Changes in practice patterns of nephrolithiasis in the era of the coronavirus disease 2019 pandemic: a review
Purpose of review
The coronavirus disease 2019 (COVID-19) pandemic led to a drastic change in healthcare priorities, availability of resources and accommodation of different needs and scenarios. We sought to review the effect of the pandemic on different aspects of nephrolithiasis.
Recent findings
The pandemic resulted in a significant impact on management of patients with nephrolithiasis around the world. A significant decrease in patient presentation and differences in strategies of management to truncate exposure and surgery time and expedite patient discharge deferring definitive management has been noted. M...
Source: Current Opinion in Urology - February 1, 2022 Category: Urology & Nephrology Tags: IMPACT OF COVID ON UROLOGY HEALTHCARE: Edited by Dipen J. Parekh and Ranjith Ramasamy Source Type: research
The impact of COVID-19 on urology office visits and adoption of telemedicine services
Purpose of review
The purpose of this review article is to discuss the impact of Coronavirus Disease 2019 (COVID-19) on the evolution of telemedicine use for urology office visits.
Recent findings
The COVID-19 pandemic has caused a dramatic change in the delivery of healthcare. Fraught with numerous barriers previously, the need for healthcare delivery during a time of social distancing and increased healthcare requirements drove the adoption of telemedicine forward. This ’trial period’ over the last year has allowed us to appreciate the potential utility of telehealth-associated services in practice and con...
Source: Current Opinion in Urology - February 1, 2022 Category: Urology & Nephrology Tags: IMPACT OF COVID ON UROLOGY HEALTHCARE: Edited by Dipen J. Parekh and Ranjith Ramasamy Source Type: research
The adverse impact of COVID-19 on men's health
Purpose of review
The COVID-19 pandemic has led to devastating health outcomes across the world. Initially thought to primarily affect the respiratory system, there is now clear and abundant evidence that COVID-19 can impact upon the male genitourinary system and overall men's health. In this review article, we explore the potential mechanisms by which COVID-19 specifically affects men and we review the literature examining the adverse effects of the disease on men's health
Recent findings
Studies suggest that men are at higher risk for severe COVID-19 infection and death. COVID-19 infection has a negative impac...
Source: Current Opinion in Urology - February 1, 2022 Category: Urology & Nephrology Tags: IMPACT OF COVID ON UROLOGY HEALTHCARE: Edited by Dipen J. Parekh and Ranjith Ramasamy Source Type: research
Impact of coronavirus disease on the management of lower urinary tract symptoms and voiding dysfunction
Purpose of review
Coronavirus disease (COVID-19) has caused a crisis in the entire healthcare system since its emergence. The urgency and priority of various diseases have impacted the medical and surgical treatment in this period. We aim to review the impact of COVID-19 on lower urinary tract symptoms (LUTS) and management.
Recent findings
There may be a relationship between COVID-19 and de novo or increased LUTS. Patients with LUTS should also be evaluated for COVID-19. Management of diseases has varied during the COVID-19 due to the density of the pandemic. Virtual consultations can mitigate patients who are ...
Source: Current Opinion in Urology - February 1, 2022 Category: Urology & Nephrology Tags: IMPACT OF COVID ON UROLOGY HEALTHCARE: Edited by Dipen J. Parekh and Ranjith Ramasamy Source Type: research
Triaging urological surgeries to cope with the coronavirus-19 pandemic
Purpose of review
The coronavirus-19 (COVID-19) pandemic has led to strains on hospital resources and difficulties in safely and effectively triaging surgical procedures. In this article, we discuss the important considerations for triaging urologic surgeries during a global pandemic, mitigating factors on how to perform surgeries safely, and general guidelines for specific surgeries.
Recent findings
Many urological procedures have been cut back due to the pandemic, with benign disease states being most affected whereas oncology cases affected least. Current recommendations in urology triage life-threatening con...
Source: Current Opinion in Urology - February 1, 2022 Category: Urology & Nephrology Tags: IMPACT OF COVID ON UROLOGY HEALTHCARE: Edited by Dipen J. Parekh and Ranjith Ramasamy Source Type: research
Best nonsurgical managements of acute urinary retention: what's new?
Purpose of review
To provide a comprehensive review of the nonsurgical management of acute urinary retention (AUR).
Recent findings
A recent meta-analysis confirmed that α-blockers are associated with higher rates of successful trial without catheter (TWOC) compared with placebo, while combination therapies do not significantly reduce the rate of recatheterization. Compared with standard TWOC, bladder perfusion with physiological serum prior to catheter removal is a simple and cost-effective method to increase TWOC success rates (odds ratio 2.41, 95% confidence interval 1.53–3.8), and to reduce time-to-discha...
Source: Current Opinion in Urology - February 1, 2022 Category: Urology & Nephrology Tags: IMPACT OF COVID ON UROLOGY HEALTHCARE: Edited by Dipen J. Parekh and Ranjith Ramasamy Source Type: research
Editorial: Impact of coronavirus disease 2019 on urological healthcare
No abstract available (Source: Current Opinion in Urology)
Source: Current Opinion in Urology - February 1, 2022 Category: Urology & Nephrology Tags: IMPACT OF COVID ON UROLOGY HEALTHCARE: Edited by Dipen J. Parekh and Ranjith Ramasamy Source Type: research
Editorial introductions
No abstract available (Source: Current Opinion in Urology)
Source: Current Opinion in Urology - February 1, 2022 Category: Urology & Nephrology Tags: EDITORIAL INTRODUCTIONS Source Type: research
Robot-assisted radical cystectomy: surgical technique, perioperative and oncologic outcomes
Purpose of review
Radical cystectomy is a complex procedure that encompasses surgery involving the urinary, gastrointestinal tracts and the retroperitoneum, with significant morbidity. Robot-assisted radical cystectomy (RARC) has been introduced to improve perioperative outcomes.
Recent findings
It has been shown to provide equivalent oncologic outcomes to open radical cystectomy while providing some benefits in terms of perioperative outcomes. A complete intracorporeal approach utilizing intracorporeal urinary diversion may potentially offer additional benefits.
Summary
Herein, we describe our technique ...
Source: Current Opinion in Urology - November 30, 2021 Category: Urology & Nephrology Tags: SPECIAL COMMENTARIES Source Type: research
Are robots the future? A case for robotic pyeloplasty as the gold standard treatment in ureteropelvic junction obstruction
Purpose of review
Robotic pyeloplasty is still a relatively novel procedure. Clinically, early studies have shown high success rates, decreased complication rates, decreased length of hospital stay, and better cosmetic results. This goal of this article is to argue for the use of robotic pyeloplasty as the gold standard of ureteropelvic junction obstruction (UPJO) treatment. Results of studies that have compared robotic pyeloplasty with other procedures currently used are reviewed.
Recent findings
Our study, a comprehensive review of published outcomes of robotic pyeloplasty and alternative therapies, consisted ...
Source: Current Opinion in Urology - November 30, 2021 Category: Urology & Nephrology Tags: SPECIAL COMMENTARIES Source Type: research
Surgical treatment options for benign prostatic obstruction: beyond prostate volume
This article reviews the current treatment options available and distinguishes them based on five clinical considerations: antithrombotic therapy, sexual function preservation, ambulatory procedures, anesthesia-related risks and duration of catheterization.
Recent findings
A comprehensive review of the literature was performed on 10 BPO procedures. Laser enucleation of the prostate (LEP), bipolar plasma transurethral vaporization of the prostate and photoselective vaporization (PVP) of the prostate reduces the risk of bleeding, which is recommended for anticoagulated men. Ejaculatory function is more likely to be pr...
Source: Current Opinion in Urology - November 30, 2021 Category: Urology & Nephrology Tags: SPECIAL COMMENTARIES Source Type: research
Why do African–American men face higher risks for lethal prostate cancer?
Purpose of review
African–American men in the USA have a higher incidence of and mortality from prostate cancer (PCa), with a longstanding debate about the cause for these worse outcomes. This review examines differences in tumour biology and socioeconomics for African–American and Non-Hispanic White (NHW) men to answer the question ‘why AA men face higher risks for lethal PCa’ and draw a management consensus to redress the imbalance.
Recent findings
Recent evidence from over the past 2 years suggests the reasons why African–American men face a higher risk of lethal PCa are multifactorial, with contr...
Source: Current Opinion in Urology - November 30, 2021 Category: Urology & Nephrology Tags: PROSTATE CANCER: Edited by Matthew Cooperberg and Ashutosh K. Tewari Source Type: research
Is Grade Group 1 (Gleason score 3 + 3 = 6) adenocarcinoma of the prostate really cancer?
Purpose of review
Whether Grade Group 1 (GG1) prostate cancer is really cancer remains controversial.
Recent findings
Favoring renaming GG1 with a noncancerous diagnosis are: fear of the term cancer, which will lead to overtreatment of GG1; and indolence of GG1. Favor designating GG1 as cancer are: morphologically, GG1 may be indistinguishable from GG2 to GG5 and GG1 is invasive (lacks basal cells), can show perineural invasion and extraprostatic extension; molecularly, GG1 has many of the hallmarks of prostate cancer; calling GG1 noncancer would lead to inconsistencies and confusion in reporting; sampling error...
Source: Current Opinion in Urology - November 30, 2021 Category: Urology & Nephrology Tags: PROSTATE CANCER: Edited by Matthew Cooperberg and Ashutosh K. Tewari Source Type: research
Developments in optimizing transperineal prostate biopsy
Purpose of review
Prostate biopsy is a very commonly performed office procedure leading to the diagnosis of the most prevalent solid-organ malignancy in American men. Although the transrectal technique for prostate biopsy remains the gold standard, there is increasing interest in the transperineal approach as it offers a clean, percutaneous approach that significantly decreases the risk for infection. In this review, we discuss emerging developments in transperineal prostate biopsy that may optimize the way biopsies are performed in clinical practice.
Recent findings
Similarly, to transrectal biopsy, the transpe...
Source: Current Opinion in Urology - November 30, 2021 Category: Urology & Nephrology Tags: PROSTATE CANCER: Edited by Matthew Cooperberg and Ashutosh K. Tewari Source Type: research
Features and management of men with pN1 cM0 prostate cancer after radical prostatectomy and lymphadenectomy: a systematic review of population-based evidence
Purpose of review
To investigate the features and optimal management of pN+ cM0 prostate cancer (PCa) according to registry-based studies.
Recent findings
Up to 15% of PCa patients harbor lymph node invasion (pN+) at radical prostatectomy plus lymph node dissection. Nonetheless, the optimal management strategy in this setting is not well characterized.
Summary
We performed a systematic review including n = 13 studies. Management strategies comprised 13 536 men undergoing observation, 11 149 adjuvant androgen deprivation therapy (aADT), 7,075 adjuvant radiotherapy (aRT) +aADT and 705 aRT. Baseline ...
Source: Current Opinion in Urology - November 30, 2021 Category: Urology & Nephrology Tags: RARE UROLOGIC CANCERS: Edited by Philippe E. Spiess and Andrea Necchi Source Type: research
