Urology Practice最新文献

{"title":"Utility of Men's Health Trained General Practitioners in a Urologic Men's Health Clinic.","authors":"Lourens M Jacobs, Yool Ko, Rachele Molyneaux, Maximilian G Fidel, Dhiraj S Bal, Harliv Dhillon, Connor Roque, Jainik Shah, Avinash Sarcar, Premal Patel","doi":"10.1097/UPJ.0000000000001097","DOIUrl":"https://doi.org/10.1097/UPJ.0000000000001097","url":null,"abstract":"","PeriodicalId":45220,"journal":{"name":"Urology Practice","volume":" ","pages":"101097UPJ0000000000001097"},"PeriodicalIF":1.6,"publicationDate":"2026-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149065046","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":"John M Myrga, Stephen V Jackman","doi":"10.1097/UPJ.0000000000001084","DOIUrl":"10.1097/UPJ.0000000000001084","url":null,"abstract":"","PeriodicalId":45220,"journal":{"name":"Urology Practice","volume":" ","pages":"101097UPJ0000000000001084"},"PeriodicalIF":1.6,"publicationDate":"2026-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149041356","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":"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":"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":"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":"10.1097/UPJ.0000000000001090","url":null,"abstract":"<p><strong>Introduction: </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 for 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>Methods: </strong>A retrospective, national cohort study was completed using 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 3391 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 have been 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 affects 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":"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 because of 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 to 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 Student <i>t</i> tests, Mann-Whitney <i>U</i>, chi-square tests, and multivariable logistic regression.</p><p><strong>Results: </strong>Among 1310 graduates identified, 46.0% (n = 602) pursued fellowship training. Predictors of fellowship pursuit included female sex (53.0% vs 43.1%, <i>P</i> = .001), holding another graduate degree (64.6% vs 43.9%, <i>P</i> < .001), and graduation from a top-quartile Doximity-ranked program (51.9% vs 34.0% of graduates in the last quartile, <i>P</i> < .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%, <i>P</i> < .001) and a 6-year residency with dedicated research year (33.0% vs 22.5%, <i>P</i> = .002). Female sex was also associated with fellowship subspecialty choice, comprising 80% of urogynecology and reconstructive pelvic surgery fellows compared with 22.1% of Society of Urologic Oncology 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 6-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":"The Growing Urology Workforce Crisis: Lessons from Rising Transfer Burden in Central Massachusetts.","authors":"Orly Guerra, Xiao J Tong, Elisa Rocha, Jeffrey Merida, Jennifer E Fantasia, Jennifer K Yates, Mitchell H Sokoloff","doi":"10.1097/UPJ.0000000000001078","DOIUrl":"10.1097/UPJ.0000000000001078","url":null,"abstract":"","PeriodicalId":45220,"journal":{"name":"Urology Practice","volume":" ","pages":"101097UPJ0000000000001078"},"PeriodicalIF":1.6,"publicationDate":"2026-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148881605","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":"Postoperative Upper Tract Reconstruction Renal Ultrasound Protocol: Safe and Effective Ureteral Stricture Surveillance and Outcomes.","authors":"Benjamin E Cedars, Anh T Nguyen, Michael W Witthaus, Eric Y Cho, Sunchin Kim, Thomas W Fuller, Jill C Buckley","doi":"10.1097/UPJ.0000000000001083","DOIUrl":"10.1097/UPJ.0000000000001083","url":null,"abstract":"<p><strong>Introduction: </strong>There is no standardized postoperative surveillance for upper tract reconstruction, with frequent use of nuclear medicine renal scans (NMRSs). We propose a protocol using renal ultrasonography (RUS) as the initial assessment tool, reserving secondary studies to evaluate patients with worse hydronephrosis or persistent symptoms.</p><p><strong>Methods: </strong>This was a retrospective analysis of a prospectively designed imaging protocol at a single institution, 2016 to 2022. The protocol uses screening RUS at 3 and 12 months, with NMRS or ureteroscopy as clinically indicated. Diagnostic accuracy of 3-month RUS was assessed with 95% CIs.</p><p><strong>Results: </strong>One hundred thirty-six patients underwent ureteral reconstruction, accounting for 144 reconstructive procedures. The primary success rate was 91.9%, increasing to 94.1% after revision surgery. Among 110 renal units with paired baseline and 3-month RUS, hydronephrosis was improved in 65.5%, stable in 31.8%, and worse in 2.7%. Eleven patients required reintervention. Based on clinical suspicion and/or worsening imaging, 27 patients (19.9%) underwent NMRS and 18 underwent ureteroscopy. Three-month RUS was highly specific (98.1%) for subsequent reintervention, and 102 of 107 renal units (95.3%) with stable/improved hydronephrosis required no intervention. Five of the 6 reinterventions among imaged units followed reassuring ultrasound and were identified by symptom-directed evaluation.</p><p><strong>Conclusions: </strong>RUS with clinical monitoring is an effective modality for postoperative surveillance after ureteral reconstruction, allowing more than 80% of patients to avoid NMRS. Stable or improved hydronephrosis reliably identified patients requiring no further intervention, while most failures were detected through symptoms rather than imaging alone. Nuclear scans and ureteroscopy should be reserved for patients with symptoms or imaging suggestive of obstruction.</p>","PeriodicalId":45220,"journal":{"name":"Urology Practice","volume":" ","pages":"101097UPJ0000000000001083"},"PeriodicalIF":1.6,"publicationDate":"2026-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148881577","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":"Burnout in Urology is a Quality of Care Problem, and Joy in Work is the Solution.","authors":"Max Bowman, John S Lam, Kevin Koo, Kate H Kraft, Andrew Harris, Amanda North","doi":"10.1097/UPJ.0000000000001027","DOIUrl":"10.1097/UPJ.0000000000001027","url":null,"abstract":"","PeriodicalId":45220,"journal":{"name":"Urology Practice","volume":" ","pages":"464-467"},"PeriodicalIF":1.6,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148043214","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}