Urology (Gold Journal) In Press

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Urological Complications Following Pelvic Radiotherapy

Fri, 07/20/2018 - 00:00
Radiotherapy is widely used as a curative treatment for pelvic malignancies. The location of these organs leads to unavoidable exposure of the bladder, urethra and distal ureters to radiation and may cause subsequent development of radiation cystitis, fistulas, strictures and secondary malignancy. As cancer survival improves, an ever-increasing number of patients are living with the long-term complications of radiotherapy. Symptoms are not only debilitating for the patient but also pose a treatment challenge to the urologist.
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Bilateral single-session versus staged mini-percutaneous nephrolithotomy for renal stones: a comparative study

Fri, 07/20/2018 - 00:00
To compare safety and efficacy of bilateral single-session mini-percutaneous nephrolithotomy (BSS-Mini-PNL) vs staged-Mini-PNL.
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Direct lateral access to renal artery during transperitoneal laparoscopic partial nephrectomy: surgical technique and comparative outcomes

Fri, 07/20/2018 - 00:00
To describe a novel technique of laparoscopic partial nephrectomy (LPN) with direct lateral access (DLA) to renal artery and to report our early outcomes with this technique.
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Intraurethral Erythropoietin to Prevent Fibrosis and Improve Urethral Healing: An Experimental Study in a Rat Model

Fri, 07/20/2018 - 00:00
To determine the effects of intraurethral erythropoietin (EPO) on an experimentally induced urethral injury in a rat model in respect of wound healing enhancement and the prevention of spongiofibrosis
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Prostate Artery Embolization for Lower Urinary Tract Symptoms Secondary to Benign Prostatic Hyperplasia: Results from a Prospective FDA-Approved Investigational Device Exemption Study

Fri, 07/20/2018 - 00:00
To evaluate the safety and efficacy of prostate artery embolization(PAE) for lower urinary tract symptoms(LUTS) attributed to benign prostatic hyperplasia(BPH).
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Predictors of Scholarly Productivity, Pursuit of Fellowship, and Academic Practice Among Urology Residents Using Medical Student Application Materials

Thu, 07/19/2018 - 00:00
To evaluate predictors of urology resident scholarly productivity, pursuit of fellowship, and an academic career using medical student application materials.
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Translabial ultrasound evaluation of pelvic floor structures and mesh in the urology office and intraoperative setting

Thu, 07/19/2018 - 00:00
Translabial ultrasound (TUS) can provide an inexpensive alternative imaging modality for evaluating pelvic floor structures and synthetic slings as mesh can be difficult to identify on pelvic exam or cystoscopy, patients may be unable to provide an accurate history of previous pelvic surgery, and cross-sectional imaging with computed tomography and magnetic resonance imaging can be inadequate for evaluating synthetic slings.
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Single-stage abdominoplasty using groin flaps without osteotomies: management of exstrophy-epispadias complex.

Thu, 07/19/2018 - 00:00
The optimal treatment for children born with exstrophy-epispadia complex is still a matter of debate1,2,3. We demonstrate the Single-Stage Abdominoplasty using Groin Flap technique to close the abdominal wall of children with classic bladder exstrophy (CBE) without osteotomy neither radical soft tissue mobilization. Advantages over current techniques are less risk of penile tissue loss and avoidance of osteotomies.
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Evaluating Outcomes of Differential Surgical Management of Non-functioning Upper Pole Renal Moieties in Duplex Collecting Systems

Thu, 07/19/2018 - 00:00
To evaluate the management and clinical outcomes of non-functioning upper pole moieties treated with either upper pole heminephrectomy or upper pole preservation with lower ureteral reconstruction at a single tertiary institution.
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The Prognostic Value of PIK3CA Copy Number Gain in Penile Cancer

Thu, 07/19/2018 - 00:00
To determine whether phosphatidylinositol-4,5-bisphosphate 3- kinase, catalytic subunit alpha (PIK3CA) copy number gain in penile cancer has prognostic value and association with histopathological parameters, HPV and clinical outcome.
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Low power vs. High power Holmium laser enucleation of the prostate: Critical assessment through randomized trial

Wed, 07/18/2018 - 00:00
To assess the non-inferiority of Low-power Holmium laser enucleation of the prostate (LP-HoLEP) to high-power (HP-HoLEP) for enucleation efficiency pertaining the advantages of lower cost and minimal postoperative dysuria, storage symptoms and negative sexual impact.
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Urine xanthine crystals in tumor lysis syndrome

Tue, 07/17/2018 - 00:00
Urine xanthine crystals are remarkably rare but can be observed by routine urine microscopy. We report the results of a 67-year-old man with T-cell-prolymphocytic leukemia whose urine contained xanthine crystals after chemotherapy and prophylactic administration of febuxostat. Accumulation of xanthine was due to tumor lysis syndrome causing a massive release of DNA. The metabolized DNA caused an increase of xanthine, which was not readily converted to uric acid by xanthine oxidase because of febuxostat inhibition of this enzyme.
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A BILATERAL METACHRONOUS MESOTHELIOMA OF THE TUNICA VAGINALIS

Tue, 07/17/2018 - 00:00
This is a unique case of bilateral metachronous testicular mesothelioma of the tunica vaginalis. Testicular mesothelioma is a rare entity found in patients with or without asbestos occupational exposure. The tumor most commonly presents as a unilateral testicular mass. More rare presentations include bilateral synchronous or metachronous tumors. Treatment is with surgical resection and prognosis is not generally favorable. The benefits of adjuvant therapy with radiation or chemotherapy remain unknown and further studies are needed.
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HOLMIUM LASER ENDOURETEROTOMY WITH THE LOVACO TECHNIQUE FOR THE TREATMENT OF URETEROINTESTINAL STENOSIS: TIPS AND TRICKS

Tue, 07/17/2018 - 00:00
To describe holmium laser endoureterotomy with the Lovaco technique for the treatment of ureterointestinal stenosis. This common problem after cystectomy represents a surgical challenge, with endourological techniques being useful in this context. We present a technique that has been described before, but which we consider useful and decisive. The key points and difficult aspects of the technique are shown, along with our experience with it.
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Localized Inflammatory Myofibroblastic Tumor Involving the Genitourinary System: Adolescent Case Series and Review

Mon, 07/16/2018 - 00:00
We describe four adolescent cases of inflammatory myofibroblastic tumor involving the genitourinary system. Two patients with masses of the urinary bladder presented with gross hematuria. The third patient presented with left flank pain and a mass encasing the left ureter causing hydronephrosis. The fourth patient presented with a painless, growing palpable mass of the left hemiscrotum. Currently, no standards exist for the management of inflammatory myofibroblastic tumors. Herein, we discuss the work-up and treatment approaches taken in each case.
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A Case of Fatal Clostridial Necrotizing Fasciitis after Radical Prostatectomy

Sun, 07/15/2018 - 00:00
A 70-year-old Caucasian male with pT3aN1Mx G3+4 prostate cancer underwent an open radical retropubic prostatectomy with lymphadenectomy without surgical complications. He experienced a slightly prolonged post-operative hospitalization (3 days) secondary to a reaction to an anesthesia study drug (tachycardia and drowsiness) that resolved after discontinuation of said drug and was subsequently discharged. Two weeks later, he was brought to the emergency department after the sudden onset of an acutely severe right groin pain and swelling that began that afternoon.
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Fluoro-urodynamic Image Interpretation Is Not Altered by Using Dilute Intravesical Contrast

Sun, 07/15/2018 - 00:00
To determine if using one 250 mL bottle of intravesical contrast followed by sterile saline alters interpretation of fluoroscopic images during fluoro-urodynamics
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Metanephric Adenoma in the Pediatric Population- Diagnostic Challenges and Follow-Up

Tue, 07/10/2018 - 00:00
To discuss the presenting features, imaging findings and recommended management of patients with Metanephric adenoma (MA) focusing on the diagnostic challenges and indications for follow up.
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Abdominal Radiography with Digital Tomosynthesis: an Alternative to Computed Tomography for Identification of Urinary Calculi?

Tue, 07/10/2018 - 00:00
To compare the accuracy of plain abdominal radiography (KUB) with digital tomosynthesis (DT) to non-contrast computed tomography (NCCT), the gold standard imaging modality for urinary stones. Due to radiation and cost concerns, KUB is often used for diagnosis and follow-up of nephrolithiasis. Digital tomosynthesis, a novel technique that produces high-quality radiographs with less radiation/cost than low-dose NCCT, has not been assessed in this situation.
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Tailoring Medication for Lower Urinary Tract Symptoms in Men Based on International Prostate Symptom Score Voiding to Storage Ratio

Sat, 07/07/2018 - 00:00
To investigate therapeutic results of tailoring medication for lower urinary tract symptoms (LUTS) in men according to initial treatment results and International Prostate Symptom Score (IPSS) – voiding to storage subscore (V/S) ratio.
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