IF 2.1 3区医学

Urology Pub Date : 2025-06-10 DOI: 10.1016/j.urology.2025.06.007

Emely V Quinones, Michael E Rezaee

引用次数: 0

Editorial Comment on "Adult Sexual Function Following Hypospadias Repair in Childhood A Systematic Review and Meta-Analysis of Long-Term Patient Outcomes". 儿童期尿道下裂修复对成人性功能的影响：一项长期患者预后的系统回顾和荟萃分析。

IF 2.1 3区医学

Urology Pub Date : 2025-06-10 DOI: 10.1016/j.urology.2025.06.008

Sherry Mortach, Shree Agrawal-Patel

引用次数: 0

Editorial Comment on "Beyond the scalpel: Unpacking the difference between good surgeons and good leaders". “超越手术刀：揭开优秀外科医生和优秀领导者之间的区别”的社论评论。

IF 2.1 3区医学

Urology Pub Date : 2025-06-10 DOI: 10.1016/j.urology.2025.06.012

Winston Crute

引用次数: 0

Sarcomatous Malignant Mesenchymal Ureteral Tumor: A Diagnostic Challenge. 恶性输尿管间质肉瘤：诊断上的挑战。

IF 2.1 3区医学

Urology Pub Date : 2025-06-10 DOI: 10.1016/j.urology.2025.06.013

Mehmet Eren Akan, Ali Emre Çekmece, İbrahim Halil Baloğlu, Cemil Kutsal

引用次数: 0

Letter to the Editor on "Electronic Residency Application Service Application Fees in Surgical Subspecialties: A Barrier to a Diverse Healthcare Workforce?" 致编辑的信：“外科专科的电子住院医师申请服务申请费：多元化医疗队伍的障碍？”"．

IF 2.1 3区医学

Urology Pub Date : 2025-06-10 DOI: 10.1016/j.urology.2025.06.010

Jie Zhou

引用次数: 0

Letter to the Editor on "Experiences with Genitourinary Syndrome of Menopause and Barriers to Vaginal Estrogen Usage Reported by a National Sample of 1500 Women". 致编辑的信《全国1500名妇女报告的绝经期泌尿生殖系统综合征和阴道雌激素使用障碍》。

IF 2.1 3区医学

Urology Pub Date : 2025-06-09 DOI: 10.1016/j.urology.2025.06.002

Tianyao Yang, Jian Liao, Fangfang Wang, Lan Yue

引用次数: 0

Editorial Comment: Perceptions of American Urologists in Parental Leave: The Need for Transparent and Equitable Policies. 编辑评论：美国泌尿科医生在育儿假的看法：需要透明和公平的政策。

IF 2.1 3区医学

Urology Pub Date : 2025-06-09 DOI: 10.1016/j.urology.2025.06.005

Campbell Grant

引用次数: 0

Editorial Comment on "Comorbid Urolithiasis Significantly Increases Utilization Across Healthcare Settings for Individuals With Spina Bifida". 关于“合并症尿石症显著增加了脊柱裂患者在医疗机构中的使用率”的社论评论。

IF 2.1 3区医学

Urology Pub Date : 2025-06-09 DOI: 10.1016/j.urology.2025.06.006

Gillian R Murray, Kevin Koo

引用次数: 0

Comparison of Three Surgical Techniques for Concealed Penis in Children. 小儿隐匿性阴茎三种手术方法的比较。

IF 2.1 3区医学

Urology Pub Date : 2025-06-07 DOI: 10.1016/j.urology.2025.06.009

Qi-Fei Deng, Han Chu, Yongsheng Cao, Guangyuan Li

{"title":"Comparison of Three Surgical Techniques for Concealed Penis in Children.","authors":"Qi-Fei Deng, Han Chu, Yongsheng Cao, Guangyuan Li","doi":"10.1016/j.urology.2025.06.009","DOIUrl":"10.1016/j.urology.2025.06.009","url":null,"abstract":"Objective: To compare the efficacy of three surgical approaches for correcting severe concealed penis in pediatric patients.Methods: We conducted a retrospective cohort analysis of 150 consecutive cases treated at our hospital from January 2020 through January 2023. Participants were stratified into three intervention groups: Group A (pedicled island flap transfer, n = 50), Group B (modified Shiraki penile skin inlay, n = 50), and Group C (scrotal skin advancement technique, n = 50). Comparative parameters included operative duration, postoperative complications (scarring, infection, edema, and retraction), and penile shaft exposure measurements at 6-month follow-up.Results: All procedures were completed without intraoperative neurovascular bundle injury or urethral complications. No cases exhibited persistent postoperative preputial edema or dysphoric erection. Demographic characteristics, including mean age (4.2 ± 1.3 years), body mass index percentile (78.4 ± 12.6), and preoperative infection rates, showed no intergroup differences (P >.05). Significant variances emerged in operative duration (Group A: 98 ± 15 minutes vs Group C: 82 ± 12 minutes, P = .017), postoperative penile length gain (Group A: 2.8 ± 0.6 cm vs Group B: 2.1 ± 0.5 cm, P <.01), retraction rates (Group B: 14% vs Group A: 2%, P = .03), and persistent edema incidence (Group B: 18% vs Group A: 4%, P = .008).Conclusion: While all three techniques effectively addressed severe concealed penis deformity, pedicled island flap reconstruction (Group A) and scrotal advancement plasty (Group C) demonstrated superior long-term outcomes in tissue viability and complication profiles. These approaches achieved significantly better phallic length preservation and lower reoperation rates compared to the modified Shiraki technique.","PeriodicalId":23415,"journal":{"name":"Urology","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144258944","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

A Fast-Track Protocol Enables Same-day Discharge After Robotic Pyeloplasty and Unilateral or Bilateral Ureteral Reimplantation in Children. 快速通道方案使儿童在机器人肾盂成形术和单侧或双侧输尿管再植术后当天出院。

IF 2.1 3区医学

Urology Pub Date : 2025-06-07 DOI: 10.1016/j.urology.2025.06.014

Grant Albers, Elizabeth R Lyden, Claudia Berrondo

{"title":"A Fast-Track Protocol Enables Same-day Discharge After Robotic Pyeloplasty and Unilateral or Bilateral Ureteral Reimplantation in Children.","authors":"Grant Albers, Elizabeth R Lyden, Claudia Berrondo","doi":"10.1016/j.urology.2025.06.014","DOIUrl":"10.1016/j.urology.2025.06.014","url":null,"abstract":"Objective: To evaluate the safety and feasibility of a fast-track approach to decrease post-op length of stay (LOS) for pediatric patients undergoing robotic pyeloplasty or ureteral reimplantation (unilateral and bilateral) and to identify factors associated with same-day discharge.Methods: We retrospectively reviewed children aged 0-18 years who underwent robotic pyeloplasty or ureteral reimplantation by a single surgeon at our institution between January 2021 and March 2024. A fast-track protocol to reduce post-op LOS was implemented in January 2022. The fast-track group was compared to the standard post-op care group in terms of baseline characteristics and post-op complications. Patients discharged same-day were also compared to patients who underwent an observation stay (overnight or longer).Results: Ninety-five patients met inclusion criteria, 55 in the fast-track group and 40 in the standard post-op care group. The fast-track approach was associated with same-day discharge (47.3% vs 10%, P <.0001). There were no significant differences in complications, Emergency Department visits, or hospital readmissions between the groups. The main factor associated with same-day discharge was being the first case of the day. Neither type of surgery (pyeloplasty or ureteral reimplantation) nor laterality (unilateral vs bilateral in patients undergoing ureteral reimplantation) were associated with same-day discharge.Conclusion: A fast-track approach for pediatric patients undergoing robotic pyeloplasty and ureteral reimplantation (unilateral and bilateral) is safe and feasible, may shorten post-op LOS, and increase the likelihood same-day discharge. To our knowledge this is the first study to evaluate same-day discharge after bilateral robotic ureteral reimplantation.","PeriodicalId":23415,"journal":{"name":"Urology","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144258943","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

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