Urology News Feeds
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.
To determine the safety and efficacy of Advanced Practice Provider (APP) performed NBCs, we reviewed outcomes of NBCs performed by pediatric urologists and APPs. We hypothesize comparable clinical outcomes between the groups.
To evaluate the quality of web-based information on ablative therapies for prostate cancer
To study the feasibility of transvesical prostate resection and its effect on urethral stricture.
The Accuracy of Prostate MRI Interpretation: Impact of the Individual Radiologist and Clinical Factors
To compare test performance of multiparametric magnetic resonance imaging (mpMRI) for detection of prostate cancer (PCa) between individual radiologists using the Prostate Imaging Reporting and Data System (PI-RADS) and to identify clinical factors that may predict test performance.
Due to the rarity of Wilms tumor and the relative urgency that pediatric renal tumors are treated, there is little reported data on the natural history and growth of Wilms tumors. Historical reports of estimated doubling times of Wilms tumors were based on time to disease recurrence after initial diagnosis and treatment, and were published before the current advancements in molecular biomarker testing. We compare two cases of Wilms tumor with sequential imaging, and postulate how the growth parameters of these tumors may be associated with differing chromosomal traits.
To investigate the clinical history of patients with clinical stage II sex cord stromal tumors who underwent RPLND at our institution.
FINANCIAL BURDEN OF RECURRENT URINARY TRACT INFECTIONS IN WOMEN: A TIME-DRIVEN ACTIVITY-BASED COST ANALYSIS
To utilize Time-Driven Activity-Based Costing [TDABC] to quantify costs of managing recurrent urinary tract infections [RUTI] in women.
Juvenile granulosa cell tumors (JGCT) of the ovary are rare sex cord-stromal ovarian tumors that are typically diagnosed during the first two decades of life. Most patients present with precocious puberty in the early stages of disease. We present a rare case of asymptomatic uterine torsion from a 15-centimeter JGCT in a 5-year-old girl with elevated inhibin B, breast development, vaginal bleeding and a palpable right-sided abdominal mass.
The patient is an 86-year-old male who presented with hematuria and discoloration of his left hemiscrotum. He had a past medical history significant for atrial fibrillation on apixaban, coronary artery disease, hypertension, diabetes, and a repaired 8-cm abdominal aortic aneurysm. He had recently been successfully treated for a urinary tract infection. He also had history of inguinal hernia for over three years for which he had consulted a general surgeon who recommended observation in view of the patient's multiple comorbidities and absence of symptoms.
Patient Characteristics Associated with Completion of 24-hour Urine Analyses Among Children and Adolescents with Nephrolithiasis
To inform the development of strategies to improve adherence to guidelines, we sought to identify characteristics of pediatric patients with nephrolithiasis associated with completing 24-hour urine analyses.
Is very high power/frequency really necessary during laser lithotripsy? RE: Understanding the Popcorn Effect During Holmium Laser Lithotripsy for Dusting (Aldoukhi et al, Urology. 2018 Dec;122:52-57)
While the endo-urological community is still wondering about the most effective laser settings and strategies for intracorporeal lithotripsy, Aldoukhi et al1 recently tested in a laboratory setting different popcorning scenarios. Aside from the main study outcomes, the authors concluded that overall results trend favored using the highest frequency settings possible, regardless of pulse energy. More specifically, they claimed that settings with higher frequency may improve dusting outcomes.
To determine patient factors prompting anterior abdominal wall placement of the sacral nerve stimulator implantable pulse generator and investigate revision and infection rates for buttock (standard) and abdominal placement.