Patrick Michael, Ruben Blachman-Braun, Lauren Loebach, Hangcheng Fu, Braden Millan, Jaskirat Saini, Sandeep Gurram, W Marston Linehan, Mark Ball
{"title":"Is Open Partial Nephrectomy Still an Option in the Robotic Era?","authors":"Patrick Michael, Ruben Blachman-Braun, Lauren Loebach, Hangcheng Fu, Braden Millan, Jaskirat Saini, Sandeep Gurram, W Marston Linehan, Mark Ball","doi":"10.1007/s11934-026-01340-5","DOIUrl":"https://doi.org/10.1007/s11934-026-01340-5","url":null,"abstract":"<p><strong>Purpose of review: </strong>This review examines the modern role of open partial nephrectomy (OPN), indications for this surgical approach, and outcomes associated with the open technique in the era of robotic surgery.</p><p><strong>Recent findings: </strong>Robotic-assisted partial nephrectomy (RAPN) now predominates for small renal masses and is increasingly applied to larger and more complex masses. Across multiple comparative series and meta-analyses, RAPN offers equivalent oncologic control and functional preservation compared to OPN, while demonstrating reduced perioperative morbidity. Nonetheless, OPN remains valuable for tumors in hostile or re-operative fields, certain hereditary syndromes, solitary kidneys when cold ischemia is preferred, and settings without reliable robotic access. Declining open case exposure during training raises concerns about maintaining surgical competency. OPN remains an important option when use of the approach provides improved surgical exposure, ischemia management, intra-operative safety, or feasibility of nephron sparing. A pragmatic, surgeon-experience-based approach that prioritizes oncologic control, parenchymal preservation, and patient safety best serves individualized care.</p>","PeriodicalId":11112,"journal":{"name":"Current Urology Reports","volume":"27 1","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147834223","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}
{"title":"Artificial Intelligence in Urologic Documentation: A Review of Emerging Capabilities and the Ongoing Need for Human Oversight.","authors":"Nickolas Kinachtchouk, David Canes","doi":"10.1007/s11934-026-01342-3","DOIUrl":"https://doi.org/10.1007/s11934-026-01342-3","url":null,"abstract":"<p><strong>Purpose of review: </strong>Clinical documentation continues to expand in volume and complexity, spanning outpatient encounters, inpatient summaries, patient-portal communications, and educational materials. These growing demands contribute to clinician burden and reduce time available for direct patient care. Artificial intelligence (AI) has emerged as a potential strategy to streamline documentation workflows. This review evaluates current AI applications in clinical documentation, with illustrative examples from urologic practice.</p><p><strong>Recent findings: </strong>Ambient AI scribes can capture the bulk of outpatient encounters and generate structured draft notes that clinicians edit rather than write de novo. Large language models have shown promise in assisting with inpatient documentation and discharge summaries, often producing drafts that are coherent, readable, and shorter than physician-authored text. AI tools can also simplify patient education materials and translate dense radiology reports into accessible language. Across these domains, however, studies consistently demonstrate that AI-generated content remains vulnerable to factual errors, omissions, hallucinations, and misaligned emphasis, reinforcing the need for clinician oversight. Overall, emerging evidence supports a complementary relationship between clinicians and AI. Used as supervised drafting aids rather than autonomous authors, AI tools have the potential to ease documentation burden and create more time for direct patient care without diminishing the clinician's role in shaping the medical record.</p>","PeriodicalId":11112,"journal":{"name":"Current Urology Reports","volume":"27 1","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147811955","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}
{"title":"Modifications of Anti-Incontinence Procedures for Radiated Patients: A Narrative Review.","authors":"Jonathan A Seaman, Maia E VanDyke","doi":"10.1007/s11934-026-01337-0","DOIUrl":"10.1007/s11934-026-01337-0","url":null,"abstract":"","PeriodicalId":11112,"journal":{"name":"Current Urology Reports","volume":"27 1","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13124784/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147765285","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}
{"title":"Advancements in the Treatment and Management of Voiding Dysfunction in Individuals with Spina Bifida.","authors":"Jonathan T Xu, Joshua D Roth","doi":"10.1007/s11934-026-01336-1","DOIUrl":"https://doi.org/10.1007/s11934-026-01336-1","url":null,"abstract":"","PeriodicalId":11112,"journal":{"name":"Current Urology Reports","volume":"27 1","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147671227","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}
Juan Carlos Angulo-Lozano, Alejandro Calvillo-Ramirez, Andres Noyola-Perez, Gabriel Cojuc-Konigsberg, Hector Vaquera-Alfaro, Alec Anceno, Evan Suzman, Luisa F Sanchez-Musi, Claudia F Mendoza Sanchez Ponce, Pavel Pichardo-Rojas, Jonathan Badin-Castro, Parwiz Abrahimi, Douglas S Scherr
{"title":"Unequal Access to Novel Systemic Therapies for Bladder Cancer: A Global Analysis of Clinical Trials of Immune Checkpoint Inhibitors and Antibody-Drug Conjugates.","authors":"Juan Carlos Angulo-Lozano, Alejandro Calvillo-Ramirez, Andres Noyola-Perez, Gabriel Cojuc-Konigsberg, Hector Vaquera-Alfaro, Alec Anceno, Evan Suzman, Luisa F Sanchez-Musi, Claudia F Mendoza Sanchez Ponce, Pavel Pichardo-Rojas, Jonathan Badin-Castro, Parwiz Abrahimi, Douglas S Scherr","doi":"10.1007/s11934-026-01330-7","DOIUrl":"https://doi.org/10.1007/s11934-026-01330-7","url":null,"abstract":"","PeriodicalId":11112,"journal":{"name":"Current Urology Reports","volume":"27 1","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147662568","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}
Rodrigo Guevara, L G Medina, J P Dugarte, F Eskenazi, R Cervantes, V Hevia, R Sotelo
{"title":"Surgical Determinants of Outcomes in Partial Nephrectomy: a Contemporary Review.","authors":"Rodrigo Guevara, L G Medina, J P Dugarte, F Eskenazi, R Cervantes, V Hevia, R Sotelo","doi":"10.1007/s11934-026-01329-0","DOIUrl":"10.1007/s11934-026-01329-0","url":null,"abstract":"","PeriodicalId":11112,"journal":{"name":"Current Urology Reports","volume":"27 1","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13050763/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147621901","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}
Gaetano Ciancio, Jeffrey J Gaynor, Javier Gonzalez, Henry Ocando Nava, Matthew Gaynor, Armando Salim Munoz Abraham, Yuri Kim, Junichiro Sageshima, Mahmoud Morsi
{"title":"Donor Bladder Inclusion in Kidney Transplantation: A Review of the Literature and our Clinical Experience.","authors":"Gaetano Ciancio, Jeffrey J Gaynor, Javier Gonzalez, Henry Ocando Nava, Matthew Gaynor, Armando Salim Munoz Abraham, Yuri Kim, Junichiro Sageshima, Mahmoud Morsi","doi":"10.1007/s11934-026-01328-1","DOIUrl":"10.1007/s11934-026-01328-1","url":null,"abstract":"","PeriodicalId":11112,"journal":{"name":"Current Urology Reports","volume":"27 1","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13038707/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147590765","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}
Nicholas N Brutus, Jackson Pearce, Leah Ragno, Lauren Ehrlich, Eric M Bortnick
{"title":"Revisiting the Role of Ultrasound in Pediatric Scrotal and Groin Pathology.","authors":"Nicholas N Brutus, Jackson Pearce, Leah Ragno, Lauren Ehrlich, Eric M Bortnick","doi":"10.1007/s11934-026-01327-2","DOIUrl":"https://doi.org/10.1007/s11934-026-01327-2","url":null,"abstract":"","PeriodicalId":11112,"journal":{"name":"Current Urology Reports","volume":"27 1","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147493390","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}
{"title":"Management of Lower Urinary Tract Symptoms in Patients on Active Surveillance for Prostate Cancer.","authors":"Jada Kapoor, Felix Cheung","doi":"10.1007/s11934-026-01326-3","DOIUrl":"https://doi.org/10.1007/s11934-026-01326-3","url":null,"abstract":"","PeriodicalId":11112,"journal":{"name":"Current Urology Reports","volume":"27 1","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147431529","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}