Urology最新文献_第10页

Editorial Comment on "The Importance of Fertility Preservation in the Transgender Population". 关于 "变性人生育力保存的重要性 "的社论评论。

IF 2.1 3区医学

Urology Pub Date : 2025-01-01 Epub Date: 2024-10-10 DOI: 10.1016/j.urology.2024.10.011

Neha R Malhotra, Mabel Yau

引用次数: 0

Letter to the Editor on "Hypospadias Reconstruction Training: Development of an Ex-Vivo Model and Objective Evaluation of Surgical Skills". 致编辑的信--"尿道下裂重建培训：开发体外模型和客观评估手术技能"。

IF 2.1 3区医学

Urology Pub Date : 2025-01-01 Epub Date: 2024-10-21 DOI: 10.1016/j.urology.2024.10.050

Burak Maşalı, Hüseyin Özbey

引用次数: 0

Variation in Urology Care After Urinary Stone Surgery Among Veterans at High-risk for Recurrence. 高复发风险退伍军人尿结石手术后泌尿科护理的差异。

IF 2.1 3区医学

Urology Pub Date : 2025-01-01 Epub Date: 2024-10-16 DOI: 10.1016/j.urology.2024.10.012

Calyani Ganesan, Sheikh Raza Shahzad, I-Chun Thomas, Maria E Montez-Rath, Simon John Christoph Soerensen, Glenn M Chertow, Alan C Pao, John T Leppert

{"title":"Variation in Urology Care After Urinary Stone Surgery Among Veterans at High-risk for Recurrence.","authors":"Calyani Ganesan, Sheikh Raza Shahzad, I-Chun Thomas, Maria E Montez-Rath, Simon John Christoph Soerensen, Glenn M Chertow, Alan C Pao, John T Leppert","doi":"10.1016/j.urology.2024.10.012","DOIUrl":"10.1016/j.urology.2024.10.012","url":null,"abstract":"Objective: To determine rates of urology follow-up and implementation of stone prevention measures after stone surgery and to assess variation in care delivery within a large, integrated healthcare system.Materials and methods: We used nationwide data from the United States Veterans Health Administration to identify patients who had stone surgery between 2016 and 2018 and who were at higher risk for recurrence. Our cohort included 13,444 Veterans across 90 facilities. We examined the proportion of patients who had a post-operative urology visit or who received a prevention measure (24-hour urine test, serum parathyroid hormone measurement, or prescription of a stone-related medication) within 6 months of stone surgery. We calculated the median odds ratio to quantify facility-level variation in urology care after stone surgery, adjusting for patient- and facility-level characteristics.Results: Within 6 months of stone surgery, 94.2% Veterans had a urology visit, yet only 8.8% completed 24-hour urine testing, 8.4% had a parathyroid hormone measurement, and 31.0% were prescribed a stone-related medication. Implementation of prevention measures varied widely across facilities with the median odds ratio ranging between 1.18 for medication prescriptions and 1.77 for 24-hour urine testing.Conclusion: While most patients have a urology visit after stone surgery, stone prevention measures were implemented infrequently and inconsistently for patients at higher risk for recurrence, indicating an opportunity for quality improvement.","PeriodicalId":23415,"journal":{"name":"Urology","volume":" ","pages":"52-58"},"PeriodicalIF":2.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11725432/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142475864","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Management of Bladder Neck Contracture in a 73-Year-Old Male. 一名 73 岁男性的膀胱颈挛缩治疗：病例报告。

IF 2.1 3区医学

Urology Pub Date : 2025-01-01 Epub Date: 2024-10-18 DOI: 10.1016/j.urology.2024.10.033

Dhruv Puri, Anh Nguyen, Cesar Delgado, Nishant Garg, Jill C Buckley

引用次数: 0

Editorial Comment on "Comparative Outcomes of Day-case Percutaneous Nephrolithotomy Versus Conventional Inpatient Surgery: A Systematic Review and Meta-analysis". 关于 "日间病例经皮肾镜取石术与传统住院手术的疗效比较：系统回顾与元分析"。

IF 2.1 3区医学

Urology Pub Date : 2025-01-01 Epub Date: 2024-10-25 DOI: 10.1016/j.urology.2024.10.040

Nicolas Siron, Zaki Hafeez, Marcelino Rivera

引用次数: 0

Interstitial Cystitis Chatter: A Qualitative Evaluation of Bladder Instillation Online. 间质性膀胱炎唠叨：膀胱灌注在线定性评估。

IF 2.1 3区医学

Urology Pub Date : 2025-01-01 Epub Date: 2024-10-22 DOI: 10.1016/j.urology.2024.10.051

Ryan Wong, Leslie Claire Licari, Eugenio Bologna, Sarah Adelstein

{"title":"Interstitial Cystitis Chatter: A Qualitative Evaluation of Bladder Instillation Online.","authors":"Ryan Wong, Leslie Claire Licari, Eugenio Bologna, Sarah Adelstein","doi":"10.1016/j.urology.2024.10.051","DOIUrl":"10.1016/j.urology.2024.10.051","url":null,"abstract":"Objective: To qualitatively assess the perception and experiences of bladder instillation for interstitial cystitis among women on Reddit, a widely used anonymous social media platform.Methods: \"r/interstitialcystitis,\" a Subreddit with >27,000 subscribers, was queried for bladder instillation among women with interstitial cystitis in November 2023. Posts were analyzed qualitatively by 3 independent researchers. Grounded theory principles were applied to derive preliminary themes. These themes were then used to develop emergent themes.Results: Sixty-three posts with 637 responses published between 2022-2023 were analyzed. Qualitative analysis yielded 4 themes: (1) IC/BPS anxiety and depression, (2) limited treatment options for IC/BPS pain, (3) exhausting all IC/BPS treatment options before bladder instillation, (4) bladder instillation ineffectiveness for IC/BPS pain. Three emergent concepts were derived: (1) a prevailing sense of desperation for relief among women with IC/BPS, (2) women are fearful and apprehensive about bladder instillation, (3) a perception of bladder instillation as the final recourse for women suffering from IC/BPS.Conclusion: This study represents the first evaluation of bladder instillation as a therapeutic from a social media community focused exclusively on IC/BPS. These results capture patient's experiences with nonurological associated syndromes and indicate a role for physicians to address mental health concerns in patients with IC/BPS, in addition to opportunities to improve patient education on bladder instillations.","PeriodicalId":23415,"journal":{"name":"Urology","volume":" ","pages":"23-27"},"PeriodicalIF":2.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142508914","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

Perspectives of Young Men With Spina Bifida on Fertility Potential and Future Parenthood. 患有脊柱裂的年轻男性对生育潜力和未来为人父母的看法。

IF 2.1 3区医学

Urology Pub Date : 2025-01-01 Epub Date: 2024-09-19 DOI: 10.1016/j.urology.2024.09.012

James T Rague, Josephine Hirsch, Theresa Meyer, Courtney Streur, Ilina Rosoklija, Stephanie Kielb, Earl Y Cheng, Diana K Bowen, Elizabeth B Yerkes, David I Chu

{"title":"Perspectives of Young Men With Spina Bifida on Fertility Potential and Future Parenthood.","authors":"James T Rague, Josephine Hirsch, Theresa Meyer, Courtney Streur, Ilina Rosoklija, Stephanie Kielb, Earl Y Cheng, Diana K Bowen, Elizabeth B Yerkes, David I Chu","doi":"10.1016/j.urology.2024.09.012","DOIUrl":"10.1016/j.urology.2024.09.012","url":null,"abstract":"Objective: To explore the perspectives of young adult males with spina bifida (SB) on their fertility potential and parenthood.Methods: Semi-structured qualitative interviews were conducted between 2/2021 and 5/2021 with men ≥18 years of age with SB on perspectives on fertility potential and parenthood. Demographic and clinical characteristics were obtained from a survey and chart review. Interviews were transcribed verbatim and assessed through conventional content analysis framework.Results: Of 30 eligible individuals approached, 20 agreed to participate. Median age was 22.5 years (range 18-29), and 80% had myelomeningocele. Most reported not being in a relationship (14/20, 70%), not being currently sexually active (13/20, 65%), and no participant reported a history of paternity. Many reported a desire for future fertility. Uncertainty and areas of concern were identified regarding their physiologic and psychosocial ability to be a parent. Perceived barriers to achieving parenthood included (1) uncertainty around fertility potential and the hereditary nature of SB; and (2) concerns with being a parent and raising a child. Facilitators to help overcome uncertainty, such as gaining knowledge on fertility testing options and understanding means of preventing neural tube defects, were identified. Participants expressed the importance of strong peer and family support to help overcome challenges related to parenthood.Conclusion: Men with SB are interested in future fertility, yet uncertainty exists around the physiologic and psychosocial ability to be a parent. Facilitators to help overcome uncertainty and concerns should be a focus of patient counseling around future fertility with young men with SB.","PeriodicalId":23415,"journal":{"name":"Urology","volume":" ","pages":"66-73"},"PeriodicalIF":2.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11725449/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142296591","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","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 : 2025-01-01 Epub Date: 2024-10-05 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":"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: One hundred thirty-eight providers responded, including 58 IM, 47 FM, and 33 GU. FM and IM responses generally overlapped with some differences. IM was 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 versus 83% of FM + IM. Significant differences in GU versus 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 versus 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":" ","pages":"233-239"},"PeriodicalIF":2.1,"publicationDate":"2025-01-01","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

Reply to Editorial Comment on "Does Severity of Chronic Urinary Retention as Estimated by Preoperative Residual Urine Estimation Negatively Impact the Outcome of Holmium Laser Enucleation of the Prostate?" 对 "根据术前残余尿估计的慢性尿潴留严重程度是否会对前列腺钬激光去核术的结果产生负面影响？"编辑评论的回复

IF 2.1 3区医学

Urology Pub Date : 2025-01-01 Epub Date: 2024-10-18 DOI: 10.1016/j.urology.2024.10.028

Diana M Lopategui, Ruben Blachman-Braun, Joao G Porto, Ansh Bhatia, Robert Marcovich, Hemendra N Shah

引用次数: 0

Letter to the Editor on"A Retrospective Analysis of Urethroplasty and Medical Malpractice". 致编辑的信，主题为 "尿道成形术与医疗事故的回顾性分析"。

IF 2.1 3区医学

Urology Pub Date : 2025-01-01 Epub Date: 2024-11-07 DOI: 10.1016/j.urology.2024.10.068

Hüseyin Özbey

引用次数: 0