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Editorial Comment on "Systematic Review on the Learning Curve of Percutaneous Nephrolithotomy: Operative Time, Fluoroscopy Time, Stone-free Rate, Puncture Performance, Complications, and Safety Indicators". 关于“经皮肾镜取石术学习曲线的系统回顾：手术时间、透视时间、结石清除率、穿刺效果、并发症和安全性指标”的评论。
IF 2.1 3区 医学
Urology Pub Date : 2025-06-18 DOI: 10.1016/j.urology.2025.06.033
David Bayne
{"title":"Editorial Comment on \"Systematic Review on the Learning Curve of Percutaneous Nephrolithotomy: Operative Time, Fluoroscopy Time, Stone-free Rate, Puncture Performance, Complications, and Safety Indicators\".","authors":"David Bayne","doi":"10.1016/j.urology.2025.06.033","DOIUrl":"10.1016/j.urology.2025.06.033","url":null,"abstract":"","PeriodicalId":23415,"journal":{"name":"Urology","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144486065","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
Postpartum Spontaneous Ureteral Rupture. 产后自发性输尿管破裂。
IF 2.1 3区 医学
Urology Pub Date : 2025-06-17 DOI: 10.1016/j.urology.2025.06.023
Ammar Al Homsi, Ayesha Alzarooni, Omar Almidani, Rashed Rowaiee, Waleed Hassen
{"title":"Postpartum Spontaneous Ureteral Rupture.","authors":"Ammar Al Homsi, Ayesha Alzarooni, Omar Almidani, Rashed Rowaiee, Waleed Hassen","doi":"10.1016/j.urology.2025.06.023","DOIUrl":"10.1016/j.urology.2025.06.023","url":null,"abstract":"","PeriodicalId":23415,"journal":{"name":"Urology","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144486067","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 Letter to the Editor on "A Comparison Between Intravesical Gemcitabine Plus Docetaxel and Intravesical Bacillus Calmette-Guérin in the Treatment of Nonmuscle Invasive Naive Urinary Bladder Cancer: A Systematic Review and Meta-Analysis of Oncological Outcomes". 回复编者评论“膀胱内注射吉西他滨+多西他赛与膀胱内注射卡介子-谷氨酰胺芽孢杆菌治疗非肌肉侵袭性原发性膀胱癌的比较：肿瘤预后的系统评价和荟萃分析”。
IF 2.1 3区 医学
Urology Pub Date : 2025-06-16 DOI: 10.1016/j.urology.2025.06.027
Anuja Thakur, Lalit Kumar
{"title":"Reply to Letter to the Editor on \"A Comparison Between Intravesical Gemcitabine Plus Docetaxel and Intravesical Bacillus Calmette-Guérin in the Treatment of Nonmuscle Invasive Naive Urinary Bladder Cancer: A Systematic Review and Meta-Analysis of Oncological Outcomes\".","authors":"Anuja Thakur, Lalit Kumar","doi":"10.1016/j.urology.2025.06.027","DOIUrl":"10.1016/j.urology.2025.06.027","url":null,"abstract":"","PeriodicalId":23415,"journal":{"name":"Urology","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144326988","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 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“电子住院医师申请服务申请费在外科专科：一个障碍，多样化的医疗队伍？”
IF 2.1 3区 医学
Urology Pub Date : 2025-06-16 DOI: 10.1016/j.urology.2025.06.019
Abdul-Jawad J Majeed, Dennis Head, Jay D Raman
{"title":"Reply to Letter to the Editor on \"Electronic Residency Application Service Application Fees in Surgical Subspecialties: A Barrier to a Diverse Healthcare Workforce?\"","authors":"Abdul-Jawad J Majeed, Dennis Head, Jay D Raman","doi":"10.1016/j.urology.2025.06.019","DOIUrl":"10.1016/j.urology.2025.06.019","url":null,"abstract":"","PeriodicalId":23415,"journal":{"name":"Urology","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144295031","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 "Analyzing the Patterns of Industry Payments in Urology: A Benchmark Comparison With Other Surgical Specialties". 社论评论：“分析泌尿外科的行业支付模式：与其他外科专业的基准比较”。
IF 2.1 3区 医学
Urology Pub Date : 2025-06-16 DOI: 10.1016/j.urology.2025.06.032
Campbell Grant
{"title":"Editorial Comment on \"Analyzing the Patterns of Industry Payments in Urology: A Benchmark Comparison With Other Surgical Specialties\".","authors":"Campbell Grant","doi":"10.1016/j.urology.2025.06.032","DOIUrl":"10.1016/j.urology.2025.06.032","url":null,"abstract":"","PeriodicalId":23415,"journal":{"name":"Urology","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144326987","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 "Prediction of Retrograde Intrarenal Surgery Outcomes in Patients With Horseshoe Kidneys Using Three Different Scoring Systems: A Critical Single-center Experience". 使用三种不同评分系统预测马蹄肾患者逆行肾内手术的预后：一项关键的单中心经验。
IF 2.1 3区 医学
Urology Pub Date : 2025-06-16 DOI: 10.1016/j.urology.2025.06.028
Nicholas Choi, Bristol B Whiles
{"title":"Editorial Comment on \"Prediction of Retrograde Intrarenal Surgery Outcomes in Patients With Horseshoe Kidneys Using Three Different Scoring Systems: A Critical Single-center Experience\".","authors":"Nicholas Choi, Bristol B Whiles","doi":"10.1016/j.urology.2025.06.028","DOIUrl":"10.1016/j.urology.2025.06.028","url":null,"abstract":"","PeriodicalId":23415,"journal":{"name":"Urology","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144326986","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
Long-term Trends in Bladder Management Strategies in Females Following Spinal Cord Injury. 女性脊髓损伤后膀胱管理策略的长期趋势。
IF 2.1 3区 医学
Urology Pub Date : 2025-06-15 DOI: 10.1016/j.urology.2025.06.026
Bridget L Findlay, Anthony Fadel, Miriam Dash, Jayson Kemble, Boyd R Viers, Katherine T Anderson
{"title":"Long-term Trends in Bladder Management Strategies in Females Following Spinal Cord Injury.","authors":"Bridget L Findlay, Anthony Fadel, Miriam Dash, Jayson Kemble, Boyd R Viers, Katherine T Anderson","doi":"10.1016/j.urology.2025.06.026","DOIUrl":"10.1016/j.urology.2025.06.026","url":null,"abstract":"<p><strong>Objective: </strong>To describe trends in bladder management strategies (BMS) for female patients following spinal cord injury (SCI).</p><p><strong>Methods: </strong>Data were collected from the National Spinal Cord Injury Model Systems Database on 29,202 patients from 1972 to 2016. BMS included the following categories: Noninvasive (N), Urinary Diversion (UD), Urethral Catheter (UC), Intermittent Catheterization (CIC), and suprapubic catheter. Descriptive statistics were summarized, and chi-squared analysis with Bonferroni correction was used to compare BMS among males and females.</p><p><strong>Results: </strong>The most common BMS for females at 40 years follow up was UC (33%), followed by CIC (30%) and N (22%). The proportion of UD increased from approximately 0% initially to 7% at 40 years. At any timepoint, females were significantly more likely to have UD (2.2% vs 1.2%) and UC (24.3% vs 12.4%) compared to males but less likely to perform CIC (38.3% vs 32.8%) or use an Suprapubic Catheter (18.5% vs 9.1%) (all P <.05). Patient-reported wheelchair use was prevalent among females with UD (94%), with 67% of them reporting new wheelchair use at the time of conversion to UD.</p><p><strong>Conclusion: </strong>The use of UC in females after SCI is commonplace despite the known risks of this BMS. UD increase over time, which may be due to complications from previous BMS or functional decline, such as transition to wheelchair use. Further studies are needed to better understand the factors that govern the choice of each BMS and the associated effect on quality of life.</p>","PeriodicalId":23415,"journal":{"name":"Urology","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144318043","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
Development and External Validation of a Local Pelvic Recurrence Risk Score After Radical Cystectomy: Identifying the Ideal Candidate for Adjuvant Radiation Clinical Trials. 根治性膀胱切除术后局部盆腔复发风险评分的发展和外部验证：确定辅助放疗临床试验的理想候选者
IF 2.1 3区 医学
Urology Pub Date : 2025-06-15 DOI: 10.1016/j.urology.2025.06.030
Matthew S Lee, Marco Moschini, Cameron J Britton, Mattia Longoni, Robert F Tarrell, Austin J Martin, Bryan J Traughber, Bradley J Stish, Jacob J Orme, Paras H Shah, Igor Frank, R Jeffrey Karnes, Stephen A Boorjian, Vidit Sharma
{"title":"Development and External Validation of a Local Pelvic Recurrence Risk Score After Radical Cystectomy: Identifying the Ideal Candidate for Adjuvant Radiation Clinical Trials.","authors":"Matthew S Lee, Marco Moschini, Cameron J Britton, Mattia Longoni, Robert F Tarrell, Austin J Martin, Bryan J Traughber, Bradley J Stish, Jacob J Orme, Paras H Shah, Igor Frank, R Jeffrey Karnes, Stephen A Boorjian, Vidit Sharma","doi":"10.1016/j.urology.2025.06.030","DOIUrl":"10.1016/j.urology.2025.06.030","url":null,"abstract":"<p><strong>Objective: </strong>To develop a risk stratification tool for locoregional recurrence (LR) after radical cystectomy (RC). LR confers a poor prognosis and current risk stratification tools are lacking, representing a critical knowledge gap in facilitating trial design for adjuvant local therapy.</p><p><strong>Methods: </strong>We reviewed our institutional Cystectomy Registry to identify factors associated with LR. A risk score was created using the multivariable regression coefficients.</p><p><strong>Results: </strong>Among 1256 patients who underwent RC, 227 experienced LR, with median time to LR of 11 months, resulting in a 2- and 5-year LR risk of 17% and 22%, respectively. Median follow-up was 4.4 years after LR. On multivariable analysis, pT-stage (HR=1.72), pN+ (HR=1.90), and number of lymph nodes removed (HR=0.98 per node) were independently associated with LR (all P<.01). Positive ureteral/urethral margin (HR=1.52) and positive radial margin (HR=1.58) were associated with LR with P=.08 and P=.07, respectively. Our risk score stratified patients by risk of 5-year LR from 2% to 52% with c-index of 0.73. External validation in a European cystectomy cohort (N=614) demonstrated comparable performance to the development cohort with c-index of 0.75 at 3 years.</p><p><strong>Conclusion: </strong>We developed a risk score based on post-cystectomy pathologic variables, which effectively stratified patients' risk of subsequent LR. The risk score had similar performance in the internal development and external validation cohorts, despite the cohorts being geographically distinct with different LR event rates. This risk score may therefore be considered in designing adjuvant therapy trials (eg, radiation, immunotherapy) for high-risk patients after RC.</p>","PeriodicalId":23415,"journal":{"name":"Urology","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144318042","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 Female Urologists' Pregnancy, Perinatal and Breastfeeding Outcomes". 解决泌尿科哺乳挑战：行动呼吁。
IF 2.1 3区 医学
Urology Pub Date : 2025-06-14 DOI: 10.1016/j.urology.2025.06.024
Gwen M Grimsby
{"title":"Editorial Comment on \"Characterization of Female Urologists' Pregnancy, Perinatal and Breastfeeding Outcomes\".","authors":"Gwen M Grimsby","doi":"10.1016/j.urology.2025.06.024","DOIUrl":"10.1016/j.urology.2025.06.024","url":null,"abstract":"","PeriodicalId":23415,"journal":{"name":"Urology","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144310498","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
Exploring the Association Between Varicocele and Testosterone Deficiency in Men Over 50 Years of Age. 探讨50岁以上男性精索静脉曲张与睾酮缺乏的关系。
IF 2.1 3区 医学
Urology Pub Date : 2025-06-14 DOI: 10.1016/j.urology.2025.06.029
Daniel J Kim, Patrick E Teloken, John P Mulhall
{"title":"Exploring the Association Between Varicocele and Testosterone Deficiency in Men Over 50 Years of Age.","authors":"Daniel J Kim, Patrick E Teloken, John P Mulhall","doi":"10.1016/j.urology.2025.06.029","DOIUrl":"10.1016/j.urology.2025.06.029","url":null,"abstract":"<p><strong>Objective: </strong>To define the impact of varicoceles (VX) on total testosterone (TT) levels in an aging male population.</p><p><strong>Methods: </strong>This retrospective analysis of a departmental database assessed patients ≥50 years of age, who had 2 testes, and recorded early morning TT levels. Patient demographics, comorbidity profiles, VX laterality, and VX grade were also analyzed.</p><p><strong>Results: </strong>Data were retrievable for 776 patients. Mean age was 66±12years. Around 140 (18%) patients had at least 1 VX on examination (VX+). Of these 118 (84%) had unilateral VX while 22 (16%) had bilateral. Mean TT for the VX+ group (336ng/dL±168) was statistically significantly lower than for the VX- group (472ng/dL ±267) (P<.01). Those with bilateral VX had lower TT (297ng/dL) than those with unilateral VX (372ng/dL) (P<.05). While 16% of the total VX+ population had TT levels <300ng/dl, these rates were 11% and 24% in men with unilateral and bilateral VX (P<.01). In those with unilateral VX, there was a relationship between VX grade and testosterone deficiency, with the highest likelihood associated with Grade III (r=0.65, P<.01). There was no association between Grade I and low T levels.</p><p><strong>Conclusion: </strong>In this population of men older than 50, the presence, laterality, and grade of VX were associated with lower levels of TT.</p>","PeriodicalId":23415,"journal":{"name":"Urology","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144310499","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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