UrologyPub Date : 2024-11-19DOI: 10.1016/j.urology.2024.11.018
Kae Jack Tay
{"title":"Editorial Comment on \"5-year Oncologic Outcomes Following Primary Partial Gland Cryo-Ablation (PPGCA) Prospective Cohort Study of Men with Intermediate-Risk Prostate Cancer\".","authors":"Kae Jack Tay","doi":"10.1016/j.urology.2024.11.018","DOIUrl":"https://doi.org/10.1016/j.urology.2024.11.018","url":null,"abstract":"","PeriodicalId":23415,"journal":{"name":"Urology","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142689044","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}
UrologyPub Date : 2024-11-19DOI: 10.1016/j.urology.2024.11.026
Hanfeng Xu, Song Bai
{"title":"Reply to Editorial Comment on \"The Association between Stone Heterogenicity and the Success of Shock Wave lithotripsy for High Density Upper Urinary Tract Stones\".","authors":"Hanfeng Xu, Song Bai","doi":"10.1016/j.urology.2024.11.026","DOIUrl":"https://doi.org/10.1016/j.urology.2024.11.026","url":null,"abstract":"","PeriodicalId":23415,"journal":{"name":"Urology","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142689055","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}
UrologyPub Date : 2024-11-19DOI: 10.1016/j.urology.2024.11.022
Kristin Chrouser, Jessica Ameling, Jennifer Meddings
{"title":"Reply to Letter to the Editor on \"Use of Catheterization Algorithms to Manage Acute Urinary Retention: What is the Evidence?\"","authors":"Kristin Chrouser, Jessica Ameling, Jennifer Meddings","doi":"10.1016/j.urology.2024.11.022","DOIUrl":"https://doi.org/10.1016/j.urology.2024.11.022","url":null,"abstract":"","PeriodicalId":23415,"journal":{"name":"Urology","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142689058","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}
UrologyPub Date : 2024-11-19DOI: 10.1016/j.urology.2024.11.021
Sydney Strup, Andrew Harris
{"title":"Editorial Comment on \"Gender Differences in the Adoption and Utilization of Robotic-Assisted Laparoscopic Surgery (RALS) Among Practicing Urologists: A Study of American Board of Urology Case Logs from 2012-2022\".","authors":"Sydney Strup, Andrew Harris","doi":"10.1016/j.urology.2024.11.021","DOIUrl":"https://doi.org/10.1016/j.urology.2024.11.021","url":null,"abstract":"","PeriodicalId":23415,"journal":{"name":"Urology","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142689047","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}
UrologyPub Date : 2024-11-19DOI: 10.1016/j.urology.2024.11.028
Recep Burak Degirmentepe, Esat Unal, Hasan Salih Saglam
{"title":"Letter to the Editor Regarding \"Do We Need a Urine Culture Before Cystoscopy? Time to Shift Away from Routine Testing\".","authors":"Recep Burak Degirmentepe, Esat Unal, Hasan Salih Saglam","doi":"10.1016/j.urology.2024.11.028","DOIUrl":"https://doi.org/10.1016/j.urology.2024.11.028","url":null,"abstract":"","PeriodicalId":23415,"journal":{"name":"Urology","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142689048","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}
UrologyPub Date : 2024-11-18DOI: 10.1016/j.urology.2024.10.072
Tze-Chen Chao, Alana L Christie, Feras Alhalabi, Philippe E Zimmern
{"title":"Midterm Follow-up of Electrofulguration for Vesicular Cystitis in Women with Recurrent Urinary Tract Infections.","authors":"Tze-Chen Chao, Alana L Christie, Feras Alhalabi, Philippe E Zimmern","doi":"10.1016/j.urology.2024.10.072","DOIUrl":"https://doi.org/10.1016/j.urology.2024.10.072","url":null,"abstract":"<p><strong>Objectives: </strong>To report the midterm outcomes of women with symptomatic recurrent urinary tract infections (RUTI) with findings of vesicular cystitis (VC) on cystoscopy treated with bladder electrofulguration (EF), and to identify factors affecting successful treatment outcome.</p><p><strong>Methods: </strong>Following IRB approval, a prospectively collected long-term database of women with RUTI and VC treated with EF was retrospectively reviewed. Patients were divided into two groups based on the associated presence of urinary obstruction (\"obstructed group\") or not. Follow-up included an office cystoscopy six months after EF. The primary outcome evaluated was rate of UTI recurrences over time.</p><p><strong>Results: </strong>From 2010 to 2023, 50 women met all study criteria, with 94% being postmenopausal. Overall, the three-year UTI-free survival from repeat fulguration was 71.4% (95% CI, 54.4 to 83.0). Kaplan-Meier analysis showed that patients with obstruction had a higher 3-year survival of no UTI recurrence (40.3%; 95% CI: 18.2, 61.7) than patients without obstruction (20.8%; 95% CI: 6.2, 41.4], p = 0.0085).</p><p><strong>Conclusions: </strong>Over two-thirds of women with VC and symptomatic UTI did not need a second EF or daily antibiotic prophylaxis after initial EF. Those with VC related to bladder outlet obstruction experienced less RUTIs and a longer time to a repeated EF.</p>","PeriodicalId":23415,"journal":{"name":"Urology","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142682917","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}
UrologyPub Date : 2024-11-18DOI: 10.1016/j.urology.2024.11.016
Mitchell H Bamberger
{"title":"Editorial Comment on Indwelling Urological Devise Biofilm Composition and Characteristics in the Presence and Absence of Infection.","authors":"Mitchell H Bamberger","doi":"10.1016/j.urology.2024.11.016","DOIUrl":"https://doi.org/10.1016/j.urology.2024.11.016","url":null,"abstract":"","PeriodicalId":23415,"journal":{"name":"Urology","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142682845","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}
UrologyPub Date : 2024-11-17DOI: 10.1016/j.urology.2024.11.025
Ruoyang Du, Wubing Feng, Tong Yi
{"title":"Efficacy and safety of ultrasound- vs fluoroscopy-guided percutaneous nephrolithotomy in managing renal calculi: A systematic review and meta-analysis of randomized controlled trials.","authors":"Ruoyang Du, Wubing Feng, Tong Yi","doi":"10.1016/j.urology.2024.11.025","DOIUrl":"https://doi.org/10.1016/j.urology.2024.11.025","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the effectiveness and safety of ultrasound-guided percutaneous nephrolithotomy (UG-PCNL) compared to fluoroscopy-guided PCNL (FG-PCNL) for kidney stone management, focusing on clinical outcomes and procedural efficiency.</p><p><strong>Methods: </strong>A systematic review and meta-analysis of randomized controlled trials (RCTs) was conducted following PRISMA guidelines. Searches were performed in PubMed, EMBASE, Scopus, and Web of Science for studies published between 2000 and 2024. Primary outcomes included stone-free rate (SFR), needle puncture time (NPT), calculus clearance rate (CCR), and access time. Secondary outcomes involved single needle puncture success rate (SNPSR), hospital stay duration (HSD), total complication rate (TCR), urosepsis, fever and postoperative serum creatinine.</p><p><strong>Results: </strong>Analysis of 21 RCTs with 2969 patients showed no significant difference in SFR between UG-PCNL and FG-PCNL (OR: 0.93, 95% CI: 0.77-1.13; p = 0.47). UG-PCNL significantly reduced access time (SMD: 0.68, 95% CI: 0.06-1.30; p = 0.03), while other outcomes like SNPSR and puncture time showed no significant differences. Complication rates, including urosepsis and fever, were comparable between techniques.</p><p><strong>Conclusions: </strong>UG-PCNL is as effective as FG-PCNL, offering the benefits of radiation-free imaging and reduced access time, with comparable safety profiles. Further studies are needed to confirm the certainty of outcomes like SNPSR and bleeding rates.</p>","PeriodicalId":23415,"journal":{"name":"Urology","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-11-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142677149","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}
UrologyPub Date : 2024-11-16DOI: 10.1016/j.urology.2024.11.024
Lauren Poniatowski, Katherine Debiec, Hailey Silverii, Paul Merguerian
{"title":"Management and Long-Term Follow-Up of Vaginal Rhabdomyosarcoma in a 3-year-old Female.","authors":"Lauren Poniatowski, Katherine Debiec, Hailey Silverii, Paul Merguerian","doi":"10.1016/j.urology.2024.11.024","DOIUrl":"10.1016/j.urology.2024.11.024","url":null,"abstract":"<p><p>We present the case of a 3-year-old female who presented with a vaginal mass and was subsequently diagnosed with intermediate risk, stage I, group III vaginal embryonal rhabdomyosarcoma (RMS). She was staged and treated with chemotherapy according to the Children's Oncology Group (COG) protocol. Surgical management included initial tumor debulking and subsequent partial vaginectomy with vaginal reconstruction following chemotherapy. There has been no evidence of disease on surveillance 7 years after diagnosis.</p>","PeriodicalId":23415,"journal":{"name":"Urology","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142668940","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}