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Reply to Editorial Comment on “Microsurgical Education in Reproductive Urology: A Review of Current Techniques and Opportunities for Improved Access to Learning Experiences”
IF 2.1 3区 医学
Urology Pub Date : 2025-04-01 DOI: 10.1016/j.urology.2025.02.023
Rafael Carrion , Kimberly Waggener , Akhil Muthigi , Nicholas A. Deebel
{"title":"Reply to Editorial Comment on “Microsurgical Education in Reproductive Urology: A Review of Current Techniques and Opportunities for Improved Access to Learning Experiences”","authors":"Rafael Carrion , Kimberly Waggener , Akhil Muthigi , Nicholas A. Deebel","doi":"10.1016/j.urology.2025.02.023","DOIUrl":"10.1016/j.urology.2025.02.023","url":null,"abstract":"","PeriodicalId":23415,"journal":{"name":"Urology","volume":"198 ","pages":"Pages 191-192"},"PeriodicalIF":2.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143473131","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 “Extended Treatment-dose Antibiotic Therapy vs Low-dose Prophylaxis for the Management of Recurrent Uncomplicated Urinary Tract Infections in Peri- and Postmenopausal Women” 致编辑的信：“延长治疗剂量抗生素治疗与低剂量预防治疗对围绝经期和绝经后妇女复发性无并发症尿路感染的管理”。
IF 2.1 3区 医学
Urology Pub Date : 2025-04-01 DOI: 10.1016/j.urology.2025.01.012
Weili Pan, Keda Lu, Xinyi Wei, Wenze Jiang, Zhongjie Qu
{"title":"Letter to the Editor on “Extended Treatment-dose Antibiotic Therapy vs Low-dose Prophylaxis for the Management of Recurrent Uncomplicated Urinary Tract Infections in Peri- and Postmenopausal Women”","authors":"Weili Pan, Keda Lu, Xinyi Wei, Wenze Jiang, Zhongjie Qu","doi":"10.1016/j.urology.2025.01.012","DOIUrl":"10.1016/j.urology.2025.01.012","url":null,"abstract":"","PeriodicalId":23415,"journal":{"name":"Urology","volume":"198 ","pages":"Pages 36-37"},"PeriodicalIF":2.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142972261","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 “Effects of Socioeconomic Deprivation on UTUC Staging, Mortality, and Recurrence” 上尿路上皮癌（UTUC）管理的社会经济差异：一项区域队列研究
IF 2.1 3区 医学
Urology Pub Date : 2025-04-01 DOI: 10.1016/j.urology.2025.01.018
Ava Saidian
{"title":"Editorial Comment on “Effects of Socioeconomic Deprivation on UTUC Staging, Mortality, and Recurrence”","authors":"Ava Saidian","doi":"10.1016/j.urology.2025.01.018","DOIUrl":"10.1016/j.urology.2025.01.018","url":null,"abstract":"","PeriodicalId":23415,"journal":{"name":"Urology","volume":"198 ","pages":"Page 66"},"PeriodicalIF":2.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143012669","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
Reply to Editorial Comment on “Efficacy and Safety of Ultrasound- vs Fluoroscopy-Guided Percutaneous Nephrolithotomy in Managing Renal Calculi: A Systematic Review and Meta-Analysis of Randomized Controlled Trials”
IF 2.1 3区 医学
Urology Pub Date : 2025-04-01 DOI: 10.1016/j.urology.2025.01.039
Ruoyang Du, Wubing Feng, Tong Yi
{"title":"Reply to Editorial Comment on “Efficacy and Safety of Ultrasound- vs Fluoroscopy-Guided Percutaneous Nephrolithotomy in Managing Renal Calculi: A Systematic Review and Meta-Analysis of Randomized Controlled Trials”","authors":"Ruoyang Du, Wubing Feng, Tong Yi","doi":"10.1016/j.urology.2025.01.039","DOIUrl":"10.1016/j.urology.2025.01.039","url":null,"abstract":"","PeriodicalId":23415,"journal":{"name":"Urology","volume":"198 ","pages":"Pages 181-182"},"PeriodicalIF":2.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143048006","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
Pediatric Urologic Oncology Series—Late Effects After Treatment for Wilms Tumor and Other Pediatric Renal Neoplasms
IF 2.1 3区 医学
Urology Pub Date : 2025-04-01 DOI: 10.1016/j.urology.2024.12.043
Kathleen Kieran , Margarett Shnorhavorian
{"title":"Pediatric Urologic Oncology Series—Late Effects After Treatment for Wilms Tumor and Other Pediatric Renal Neoplasms","authors":"Kathleen Kieran , Margarett Shnorhavorian","doi":"10.1016/j.urology.2024.12.043","DOIUrl":"10.1016/j.urology.2024.12.043","url":null,"abstract":"","PeriodicalId":23415,"journal":{"name":"Urology","volume":"198 ","pages":"Pages 97-105"},"PeriodicalIF":2.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143068230","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 “Microsurgical Education in Reproductive Urology: A Review of Current Techniques and Opportunities for Improved Access to Learning Experiences”
IF 2.1 3区 医学
Urology Pub Date : 2025-04-01 DOI: 10.1016/j.urology.2025.01.046
Nicholas Tadros
{"title":"Editorial Comment on “Microsurgical Education in Reproductive Urology: A Review of Current Techniques and Opportunities for Improved Access to Learning Experiences”","authors":"Nicholas Tadros","doi":"10.1016/j.urology.2025.01.046","DOIUrl":"10.1016/j.urology.2025.01.046","url":null,"abstract":"","PeriodicalId":23415,"journal":{"name":"Urology","volume":"198 ","pages":"Page 190"},"PeriodicalIF":2.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143075658","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
Efficacy and Safety of Ultrasound- vs Fluoroscopy-Guided Percutaneous Nephrolithotomy in Managing Renal Calculi: A Systematic Review and Meta-Analysis of Randomized Controlled Trials 超声与透视引导下经皮肾镜取石术治疗肾结石的有效性和安全性：随机对照试验的系统回顾和荟萃分析。
IF 2.1 3区 医学
Urology Pub Date : 2025-04-01 DOI: 10.1016/j.urology.2024.11.025
Ruoyang Du, Wubing Feng , Tong Yi
{"title":"Efficacy and Safety of Ultrasound- vs Fluoroscopy-Guided Percutaneous Nephrolithotomy in Managing Renal Calculi: A Systematic Review and Meta-Analysis of Randomized Controlled Trials","authors":"Ruoyang Du,&nbsp;Wubing Feng ,&nbsp;Tong Yi","doi":"10.1016/j.urology.2024.11.025","DOIUrl":"10.1016/j.urology.2024.11.025","url":null,"abstract":"<div><h3>Objective</h3><div>To evaluate the effectiveness and safety of ultrasound-guided percutaneous nephrolithotomy (UG-PCNL) compared to fluoroscopy-guided PCNL (FG-PCNL) for kidney stone management, focusing on clinical outcomes and procedural efficiency.</div></div><div><h3>Methods</h3><div>A systematic review and meta-analysis of randomized controlled trials was conducted following preferred reporting items for systematic reviews and meta-analyses guidelines. Searches were performed in PubMed, Excerpta Medica Database (EMBASE), Scopus, and Web of Science for studies published between 2000 and 2024. Primary outcomes included stone-free rate (SFR), needle puncture time, calculus clearance rate, and access time. Secondary outcomes involved single needle puncture success rate (SNPSR), hospital stay duration, total complication rate, urosepsis, fever, and postoperative serum creatinine.</div></div><div><h3>Results</h3><div>Analysis of 21 randomized controlled trials with 2969 patients showed no significant difference in stone-free rate between UG-PCNL and FG-PCNL (odds ratios: 0.93, 95% CI: 0.77-1.13; <em>P</em> = .47). UG-PCNL significantly reduced access time (Standardized mean difference: 0.68, 95% CI: 0.06-1.30; <em>P</em> = .03), while other outcomes like SNPSR and puncture time showed no significant differences. Complication rates, including urosepsis and fever, were comparable between techniques.</div></div><div><h3>Conclusion</h3><div>UG-PCNL is as effective as FG-PCNL, offering the benefits of radiation-free imaging and reduced access time, with comparable safety profiles. Further studies are needed to confirm the certainty of outcomes like SNPSR and bleeding rates.</div></div>","PeriodicalId":23415,"journal":{"name":"Urology","volume":"198 ","pages":"Pages 170-178"},"PeriodicalIF":2.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142677149","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}
引用次数: 0
Urological Outcomes and Adverse Events Following Total Pelvic Exenteration for Locally Advanced and Recurrent Rectal Cancer: A Single-center Retrospective Study 局部晚期和复发性直肠癌全盆腔切除术后泌尿系统预后和不良事件：一项单中心回顾性研究。
IF 2.1 3区 医学
Urology Pub Date : 2025-04-01 DOI: 10.1016/j.urology.2024.12.021
Nikki Kerdegari , Calum T. Singh , Findlay MacAskill , Christopher Allen , Sachin Malde , Rajesh Nair , Ramesh Thurairaja , Muhammad S. Khan , Mark George , Alexis Schizas , Arun Sahai
{"title":"Urological Outcomes and Adverse Events Following Total Pelvic Exenteration for Locally Advanced and Recurrent Rectal Cancer: A Single-center Retrospective Study","authors":"Nikki Kerdegari ,&nbsp;Calum T. Singh ,&nbsp;Findlay MacAskill ,&nbsp;Christopher Allen ,&nbsp;Sachin Malde ,&nbsp;Rajesh Nair ,&nbsp;Ramesh Thurairaja ,&nbsp;Muhammad S. Khan ,&nbsp;Mark George ,&nbsp;Alexis Schizas ,&nbsp;Arun Sahai","doi":"10.1016/j.urology.2024.12.021","DOIUrl":"10.1016/j.urology.2024.12.021","url":null,"abstract":"<div><h3>Objective</h3><div>To assess urological complications in patients undergoing total pelvic exenteration (TPE) for locally advanced (LARC) and recurrent rectal cancer (RRC) as publications in this area are limited. Secondary objectives were to assess whether LARC vs RRC or radiation status affected urological outcomes.</div></div><div><h3>Methods</h3><div>Single-center, retrospective study of TPE patients between January 2017 and December 2022. Electronic records were evaluated to extract data. Postoperative outcomes were analyzed using two-tailed <em>t</em>-tests, Mann-Whitney <em>U</em> tests and chi-squared tests. Urological complications were analyzed using simple logistic regression.</div></div><div><h3>Results</h3><div>A total of 128 patients underwent TPE (97 LARC, 31 RRC). 90 (70.3%) received neoadjuvant radiotherapy. The overall urological complication rate was 51.6%. Transient acute kidney injury and urinary tract infection were the two most common complications occurring in 38 (29.7%) and 33 (25.8%) respectively. 23 (18.0%) had at least one major complication of Clavien-Dindo III/IV related to the urinary system. Ureteroenteric stricture rate was 7.0% and 14.1% needed a reoperation for urological complications. There was no association between the overall incidence of urological complications and radiation status (OR 0.81 [0.37-1.73], <em>P</em> <!-->=<!--> <!-->.586) or between patients with LARC and RRC (OR 1.68 [0.75-3.93], <em>P</em> <!-->=<!--> <!-->.216).</div></div><div><h3>Conclusion</h3><div>Urological complications are common post-TPE. The urological complication rate is similar in LARC and RRC and radiation status did not affect outcomes in this cohort.</div></div>","PeriodicalId":23415,"journal":{"name":"Urology","volume":"198 ","pages":"Pages 160-166"},"PeriodicalIF":2.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142878035","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
Routine Sperm Cryopreservation Before Vasectomy Is not Cost-effective and Does not Increase Live Birth Rates Compared to Surgical Sperm Retrieval or Vasectomy Reversal 输精管切除术前常规精子冷冻保存与手术精子提取或输精管切除术逆转相比，不具有成本效益，也不会增加活产率。
IF 2.1 3区 医学
Urology Pub Date : 2025-04-01 DOI: 10.1016/j.urology.2024.12.050
Bradley J. Roth , Andrew D. Shumaker , Petar Bajic , Sarah C. Vij , Pietro E. Bortoletto , Scott D. Lundy
{"title":"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":"Bradley J. Roth ,&nbsp;Andrew D. Shumaker ,&nbsp;Petar Bajic ,&nbsp;Sarah C. Vij ,&nbsp;Pietro E. Bortoletto ,&nbsp;Scott D. Lundy","doi":"10.1016/j.urology.2024.12.050","DOIUrl":"10.1016/j.urology.2024.12.050","url":null,"abstract":"<div><h3>Objective</h3><div>To determine if routine pre-vasectomy sperm cryopreservation is more cost-effective than fertility restoration for patients who desire additional children following vasectomy?</div></div><div><h3>Methods</h3><div>A scoping review was performed to collect published data regarding efficacy and outcomes of cryopreservation, vasectomy reversal, surgical sperm retrieval, and assisted reproductive technologies (ART). Cost data were collected from US-based facilities performing cryopreservation and andrology clinical care. A cost-effectiveness model was generated using TreeAge Pro cost-effectiveness modeling software with 3 different variations representing a balanced scenario with median expected parameter values, a scenario with assumptions/variables favoring pre-vasectomy cryopreservation, and a scenario favoring fertility restoration. The primary outcome was cost per live birth and the secondary outcome was overall live birth rate.</div></div><div><h3>Results</h3><div>Pre-vasectomy cryopreservation cost ($140,247, range $48,232-$552,807 per live birth) was significantly higher than with fertility restoration ($20,458 range $20,458-$30,698). Surprisingly, pregnancy success rates appeared to be incrementally higher in the fertility restoration group (62%, range 44%-66%) compared to cryopreservation (46%, range 36%-58%) when using published literature values.</div></div><div><h3>Conclusion</h3><div>Routine sperm cryopreservation prior to vasectomy conveys a significantly higher cost to patients and the healthcare system and does not appear to increase live birth rate compared to fertility restoration with sperm retrieval or vasectomy reversal. Patients without fertility risk factors should be counseled on the added cost and need for ART with pre-vasectomy cryopreservation but should still be allowed to proceed if desired.</div></div>","PeriodicalId":23415,"journal":{"name":"Urology","volume":"198 ","pages":"Pages 40-46"},"PeriodicalIF":2.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142972309","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 Characterization of the Pheochromocytoma-Predominant Subgroup of von Hippel-Lindau Disease.
IF 2.1 3区 医学
Urology Pub Date : 2025-04-01 DOI: 10.1016/j.urology.2025.03.048
Zeyad R Schwen
{"title":"Editorial Comment on Characterization of the Pheochromocytoma-Predominant Subgroup of von Hippel-Lindau Disease.","authors":"Zeyad R Schwen","doi":"10.1016/j.urology.2025.03.048","DOIUrl":"https://doi.org/10.1016/j.urology.2025.03.048","url":null,"abstract":"","PeriodicalId":23415,"journal":{"name":"Urology","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143781327","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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