A Review of Mentorship in Urology: Are We Satisfied?
AbstractPurpose of ReviewTo evaluate the state of mentorship in the field of urology.Recent FindingsMentorship has been shown to decrease burnout, increase recruitment of underrepresented minority groups, and have a positive influence on the career trajectory of mentees. Approximately half of surgical residency programs have mentorship programs. The current literature supports the idea that formal mentorship programs are successful based on level 1 satisfaction scores. However, studies are sparse and of low quality. Mentorship program success is rarely objectively measured.SummaryStructured mentorship programs appear to be...
Source: Current Urology Reports - December 2, 2022 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 - December 1, 2022 Category: Urology & Nephrology Source Type: research
Review of Robotic-Assisted Radical Nephrectomy with Inferior Vena Cava Thrombectomy in Renal Cell Carcinoma
AbstractPurpose of ReviewRecent advances in minimally invasive technology have compelled surgeons to perform nephrectomy with inferior vena cava thrombectomy using robotic assistance. Here, we aim to review the data comparing open versus robot-assisted nephrectomy with IVC thrombectomy, as well as review operative robotic techniques for nephrectomy with IVC thrombectomy.Recent FindingsOver the last decade, there have been increasing reports of successful robotic-assisted IVC thrombectomy among skilled robotic surgeons, with case series detailing operative technique, as well as operative and oncologic outcomes for levels I-...
Source: Current Urology Reports - December 1, 2022 Category: Urology & Nephrology Source Type: research
Microhematuria in Women Presenting for Overactive Bladder
The objective of this review is to provide an overview of current literature as well as highlight important guidelines that will aid physicians in the diagnostic workup of microscopic hematuria in patients experiencing symptoms of overactive bladder.Recent FindingsUpdated microscopic hematuria guidelines provide a structured and appropriate workup for women based on risk factors, which stratifies patients to prevent unnecessary procedures and imaging. Women presenting with microscopic hematuria in the setting of overactive bladder should undergo microscopic hematuria workup according to their risk stratification while rece...
Source: Current Urology Reports - November 29, 2022 Category: Urology & Nephrology Source Type: research
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 - November 29, 2022 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 - November 25, 2022 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 - November 24, 2022 Category: Urology & Nephrology Source Type: research
Changes in Urine Composition and Risk of Kidney Stone Disease Following Bariatric Surgery: A Systematic Review over Last 2 Decades
The objective of this paper is to perform a systematic review and meta-analysis of literature to evaluate the changes in urinary composition and risk of KSD following bariatric surgery.Recent FindingsA total of seven studies (2498 patients) underwent bariatric surgery with a mean age of 46.7 years and a male:female ratio of 1:3. The most popular bariatric surgery was the Roux-en-Y procedure. Meta-analysis of the studies showed that significant decrease in urinary calcium, citrate, and urate, and increase in urinary oxalate. There was also a nonsignificant volume reduction in the post- operative cohort. The decrease in ur...
Source: Current Urology Reports - November 22, 2022 Category: Urology & Nephrology Source Type: research
A Review on Penile Doppler and Ultrasonography for Erectile Dysfunction
AbstractPurpose of ReviewHerein, we seek to review the clinical applications of penile duplex Doppler ultrasound (PDDU) in sexual medicine practices and discuss the indications, protocols, advantages, and limitations of this diagnostic modality. Other more outdated diagnostic tests, such as cavernosometry, are briefly discussed to provide the reader a background of understanding on the evolution of diagnostic testing within the realm of sexual medicine.Recent FindingsPDDU has become a key diagnostic tool in the clinical evaluation of both erectile dysfunction (ED) and Peyronie ’s disease (PD). With the assistance of intr...
Source: Current Urology Reports - November 22, 2022 Category: Urology & Nephrology Source Type: research
Changes in Urine Composition and Risk of Kidney Stone Disease Following Bariatric Surgery: A Systematic Review over Last 2 Decades
The objective of this paper is to perform a systematic review and meta-analysis of literature to evaluate the changes in urinary composition and risk of KSD following bariatric surgery.Recent FindingsA total of seven studies (2498 patients) underwent bariatric surgery with a mean age of 46.7 years and a male:female ratio of 1:3. The most popular bariatric surgery was the Roux-en-Y procedure. Meta-analysis of the studies showed that significant decrease in urinary calcium, citrate, and urate, and increase in urinary oxalate. There was also a nonsignificant volume reduction in the post- operative cohort. The decrease in ur...
Source: Current Urology Reports - November 22, 2022 Category: Urology & Nephrology Source Type: research
A Review on Penile Doppler and Ultrasonography for Erectile Dysfunction
AbstractPurpose of ReviewHerein, we seek to review the clinical applications of penile duplex Doppler ultrasound (PDDU) in sexual medicine practices and discuss the indications, protocols, advantages, and limitations of this diagnostic modality. Other more outdated diagnostic tests, such as cavernosometry, are briefly discussed to provide the reader a background of understanding on the evolution of diagnostic testing within the realm of sexual medicine.Recent FindingsPDDU has become a key diagnostic tool in the clinical evaluation of both erectile dysfunction (ED) and Peyronie ’s disease (PD). With the assistance of intr...
Source: Current Urology Reports - November 22, 2022 Category: Urology & Nephrology Source Type: research
Genital Mutilation in Males
AbstractPurpose of the ReviewGenital mutilation in males can range from minor injuries (cuts from a blade) to severe urological emergencies (testicular or penile amputation). Due to the rarity of these events, there is a lack of extensive reports, as most of the available literature is regarding single cases. Genital mutilation has been associated with psychotic and non-psychotic causes, psychiatric conditions, drug consumption, sexual practices, or even cultural or religious beliefs. It is crucial to perform a psychiatric evaluation of these patients to obtain the best therapeutic approach. This manuscript serves as a rev...
Source: Current Urology Reports - November 19, 2022 Category: Urology & Nephrology Source Type: research
Advancements in Surgical Performance Evaluation and Feedback
AbstractPurpose of ReviewHow today ’s urology trainees acquire surgical skills has changed dramatically due to multiple forces placing strain on the graduate medical education mission. The development of workplace-based assessments that deliver feedback while capturing performance data has led to a paradigm shift toward individuali zed learning.Recent FindingsDelivering feedback that drives surgical skill development requires the educator to provide a meaningful assessment of the learner after an operative experience. Workplace-based assessment involves direct observation of routine clinical practice and has become a cen...
Source: Current Urology Reports - November 17, 2022 Category: Urology & Nephrology Source Type: research
Robotic Surgery for Stone Disease
AbstractPurpose of ReviewTo evaluate recent literature regarding the role of robotic technology in the treatment of nephrolithiasis with particular attention to complex technical procedures.Recent FindingsRobotic platforms including single-port robotics have been widely adopted in urological practice for the treatment of both malignant and benign conditions and has led to an expansion of the utilization of robot-assisted surgery to tackle challenging clinical scenarios such as bladder neck reconstruction, upper urinary tract reconstruction, and more recently complex stone disease. Presently, the American Urological Associa...
Source: Current Urology Reports - November 17, 2022 Category: Urology & Nephrology Source Type: research
