Journal of Urology最新文献

{"title":"Reply: Artificial Intelligence as a Discriminator of Competence in Urological Training: Are We There?","authors":"Naji J Touma, Thomas Skinner, Michael Leveridge","doi":"10.1097/JU.0000000000004453","DOIUrl":"10.1097/JU.0000000000004453","url":null,"abstract":"","PeriodicalId":17471,"journal":{"name":"Journal of Urology","volume":" ","pages":"798"},"PeriodicalIF":5.9,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143364748","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":"Urologic Oncology: Prostate Cancer.","authors":"Samir S Taneja","doi":"10.1097/JU.0000000000004491","DOIUrl":"10.1097/JU.0000000000004491","url":null,"abstract":"","PeriodicalId":17471,"journal":{"name":"Journal of Urology","volume":" ","pages":"815-817"},"PeriodicalIF":5.9,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143557223","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":"Editorial Comment.","authors":"Margaret Meagher, Kshitij Pandit, Dhruv Puri, Mai Dabbas, Aditya Bagrodia","doi":"10.1097/JU.0000000000004502","DOIUrl":"10.1097/JU.0000000000004502","url":null,"abstract":"","PeriodicalId":17471,"journal":{"name":"Journal of Urology","volume":" ","pages":"762-763"},"PeriodicalIF":5.9,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143625008","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":"Editorial Comment.","authors":"Richard S Matulewicz, Joel Sheinfeld","doi":"10.1097/JU.0000000000004507","DOIUrl":"10.1097/JU.0000000000004507","url":null,"abstract":"","PeriodicalId":17471,"journal":{"name":"Journal of Urology","volume":" ","pages":"764"},"PeriodicalIF":5.9,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143625115","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":"Benign Prostatic Hyperplasia.","authors":"Steven A Kaplan","doi":"10.1097/JU.0000000000004471","DOIUrl":"10.1097/JU.0000000000004471","url":null,"abstract":"","PeriodicalId":17471,"journal":{"name":"Journal of Urology","volume":" ","pages":"810-813"},"PeriodicalIF":5.9,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143440841","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":"Prostate-Specific Antigen Density to Select Magnetic Resonance Imaging-Targeted vs Combined Biopsy for Prostate Cancer Diagnosis: A Secondary Analysis of the Trio Study.","authors":"Michael Ahdoot, Aurash Naser-Tavakolian, John R Heard, Cheyenne Williams, Michael Daneshvar, Patrick Gomella, Samhita Mallavarapu, Minhaj Siddiqui, Michael Nazmifar, Joanna Shih, Baris Turkbey, Bradford Wood, Peter Pinto","doi":"10.1097/JU.0000000000004480","DOIUrl":"10.1097/JU.0000000000004480","url":null,"abstract":"<p><strong>Purpose: </strong>The addition of systematic prostate biopsy enhances the detection of clinically significant prostate cancer compared with MRI-targeted biopsy alone. However, there is growing interest in using only MRI-targeted biopsy. We sought to evaluate PSA density (PSAD) as an adjunctive predictor of clinically significant prostate cancer detection in men undergoing combined biopsy and as a potential metric to stratify which patients may reasonably avoid systematic biopsies in favor of MRI-targeted biopsy only.</p><p><strong>Materials and methods: </strong>Men with elevated PSA and/or abnormal digital rectal examination found to have an MRI-visible prostate lesion underwent MRI-targeted and systematic prostate biopsy. Primary outcomes were clinically significant cancer detection rates by MRI-targeted, systematic biopsy, and combined biopsy across 4 discrete PSAD intervals (<0.1, <u>≥</u>0.1 and <0.15, <u>≥</u>0.15 and <0.2, and <u>≥</u>0.2 ng/mL/cm³). Secondary outcomes were the added value of systematic biopsy relative to MRI-targeted biopsy alone.</p><p><strong>Results: </strong>Among men with Prostate Imaging Reporting and Data System <u>≥</u> 2 lesions, as PSAD surpassed each interval, the rate of grade group <u>≥</u> 3 cancer detection approximately doubled (<0.1: 9.3%, <u>≥</u>0.1 and <0.15: 18.2%, <u>≥</u>0.15 and <0.2: 36%, and <u>≥</u>0.2: 61.2%). For PSAD <u>≥</u> 0.2, added detection of clinically significant cancer with systematic biopsy was low (2%, 95% CI: 0.4%-5.9%).</p><p><strong>Conclusions: </strong>Given an approximate doubling in grade group <u>≥</u> 3 cancer detection on combined biopsy with rising PSAD intervals, clinicians may consider PSAD in risk stratifying men at high risk of clinically significant prostate cancer. Clinicians may consider omitting systematic biopsy for targeted biopsy of MRI-visible lesions in patients with PSAD <u>≥</u> 0.2 ng/mL/cm³, as systematic biopsy results in low rates of additional clinically significant cancer detection.</p>","PeriodicalId":17471,"journal":{"name":"Journal of Urology","volume":" ","pages":"693-701"},"PeriodicalIF":5.9,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143416804","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":"Hospital-Level Patterns of Retroperitoneal Lymph Node Dissection Surgeries: Are Recommendations for High-Volume Cen<b>traliza</b>tion Being Followed?","authors":"Marc Ganz, Lina Posada Calderon, Richard S Matulewicz","doi":"10.1097/JU.0000000000004477","DOIUrl":"10.1097/JU.0000000000004477","url":null,"abstract":"","PeriodicalId":17471,"journal":{"name":"Journal of Urology","volume":" ","pages":"786-788"},"PeriodicalIF":5.9,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12064378/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143414618","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":"Reply: Time to Change Our Mindset! Integrating Sustainability Into Urological Practice.","authors":"Golena Fernandez Moncaleano, Khurshid R Ghani","doi":"10.1097/JU.0000000000004504","DOIUrl":"10.1097/JU.0000000000004504","url":null,"abstract":"","PeriodicalId":17471,"journal":{"name":"Journal of Urology","volume":" ","pages":"794"},"PeriodicalIF":5.9,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143649564","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":"Seminal Plasma Survivin in Fertile and Infertile Males: Erratum.","authors":"Nagwa Roshdy, Taymour Mostafa","doi":"10.1097/JU.0000000000004466","DOIUrl":"https://doi.org/10.1097/JU.0000000000004466","url":null,"abstract":"","PeriodicalId":17471,"journal":{"name":"Journal of Urology","volume":"213 6","pages":"819"},"PeriodicalIF":5.9,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144016605","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":"Letter: Incidence of Erectile Dysfunction and Testosterone Deficiency in Testicular Cancer Survivors.","authors":"Weizhuo Wang, Chuchu Gao, Kai Fu","doi":"10.1097/JU.0000000000004440","DOIUrl":"10.1097/JU.0000000000004440","url":null,"abstract":"","PeriodicalId":17471,"journal":{"name":"Journal of Urology","volume":" ","pages":"790-791"},"PeriodicalIF":5.9,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143080619","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}