UrologyPub Date : 2025-09-25DOI: 10.1016/j.urology.2025.09.032
Shawn Marhamati, Ishan Kangotra, Daniel Perez, Daniel Rayan, Lessy Umanzor, Janice Lavoie, Nilay Gandhi, Pratik Desai, Kenneth Lim, Kevin Zorn, John Klein, Inderjit Singh
{"title":"First-in-US Pilot Study of Aquablation in Ambulatory Surgery Centers: Clinical Outcomes and Economic Feasibility.","authors":"Shawn Marhamati, Ishan Kangotra, Daniel Perez, Daniel Rayan, Lessy Umanzor, Janice Lavoie, Nilay Gandhi, Pratik Desai, Kenneth Lim, Kevin Zorn, John Klein, Inderjit Singh","doi":"10.1016/j.urology.2025.09.032","DOIUrl":"10.1016/j.urology.2025.09.032","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the clinical outcomes and economic feasibility of Aquablation therapy for benign prostatic hyperplasia (BPH) performed in a U.S.-based ambulatory surgery center (ASC) setting.</p><p><strong>Methods: </strong>This single-center cohort study included 101 men with moderate to severe lower urinary tract symptoms (LUTS) secondary to BPH who underwent Aquablation at a physician-owned ASC with no overnight admission capabilities. Patients were followed for 3 months postoperatively. Clinical outcomes including symptom scores, uroflow parameters, sexual health metrics, and complications were assessed. Additionally, reimbursement data from 169 cases were analyzed to evaluate economic impact and contribution margins relative to traditional resective BPH procedures.</p><p><strong>Results: </strong>All 101 patients were successfully discharged the same day, with a mean recovery room stay of 1.5 hours and no transfers or 30-day readmissions. IPSS scores improved from a baseline mean of 22.0 to 9.2 at 3 months. Qmax increased from 10.6 to 18.3 mL/sec, and post-void residual decreased from 161.0 to 40.1 mL. The overall Clavien-Dindo grade ≥III complication rate was 1%. Economic analysis showed ASC Aquablation had significantly higher contribution margins compared to TURP, Greenlight, and HoLEP, and saved the healthcare system an average of $1,800 per case compared to hospital-based Aquablation.</p><p><strong>Conclusions: </strong>Aquablation can be safely and effectively performed in an ASC setting with clinical outcomes that mirror the pivotal trials and a favorable economic profile. These findings support the feasibility of outpatient Aquablation as a cost-conscious, high-value treatment option for BPH.</p>","PeriodicalId":23415,"journal":{"name":"Urology","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145182202","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 : 2025-09-25DOI: 10.1016/j.urology.2025.09.029
Michael W Bacchus, Shawn Dason
{"title":"Editorial Comment on \"Paratesticular Tumors: A Systematic Review and Proposed Risk-Based Management Algorithm''.","authors":"Michael W Bacchus, Shawn Dason","doi":"10.1016/j.urology.2025.09.029","DOIUrl":"https://doi.org/10.1016/j.urology.2025.09.029","url":null,"abstract":"","PeriodicalId":23415,"journal":{"name":"Urology","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145182186","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 : 2025-09-24DOI: 10.1016/j.urology.2025.09.035
Rahul Janak Sinha
{"title":"Editorial Comment on \"Protein Isolate Supplements and Urinary Stone Risk\".","authors":"Rahul Janak Sinha","doi":"10.1016/j.urology.2025.09.035","DOIUrl":"https://doi.org/10.1016/j.urology.2025.09.035","url":null,"abstract":"","PeriodicalId":23415,"journal":{"name":"Urology","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145178703","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 : 2025-09-23DOI: 10.1016/j.urology.2025.09.023
Zhenyue Huang, Tal Cohen, Kelly Ieong, Jason Zhang, Michael Ernst, Steven J Weissbart, Justina Tam, Jason Kim
{"title":"Trends in Urogynecologic and Reconstructive Pelvic Surgery Among Early-career Urologists: Analysis of American Board of Urology Case Logs From 2009-2020.","authors":"Zhenyue Huang, Tal Cohen, Kelly Ieong, Jason Zhang, Michael Ernst, Steven J Weissbart, Justina Tam, Jason Kim","doi":"10.1016/j.urology.2025.09.023","DOIUrl":"10.1016/j.urology.2025.09.023","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate trends in Urogynecologic and Reconstructive Pelvic Surgery (URPS) among early-career urologists, comparing URPS-trained and non-URPS urologists using American Board of Urology case logs from 2009-2020.</p><p><strong>Materials and methods: </strong>Six-month American Board of Urology case logs from 3113 early-career urologists were analyzed. Procedures included sling placement and urethral bulking for stress urinary incontinence (SUI), transvaginal prolapse repair and sacrocolpopexy for pelvic organ prolapse, and intravesical Botox injection and sacral neuromodulation for overactive bladder (OAB).</p><p><strong>Results: </strong>URPS urologists performed higher mean case volumes for SUI (sling: 11 vs 5, P <.01; bulking: 8 vs 4, P <.01), prolapse (transvaginal: 8 vs 4, P <.001; sacrocolpopexy: 6 vs 3, P <.001), and OAB procedures (Botox: 10 vs 4.5, P <.001; sacral neuromodulation: 13.2 vs 7.9, P <.001) than non-URPS urologists. URPS training was associated with higher odds of performing these procedures (odds ratios (ORs) 8.3-25.2, 95% confidence interval (CI) [5.97-45.84] P <.01). The proportion of non-URPS urologists performing SUI and prolapse procedures declined over the years (Spearman's ρ = -0.79 to -0.94, P <.01), while the adoption of OAB procedures increased.</p><p><strong>Conclusion: </strong>Our findings revealed a gradual shift in practice patterns toward increasing subspecialization, particularly for SUI and prolapse surgeries. Interestingly, minimally invasive OAB treatments are increasingly adopted by non-URPS urologists, likely due to improvements in surgical techniques and the development of new technology.</p>","PeriodicalId":23415,"journal":{"name":"Urology","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145150974","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 : 2025-09-23DOI: 10.1016/j.urology.2025.09.025
Matthias May, Ingmar Wolff, Maximilian Burger, Sabine Brookman-May
{"title":"Letter to the Editor on \"Impact of Age, Marital Status, Smoking, and Alcohol Consumption on Urinary and Sexual Function in Prostate Cancer Patients Treated With Radical Prostatectomy: A Prospective Cohort Study\".","authors":"Matthias May, Ingmar Wolff, Maximilian Burger, Sabine Brookman-May","doi":"10.1016/j.urology.2025.09.025","DOIUrl":"https://doi.org/10.1016/j.urology.2025.09.025","url":null,"abstract":"","PeriodicalId":23415,"journal":{"name":"Urology","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145150950","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 : 2025-09-23DOI: 10.1016/j.urology.2025.09.026
Gaines Blasdel, Rachel Bluebond-Langner, Lee Zhao
{"title":"Editorial Comment on \"The Peritoneal Neovagina After Robotic-Assisted Peritoneal Flap Gender-Affirming Vaginoplasty: A Morphologic and Histologic Investigation of the Neovaginal Lining\".","authors":"Gaines Blasdel, Rachel Bluebond-Langner, Lee Zhao","doi":"10.1016/j.urology.2025.09.026","DOIUrl":"https://doi.org/10.1016/j.urology.2025.09.026","url":null,"abstract":"","PeriodicalId":23415,"journal":{"name":"Urology","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145151023","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 : 2025-09-22DOI: 10.1016/j.urology.2025.09.022
Drew Price, Gregory Taisan, Katherine Sheridan, Samantha Jacklin, Casey Dauw, Charles Scales, Ruth Beck, Hunter Beck, Chris Zellers, Kate Zellers, Kim Hollander, Necole Streeper, Jonathan S Ellison
{"title":"Dissemination of a Patient-Prioritized Research Agenda for Kidney Stone Disease: Patient Perceptions and Opportunities.","authors":"Drew Price, Gregory Taisan, Katherine Sheridan, Samantha Jacklin, Casey Dauw, Charles Scales, Ruth Beck, Hunter Beck, Chris Zellers, Kate Zellers, Kim Hollander, Necole Streeper, Jonathan S Ellison","doi":"10.1016/j.urology.2025.09.022","DOIUrl":"https://doi.org/10.1016/j.urology.2025.09.022","url":null,"abstract":"<p><strong>Objective: </strong>To query a broad group of stakeholders for feedback on a patient prioritized research agenda for kidney stone disease and assess stakeholder perceptions of community engagement opportunities for kidney stone disease.</p><p><strong>Methods: </strong>We surveyed stakeholders who previously engaged in a broad-reaching effort to develop a patient-prioritized research agenda, inquiring as to the relevance of the final research agenda. Importance was rated for each agenda item on a scale of 1 (least important) to 9 (of critical importance). Surveys were administered electronically.</p><p><strong>Results: </strong>Of the 68 / 162 (42%) returned and fully completed surveys, five of the six agenda items met or exceeded median importance values of seven, demonstrating that they were of critical importance to a majority of stakeholders. Overall, only 33% and 22% of patients and caregivers reported ease in finding educational resources and support groups for kidney stone disease.</p><p><strong>Conclusions: </strong>A patient-prioritized research agenda for kidney stone disease reflects important topics to most stakeholders, including patients and caregivers. Opportunities to further engage kidney stone community members are needed and include ready access to support groups and educational materials.</p>","PeriodicalId":23415,"journal":{"name":"Urology","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145138729","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 : 2025-09-19DOI: 10.1016/j.urology.2025.09.021
Shannon C Martin, Alex Zhu
{"title":"Editorial Comment on \"Smoking is Associated with Poorer Survival Outcomes Following Nephroureterectomy for Upper Tract Urothelial Cancer\".","authors":"Shannon C Martin, Alex Zhu","doi":"10.1016/j.urology.2025.09.021","DOIUrl":"https://doi.org/10.1016/j.urology.2025.09.021","url":null,"abstract":"","PeriodicalId":23415,"journal":{"name":"Urology","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145114193","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 : 2025-09-19DOI: 10.1016/j.urology.2025.09.024
Jovo Bogdanović
{"title":"Editorial Comment on \"Stone Impaction Risk Score: Settling the Debate or Sparking a New One?\"","authors":"Jovo Bogdanović","doi":"10.1016/j.urology.2025.09.024","DOIUrl":"https://doi.org/10.1016/j.urology.2025.09.024","url":null,"abstract":"","PeriodicalId":23415,"journal":{"name":"Urology","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145114198","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}