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Urology

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https://www.readbyqxmd.com/read/28818537/predicting-grade-and-stage-at-cystoscopy-in-newly-presenting-bladder-cancers-a-prospective-double-blind-clinical-study
#1
Paramananthan Mariappan, Victoria Lavin, Chu Qin Phua, Shahid Aziz Anwar Khan, Roland Donat, Gordon Smith
OBJECTIVES: To assess Urologists' ability to predict the grade and stage of new bladder cancers from the cystoscopic features alone. METHODS: We conducted a prospective clinical study on consecutive patients undergoing Transurethral Resection of Bladder Tumour (TURBT) for new bladder cancers. Using only cystoscopic tumour morphology at the time of initial TURBT, 3 Urology consultants predicted the grade and stage, recording this on a proforma along with tumour features...
August 14, 2017: Urology
https://www.readbyqxmd.com/read/28818536/glansectomy-as-primary-management-of-penile-squamous-cell-carcinoma-an-international-study-collaboration
#2
Dominic H Tang, Sylvia Yan, Sarah R Ottenhof, Désirée Draeger, Adam S Baumgarten, Juan Chipollini, Chris Protzel, Yao Zhu, Ding-Wei Ye, Oliver W Hakenberg, Simon Horenblas, Nicholas A Watkin, Philippe E Spiess
OBJECTIVE: To analyze the recurrence and survival outcomes of glansectomy in patients with penile squamous cell carcinoma. MATERIALS AND METHODS: We performed a retrospective review of 410 patients across 5 international tertiary referral centers between 1999 and 2016. All patients had tumors involving the glans penis and underwent glansectomy as primary treatment. The Kaplan-Meier method and log-rank test were used to calculate survival and recurrence. Median follow-up was 42 months (IQR 29-56)...
August 14, 2017: Urology
https://www.readbyqxmd.com/read/28818535/use-of-the-ileum-for-ureteral-stricture-and-obstruction-in-bilateral-unilateral-and-single-kidney-cases
#3
Aram Kim, Wook Nam, Sang Hoon Song, In Gab Jeong, Bumsik Hong
Objectives To investigate the functional outcomes of ileal ureter replacement for complex ureteral loss, including bilateral and single ureter stricture, as a result of various etiologies. Methods In 2013-2016, 31 patients underwent ileal ureter replacement surgery. The data for their assessments included etiology, combined surgical procedures, ureteral replacement type, postoperative complications, and changes in renal function. Results The 31 study patients had a median age of 56.0 (range 18 to 65) years old and were followed for a median 23...
August 14, 2017: Urology
https://www.readbyqxmd.com/read/28818534/endoscopic-treatment-of-vesicoureteral-reflux-in-infants-can-we-do-it-and-should-we-do-it
#4
Sara Fuentes, Andrés Gómez-Fraile, Isabel Carrillo-Arroyo, Cristina Tordable-Ojeda, Daniel Cabezalí-Barbancho
Objective To evaluate the outcomes of endoscopic treatment of vesicoureteral reflux (VUR) performed on infants, and to discuss the possible role of this approach in selected cases. Material and Methods A retrospective analysis was conducted on the patients that underwent endoscopic injection of a bulking substance for VUR in our institution, and a comparison made with patients treated as infants and those treated later in life. Results A total 463 ureteric units were included (296 children), of which 47 of them were patients less than one year of age (infants, INF group), with the remaining 416 being included in a second group (children, CHL)...
August 14, 2017: Urology
https://www.readbyqxmd.com/read/28807752/vasectomy-practice-patterns-among-family-medicine-physicians-and-compliance-with-the-aua-2012-vasectomy-guidelines
#5
Daniel D Shapiro, Sandra A Kamnetz, Brian V Le
OBJECTIVE: To survey urologists and family medicine physicians within a single institution to determine current vasectomy practice patterns and determine compliance with 2012 American Urological Society (AUA) vasectomy guidelines. MATERIALS AND METHODS: In 2016, a single institution survey was conducted to understand the vasectomy practice patterns among urologists and non-urologists. The survey questions and 3 clinical scenarios were designed based on the 2012 AUA vasectomy guidelines...
August 11, 2017: Urology
https://www.readbyqxmd.com/read/28807654/editorial-comment
#6
Ali H Aldoukhi, Khurshid R Ghani
No abstract text is available yet for this article.
August 11, 2017: Urology
https://www.readbyqxmd.com/read/28807653/the-effects-of-neoadjuvant-axitinib-on-anthropometric-parameters-n-patients-with-locally-advanced-non-metastatic-renal-cell-carcinoma
#7
Shivashankar Damodaran, E Jason Abel
No abstract text is available yet for this article.
August 11, 2017: Urology
https://www.readbyqxmd.com/read/28803902/association-between-irritable-bowel-syndrome-and-overactive-bladder-a-research-survey
#8
Kyu Shik Kim, Hyung-Jee Kim, Seong Ho Lee, Sung Tae Cho, Hong Sang Moon
OBJECTIVE: To investigated the relationship between irritable bowel syndrome (IBS) and overactive bladder (OAB) in men and women using questionnaires. MATERIAL AND METHODS: This research survey was based on multi-center data (men and women older than 20 years). The Korean version of the Rome III criteria was used for the diagnosis of IBS, overactive bladder symptom score (OABSS) was used for screening OAB, Self-Rating Depression Scale (SDS) was used for depressive symptoms, and International Prostate Symptom Score & Quality of Life (IPSS & QoL) were used to determine the degrees of lower urinary tract symptoms...
August 10, 2017: Urology
https://www.readbyqxmd.com/read/28803669/editorial-comment
#9
Kathy H Huen, Jonathan Bergman
No abstract text is available yet for this article.
August 10, 2017: Urology
https://www.readbyqxmd.com/read/28802570/organ-preservation-is-less-frequently-performed-in-women-surgically-treated-for-papillary-renal-cell-carcinoma-results-of-a-comprehensive-multicenter-study
#10
Ingmar Wolff, Anna Scavuzzo, Umberto Capitanio, Tobias Klatte, Shahrokh F Shariat, Nina Wagener, Stefan Zastrow, Hendrik Borgmann, Laura-Maria Krabbe, Georg Hutterer, Matthias May, Sabine D Brookman-May
OBJECTIVE: To analyze the impact of gender on clinico-pathological features and survival of patients with surgically treated papillary renal cell carcinoma (RCC) using a comprehensive international multicenter database. MATERIALS AND METHODS: Data of 2,325 patients undergoing surgery for unilateral papillary RCC between 1984 and 2015 in 17 European and North-American centers were retrospectively collated. The impact of clinico-pathological features on the likelihood of nephron-sparing surgery (NSS) was evaluated using a multivariable logistic regression model...
August 9, 2017: Urology
https://www.readbyqxmd.com/read/28802569/gender-and-subspecialty-of-urology-faculty-in-department-based-leadership-roles
#11
Julia Han, Stephanie Stillings, Harold Hamann, Russell Terry, Louis Moy
OBJECTIVES: To characterize the current gender and subspecialty of those holding academic departmental administrative and educational leadership roles in urology. METHODS: We conducted a cross-sectional observational study of U.S. Urology Residency Programs in 2016 to 2017. Inclusion criteria were participation in the Urology Residency Match Program and having a department of urology website. From June 1, 2016 to August 20, 2016, each department's website was queried...
August 9, 2017: Urology
https://www.readbyqxmd.com/read/28802568/the-application-of-suctioning-flexible-ureteroscopy-with-intelligent-pressure-control-in-treating-upper-urinary-tract-calculi-on-patients-with-a-solitary-kidney
#12
Jianrong Huang, Donghua Xie, Ruiping Xiong, Xiaolin Deng, Chengbing Huang, Difu Fan, Zuofeng Peng, Wen Qin, Min Zeng, Leming Song
OBJECTIVE: To investigate the usage of intelligently pressure-controlled flexible ureteroscopy (URS) in managing upper urinary tract calculi in patients with a solitary kidney. METHODS: Forty patients with a solitary kidney and upper urinary tract calculus were included in this study. All the patients underwent suctioning URS with intelligent control of renal pelvic pressure by connecting pressure-measuring suctioning ureteral access sheath to an irrigation and suctioning platform...
August 9, 2017: Urology
https://www.readbyqxmd.com/read/28801220/multiple-reflex-pathways-contribute-to-bladder-activation-by-intraurethral-stimulation-in-persons-with-spinal-cord-injury
#13
Meredith J McGee, Brandon D Swan, Zachary C Danziger, Cindy L Amundsen, Warren M Grill
OBJECTIVES: To measure the urodynamic effects of electrical co-stimulation of two individual sites in the proximal and distal urethra in persons with spinal cord injury (SCI). This work was motivated by preclinical findings that selective co-stimulation of the cranial urethral sensory nerve and the dorsal genital nerve, which innervate the proximal and distal portions of the urethra, respectively, increased reflex bladder activation and voiding efficiency. METHODS: Electrical co-stimulation of urethral afferents was conducted in persons with chronic SCI during urodynamics...
August 8, 2017: Urology
https://www.readbyqxmd.com/read/28801219/renal-forniceal-rupture-is-conservative-management-safe
#14
Tara Nikonow Morgan, Jathin Bandari, Mohammed Shahait, Timothy Averch
OBJECTIVE: To outline treatment considerations and outcomes for a cohort of patients with forniceal rupture with the aim of adding to a very limited body of literature regarding clinical practice in this area. METHODS: We retrospectively searched all radiographic records for patients treated at our institution between January 2009 and January 2016 with forniceal rupture. We compiled demographic data, etiology, clinical factors, treatments and outcomes. RESULTS: Of the 103 patients analyzed, the median age at presentation was 64 years (IQR 52-73) and 56 (54%) were female...
August 8, 2017: Urology
https://www.readbyqxmd.com/read/28801218/urology-residents-experience-and-attitude-towards-surgical-simulation-presenting-our-four-year-experience-with-a-multi-institutional-multi-modality-simulation-model
#15
Alexander Chow, B Sherer, E Yura, S Kielb, E Kocjancic, S Eggener, T Turk, S Park, S Psutka, M Abern, K Latchamsetty, C Coogan
OBJECTIVE: To evaluate the Urological resident's attitude and experience with surgical simulation in residency education using a multi-institutional, multi-modality model. MATERIALS AND METHODS: Residents from six area urology training programs rotated through simulation stations in four consecutive sessions from 2014 to 2017. Workshops included GreenLight photovaporization of the prostate(PVP), ureteroscopic stone extraction, laparoscopic peg transfer, 3-dimensional laparoscopy rope pass, transobturator sling placement, intravesical injection, high definition video system trainer (VITOM), vasectomy, and Urolift...
August 8, 2017: Urology
https://www.readbyqxmd.com/read/28801217/evaluation-of-unplanned-hospital-readmissions-after-major-urologic-inpatient-surgery-in-the-era-of-accountable-care
#16
Benjamin V Stone, Matthew R Cohn, Nicholas M Donin, Michael Schulster, James S Wysock, Danil V Makarov, Marc A Bjurlin
OBJECTIVE: To provide a multi-institutional analysis of clinical factors predicting unplanned hospital readmission after major inpatient urologic surgery. MATERIALS AND METHODS: The American College of Surgeons National Surgical Quality Improvement Program (NSQIP) is a risk-adjusted data collection mechanism for analyzing clinical outcomes data including 30-day perioperative readmissions and complications. We identified 23,108 patients who underwent major inpatient urologic surgery from 2011 to 2012...
August 8, 2017: Urology
https://www.readbyqxmd.com/read/28797685/predicting-response-and-recognizing-resistance-improving-outcomes-in-patients-with-castration-resistant-prostate-cancer
#17
REVIEW
Neal Shore, Axel Heidenreich, Fred Saad
Optimal sequencing strategies for approved agents in metastatic castration-resistant prostate cancer (mCRPC) are unclear. Retrospective clinical studies suggest cross-resistance between specific therapies. This review assesses treatment decisions for mCRPC. Increased use of chemohormonal therapy in castration-sensitive disease may affect subsequent treatment decisions in mCRPC. Initial abiraterone or enzalutamide treatment may result in cross-resistance for subsequent AR-targeted therapy. Clinical responses may be seen in both docetaxel- and cabazitaxel-treated patients progressing after treatment with abiraterone or enzalutamide...
August 7, 2017: Urology
https://www.readbyqxmd.com/read/28797684/surgical-and-functional-outcomes-following-buried-penis-repair-with-limited-panniculectomy-and-split-thickness-skin-graft
#18
Lindsay A Hampson, Wade Muncey, Paul Chung, C C Ma, Jeffrey Friedrich, Hunter Wessells, Bryan B Voelzke
OBJECTIVES: To report surgical and functional outcomes of buried penis surgery. METHODS: Outcomes following buried penis surgery at the University of Washington were assessed 6/1/2005 - 6/1/2016. Patient demographic and surgical data were abstracted from a retrospective chart review. All patients were attempted to be contacted by phone for long-term follow-up. Uni- and multi-variate analysis was performed to evaluate for association with any complication. RESULTS: A total of 42 men underwent buried penis repair surgery (mean short-term follow-up 8...
August 7, 2017: Urology
https://www.readbyqxmd.com/read/28797683/commentary-on-abiraterone-plus-prednisolone-in-metastatic-castration-sensitive-prostate-cancer
#19
LETTER
Werner J Struss, Peter C Black
No abstract text is available yet for this article.
August 7, 2017: Urology
https://www.readbyqxmd.com/read/28782573/percutaneous-nephrolithotomy-in-solitary-kidneys-17-years-of-experience
#20
Hakan Bahadır Haberal, Burak Çitamak, Ali Cansu Bozaci, Mustafa Sertaç Yazici, Fazıl Tuncay Aki, Cenk Yücel Bilen
OBJECTIVE: To compare demographics and results of patients underwent percutaneous nephrolithotomy (PCNL) with solitary and bilateral kidneys. MATERIALS AND METHODS: Between January 1998 and August 2014, 2268 patients underwent PCNL at Hacettepe University Hospital. We retrospectively analyzed the data of 91 patients with a solitary kidney and 2177 patients with bilateral kidneys treated by PCNL. We compared the success and complication rates between solitary and bilateral kidney patients...
August 3, 2017: Urology
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