Urology News Feeds
A Reliable Technique in the Reconstruction of Large Penoscrotal Defect: Internal Pudendal Artery Perforator Flap
To reconstruct the defect secondary to Fournier's gangrene, which is an infection localized in the perineum and the lower abdominal region, characterized by large tissue loss following debridement. A large tissue loss caused by Fournier's gangrene brings with repair problems. The primary goal is to achieve cosmetically and functionally successful results. The purpose of this article is to share the results of reconstruction of large penoscrotal defects with internal pudendal artery perforator flap.
Trends in Urethral Stricture Disease Etiology and Urethroplasty Technique from a Multi-Institutional Surgical Outcomes Research Group
To analyze contemporary urethroplasty trends and urethral stricture etiologies over a seven-year study period amongst urologists from a large multi-institutional surgical outcomes group.
To quantitatively evaluate parental preferences for the various treatments for vesicoureteral reflux using crowd-sourced best-worst scaling, a novel technique in urologic preference estimation.
A prospective study analyzing the association between high-grade ureteral access sheath injuries and the formation of ureteral strictures
To assess the intermediate- and long-term effect of high-grade ureteral injuries from ureteral access sheaths.
Combined Robotic-Assisted Laparoscopic Radical Prostatectomy and Partial Nephrectomy, Rare Coincidance
The incidence of second primary cancer detection in patients with prostate cancer undergoing cross-sectional imaging for staging workup is 1.5%.1 Concomitant prostate cancer and clear-cell renal cell carcinoma is a rare condition. The coexistence of two synchronous neoplasm is highly infrequent. In this case, we present a combined robot-assisted operation for both procedures concurrently with a port strategy allowing reuse of ports
Pheochromocytomas have been described to be associated with renal infarction in a few sporadic cases. The underlying pathophysiologic mechanisms are catecholoamine-induced vasospasm and direct compression or invasion of the tumor on renal artery or its branches. However, renal infarction caused by extra-adrenal pheochromocytoma is rarely reported. We describe an unusual case of benign extra-adrenal pheochromocytoma complicated with left renal infarction by severe vasospasm.
THE UROLOGY MATCH PROCESS AND THE LIMITED VALUE OF POST-INTERVIEW COMMUNICATION FOR PROGRAM DIRECTORS
To understand the urology Match process from the perspective of residency program directors, with a particular focus on the role of post-interview communication. Recent surveys of urology applicants revealed that post-interview communication from programs often violates the rules of the American Urological Association (AUA) Urology Residency Matching Program (the “Match”), and that such communication may influence applicant rank lists.
FEMALE URETHRAL DIVERTICULA: DIAGNOSIS, PATHOLOGY, AND SURGICAL OUTCOMES AT AN ACADEMIC, URBAN MEDICAL CENTER
To describe the outcomes of a series of women diagnosed with a urethral diverticulum at an urban tertiary care center with a focus on f.
Re: What is the role of α-blockers for medical expulsive therapy? Results from a meta-analysis of 60 randomized trials and over 9500 patients
Whether alpha-blockers should be recommended as medical expulsive therapy in patients with symptomatic ureteral stones is much debated. Earlier trials supported the role of alpha-blockers, but most of them were limited by sample size and/or methodological shortcomings. Recent high-quality trials did not find evidence for the use of alpha-blockers to improve stone clearance1-3 and therefore the role of alpha-blockers has been questioned again.
Urination in microgravity is a challenge that bedevils all space travelers and intrigues all space watchers. The absence of gravity defies one's terrestrial voiding behaviors. Scientists, engineers, and astronauts refined the interface between man and machine, solving problems and improving astronaut comfort. From forgotten to familiar technology, the nearly 60-year history of manned spaceflight serves as a testament to the innovation and fortitude necessary to boldly “go” where no man has gone before.
THE ASSOCIATION BETWEEN RACE AND FRAILTY IN OLDER ADULTS PRESENTING TO A NON-ONCOLOGIC UROLOGY PRACTICE
To explore whether there is an association between nonwhite race and frailty among older adults presenting to an academic non-oncologic urology practice.
When an oral mucosa graft (OMG) is not a viable option for urethroplasty, colonic mucosa grafts have served as a promising alternative since described by Igor A. Thyrmos in 1902.1 In previous studies, colonic mucosa graft retrieval required sigmoid resection2-3 which limited adoption of this technique. We previously described the success of a minimally-invasive transanal endoscopic microsurgical (TEM) technique of rectal mucosa graft harvest for urethroplasty.4 Here, we pictorially demonstrate the take of a transanal endoscopically harvested rectal musosa graft (RMG) used in a 2-stage anterior urethroplasty (to our knowledge, the first such 2-stage procedure) with 6 months of follow-up.
Novel Scrotal Reconstruction after Fournier's Gangrene Using the Integra™ Dermal Regeneration Template
We report a novel use of the Integra™ dermal regeneration template to facilitate a functional recovery in a young male with Fournier's gangrene. After multiple debridements he had a large soft tissue defect and local flaps were not possible for reconstruction. Integra™ facilitated reconstruction of a neo-scrotum to allow a good cosmetic outcome.
Intermittent Urinary Incontinence Secondary to Inverted-Y Ureteral Duplication with Perianal Ectopia
Inverted-Y ureteral duplication is one of the rarest anomalies of ureteral branching, which has been found to be more prevalent in females.2 Females commonly present with urinary incontinence often associated with distal limb ectopia to the bladder neck, uterus, or vagina.2 We present the case of a 7-year-old female with intermittent urinary incontinence who was found to have an inverted-Y ureteral duplication with perianal ectopia. We highlight the role of Magnetic Resonance Urography in the evaluation of females with urinary incontinence and a normal renal/bladder ultrasound who are refractory to behavioral therapy.
“Primary high-grade peripheral T-cell lymphoma of the testis clinically confused with scrotal abscess”
Testicular T-cell lymphomas are rare and heterogeneous. Their rarity, nonspecific clinical and radiologic features, histomorphologic heterogeneity and aberrant immunohistochemical expression may impose diagnostic difficulties for clinicians and pathologists. They may mimic germ cell neoplasms, infectious orchitis and scrotal abscess. We report a case of a high grade T-cell lymphoma of the testes in an elderly man with uncontrolled diabetes mellitus. It was clinically and radiologically unexpected and was confused with viral or tuberculous orchitis with abscess formation and systemic sepsis.
Trocar site hernia after retroperitoneal laparoscopic partial nephrectomy: a case report and literature review
Trocar site hernia is a rare complication after laparoscopic surgery. The incidence of trocar hernia is rarer in retroperitoneal approach of urologic laparoscopy. We report a case of trocar site hernia after retroperitoneal laparoscopic partial nephrectomy.
The impact of narrow band imaging (NBI) in the detection and resection of bladder tumour in transitional cell carcinoma of the bladder: A prospective, blinded, sequential intervention randomized controlled trial.
To determine the impact of Narrow Band Imaging (NBI) in detection and resection of tumors during transurethral resection of bladder cancer.
Systemic Comorbidity Burden Using the ACTIONS Phenotype Predicts Urologic Medication Discontinuation Following Transurethral Resection of the Prostate
To assess the impact of systemic comorbidities on a validated health phenotype score (ACTIONS: Anxiety, Cardiovascular, Testosterone, Insulin/diabetes, Obesity, Neurologic, Sleep apnea) on outcomes of transurethral resection of prostate (TURP) for benign prostatic hyperplasia (BPH) for symptoms and medication discontinuation.
To examine the association between shift work or shift work disorder (SWD) and lower urinary tract symptoms (LUTS). Non-standard shift workers are defined as those working shifts outside of a normal 7am-6pm work day.
Re: Comparing Off-Clamp and On-Clamp Robot-Assisted Partial Nephrectomy: A Prospective Randomized Trial
We commend with Anderson and co-workers for their efforts. They performed a prospective randomized trial addressing the comparison of on-clamp vs off-clamp technique for robotic partial nephrectomy (RPN).1 Recent systematic literature reviews already showed no impact of the technique used to manage the renal pedicle on either surgical or oncological outcomes.2 This is debatable and based on pooled analyses of mostly small sample size studies, affected by several confounders, including selection bias (off-clamp approach is more likely performed in low complexity tumors) and heterogeneity in the surgical techniques used.