Urology最新文献 - Book学术

Absence of race/ethnicity reporting in clinical trials of true minimally invasive surgical therapies for the treatment of benign prostatic hyperplasia. 在治疗良性前列腺增生症的真正微创手术疗法的临床试验中没有种族/族裔报告。

IF 2.1 3区医学

Urology Pub Date : 2024-10-04 DOI: 10.1016/j.urology.2024.09.043

Anna-Lisa V Nguyen, Mahmoud Moustafa, David-Dan Nguyen, David Bouhadana, Tuan Thanh Nguyen, Bilal Chughtai, Dean S Elterman, Christopher J D Wallis, Quoc-Dien Trinh, Naeem Bhojani

{"title":"Absence of race/ethnicity reporting in clinical trials of true minimally invasive surgical therapies for the treatment of benign prostatic hyperplasia.","authors":"Anna-Lisa V Nguyen, Mahmoud Moustafa, David-Dan Nguyen, David Bouhadana, Tuan Thanh Nguyen, Bilal Chughtai, Dean S Elterman, Christopher J D Wallis, Quoc-Dien Trinh, Naeem Bhojani","doi":"10.1016/j.urology.2024.09.043","DOIUrl":"https://doi.org/10.1016/j.urology.2024.09.043","url":null,"abstract":"Objective: To assess the extent of racial reporting and enrolment in RCTs of minimally invasive surgical therapies (MIST) for the office-based treatment of benign prostatic hyperplasia (BPH).Methods: A systematic review was conducted for RCTs assessing six office-based MISTs: transurethral microwave thermotherapy, prostatic artery embolization, prostatic urethral lift, temporary implantable nitinol device, water vapor thermal therapy, and Optilume. MEDLINE, Embase, and the Cochrane CENTRAL databases were searched up to November 3rd, 2023. Publications were excluded if they 1) did not address one of the aforementioned office-based MISTs for the treatment of BPH; 2) were not RCTs; 3) were an abstract or conference proceeding; or 4) were not published in English. In addition to study characteristics, data about racial reporting was collected. Two independent reviewers completed screening at title, abstract, and full-text levels, with conflicts resolved by consensus with a third reviewer.Results: A total of 61 publications representing 37 unique RCTs (n=4027 unique patients) were reviewed, with publication years spanning from 1993 to 2023. TUMT was the most frequently studied MIST. Most publications (79%) were based solely in Europe or North America. Over 50% of the publications were multicenter trials. None of the included publications reported on race/ethnicity of study participants.Conclusion: None of the 61 included publications of RCTs of office-based MISTs provided information on racial/ethnic composition of study participants. There is a staggering gap in the standardization of race/ethnicity reporting and enrolment within RCTs of MISTs. More granular data on race/ethnicity allows for better generalizability and equity.","PeriodicalId":23415,"journal":{"name":"Urology","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142381745","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}

引用次数: 0

Assessing Attitudes and Confidence in Managing Erectile Dysfunction Among Urology, Internal Medicine, and Family Medicine Providers. 评估泌尿科、内科和全科医生在处理勃起功能障碍方面的态度和信心。

IF 2.1 3区医学

Urology Pub Date : 2024-10-04 DOI: 10.1016/j.urology.2024.09.048

Matthew Ziegelmann, Mihai Dumbrava, Amanda Seyer, Tobias Köhler, Sevann Helo, C Scott Collins

{"title":"Assessing Attitudes and Confidence in Managing Erectile Dysfunction Among Urology, Internal Medicine, and Family Medicine Providers.","authors":"Matthew Ziegelmann, Mihai Dumbrava, Amanda Seyer, Tobias Köhler, Sevann Helo, C Scott Collins","doi":"10.1016/j.urology.2024.09.048","DOIUrl":"https://doi.org/10.1016/j.urology.2024.09.048","url":null,"abstract":"Objective: To assess and contrast attitudes and confidence regarding erectile dysfunction (ED) treatment among urologists (GU) and primary care providers (PCPs), identifying areas for collaboration, practice improvement, and additional training to enhance men's healthcare (MH) quality and access.Methods: An anonymous survey with 25 questions on ED treatment, rated on a 5-point Likert scale, was conducted among our institution's providers in GU, internal medicine (IM), and family medicine (FM). Data were analyzed using descriptive statistics and Fisher's exact test.Results: 138 providers responded, including 58 IM, 47 FM, and 33 GU. FM and IM responses generally overlapped with some differences. IM were more positive regarding vacuum erection device (VED) and inflatable penile prosthesis (IPP) satisfaction and risk. Comparing GU to FM + IM, GU displayed greater confidence and knowledge about ED. Notably, 63% of GU used the validated International Index of Erectile Function (IIEF) compared to 3% of FM + IM. Additionally, 100% of GU strongly/agreed that good options remained after pills failed vs 83% of FM + IM. Significant differences in GU vs FM + IM perspectives on IPP included patient willingness to undergo surgery for ED (67% vs. 12%), patient satisfaction (91% vs. 28%), partner satisfaction (79% vs. 26%) and willingness to recommend/repeat surgery (82% vs. 17%). Notably, 82% of GU vs 10% of FM + IM were aware that Medicare covered implants.Conclusion: This survey reveals significant knowledge gaps in ED treatment between GU and PCPs. Targeted provider education, particularly about penile prostheses, could optimize patient care.","PeriodicalId":23415,"journal":{"name":"Urology","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142381746","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}

引用次数: 0

Editorial Comment on "Comparing Frailty Indices for Risk Stratification in Urologic Oncology: Which Index to Choose? 关于 "比较用于泌尿肿瘤学风险分层的虚弱指数：选择哪种指数？

IF 2.1 3区医学

Urology Pub Date : 2024-10-03 DOI: 10.1016/j.urology.2024.09.057

Sudhir Isharwal

引用次数: 0

Letter to the Editor on "Experiences and Outcomes of the Society of Genitourinary Reconstructive Surgeons (GURS) Fellowship Training: Growth in Fellowships Mirrors the Evolution of the Discipline". 致编辑的信，主题为 "泌尿生殖整形外科医师协会 (GURS) 研究员培训的经验与成果：研究员人数的增长反映了学科的发展"。

IF 2.1 3区医学

Urology Pub Date : 2024-10-02 DOI: 10.1016/j.urology.2024.09.058

Kamil Malshy, Madeline Cancian

引用次数: 0

Editorial Comment on "Hypospadias Reconstruction Training: Development of an Ex-Vivo Model and Objective Evaluation of Surgical Skills". 关于 "尿道下裂重建培训：开发体外模型和客观评估手术技能"。