IF 2 3区医学

Urology Pub Date : 2025-10-01 Epub Date: 2025-06-16 DOI: 10.1016/j.urology.2025.06.028

Nicholas Choi, Bristol B Whiles

引用次数: 0

Postpartum Spontaneous Ureteral Rupture. 产后自发性输尿管破裂。

IF 2 3区医学

Urology Pub Date : 2025-10-01 Epub Date: 2025-06-17 DOI: 10.1016/j.urology.2025.06.023

Ammar Al Homsi, Ayesha Alzarooni, Omar Almidani, Rashed Rowaiee, Waleed Hassen

引用次数: 0

Influence of Physician-Patient Gender Congruence and Language Interpreter Services in Urology. 泌尿科医患性别一致性及语言翻译服务的影响。

IF 2 3区医学

Urology Pub Date : 2025-10-01 Epub Date: 2025-06-22 DOI: 10.1016/j.urology.2025.06.042

Grace K Sarris, Max D Sandler, Adam D Williams, Katherine Amin, Alan J Wein, Raveen Syan

{"title":"Influence of Physician-Patient Gender Congruence and Language Interpreter Services in Urology.","authors":"Grace K Sarris, Max D Sandler, Adam D Williams, Katherine Amin, Alan J Wein, Raveen Syan","doi":"10.1016/j.urology.2025.06.042","DOIUrl":"10.1016/j.urology.2025.06.042","url":null,"abstract":"Objective: To examine how physician gender and language concordance impact patient satisfaction in a primarily Hispanic population.Methods: An anonymous survey was distributed at an academic urology clinic, assessing factors influencing physician selection, comfort with physician gender, language preferences, and interpreter impact. Chi-square tests analyzed categorical variables, with significance set at P <.05. Odds ratios (OR) reported with 95% confidence intervals (CI).Results: Of 255 participants, 51.4% preferred a same-gender physician, though most were comfortable discussing urinary (60%) and sexual health (58.4%) issues with opposite-gender physicians. Age correlated with comfort discussing urinary (P = .02) and sexual health (P = .01) issues; higher education also showed significant associations (P <.01). Black patients reported greater discomfort discussing urinary concerns with opposite-gender physicians (OR: 3.03, CI:1.1-7.6, P = .02). Language concordance was important to 38.4% of patients. Nearly half (45.9%) found interpreters beneficial, while 29% were neutral. Patients with at least a high school education were more likely to perceive interpreters negatively (OR: 3.8, CI: 1.4-10.5, P = .01).Conclusion: While patients are often comfortable discussing sensitive health issues with physicians of different genders, preferences still exist, particularly among certain demographic subsets. Our research suggests that language concordance and the resultant use of interpreter services may affect the experience of patients with higher education levels and, thus, the perceived quality of care. These findings highlight the importance of recognizing patient preferences and cultural sensitivities to create a more inclusive, comfortable healthcare environments.","PeriodicalId":23415,"journal":{"name":"Urology","volume":" ","pages":"343-349"},"PeriodicalIF":2.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144486066","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

Benign Non-Infectious Scrotal Dermatoses: An Overview. 良性非感染性阴囊皮肤病：综述。

IF 2 3区医学

Urology Pub Date : 2025-10-01 Epub Date: 2025-05-21 DOI: 10.1016/j.urology.2025.05.030

Katherine L Wang, James H Keeling Iii, Miguel A Aristizabal, Thais P Pincelli, Elisha M Singer

引用次数: 0

Self-Efficacy in Managing Female Sexual Dysfunction in Interstitial Cystitis. 自我效能感在处理间质性膀胱炎女性性功能障碍中的作用。

IF 2 3区医学

Urology Pub Date : 2025-10-01 Epub Date: 2025-05-27 DOI: 10.1016/j.urology.2025.05.010

Susanna Sutherland, A Grace Kelly, Elizabeth G Walsh, Roger R Dmochowski, Rochell Burton, Lindsey C McKernan

{"title":"Self-Efficacy in Managing Female Sexual Dysfunction in Interstitial Cystitis.","authors":"Susanna Sutherland, A Grace Kelly, Elizabeth G Walsh, Roger R Dmochowski, Rochell Burton, Lindsey C McKernan","doi":"10.1016/j.urology.2025.05.010","DOIUrl":"10.1016/j.urology.2025.05.010","url":null,"abstract":"Objective: To examine relations between clinical features and female sexual dysfunction (FSD) in a sample of women with Interstitial Cystitis/Bladder Pain Syndrome (IC/BPS), with a focus on sexual self-efficacy, or confidence in ability to manage symptoms. FSD is prevalent in IC/BPS. Several areas of sexual functioning are impacted, including experiences of pain during and after sex which is significantly disruptive to quality of life. Despite evidence that emotional health and FSD relate, less is known about how to address FSD in IC/BPS.Methods: Sixty-eight female participants [m = 43.89 (SD = 13.15) years] with IC/BPS reported demographics, diagnostic symptoms of IC/BPS, pain, mood, sexual self-efficacy, and sexual function. Regression explored the relation of urologic symptoms, pain and emotional distress to FSD, and the additional predictive utility of sexual self-efficacy when assessing this relationship.Results: While pelvic and mood symptoms effectively predicted FSD, the addition of sexual self-efficacy to the model produced significant model improvement, such that greater self-efficacy was associated with better sexual functioning, and variance in FSD was no longer predicted by pain or depression.Conclusion: Results emphasize the influential role that confidence in ability to manage symptoms plays in FSD, beyond known influences such as mood or symptom severity. Complementing existing treatment with education or intervention including skills-building to increase patient confidence in ability to manage sexual pain may improve sexual function in IC/BPS. A model of intervention appropriate for physician implementation in the clinical setting is discussed, and potential self-management strategies are reviewed.","PeriodicalId":23415,"journal":{"name":"Urology","volume":" ","pages":"80-86"},"PeriodicalIF":2.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144182903","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 "Exploring the Association Between Varicocele and Testosterone Deficiency in Men Over 50 Years of Age". 致编辑的信“探索50岁以上男性精索静脉曲张与睾酮缺乏之间的关系”。

IF 2 3区医学

Urology Pub Date : 2025-10-01 Epub Date: 2025-06-20 DOI: 10.1016/j.urology.2025.06.044

Yu-Hsiang Lin, Chen-Pang Hou, Chien-Lun Chen

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 3区医学

Urology Pub Date : 2025-10-01 Epub 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":"Objective: 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.Methods: We reviewed our institutional Cystectomy Registry to identify factors associated with LR. A risk score was created using the multivariable regression coefficients.Results: 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.Conclusion: 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.","PeriodicalId":23415,"journal":{"name":"Urology","volume":" ","pages":"143-150"},"PeriodicalIF":2.0,"publicationDate":"2025-10-01","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 "Incorporating Intra-Operative Education Into Ergonomics Training for Endourology Cases: A Pilot Study". 《将术中教育纳入泌尿外科病例人机工程学训练：一项初步研究》的评论。

IF 2 3区医学

Urology Pub Date : 2025-10-01 Epub Date: 2025-05-18 DOI: 10.1016/j.urology.2025.05.025

Shiv Mohan Bhanot

引用次数: 0

The Effect of Sperm DNA Fragmentation on Clinical Pregnancy and Miscarriage Following Intrauterine Insemination: Updated Systematic Review and Meta-analysis. 精子DNA片段对宫内授精后临床妊娠和流产的影响：最新的系统综述和荟萃分析。

IF 2 3区医学

Urology Pub Date : 2025-10-01 Epub Date: 2025-05-22 DOI: 10.1016/j.urology.2025.05.036

Xinyan Liu, Li Zhao, Yayun Lin, Yi Liu

{"title":"The Effect of Sperm DNA Fragmentation on Clinical Pregnancy and Miscarriage Following Intrauterine Insemination: Updated Systematic Review and Meta-analysis.","authors":"Xinyan Liu, Li Zhao, Yayun Lin, Yi Liu","doi":"10.1016/j.urology.2025.05.036","DOIUrl":"10.1016/j.urology.2025.05.036","url":null,"abstract":"Objective: To investigate the effect of sperm DNA fragmentation (SDF) on clinical pregnancy and miscarriage after intrauterine insemination (IUI).Methods: A systematic search of the PubMed, Embase, Web of Science and Cochrane Library was performed to identify all relevant studies published up to July 2024. The outcomes of interest were clinical pregnancy rate (CPR) and miscarriage rate (MR). Relative risk (RR) and 95% confidence intervals (CI) were calculated to analyze the effect of SDF on the CPR and MR after IUI.Results: A total of 7 studies (4018 cycles) were included in the analysis of CPR. Among these, 3 studies (361 cycles) that mentioned MR were included in the analysis of MR. The meta-analysis revealed that high SDF didn't significantly affect the CPR (RR = 0.82, 95% CI:0.52-1.29, P = .38). The MR in the high SDF group was numerically higher than that in the low SDF group, but the trend was not statistically significant (RR = 2.11, 95%CI:0.93-4.8, P = .07). Furthermore, five studies that used the sperm chromatin structure assay to measure SDF were included in the meta-analysis. The pooled analysis still suggested no statistically significant difference in CPR between the high SDF group and the low SDF group (RR = 0.76, 95%CI:0.43-1.31, P = .32).Conclusion: The pooled analysis suggested that high SDF didn't decrease the CPR after IUI. The MR tended to be higher in the high SDF group compared to the low SDF group, but the trend was not statistically significant. Given the limited number of included studies, the findings should be interpreted with caution.","PeriodicalId":23415,"journal":{"name":"Urology","volume":" ","pages":"234-241"},"PeriodicalIF":2.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144143413","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 "Experiences with Genitourinary Syndrome of Menopause and Barriers to Vaginal Estrogen Usage Reported by a National Sample of 1500 Women". 关于“全国1500名妇女报告的绝经期泌尿生殖系统综合征的经历和阴道雌激素使用障碍”致编辑的回信。

IF 2 3区医学

Urology Pub Date : 2025-10-01 Epub Date: 2025-07-15 DOI: 10.1016/j.urology.2025.07.005

Una J Lee, Sabrina Stair

引用次数: 0

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