemic time (IT) and select candidates for transabdominal laparoscopic partial nephrectomy (LPN).
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Transurethral enucleation with bipolar energy (TUEB): AINU technique and Short-term Outcomes

Wed, 09/12/2018 - 00:00
To present our TUEB technique, wherein the enucleated adenoma is resected while keeping it attached near the verumontanum avoiding the need of a morcellator. To evaluate the safety and short-term outcomes of our technique of TUEB for the treatment of symptomatic benign prostatic hypertrophy (BPH).
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Antimuscarinic use in Men Treated with Bladder Outlet Obstruction Medication Therapy

Sat, 09/08/2018 - 00:00
Approximately 50% of men with lower urinary tract symptoms (LUTS) secondary to bladder outlet obstruction (BOO) have urinary storage symptoms such as urgency, frequency, nocturia, and urinary incontinence.1,2 Based on recent randomized controlled trials, the American Urological Association (AUA) recommends the use of an antimuscarinic (AM) as an option, in addition to an alpha blocker (AB) in men with BOO and urinary storage symptoms without baseline excessive post-void urine residuals.3-9 These trials reported improvements in overactive bladder (OAB) symptoms in patients taking an AM in combination with an alpha-blocker compared to patients taking AB monotherapy.
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Should We Separate the Pulmonary Surveillance Protocol for Post-Surgical T1a and T1b Renal Cell Carcinoma? A Multicenter Database Analysis

Sat, 09/08/2018 - 00:00
To investigate the incidence of pulmonary metastases (PM) and the utility of the surveillance CXR in detecting PM after curative treatment to better define surveillance recommendations for T1a and T1b RCC.
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Efficacy of Pressure Regulating Balloon Exchange in Men with Post Artificial Urinary Sphincter Persistent or Recurrent Stress Urinary Incontinence

Fri, 09/07/2018 - 00:00
To assess the efficacy of exchanging the pressure regulating balloon(PRB) to 71-80cmH20 in patients with persistent or recurrent stress urinary incontinence(SUI) following artificial urinary sphincter(AUS) placement.
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Diagnostic accuracy of a rapid biparametric MRI protocol for detection of histologically proven prostate cancer

Fri, 09/07/2018 - 00:00
Objective: To evaluate the performance of a rapid, low cost, non-contrast MRI examination as a secondary screening tool in detection of clinically significant prostate cancer.Methods: In this prospective single institution study 129 patients with elevated PSA levels or abnormal digital rectal examination findings underwent MRI with an abbreviated biparamatric MRI protocol consisting of high resolution axial T2- and diffusion weighted images. Index lesions were classified according to PI-RADS v2.0.
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