Current Urology Reports最新文献_第5页

Revisiting the Role of Ultrasound in Pediatric Scrotal and Groin Pathology. 重访超声在小儿阴囊和腹股沟病理中的作用。

IF 3.2 2区医学

Current Urology Reports Pub Date : 2026-03-21 DOI: 10.1007/s11934-026-01327-2

Nicholas N Brutus, Jackson Pearce, Leah Ragno, Lauren Ehrlich, Eric M Bortnick

引用次数: 0

Management of Lower Urinary Tract Symptoms in Patients on Active Surveillance for Prostate Cancer. 主动监测前列腺癌患者下尿路症状的处理

IF 3.2 2区医学

Current Urology Reports Pub Date : 2026-03-12 DOI: 10.1007/s11934-026-01326-3

Jada Kapoor, Felix Cheung

{"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":"10.1007/s11934-026-01326-3","url":null,"abstract":"PURPOSE OF REVIEW: Lower urinary tract symptoms (LUTS) are highly prevalent among ageing men and frequently coexist with low- and favorable-intermediate-risk prostate cancer. As the adoption of active surveillance (AS) increases and surveillance duration lengthens, clinicians are increasingly required to manage bothersome LUTS without compromising oncologic monitoring or future definitive treatment options. This review synthesizes contemporary evidence regarding the epidemiology, evaluation, and management of LUTS in men undergoing AS. RECENT FINDINGS: Emerging data demonstrate that medical and surgical therapies for benign prostatic hyperplasia (BPH) can be safely implemented in carefully selected men on AS. Contemporary evidence clarifies the impact of BPH therapies on prostate-specific antigen (PSA) interpretation, multiparametric MRI performance, biopsy feasibility, and candidacy for subsequent definitive prostate cancer treatment. Accumulating studies suggest that appropriately selected interventions aimed at improving bladder outlet obstruction do not adversely affect oncologic outcomes or compromise surveillance protocols. Management of LUTS in men undergoing AS requires a nuanced understanding of how BPH therapies interact with cancer surveillance strategies. Current evidence supports timely and individualized treatment of bothersome LUTS, including surgical management when indicated, without deferring intervention solely due to AS status. Thoughtful integration of symptom control and oncologic monitoring optimizes both quality of life and long-term cancer care. ","PeriodicalId":11112,"journal":{"name":"Current Urology Reports","volume":"27 1","pages":""},"PeriodicalIF":3.2,"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}

引用次数: 0

Sarcomatoid Renal Cell Carcinoma: Biological Features and Therapeutic Implications-A Narrative Review. 肉瘤样肾细胞癌：生物学特征和治疗意义。

IF 3.2 2区医学

Current Urology Reports Pub Date : 2026-03-07 DOI: 10.1007/s11934-026-01325-4

Francesco Lasorsa, Martina Milella, Monica Rutigliano, Antonio di Bari, Antonio d'Amati, Savio Domenico Pandolfo, Gabriele Bignante, Alessandro Caniglia, Riccardo Autorino, Pasquale Ditonno, Giuseppe Lucarelli

{"title":"Sarcomatoid Renal Cell Carcinoma: Biological Features and Therapeutic Implications-A Narrative Review.","authors":"Francesco Lasorsa, Martina Milella, Monica Rutigliano, Antonio di Bari, Antonio d'Amati, Savio Domenico Pandolfo, Gabriele Bignante, Alessandro Caniglia, Riccardo Autorino, Pasquale Ditonno, Giuseppe Lucarelli","doi":"10.1007/s11934-026-01325-4","DOIUrl":"10.1007/s11934-026-01325-4","url":null,"abstract":"PURPOSE OF THE REVIEW: This review underscores the importance of recognizing sarcomatoid features in renal cell carcinoma, as this component significantly impacts prognosis and treatment strategies. RECENT FINDINGS: Sarcomatoid renal cell carcinoma (sRCC) is a rare and aggressive form of renal cancer characterized by poor prognosis and distinct biological features. Despite its clinical significance, there remains a knowledge gap regarding the comprehensive understanding of its molecular and therapeutic landscape. Recent studies provided an extensive overview of the clinical, pathological, and molecular characteristics of sRCC, highlighting its unique genomic alterations and immune profile. Notably, sRCC exhibits a highly inflamed tumor microenvironment, which correlates with increased responsiveness to immune checkpoint inhibitors. Our findings suggest that integrating immunotherapy into the management of sRCC could enhance patient outcomes, paving the way for future research and clinical applications in this challenging cancer subtype. ","PeriodicalId":11112,"journal":{"name":"Current Urology Reports","volume":"27 1","pages":""},"PeriodicalIF":3.2,"publicationDate":"2026-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12966250/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147369519","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

Cost Considerations in Penile Implant Surgery from a Global Perspective. 全球视角下阴茎植入手术的成本考虑。

IF 3.2 2区医学

Current Urology Reports Pub Date : 2026-02-19 DOI: 10.1007/s11934-026-01324-5

Kristian Black, Leila Momtazi-Mar, Hannah Glick, Scott D Lundy, Raevti Bole, Petar Bajic

{"title":"Cost Considerations in Penile Implant Surgery from a Global Perspective.","authors":"Kristian Black, Leila Momtazi-Mar, Hannah Glick, Scott D Lundy, Raevti Bole, Petar Bajic","doi":"10.1007/s11934-026-01324-5","DOIUrl":"10.1007/s11934-026-01324-5","url":null,"abstract":"PURPOSE OF REVIEW: This review evaluates global trends, economic considerations, and recent innovations in penile prosthesis surgery for erectile dysfunction (ED). It aims to examine rising procedural costs, disparities in accessibility, and strategies to enhance affordability particularly in low- and middle-income countries (LMICs). RECENT FINDINGS: Despite its cost-effectiveness and high patient satisfaction, penile prosthesis surgery remains underutilized due to increasing costs and inconsistent insurance coverage. In the U.S., a shift toward ambulatory surgical centers may help reduce procedural costs. Low-cost devices like the Shah Malleable Prosthesis have improved accessibility in LMICs but face limited global adoption due to regulatory and evidence gaps. Broader health system reforms and novel tools such as predictive digital models may further mitigate economic barriers. Penile prosthesis implantation is a durable and effective treatment for ED but remains financially inaccessible to many patients worldwide. Reducing costs through outpatient surgery, insurance expansion, and validated low-cost devices can improve global access. Future progress requires coordinated policy reform and investment in scalable, equitable care pathways. ","PeriodicalId":11112,"journal":{"name":"Current Urology Reports","volume":"27 1","pages":"15"},"PeriodicalIF":3.2,"publicationDate":"2026-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12916983/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146218948","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

Minimally Invasive Surgery in Solitary Kidneys with Renal Tumors: A Surgical Evolution. 孤立肾肿瘤的微创手术：手术的发展。

IF 3.2 2区医学

Current Urology Reports Pub Date : 2026-02-18 DOI: 10.1007/s11934-026-01320-9

Lautaro German Spezzi Roncero, A Romeo, P A Garcia-Marchiñena, A M Jurado

{"title":"Minimally Invasive Surgery in Solitary Kidneys with Renal Tumors: A Surgical Evolution.","authors":"Lautaro German Spezzi Roncero, A Romeo, P A Garcia-Marchiñena, A M Jurado","doi":"10.1007/s11934-026-01320-9","DOIUrl":"10.1007/s11934-026-01320-9","url":null,"abstract":"PURPOSE OF REVIEW: This review aims to critically evaluate the evolving role of minimally invasive surgery (MIS) in the nephron-sparing management of renal tumors in patients with a solitary kidney. We sought to assess current evidence regarding surgical approaches, ischemia strategies, oncologic and functional outcomes, and to identify key determinants guiding surgical decision-making in this high-risk population. RECENT FINDINGS: Recent literature exhibits a progressive shift toward minimally invasive approaches, without compromising oncologic or long-term functional outcomes. Accumulating evidence highlights preserved renal parenchymal volume and baseline renal function as the primary predictors of postoperative renal recovery, whereas ischemia type and time mainly affect early postoperative function. Advanced technologies, including 3D modeling, may further optimize selective clamping and perioperative outcomes in selected cases. Partial nephrectomy remains the mainstay of treatment for renal tumors in solitary kidneys. Surgical approach selection should be individualized, driven by tumor complexity and renal function rather than technique alone. Referral to high-volume centers and continued refinement of MIS are essential to optimize outcomes and guide future research in this challenging clinical setting. ","PeriodicalId":11112,"journal":{"name":"Current Urology Reports","volume":"27 1","pages":"14"},"PeriodicalIF":3.2,"publicationDate":"2026-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146218964","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

Contemporary Role for Blue Light Cystoscopy Across the Bladder Cancer Disease Spectrum. 蓝光膀胱镜检查在膀胱癌疾病谱中的当代作用。

IF 3.2 2区医学

Current Urology Reports Pub Date : 2026-02-14 DOI: 10.1007/s11934-026-01322-7

Ethan Wan, Caroline Wade, Aditya Sathe, James E Ferguson, Charles C Peyton

{"title":"Contemporary Role for Blue Light Cystoscopy Across the Bladder Cancer Disease Spectrum.","authors":"Ethan Wan, Caroline Wade, Aditya Sathe, James E Ferguson, Charles C Peyton","doi":"10.1007/s11934-026-01322-7","DOIUrl":"10.1007/s11934-026-01322-7","url":null,"abstract":"PURPOSE OF REVIEW: This review aims to synthesize recent evidence and accounts evaluating the utility of blue light cystoscopy (BLC) across the disease spectrum of bladder cancer, including its diagnostic, surveillance, and post-treatment uses, as well as its outpatient applications, economic impact, patient perspectives, and future directions. RECENT FINDINGS: While initial studies on BLC suggested an advantage over traditional cystoscopy in terms of diagnostic power and recurrence rates for non-muscle invasive bladder cancer, recent studies are more equivocal on its benefits and suggest that the utilization of blue-light cystoscopy is more nuanced. Evidence is lacking on a clear superiority of blue light for all bladder cancer patients. Cost, logistics, and accuracy concerns indicate certain patients may benefit from this procedure more than others. BLC can be a valuable adjunct to white light cystoscopy in the management of bladder cancer. It provides high diagnostic sensitivity but there are questions surrounding its cost-effectiveness, positive predictive value, and its role in effective surveillance and reduction of tumor recurrence require further longitudinal and standardized investigation. ","PeriodicalId":11112,"journal":{"name":"Current Urology Reports","volume":"27 1","pages":"13"},"PeriodicalIF":3.2,"publicationDate":"2026-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12904949/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146194256","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

Cost Considerations of Direct to Consumer Infertility Testing and Sperm Cryopreservation. 直接对消费者不育检测和精子冷冻保存的成本考虑。

IF 3.2 2区医学

Current Urology Reports Pub Date : 2026-02-13 DOI: 10.1007/s11934-026-01323-6

Andrew Shin, Martin Kathrins

{"title":"Cost Considerations of Direct to Consumer Infertility Testing and Sperm Cryopreservation.","authors":"Andrew Shin, Martin Kathrins","doi":"10.1007/s11934-026-01323-6","DOIUrl":"10.1007/s11934-026-01323-6","url":null,"abstract":"PURPOSE OF REVIEW: Male fertility evaluation is increasingly shifting outside traditional clinics as direct-to-consumer (DTC) semen testing and cryopreservation services expand. This review synthesizes current evidence on the accuracy, clinical utility, and cost implications of DTC products and evaluates their role alongside guideline-based care. RECENT FINDINGS: Smartphone-based platforms and other DTC products show strong performance for screening sperm concentration and motility, and mail-in cryopreservation allows access to laboratory analysis from home. However, most DTC tests do not replicate the diagnostic scope of clinical semen analysis and often require confirmatory evaluation. Costs vary widely across platforms, with inconsistent transparency and hidden fees noted in both DTC and traditional models. Early evidence also shows that DTC services disproportionately serve affluent users, despite potential to improve access for underserved populations. DTC semen analysis and cryopreservation can enhance convenience and early engagement but should complement rather than replace standard evaluation. Their utility depends on clinical context and cost-to-value considerations. We outline principles to guide clinicians in integrating DTC results into counseling and care while addressing issues of equity, transparency, and appropriate follow-up. ","PeriodicalId":11112,"journal":{"name":"Current Urology Reports","volume":"27 1","pages":"12"},"PeriodicalIF":3.2,"publicationDate":"2026-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146178079","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 Transparency in Urology Residency Match Process: The Importance of Standardized Letters of Recommendation. 提高泌尿外科住院医师匹配过程的透明度：标准化推荐信的重要性。

IF 3.2 2区医学

Current Urology Reports Pub Date : 2026-02-13 DOI: 10.1007/s11934-026-01321-8

Alejandro Afanador-Jimenez, John M Myrga, Behzad Abbasi, Marvin Carlisle, Behnam Nabavizadeh, Lindsay A Hampson, Richard K Lee, Benjamin N Breyer

引用次数: 0

Global Perspectives on Urologic Training in Low- and Middle-income Countries. 低收入和中等收入国家泌尿科培训的全球视角。

IF 3.2 2区医学

Current Urology Reports Pub Date : 2026-02-06 DOI: 10.1007/s11934-026-01318-3

Frances Kazal, Theophile Ndayishimye, Jane T Kurtzman

{"title":"Global Perspectives on Urologic Training in Low- and Middle-income Countries.","authors":"Frances Kazal, Theophile Ndayishimye, Jane T Kurtzman","doi":"10.1007/s11934-026-01318-3","DOIUrl":"10.1007/s11934-026-01318-3","url":null,"abstract":"Purpose of review: This narrative review provides an overview of the status, limitations, ongoing initiatives, and future direction of urology training in low- and middle-income countries (LMIC).Recent findings: A striking global workforce gap for urologists exists in LMICs, partly due to the wide variability, or in some cases, absence of formal urology training programs. Studies show major barriers include limited financial and human resources, inadequate infrastructure, time constraints due to clinical volumes, and lack of sustainable partnerships. Significant efforts, both locally and by global partnerships, however, have been made to advance local training efforts. Further, innovations in artificial reality, simulation-based education, telesurgery, and standardized online curricula, may offer a particular benefit to LMICs in helping to change the educational landscape for urology in these settings. LMICs face a significant shortage of urologist and standard training programs. Long-term progress depends on investment in training, fostering trusted partnerships, and empowering LMIC leadership in education, research, and professional visibility. Through innovation, collaborative efforts and support for locally driven initiatives, the global community can strengthen the urology workforce to improved delivery of high-quality care.","PeriodicalId":11112,"journal":{"name":"Current Urology Reports","volume":"27 1","pages":"10"},"PeriodicalIF":3.2,"publicationDate":"2026-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146123991","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

Strategies and Best Practices for Engaging Urology Residents in Clinical Research during Training. 培训期间泌尿外科住院医师参与临床研究的策略和最佳实践。

IF 3.2 2区医学

Current Urology Reports Pub Date : 2026-01-17 DOI: 10.1007/s11934-025-01317-w

Kate Dwyer, Elisabeth M Sebesta

{"title":"Strategies and Best Practices for Engaging Urology Residents in Clinical Research during Training.","authors":"Kate Dwyer, Elisabeth M Sebesta","doi":"10.1007/s11934-025-01317-w","DOIUrl":"10.1007/s11934-025-01317-w","url":null,"abstract":"PURPOSE OF REVIEW: In this review, we will explore the benefits of urology resident participation in research during training and identify the common barriers for residents to engage in scholarly activity. Most importantly, we aim to discuss strategies to foster engagement in research during urology residency training despite time constraints, resource limitations, and competing clinical demands. RECENT FINDINGS: Recent literature on the topic highlights that while urology residency programs require some form of scholarly activity, few offer extended dedicated research time and there is no minimum requirement for promotion or graduation across programs. Protected research time, structured curricula, and available mentorship are associated with increased research productivity. Encouraging innovative approaches such as longitudinal research exposure and integrated research didactics, incentivization and reward culture, fostering high-quality mentorship, and standardizing expectations have shown some success in improving publication rates and promoting conference presentations. The benefits of residents participating in research during training include refined clinical thinking, promotion of evidence-based practice, and facilitating academic career opportunities. We hope to offer a roadmap for programs and educators to consider how to cultivate the culture of inquiry needed to promote resident research engagement without the need to extend training. By starting this conversation, we aim to inspire urology training programs to prioritize research integration in a way that prepares residents to contribute meaningfully to scientific advancement and ultimately improve patient care. ","PeriodicalId":11112,"journal":{"name":"Current Urology Reports","volume":"27 1","pages":"9"},"PeriodicalIF":3.2,"publicationDate":"2026-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12811322/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145988717","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