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Urology

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https://www.readbyqxmd.com/read/28652167/effects-of-urinary-incontinence-subtypes-on-women-s-sexual-function-and-quality-of-life
#1
Salvatore Caruso, Roberta Brescia, Maria Grazia Matarazzo, Giuliana Giunta, Agnese Maria Chiara Rapisarda, Antonio Cianci
OBJECTIVES: To evaluate the effects of different subtypes of UI on sexual function and quality of life (QoL). MATERIALS AND METHODS: 93 women with UI were enrolled in the observational study. By the urodynamic findings, 32 women (34.5 %) were diagnosed with stress urinary incontinence (SUI), 35 (37.6%) with urgency urinary incontinence (UUI), and 26 (27.9%) with mixed urinary incontinence (MUI). The SF-36 questionnaire was used to investigate the quality of life (QoL), and the Female Sexual Function Index (FSFI) and Female Sexual Distress Scale (FSDS) questionnaires were used to study the sexual function and sexaul distress, respectively...
June 23, 2017: Urology
https://www.readbyqxmd.com/read/28652166/multilingual-self-management-resources-for-prostate-cancer-survivors-and-their-partners-results-of-a-long-term-academic-state-health-department-partnership-to-promote-survivorship-care
#2
Ted A Skolarus, Jennifer A Ragnoni, Carol Garlinghouse, Ann Schafenacker, Debbie Webster, Polly Hager, Daniela Wittmann, Laurel Northouse
INTRODUCTION: There is increasing need for innovative, sustainable ways to provide evidence-based self-management information and supportive care for prostate cancer survivors and their partners. For these reasons, we describe how an academic-public partnership facilitated the broad dissemination of evidence-based, multilingual survivorship educational materials via a state-managed prostate cancer website. METHODS: We outline the steps of an academic-public partnership leading to dissemination of online, survivorship materials as a resource for prostate cancer survivors and their partners...
June 23, 2017: Urology
https://www.readbyqxmd.com/read/28652165/same-session-bilateral-ureteroscopy-safety-and-outcomes
#3
Johann P Ingimarsson, Marcelino Rivera, John J Knoedler, Amy E Krambeck
OBJECTIVE: To assess the complications and outcomes associated with same-session bilateral ureteroscopy in a tertiary referral center, as same-session bilateral ureteroscopy for stone disease has been critiqued for the theoretical risk of injury to both ureters with subsequent risk to renal function. METHODS: We retrospectively reviewed all cases of bilateral ureteroscopy performed for urolithiasis by a single surgeon at out institution between 2009 and 2014. These were compared to a prospective unilateral ureteroscopy data base RESULTS: There were 117 same-session bilateral ureteroscopic procedures performed in 113 patients totaling 234 ureteroscopies...
June 23, 2017: Urology
https://www.readbyqxmd.com/read/28652164/schistosoma-haematobium-a-delayed-cause-of-hematuria
#4
Wei Phin Tan, Thomas Hwang, Ji-Weon Park, Lev Elterman
A 22-year-old African-American man with recurrent episodes of gross hematuria for 6 months presented to the clinic for evaluation. A thorough history revealed that the patient emigrated from Mozambique to the United States 12 years ago. Urine culture was negative for a urinary tract infection. Cystoscopy revealed 4 lesions in the bladder. Biopsy of the bladder lesion revealed severe cystitis and Schistosoma Haematobium. The patient later confirmed that he used to swim in rivers and streams back in Africa. He completed a course of praziquantel and his gross hematuria resolved...
June 23, 2017: Urology
https://www.readbyqxmd.com/read/28652163/health-related-quality-of-life-after-radical-cystectomy-a-cross-sectional-study-with-matched-pair-analysis-on-ileal-conduit-versus-ileal-orthotopic-neobladder-diversion
#5
Maria Angela Cerruto, Carolina D'Elia, Salvatore Siracusano, Omar Saleh, Mauro Gacci, Giovanni Cacciamani, Vincenzo De Marco, Antonio Benito Porcaro, Matteo Balzarro, Mauro Niero, Cristina Lonardi, Massimo Iafrate, Pierfrancesco Bassi, Ciro Imbimbo, Marco Racioppi, Renato Talamini, Stefano Ciciliato, Sergio Serni, Marco Carini, Paolo Verze, Walter Artibani
OBJECTIVE: To examine the different and Health-Related Quality of Life (HR-QoL) outcomes between ileal conduit (IC) vs. ileal-orthotopic-neobladder (IONB) in patients who underwent RC for primary BC, by using validated self-reported cancer-specific instruments. METHODS: This retrospective, cross sectional, multicentre cohort study included 148 and 171 patients who underwent RC with either IC or IONB with curative intent. HR-QoL was evaluated with QLQ.C-30 and BLM-30 EORTC questionnaires...
June 23, 2017: Urology
https://www.readbyqxmd.com/read/28652162/holding-strength-of-a-hem-o-lok-lapra-ty-clip-combination-on-sutures-used-during-partial-nephrectomy
#6
Bikal Paka, Robert Bossemeyer, Mouafak Tourojman, Ruchir Gupta, Brian R Lane
OBJECTIVE: To investigate the anti-slip strength of closing systems employing sutures terminated with a Hem-o-Lok®/Lapra-Ty® clip combination to determine which sutures perform best for this application. Partial nephrectomy (PN) is the reference standard for treatment of small renal masses. The main disadvantage of PN is the risk of technical complications, including renorrhaphy site bleeding and urine leak. MATERIALS AND METHODS: A materials testing system produced a constant velocity pull on the free end of an anchored suture...
June 23, 2017: Urology
https://www.readbyqxmd.com/read/28652161/the-surgical-management-of-bladder-polyps-in-the-setting-of-exstrophy-epispadias-complex-eec
#7
John Jayman, Ali Tourchi, Masha Shabaninia, Mahir Maruf, Heather DiCarlo, John P Gearhart
PURPOSE: To investigate the surgical course for treating bladder polyps in patients with Exstrophy Epispadias Complex (EEC). EEC bladder polyps are unique pathological entities, with a distinct difference between polyps discovered at birth and polyps developed after failed exstrophy closure. MATERIALS AND METHODS: A prospectively maintained database of 1300 patients with EEC was reviewed for bladder exstrophy (BE) patients with bladder polyps. The following data was obtained: patient demographics, polyp type, past medical and surgical history, and continence outcomes...
June 23, 2017: Urology
https://www.readbyqxmd.com/read/28652160/establishment-of-a-web-based-system-for-collection-of-patient-reported-outcomes-after-radical-prostatectomy-in-a-statewide-quality-improvement-collaborative
#8
Steven M Lucas, Tae-Kyung Kim, Khurshid R Ghani, David C Miller, Susan Linsell, Jay Starr, James O Peabody, Patrick Hurley, James Montie, Michael L Cher
Objective To report on the establishment of a unified, electronic PRO infrastructure and pilot results from the first 5 practices enrolled in the web-based collection system developed by the Michigan Urologic Surgery Improvement Collaborative (MUSIC). Methods Eligible patients were those undergoing radical prostatectomy (RP) of 5 academic and community practices. PRO was obtained using a validated 21-item web-based questionnaire, regarding urinary function, erection function, and sexual interest and satisfaction...
June 23, 2017: Urology
https://www.readbyqxmd.com/read/28652159/skin-to-tumor-distance-predicts-treatment-failure-of-t1a-renal-cell-carcinoma-following-percutaneous-cryoablation
#9
Simone L Vernez, Zhamshid Okhunov, Kamaljot Kaler, Ramy F Youssef, Rahul Dutta, Arkadiy Palvanov, Paras Shah, Kathryn Osann, David N Siegel, Igor Lobko, Louis Kavoussi, Ralph V Clayman, Jaime Landman
OBJECTIVE: To determine the impact of skin-to-tumor (STT) distance on the risk for treatment failure following PCA. METHODS: We retrospectively reviewed patients who underwent PCA with documented T1a recurrent renal cell carcinoma (RCC) at two academic centers between 2005 and 2015. Patient demographics, tumor characteristics, perioperative and post-operative course variables were collected. Additionally, we measured the STT by averaging the distance from the skin to the center of the tumor at 0, 45 and 90 degrees on preoperative computed tomography imaging...
June 23, 2017: Urology
https://www.readbyqxmd.com/read/28651749/editorial-comment
#10
Michael R Barratt
No abstract text is available yet for this article.
June 23, 2017: Urology
https://www.readbyqxmd.com/read/28648973/editorial-comment
#11
Guru Sonpavde, Mark A Preston
No abstract text is available yet for this article.
June 22, 2017: Urology
https://www.readbyqxmd.com/read/28648967/glans-necrosis-following-penile-prosthesis-implantation-prevention-and-treatment-suggestions
#12
Steven K Wilson, Cesar Mora-Estaves, Paulo Egydio, David Ralph, Mohamad Habous, Christopher Love, Ahmad Shamsodini, Robert Valenzuela, Faysal A Yafi
OBJECTIVE: To examine possible etiology and treatment outcomes in 21 patients with glans necrosis following penile prosthesis implantation. METHODS: Glans necrosis typically presented with a dusky glans on first post-operative day following prosthesis implantation. RESULTS: The blood supply to the glans penis consists of the dorsal arteries and the terminal branches of the spongiosal arteries. Using this cohort, we compiled pre-operative comorbidities and adjunctive surgical maneuvers that might compromise glans vascularity leading to glans necrosis...
June 22, 2017: Urology
https://www.readbyqxmd.com/read/28648966/ultra-low-radiation-exposure-during-flexible-ureteroscopy-in-nephrolithiasis-patients-how-far-can-we-go
#13
Simon Hein, Martin Schoenthaler, Konrad Wilhelm, Daniel Schlager, Werner Vach, Ulrich Wetterauer, Arkadiusz Miernik
OBJECTIVES: To evaluate the feasibility and clinical performance of a novel surgeon technique and protocol targeting ultra-low fluoroscopy usage in retrograde intrarenal surgery (RIRS). METHODS: All RIRS procedures between 2009 and 2015 for 10-20-mm renal calculi performed by the same two experienced urologists were eligible. All procedures were performed using a highly standardized step by step RIRS technique. This technique was modified by the ultra-low radiation exposure RIRS protocol: herein as much as possible of the standardized steps were performed without radiation control targeting ultra-low fluoroscopy usage...
June 22, 2017: Urology
https://www.readbyqxmd.com/read/28647563/in-vitro-comparison-of-holmium-lasers-evidence-for-shorter-fragmentation-time-and-decreased-retropulsion-using-a-modern-variable-pulse-laser
#14
John Roger Bell, Kristina L Penniston, Stephen Y Nakada
OBJECTIVE: To compare the performance of variable and fixed pulse lasers on stone phantoms in vitro. METHODS: Seven millimeter stone phantoms were made to simulate calcium oxalate monohydrate stones using BegoStone Plus. The in vitro setting was created with a clear PVC tube. For each trial, a stone phantom was placed at the open end of the tubing. The Cook Rhapsody H-30 variable pulse laser was tested on both long and short pulse settings and compared to the Dornier H-20 fixed pulse laser, five trials were conducted for each trial arm...
June 21, 2017: Urology
https://www.readbyqxmd.com/read/28647562/post-operative-complications-of-spina-bifida-patients-undergoing-urological-laparotomy-a-multi-institutional-analysis
#15
Christopher J Loftus, David C Moore, Joshua A Cohn, Douglas F Milam, Roger R Dmochowski, Dan Wood, Melissa R Kaufman, Hadley M Wood
OBJECTIVE: To characterize peri-operative morbidity and mortality of adult spina bifida patients undergoing laparotomy. METHODS: We retrospectively studied the post-operative complications of 59 operations of spina bifida patients undergoing abdominal laparotomies for urological indications at three institutions. We evaluated post-operative complications using the Clavien-Dindo classification scale. RESULTS: The overall complication rate was 91...
June 21, 2017: Urology
https://www.readbyqxmd.com/read/28641974/prostate-cancer-local-recurrence-detected-with-both-18-f-fluciclovine-and-psma-targeted-18-f-dcfpyl-pet-ct
#16
Michael A Gorin, Kenneth J Pienta, Martin G Pomper, Steven P Rowe
We present the case of a 79-year-old man with an elevated post-prostatectomy PSA level who was sequentially imaged with PET/CT using (18)F-fluciclovine followed by PSMA-targeted (18)F-DCFPyL. Although both imaging tests successfully identified the same pelvic recurrence, each radiotracer had its relative merits. This case highlights the differences between these two PET radiotracers which are increasingly being used to image men with recurrent prostate cancer.
June 19, 2017: Urology
https://www.readbyqxmd.com/read/28629676/percutaneous-nephrolithotomy-puncture-and-tract-dilation-evidence-on-the-safety-of-approaches-to-the-infundibulum-of-the-middle-renal-calyx
#17
Panagiotis Kallidonis, Christina Kalogeropoulou, Iason Kyriazis, Dimitrios Apostolopoulos, Panagiotis Kitrou, Dimitrios Kotsiris, Panteleimon Ntasiotis, Evangelos Liatsikos
OBJECTIVES: To investigate the anatomical relations of the papillary, infundibular and pelvic approach to percutaneous nephrolithotomy (PCNL) and evaluate the amount of vascularization at the respective sites. MATERIALS: (99m)Tc-dimercaptosuccinic acid SPECT/CT renal scintigraphies or Computerized tomographies perfusion (CTP) were performed in 40 patients (prone n=20 or supine position n=20). The angle of approach (AoA) for access tracts the respective regions of interest (ROIs) to the mid-calyceal papilla and infundibulum as well as renal pelvis were designed and compared...
June 16, 2017: Urology
https://www.readbyqxmd.com/read/28625593/you-pays-your-money-you-takes-your-choice-functional-outcomes-following-curative-treatment-for-clinically-localized-prostate-cancer
#18
LETTER
M Mannas, Ecp Chedgy, P C Black
No abstract text is available yet for this article.
June 15, 2017: Urology
https://www.readbyqxmd.com/read/28625592/a-critical-analysis-of-stented-and-unstented-tubularized-incised-plate-urethroplasty-through-a-prospective-randomized-study-and-assessment-of-factors-influencing-the-functional-and-cosmetic-outcomes
#19
Tarek M El-Karamany, Ahmed M Al-Adl, Rabea G Omar, Ashraf M Abdel Aal, Amr S Eldakhakhny, Shabieb A Abdelbaki
(1) OBJECTIVES: To compare functionally and aesthetically between stented and unstented tubularized incised plate urethroplasty (TIPU). In addition, predictors of repair success were investigated. (2) METHODS: 110 children with distal hypospadias included in this study. Length and width of the urethral plate (UP) and transverse glans diameter (TGD) were measured. Patients were randomized into two groups, stented and unstented TIPU. Postoperative assessment of pain using Face, Legs, Activity, Cry, Consolability (FLACC) scale and cosmetic outcome using hypospadias objective scoring evaluation (HOSE)...
June 15, 2017: Urology
https://www.readbyqxmd.com/read/28625591/prognostic-significance-of-a-negative-confirmatory-biopsy-on-reclassification-among-men-on-active-surveillance
#20
Vishnu Ganesan, Charles Dai, Yaw A Nyame, Daniel J Greene, Nima Almassi, Daniel Hettel, Joseph Zabell, Hans Arora, Samuel Haywood, Alice Crane, Chad Reichard, Anna Zampini, Ahmed Elshafei, Robert J Stein, Khaled Fareed, J Stephen Jones, Michael Gong, Andrew J Stephenson, Eric A Klein, Ryan K Berglund
OBJECTIVE: To examine the association between absence of disease on confirmatory biopsy and risk of pathologic reclassification in men on active surveillance (AS). METHODS: Men with grade groups 1 and 2 disease on AS between 2002 and 2015 were identified who received a confirmatory biopsy within 1 year of diagnosis and ≥3 biopsies overall. The primary outcomes were pathologic reclassification by grade (any increase in primary Gleason pattern or Gleason score) or volume (>33% of sampled cores involved or increase in the number of cores with >50% involvement)...
June 15, 2017: Urology
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