Urology Practice最新文献

{"title":"PATIENT SATISFACTION FOLLOWING UROLOGY RETURN VISITS BASED ON PROVIDER TYPE.","authors":"Amanda E Black, Neda Qosja, Aaron Spaulding, Katie Bews, Kathryn Cardona, Yeonsoo Sara Lee, Laura E Geldmaker, Katherine McCoy, Jaine Zhang, David D Thiel","doi":"10.1097/UPJ.0000000000001095","DOIUrl":"https://doi.org/10.1097/UPJ.0000000000001095","url":null,"abstract":"<p><strong>Objective: </strong>We aimed to evaluate patient satisfaction with Urology return visits between Advanced Practice Providers (APP) and Physicians in a tertiary Urology practice.</p><p><strong>Methods: </strong>Outpatient Urology visits between January 2023 to June 2024 were obtained from electronic medical records. Patients who completed a Press Ganey Patient Satisfaction Survey after return visits were identified. Return visits were conducted either by a physician or APP. The objective was to evaluate the Topbox score defined by the percentage of patients who selected \"Very Good\" for each survey question. Chi-square tests were utilized to compare the differences for both provider types.</p><p><strong>Results: </strong>A total of 2522 patients completed the survey, including 1060 patients who saw a physician and 1462 patients who saw an APP. There was no significant difference in patient satisfaction as both cohorts received similar ratings for each question. This included the rating of overall care received (93.7% vs. 93.2%; p=0.64), concern the provider showed for questions/worries (92.3% vs 92.8%; p=0.66), explanation the provider gave about the condition/problem (92.4% vs 93.6%; p=0.26), and discussion of proposed treatment (92.3% vs 91.6%; p=0.54) for physicians and APPs respectively.Additional ratings included the friendless/courtesy of the provider (95.0% vs 95.5%; p=0.68), confidence level (95.2% vs 94.1%; p=0.31), ability for the provider to use words that the patient could understand (94.2% vs 93.9%; p=0.79), and instructions given about follow up care (91.7% vs 92.3%; p=0.67).</p><p><strong>Conclusions: </strong>There is no difference in Press Ganey patient satisfaction scores between physicians and APPs with regards to Urology return visits.</p>","PeriodicalId":45220,"journal":{"name":"Urology Practice","volume":" ","pages":"101097UPJ0000000000001095"},"PeriodicalIF":1.6,"publicationDate":"2026-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149041396","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Editorial Commentary.","authors":"Richard J Boxer","doi":"10.1097/UPJ.0000000000001081","DOIUrl":"https://doi.org/10.1097/UPJ.0000000000001081","url":null,"abstract":"","PeriodicalId":45220,"journal":{"name":"Urology Practice","volume":" ","pages":"101097UPJ0000000000001081"},"PeriodicalIF":1.6,"publicationDate":"2026-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149026254","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reply by Authors.","authors":"Saawan D Patel, Evan Rosario, Robert Stetson, Ariana L Smith","doi":"10.1097/UPJ.0000000000001076","DOIUrl":"https://doi.org/10.1097/UPJ.0000000000001076","url":null,"abstract":"","PeriodicalId":45220,"journal":{"name":"Urology Practice","volume":" ","pages":"101097UPJ0000000000001076"},"PeriodicalIF":1.6,"publicationDate":"2026-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149018216","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Trends in Pediatric Urology Resident Operative Exposure and Autonomy: An 11-Year National Study.","authors":"Tejal H Patel, Hannah Glick, Yoon Soo Park, Sean O Hogan, Gina M Badalato, Wesley A Mayer, Kate H Kraft","doi":"10.1097/UPJ.0000000000001090","DOIUrl":"https://doi.org/10.1097/UPJ.0000000000001090","url":null,"abstract":"<p><strong>Purpose: </strong>Fewer urology residents are pursuing pediatric urology fellowship. Studies have examined potential associations between surgical residents' operative experience, autonomy, and exposure and fellowship pursuit. This relationship has not been examined with respect to pediatric urology. Furthermore, no study has characterized national trends in pediatric urology operative exposure and autonomy. We analyzed how pediatric urology case log volume and autonomy has changed over time for urology residents.</p><p><strong>Materials and methods: </strong>A retrospective, national cohort study was completed utilizing Accreditation Council for Graduate Medical Education (ACGME) urology case log data. Variables analyzed included case category (major vs. minor), operative role, and autonomy score. ANOVA was performed to analyze differences in resident role and procedure type over time.</p><p><strong>Results: </strong>Our study included 3,391 graduating urology chief residents from 145 ACGME accredited programs who completed training from 2013 to 2023. The mean pediatric major cases per resident by graduation declined from 72.43 (SD 35.09) in 2013 to 54.14 (SD 28.05) in 2023. Pediatric minor cases remained stable, with 127.79 (SD 62.93) cases in 2013 and 124.14 (SD 65.28) in 2023. Autonomy scores declined from 2013 to 2023 for both categories (86% to 73% for major cases; 94% to 82% for minor cases).</p><p><strong>Conclusions: </strong>Over time, urology residents are experiencing less operative exposure to pediatric major cases, while exposure to minor cases has remained stable. Resident autonomy during pediatric cases has decreased for both categories. Future studies should explore how decreased exposure and autonomy impacts resident confidence and preparedness, as well as the likelihood of pursuing pediatric urology fellowship.</p>","PeriodicalId":45220,"journal":{"name":"Urology Practice","volume":" ","pages":"101097UPJ0000000000001090"},"PeriodicalIF":1.6,"publicationDate":"2026-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148991827","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Editorial Commentary.","authors":"Kaela M Mali, Kevin Koo","doi":"10.1097/UPJ.0000000000001075","DOIUrl":"10.1097/UPJ.0000000000001075","url":null,"abstract":"","PeriodicalId":45220,"journal":{"name":"Urology Practice","volume":" ","pages":"101097UPJ0000000000001075"},"PeriodicalIF":1.6,"publicationDate":"2026-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148991753","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Synchronous versus Staged Implantation of Inflatable Penile Prosthesis and Artificial Urinary Sphincter: A Nationwide Analysis of Infection and Revision Outcomes.","authors":"T Anne Zwaschka, Shufeng Li, Chiyuan Amy Zhang, Nicholas Sellke, Michael Scott, Michael Eisenberg","doi":"10.1097/UPJ.0000000000001089","DOIUrl":"https://doi.org/10.1097/UPJ.0000000000001089","url":null,"abstract":"<p><strong>Introduction: </strong>The timing of implantation of inflatable penile prostheses (IPP) and artificial urinary sphincters (AUS) in patients requiring both devices remains controversial, with limited data comparing outcomes between synchronous dual implantation versus staged procedures.</p><p><strong>Objectives: </strong>To assess the association between timing of IPP and AUS implantation and subsequent rates of device infection, revision, removal, or replacement using real-world administrative claims data.</p><p><strong>Methods: </strong>We performed a retrospective review using the Merative^TM Marketscan® research databases from 2007 to 2023. Men undergoing IPP and/or AUS implantation were identified using CPT diagnosis and ICD procedure codes. Patients were stratified into four groups: synchronous dual implantation, solitary implant (IPP or AUS alone), and staged implantation (IPP or AUS first, followed by the other device). The primary composite outcome was device infection, revision, removal, or replacement. Patient demographics and comorbidities were collected. Kaplan-Meier survival analysis and multivariable Cox proportional hazards regression models were used to compare outcomes between groups, adjusting for relevant clinical variables.</p><p><strong>Results: </strong>We identified 18,426 men who underwent IPP placement, 4,523 men who underwent AUS placement, and 659 men receiving both implants. Of these, 357 underwent concurrent IPP and AUS implantation, while 302 were implanted in a staged fashion. There was a higher risk of infection when placing two implants compared to placing one implant (HR 1.43 (1.13-1.80), p= 0.0032). However, synchronous placement of IPP and AUS was not associated with an increased risk of reoperation compared to staged placement (HR 1.50 (95% CI 0.87-2.58), p=0.2).</p><p><strong>Conclusions: </strong>In the largest known cohort study of its kind, synchronous placement of IPP and AUS is not associated with higher rates of reoperation compared to staged placement, supporting the feasibility of concurrent implantation.</p>","PeriodicalId":45220,"journal":{"name":"Urology Practice","volume":" ","pages":"101097UPJ0000000000001089"},"PeriodicalIF":1.6,"publicationDate":"2026-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148945975","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Editorial Commentary.","authors":"Brian D Cortese, Ruchika Talwar","doi":"10.1097/UPJ.0000000000001071","DOIUrl":"10.1097/UPJ.0000000000001071","url":null,"abstract":"","PeriodicalId":45220,"journal":{"name":"Urology Practice","volume":" ","pages":"101097UPJ0000000000001071"},"PeriodicalIF":1.6,"publicationDate":"2026-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148907648","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Modern Urology Pipeline: Career Trajectories of Recent Residency Graduates.","authors":"David E Hinojosa-Gonzalez, Alejandro Calvillo-Ramirez, Andres Gutierrez-Gamez, Mauricio Torres-Martinez, Payton Coady, Sahil Tonk, Jordan Kassab, Gal Saffati-Grunhaus, Amelia G Oppenheimer, Aidan Boyne, Niki N Parikh, Niccolo M Passoni, Abhinav Sidana, Mohit M Khera, Jeremy R Slawin, Jennifer M Taylor, Wesley A Mayer","doi":"10.1097/UPJ.0000000000001086","DOIUrl":"10.1097/UPJ.0000000000001086","url":null,"abstract":"<p><strong>Introduction: </strong>Urology residency graduates face a pivotal transition when deciding on fellowship training and eventual practice setting. While traditionally a fellowship was a gateway to academia, recent trends reveal increasing pursuit due to job market concerns and perceived gaps in operative preparedness. We aimed to identify factors influencing urological fellowship pursuit and subsequent career trajectories.</p><p><strong>Methods: </strong>We analyzed a previously created database of publicly available information of ACGME-accredited urology residency graduates from 2022-2025. Data were obtained from institutional, residency, fellowship, and employment profiles. Outcomes included fellowship enrollment and employment in academia or private practice. Statistical analyses included Students t-tests, Mann-Whitney U, Chi-square tests, and multivariable logistic regression.</p><p><strong>Results: </strong>Among 1,310 graduates identified, 46.0% (n=602) pursued fellowship training. Predictors of fellowship pursuit included female gender (53.0% vs 43.1%, p=0.001), holding another graduate degree (64.6% vs 43.9%, p<0.001), and graduation from a top-quartile Doximity-ranked program (51.9 % vs 34.0% of graduates in the last quartile, p<0.001). Overall, 75.2% of graduates entered private practice and 24.8% academia. Those within academia were more likely to have completed fellowship training (49.6% vs 11.9%, p<0.001), and a six-year residency with dedicated research year (33.0% vs 22.5%, p=0.002). Female gender was also associated with fellowship subspecialty choice, comprising 80% of URPS fellows compared with 22.1% of SUO fellows.</p><p><strong>Conclusions: </strong>Despite most graduates entering private practice, nearly half pursue fellowship training. Meanwhile, those working in academia are more likely to have completed a fellowship or trained in a six-year residency or a top-ranked program. Notably gender disparities persist in fellowship subspecialty selection.</p>","PeriodicalId":45220,"journal":{"name":"Urology Practice","volume":" ","pages":"101097UPJ0000000000001086"},"PeriodicalIF":1.6,"publicationDate":"2026-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148907699","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Component-Level Cost and Variability Drivers of Intradetrusor OnabotulinumtoxinA Injections Across Office and Operating Room Settings.","authors":"Saawan D Patel, Evan Rosario, Robert Stetson, Ariana L Smith","doi":"10.1097/UPJ.0000000000001067","DOIUrl":"10.1097/UPJ.0000000000001067","url":null,"abstract":"<p><strong>Purpose: </strong>To identify component-level drivers of cost variability for intradetrusor onabotulinumtoxinA (BTX-A) injections for overactive bladder across office-based clinic, tertiary operating room (OR), and hospital outpatient department (HOPD) settings.</p><p><strong>Methods: </strong>We performed a retrospective cost analysis of BTX-A injection encounters from January 2020 to June 2025 using institutional activity-based cost accounting data. Costs were grouped into procedural components and categorized as direct or indirect. Mean costs were compared using Welch's t-tests with Bonferroni correction. Utilization-adjusted variance decomposition identified component-level drivers of cost variability.</p><p><strong>Results: </strong>The cohort included 322 tertiary OR, 125 HOPD, and 1,492 clinic encounters. Mean total costs were $4,633.87 in the tertiary OR, $5,063.32 in the HOPD, and $1,899.01 in clinic. Total cost variability differed by setting. In the tertiary OR, variability was driven by supplies (29.5%), OR time (25.7%), and post-anesthesia recovery (25.5%), while direct cost variability was dominated by supplies (45.1%) and indirect variability by OR time (56.0%). In the HOPD, total cost variability was driven by OR time (41.2%), anesthesia (29.2%), and recovery (16.1%), with similar drivers of indirect variability. In clinic, total and direct cost variability were driven primarily by cystoscopy (63.9% and 68.7%) and BTX-A (36.1% and 31.3%), while indirect variability was driven by BTX-A (65.4%).</p><p><strong>Conclusions: </strong>Cost variability differs substantially across procedural settings. Cost-containment efforts should target setting-specific variance drivers rather than mean costs or site of service alone.</p>","PeriodicalId":45220,"journal":{"name":"Urology Practice","volume":" ","pages":"101097UPJ0000000000001067"},"PeriodicalIF":1.6,"publicationDate":"2026-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148889115","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reply by Authors.","authors":"Shu Wang, Kyle A Blum, Parsa Iranmahboub, Helen Xu, Priya Dave, Douglas S Scherr","doi":"10.1097/UPJ.0000000000001064","DOIUrl":"https://doi.org/10.1097/UPJ.0000000000001064","url":null,"abstract":"","PeriodicalId":45220,"journal":{"name":"Urology Practice","volume":" ","pages":"101097UPJ0000000000001064"},"PeriodicalIF":1.6,"publicationDate":"2026-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148867185","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}