Urology最新文献

{"title":"Trends in Urology Residency Applications: Results From The Society of Academic Urologists Program Director Survey From 2022 to 2024","authors":"Michael Creswell ,&nbsp;Kirsten Greene ,&nbsp;Lee Richstone ,&nbsp;Simone Thavaseelan ,&nbsp;Erica Traxel ,&nbsp;Aaron Tverye ,&nbsp;Casey Kowalik ,&nbsp;Gina Badalato ,&nbsp;Thomas Jarrett ,&nbsp;Kate Kraft ,&nbsp;Mathew Sorensen ,&nbsp;Moben Mirza","doi":"10.1016/j.urology.2024.12.015","DOIUrl":"10.1016/j.urology.2024.12.015","url":null,"abstract":"<div><h3>Objective</h3><div>To provide a cross-sectional view of the current opinions surrounding the urology match by analyzing data from the annual Society of Academic Urologists Program Director Surveys conducted between 2022 and 2024.</div></div><div><h3>Methods</h3><div>Data collected through surveys distributed to all urology program directors (PD) consisting of questions covering program demographics, applicant selection criteria, preference signals (PS), virtual interviews (VI), and other relevant topics.</div></div><div><h3>Results</h3><div>89, 90, and 89 PD participated in the surveys for the years 2022, 2023, and 2024, respectively. The analysis revealed shifts in application review criteria, with increased emphasis on subinternship performance, letters of recommendation, and USMLE Step 2 Clinical Knowledge scores. PS were widely adopted and viewed positively by PD, with a majority supporting the continuation in a large-volume format. VI were met with mixed sentiments, with concerns raised about their effectiveness in assessing candidates and replicating in-person experiences. However, they were recognized for their potential to level the playing field.</div></div><div><h3>Conclusion</h3><div>This study underscores the evolving landscape of urology resident match. The adoption of VI, PS, and other changes co-occurring in medical education have altered the means through which applicants have been historically assessed. The findings highlight the need for ongoing feedback and transparency to ensure equitable practices for both applicants and residency programs.</div></div>","PeriodicalId":23415,"journal":{"name":"Urology","volume":"198 ","pages":"Pages 225-231"},"PeriodicalIF":2.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142865647","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}

{"title":"Endourological Management of Renal Stones: A Systematic Review, Bayesian Network Meta-analysis and Meta-regression","authors":"David Eugenio Hinojosa-Gonzalez ,&nbsp;Gal Saffati ,&nbsp;Shane Kronstedt ,&nbsp;Connor Rodriguez ,&nbsp;Troy La ,&nbsp;Richard E. Link ,&nbsp;Wesley A. Mayer","doi":"10.1016/j.urology.2024.12.030","DOIUrl":"10.1016/j.urology.2024.12.030","url":null,"abstract":"<div><h3>Objective</h3><div>To compare stone-free rates (SFRs), operative times, and transfusion rates of various endoscopic techniques for kidney stone management.</div></div><div><h3>Methods</h3><div>A systematic review was performed, identifying studies comparing the different endoscopic techniques in patients with renal stones. Studies were grouped by location and size of stones (lower pole, 1-2<!--> <!-->cm, and &gt;<!--> <!-->2 cm). Data were extracted to build a Bayesian network modeling the comparisons. Meta-regression adjusted for variations in stone-free definitions. Odds ratios (OR) with 95% credible intervals were reported.</div></div><div><h3>Results</h3><div>A total of 40 studies were included for analysis, providing a total population of 6696 patients. For lower pole stones, both percutaneous nephrolithotomy (PCNL) (OR 2.0 [1.2, 3.3]) and mini-PCNL (OR 2.3 [1.5, 3.6]) showed increased SFRs when compared to retrograde intrarenal surgery (RIRS), while micro-PCNL exhibited a non-significant difference (OR 0.94 [0.39,2.3]). For stones between 1-2<!--> <!-->cm, mini-PCNL showed an increased SFR (OR 2.5 [1.5,4.1]) when compared to RIRS; however, there was no significant difference in SFR among the rest of the interventions when compared to RIRS. For stones larger than 2 cm, PCNL, mini-PCNL, and ultramini-PCNL resulted in higher SFRs compared to RIRS.</div></div><div><h3>Conclusion</h3><div>For 1-2<!--> <!-->cm upper pole/interpolar stones, percutaneous approaches except mini-PCNL did not achieve superior SFRs compared to RIRS. For &gt;<!--> <!-->2 cm stones and lower pole stones, all percutaneous methods, except micro-PCNL, exhibited higher stone clearance than RIRS.</div></div>","PeriodicalId":23415,"journal":{"name":"Urology","volume":"198 ","pages":"Pages 193-206"},"PeriodicalIF":2.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142883083","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":"Surgical Outcomes of the ZSI475 FtM Inflatable Erectile Prosthesis Implantation After Phalloplasty","authors":"Salomé Marchand ,&nbsp;Nicolas Morel-Journel ,&nbsp;Damien Carnicelli ,&nbsp;Fabien Boucher ,&nbsp;Alain Ruffion ,&nbsp;Paul Neuville","doi":"10.1016/j.urology.2025.01.002","DOIUrl":"10.1016/j.urology.2025.01.002","url":null,"abstract":"<div><h3>Objective</h3><div>To report the surgical outcomes and complications experienced after implantation of the ZSI475 FtM prosthesis after phalloplasty.</div></div><div><h3>Methods</h3><div>All consecutive patients who underwent ZSI475FtM prosthesis implantation in their neophallus between January 2016 and March 2024 in our center were included. There was no exclusion criterion. We considered the occurrence of a complication according to the date of first appearance in the medical record.</div></div><div><h3>Results</h3><div>A total of 89 patients, accounting for 130 implantation surgeries, were included. Among the 130 implantations, 69 (53.1%) led to a complication; the most frequent was mechanical dysfunction (52/130, 40.0%), followed by infection (8/130, 6.2%), malposition (7/130, 5.4%), and erosion (2/130, 1.5%). All cases of infection and erosion were treated by prosthesis removal. Overall, these complications led to 60 revision surgeries for replacement (41/60, 68.3%), removal (17/60, 28.3%), and refixation (2/60, 3.3%). The median follow-up was 3.9<!--> <!-->years [IQR, 2.3-5.5], and the median time to complication was 1.6<!--> <!-->years [IQR, 0.4-2.4]. The median survival time of the prosthesis was 5.4<!--> <!-->years [IQR, 4.6-5.9] and the 4-year probability of survival was 74.0% (95%CI [65.6-83.4]).</div></div><div><h3>Conclusion</h3><div>The ZSI475 FtM implant shows a survival probability similar to the rates reported in the literature. Future improvements are needed to increase its robustness and survival. The next step toward a better understanding of the associated complications will involve multicenter data collection of the surgical outcomes.</div></div>","PeriodicalId":23415,"journal":{"name":"Urology","volume":"198 ","pages":"Pages 217-221"},"PeriodicalIF":2.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142972310","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}

{"title":"Use of an Enuresis Alarm to Guide Timing of Post-Void Residual Volume Assessment in Infants and Medically-Complex, Non-Verbal Children","authors":"Peter Y. Cai ,&nbsp;Andrea Balthazar ,&nbsp;Regina L. Tham ,&nbsp;Badar Omar ,&nbsp;Sangeeta Mauskar ,&nbsp;Walter Wickremasinghe ,&nbsp;Bartley G. Jr. Cilento ,&nbsp;Caleb P. Nelson","doi":"10.1016/j.urology.2025.01.031","DOIUrl":"10.1016/j.urology.2025.01.031","url":null,"abstract":"<div><h3>Objective</h3><div>To test the feasibility and efficacy of using an enuresis alarm to guide the timing of post-void residual (PVR) measurement in two different cohorts of non-verbal, non-toilet trained pediatric patients.</div></div><div><h3>Methods</h3><div>We prospectively enrolled 15 infants (Group 1) and 15 medically-complex patients (Group 2) to undergo an 8-hour study period that included a 4-hour intervention period with alarm (PVR after alarm trigger) and a 4-hour control period of routine care (PVR when nurses observe wet diapers). The primary endpoint of PVR volume was analyzed using linear regression with volume as the dependent variable and both study period and patient weight as independent variables. Secondary endpoint of the number of detected voids was analyzed using Mann-Whitney <em>U</em> test.</div></div><div><h3>Results</h3><div>In Group 1, the median number of voids detected was significantly greater in the alarm versus routine care periods (3 vs 2, <em>P</em> = .0029). Use of alarm was associated with a non-significant mean decrease of 2.23 mL (95% CI −7.09 to 2.63, <em>P</em> = .363) in PVR volume for infants. In Group 2, the median number of detected voids were also significantly different in the alarm versus routine care periods (3 vs 1, <em>P</em> = .0312). Use of alarm was associated with a mean decrease of 21.09 mL (95% CI −40.60 to −1.58, <em>P</em> = .035) in PVR volume.</div></div><div><h3>Conclusion</h3><div>An enuresis alarm facilitated detecting significantly more voids in both infants and medically-complex, non-verbal children and was also associated with a decrease in PVR volume in the latter group. Such use of enuresis alarms may prove useful to measure PVR more accurately in these challenging populations.</div></div>","PeriodicalId":23415,"journal":{"name":"Urology","volume":"198 ","pages":"Pages 125-129"},"PeriodicalIF":2.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143024433","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 Letter to the Editor on “Contrast-enhanced Ultrasound Imaging Following Transperineal Laser Ablation for Lower Urinary Tract Symptoms”","authors":"Rob van Kollenburg ,&nbsp;Luigi van Riel ,&nbsp;Theo de Reijke ,&nbsp;Ton van Leeuwen ,&nbsp;Martijn de Bruin ,&nbsp;Jorg Oddens","doi":"10.1016/j.urology.2025.01.052","DOIUrl":"10.1016/j.urology.2025.01.052","url":null,"abstract":"","PeriodicalId":23415,"journal":{"name":"Urology","volume":"198 ","pages":"Pages 151-152"},"PeriodicalIF":2.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143068234","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 “Robotic Waterjet Resection for Men With Prostate Cancer Suffering From Lower Urinary Tract Symptoms”","authors":"Greg Raster ,&nbsp;Brian T. Helfand","doi":"10.1016/j.urology.2025.01.058","DOIUrl":"10.1016/j.urology.2025.01.058","url":null,"abstract":"","PeriodicalId":23415,"journal":{"name":"Urology","volume":"198 ","pages":"Pages 158-159"},"PeriodicalIF":2.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143075497","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 “Impact of Planned Research Gap Year on Urology Residency Match Success”","authors":"Lynn K.H. Tran,&nbsp;Christina G. Fakes,&nbsp;Niki Parikh","doi":"10.1016/j.urology.2025.02.006","DOIUrl":"10.1016/j.urology.2025.02.006","url":null,"abstract":"","PeriodicalId":23415,"journal":{"name":"Urology","volume":"198 ","pages":"Pages 241-242"},"PeriodicalIF":2.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143415310","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":"Extended Treatment-dose Antibiotic Therapy vs Low-dose Prophylaxis for the Management of Recurrent Uncomplicated Urinary Tract Infections in Peri- and Post-menopausal Women","authors":"Douglas Luchristt ,&nbsp;Nazema Y. Siddiqui ,&nbsp;Yasmeen Bruton ,&nbsp;Anthony G. Visco","doi":"10.1016/j.urology.2024.12.029","DOIUrl":"10.1016/j.urology.2024.12.029","url":null,"abstract":"<div><h3>Objective</h3><div>To assess treatment efficacy over 1<!--> <!-->year in women with recurrent urinary tract infection (UTI) receiving extended treatment-strength antibiotics compared to standard low-dose prophylactic antibiotic regimens.</div></div><div><h3>Methods</h3><div>A retrospective cohort study of adult women presenting with acute uncomplicated UTI between January 1, 2018 and October 1, 2020 meeting recurrent UTI criteria (≥2 in 6<!--> <!-->months or ≥3 in 1<!--> <!-->year). Women were offered either: (1) treatment-strength antibiotic therapy for 1<!--> <!-->month; or (2) up to 7<!--> <!-->days of treatment-strength antibiotics followed by ≥3-month of low-dose prophylactic antibiotics. We excluded those with complicated UTI. The primary outcome was one or more symptomatic, culture-proven UTIs within 12<!--> <!-->months. Multivariable logistic regression assessed differences in the primary outcome while controlling for potential confounders.</div></div><div><h3>Results</h3><div>Among the 246 patients, women receiving extended treatment dose antibiotics (n<!--> <!-->=<!--> <!-->43) had a significantly lower risk of experiencing subsequent UTI within 1<!--> <!-->year when compared to those receiving standard prophylactic dosing for ≥3-month (n<!--> <!-->=<!--> <!-->203) (rate 34.9% vs 59.6%; <em>P</em> <!-->&lt;<!--> <!-->.01). This significant risk reduction was maintained in logistic regression analyses while controlling for potentially confounding variables (aOR 0.42; 95% CI 0.20, 0.89).</div></div><div><h3>Conclusion</h3><div>Women treated with a 1-month course of treatment-strength antibiotics had a significantly lower risk of subsequent UTI within 12<!--> <!-->months compared to women receiving ≥3-month of prophylactic antibiotics. These retrospective data preliminarily suggest that extended treatment-strength antibiotic dosing may provide therapeutic benefit while reducing overall cumulative antibiotic dose and duration. This innovative approach warrants further evaluation in randomized trials.</div></div>","PeriodicalId":23415,"journal":{"name":"Urology","volume":"198 ","pages":"Pages 29-35"},"PeriodicalIF":2.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142878018","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 “Routine Sperm Cryopreservation Before Vasectomy Is not Cost-effective and Does not Increase Live Birth Rates Compared to Surgical Sperm Retrieval or Vasectomy Reversal”","authors":"Darshan P. Patel","doi":"10.1016/j.urology.2025.01.033","DOIUrl":"10.1016/j.urology.2025.01.033","url":null,"abstract":"","PeriodicalId":23415,"journal":{"name":"Urology","volume":"198 ","pages":"Page 47"},"PeriodicalIF":2.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143012389","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":"Spontaneous Urethral Prolapse","authors":"Francesca Ambrosini ,&nbsp;Guglielmo Mantica","doi":"10.1016/j.urology.2025.01.063","DOIUrl":"10.1016/j.urology.2025.01.063","url":null,"abstract":"","PeriodicalId":23415,"journal":{"name":"Urology","volume":"198 ","pages":"Pages e44-e45"},"PeriodicalIF":2.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143075785","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}