Urology最新文献

{"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":"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, 5 of the 6 agenda items met or exceeded median importance values of 7, 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, respectively.</p><p><strong>Conclusion: </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}

{"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}

{"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":"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}

{"title":"Top 3 Self-Reported Qualities of Urology Residency Applicants Using a Novel Interview Video Platform.","authors":"Abrar H Mian, Tobias S Kohler, Milad Bonakdar Hashemi, Candace Granberg, Adam Miller, Kimberly Rinehart, Kelsey Tuen, Boyd Viers, Matthew Ziegelmann, Sevann Helo","doi":"10.1016/j.urology.2025.09.019","DOIUrl":"10.1016/j.urology.2025.09.019","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the role of a supplemental, asynchronous video interview in assessing applicant characteristics and their association with interview selection.</p><p><strong>Methods: </strong>All applicants to a single urology residency program during the 2024 Match cycle were invited to record a 2-minute video describing their three greatest qualities as future urology residents. Videos were reviewed by a six-member selection committee and scored as a qualitative adjunct to the standard Electronic Residency Application Service (ERAS) application. A secondary, blinded review of each video assessed specific content and presentation features. Applicant-reported traits were categorized into thematic domains. Univariable and multivariable logistic regression were used to identify factors associated with being offered an interview.</p><p><strong>Results: </strong>Of 237 applicants invited, 177 submitted videos; 172 were included in the final analysis. Commonly cited traits included work ethic/professionalism (75%), learning and growth (73%), and interpersonal skills (72%). Twenty-six applicants were offered interviews. Factors significantly associated with interview selection on univariable analysis included attending a top-50 medical school, and explicitly mentioning the program (P < .05 for all). On multivariable analysis, only mentioning the program remained significant (P = .047). Self-described traits related to learning and growth were associated with interview selection (P < .05), while other commonly mentioned traits were not.</p><p><strong>Conclusion: </strong>Supplemental pre-recorded video interviews offer a standardized platform for applicants to demonstrate personal traits and communication skills. Expressing a growth mindset and conveying genuine program-specific interest were associated with increased likelihood of interview selection. These findings suggest that video responses may enhance holistic applicant evaluation in urology residency recruitment.</p>","PeriodicalId":23415,"journal":{"name":"Urology","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145092565","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 \"Stent or Treat: Predictors of Definitive Stone Management for Patients Presenting to the Emergency Department with Urolithiasis\".","authors":"Joseph N Macaluso","doi":"10.1016/j.urology.2025.09.020","DOIUrl":"https://doi.org/10.1016/j.urology.2025.09.020","url":null,"abstract":"","PeriodicalId":23415,"journal":{"name":"Urology","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145092511","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":"First Use of the FloStent for Catheter-Dependent Urinary Retention Secondary to Benign Prostatic Hyperplasia: Additional Results From the RAPID I Study.","authors":"Bilal Chughtai, Jennifer Polo, Ingrid Perscky, Ruben Urena, Adam Kadlec, Dean Elterman","doi":"10.1016/j.urology.2025.09.018","DOIUrl":"10.1016/j.urology.2025.09.018","url":null,"abstract":"<p><strong>Objective: </strong>To describe the performance of the FloStent in men with catheter-dependent urinary retention due benign prostatic hyperplasia (BPH) awaiting transurethral resection of the prostate (TURP). The FloStent is a novel device for treatment of BPH, that can be implanted and retrieved with any flexible cystoscope.</p><p><strong>Methods: </strong>The RAPID I study was a first-in-human clinical trial designed to evaluate the clinical performance of the FloStent. One arm of the study treated men with lower urinary tract symptoms. In a separate and distinct arm of the study, reported here, 11 men with BPH-related urinary retention and indwelling catheters were enrolled and scheduled for FloStent implantation. All underwent outpatient device placement. Follow-up visits occurred at 2, 6, and 12weeks, after which the device was removed, and subjects underwent TURP as previously indicated.</p><p><strong>Results: </strong>All 11 participants achieved catheter-free status immediately postprocedure. Baseline characteristics included mean age 69.0years, prostate size 65.3 mL, prostate-specific antigen 8.3ng/mL, serum creatinine 1.0mg/dL, and prostatic urethral length 3.4 cm. At 3months, 8 of 11 (72.7%) remained catheter-free. Among those, mean International Prostate Symptom Score was 6.4 ± 6.6, Quality of Life score 0.75 ± 1.75, Qmax 9.5 ± 4.8mL/s, and postvoid residual 105.4 ± 265.1 mL. Pain scores were uniformly 0 across all timepoints. Seven adverse events occurred in five subjects, all nonserious and self-limited.</p><p><strong>Conclusion: </strong>FloStent enabled catheter-free voiding in the majority of subjects, with excellent tolerability. This approach may offer an effective interim solution for patients awaiting TURP.</p>","PeriodicalId":23415,"journal":{"name":"Urology","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145087751","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":"The Historical Evolution of Urinary Catheters: Contributions From the Islamic Golden Age (9th-13th Century CE).","authors":"Narges Tajik, Mohammad Hossein Ayati, Nafiseh Hosseini Yekta, Fuat Ince, Arman Zargaran","doi":"10.1016/j.urology.2025.09.017","DOIUrl":"10.1016/j.urology.2025.09.017","url":null,"abstract":"<p><strong>Objective: </strong>To explore the historical development of urinary catheters, with a particular emphasis on the contributions of key Persian and Islamic medical scholars during the Islamic Golden Age (9-13th century CE).</p><p><strong>Methods: </strong>This historical analysis draws on primary medical texts authored by renowned physicians including Rhazes, Haly Abbas, Zahrawi, Avicenna, and Akhawayni. Descriptions of catheter construction, improvements in design, and clinical use were analyzed. In addition, comparisons were made with Greco-Roman sources to highlight original innovations introduced by Islamic physicians.</p><p><strong>Results: </strong>The findings reveal that Rhazes enhanced catheter functionality by incorporating side perforations and recommending flexible, lead-based materials. Haly Abbas provided practical guidelines on catheter insertion and advocated tailoring catheter length to individual patient needs. Zahrawi developed specialized instruments such as the Qatatir to alleviate bladder obstructions. Avicenna emphasized the use of soft, biocompatible materials for increased patient comfort and safety. Akhawayni described a sophisticated metallic catheter device designed for efficient bladder drainage.</p><p><strong>Conclusion: </strong>Persian physicians of the Islamic Golden Age significantly advanced catheter technology through material innovations, ergonomic designs, and methodical clinical applications. Their legacy not only laid the foundation for modern urology but also shaped the evolution of surgical practice across both the Islamic world and medieval Europe.</p>","PeriodicalId":23415,"journal":{"name":"Urology","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145087739","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":"Histologic Concordance Between Post-chemotherapy RPLND and Orchiectomy When Performed Simultaneously: Insights Into the Blood-Testis Barrier.","authors":"Parth U Thakker, Jiping Zeng, Connor Drake, James Brown, Timothy A Masterson, Kelly Cary","doi":"10.1016/j.urology.2025.09.013","DOIUrl":"10.1016/j.urology.2025.09.013","url":null,"abstract":"<p><strong>Objective: </strong>To compare the histology of patients undergoing concomitant orchiectomy and PC-RPLND to understand the interaction of chemotherapeutics with the blood-testis barrier.</p><p><strong>Methods: </strong>We identified patients undergoing orchiectomy at the time of PC-RPLND using an institutional database. Concordance between the PC-RPLND and orchiectomy histology was assessed. Univariable logistic regression for age, mass size, pre-chemotherapy RP biopsy, and testis mass size, and receipt of bleomycin chemotherapy on detecting teratoma in the orchiectomy specimen was performed.</p><p><strong>Results: </strong>Fifty-seven patients undergoing orchiectomy at the time of PC-RPLND were identified. Concordance between PC-RPLND and orchiectomy pathology was observed in 29 (50.9%) patients. Univariable analysis demonstrated that pre-operative RP mass size (OR 0.93, 95% CI 0.80-1.07), receipt of bleomycin (OR 1.56, 95% CI 0.42-5.8), pre-chemotherapy testis mass size (OR 1.11, 95% CI 0.83-1.47), age at surgery (OR 0.99, 95% CI 0.70-1.39), pre-chemotherapy RP histology (OR 2.4, 95% CI 0.48-11.8), nor time from chemotherapy to surgery (OR 1.0, 95% CI 0.72-1.39) were associated with finding teratoma on orchiectomy.</p><p><strong>Conclusion: </strong>With 60% of testis masses revealing necrosis, chemotherapy appears to penetrate the blood-testis barrier, however, with a 1.5% incidence of ITGCN, its ability to do so is not predictable. Since identifying teratoma in the testis remains a challenge, delayed orchiectomy in patients undergoing upfront chemotherapy should remain a standard of care.</p>","PeriodicalId":23415,"journal":{"name":"Urology","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145065845","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":"Assessing the Diagnostic Performance of Renal Ultrasound in Microhematuria Evaluation: Validation of the AUA Microhematuria 2020 Guidelines.","authors":"Emily Bochner, Chidera Ibezue, Dev Banerji, Sarah Attia, Jacob Taylor, Yair Lotan","doi":"10.1016/j.urology.2025.09.012","DOIUrl":"10.1016/j.urology.2025.09.012","url":null,"abstract":"<p><strong>Objective: </strong>To validate changes to the American Urological Association Microhematuria guidelines recommending ultrasound for low and intermediate-risk patients instead of cross-sectional imaging, we evaluated the performance of ultrasound in microhematuria evaluation in a large population with a new microhematuria event.</p><p><strong>Methods: </strong>After Institutional Review Board approval, medical records from a large community hospital were retrospectively queried for patients with new microhematuria and imaging performed during initial workup from January 2015 to April 2018. Follow-up imaging and subsequent diagnoses during the next 5 years (between 2018-2023) were evaluated for missed genitourinary cancer diagnoses.</p><p><strong>Results: </strong>A cohort of 5167 patients with microhematuria underwent imaging during initial workup. Forty-seven cancers were diagnosed on imaging: 32 kidney, 12 bladder, and 3 upper tract cancers. Approximately half of the cohort underwent renal ultrasound during initial workup. Most cancers were diagnosed on cross-sectional imaging. One bladder and 2 upper tract urothelial cancers identified on CT were missed on ultrasound. Five kidney cancers diagnosed on CT were missed on concurrent ultrasound (1.2%). In patients with a negative ultrasound during initial workup with follow-up cross-sectional imaging between 2018 and 2023 (n=401), 3 kidney cancers were diagnosed on subsequent imaging (0.75%). Median time to subsequent diagnosis was 398 days and all masses were cT1.</p><p><strong>Conclusion: </strong>In a large microhematuria population, renal ultrasound was frequently performed during initial workup with a rare missed or subsequent cancer diagnosis rate. Subsequent imaging after RUS was typically prompted by the development of symptoms, but follow-up studies showed early-stage disease, suggesting diagnosis was made in a timely fashion.</p>","PeriodicalId":23415,"journal":{"name":"Urology","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145065680","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":"Cushing's Syndrome and Crossed Fused Renal Ectopia: A Clinical Case Challenge.","authors":"Tiago Aparecido Silva, Luciana Saboya Dal Col, Renato Meirelles Mariano da Costa Junior, Yuri Letizio Di Giulio, Pedro Rodrigues Beal, Thiago Lobo Andrade Moraes, Vitor Bonadia Buonfiglio","doi":"10.1016/j.urology.2025.09.015","DOIUrl":"10.1016/j.urology.2025.09.015","url":null,"abstract":"","PeriodicalId":23415,"journal":{"name":"Urology","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145065852","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}