Current Urology Reports最新文献_第2页

Professional Burnout and Career Choice Regret in Urology Residents. 泌尿科住院医生的职业倦怠和职业选择后悔。

IF 2.5 2区医学

Current Urology Reports Pub Date : 2024-12-01 Epub Date: 2024-07-17 DOI: 10.1007/s11934-024-01226-4

Kevin F Hanna, Kevin Koo

引用次数: 0

Artificial Intelligence as a Tool for Creating Patient Visit Summary: A Scoping Review and Guide to Implementation in an Erectile Dysfunction Clinic. 人工智能作为创建患者就诊摘要的工具：勃起功能障碍诊所的范围审查和实施指南。

IF 2.5 2区医学

Current Urology Reports Pub Date : 2024-11-18 DOI: 10.1007/s11934-024-01237-1

Supanut Lumbiganon, Elia Abou Chawareb, Muhammed A Moukhtar Hammad, Babak Azad, Dillan Shah, Faysal A Yafi

{"title":"Artificial Intelligence as a Tool for Creating Patient Visit Summary: A Scoping Review and Guide to Implementation in an Erectile Dysfunction Clinic.","authors":"Supanut Lumbiganon, Elia Abou Chawareb, Muhammed A Moukhtar Hammad, Babak Azad, Dillan Shah, Faysal A Yafi","doi":"10.1007/s11934-024-01237-1","DOIUrl":"10.1007/s11934-024-01237-1","url":null,"abstract":"Purpose of review: In modern healthcare, the integration of artificial intelligence (AI) has revolutionized clinical practices, particularly in data management and patient visit summary creation. Manual creation of patient summary is repetitive, time-consuming, prone to errors, and increases clinicians' workload. AI, through voice recognition and Natural Language Processing (NLP), can automate this task more accurately and efficiently. Erectile dysfunction (ED) clinics, which deal with specific pattern of conditions together with an involvement of broader systemic issues, can greatly benefit from AI-driven patient summary. This scoping review examined the evidence on AI-generated patient summary and evaluated their implementation in ED clinics.Recent findings: A total of 381 articles were initially identified, 11 studies were included for the analysis. These studies showcased various methodologies, such as AI-assisted clinical notes and NLP algorithms. Most studies have demonstrated the ability of AI to be used in real life clinical scenarios. Major electronic health record platforms are also integrating AI to their system. However, to date, no studies have specifically addressed AI for patient summary creation in ED clinics.","PeriodicalId":11112,"journal":{"name":"Current Urology Reports","volume":"26 1","pages":"20"},"PeriodicalIF":2.5,"publicationDate":"2024-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142647569","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 Post-RALP SUI and ED - What are and What Should we be Doing? RALP 术后 SUI 和 ED 的管理--我们正在做什么和应该做什么？

IF 2.5 2区医学

Current Urology Reports Pub Date : 2024-11-15 DOI: 10.1007/s11934-024-01249-x

Thairo A Pereira, Jacob O Rust, Helen L Bernie

{"title":"Management of Post-RALP SUI and ED - What are and What Should we be Doing?","authors":"Thairo A Pereira, Jacob O Rust, Helen L Bernie","doi":"10.1007/s11934-024-01249-x","DOIUrl":"10.1007/s11934-024-01249-x","url":null,"abstract":"Purpose of review: Although there have been advancements in minimally invasive surgical techniques for radical prostatectomy, surgery can still significantly impact continence and erectile function (EF), resulting in considerable quality-of-life impairment. This review critically evaluates existing treatment options for male stress urinary incontinence (SUI) and erectile dysfunction (ED) post-robotic-assisted laparoscopic prostatectomy (RALP), alongside exploring emerging trends and discussing future directions for managing and preventing both conditions.Recent findings: Patient history is pivotal in guiding surgical decisions, with the intensity of symptoms and their impact on the patient's life being primary influences for deciding the best treatment options for both SUI and ED. Penile rehabilitation strategies (PR) show promise in mitigating the effects of prostate cancer treatments on EF and improving overall health, though consensus is lacking on specific programs or initiation of timing for optimal recovery post-surgery. All patients undergoing RALP should receive preoperative counseling about SUI and early pelvic floor physical therapy. Fixed and adjustable slings effectively treat mild-to-moderate post-RALP SUI, while the artificial urinary sphincter is the gold standard for men with moderate or severe SUI. EF recovery after RALP faces obstacles such as patient characteristics, compliance, and cost, with no standardized PR approach. Future research should prioritize studies aiming to optimize treatment methods and enhance patient compliance.","PeriodicalId":11112,"journal":{"name":"Current Urology Reports","volume":"26 1","pages":"19"},"PeriodicalIF":2.5,"publicationDate":"2024-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142638667","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

Enhancing Male Fertility Through AI-Based Management of Varicoceles. 通过人工授精治疗精索静脉曲张提高男性生育能力。

IF 2.5 2区医学

Current Urology Reports Pub Date : 2024-11-11 DOI: 10.1007/s11934-024-01241-5

Zhongwei Huang, Germar-M Pinggera, Ashok Agarwal

引用次数: 0

Artificial Intelligence for Clinical Management of Male Infertility, a Scoping Review. 人工智能在男性不育症临床治疗中的应用，范围综述。

IF 2.5 2区医学

Current Urology Reports Pub Date : 2024-11-09 DOI: 10.1007/s11934-024-01239-z

Noopur Naik, Bradley Roth, Scott D Lundy

{"title":"Artificial Intelligence for Clinical Management of Male Infertility, a Scoping Review.","authors":"Noopur Naik, Bradley Roth, Scott D Lundy","doi":"10.1007/s11934-024-01239-z","DOIUrl":"10.1007/s11934-024-01239-z","url":null,"abstract":"Purpose of review: Infertility impacts one in six couples worldwide, with male infertility contributing to approximately half of these cases. However, the causes of infertility remain incompletely understood, and current methods of clinical management are cost-restrictive, time-intensive, and have limited success. Artificial intelligence (AI) may help address some of these challenges. In this review, we synthesize recent literature in AI with implications for the clinical management of male infertility.Recent findings: Artificial intelligence may offer opportunities for proactive, cost-effective, and efficient management of male infertility, specifically in the areas of hypogonadism, semen analysis, and interventions such as assisted reproductive technology. Patients may benefit from the integration of AI into a male infertility specialist's clinical workflow. The ability of AI to integrate large volumes of data into predictive models could help clinicians guide conversations with patients on the value of various treatment options in infertility, but caution must be taken to ensure the quality of care being delivered remains high.","PeriodicalId":11112,"journal":{"name":"Current Urology Reports","volume":"26 1","pages":"17"},"PeriodicalIF":2.5,"publicationDate":"2024-11-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11550229/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142615891","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

Voiding Dysfunction in Transgender Patients: What We Know and What We Do Not Know. 变性患者的排尿功能障碍：我们知道什么，我们不知道什么。

IF 2.5 2区医学

Current Urology Reports Pub Date : 2024-11-05 DOI: 10.1007/s11934-024-01234-4

Gabriela Gonzalez, Jennifer T Anger

{"title":"Voiding Dysfunction in Transgender Patients: What We Know and What We Do Not Know.","authors":"Gabriela Gonzalez, Jennifer T Anger","doi":"10.1007/s11934-024-01234-4","DOIUrl":"10.1007/s11934-024-01234-4","url":null,"abstract":"Purpose of review: Transgender and non-binary patients (TGNB) undergoing gender affirming genital surgery may experience perioperative voiding dysfunction. This review aims to outline and analyze literature about gender affirming pelvic surgery urinary complications, evaluation, and treatment.Recent findings: If a patient is seeking bottom surgery, then urinary goals and pre-operative symptoms should be discussed with respect to variable post-operative outcomes. Urologists should also be aware of the effect that gender affirming hormone therapy has on urinary symptoms. Urethral strictures and urethrocutaneous fistulae occur after feminizing and masculinizing procedures and may manifest as LUTS. Although there is no standardized approach for managing post-operative voiding issues, we present available options. The evaluation of TGNB patients is ideally affirming and tailored to the patient. Long-term urinary and voiding outcomes measurements after vaginoplasty and phalloplasty are also needed, as current validated questionnaires do not capture these symptoms well in TGNB patients.","PeriodicalId":11112,"journal":{"name":"Current Urology Reports","volume":"26 1","pages":"16"},"PeriodicalIF":2.5,"publicationDate":"2024-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11538154/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142582528","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

Focal Therapy in Grade Group 3 Prostate Cancer. 3级前列腺癌的局部治疗

IF 2.5 2区医学

Current Urology Reports Pub Date : 2024-11-01 Epub Date: 2024-07-02 DOI: 10.1007/s11934-024-01211-x

Lee Pressler, Mariel Pressler

{"title":"Focal Therapy in Grade Group 3 Prostate Cancer.","authors":"Lee Pressler, Mariel Pressler","doi":"10.1007/s11934-024-01211-x","DOIUrl":"10.1007/s11934-024-01211-x","url":null,"abstract":"Purpose of this review: Treatment of intermediate risk prostate cancer remains controversial. Clearly some patients with low volume favorable intermediate risk can be followed with active surveillance. Those with high volume bilateral disease need more radical whole gland therapy. The question remains on how to best treat low volume localized unfavorable intermediate risk prostate cancer (GG3) while maintaining quality of life. Focal therapy has been becoming a popular option for many patients with localized prostate cancer. Most studies looking at focal therapy for prostate cancer have been limited to GG1 and GG2, many of whom may not need treatment. We set out to review the literature evaluating the safety and efficacy of focal therapy for GG3 prostate cancer.Recent findings: We reviewed multiple peer review articles obtained from a PubMed search. While in field biopsy recurrence rates approach 20%, failure free survival and overall survival exceeds 90%. While focal therapy for unfavorable GG3 intermediate risk prostate cancer may have higher rates of local recurrence with appropriate post procedure follow up, patients who need salvage therapy are easily identified and survival rates are very high. Focal therapy is a good option for patients with localized low volume GG3 prostate cancer without compromising cancer survival and preserving quality of life.","PeriodicalId":11112,"journal":{"name":"Current Urology Reports","volume":" ","pages":"271-275"},"PeriodicalIF":2.5,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11366723/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141491250","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

Unraveling the Complexities of Uretero-Enteric Strictures: A Modern Review. 解读输尿管-肠管狭窄的复杂性：现代回顾。

IF 2.5 2区医学

Current Urology Reports Pub Date : 2024-11-01 Epub Date: 2024-08-14 DOI: 10.1007/s11934-024-01222-8

A Abdalla, Joshua A Cohn, J Simhan

引用次数: 0

Functional Outcomes of Orthotopic Neobladder in Women. 女性矫形新膀胱的功能结果。

IF 2.5 2区医学

Current Urology Reports Pub Date : 2024-11-01 Epub Date: 2024-08-28 DOI: 10.1007/s11934-024-01223-7

Unwanaobong Nseyo, David Ginsberg

{"title":"Functional Outcomes of Orthotopic Neobladder in Women.","authors":"Unwanaobong Nseyo, David Ginsberg","doi":"10.1007/s11934-024-01223-7","DOIUrl":"10.1007/s11934-024-01223-7","url":null,"abstract":"Purpose of review: This review paper summarizes the available literature on the evolution of surgical approach to radical cystectomy in female bladder cancer patients and its impact on functional outcomes in orthotopic neobladder.Recent findings: Traditionally, radical cystectomy in female bladder cancer patients has been maximally extirpative with pelvic exenteration. Recently, new techniques which include pelvic organ-sparing, nerve-sparing and vaginal-sparing have demonstrated improved rates of urinary incontinence and retention. Additional techniques include prophylactic apical suspension which reduces the likelihood of pelvic organ prolapse, a risk factor for voiding dysfunction in the setting of orthotopic neobladder. Surgical management of bladder cancer in female patients has evolved to include surgical approaches which center quality of life and functional outcomes that are unique to female patients who have undergone radical cystectomy with ileal neobladder and can be optimized based on considerations regarding an approach that limits pelvic floor and pelvic nerve disruption.","PeriodicalId":11112,"journal":{"name":"Current Urology Reports","volume":" ","pages":"277-285"},"PeriodicalIF":2.5,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11366725/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142092520","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

Telemedicine in Endourology for Patient Management and Healthcare Delivery: Current Status and Future Perspectives. 远程医疗在腔内泌尿学中用于患者管理和医疗服务：现状与未来展望》。

IF 2.5 2区医学

Current Urology Reports Pub Date : 2024-11-01 Epub Date: 2024-07-09 DOI: 10.1007/s11934-024-01224-6

Ali Talyshinskii, Nithesh Naik, B M Zeeshan Hameed, Gafour Khairley, Princy Randhawa, Bhaskar Kumar Somani

{"title":"Telemedicine in Endourology for Patient Management and Healthcare Delivery: Current Status and Future Perspectives.","authors":"Ali Talyshinskii, Nithesh Naik, B M Zeeshan Hameed, Gafour Khairley, Princy Randhawa, Bhaskar Kumar Somani","doi":"10.1007/s11934-024-01224-6","DOIUrl":"10.1007/s11934-024-01224-6","url":null,"abstract":"Purpose of review: Researchers have examined how telemedicine affects endourological patients. This review analyzes the literature to determine telemedicine's benefits and limitations in endourology.Recent findings: Many studies were devoted to describing the effect of telemedicine on endourological patient satisfaction, optimization of the clinical decision-making among patients with kidney and ureteric stones, the effectiveness of telemedicine in the management of patients with indications for PCNL, follow-up for patients with urolithiasis and describing financial effectiveness for the patients after BOO surgery. The authors describe phone calls, video calls, and online booking platforms as used as telemedicine technology. However, several concerns also exist, such as the necessity of internet connections and appropriate devices, different receptivity among certain subgroups, data safety, and different regulatory environments among countries. Telemedicine offers the potential to reduce patient travel time, expedite decision-making, and save costs in endourology. However, its everyday implementation is challenging due to various obstacles faced by patients and providers, hindering the realization of its full potential and necessitating a systematic approach to problem-solving.","PeriodicalId":11112,"journal":{"name":"Current Urology Reports","volume":" ","pages":"299-310"},"PeriodicalIF":2.5,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11366724/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141558355","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