Current Urology Reports最新文献

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Urology Interest Groups and Surgical Skills Sessions - Increasing Medical Student Interest in Urology. 泌尿外科兴趣小组和外科技能课程-增加医学生对泌尿外科的兴趣。
IF 2.5 2区 医学
Current Urology Reports Pub Date : 2025-05-07 DOI: 10.1007/s11934-025-01269-1
Dagmawi Misgano, Kevin L Ma, Belinda Li
{"title":"Urology Interest Groups and Surgical Skills Sessions - Increasing Medical Student Interest in Urology.","authors":"Dagmawi Misgano, Kevin L Ma, Belinda Li","doi":"10.1007/s11934-025-01269-1","DOIUrl":"https://doi.org/10.1007/s11934-025-01269-1","url":null,"abstract":"<p><strong>Purpose of review: </strong>A urology curriculum is not often a standard component of undergraduate medical education in the United States. As a means to build interest among students, Urology Interest Groups and surgical skills sessions are specific resources available that can connect students with mentors and offer an introduction to the field.</p><p><strong>Recent findings: </strong>Mandatory preclinical and clinical exposure to Urology in medical school is associated with higher numbers of students entering the field. Student-led efforts such as interest groups and surgical skills sessions can have the same effect, while also creating opportunities for finding mentorship, professional development, and clinical exposure. Medical student access to urology interest groups and surgical skills sessions are important for building specialty interest, especially during a time that a future workforce shortage may be growing.</p>","PeriodicalId":11112,"journal":{"name":"Current Urology Reports","volume":"26 1","pages":"39"},"PeriodicalIF":2.5,"publicationDate":"2025-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144062674","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
From Carrel to Robotics: Renal Transplantation and the Evolution of its Surgical Technique. 从卡雷尔到机器人:肾移植及其手术技术的演变。
IF 2.5 2区 医学
Current Urology Reports Pub Date : 2025-04-21 DOI: 10.1007/s11934-025-01265-5
Jose F Barandiaran Cornejo, L Thomas Chin, Michael Angelis
{"title":"From Carrel to Robotics: Renal Transplantation and the Evolution of its Surgical Technique.","authors":"Jose F Barandiaran Cornejo, L Thomas Chin, Michael Angelis","doi":"10.1007/s11934-025-01265-5","DOIUrl":"https://doi.org/10.1007/s11934-025-01265-5","url":null,"abstract":"<p><strong>Purpose of review: </strong>Renal transplantation has become the standard of care for patients with end-stage renal disease (ESRD) due to significant advancements across various medical and surgical fields. This review highlights the evolution of renal transplantation techniques, while also exploring the latest tools and practices that promise to further improve their outcomes.</p><p><strong>Recent findings: </strong>Since the first successful renal transplant, numerous innovations have been implemented in the various stages of renal graft implantation. These include improved techniques in vascular and urinary anastomoses, graft positioning, and the recent emergence of modern technologies such as robotics and artificial intelligence (AI) which have shown promise in enhancing surgical performance. The field of renal transplantation is continuously evolving. As new and more efficient technologies continue to emerge, these too will become the standard of care and training. It is essential for transplant surgeons to understand the key historical developments that have led to our current level of expertise, so we can make effective use of these tools in further advancing the field.</p>","PeriodicalId":11112,"journal":{"name":"Current Urology Reports","volume":"26 1","pages":"38"},"PeriodicalIF":2.5,"publicationDate":"2025-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143972281","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
Ergonomic Challenges and Considerations in Endoscopic Treatment of Benign Prostatic Hyperplasia. 内镜下治疗良性前列腺增生的人机工程学挑战和考虑。
IF 2.5 2区 医学
Current Urology Reports Pub Date : 2025-04-15 DOI: 10.1007/s11934-025-01266-4
Mursal Gardezi, Ganesh Sanekommu, Jason J Lee
{"title":"Ergonomic Challenges and Considerations in Endoscopic Treatment of Benign Prostatic Hyperplasia.","authors":"Mursal Gardezi, Ganesh Sanekommu, Jason J Lee","doi":"10.1007/s11934-025-01266-4","DOIUrl":"https://doi.org/10.1007/s11934-025-01266-4","url":null,"abstract":"<p><strong>Purpose of review: </strong>The present review explores the prevalence of musculoskeletal work-related injuries associated with endoscopic treatment of benign prostatic hyperplasia, ergonomic factors and potential current and future solutions.</p><p><strong>Recent findings: </strong>Work-related musculoskeletal pain and injuries are prevalent in urology, with modifiable risk factors identified in the endoscopic treatment of benign prostatic hyperplasia. Future endeavors should focus on instrument design, formalized ergonomic training curricula and cultural shifts among the surgeon community. The combination of advancements in urology and a growing aging population has led to a rising volume of endoscopic treatments for benign prostatic hyperplasia. Ergonomic considerations are especially critical in endourology, where surgeons perform prolonged procedures requiring repetitive, precise movements. Optimizing ergonomics through surgeon education, training, improved operating room and instrument design, and ongoing research is essential to mitigating work-related musculoskeletal strain and enhancing surgical performance.</p>","PeriodicalId":11112,"journal":{"name":"Current Urology Reports","volume":"26 1","pages":"37"},"PeriodicalIF":2.5,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143986136","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 Patients with Muscle-Invasive Bladder Cancer Achieving A Clinical Complete Response after Neoadjuvant Therapy: Evidence and Consideration for Active Surveillance. 肌肉侵袭性膀胱癌患者在新辅助治疗后达到临床完全缓解的管理:积极监测的证据和考虑。
IF 2.5 2区 医学
Current Urology Reports Pub Date : 2025-04-10 DOI: 10.1007/s11934-025-01264-6
Benjamin I Joffe, John R Christin, Clémentine Le Coz, Srinath-Reddi Pingle, Alexander Z Wei, Karie D Runcie, Mark N Stein, Guarionex Joel DeCastro, Christopher B Anderson, James M McKiernan, Andrew T Lenis
{"title":"Management of Patients with Muscle-Invasive Bladder Cancer Achieving A Clinical Complete Response after Neoadjuvant Therapy: Evidence and Consideration for Active Surveillance.","authors":"Benjamin I Joffe, John R Christin, Clémentine Le Coz, Srinath-Reddi Pingle, Alexander Z Wei, Karie D Runcie, Mark N Stein, Guarionex Joel DeCastro, Christopher B Anderson, James M McKiernan, Andrew T Lenis","doi":"10.1007/s11934-025-01264-6","DOIUrl":"https://doi.org/10.1007/s11934-025-01264-6","url":null,"abstract":"<p><strong>Purpose of review: </strong>To review the landscape of bladder preservation management and active surveillance for those who achieve clinical complete response to neoadjuvant chemotherapy.</p><p><strong>Recent findings: </strong>Multiple cohorts of patients with clinical complete response report overall survival rates over 80% multiple years after treatment without cystectomy. Most recently, prospective clinical trials have been pursuing clinical complete response as a valid primary endpoint. Recent advances in immunotherapy and molecular biomarkers present new horizons in expanding the potential patient population as well as accuracy in prediction of pathologic complete response. While neoadjuvant chemotherapy followed by radical cystectomy is the standard of care for muscle-invasive bladder cancer, interest in active surveillance is growing as evidenced by the increasing number of studies. Accumulating evidence and new prospective data suggest this could be a plausible option in the future. These cohorts remain highly selected, thus generalizability is still under investigation.</p>","PeriodicalId":11112,"journal":{"name":"Current Urology Reports","volume":"26 1","pages":"36"},"PeriodicalIF":2.5,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143987504","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
Robotic Assisted Laparoscopic Donor Nephrectomy: An Update. 机器人辅助腹腔镜供体肾切除术:最新进展。
IF 2.5 2区 医学
Current Urology Reports Pub Date : 2025-04-05 DOI: 10.1007/s11934-025-01263-7
Armando Salim Munoz Abraham, Mahmoud Morsi, Rodrigo Vianna
{"title":"Robotic Assisted Laparoscopic Donor Nephrectomy: An Update.","authors":"Armando Salim Munoz Abraham, Mahmoud Morsi, Rodrigo Vianna","doi":"10.1007/s11934-025-01263-7","DOIUrl":"10.1007/s11934-025-01263-7","url":null,"abstract":"<p><strong>Purpose of the review: </strong>To review the outcomes of robotic-assisted laparoscopic donor nephrectomy in the published literature.</p><p><strong>Recent findings: </strong>Robotic-assisted laparoscopic donor nephrectomy has demonstrated to be a safe, efficient and effective technique of minimally invasive surgery, that offers multiple advantages to the surgeon, and good outcomes for the kidney donor and recipient. Although still a recent technique, it has been adopted by multiple centers worldwide. Robotic donor nephrectomy studies demonstrated consistent perioperative outcomes with low complication rates. Mean operative time was approximately 208 min, which is within acceptable limits. Mean warm ischemia time of 3.84 min remains well below the threshold for graft function preservation. Blood loss during is consistently low, below 150 mL, and conversion to open surgery remains rare, with a rate of 1.08%. These findings suggest that robotic-assisted procedures are feasible and safe for donor nephrectomy.</p>","PeriodicalId":11112,"journal":{"name":"Current Urology Reports","volume":"26 1","pages":"35"},"PeriodicalIF":2.5,"publicationDate":"2025-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11971126/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143787961","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
A Review of the Long-term Outcomes of Incontinent Diversion in the Pediatric Neurogenic Bladder. 小儿神经源性膀胱失禁转移的远期疗效综述。
IF 2.5 2区 医学
Current Urology Reports Pub Date : 2025-03-29 DOI: 10.1007/s11934-025-01261-9
Megan Stout, Mark C Adams, Douglass B Clayton
{"title":"A Review of the Long-term Outcomes of Incontinent Diversion in the Pediatric Neurogenic Bladder.","authors":"Megan Stout, Mark C Adams, Douglass B Clayton","doi":"10.1007/s11934-025-01261-9","DOIUrl":"10.1007/s11934-025-01261-9","url":null,"abstract":"<p><strong>Purpose: </strong>This review offers an evaluation of the limited literature detailing the outcomes of incontinent urinary diversion in the pediatric neurogenic bladder patient. We will discuss the indications for incontinent urinary diversion, procedural options, surgical techniques, postoperative complications, and overall patient impact.</p><p><strong>Recent findings: </strong>Incontinent urinary diversions remain a valuable treatment option for patients with neurogenic bladder especially the highly selected patient with few other options. Irrespective of the diversion chosen, postoperative complications do arise, and long-term follow-up is imperative. Ensuring the longevity and effectiveness of the diversion is critical, especially in a pediatric patient cohort with multiple long term risks including obesity- a factor that can directly impact reconstructive function. The dearth of available data highlights the need for more longitudinal studies of pediatric patient cohorts to determine true impact and risk related to incontinent urinary diversion.</p>","PeriodicalId":11112,"journal":{"name":"Current Urology Reports","volume":"26 1","pages":"34"},"PeriodicalIF":2.5,"publicationDate":"2025-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11954687/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143742541","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
Educating the Educator: Understanding Essential Components of Contemporary Urology Residency Training. 教育教育者:理解当代泌尿外科住院医师培训的基本组成部分。
IF 2.5 2区 医学
Current Urology Reports Pub Date : 2025-03-26 DOI: 10.1007/s11934-025-01262-8
Courtney Yong
{"title":"Educating the Educator: Understanding Essential Components of Contemporary Urology Residency Training.","authors":"Courtney Yong","doi":"10.1007/s11934-025-01262-8","DOIUrl":"10.1007/s11934-025-01262-8","url":null,"abstract":"<p><strong>Purpose of review: </strong>The purpose of this review is to provide an overview of evidence-based methods for urology programs and urologists to improve resident education as well as identify potential future research into this topic.</p><p><strong>Recent findings: </strong>Urology residency training has evolved significantly over time. However, there is concern that graduating urology residents are not adequately prepared for independent practice. There are several reasons for this concern, including decreased surgical autonomy in training and a finite amount of time and number of cases that a resident can experience during training. There are many components of urology residency training, including didactic, simulation, intraoperative, and non-technical skills education. While many of these have been studied, there is room for better understanding into how to optimize learning opportunities in each of these domains. Currently, urologic education is heterogeneous and remains more of an art than a science.</p><p><strong>Results: </strong>As we have long embraced evidence-based medicine, we should also push for evidence-based education in urology through continued study into how to best educate future urologists.</p>","PeriodicalId":11112,"journal":{"name":"Current Urology Reports","volume":"26 1","pages":"33"},"PeriodicalIF":2.5,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143728835","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
Urge Urinary Incontinence and Pregnancy: A Systematic Review. 急迫性尿失禁与妊娠:一项系统综述。
IF 2.5 2区 医学
Current Urology Reports Pub Date : 2025-03-06 DOI: 10.1007/s11934-025-01260-w
Joshua Winograd, Ananth Punyala, Christina Sze, Alia Codelia-Anjum, Dean Elterman, Kevin C Zorn, Naeem Bhojani, Bilal Chughtai
{"title":"Urge Urinary Incontinence and Pregnancy: A Systematic Review.","authors":"Joshua Winograd, Ananth Punyala, Christina Sze, Alia Codelia-Anjum, Dean Elterman, Kevin C Zorn, Naeem Bhojani, Bilal Chughtai","doi":"10.1007/s11934-025-01260-w","DOIUrl":"10.1007/s11934-025-01260-w","url":null,"abstract":"<p><strong>Purpose of review: </strong>To identify risk factors for urge urinary incontinence (UUI) in the prenatal period and following pregnancy. Characterization of prevalence of and interventions for UUI during this period were also examined.</p><p><strong>Recent findings: </strong>A total of 1850 studies were initially identified through a database search. After removing duplicates (308 studies), 102 studies underwent full-text review following title and abstract assessment. After applying further selection criteria, 37 articles were included in the review. The studies span from 1993 to 2020 and involved sample sizes ranging from 58 to 6369 women, with participant ages averaging from under 19 to 39 years old. Body mass index, gestational diabetes mellitus, maternal age, parity, a history of urinary incontinence, and instrumental vaginal deliveries, that contribute to the onset or exacerbation of UUI. There was a large focus on patient questionnaires on symptoms. Analyzing data from over 25,000 patients, our study identifies several risk factors, both non-interventional and interventional that contribute to the onset or exacerbation of UUI. The strong focus on patient questionnaires on symptoms, and only secondary focus on quality of life, sexual function, or mental health point to a large gap in the literature where more work can be done.</p>","PeriodicalId":11112,"journal":{"name":"Current Urology Reports","volume":"26 1","pages":"32"},"PeriodicalIF":2.5,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143566343","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 Techniques in Antenatal Imaging of Spinal Dysraphisms. 脊柱发育障碍产前成像新技术。
IF 2.5 2区 医学
Current Urology Reports Pub Date : 2025-03-06 DOI: 10.1007/s11934-025-01258-4
Charis Royal, Leon Chertin, Mohammed Alfawzan, Mary Elaine Killian
{"title":"Novel Techniques in Antenatal Imaging of Spinal Dysraphisms.","authors":"Charis Royal, Leon Chertin, Mohammed Alfawzan, Mary Elaine Killian","doi":"10.1007/s11934-025-01258-4","DOIUrl":"10.1007/s11934-025-01258-4","url":null,"abstract":"<p><strong>Purpose of review: </strong>This review examines the imaging techniques for diagnosing spinal dysraphisms (SD), focusing on advancements in prenatal detection.</p><p><strong>Recent findings: </strong>Prenatal ultrasound (US) is the first-line tool for detecting spinal dysraphisms, including myelomeningocele. While US is effective for early detection, it has limitations in fully characterizing defects, particularly due to factors like fetal positioning. To address these, advanced techniques such as 3D ultrasound and AI-driven algorithms have improved diagnostic accuracy. Magnetic resonance imaging (MRI) remains critical for a comprehensive evaluation, providing detailed visualization of soft tissue anomalies and assessing lesion severity. Prenatal ultrasound is essential for initial screening but often complemented by MRI for a thorough diagnosis. Innovations in imaging technologies, including AI and 3D ultrasound, promise to enhance early detection and clinical management of spinal dysraphisms.</p>","PeriodicalId":11112,"journal":{"name":"Current Urology Reports","volume":"26 1","pages":"31"},"PeriodicalIF":2.5,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11885386/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143566338","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
Point-of-Care Ultrasound in Urologic Practice and Training. 护理点超声在泌尿外科的实践和培训。
IF 2.5 2区 医学
Current Urology Reports Pub Date : 2025-03-01 DOI: 10.1007/s11934-025-01259-3
Tomas Paneque, Chad R Tracy, Ryan L Steinberg
{"title":"Point-of-Care Ultrasound in Urologic Practice and Training.","authors":"Tomas Paneque, Chad R Tracy, Ryan L Steinberg","doi":"10.1007/s11934-025-01259-3","DOIUrl":"10.1007/s11934-025-01259-3","url":null,"abstract":"<p><strong>Purpose of review: </strong>Review the current ways in which POCUS is currently being used and discuss current and future trends of POCUS training.</p><p><strong>Recent findings: </strong>Despite broad utilization in many urologic practices, POCUS training is not routinely provided during urologic residency. Several barriers, including cost of equipment procurement and lack of expertise, prevent standardized implementation of POCUS curricula. POCUS education is valued and beneficial at all levels of training and changes in healthcare may reinforce the need for formal instruction.</p>","PeriodicalId":11112,"journal":{"name":"Current Urology Reports","volume":"26 1","pages":"30"},"PeriodicalIF":2.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143536820","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
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