Urology最新文献

{"title":"Editorial Comment on “Trends in Urology Residency Applications: Results From The Society of Academic Urologists Program Director Survey From 2022 to 2024”","authors":"Lauren E. Chew , Jeffrey L. Ellis","doi":"10.1016/j.urology.2025.01.016","DOIUrl":"10.1016/j.urology.2025.01.016","url":null,"abstract":"","PeriodicalId":23415,"journal":{"name":"Urology","volume":"198 ","pages":"Pages 232-233"},"PeriodicalIF":2.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142979993","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":"Expect the Unexpected: A 54-Year-Old Male With a Curious Scrotal Mass","authors":"Carlos Santiago Tapia-Pinargote, Victor Jesus Lara-Ameca, Regina de la Mora-Cervantes, Denise Monserrat Rendón-Olguín","doi":"10.1016/j.urology.2025.01.034","DOIUrl":"10.1016/j.urology.2025.01.034","url":null,"abstract":"","PeriodicalId":23415,"journal":{"name":"Urology","volume":"198 ","pages":"Pages e42-e43"},"PeriodicalIF":2.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143040675","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 “Rethinking Low Testosterone in Older Men: Association With Obesity Rather Than Aging”","authors":"Mohit Khera","doi":"10.1016/j.urology.2025.01.047","DOIUrl":"10.1016/j.urology.2025.01.047","url":null,"abstract":"","PeriodicalId":23415,"journal":{"name":"Urology","volume":"198 ","pages":"Pages 213-214"},"PeriodicalIF":2.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143075670","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 Editorial Comment on “Transitional Outcomes of Adults Who Underwent Cohen Ureteroneocystostomy for the Treatment of Vesicoureteral Reflux as Children”","authors":"Tayfun Oktar , Ismail Selvi , M. İrfan Dönmez , Mehmet Gürcan , Arda Tunç Aydınoğlu , Orhan Ziylan","doi":"10.1016/j.urology.2025.01.050","DOIUrl":"10.1016/j.urology.2025.01.050","url":null,"abstract":"","PeriodicalId":23415,"journal":{"name":"Urology","volume":"198 ","pages":"Pages 116-117"},"PeriodicalIF":2.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143075783","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":"Effects of Socioeconomic Deprivation on UTUC Staging, Mortality, and Recurrence","authors":"Eric R. Wahlstedt ,&nbsp;Ajay K. Varadhan ,&nbsp;John C. Wahlstedt ,&nbsp;Emily Coughlin ,&nbsp;Naveen Perisetla ,&nbsp;Rahul Mhaskar ,&nbsp;Alyssa Bilotta ,&nbsp;Diep Nguyen ,&nbsp;Scott M. Gilbert ,&nbsp;Roger Li ,&nbsp;Philippe E. Spiess ,&nbsp;Heather L. Huelster","doi":"10.1016/j.urology.2024.12.008","DOIUrl":"10.1016/j.urology.2024.12.008","url":null,"abstract":"<div><h3>Objective</h3><div>To determine whether the area deprivation index (ADI), a surrogate for socioeconomic status (SES) associated with patient residence, affected UTUC staging, recurrence rates, and mortality.</div></div><div><h3>Methods</h3><div>Patients undergoing radical nephroureterectomy or ureterectomy for UTUC at a single institution between February 2010 and August 2021 were classified by ADI. A 50th percentile cut-off of ADI classified patients as “advantaged” or “disadvantaged. Tumor characteristics, staging, and use of neoadjuvant chemotherapy were compared between groups. Recurrence-free (RFS) and overall survival (OS) were compared among groups using Mantel-Cox log-rank testing.</div></div><div><h3>Results</h3><div>In this cohort, 215 patients had advantaged SES, and 217 had disadvantaged SES. Neoadjuvant chemotherapy was utilized more frequently among advantaged versus disadvantaged patients (20% vs 13%, <em>P<!--> </em>=<!--> <!-->.035), though this difference was not significant when comparing the most advantaged and least advantaged quartiles (18% vs 14%, <em>P<!--> </em>=<!--> <!-->.45). No significant difference was observed in positive resection margins between groups (11% vs 13%, <em>P<!--> </em>=<!--> <!-->.53). Tumor characteristics, including median tumor size (<em>P<!--> </em>=<!--> <!-->.15), pathologic tumor stage (<em>P<!--> </em>=<!--> <!-->.81), and pathologic lymph node stage (<em>P<!--> </em>=<!--> <!-->.28), were also similar. There were no differences in median RFS or OS between SES groups.</div></div><div><h3>Conclusion</h3><div>This regional data, considering previous studies suggesting worse outcomes with increased urothelial carcinoma incidence and mortality in those with a lower socioeconomic status, may reflect efforts to improve healthcare access and adhere to evidence-based management patterns.</div></div>","PeriodicalId":23415,"journal":{"name":"Urology","volume":"198 ","pages":"Pages 58-65"},"PeriodicalIF":2.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142824514","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 “Outpatient Periurethral Injections of Polyacrylamide Hydrogel (Bulkamid) Under Local Anesthesia in the Office: A Prospective Single-center Series”","authors":"Joseph N. Macaluso Jr","doi":"10.1016/j.urology.2024.12.046","DOIUrl":"10.1016/j.urology.2024.12.046","url":null,"abstract":"","PeriodicalId":23415,"journal":{"name":"Urology","volume":"198 ","pages":"Pages 14-15"},"PeriodicalIF":2.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142932767","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":"Renal Cell Carcinoma With Venous Tumor Thrombus Has a Predilection for the Lungs","authors":"Reza Nabavizadeh ,&nbsp;Rodrigo Rodrigues Pessoa ,&nbsp;John C. Cheville ,&nbsp;Christine M. Lohse ,&nbsp;Brian A. Costello ,&nbsp;Fabrice Lucien ,&nbsp;R. Houston Thompson ,&nbsp;Stephen A. Boorjian ,&nbsp;Bradley C. Leibovich ,&nbsp;Vidit Sharma","doi":"10.1016/j.urology.2024.12.034","DOIUrl":"10.1016/j.urology.2024.12.034","url":null,"abstract":"<div><h3>Objective</h3><div>To investigate the association between venous tumor thrombus (VTT) and the risk of pulmonary metastases in patients with clear cell renal cell carcinoma (ccRCC).</div></div><div><h3>Methods</h3><div>We queried our institutional registry for ccRCC patients undergoing radical nephrectomy (1970-2019). Cox proportional hazards regression models, adjusting for factors associated with ccRCC progression, were used to determine whether VTT was associated with pulmonary metastases.</div></div><div><h3>Results</h3><div>Of 3410 patients studied, 1025 (30%) had VTT. Patients with VTT were more likely to present with synchronous pulmonary metastasis (20% vs 7%, <em>P<!--> </em>&lt;.001). Within the VTT subset, level of VTT was not significantly associated with synchronous pulmonary metastasis (<em>P<!--> </em>=<!--> <!-->.3). Moreover, among patients with metastatic disease at nephrectomy (n<!--> <!-->=<!--> <!-->643), pulmonary metastases were more common in those with VTT versus those without VTT (68% vs 51%, <em>P<!--> </em>&lt;.001). Further, excluding patients with synchronous pulmonary metastases, on multivariable analysis, VTT remained associated with an increased risk of developing metachronous pulmonary metastases (hazard ratio (HR) 1.31, <em>P<!--> </em>&lt;.001). Interestingly, the presence of PE in the setting of VTT was also identified to be associated with an increased pulmonary metastases post-nephrectomy (HR 2.31, <em>P<!--> </em>&lt;.001).</div></div><div><h3>Conclusion</h3><div>VTT is associated with disproportionately increased pulmonary metastases at presentation and post-nephrectomy in ccRCC. Further, the presence of PE at nephrectomy for VTT was associated with increased pulmonary metastases post-nephrectomy. These results support a metastatic predilection of ccRCC with VTT in the lungs.</div></div>","PeriodicalId":23415,"journal":{"name":"Urology","volume":"198 ","pages":"Pages 68-74"},"PeriodicalIF":2.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142903613","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 Editorial Comment on “Tailoring Renal Mass Biopsy: Optimal Core Number and Location Based on Tumor Size for Enhanced Diagnostic Accuracy—A Prospective Ex-Vivo Study”","authors":"Navid Masoumi ,&nbsp;Milad Fooladgar ,&nbsp;Atoosa Gharib ,&nbsp;Amir Alinejad Khorram","doi":"10.1016/j.urology.2025.02.012","DOIUrl":"10.1016/j.urology.2025.02.012","url":null,"abstract":"","PeriodicalId":23415,"journal":{"name":"Urology","volume":"198 ","pages":"Page 86"},"PeriodicalIF":2.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143459742","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 “Surgical Outcomes of the ZSI475 FtM Inflatable Erectile Prosthesis Implantation After Phalloplasty”","authors":"Mang L. Chen","doi":"10.1016/j.urology.2025.01.021","DOIUrl":"10.1016/j.urology.2025.01.021","url":null,"abstract":"","PeriodicalId":23415,"journal":{"name":"Urology","volume":"198 ","pages":"Page 222"},"PeriodicalIF":2.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143012510","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 Editorial Comment on “Effects of Socioeconomic Deprivation on UTUC Staging, Mortality, and Recurrence”","authors":"Eric R. Wahlstedt ,&nbsp;Heather L. Huelster","doi":"10.1016/j.urology.2025.01.069","DOIUrl":"10.1016/j.urology.2025.01.069","url":null,"abstract":"","PeriodicalId":23415,"journal":{"name":"Urology","volume":"198 ","pages":"Page 67"},"PeriodicalIF":2.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143366010","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}