Urology最新文献

筛选
英文 中文
First-in-US Pilot Study of Aquablation in Ambulatory Surgery Centers: Clinical Outcomes and Economic Feasibility. 美国首个在门诊手术中心进行水消融的试点研究:临床结果和经济可行性。
IF 2 3区 医学
Urology Pub Date : 2025-09-25 DOI: 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}
引用次数: 0
Editorial Comment on "Paratesticular Tumors: A Systematic Review and Proposed Risk-Based Management Algorithm''. “睾丸旁肿瘤:一个系统的评价和提出的基于风险的管理算法”的评论。
IF 2 3区 医学
Urology Pub Date : 2025-09-25 DOI: 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}
引用次数: 0
Editorial Comment on "Protein Isolate Supplements and Urinary Stone Risk". 关于“分离蛋白补充剂与尿路结石风险”的社论评论。
IF 2 3区 医学
Urology Pub Date : 2025-09-24 DOI: 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}
引用次数: 0
Editorial Comment on "Improving Clinic Access for Urgent Urology Referrals". 社论评论“改善泌尿外科急诊转诊门诊”。
IF 2 3区 医学
Urology Pub Date : 2025-09-24 DOI: 10.1016/j.urology.2025.09.027
Prabhjot Singh
{"title":"Editorial Comment on \"Improving Clinic Access for Urgent Urology Referrals\".","authors":"Prabhjot Singh","doi":"10.1016/j.urology.2025.09.027","DOIUrl":"https://doi.org/10.1016/j.urology.2025.09.027","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":"145178678","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
Trends in Urogynecologic and Reconstructive Pelvic Surgery Among Early-career Urologists: Analysis of American Board of Urology Case Logs From 2009-2020. 早期职业泌尿科医师泌尿妇科和骨盆重建手术的趋势:2009年至2020年ABU病例日志分析。
IF 2 3区 医学
Urology Pub Date : 2025-09-23 DOI: 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}
引用次数: 0
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". 致编辑关于“年龄、婚姻状况、吸烟和饮酒对根治性前列腺癌患者泌尿和性功能的影响:一项前瞻性队列研究”的信。
IF 2 3区 医学
Urology Pub Date : 2025-09-23 DOI: 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}
引用次数: 0
Editorial Comment on "The Peritoneal Neovagina After Robotic-Assisted Peritoneal Flap Gender-Affirming Vaginoplasty: A Morphologic and Histologic Investigation of the Neovaginal Lining". “机器人辅助腹膜瓣性别确认阴道成形术后的腹膜新阴道:新阴道内膜的形态学和组织学研究”的评论。
IF 2 3区 医学
Urology Pub Date : 2025-09-23 DOI: 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}
引用次数: 0
Dissemination of a Patient-Prioritized Research Agenda for Kidney Stone Disease: Patient Perceptions and Opportunities. 传播以患者为优先的肾结石疾病研究议程:患者的认知和机会。
IF 2 3区 医学
Urology Pub Date : 2025-09-22 DOI: 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}
引用次数: 0
Editorial Comment on "Smoking is Associated with Poorer Survival Outcomes Following Nephroureterectomy for Upper Tract Urothelial Cancer". 关于“吸烟与肾输尿管切除术治疗上尿路癌后较差的生存结果相关”的评论。
IF 2 3区 医学
Urology Pub Date : 2025-09-19 DOI: 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}
引用次数: 0
Editorial Comment on "Stone Impaction Risk Score: Settling the Debate or Sparking a New One?" 《结石嵌塞风险评分:解决争论还是引发新的争论?》
IF 2 3区 医学
Urology Pub Date : 2025-09-19 DOI: 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}
引用次数: 0
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
相关产品
×
本文献相关产品
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术官方微信