Urology News Feeds

Outpatient robot-assisted radical prostatectomy: A feasibility study

Urology (Gold Journal) In Press - Mon, 03/18/2019 - 00:00
To evaluate the feasibility of routine outpatient management after robotic-assisted radical prostatectomy (RARP). Prostate cancer is indeed the second most common cancer in men. Surgical technics have evolved from open surgery to robot-assisted surgery with a reduction of postoperative complications. Such technical improvements associated with modern anesthesia allow outpatient surgery in various types of procedures.
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Prospective Implementation of a Point-of-Care PCR-Based Detection Method to Guide Antibiotic Use Prior to Prostate Biopsy Compared to Targeted Prophylaxis and Physician Choice

Urology (Gold Journal) In Press - Mon, 03/18/2019 - 00:00
To perform pilot testing regarding implementation of a point-of-care qPCR-based test (EST200) targeting bacterial clonal groups representing the majority of sepsis-causing E. coli before prostate biopsy to determine antibiotic selection.
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TRANSOBTURATOR TAPE: OVER 10 YEARS FOLLOW-UP

Urology (Gold Journal) In Press - Sat, 03/16/2019 - 00:00
To assess subjective and objective outcomes in incontinent patients following ‘out-in’ TOT, at >10-year follow-up; to evaluate effect on QoL and other urinary symptoms, late adverse events and predictive factors for failure.
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Lower Genitourinary Foreign Bodies: An Institutional Experience and Description of a Novel, Minimally-Invasive Extraction Technique for Anterior Urethral Objects

Urology (Gold Journal) In Press - Sat, 03/16/2019 - 00:00
To describe our experience with management of lower genitourinary foreign bodies (FBs); to introduce our novel, but simple and minimally-invasive retrieval method compared to standard techniques for anterior urethral FBs; and to propose a derived, practical management algorithm.
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Reliability and Validity of the Neurogenic Bladder Symptom Score in Adults with Cerebral Palsy

Urology (Gold Journal) In Press - Sat, 03/16/2019 - 00:00
To examine the utility of the Neurogenic Bladder Symptom Score (NBSS) in adults with cerebral palsy (CP).
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Prevalence, Doppler Ultrasound Findings, and Clinical Implications of the Nutcracker Phenomenon in Pediatric Varicoceles

Urology (Gold Journal) In Press - Fri, 03/15/2019 - 00:00
To examine the implications of varicoceles and nutcracker phenomenon (NcP) in a large cohort of adolescent patients. Varicoceles are common in adolescent males, generating concerns regarding etiology and management. At our institution, Doppler ultrasound (US) of the renal vessels is routinely obtained with the goal of assessing for an associated nutcracker phenomenon.
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Efficacy and Safety of Serenoa repens Extract among Patients with Benign Prostatic Hyperplasia in China: A Multicenter, Randomized, Double-blind, Placebo-controlled Trial

Urology (Gold Journal) In Press - Thu, 03/14/2019 - 00:00
To evaluate the efficacy and safety of Serenoa repens among patients with benign prostatic hyperplasia (LUTS/BPH) in China.
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EXAMINING GENITALIA – CHAPERONE OR GO IT ALONE?

Urology (Gold Journal) In Press - Thu, 03/14/2019 - 00:00
Whenever a male physician examines a female patient's breast or genitalia, it has long been standard practice to always require that a chaperone be present. On the other hand, there has been no widely-accepted expectation, when a woman physician examines the genitalia of her patient, whether male or female, that a chaperone should likewise be present. However, the winds may now be changing. #METOO movement is encouraging women to speak out against various forms of inappropriate behavior which, in the past, they might have tolerated in silence.
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A Reliable Technique in the Reconstruction of Large Penoscrotal Defect: Internal Pudendal Artery Perforator Flap

Urology (Gold Journal) In Press - Thu, 03/14/2019 - 00:00
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.
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Trends in Urethral Stricture Disease Etiology and Urethroplasty Technique from a Multi-Institutional Surgical Outcomes Research Group

Urology (Gold Journal) In Press - Thu, 03/14/2019 - 00:00
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.
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Parental Preferences for Vesicoureteral Reflux Treatment: a Crowd-sourced, Best-worst Scaling Study

Urology (Gold Journal) In Press - Thu, 03/14/2019 - 00:00
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.
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A prospective study analyzing the association between high-grade ureteral access sheath injuries and the formation of ureteral strictures

Urology (Gold Journal) In Press - Wed, 03/13/2019 - 00:00
To assess the intermediate- and long-term effect of high-grade ureteral injuries from ureteral access sheaths.
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Combined Robotic-Assisted Laparoscopic Radical Prostatectomy and Partial Nephrectomy, Rare Coincidance

Urology (Gold Journal) In Press - Wed, 03/13/2019 - 00:00
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
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Renal infarction associated with extra-adrenal pheochromocytoma

Urology (Gold Journal) In Press - Wed, 03/06/2019 - 00:00
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.
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THE UROLOGY MATCH PROCESS AND THE LIMITED VALUE OF POST-INTERVIEW COMMUNICATION FOR PROGRAM DIRECTORS

Urology (Gold Journal) In Press - Mon, 03/04/2019 - 00:00
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.
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FEMALE URETHRAL DIVERTICULA: DIAGNOSIS, PATHOLOGY, AND SURGICAL OUTCOMES AT AN ACADEMIC, URBAN MEDICAL CENTER

Urology (Gold Journal) In Press - Mon, 03/04/2019 - 00:00
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.
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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

Urology (Gold Journal) In Press - Fri, 03/01/2019 - 00:00
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.
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How Do Astronauts Urinate? The History of Innovations Enabling Voiding in the Void

Urology (Gold Journal) In Press - Tue, 02/26/2019 - 00:00
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.
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THE ASSOCIATION BETWEEN RACE AND FRAILTY IN OLDER ADULTS PRESENTING TO A NON-ONCOLOGIC UROLOGY PRACTICE

Urology (Gold Journal) In Press - Tue, 02/26/2019 - 00:00
To explore whether there is an association between nonwhite race and frailty among older adults presenting to an academic non-oncologic urology practice.
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Rectal Mucosa Graft Take in Staged Urethroplasty

Urology (Gold Journal) In Press - Tue, 02/26/2019 - 00:00
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.
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