Urology最新文献

{"title":"Reply to Editorial Comment on \"Systematic Review on the Learning Curve of Percutaneous Nephrolithotomy: Operative Time, Fluoroscopy Time, Stone-Free Rate, Puncture Performance, Complications, and Safety Indicators\".","authors":"Nathan Wirtzfeld, Vincent De Coninck","doi":"10.1016/j.urology.2025.06.036","DOIUrl":"https://doi.org/10.1016/j.urology.2025.06.036","url":null,"abstract":"","PeriodicalId":23415,"journal":{"name":"Urology","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144486068","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Influence of Physician-Patient Gender Congruence and Language Interpreter Services in Urology.","authors":"Grace K Sarris, Max D Sandler, Adam D Williams, Katherine Amin, Alan J Wein, Raveen Syan","doi":"10.1016/j.urology.2025.06.042","DOIUrl":"https://doi.org/10.1016/j.urology.2025.06.042","url":null,"abstract":"<p><strong>Objective: </strong>To examine how physician gender and language concordance impact patient satisfaction in a primarily Hispanic population.</p><p><strong>Methods: </strong>An anonymous survey was distributed at an academic urology clinic, assessing factors influencing physician selection, comfort with physician gender, language preferences, and interpreter impact. Chi-square tests analyzed categorical variables, with significance set at p<0.05. Odds ratios (OR) reported with 95% confidence intervals (CI).</p><p><strong>Results: </strong>Of 255 participants, 51.4% preferred a same-gender physician, though most were comfortable discussing urinary (60%) and sexual health (58.4%) issues with opposite-gender physicians. Age correlated with comfort discussing urinary (p=0.02) and sexual health (p=0.01) issues; higher education also showed significant associations (p<0.01). Black patients reported greater discomfort discussing urinary concerns with opposite-gender physicians (OR: 3.03, CI:1.1-7.6, p=0.02). Language concordance was important to 38.4% of patients. Nearly half (45.9%) found interpreters beneficial, while 29% were neutral. Patients with at least a high school education were more likely to perceive interpreters negatively (OR: 3.8, CI: 1.4-10.5, p=0.01).</p><p><strong>Conclusions: </strong>While patients are often comfortable discussing sensitive health issues with physicians of different genders, preferences still exist, particularly among certain demographic subsets. Our research suggests that language concordance and the resultant use of interpreter services may affect the experience of patients with higher education levels and, thus, the perceived quality of care. These findings highlight the importance of recognizing patient preferences and cultural sensitivities to create a more inclusive, comfortable healthcare environments.</p>","PeriodicalId":23415,"journal":{"name":"Urology","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144486066","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Editorial Comment on \"Association between Kidney Stones and Subsequent Risk of Upper Tract Urothelial Carcinoma: A Systematic Review and Meta-Analysis\".","authors":"Marcelo Mass Lindenbaum, Nima Almassi","doi":"10.1016/j.urology.2025.06.037","DOIUrl":"https://doi.org/10.1016/j.urology.2025.06.037","url":null,"abstract":"","PeriodicalId":23415,"journal":{"name":"Urology","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144486064","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development and Validation of an Automated Intermittent Bladder Irrigation System for the Prevention of Catheter-Associated Urinary Tract Infections: A Preclinical Study Using a Porcine Model.","authors":"Myungchan Park, Hyun Cheol Jeong, Sung Jin Kim, Sang Hyun Park, Jae-Seung Chung, Cheol Kyu Oh, Kyoko Sakamoto, Mahadevan Raj Rajasekaran","doi":"10.1016/j.urology.2025.06.045","DOIUrl":"https://doi.org/10.1016/j.urology.2025.06.045","url":null,"abstract":"<p><strong>Objective: </strong>To develop and validate a novel automated intermittent bladder irrigation system designed to prevent catheter-associated urinary tract infections (CAUTI) and manage catheter-related complications by addressing operator dependency, inconsistent outcomes, and potential complications associated with traditional techniques in patients requiring long-term catheterization, using a porcine model.</p><p><strong>Methods: </strong>A quantitative evaluation method using standardized agar specimens was used to assess the clearance rate. Bladder irrigation procedures were performed on four female pigs to compare the automated system with conventional manual irrigation. Each method was tested with 13 repeated procedures per animal. The primary outcome was particle clearance rate, and the secondary outcomes were procedure time, pressure stability, and safety parameters.</p><p><strong>Results: </strong>The automated irrigation system demonstrated superior efficacy for agar specimen removal compared with manual irrigation (94.4% vs 89.4%, p = 0.041). The automated system significantly improved procedural consistency (standard deviation: ±4.94% vs ±11.47%) and shortened irrigation time (8.2 ± 0.5 vs 12.4 ± 3.2 minutes, p < 0.001) compared with manual irrigation, despite the latter being performed by an experienced urologist. The automated system maintained stable irrigation pressures within physiological limits for all procedures, and no complications such as mucosal injury or severe hematuria were observed in either group.</p><p><strong>Conclusions: </strong>This preclinical study demonstrated that our automated intermittent bladder irrigation system provided superior clearance rates and significantly reduced procedural variability compared to manual techniques, highlighting the importance of automation in ensuring consistent and safe clinical outcomes independent of operator variables.</p>","PeriodicalId":23415,"journal":{"name":"Urology","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-06-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144476893","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Aims and Scope","authors":"","doi":"10.1016/S0090-4295(25)00563-1","DOIUrl":"10.1016/S0090-4295(25)00563-1","url":null,"abstract":"","PeriodicalId":23415,"journal":{"name":"Urology","volume":"201 ","pages":"Page A1"},"PeriodicalIF":2.1,"publicationDate":"2025-06-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144330912","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Fecal microbiota transplant (FMT) is associated with the resolution of recurrent urinary tract infections (UTIs).","authors":"Grace Anne Yang Biggs","doi":"10.1016/j.urology.2025.06.040","DOIUrl":"https://doi.org/10.1016/j.urology.2025.06.040","url":null,"abstract":"","PeriodicalId":23415,"journal":{"name":"Urology","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-06-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144476894","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reply to Editorial Comment on \"Adult Sexual Function Following Hypospadias Repair in Childhood A Systematic Review and Meta-Analysis of Long-Term Patient Outcomes\".","authors":"Putu Angga Risky Raharja, Tariq O Abbas","doi":"10.1016/j.urology.2025.06.038","DOIUrl":"10.1016/j.urology.2025.06.038","url":null,"abstract":"","PeriodicalId":23415,"journal":{"name":"Urology","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144369269","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Letter to the editor on \"Exploring the Association Between Varicocele and Testosterone Deficiency in Men Over 50 Years of Age\".","authors":"Yu-Hsiang Lin, Chen-Pang Hou, Chien-Lun Chen","doi":"10.1016/j.urology.2025.06.044","DOIUrl":"https://doi.org/10.1016/j.urology.2025.06.044","url":null,"abstract":"","PeriodicalId":23415,"journal":{"name":"Urology","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144369268","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Editorial Comment on \"Beyond Citations: Exploring Gender and Racial Gaps in Urology Publications Through Citation and Altmetric Analysis\".","authors":"Kathleen Kieran","doi":"10.1016/j.urology.2025.06.035","DOIUrl":"10.1016/j.urology.2025.06.035","url":null,"abstract":"","PeriodicalId":23415,"journal":{"name":"Urology","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144369267","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Vanishing Testicular Lesion in a Monorchid Infertile Male: To Cut or to Watch?","authors":"Ali Alabdullah, Ammar Al Homsi, Omer A Raheem","doi":"10.1016/j.urology.2025.06.043","DOIUrl":"10.1016/j.urology.2025.06.043","url":null,"abstract":"","PeriodicalId":23415,"journal":{"name":"Urology","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144369273","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}