Understanding Options for the Unmatched Urology Applicant
AbstractPurpose of ReviewTo evaluate recent literature regarding the pathways and options for unmatched urology applicants.Recent FindingsUrology remains a competitive surgical sub-specialty with a match process independent of the National Resident Matching Program. Each year a cohort of competitive applicants go unmatched and are faced with the decision to reapply the following cycle while doing a research fellowship or a preliminary internship in the interim or choose a different specialty altogether. In this review, we sought to evaluate the current match process and literature regarding outcomes and options for unmatch...
Source: Current Urology Reports - February 28, 2023 Category: Urology & Nephrology Source Type: research
Role of Hounsfield Unit in Predicting Outcomes of Shock Wave Lithotripsy for Renal Calculi: Outcomes of a Systematic Review
AbstractPurpose of ReviewExtracorporeal shock wave lithotripsy success rates depend on several stone and patient-related factors, one of which is stone density which is calculated on computed tomography scan in Hounsfield Units. Studies have shown inverse correlation between SWL success and HU; however, there remains considerable variation between studies. We performed a systematic review regarding the use of HU in SWL for renal calculi to consolidate the current evidence and address current knowledge gaps.Recent FindingsDatabase including MEDLINE, EMBASE, and Scopus were searched from inception through August 2022. Studie...
Source: Current Urology Reports - February 21, 2023 Category: Urology & Nephrology Source Type: research
Exploring the Use of Artificial Intelligence in the Management of Prostate Cancer
AbstractPurpose of ReviewThis review aims to explore the current state of research on the use of artificial intelligence (AI) in the management of prostate cancer. We examine the various applications of AI in prostate cancer, including image analysis, prediction of treatment outcomes, and patient stratification. Additionally, the review will evaluate the current limitations and challenges faced in the implementation of AI in prostate cancer management.Recent FindingsRecent literature has focused particularly on the use of AI in radiomics, pathomics, the evaluation of surgical skills, and patient outcomes.SummaryAI has the ...
Source: Current Urology Reports - February 18, 2023 Category: Urology & Nephrology Source Type: research
Comparison of Contemporary Surgical Outcomes Between Holmium Laser Enucleation of the Prostate and Robotic-Assisted Simple Prostatectomy
This study reviews contemporary literature on RASP and HoLEP to evaluate perioperative outcomes, common complications, cost analytics, and future directions of both procedures.Recent FindingsRASP is indicated for prostates > 80 mL, while HoLEP is size-independent. No notable differences were found in operative time, PSA nadir (surrogate for enucleation volume), re-catheterization rates, or long-term durability. Prolonged incontinence and bladder neck contracture rates are low for both surgeries. Patients experience similar satisfaction outcomes and improvements in uroflowmetry and post-void residual volumes. HoLE...
Source: Current Urology Reports - February 17, 2023 Category: Urology & Nephrology Source Type: research
Diversity, Equity, and Inclusion: Advancing Curricular Development and Recruitment
AbstractPurpose of ReviewCurrently, the increasing diversity of our society is poorly reflected in the urology workforce. In this review, we sought to address this disparity by highlighting key components involved in forming an academic urology department and training program that is focused on diversity, equity, and inclusion (DEI) as well as recruitment and retention of underrepresented in medicine (URiM) trainees and faculty.Recent FindingsWe identified obstacles and provided approaches to enhance the ability of a department in creating a DEI-based curriculum and recruitment strategy with a key focus on understanding an...
Source: Current Urology Reports - February 11, 2023 Category: Urology & Nephrology Source Type: research
Developing a Physician-Led Model for Research Mentorship in Academic Urology
AbstractPurpose of ReviewQuality mentorship is difficult to attain amidst the conflicting demands of academic medicine. In this review, we sought to characterize mentor –mentee relationships and discuss their optimization towards productivity in the research team setting.Recent FindingsA high-value mentor, defined by exceptional commitment to both research productivity and mentoring, naturally attracts prospective mentees, who can demonstrate their interest by shadowing and completing delegated tasks. Once fully initiated, the mentee establishes expectations with the mentor, identifies their roles within the research tea...
Source: Current Urology Reports - February 10, 2023 Category: Urology & Nephrology Source Type: research
Urinary Incontinence in Elite Female Athletes
AbstractPurpose of ReviewTo summarize the current understanding on the epidemiology, pathophysiology, and management strategies of urinary incontinence (UI) in female athletes, highlighting findings specific to nulliparous elite athletes.Recent FindingsUI occurs in about 20–50% of female athletes of all ages and parity status, around 40% for younger nulliparous athletes, and is more prevalent in high-impact sports. Possible contributing factors to UI in female elite athletes include pelvic floor laxity and bladder neck descent, pelvic floor muscle fatigue, low energy availability, and hypermobility syndrome. In female el...
Source: Current Urology Reports - February 1, 2023 Category: Urology & Nephrology Source Type: research
A Systematic Review of Partner Satisfaction After Penile Prosthesis with Special Emphasis on LGBTQ + Populations
AbstractPurpose of ReviewDespite the current surgical advances and patients ’ satisfactions after penile prosthesis (PP) implantation, there has been paucity of data on reported partner satisfaction and their quality-of-life (QoL). Our objective was to summarize the current literature on partner satisfaction for both heterosexual and non-heterosexual populations, respecti vely. We specifically conducted a systematic review according to the Cochrane and Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) standards, and stratified studies into three tiers by methodological rigor.Recent FindingsAfter...
Source: Current Urology Reports - February 1, 2023 Category: Urology & Nephrology Source Type: research
Vaginal Hormone Therapy for Conditions of the Lower Urinary Tract
AbstractPurpose of ReviewUp to half of postmenopausal women experience genitourinary symptoms secondary to hormone deficiency, and there is little consensus on the use of vaginal hormone therapy (VHT) for lower urinary tract symptoms (LUTS) in these patients. This is a review of the scientific literature in the last decade evaluating the use of VHT for disorders of the lower urinary tract including overactive bladder (OAB), stress urinary incontinence (SUI), recurrent urinary tract infections (UTI), and interstitial cystitis/bladder pain syndrome (ICS/BPS).Recent FindingsVaginal estrogen therapy improves OAB symptoms in po...
Source: Current Urology Reports - February 1, 2023 Category: Urology & Nephrology Source Type: research
