Journal of Urology最新文献

Infection and Inflammation of the Genitourinary Tract. 泌尿生殖道感染与炎症。

IF 6.8 2区医学

Journal of Urology Pub Date : 2026-06-01 Epub Date: 2026-02-05 DOI: 10.1097/JU.0000000000004955

J Quentin Clemens

引用次数: 0

Editorial Comment. 编辑评论。

IF 6.8 2区医学

Journal of Urology Pub Date : 2026-06-01 Epub Date: 2026-02-03 DOI: 10.1097/JU.0000000000004954

Nicholas Sellke, Michael L Eisenberg

引用次数: 0

Effectiveness and Complications of Vasectomy With Fascial Interposition Without Mucosal Cautery: A Retrospective Cohort Study. 无粘膜烧伤输精管筋膜介入切除术的有效性和并发症：一项回顾性队列研究。

IF 6.8 2区医学

Journal of Urology Pub Date : 2026-06-01 Epub Date: 2026-02-09 DOI: 10.1097/JU.0000000000004984

Neil L Pollock, Jack Chang, Eliana Onishi, Arthur Chatton, Michel Labrecque

{"title":"Effectiveness and Complications of Vasectomy With Fascial Interposition Without Mucosal Cautery: A Retrospective Cohort Study.","authors":"Neil L Pollock, Jack Chang, Eliana Onishi, Arthur Chatton, Michel Labrecque","doi":"10.1097/JU.0000000000004984","DOIUrl":"10.1097/JU.0000000000004984","url":null,"abstract":"Purpose: Combining fascial interposition and mucosal cautery while leaving the testicular end open (open-ended vasectomy) is an effective and recommended vasectomy occlusion technique. We compared the effectiveness and complication risks of this technique to performing fascial interposition alone without any mucosal cautery (double open-ended).Materials and methods: We conducted a retrospective cohort study with historical and concomitant controls using the electronic records of 5894 vasectomy patients at a private clinic in Vancouver, Canada. Two surgeons performed no-scalpel vasectomies using fascial interposition with a chromic gut suture and needle. The control group received mucosal cautery of the abdominal segment and fascial interposition covering the abdominal end, whereas the intervention group underwent fascial interposition only without any mucosal cautery. Occlusive effectiveness was assessed using the AUA postvasectomy semen analysis criteria. Complications were defined as in-person visits because of vasectomy-related concerns.Results: Occlusion success in patients with at least 1 postvasectomy semen analysis was similar: 98.6% (2092/2122) with and 98.7% (1754/1777) without cautery (risk difference 0.1%, 95% confidence interval [CI] -0.7% to 0.9%, P = .8). There was no significant difference in overall occlusive failure between the cautery (0.8%) and no cautery (0.4%) groups (adjusted relative risk [RRadj] 0.52, 95% CI 0.20-1.22, P = .2). Complication risks were comparable: 5.3% (182/3462) with cautery and 5.2% (127/2432) without cautery (RRadj 0.95, 95% CI 0.76-1.19, P = .7).Conclusions: Fascial interposition with suture and needle covering the abdominal end without mucosal cautery (double open-ended) is an effective and safe vasectomy occlusion technique.","PeriodicalId":17471,"journal":{"name":"Journal of Urology","volume":" ","pages":"737-745"},"PeriodicalIF":6.8,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146150084","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

The Journal of Urology^® Home Study Course 2026 Volume 215. 泌尿学杂志®家庭学习课程2026卷215。

IF 6.8 2区医学

Journal of Urology Pub Date : 2026-06-01 Epub Date: 2026-05-08 DOI: 10.1097/JU.0000000000005031

引用次数: 0

Endourology and Nephrolithiasis. 泌尿系统和肾结石。

IF 6.8 2区医学

Journal of Urology Pub Date : 2026-06-01 Epub Date: 2025-12-17 DOI: 10.1097/JU.0000000000004887

Dean G Assimos

引用次数: 0

Urologic Oncology: Bladder, Penis, and Urethral Cancer, and Basic Principles of Oncology. 泌尿肿瘤学：膀胱、阴茎、尿道癌及肿瘤学基本原理。

IF 6.8 2区医学

Journal of Urology Pub Date : 2026-06-01 Epub Date: 2026-02-03 DOI: 10.1097/JU.0000000000004946

Chad R Ritch

引用次数: 0

Implantable Tibial Neuromodulation Therapy Improves Symptoms of Urge Urinary Incontinence From the TITAN 2 Pivotal Study. 植入式胫骨神经调节治疗可改善来自TITAN 2关键研究的急迫性尿失禁症状。

IF 6.8 2区医学

Journal of Urology Pub Date : 2026-06-01 Epub Date: 2026-01-26 DOI: 10.1097/JU.0000000000004958

Una Lee, Keith Xavier, Jeffrey Carey, Alison Pickering, Janet Harris-Hicks, Laura Giusto, Kenneth Finkelstein, Jason Kim, Jerome Yaklic, Emily Gillespie, Nathan Grunow, Kevin Benson

{"title":"Implantable Tibial Neuromodulation Therapy Improves Symptoms of Urge Urinary Incontinence From the TITAN 2 Pivotal Study.","authors":"Una Lee, Keith Xavier, Jeffrey Carey, Alison Pickering, Janet Harris-Hicks, Laura Giusto, Kenneth Finkelstein, Jason Kim, Jerome Yaklic, Emily Gillespie, Nathan Grunow, Kevin Benson","doi":"10.1097/JU.0000000000004958","DOIUrl":"10.1097/JU.0000000000004958","url":null,"abstract":"Purpose: The Medtronic implantable tibial neuromodulation system is a leadless, rechargeable, minimally invasive option intended to treat the symptoms of urge urinary incontinence (UUI), a common condition that significantly impairs quality of life. TITAN 2 is a pivotal study evaluating safety and effectiveness of the Medtronic implantable tibial neuromodulation system. The results through 12 months are reported.Materials and methods: This prospective, multicenter, single-arm investigational device exemption study enrolled eligible overactive bladder subjects with UUI. The primary end point was the percentage of subjects who had ≥ 50% reduction in UUI episodes/day after 6 months. Safety was characterized as the rate of adverse device effects (ADEs). Data are reported as mean ± SD or with 95% CIs.Results: Of 126 implanted subjects, 95% were female, the mean age was 63 ± 14 years, and BMI was 35 ± 9 kg/m2. The primary objective was met with 59% of subjects achieving ≥ 50% improvement in UUI episodes/day (95% CI: 49%-67%, P < .0001) at 6 months; at 12 months, 61% had ≥ 50% improvement. Change from baseline was statistically significant at 6 months for UUI episodes/day, voids/day (in urinary frequency subjects), and Urgency Perception Score, with improvements in all 3 symptoms maintained through 12 months. Twenty percent of subjects experienced ADEs through 12 months; 1 ADE was serious and was recovered/resolved.Conclusions: TITAN 2 met the primary and all secondary objectives by showing a statistically significant improvement of UUI, urinary frequency, and urgency symptoms. Clinical benefits and a favorable safety profile were maintained through 12 months.","PeriodicalId":17471,"journal":{"name":"Journal of Urology","volume":" ","pages":"702-712"},"PeriodicalIF":6.8,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146052754","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

Implantable Tibial Nerve Stimulation (iTNS): Opportunities and Challenges. 植入式胫神经刺激（iTNS）：机遇与挑战。

IF 6.8 2区医学

Journal of Urology Pub Date : 2026-06-01 Epub Date: 2026-02-17 DOI: 10.1097/JU.0000000000004997

Ariana L Smith

引用次数: 0

Editorial Comment. 编辑评论。

IF 6.8 2区医学

Journal of Urology Pub Date : 2026-06-01 Epub Date: 2026-03-17 DOI: 10.1097/JU.0000000000005026

Cullen M Hudson, Mouneeb M Choudry, Jack Andrews

引用次数: 0

Sexual Health. 性的健康。