Conservative Non-surgical Options for Erectile Dysfunction
This study aimed to review recent evidence on conservative non-surgical options for erectile dysfunction (ED) in men. A narrative review of the literature was performed. A comprehensive search in the MEDLINE, Embase, and Cochrane databases was done. Papers in English language, published from May 2017 until May 2022, were included. Papers reporting basic research or animal research were excluded, as long as reviews or meta-analyses. Congress reports, clinical cases, or clinical trials protocols with no results were also excluded.Recent FindingsWe found a multitude of different treatment modalities for ED. We must take into ...
Source: Current Urology Reports - February 1, 2023 Category: Urology & Nephrology Source Type: research
Penile Implant Instrument Innovations
AbstractPurpose of ReviewNumerous innovations have been made since the first inflatable penile prosthesis was introduced in 1973 —not just of the implant apparatus itself, but crucially also in the surgical instruments used for prosthetic surgery. Starting with Dr. Furlow’s revolutionary inserter tool, advancements were quickly made in dilators, retractors, and cavernotomes.Recent FindingsMore recent innovations have been made in inserter tools, forceps, needle holders, clamps, and disposable instruments. Leading companies Boston Scientific and Coloplast have contributed significantly to the evolution of IPP surgical p...
Source: Current Urology Reports - February 1, 2023 Category: Urology & Nephrology Source Type: research
Interventional Pain Management in the Treatment of Chronic Pelvic Pain
AbstractPurpose of ReviewChronic pelvic pain syndrome (CPPS) is a common yet complex disease in the field of urology, gynecology, and pain management. This review article summarizes the anatomy and physiology of CPP with an in-depth discussion of established and emerging interventional treatment options.Recent FindingsThough psychosocial variables play a significant role in the development and propagation of CPPS, interventional treatment strategies are available to ameliorate symptoms. Sympathetic and peripheral nerve blocks along with chemical and radiofrequency denervation are conventional, evidence-based treatments. Re...
Source: Current Urology Reports - January 31, 2023 Category: Urology & Nephrology Source Type: research
Outcomes Associated with the Endourological Management of Stent Encrustation: Findings from a Literature Review on Behalf of the EAU YAU Urolithiasis Group
AbstractPurpose of ReviewDouble J ureteric stents (DJs) are useful aids for urinary drainage in case of stones or tumour causing ureteric obstruction. Prolonged dwelling time such as when forgotten can lead to encrustation. Our aim was to perform a literature review to evaluate outcomes associated with endourological management of encrusted stents (ES).Recent FindingsThere now exist validated tools which can aid in grading the severity of encrustation and aid operative planning such as the total number of surgeries that may be required. Evaluation of different treatment strategies remains under reported.SummaryRemoval of e...
Source: Current Urology Reports - January 27, 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 - January 21, 2023 Category: Urology & Nephrology Source Type: research
Robotic-Assisted Surgery —a Highly Effective Modality for Vesicovaginal Fistula Repairs
AbstractPurpose of ReviewTo summarize recent experience with robotic vesicovaginal fistula repair and describe the contemporary technique.Recent FindingsRobotic vesicovaginal repair has been tested at multiple centers, with similar outcomes to open surgery. It has benefits including decreased hospital stay, less blood loss, and similar long-term outcomes. As long as the surgeon is experienced in robotic surgery, this technique appears to be promising.SummaryRobotic vesicovaginal repair results in similar outcomes to open surgery with decreased morbidity. (Source: Current Urology Reports)
Source: Current Urology Reports - January 10, 2023 Category: Urology & Nephrology Source Type: research
A Common Path: Magnetic Resonance Imaging of M üllerian and Wolffian Duct Anomalies
AbstractPurpose of ReviewThis review summarizes the pathway of Mullerian and Wolffian duct development, anomalies that result from disruptions to this pathway, and the characteristics on advanced imaging that identify them.Recent FindingsIn-office evaluation for reproductive anomalies is usually inadequate for the diagnosis of congenital reproductive anomalies. Magnetic resonance imaging (MRI) has usurped invasive diagnostic methods including laparoscopy, hysteroscopy, and vasography as the new gold standard. Because of its superior soft-tissue delineation and the availability of advanced functional sequences, MRI offers a...
Source: Current Urology Reports - January 3, 2023 Category: Urology & Nephrology Source Type: research
Pediatric Psychology in a Urology Division: Unifying Complex Medical and Mental Health Treatment
This article reviews the limited research on the use of psychology in a urology division, including psychosocial struggles across urology diagnoses, dysfunctional voiding, and anxiety surrounding medical procedures and surgery. Urinary diagnoses and presenting problems seen by pediatric psychologists and medical providers at an urban children ’s hospital are also included.SummaryBased on the complex conditions and varied presenting concerns in a urology division, potential assessments and future research are suggested to help gather data for this population moving forward and expand the literature on urology psychology. ...
Source: Current Urology Reports - January 1, 2023 Category: Urology & Nephrology Source Type: research
Ergonomic Considerations in Urologic Surgery
AbstractPurpose of ReviewThis paper aims to discuss the various work-related musculoskeletal disorders (WRMDs) among urologists and provide an overview of the latest recommendations to improve awareness of ergonomic principles that can be applied in the operating room, with special consideration of challenges faced during pregnancy.Recent FindingsUrologists suffer from a large burden of WRMDs. The main drivers of pain associated with the various surgical approaches include repetitive movements, static and awkward body positions, and the use of burdensome equipment. Pregnant surgeons are at an even greater risk of WRMDs and...
Source: Current Urology Reports - December 29, 2022 Category: Urology & Nephrology Source Type: research
Penile Implant Instrument Innovations
AbstractPurpose of ReviewNumerous innovations have been made since the first inflatable penile prosthesis was introduced in 1973 —not just of the implant apparatus itself, but crucially also in the surgical instruments used for prosthetic surgery. Starting with Dr. Furlow’s revolutionary inserter tool, advancements were quickly made in dilators, retractors, and cavernotomes.Recent FindingsMore recent innovations have been made in inserter tools, forceps, needle holders, clamps, and disposable instruments. Leading companies Boston Scientific and Coloplast have contributed significantly to the evolution of IPP surgical p...
Source: Current Urology Reports - December 21, 2022 Category: Urology & Nephrology Source Type: research
Robotic Partial Nephrectomy for Bilateral Renal Masses
AbstractPurpose of ReviewThere are very few data on patients undergoing robot-assisted partial nephrectomy (RAPN) for bilateral renal masses. The aim of this review is to update the literature and discuss the controversial points on this topic.Recent FindingsNine papers have been published regarding RAPN for bilateral renal masses. In particular, five papers were case reports while the remaining four reported patient series. Concerning the outcomes, all these papers highlighted the safety, feasibility, and efficacy of bilateral RAPN for bilateral renal masses.SummaryThe literature confirmed RAPN as an optimal procedure for...
Source: Current Urology Reports - December 20, 2022 Category: Urology & Nephrology Source Type: research
Financial Toxicity for Female Patients with Urinary Incontinence
AbstractPurpose of ReviewUrinary incontinence (UI) is a common global condition that has been noted to disproportionately affect women. In this review, the authors present discussion of factors contributing to cost of care and various modalities of cost-effective care for UI for female patients.Recent FindingsWe found insurance and out-of-pocket (OOP) costs strongly impact of costs for patients. Further, in evaluation of UI, diagnosis can be a costly multi-step process for effective treatment. Treatment can be multimodal, including non-surgical (e.g., pessary, vaginal insert, pelvic floor muscle training, or PFMT), of whic...
Source: Current Urology Reports - December 17, 2022 Category: Urology & Nephrology Source Type: research
Should Transperineal Prostate Biopsy Be the Standard of Care?
AbstractPurpose of ReviewWe reviewed the advantages and disadvantages of transperineal prostate biopsy (TP-bx) to evaluate its potential role as the standard of care for prostate biopsy.Recent FindingsStudies have suggested no difference in prostate cancer (PCa) detection rate between TP-bx and transrectal biopsy (TR-bx) but have suggested potentially increased detection of anterior prostate tumors. Advances in anesthetic technique have obviated the need for sedation thus allowing TP-bx to become an office-based procedure, which in turn can decrease the overall cost of TP-bx. Furthermore, given the low rate of infectious c...
Source: Current Urology Reports - December 13, 2022 Category: Urology & Nephrology Source Type: research
