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Reviews in Urology

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https://www.readbyqxmd.com/read/27833470/a-case-of-pelvic-organ-prolapse-in-the-setting-of-cirrhotic-ascites
#1
Nima M Shah, Natasha Ginzburg, Kristene Whitmore
Ascites is commonly found in patients with liver cirrhosis. Although conservative therapy is often the ideal choice of care with these patients who also have symptomatic pelvic organ prolapse, this may fail and surgical methods may be needed. Literature is limited regarding surgical repair of prolapse in the setting of ascites. The authors present the surgical evaluation and management of a 63-year-old woman with recurrent ascites from liver cirrhosis who failed conservative therapy. With adequate multidisciplinary care and medical optimization, this patient underwent surgical therapy with resolution of her symptomatic prolapse and improved quality of life...
2016: Reviews in Urology
https://www.readbyqxmd.com/read/27833469/a-novel-approach-to-mesh-revision-after-sacrocolpopexy
#2
Melissa L Dawson, Rinko Rebecca, Nima M Shah, Kristene E Whitmore
Pelvic organ prolapse (POP) is the herniation of pelvic organs to or beyond the vaginal walls. POP affects 50% of parous women; of those women, 11% will need surgery based on bothersome symptoms. Transvaginal mesh has been used for vaginal augmentation since the 1990s. Complications from mesh use are now more prominent, and include chronic pelvic pain, dyspareunia, vaginal mesh erosion, and urinary and defecatory dysfunction. Presently, there is no consensus regarding treatment of these complications. Reported herein are two cases of women with defecatory dysfunction and pain after sacrocolpopexy who underwent mesh revision procedures performed with both urogynecologic and colorectal surgery...
2016: Reviews in Urology
https://www.readbyqxmd.com/read/27833468/best-of-the-2016-aua-annual-meeting-highlights-from-the-2016-american-urological-association-annual-meeting-may-6-10-2016-san-diego-ca
#3
J Curtis Nickel, Michael A Gorin, Partin Alan W, Stacy Loeb, Shapiro Ellen, Michael B Chancellor, Dean G Assimos, Michael K Brawer, Benjamin M Brucker
No abstract text is available yet for this article.
2016: Reviews in Urology
https://www.readbyqxmd.com/read/27833467/laparoscopic-cystectomy-coding
#4
Jonathan Rubenstein
No abstract text is available yet for this article.
2016: Reviews in Urology
https://www.readbyqxmd.com/read/27833466/georgia-urology-atlanta-ga
#5
Vahan Kassabian, Cynthia Masters, Jason Shelnutt, Chris Speaker
No abstract text is available yet for this article.
2016: Reviews in Urology
https://www.readbyqxmd.com/read/27833465/planning-for-success
#6
Celeste G Kirschner
No abstract text is available yet for this article.
2016: Reviews in Urology
https://www.readbyqxmd.com/read/27833464/urology-group-compensation-and-ancillary-service-models-in-an-era-of-value-based-care
#7
Neal D Shore, Dana Jacoby
Changes involving the health care economic landscape have affected physicians' workflow, productivity, compensation structures, and culture. Ongoing Federal legislation regarding regulatory documentation and imminent payment-changing methodologies have encouraged physician consolidation into larger practices, creating affiliations with hospitals, multidisciplinary medical specialties, and integrated delivery networks. As subspecialization and evolution of care models have accelerated, independent medical groups have broadened ancillary service lines by investing in enterprises that compete with hospital-based (academic and nonacademic) entities, as well as non-physician- owned multispecialty enterprises, for both outpatient and inpatient services...
2016: Reviews in Urology
https://www.readbyqxmd.com/read/27833463/perioperative-considerations-in-metastatic-renal-cell-carcinoma
#8
Kate Flavin, Nikhil Vasdev, Jim Ashead, Tim Lane, Damian Hanbury, Paul Nathan, Shanmugasundaram Gowrie-Mohan
Patients with metastatic renal cell carcinoma are complex, with the potential for significant complications, and require extensive pre-, peri-, and postoperative management. This article discusses, in depth, the necessary considerations in the treatment of these patients.
2016: Reviews in Urology
https://www.readbyqxmd.com/read/27833462/health-economic-impact-and-prospective-clinical-utility-of-oncotype-dx%C3%A2-genomic-prostate-score
#9
David Albala, Michael J Kemeter, Phillip G Febbo, Ruixiao Lu, Vincy John, Dylan Stoy, Bela Denes, Marybeth McCall, Alan W Shindel, Frank Dubeck
Prostate cancer (CaP) will be diagnosed in approximately 181,000 American men in 2016. Despite the high number of deaths from CaP in the United States, the disease has a protracted natural history and many men diagnosed with CaP will not die of the disease regardless of treatment. Unfortunately, identification of men with truly indolent/ nonaggressive CaP is challenging; limitations of conventional diagnostic modalities diminish the ability of physicians to accurately stage every case of CaP based on biopsy results alone...
2016: Reviews in Urology
https://www.readbyqxmd.com/read/27601972/tubulocystic-renal-cell-carcinoma-a-great-imitator
#10
Indraneel Banerjee, Sher Singh Yadav, Vinay Tomar, Suresh Yadav, Shyam Talreja
Tubulocystic renal cell carcinoma (TCRC) is a rare renal tumor. Patients are usually asymptomatic; it is usually detected incidentally, during imaging studies for Bosniak type III and type IV renal cysts. These tumors rarely metastasize. The role of targeted therapy in such rare tumors is still controversial. We report a case of TCRC initially presented as a Bosniak type II renal cyst and was discovered ultimately to be a metastatic disease. This type of presentation might broaden our understanding of this rare disease...
2016: Reviews in Urology
https://www.readbyqxmd.com/read/27601971/endoscopic-management-of-bladder-diverticula
#11
Khanh N Pham, Claudio Jeldres, Thomas Hefty, John M Corman
A 50-year-old man with benign prostatic hyperplasia and urinary retention had a very large diverticulum on the posterior wall of the bladder. The patient was managed with transurethral resection of the prostate and endoscopic fulguration of the bladder diverticulum mucosa using the Orandi technique. There was near-complete resolution of the bladder diverticulum following endoscopic management, obviating the need for bladder diverticulectomy. The patient now empties his bladder, with a postvoid residual < 50 mL and the absence of urinary tract infection after 6-month follow-up...
2016: Reviews in Urology
https://www.readbyqxmd.com/read/27601970/icd-10-changes-for-october-1-2016-of-interest-to-urologists
#12
Jonathan Rubenstein
No abstract text is available yet for this article.
2016: Reviews in Urology
https://www.readbyqxmd.com/read/27601969/radium-ra-223-dichloride-therapy-in-the-private-practice-environment
#13
Jeffrey C Seeber
No abstract text is available yet for this article.
2016: Reviews in Urology
https://www.readbyqxmd.com/read/27601968/are-independent-urology-practices-embracing-business-and-clinical-integration-to-prepare-for-the-coming-era-of-value-based-payment
#14
Gary M Kirsh
No abstract text is available yet for this article.
2016: Reviews in Urology
https://www.readbyqxmd.com/read/27601967/urethral-strictures-and-stenoses-caused-by-prostate-therapy
#15
Mang L Chen, Andres F Correa, Richard A Santucci
The number of patients with prostate cancer and benign prostatic hyperplasia is on the rise. As a result, the volume of prostate treatment and treatment-related complications is also increasing. Urethral strictures and stenoses are relatively common complications that require individualized management based on the length and location of the obstruction, and the patient's overall health, and goals of care. In general, less invasive options such as dilation and urethrotomy are preferred as first-line therapy, followed by more invasive substitution, flap, and anastomotic urethroplasty...
2016: Reviews in Urology
https://www.readbyqxmd.com/read/27601966/reducing-infectious-complications-following-transrectal-ultrasound-guided-prostate-biopsy-a-systematic-review
#16
Jordon T Walker, Nirmish Singla, Claus G Roehrborn
A rise in antimicrobial resistant uropathogens has generated a global increase in infections following transrectal ultrasound-guided prostate biopsy (TRUS-Bx). We performed a systematic search of Ovid MEDLINE® and PubMed to comprehensively review strategies to mitigate infections. Of 1664 articles retrieved, 62 were included. The data suggest that augmented prophylaxis and povidone-iodine bowel preparation warrant consideration in regions with high rates of antimicrobial resistance. Transperineal biopsy may be a safer, equally effective alternative to TRUS-Bx in select cases...
2016: Reviews in Urology
https://www.readbyqxmd.com/read/27601965/the-role-of-estrogen-modulators-in-male-hypogonadism-and-infertility
#17
Amarnath Rambhatla, Jesse N Mills, Jacob Rajfer
Estradiol, normally considered a female hormone, appears to play a significant role in men in a variety of physiologic functions, such as bone metabolism, cardiovascular health, and testicular function. As such, estradiol has been targeted by male reproductive and sexual medicine specialists to help treat conditions such as infertility and hypogonadism. The compounds that modulate estradiol levels in these clinical conditions are referred to as selective estrogen receptor modulators (SERMs) and aromatase inhibitors (AIs)...
2016: Reviews in Urology
https://www.readbyqxmd.com/read/27601964/challenges-and-opportunities-in-radiation-induced-hemorrhagic-cystitis
#18
Bernadette M M Zwaans, Heinz G Nicolai, Michael B Chancellor, Laura E Lamb
As diagnosis and treatment of cancer is improving, medical and social issues related to cancer survivorship are becoming more prevalent. Hemorrhagic cystitis (HC), a rare but serious disease that may affect patients after pelvic radiation or systemic chemotherapy, has significant unmet medical needs. Although no definitive treatment is currently available, various interventions are employed for HC. Effects of nonsurgical treatments for HC are of modest success and studies aiming to control radiation-induced bladder symptoms are lacking...
2016: Reviews in Urology
https://www.readbyqxmd.com/read/27162516/ureteral-stone-associated-with-a-middle-blind-ending-of-a-bifid-ureter
#19
Selahattin Çalışkan
A blind-ending bifid ureter is an anatomic variant of ureteral duplications. There are three forms of blind-ending bifid ureter, classified depending on their location. A proximal blind-ending bifid ureter is the most common subtype of this congenital anomaly. Most patients are asymptomatic and only show symptoms after the complication has occurred. These complications include stone formation, vesicoureteric reflux, and ureteral tumor. Intravenous urography is usually used to diagnose bifid ureter; voiding cystourethrography, photofluoroscopy, cineroentgenography, cystoscopy with retrograde pyelography, computed tomography (CT), multidetector CT, and magnetic resonance urographies are other imaging methods used...
2016: Reviews in Urology
https://www.readbyqxmd.com/read/27162515/adenomatoid-tumor-of-the-testis-arising-from-the-tunica-albuginea
#20
Andrew Y Sun, A Scott Polackwich, Edmund S Sabanegh
Adenomatoid tumors are the most common paratesticular tumor. Although they primarily arise from the epididymis, they can rarely occur as an isolated intratesticular mass. These tumors are benign and surgical excision is curative. We present a case of a 36-year-old man diagnosed with an intratesticular adenomatoid tumor.
2016: Reviews in Urology
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