Current Urology Reports最新文献

Digital Pathology Allows for Global Second Opinions for Urologic Malignancies.

IF 2.5 2区医学

Current Urology Reports Pub Date : 2025-02-08 DOI: 10.1007/s11934-025-01255-7

Daniel J Shepherd, Jennifer B Gordetsky

引用次数: 0

Same Day Discharge After Robotic Radical Prostatectomy.

IF 2.5 2区医学

Current Urology Reports Pub Date : 2025-02-06 DOI: 10.1007/s11934-025-01254-8

Faris Najdawi, Jonathan Alcantar, David I Lee, Mohammed Shahait, Ryan W Dobbs

{"title":"Same Day Discharge After Robotic Radical Prostatectomy.","authors":"Faris Najdawi, Jonathan Alcantar, David I Lee, Mohammed Shahait, Ryan W Dobbs","doi":"10.1007/s11934-025-01254-8","DOIUrl":"https://doi.org/10.1007/s11934-025-01254-8","url":null,"abstract":"Purpose of review: This review evaluates the current landscape of same-day discharge (SDD) following robotic-assisted laparoscopic prostatectomy (RARP), highlighting perioperative management strategies and proposing future research directions.Recent findings: RARP has been shown to improve perioperative outcomes including reduced blood loss, postoperative pain, and hospital length of stay (LOS) when compared to open radical prostatectomy. Recently, the question of the feasibility of SDD for RARP has been proposed, aiming to reduce postoperative complications, hospital-acquired infections, and healthcare costs. The advent of single-port robotic systems aims to further minimize postoperative morbidity. Recent literature has reported SDD for RARP is safe and feasible in appropriately selected patients, with postoperative outcomes, including complication and readmission rates, similar to inpatient RARP. Our findings show SDD can be safely implemented without compromising patient outcomes, as evidenced by similar complication, readmission, and emergency department visit rates compared to inpatient cohorts. Future research should be aimed to refining patient selection criteria, enhancing opioid-free anesthesia pathways, and exploring new surgical technologies to improve SDD outcomes.","PeriodicalId":11112,"journal":{"name":"Current Urology Reports","volume":"26 1","pages":"27"},"PeriodicalIF":2.5,"publicationDate":"2025-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143255100","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Novel Intraoperative Applications of Fluorescence Imaging Using Indocyanine Green in Pediatric Urology. 吲哚菁绿荧光成像在小儿泌尿外科术中的新应用

IF 2.5 2区医学

Current Urology Reports Pub Date : 2025-02-05 DOI: 10.1007/s11934-025-01256-6

Albert S T Lee, Ching Man Carmen Tong

{"title":"Novel Intraoperative Applications of Fluorescence Imaging Using Indocyanine Green in Pediatric Urology.","authors":"Albert S T Lee, Ching Man Carmen Tong","doi":"10.1007/s11934-025-01256-6","DOIUrl":"10.1007/s11934-025-01256-6","url":null,"abstract":"Purpose of review: Near-infrared fluorescence imaging (NIRF) with the use of indocyanine green (ICG) has been recently adopted in pediatric urology after its well-published use in the adult population. As a powerful tool that can help delineate complex anatomy and congenital anomalies, we discuss the various applications of this imaging in minimally invasive and open surgery in pediatric urology.Recent findings: The most reported applications of ICG in pediatric urology are within minimally invasive surgery, particularly varicoceles, renal surgery such as nephrectomies and renal tumor excision, mimicking its use in adult urology. ICG has also been applied to reconstructive urology such as ureteral reconstruction, hypospadias repair and bladder exstrophy. Despite its safety and more widespread use in pediatric surgery, all published studies in pediatric urology to date have been limited to small and single-center experiences, reflecting the novel nature of this technology in this field. ICG has been shown to be safe and effective in children, particularly in those with complex anatomy and in technically challenging surgeries. Future studies should focus on standardized protocols for children and multi-center comparative studies.","PeriodicalId":11112,"journal":{"name":"Current Urology Reports","volume":"26 1","pages":"26"},"PeriodicalIF":2.5,"publicationDate":"2025-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11799058/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143188623","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Innate Versus Acquired: A Review of Predictive Technical Aptitude Assessments in Surgical Trainee Selection. 先天与后天：外科培训生选择的预测性技术能力评估综述。

IF 2.5 2区医学

Current Urology Reports Pub Date : 2025-01-14 DOI: 10.1007/s11934-024-01253-1

Harrison M Drebin, Zoë C Cohen, Christopher B Anderson, Gina M Badalato

{"title":"Innate Versus Acquired: A Review of Predictive Technical Aptitude Assessments in Surgical Trainee Selection.","authors":"Harrison M Drebin, Zoë C Cohen, Christopher B Anderson, Gina M Badalato","doi":"10.1007/s11934-024-01253-1","DOIUrl":"https://doi.org/10.1007/s11934-024-01253-1","url":null,"abstract":"Purpose of review: The evaluation and selection process of similarly qualified applicants for surgical residency positions in the United States (US) is challenging. Technical aptitude assessments may provide an opportunity to improve the selection process by offering insight into a candidate's technical skills. The use of these assessments prompts consideration of the degree to which technical aptitude in surgery is innate versus acquired. In this narrative review, we review the state of these assessments and the limitations of developing and validating these instruments.Recent findings: Recent evidence suggests that technical aptitude can be quantified in medical students prior to selection for surgical training; however, both technical aptitude and dedicated practice of technical skills influence operative performance. In the US, technical aptitude assessments are inconsistently used in selecting candidates for surgical residency. Internationally, few countries have implemented standardized technical aptitude assessments in their surgical trainee selection processes. The development of technical aptitude assessments is ongoing worldwide. Technical aptitude assessments may help identify individuals particularly well-suited for a surgical career or those who might benefit from additional practice or remediation. The potential role of technical aptitude assessments in the selection process for surgical trainees remains uncertain. Consideration of these instruments requires an understanding of meaningful outcomes associated with particular technical assessments as well as the assessments' limitations.","PeriodicalId":11112,"journal":{"name":"Current Urology Reports","volume":"26 1","pages":"25"},"PeriodicalIF":2.5,"publicationDate":"2025-01-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142982617","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Management of Lower Urinary Tract Symptoms during the Treatment for Non-Muscle Invasive Bladder Cancer. 非肌性浸润性膀胱癌治疗期间下尿路症状的处理。

IF 2.5 2区医学

Current Urology Reports Pub Date : 2025-01-06 DOI: 10.1007/s11934-024-01250-4

Benjamin Seiden, Divya Ajay, Felix Cheung, Matthew Clements, Eugene Pietzak

{"title":"Management of Lower Urinary Tract Symptoms during the Treatment for Non-Muscle Invasive Bladder Cancer.","authors":"Benjamin Seiden, Divya Ajay, Felix Cheung, Matthew Clements, Eugene Pietzak","doi":"10.1007/s11934-024-01250-4","DOIUrl":"https://doi.org/10.1007/s11934-024-01250-4","url":null,"abstract":"Purpose of review: This narrative review aims to report upon the existing treatment evidence and strategies for managing lower urinary tract symptoms (LUTS) during treatment, including transurethral resection and intravesical therapy. This review also attempts to examine novel approaches to mitigate treatment-related lower urinary tract symptoms and improve treatment adherence.Recent findings: There is sparse but promising evidence in improving LUTS secondary to intravesical therapy. Oral agents including phenazopyridine and hyaluronic acid, Bacillus Calmette-Guerin dose reduction, and emerging therapies including beta-3 agonists as well as Onabotulinumtoxin A injections all have demonstrated encouraging improvement in LUTS in limited research. Although recent literature explores new medications and potential strategies for managing intravesical therapy-related LUTS, further research is required to establish efficacy and new consensus on treatment strategies. Further research is also required to establish effective LUTS mitigation strategies with other emerging intravesical therapy regimens.","PeriodicalId":11112,"journal":{"name":"Current Urology Reports","volume":"26 1","pages":"24"},"PeriodicalIF":2.5,"publicationDate":"2025-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142930786","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Artificial Intelligence (AI) and Men's Health Clinic Efficiency and Clinic Billing. 人工智能（AI）与男性健康诊所效率和诊所计费。

IF 2.5 2区医学

Current Urology Reports Pub Date : 2024-12-27 DOI: 10.1007/s11934-024-01252-2

Nickolas Kinachtchouk, David Canes

引用次数: 0

Artificial Intelligence-Based Clinical Decision-Making in Erectile Dysfunction: a Narrative Review. 基于人工智能的临床决策在勃起功能障碍：叙述回顾。

IF 2.5 2区医学

Current Urology Reports Pub Date : 2024-12-11 DOI: 10.1007/s11934-024-01251-3

Ahmet Serdar Teoman, Ege Can Serefoglu

引用次数: 0

IF 2.5 2区医学