Journal of UrologyPub Date : 2025-07-01Epub Date: 2025-04-23DOI: 10.1097/JU.0000000000004551
Cristiano Mendes Gomes, Vicktor Bruno Pereira Pinto, José de Bessa Júnior
{"title":"Letter: Cuff Conundrums: Best Practice Recommendations for Urethral Instrumentation With an Artificial Urinary Sphincter in Place.","authors":"Cristiano Mendes Gomes, Vicktor Bruno Pereira Pinto, José de Bessa Júnior","doi":"10.1097/JU.0000000000004551","DOIUrl":"10.1097/JU.0000000000004551","url":null,"abstract":"","PeriodicalId":17471,"journal":{"name":"Journal of Urology","volume":" ","pages":"95"},"PeriodicalIF":5.9,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143988998","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}
Journal of UrologyPub Date : 2025-07-01Epub Date: 2025-03-25DOI: 10.1097/JU.0000000000004547
John K Weaver, Joseph Logan, Jason P Van Batavia, Dana A Weiss, Christopher J Long, Ariana L Smith, Stephen A Zderic, Zoe Gan, Karl Godlewski, Reiley Broms, Maria Antony, Maya Overland, Tyler Gaines, Dennis Head, Lauren Erdman, Bernarda Viteri, Madalyne Martin-Olenski, Jing Huang, Yong Fan, Gregory E Tasian
{"title":"Machine Learning Analysis of Videourodynamics to Predict Incident Hydronephrosis in Patients With Spina Bifida.","authors":"John K Weaver, Joseph Logan, Jason P Van Batavia, Dana A Weiss, Christopher J Long, Ariana L Smith, Stephen A Zderic, Zoe Gan, Karl Godlewski, Reiley Broms, Maria Antony, Maya Overland, Tyler Gaines, Dennis Head, Lauren Erdman, Bernarda Viteri, Madalyne Martin-Olenski, Jing Huang, Yong Fan, Gregory E Tasian","doi":"10.1097/JU.0000000000004547","DOIUrl":"10.1097/JU.0000000000004547","url":null,"abstract":"<p><strong>Purpose: </strong>Variability in the interpretation of videourodynamics studies limits reliable classification of kidney injury risk for patients with spina bifida. We developed machine learning models to predict incident hydronephrosis in patients with spina bifida using videourodynamics data.</p><p><strong>Materials and methods: </strong>We trained machine learning models using data from videourodynamics studies performed between 2016 and 2022 on patients with spina bifida aged 2 months to 42 years. We evaluated the performance of 4 models to predict incident hydronephrosis following an index videourodynamics study: (1) random survival forest model using data prospectively abstracted from videourodynamics studies by urologists, (2) random survival forest of bladder volume-pressure data, (3) random survival forest using deep learning features extracted from fluoroscopic images of the bladder, (4) ensemble model averaging the probabilities of the volume-pressure and fluoroscopic models.</p><p><strong>Results: </strong>We included 354 and 200 patients in the training and validation cohorts, respectively. Among the training and validation cohorts, 89 (25.1%) and 71 (35.5%) patients developed incident hydronephrosis at a median time of 1.6 (IQR, 0.5-3) and 2.49 (IQR, 1.72-3.03) years after the index videourodynamics study, respectively. The ensemble model that included data from studies during which ≥ 75% expected bladder capacity was reached had the best discrimination (C statistic 0.73; 95% CI, 0.68-0.76). The specificity of high-risk scores (top 10% in the ensemble model) was 97%.</p><p><strong>Conclusions: </strong>Automated extraction of features from pressure/volume recordings and fluoroscopic images of the bladder predicted incident hydronephrosis in patients with spina bifida.</p>","PeriodicalId":17471,"journal":{"name":"Journal of Urology","volume":" ","pages":"80-89"},"PeriodicalIF":5.9,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143710404","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}
Journal of UrologyPub Date : 2025-07-01Epub Date: 2025-03-31DOI: 10.1097/JU.0000000000004535
Bryan Naelitz, Petar Bajic
{"title":"Editorial Comment.","authors":"Bryan Naelitz, Petar Bajic","doi":"10.1097/JU.0000000000004535","DOIUrl":"10.1097/JU.0000000000004535","url":null,"abstract":"","PeriodicalId":17471,"journal":{"name":"Journal of Urology","volume":" ","pages":"55"},"PeriodicalIF":5.9,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143753147","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}
Journal of UrologyPub Date : 2025-07-01Epub Date: 2025-04-23DOI: 10.1097/JU.0000000000004563
Samuel J Ivan, Joshua A Cohn, Jeffrey Loh-Doyle, Aaron C Lentz, Jay Simhan
{"title":"Reply: Cuff Conundrums: Best Practice Recommendations for Urethral Instrumentation With an Artificial Urinary Sphincter in Place.","authors":"Samuel J Ivan, Joshua A Cohn, Jeffrey Loh-Doyle, Aaron C Lentz, Jay Simhan","doi":"10.1097/JU.0000000000004563","DOIUrl":"10.1097/JU.0000000000004563","url":null,"abstract":"","PeriodicalId":17471,"journal":{"name":"Journal of Urology","volume":" ","pages":"96"},"PeriodicalIF":5.9,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143970999","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}
Journal of UrologyPub Date : 2025-07-01Epub Date: 2025-01-29DOI: 10.1097/JU.0000000000004430
J Quentin Clemens
{"title":"Infection and Inflammation of the Genitourinary Tract.","authors":"J Quentin Clemens","doi":"10.1097/JU.0000000000004430","DOIUrl":"10.1097/JU.0000000000004430","url":null,"abstract":"","PeriodicalId":17471,"journal":{"name":"Journal of Urology","volume":" ","pages":"107-108"},"PeriodicalIF":5.9,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143059273","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}
Journal of UrologyPub Date : 2025-07-01Epub Date: 2025-02-26DOI: 10.1097/JU.0000000000004478
Dean G Assimos
{"title":"Endourology and Nephrolithiasis.","authors":"Dean G Assimos","doi":"10.1097/JU.0000000000004478","DOIUrl":"10.1097/JU.0000000000004478","url":null,"abstract":"","PeriodicalId":17471,"journal":{"name":"Journal of Urology","volume":" ","pages":"102-104"},"PeriodicalIF":5.9,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143501859","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}
Journal of UrologyPub Date : 2025-07-01Epub Date: 2025-03-27DOI: 10.1097/JU.0000000000004528
Douglas A Husmann
{"title":"Editorial Comment.","authors":"Douglas A Husmann","doi":"10.1097/JU.0000000000004528","DOIUrl":"10.1097/JU.0000000000004528","url":null,"abstract":"","PeriodicalId":17471,"journal":{"name":"Journal of Urology","volume":" ","pages":"78-79"},"PeriodicalIF":5.9,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143719877","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}