Urology最新文献

{"title":"WITHDRAWN: Letter to the Editor on “Telehealth Use and Barriers in Non-Metropolitan Clinic Populations”","authors":"Xiaoqing Hu","doi":"10.1016/j.urology.2025.06.022","DOIUrl":"10.1016/j.urology.2025.06.022","url":null,"abstract":"","PeriodicalId":23415,"journal":{"name":"Urology","volume":"203 ","pages":"Page 96"},"PeriodicalIF":2.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144302949","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 \"Outcomes of Continent Catheterizable Channels Created in Adults\".","authors":"Kostantinos E Morris","doi":"10.1016/j.urology.2025.08.052","DOIUrl":"10.1016/j.urology.2025.08.052","url":null,"abstract":"","PeriodicalId":23415,"journal":{"name":"Urology","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144970874","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":"An Inter-Residency Robotic Surgery Simulation Tournament Using a Novel Gamified Dry Lab Curriculum for Urology Trainees.","authors":"George W Moran, Justin A Lee, Ezra J Margolin, Benjamin Schwartz, Prakash Gorroochurn, Gina M Badalato, Christopher B Anderson","doi":"10.1016/j.urology.2025.08.047","DOIUrl":"10.1016/j.urology.2025.08.047","url":null,"abstract":"<p><strong>Objective: </strong>To develop and validate a novel gamified dry-lab curriculum for robotic surgical training in urology, and to evaluate its implementation through a multi-institutional inter-residency tournament.</p><p><strong>Materials and methods: </strong>Three dry-lab skills modules and one anatomic simulation module were developed. Preliminary validation was conducted through expert review and pilot testing. The curriculum was implemented in a multi-institutional tournament involving residents at varying training levels. Pre- and post-tournament surveys assessed experience and feasibility. Tournament performance data were analyzed to assess the construct validity and internal consistency of scoring.</p><p><strong>Results: </strong>In the pilot cohort (n = 8), simulation practice outside scheduled sessions increased from 25% to 100% following gamification (P = .011). Thirty-four residents from six urology programs competed in the inter-residency tournament. Construct validity was supported by strong associations between score and postgraduate year (β = 3.98, 95% CI [1.70, 6.25], P = .001) and module difficulty (β = -6.16, 95% CI [-9.49, -2.81], P < .001). Internal consistency was good with nonvariant items removed (Cronbach's alpha = 0.87).</p><p><strong>Conclusion: </strong>This gamified curriculum offers a practical approach to increasing resident engagement in simulation training and fostering inter-institutional collaboration.</p>","PeriodicalId":23415,"journal":{"name":"Urology","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144970754","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":"Presidential Prostates: Urology Rounds at the White House and the Case for Presidential Health Transparency.","authors":"Kevin R Loughlin","doi":"10.1016/j.urology.2025.08.048","DOIUrl":"10.1016/j.urology.2025.08.048","url":null,"abstract":"","PeriodicalId":23415,"journal":{"name":"Urology","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144970933","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":"Point-Counterpoint: Compensation for Parental Leave Coverage.","authors":"Pamela W Coleman","doi":"10.1016/j.urology.2025.08.049","DOIUrl":"10.1016/j.urology.2025.08.049","url":null,"abstract":"","PeriodicalId":23415,"journal":{"name":"Urology","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144970861","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":"Efficacy of Electromyographic Biofeedback for Dysfunctional Voiding in Children and Adolescents: A Systematic Review and Meta-analysis of Randomized Trials.","authors":"Carla Labonia Passos, Maria Beatriz Mendes Souza, Mila Torii Corrêa Leite, Bruna Cecilia Nunes Carvalho, Humberto Saconato, Luiz G Freitas Filho","doi":"10.1016/j.urology.2025.08.046","DOIUrl":"10.1016/j.urology.2025.08.046","url":null,"abstract":"<p><strong>Objective: </strong>To assess the efficacy of electromyographic biofeedback (EMGBF) in the treatment of dysfunctional voiding (DV) in children and adolescents by synthesizing evidence from randomized controlled trials.</p><p><strong>Methods: </strong>We conducted a systematic review and meta-analysis of randomized and controlled trials evaluating EMGBF therapy in pediatric patients diagnosed with DV. Searches were performed across seven databases (Cochrane Central Register of Controlled Trials, PubMed/MEDLINE, EMBASE, Scopus, Web of Science, Livivo, and LILACS) up to January 2025. Gray literature was also searched using Google Scholar, ProQuest, and medRxiv.</p><p><strong>Results: </strong>Four randomized controlled trials were included, totaling 244 patients. The meta-analysis showed that EMGBF therapy significantly increased maximum urinary flow rate (MD: 4.69; 95% CI: 1.06-8.31), normalized voiding flow patterns (RR: 2.70; 95% CI: 1.43-5.10), reduced postvoid residual urine (MD: 11.11; 95% CI: 2.38-19.84), and improved enuresis (RR: 2.34; 95% CI: 1.05-5.20). Additionally, a subset of 17 patients with vesicoureteral reflux (VUR) was evaluated. Among those who underwent EMGBF, VUR resolution was observed in all but one patient with grade IV reflux. Reported resolution rates were 88.8% at 6 months and 77.7% at 1 year in the intervention group, compared with 37.5% and 12.5%, respectively, in the control group. However, these findings should be interpreted with caution given the limited number of patients and lack of randomization for VUR-specific outcomes.</p><p><strong>Conclusion: </strong>EMGBF is an effective and well-tolerated intervention for treating dysfunctional voiding in children and adolescents. Benefits include improvements in urinary symptoms, urodynamic parameters, and infection rates. Although preliminary findings suggest a possible positive effect on VUR, further high-quality trials are warranted to confirm these observations and to optimize therapeutic protocols.</p>","PeriodicalId":23415,"journal":{"name":"Urology","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144970894","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 \"National Assessment of Urology Interest Groups: A Cross-sectional Study Analyzing Current Practices and Challenges\".","authors":"Gary J Faerber","doi":"10.1016/j.urology.2025.08.045","DOIUrl":"10.1016/j.urology.2025.08.045","url":null,"abstract":"","PeriodicalId":23415,"journal":{"name":"Urology","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144970897","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 \"Antibiotic Prophylaxis Before Urodynamics: A Urine Culture-Based vs Risk-Factors-Based Protocol to Minimize Usage in the Era of Antibiotic Resistance\".","authors":"Omri Schwarztuch Gildor, Michael Vainrib","doi":"10.1016/j.urology.2025.08.043","DOIUrl":"10.1016/j.urology.2025.08.043","url":null,"abstract":"","PeriodicalId":23415,"journal":{"name":"Urology","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144970904","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":"Separation of Ischiopagus Conjoined Twins With Cloacal Anomaly.","authors":"Monika A Gasiorek, Jennifer J Ahn, Lissa X Yu, Shane D Morrison, Lauren Poniatowski, Caitlin A Smith, Paul A Merguerian","doi":"10.1016/j.urology.2025.08.037","DOIUrl":"10.1016/j.urology.2025.08.037","url":null,"abstract":"<p><p>Conjoined twins are the result of a rare form of abnormal embryogenesis and occur with an incidence of 1 in 100,000 live births. As each case is anatomically unique, comprehensive evaluation, thorough preparation, and a specialized multidisciplinary team are integral to the success of separation surgery. We present here a case of 15-month-old female ischiopagus tetrapus conjoined twins with cloacal anomaly who underwent separation at our institution. Our success depended largely on thorough preoperative work-up, in addition to rigorous planning and preparation. This translated into a seamless multidisciplinary and holistic approach on the day of surgery.</p>","PeriodicalId":23415,"journal":{"name":"Urology","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144970872","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 \"Integration of Wearable Digital Urinary Sensors and Patient-Reported Outcomes to Monitor Post-Prostatectomy Incontinence: A Prospective Pilot Study\".","authors":"Alexander Gomelsky","doi":"10.1016/j.urology.2025.08.040","DOIUrl":"10.1016/j.urology.2025.08.040","url":null,"abstract":"","PeriodicalId":23415,"journal":{"name":"Urology","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144970779","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}