Current Urology Reports最新文献_第9页

Erectile Dysfunction in Adolescents and Young Adults. 青少年和年轻人的勃起功能障碍。

IF 2.5 2区医学

Current Urology Reports Pub Date : 2024-09-01 Epub Date: 2024-06-26 DOI: 10.1007/s11934-024-01213-9

Amelia Pantazis, Israel Franco, Jordan Gitlin

引用次数: 0

Financial and Business Literacy Among Urology Residents: Is this a Problem and How Can We Better Prepare Residents for their Careers? 泌尿外科住院医师的财务和商业知识：这是一个问题吗？我们如何才能更好地为住院医生的职业生涯做好准备？

IF 2.5 2区医学

Current Urology Reports Pub Date : 2024-09-01 Epub Date: 2024-06-21 DOI: 10.1007/s11934-024-01216-6

Vinayak Madhusoodanan, Joshua Bitran, Maxwell Towe, Chad Ritch

{"title":"Financial and Business Literacy Among Urology Residents: Is this a Problem and How Can We Better Prepare Residents for their Careers?","authors":"Vinayak Madhusoodanan, Joshua Bitran, Maxwell Towe, Chad Ritch","doi":"10.1007/s11934-024-01216-6","DOIUrl":"10.1007/s11934-024-01216-6","url":null,"abstract":"Purpose of review: Although financial wellness is a predictor of physician burnout, we are yet to optimize financial education or wellness of Urology trainees. We assessed existing studies, compared them to those of other specialties, and discussed resources and methods to address this deficiency.Recent findings: Urology residents tend to be less fiscally savvy (carry significant debt, and lack retirement savings or disability insurance), and 90% of trainees and young Urologists do not feel comfortable with the business of practice, including skills like coding and billing, contract negotiation, and self-value assessment. Financial and business literacy are deficiencies of Urology training, as in other specialties. Eventually, the goal should be universal adoption of a formal curriculum that is graded in nature. In the interim, we need to propose and endorse adoption of a formal curriculum, and we should support trainees by promoting a space for easily accessible and transparent information regarding best practices in personal finance and the business of healthcare.","PeriodicalId":11112,"journal":{"name":"Current Urology Reports","volume":" ","pages":"207-214"},"PeriodicalIF":2.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141431640","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

Advancements in Surgical Management of Megaureters. 巨尿道手术治疗的进展。

IF 2.5 2区医学

Current Urology Reports Pub Date : 2024-09-01 Epub Date: 2024-07-02 DOI: 10.1007/s11934-024-01214-8

Timothy C Boswell

引用次数: 0

Role of Genetic Testing in Kidney Stone Disease: A Narrative Review 基因检测在肾结石病中的作用：叙述性综述

IF 2.6 2区医学

Current Urology Reports Pub Date : 2024-08-03 DOI: 10.1007/s11934-024-01225-5

Robert Geraghty, Catherine Lovegrove, Sarah Howles, John A. Sayer

{"title":"Role of Genetic Testing in Kidney Stone Disease: A Narrative Review","authors":"Robert Geraghty, Catherine Lovegrove, Sarah Howles, John A. Sayer","doi":"10.1007/s11934-024-01225-5","DOIUrl":"https://doi.org/10.1007/s11934-024-01225-5","url":null,"abstract":"<h3 data-test=\"abstract-sub-heading\">Purpose of Review</h3>Kidney stone disease (KSD) is a common and potentially life-threatening condition, and half of patients experience a repeat kidney stone episode within 5–10 years. Despite the ~50% estimate heritability of KSD, international guidelines have not kept up with the pace of discovery of genetic causes of KSD. The European Association of Urology guidelines lists 7 genetic causes of KSD as ‘high risk’.<h3 data-test=\"abstract-sub-heading\">Recent Findings</h3>There are currently 46 known monogenic (single gene) causes of kidney stone disease, with evidence of association in a further 23 genes. There is also evidence for polygenic risk of developing KSD. Evidence is lacking for recurrent disease, and only one genome wide association study has investigated this phenomenon, identifying two associated genes (SLC34A1 and TRPV5). However, in the absence of other evidence, patients with genetic predisposition to KSD should be treated as ‘high risk’. Further studies are needed to characterize both monogenic and polygenic associations with recurrent disease, to allow for appropriate risk stratification. Durability of test result must be balanced against cost. This would enable retrospective analysis if no genetic cause was found initially.<h3 data-test=\"abstract-sub-heading\">Summary</h3>We recommend genetic testing using a gene panel for all children, adults < 25 years, and older patients who have factors associated with high risk disease within the context of a wider metabolic evaluation. Those with a genetic predisposition should be managed via a multi-disciplinary team approach including urologists, radiologists, nephrologists, clinical geneticists and chemical pathologists. This will enable appropriate follow-up, counselling and potentially prophylaxis.","PeriodicalId":11112,"journal":{"name":"Current Urology Reports","volume":"15 1","pages":""},"PeriodicalIF":2.6,"publicationDate":"2024-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141881735","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

Plastic Clamp Versus Conventional Surgical Dissection Technique in Pediatric Circumcision: A Systematic Review and Meta-Analysis. 小儿包皮环切术中的塑料夹钳与传统手术剥离技术：系统综述与元分析》。

IF 2.5 2区医学

Current Urology Reports Pub Date : 2024-08-01 Epub Date: 2024-05-21 DOI: 10.1007/s11934-024-01209-5

Xianming Yao, Gang Zhang, Qianwei Xiong, Shaoguang Feng, Xian Liu

{"title":"Plastic Clamp Versus Conventional Surgical Dissection Technique in Pediatric Circumcision: A Systematic Review and Meta-Analysis.","authors":"Xianming Yao, Gang Zhang, Qianwei Xiong, Shaoguang Feng, Xian Liu","doi":"10.1007/s11934-024-01209-5","DOIUrl":"10.1007/s11934-024-01209-5","url":null,"abstract":"Purpose: Phimosis is a common condition of the urinary system in children and often requires surgical treatment. However, the optimal method of circumcision for children has not been determined. We conducted a systematic review and meta-analysis to compare the safety and effectiveness of plastic clamp with conventional surgical circumcision in pediatric circumcision.Methods: A literature search was carried out to compare the plastic clamp and conventional dissection technique in the pediatric population. The following search terms were used: \"circumcision\", \"plastic clamp\", \"conventional\", \"plastibell\", \"children\" and etc. Meta-analysis was used to pool and evaluate variables such as operative time, blood loss, wound infection, bleeding, edema, and total postoperative complications.Results: The plastic clamp technique (PCT) was used in 10,412 of the 17,325 participants in the nine studies, while the conventional surgical dissection technique (CST) was used on 6913 patients. When compared to the CST approach, the PCT approach resulted in shorter operative times (mean difference (MD) -17.48, 95% CI -22 to -12.96; P < 0.001), less blood loss (MD -4.25, 95% CI -7.75 to -0.77; P = 0.02), and a higher incidence of postoperative edema (OR 2.33, 95% CI 1.34 to 4.08; P = 0.003). However, no significant difference was found in the incidence of postoperative complications, including wound infection and bleeding between PCT and CST.Conclusions: PCT is a safe and time-saving option in the pediatric population. However, this method appeared to have a significant greater rate of postoperative edema.","PeriodicalId":11112,"journal":{"name":"Current Urology Reports","volume":" ","pages":"173-180"},"PeriodicalIF":2.5,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141070226","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

Overview of Radiation Therapy in the Management of Localized and Metastatic Prostate Cancer. 放射治疗治疗局部和转移性前列腺癌概述。

IF 2.5 2区医学

Current Urology Reports Pub Date : 2024-08-01 Epub Date: 2024-06-11 DOI: 10.1007/s11934-024-01217-5

Malcolm D Mattes

引用次数: 0

Digital Rectal Exam in Prostate Cancer Screening and Elevated PSA Work-up-Is there a role anymore? 前列腺癌筛查和 PSA 升高检查中的数字直肠检查--还有作用吗？

IF 2.5 2区医学

Current Urology Reports Pub Date : 2024-08-01 Epub Date: 2024-06-13 DOI: 10.1007/s11934-024-01218-4

Lane Shish, Joseph Zabell

引用次数: 0

Preparing Trainees to Rebound from Surgical Complications. 让受训人员做好从手术并发症中反弹的准备。

IF 2.5 2区医学

Current Urology Reports Pub Date : 2024-08-01 Epub Date: 2024-05-26 DOI: 10.1007/s11934-024-01207-7

Lan Anh S Galloway, Amy N Luckenbaugh

引用次数: 0

Fertility Preservation in Children and Adolescents: Where We Are and Where We Are Going. 儿童和青少年的生育能力保护：我们的现状与未来。

IF 2.5 2区医学

Current Urology Reports Pub Date : 2024-07-01 Epub Date: 2024-05-10 DOI: 10.1007/s11934-024-01204-w

Campbell Vogt, Neha R Malhotra

{"title":"Fertility Preservation in Children and Adolescents: Where We Are and Where We Are Going.","authors":"Campbell Vogt, Neha R Malhotra","doi":"10.1007/s11934-024-01204-w","DOIUrl":"10.1007/s11934-024-01204-w","url":null,"abstract":"Purpose of review: This review will describe current pediatric and adolescent fertility preservation methodologies and the ethical concerns surrounding these procedures, as well as highlight recent research that may pave the way for the development of new fertility preservation options.Recent findings: Research is ongoing to allow prepubertal patients, particularly those with testes, to be able to have biologic children in the future. Studies on sperm in vitro maturation highlight the importance of supporting the spermatogonial stem cell niche for the development of mature sperm. The live birth of a rhesus macaque from in vitro fertilization using prepubertal testicular tissue and in vivo matured sperm gives hope to future human births. For patients with ovaries, prior work has led to successful fertility but further research is underway to refine these techniques and optimize outcomes. Organoid scaffolds have shown promise when being used for in vitro oocyte maturation. For children and adolescents undergoing gonadotoxic treatment, such as chemotherapy, or hormonal treatment, such as gender-affirming hormone therapy, future fertility potential may be negatively impacted. It is recommended that fertility preservation (FP) be offered to these patients and families prior to undergoing treatment. Fertility preservation for postpubertal patients mimics that in adults. For prepubertal children, however, the options are limited and in some cases still experimental. It is essential that this work continues so that we may offer children and adolescents the right to an open future and preserve their fertility potential.","PeriodicalId":11112,"journal":{"name":"Current Urology Reports","volume":" ","pages":"133-140"},"PeriodicalIF":2.5,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140897618","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

Pharmacotherapy in Stress Urinary Incontinence; A Literature Review. 压力性尿失禁的药物治疗；文献综述。

IF 2.5 2区医学

Current Urology Reports Pub Date : 2024-07-01 Epub Date: 2024-05-10 DOI: 10.1007/s11934-024-01205-9

Seyed Sajjad Tabei, Wesley Baas, Ayman Mahdy

{"title":"Pharmacotherapy in Stress Urinary Incontinence; A Literature Review.","authors":"Seyed Sajjad Tabei, Wesley Baas, Ayman Mahdy","doi":"10.1007/s11934-024-01205-9","DOIUrl":"10.1007/s11934-024-01205-9","url":null,"abstract":"Purpose of review: Stress urinary incontinence (SUI) is a commonly observed condition in females, as well as in males who have undergone prostatectomy. Despite the significant progress made in surgical techniques, pharmacotherapy has not yielded substantial outcomes within the clinical domain. This review aims to present a comprehensive overview of the existing pharmacotherapy options for stress urinary incontinence (SUI) and the emerging therapeutic targets in this field.Recent findings: One meta-analysis demonstrated that α-adrenergic medications are more efficacious in improving rather than curing SUI symptoms. One trial showed reduced pad weight gain with PSD-503, a locally administered α-adrenergic receptor agonist. New data show that duloxetine's risk outweighs its benefits. One small-scale trial was found to support the use of locally administered estriol in improving subjective outcomes. Emerging targets include serotonin 5HT2C agonists, selective inhibitors of norepinephrine uptake, and myostatin inhibitors. Only one of the evaluated drugs, duloxetine, has been approved by some countries. Currently, trials are evaluating novel targets. Systemic adverse effects such as gastrointestinal upset with duloxetine and orthostatic hypotension with α-adrenoceptor agonists have hampered the efficacy of drugs used to treat SUI in women and men.","PeriodicalId":11112,"journal":{"name":"Current Urology Reports","volume":" ","pages":"141-148"},"PeriodicalIF":2.5,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11196290/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140897623","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