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Daan C J Mohede, Igle Jan de Jong, Mels F van Driel
No abstract text is available yet for this article.
January 8, 2019: Urology
Dena Moskowitz, Kevin T Gioia, Erika M Wolff, John D Massman, Alvaro Lucioni, Kathleen C Kobashi, Una J Lee
OBJECTIVE: To improve patient counseling regarding mid-urethral slings (MUS), we performed an analysis of MUS patients dry at initial follow up to evaluate probability of remaining dry over time, and analyzed clinical factors potentially influencing the probability of remaining dry. METHODS: A retrospective review of our prospectively-collected institutional database identified patients who underwent retropubic (RMUS) or transobturator (TMUS) between January 2001 and March 2016 and were completely dry, defined as an answer of "not at all" to UDI-6 question 3, at first follow up within 1...
January 8, 2019: Urology
Xiaoliang Hua, Juan Chen, Yujie Xu, Bing Li
OBJECTIVE: To investigate the efficacy of a combined dorsal plus ventral double tunica vaginalis graft for urethral reconstruction in a rabbit model through radiology and histopathology. METHODS: Thirty adult male New Zealand rabbits were randomly divided into 6 groups as follows (n = 5): normal, stricture and experimental groups A, B, C, and D. In the stricture and experimental groups, the ventral urethra was incised longitudinally, and the dorsal and ventral urethral mucosa were partially removed...
January 8, 2019: Urology
Cosimo De Nunzio, Antonio Nacchia, Antonio Cicione, Luca Cindolo, Mauro Gacci, Fabiana Cancrini, Pietro Castellan, Riccardo Lombardo, Simone D'Annunzio, Luca Sarchi, Alberto Trucchi, Luigi Schips, Andrea Tubaro
OBJECTIVES: To assess the association between physical activity, evaluated by the Physical activity scale for elderly (PASE) questionnaire and lower urinary tract symptoms (LUTS) in male patients. METHODS: From 2009 onward, a consecutive series of patients with LUTS-BPE were enrolled. Symptoms were evaluated using the International Prostate Symptom Score (IPSS) with its subscores and prostate volume using transrectal ultrasound. Physical activity was evaluated with the PASE questionnaire, consisting of 12 questions regarding frequency and duration of leisure activity and recently used to evaluate physical activity in patients with prostatic disorders...
January 8, 2019: Urology
Joao Amaral, Osami Honjo, Jessica Hannick, Mandy Rickard, Armando J Lorenzo
Herein we present the first case report of laparoscopic exploration, endovascular valvulotomy, and open side-to-side bypass of a gonadal vein into the ipsilateral external iliac vein for Nutcracker syndrome in an adolescent patient with solitary kidney without pelvic congestion. Though prior management has included various large open surgeries or endovascular or extravascular approaches with the use of stents and shields, this case offers an expanded novel approach to weigh the unique challenges of the patient's age and solitary renal status...
January 4, 2019: Urology
Petar Bajic, Alan J Wolfe, Gopal N Gupta
Recent investigation has proven that the bladder is not sterile. However, the implications of this finding in the pathophysiology and management of urothelial cell carcinoma have not been fully described. In this review, we summarize the literature relating to the urinary and gastrointestinal microbiomes in the context of urothelial cell carcinoma. The bladder microbiome may relate to urothelial cell carcinoma pathogenesis/progression, act as a non-invasive and modifiable urinary biomarker and have implications in treatment using immunotherapy agents such as intravesical Bacillus Calmette Guerin...
January 4, 2019: Urology
Alberto A Antunes, Alexandre Iscaife, João Arthur B A Barbosa, Gabriel Dos Anjos, William C Nahas, Miguel Srougi
OBJECTIVE: To evaluate the opinion of HoLEP-naïve urologists about a surgical simulator and the level of difficulty at each step. MATERIALS AND METHODS: We evaluated 40 HoLEP-naïve urologists in a course involving four steps: lecture introducing Holmium laser basics and technique; live surgery; video explaining prostate enucleation using simulators; and simulator trial. A survey was applied to evaluate content validity and face validity of the simulator. Subjects also ranked the level of difficulty of each surgical step...
January 4, 2019: Urology
Scott Eggener, Lawrence I Karsh, Tim Richardson, Alan W Shindel, Ruixiao Lu, Steven Rosenberg, Evan Goldfischer, Howard Korman, John Bennett, Jay Newmark, Bela S Denes
OBJECTIVES: To validate the 17-gene Oncotype DX Genomic Prostate Score® (GPSTM ) biopsy-based gene expression assay as a predictor of adverse pathology (AP, Gleason score [pGS] ≥ 4+3 and/or ≥ pT3) in a prospectively enrolled cohort. METHODS: Between July 2014 and September 2015, 1,200 men with very low-, low-, and favorable intermediate-risk prostate cancer enrolled in a multi-institutional prospective study of the GPS assay (NCT03502213). The subset who proceeded to immediate radical prostatectomy (RP) after GPS testing was included in a pre-specified sub-analysis of GPS on biopsy and its association with surgical AP on RP using logistic regression and receiver operating characteristic (ROC) curves...
January 3, 2019: Urology
W M H van der Sanden, L M C L Fossion, K de Laet
OBJECTIVES: To present the results in the first 40 patients treated with a new minimal invasive technique in the treatment of large-volume BPH: the endoscopic transvesical adenomectomy of the prostate (ETAP). PATIENTS AND METHODS: From 2014 to 2016 we performed the ETAP in 40 patients with large volume BPH (>80 cc). The mean volume on ultrasound was 117cc. The mean baseline Qmax was 8.1ml/s and the IPSS score was 20.5. 17 patients (43%) had a urinary retention pre-operatively...
January 3, 2019: Urology
Michael Wang, Laura Bukavina, Kirtishri Mishra, Lynn Woo, Jonathan Ross, Ehud Gnessin
We herein report an unusual case of testicular torsion a decade after orchiopexy. An occurrence of post-orchiopexy testicular torsion is an exceedingly rare event, infrequently reported in literature. Previously placed anchoring sutures in the inferior pole resulted in a "hammock" testicular torsion, resulting in twisting of cord with involvement of the sutures themselves.
January 3, 2019: Urology
Travis W Groth, James Southern, Jessica Tsai Goetz, Ayesha Farooq
Extrarenal Wilms tumor (ERWT) is rare. We describe the first reported case of primary paratesticular ERWT with regional metastasis in 8-month old male with left undescended testis. Patient underwent left radical orchiectomy with regional lymph node excision. The inguinal node and paratesticular mass demonstrated the classic Wilms triphasic pattern, stained positively for WT-1 and demonstrated no loss of heterozygosity of chromosomes 1p and 16q. Work-up was negative for primary renal Wilms tumor or distant metastasis...
January 2, 2019: Urology
Taylor Goodstein, Nicholas G Cost, Jeffrey B Campbell, Vijaya Vemulakonda, Duncan Wilcox, Amanda F Saltzman
OBJECTIVES: To describe the annual volume of pediatric urology cases in an academic, tertiary care setting. METHODS: A retrospective review was performed of all patients operated on by four pediatric urologists (total of 2.5 FTE) at an academic, tertiary care center with a free-standing children's hospital from 2016-2017 (24 months). Basic case information was collected from operative reports. Descriptive statistics are reported using non-parametric methods. "Uncommon" was defined a priori as occurring <10% of the time...
January 2, 2019: Urology
Ehab Elkady, Tamer Dawod, Mohamed Teleb, Waleed Shabana
OBJECTIVE: To compare outcome of muscle and nerve-sparing bulbar urethroplasty with standard bulbar urethroplasty as regard ejaculatory dysfunction and post-void dribbling. METHODS: This prospective randomized study included 50 patients with bulbar urethral stricture underwent urethroplasty over a period of 5y. All patients were operated by ventral onlay buccal mucosal graft urethroplasty and randomly divided into two groups. Group I (n=25) was operated by standard bulbar urethroplasty...
December 31, 2018: Urology
Meenakshi Davuluri, Bronwyn Long, Stacia Semple, Esperanza Villanueva-Siles, Ahmed Aboumohamed
No abstract text is available yet for this article.
December 31, 2018: Urology
Kevin C Lewis, Isaac Lam, Jacob Nieb, Grace Lam, Anuj S Desai, Daniel J Mazur, Barbara Kahn, Mary Kate Keeter, Alex Tatem, Marah Hehemann, Brendan T Frainey, Jr Nelson Bennett, Robert E Brannigan
OBJECTIVE: To determine the percentage of laboratories in the United States that have adopted the World Health Organization 2010 (WHO 5) semen analysis (SA) reference values six years after their publication. METHODS: Laboratories were identified via three approaches: using the Clinical Laboratory Improvement Amendments (CLIA) website, the CDC's 2015 Assisted Reproductive Technology Fertility Clinical Success Rate Report, and automated web searches. Laboratories were contacted by phone or email to obtain de-identified SA reports and reference ranges...
December 31, 2018: Urology
Michael J Arnold
No abstract text is available yet for this article.
December 31, 2018: Urology
Rodrigo Barros, Alex Schul, Paulo Ornellas, Leandro Koifman, Luciano A Favorito
OBJECTIVE: To conduct a comprehensive assessment of sexual function of patients undergoing surgical treatment of penile fracture (PF), covering psychological aspects related to trauma. METHODS: Patients undergoing surgical treatment of PF from January 2014 to august 2017 were followed-up in our department for at least 6 months. Those patients were underwent a detailed clinical follow-up, including physical examination and interviewed about any evidence of erectile dysfunction, penile nodules or curvature acquired after surgery, besides psychological sexual problems...
December 31, 2018: Urology
Paul F Alpert
No abstract text is available yet for this article.
December 31, 2018: Urology
Drogo K Montague
No abstract text is available yet for this article.
December 28, 2018: Urology
Keneta Mckellar, Eran Bellin, Ellie Schoenbaum, Nitya Abraham
OBJECTIVE: To evaluate differences in prevalence, OAB risk factors, and OAB treatment in a diverse population of underrepresented racial/ethnic groups. METHODS: This is a retrospective cohort study of women ≥ 18 years who had an OAB diagnosis code from June 1, 2013 - June 30, 2016. Women who had neurogenic bladder or pelvic cancer were excluded. OAB risk factors included age, body mass index (BMI), socioeconomic status (SES), diabetes, and smoking. OAB treatment included consultation with a specialist, diagnostic testing, medication, and third-line therapy (neuromodulation or chemodennervation)...
December 28, 2018: Urology
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