Urology News Feeds
Distribution of Semen Parameters Among Adolescent Males Undergoing Fertility Preservation in a Multicenter International Cohort
To determine the distribution of semen parameters among adolescent and adult males presenting for fertility preservation.
To understand trends in pediatric cases performed during urology residency including intra-resident variability and cases performed relative to required minimums.
Downgrading of Grade Group After Radical Prostatectomy: Comparison of Multiparametric Magnetic Resonance Imaging Guided Fusion Biopsy and Standard 12-Core Biopsy
To analyze the factors associated with Grade group (GG) downgrading post-radical prostatectomy.
Consistencies and discrepancies between the expectations of urology trainees and the experience of practicing urologists
To compare the expectations of urology trainees with the experience of practicing urologists.
To examine trends in underrepresented minority (URM) representation in urology residency. Comparison is made between URM representation in urology residency and URM representation in other surgical fields as well as all medical fields. We hypothesized that percentage of URM in urology has been limited when compared to both surgical fields and all other fields.
A 53-year-old man presented to our hospital with right upper quadrant (RUQ) pain alongside nausea and vomiting. Physical examination revealed RUQ tenderness, Murphy sign, and fever. He otherwise had no significant past medical or surgical history. Subsequent abdominal ultrasound showed signs of cholecystitis and an incidental lobulated hypoechoic mass of the left kidney with heterogeneous echotexture and hypervascularity on Doppler. The patient had a cholecystectomy without complications during the postoperative period.
Cutaneous metastasis from renal cell carcinoma (RCC) is rare, typically involves the head and neck, and occurs in late stage disease, usually in the context of previously diagnosed and treated primary tumour, and after lymphatic spread.This patients’ initial presentation of clear cell RCC was a cutaneous lesion to the ipsilateral abdominal wall. The primary renal tumour was subsequently demonstrated on CT; this also showed no apparent lymph node involvement despite cutaneous metastatic disease. The patient underwent radical laparoscopic nephrectomy and biological therapy, but disease progression continued, and he passed away within 6 months of diagnosis.
A 66-year-old gentlemen with a history of recurrent urothelial carcinoma in situ treated with endoscopic resection and induction BCG developed a new renal mass on surveillance computerized tomography (CT) and was referred to our institution for surgery. Biopsy was performed and pathology showed BCG granuloma. The patient was clinically asymptomatic. No surgical intervention was required. This is a rare entity in those undergoing intravesical BCG therapy. To avoid unnecessary surgery, a careful patient history and judicious use of renal mass biopsy is critical.
To examine the relationship between phosphodiesterase 5 inhibitor drugs (PDE5i) and skin cancers in a large-scale study of Veterans.
To evaluate rates of guideline adherence and associations with voiding cystourethrogram result. The American Academy of Pediatrics guidelines recommend voiding cystourethrogram after abnormal renal ultrasound or two febrile urinary tract infections. It is unclear whether guideline adherence increases vesicoureteral reflux detection. Additionally, guidelines targeting children 2-24 months are often applied to other ages.
Medial renal ptosis is the abnormal mobility of the kidney towards or across the midline of the body. Historically, this phenomenon is evaluated by observing abnormal mobility in the lateral decubitus position during intravenous pyelography. Here, we present the first radiographic documentation of this anomaly on computed tomography on a 34-year-old female who experienced an intermittent abdominal bulge over her right upper quadrant. Nephropexy is the definitive treatment for symptomatic patients.
Wilms tumor commonly presents as an asymptomatic abdominal mass. In some cases, it can be accompanied with hypertension, constitutional symptoms and hematuria when involving the collecting system. Below, we review the case of a child diagnosed with botryoid Wilms tumor involving the upper calyces and renal pelvis in which the presenting symptom was a concern for a foreign body in her left ear and the only abnormality during initial history and physical examination was stage 2 hypertension.
To compare urodynamic outcomes between Aquablation vs TURP.
To evaluate patients’ serum total testosterone levels (STLs) after brachytherapy (BT) for prostate cancer.
The value of shadowing and the twinkling artifact in the diagnosis of ureteral stones: a single-center study
To determine and evaluate the value of shadowing and the twinkling artifact (TA) for the diagnosis of ureteral stones.
To clarify the key steps and evaluate the early results of the recently introduced Top-Down Holmium Laser Enucleation of the Prostate (HoLEP).1,2 This technique was developed to shorten the steep learning curve associated with the conventional approach.
A 35 years old male of 165 cm height and weight of 65 Kg, had a suprapubic catheter indwelling for 4 years without replacement for urethral stricture. The catheter became gradually obstructed, and urine leaked out around the suprapubic catheter. A lumbar abdominal distension, an inferior abdominal mass and renal failure prompted him to seek medical attention in our hospital in September 2018. This clinical case is hereby presented from three aspects of imaging, lab examination and operation.
Perioperative Outcomes and Complications after Robotic Radical Cystectomy with Intra-Corporeal or Extra-Corporeal Ileal Conduit Urinary Diversion: Head-to-head Comparison from a Single-Institutional Prospective Study
to compare perioperative and oncological outcomes of intracorporeal (ICUD) vs extracorporeal urinary diversion ECUD after robot-assisted radical cystectomy (RARC).
Tissue retraction during minimally-invasive urologic surgery currently is achieved by either gravity via patient positioning or placement of additional ports for robotic arms or bedside assistant instrumentation. A novel magnetic retractor system (LevitaTM Magnetic Surgical System, San Mateo, CA, USA) was recently approved by the Food and Drug Administration for use in minimally invasive surgery.