Aggressive angiomyxoma in an 11-year-old boy - diagnostic and therapeutic dilemmas: an unusual case report and review of the literature.
We present 11-year-old boy who underwent macroscopically radical excision of right scrotal AAM. The patient has been already followed up for 29 months utilizi ng US every 6 months and MRI every 2 years. Residual scrotal mass has been visualized in MRI 3 month after surgery however no further growth was reported. Long term follow up with reliable local imaging is mandatory. (Source: Urology)
Source: Urology - May 28, 2020 Category: Urology & Nephrology Authors: Klaudia K. Korecka, Lidia E. Hyla-Klekot, Grzegorz P. Kudela, Piotr A. Pale ń, Maciej W. Kajor, Tomasz K. Koszutski Tags: Pediatric Case Reports Source Type: research

Obesity and Overactive Bladder: Is it a matter of body weight, fat distribution or function? A preliminary results.
To determine the relationship between subcutaneous fat (SFA), visceral fat surface area (VFA), bladder wall fat distribution, and visceral adiposity index (VAI) as risk factors for overactive bladder (OAB) occurrence. (Source: Urology)
Source: Urology - May 28, 2020 Category: Urology & Nephrology Authors: M.A. Elbaset, Diaa-Eldin Taha, Doaa Elsayed Sharaf, Rawdy Ashour, Ahmed S. El-Hefnawy Tags: Female Urology Source Type: research

Ureteral Extension of Cystic Childhood Renal Tumors: A Case Series and Review of Literature
In this report, we present three children with cystic renal tumors extending into the ureter and review the relevant literature. (Source: Urology)
Source: Urology - May 28, 2020 Category: Urology & Nephrology Authors: Ahmed Abdelhalim, Ashraf T. Hafez, Mohamed Dawaba Source Type: research

Patient counseling through the pelvicalyceal-shaped labyrinth: in search of an easy understanding of the upcoming stone removal: a pilot study
To investigate the impact of a mobile application (app) displaying a visualization of the internal anatomy of the pelvicalyceal system (PCS) and of kidney stones on patient understanding of their affected kidney anatomy and their upcoming percutaneous nephrolithotripsy (PCNL). (Source: Urology)
Source: Urology - May 28, 2020 Category: Urology & Nephrology Authors: B. Guliev, B. Komyakov, A. Galfano, A Talyshinskii Source Type: research

Shortness of Breath Secondary to  a Massive Bladder Diverticulum: A Unique Transvesical Repair
Bladder diverticula are herniations of the bladder urothelium resulting in a thin diverticular wall consisting of mucosa, lamina propria, adventitia, and, in some instances, non-functioning detrusor muscle fibers. They can be congenital, or more commonly acquired. Bladder diverticula are often asymptomatic and are usually first noted as incidental findings on cystoscopy or radiographic imaging. However, large diverticula can be responsible for symptoms such as recurrent urinary tract infections, bladder stones, hematuria, and ureteral obstruction. (Source: Urology)
Source: Urology - May 28, 2020 Category: Urology & Nephrology Authors: Yu Zheng, Nicholas Major, Eric Rovner Tags: Grand Rounds Source Type: research

Obstructive sleep apnea syndrome as a potential cause of nocturia in younger adults
To investigate the impact of age on the relationship between obstructive sleep apnea syndrome (OSAS), nocturia, and other lower urinary tract symptoms (LUTSs). (Source: Urology)
Source: Urology - May 28, 2020 Category: Urology & Nephrology Authors: Yasuyuki MIYAUCHI, Homare OKAZOE, Makiko TAMAKI, Takako KAKEHI, Hirohisa ICHIKAWA, Yukako ARAKAWA, Yoshihiro MORI, Fumikazu KOUI, Mikio SUGIMOTO, Yoshiyuki KAKEHI Tags: Health Services Research Source Type: research

The Good, the Bad, and the Ugly of the COVID-19 Pandemic in a Urology Residency Program in Singapore
To the Editor: The COVID-19 pandemic has affected Residency training worldwide in an unprecedented fashion.1-3 Residency Programs have been abruptly asked to respond in innovative and dynamic ways in the face of the pandemic.4 We share important lessons and insights about the impact on a Urology Residency Program in an Academic Medical Center in Singapore. We focus our discussion around the Academic, Administrative, Professional, and Personal Developmental aspects of Residency training. (Source: Urology)
Source: Urology - May 28, 2020 Category: Urology & Nephrology Authors: Yi Quan Tan, Ziting Wang, Ho Yee Tiong, Edmund Chiong Tags: Letters to the Editor Source Type: research

Are Routine Laboratory Investigations Necessary Following Percutaneous Nephrolithotomy?
To determine how effective routine post-operative blood work is in identifying complications after percutaneous nephrolithotomy (PCNL), the gold standard treatment for large volume stone disease. Although major complication rates are low, hemorrhagic and sepsis-related complications are serious and can occur. Routine post-PCNL complete blood count (CBC) is routinely performed by most endourologists but may be a low-value practice. (Source: Urology)
Source: Urology - May 27, 2020 Category: Urology & Nephrology Authors: Luke F. Reynolds, Tadeusz Kroczak, Kenneth T. Pace, R.John D'A Honey, Michael Ordon, Jason Y. Lee Tags: Endourology and Stones Source Type: research

Implementation of a dedicated enhanced recovery after surgery (eras) program for radical cystectomy patients is associated with decreased postoperative inpatient opioid usage and pain scores
To measure differences in post-operative opioid usage and pain scores between pre- and post-Enhanced Recovery after Surgery (ERAS ®) radical cystectomy (RC) patients in an effort to optimize outcomes. (Source: Urology)
Source: Urology - May 27, 2020 Category: Urology & Nephrology Authors: W Blair Townsend, William M Worrilow, Myra M Robinson, Hamza Beano, Blair Parker, Kris E Gaston, Peter E Clark, Stephen B Riggs Tags: Health Services Research Source Type: research

Ambulatory Robotic-Assisted Partial Nephrectomy: Safety and Feasibility Study
To evaluate the feasibility and safety of performing Robotic-Assisted Laparoscopic Partial Nephrectomy (RAPN) as outpatient surgery in patients with renal masses. (Source: Urology)
Source: Urology - May 27, 2020 Category: Urology & Nephrology Authors: Reza Mehrazin, Eric Bortnick, Say Rollin, Jared Winoker Tags: Oncology Source Type: research

Editorial comment
In this study, the authors prospectively evaluated their free-hand technique for performing systematic and magnetic resonance imaging fusion-targeted transperineal prostate biopsy (TPBx) under local anesthesia (LA). In addition to clinically significant cancer detection rates congruent with those of several large trials,1,2 the authors demonstrated the relative safety of their technique with negligible infectious risk, albeit with the use of periprocedural antibiotics. Patient-reported pain scores were relatively low throughout the procedure, not surprisingly highest during LA administration. (Source: Urology)
Source: Urology - May 24, 2020 Category: Urology & Nephrology Authors: Jared S. Winoker, Michael A. Gorin Source Type: research

Author reply
We would like to thank the authors for their comment. Our viewpoint is low complications and negligible infections may favor the use of transperineal (TP). Nonetheless, no level 1 evidence currently proves TP superiority over transrectal biopsies. With data concerning TP biopsy feasibility now being mature, properly designed randomized trials are awaited to eventually overcome the transrectal approach. (Source: Urology)
Source: Urology - May 24, 2020 Category: Urology & Nephrology Authors: Giancarlo Marra, Alessandro Marquis, Giorgio Calleris, Marco Oderda, Paolo Gontero Source Type: research

Editorial comment
Access remains the single most fundamentally important procedural step for percutaneous nephrolithotomy (PCNL). It is the part of the procedure least familiar to most urologists and is also a leading cause of PCNL failure. In a contemporary series of unsuccessful primary PCNL's, inability to obtain proper access was listed as the reason for failure in over 80% of cases.1 One scenario and reason that some PCNL's are aborted is an inability to navigate a wire through the kidney and down the ureter. (Source: Urology)
Source: Urology - May 24, 2020 Category: Urology & Nephrology Authors: Michael S. Borofsky Source Type: research

Author reply
On behalf of all the coauthors of this study we appreciate the Editorial Comments provided. In our tertiary care practice we commonly see patients referred to us after failed percutaneous nephrolithotomy (PCNL), when failure was due to the inability to secure a wire down the ureter. In some cases these failures are the result of an obstructing stone at the ureteropelvic junction or a large renal pelvis with a narrow ureteropelvic junction. In other cases the stones are impacted in a pole of the kidney, there is infundibular stenosis, or a true diverticulum. (Source: Urology)
Source: Urology - May 24, 2020 Category: Urology & Nephrology Authors: Amy E. Krambeck Source Type: research

Editorial comment
Sperm identification during microdissection testicular sperm extraction (micro-TESE) for nonobstructive azoospermia (NOA) remains one of the greatest challenges in the surgical management of male factor infertility. The ability to successfully find sperm during micro-TESE is impacted by numerous factors: patient factors such as whether sperm is even present, laboratory processing techniques, person-hours spent searching for sperm, and the experience and expertise of the reproductive urology, embryology, and andrology team. (Source: Urology)
Source: Urology - May 24, 2020 Category: Urology & Nephrology Authors: R. Matthew Coward, Caitlin Boylan Source Type: research

Author reply
We appreciate the thoughtful comments on our manuscript. This work was intended to show proof of concept of a novel sperm sorting device designed to expedite and maximize sperm retrieval rates during microdissection testicular sperm extraction for men with nonobstructive azoospermia. We first began exploring using microfluidics to optimize sperm retrieval rates from microdissection testicular sperm extraction in 2013 and this work, along with our prior publications have laid the groundwork for a potential clinical trial. (Source: Urology)
Source: Urology - May 24, 2020 Category: Urology & Nephrology Authors: Raheel Samuel, Jiyoung Son, Timothy G. Jenkins, Alexander Jafek, Haidong Feng, Bruce K. Gale, Douglas T. Carrell, James M. Hotaling Source Type: research

Editorial comment
The beneficial effects of alvimopan on gastrointestinal recovery after radical cystectomy have been previously demonstrated in a randomized controlled trial.1 In the current retrospective review by Faraj et al,2 the authors compared the effect of alvimopan based on surgical approach and identified a reduced time to return of bowel function, incidence of ileus, and length of stay (LOS) for patients undergoing open (ORC) but not robot-assisted radical cystectomy (RARC). If true, this observation would permit the omission of alvimopan for patients undergoing RARC, avoiding the substantial cost associated with this medication. (Source: Urology)
Source: Urology - May 24, 2020 Category: Urology & Nephrology Authors: Emily C. Serrell, Tudor Borza Source Type: research

Author reply
This study evaluated the differential effect of alvimopan on return of bowel function (ROBF) in patients undergoing robot-assisted radical cystectomy (RARC) vs open radical cystectomy (ORC). Due to the growing concerns about health care costs, the study sought to identify whether alvimopan could be avoided in patients who may be at less risk for gastrointestinal complications (ie, those undergoing a minimally invasive surgery). We agree that the present study has its limitations including unknown confounders from variations in perioperative management (ie, ERAS protocols, individualized fluid replacement, early ambulation,...
Source: Urology - May 24, 2020 Category: Urology & Nephrology Authors: Kassem S. Faraj, Mark D. Tyson Source Type: research

Editorial comment
“Don't throw the past awayYou might need it some rainy dayDreams can come true againEverything old is new again.”From the Musical “All that Jazz” – co-written by Sager and Allen (Source: Urology)
Source: Urology - May 24, 2020 Category: Urology & Nephrology Authors: Wesley M. White Source Type: research

Author reply
We greatly value the thoughtful editorial comment on our article in this issue of Urology. Development of minimally invasive urology surgery and expansion of its boundaries has been astonishing during the past decades. Innovation, quality and efficiency of care in addition to surgeons ’ enthusiasm and patients’ demand have been the driving force of new surgical approaches. (Source: Urology)
Source: Urology - May 24, 2020 Category: Urology & Nephrology Authors: Alireza Aminsharifi, Jihad Kaouk Source Type: research

Editorial comment
Postgraduate training in urology has evolved from the “see one, do one, teach one” mantra of yore to an environment in which curiosity, collegiality, and creativity are prized. Rather than simply subscribing to dogma, current urology residents are challenged to think innovatively about ways to achieve desired clinical, educational, and academic goa ls. Quality improvement (QI) projects, in which sustainable, system-wide processes are formally evaluated and streamline to foster improvements in health care delivery and outcomes, is 1 example of this. (Source: Urology)
Source: Urology - May 24, 2020 Category: Urology & Nephrology Authors: Kathleen Kieran Source Type: research

Editorial comment
Ascertaining the clinical benefit for lymph node dissection (LND) at the time of radical nephrectomy (RN) for renal cell carcinoma (RCC) has been challenging. At issue in determining the therapeutic or staging benefits of LND may be the quality of the lymph node dissection (number of lymph nodes harvested) or anatomic boundaries. Furthermore, prior studies have been limited by these issues and level of evidence. In this issue of Urology, Gershman et al. applied a validated observational analysis methodology with a large oncologic database to emulate 2 clinical trials in attempt to further examine the potential therapeutic ...
Source: Urology - May 24, 2020 Category: Urology & Nephrology Authors: Jeffrey C. Morrison, Granville L. Lloyd, Badrinath Konety, Zuhair Barqawi, Simon P. Kim Source Type: research

Author reply
Despite the emphasis on randomized data to guide evidence-based practice, there is a notable lack of clinical trials to inform comparative effectiveness in surgical disciplines. Although this is multifactorial in nature, this paucity ultimately reflects the difficulty associated with conducting surgical trials, particularly in settings where event rates are low (eg, lymph node metastasis in M0 renal cell carcinoma) or when long follow-up is required, as with early-stage disease (eg, low-risk prostate cancer). (Source: Urology)
Source: Urology - May 24, 2020 Category: Urology & Nephrology Authors: Janine Bacic, Boris Gershman Source Type: research

Editorial comment
Despite the many benefits of neonatal circumcision, as the authors outlined their manuscript, it still remains a somewhat controversial topic in the United States. As circumcision is still considered an elective procedure, some argue that it should not be performed until the child is old enough to make his own decision. Although the recent California SB201 was rejected by the California Senate, it highlights the present controversy of operating on the neonate or child. Nevertheless, circumcision in the United States remains a decision that caregivers can make for their child. (Source: Urology)
Source: Urology - May 24, 2020 Category: Urology & Nephrology Authors: Eric Bortnick, Jeffrey A. Stock Source Type: research

Author reply
We appreciate the thoughtful commentary provided in response to our parent survey assessing reasons for delay of neonatal circumcision. Some families appear to experience delay of desired neonatal circumcision due to procedure availability. For others, there may be an educational gap whereby they are unaware of the implications of waiting for a circumcision until their child is a bit older (ie, need for surgical consultation and anesthesia). Furthermore, the process by which a family requests and obtains a neonatal circumcision is often unclear, and varies by hospital and region of the country. (Source: Urology)
Source: Urology - May 24, 2020 Category: Urology & Nephrology Authors: Deborah L. Jacobson, Emilie K. Johnson Source Type: research

Editorial comment
Pelvic radiation is essential to multidisciplinary management of colorectal, gynecologic and lower urinary tract malignancies. Yet, side effects of radiation are common, serious, relentless, and very difficult to treat. By relentless, I mean that patients continue to be at risk throughout the remainder of their lifespan; the rate of new adverse events is persistently about 1%-2% per year even decades after prostate or cervical radiation.1,2 The Radiation Therapy Oncology Group grades these complications as: 1  = mild symptoms; 2 = moderate symptoms managed with medical therapy; 3 = severe symptoms managed with ...
Source: Urology - May 24, 2020 Category: Urology & Nephrology Authors: Sean P. Elliott Source Type: research

Author reply
We appreciate the thoughtful editorial regarding the costs of urologic complications following pelvic radiation therapy, and agree with many of the points raised. (Source: Urology)
Source: Urology - May 24, 2020 Category: Urology & Nephrology Authors: M. Handmer, J. Martin, A. Tiu Source Type: research

Editorial comment
In a nice effort using a nationwide inpatient database, the authors showed that administration of alvimopan perioperatively in patients undergoing radical cystectomy and urinary diversion resulted in decrease in length of hospital stay (LOS), by 1 day on average, and a significant decrease in the odds of prolonged hospital stay and rate of readmission due to postoperative ileus (POI). They also demonstrated a considerable reduction in overall cost of hospitalization after adjusting for hospital and patient characteristics ( ∼$2700). (Source: Urology)
Source: Urology - May 24, 2020 Category: Urology & Nephrology Authors: Hamed Ahmadi, Siamak Daneshmand Source Type: research

Author reply
We very much agree with the idea of adding alvimopan as a standard component of the perioperative regimen for patients undergoing radical cystectomy as proposed by the editorial commentary. Unlike prior studies which reported the use of alvimopan at high-volume centers, our study identified benefits of thisdrug across a wide range of practices, most of which were relatively lower volume (IQR 5-25 cases/year). We believe that it is among these lower volume centers where alvimopan is likely to be most attractive because the reduced surgical volume may make it more difficult to optimize the perioperative experience for radica...
Source: Urology - May 24, 2020 Category: Urology & Nephrology Authors: Jay Tzu-Hao Huang, Alexander P. Cole, Matthew Mossanen, Mark A. Preston, Ye Wang, Adam S. Kibel, Benjamin I. Chung, William J. Huang, Steven L. Chang Source Type: research

Cover 1
(Source: Urology)
Source: Urology - May 24, 2020 Category: Urology & Nephrology Source Type: research

Aims and Scope
(Source: Urology)
Source: Urology - May 24, 2020 Category: Urology & Nephrology Source Type: research

Editorial Board
(Source: Urology)
Source: Urology - May 24, 2020 Category: Urology & Nephrology Source Type: research

Table of Contents
(Source: Urology)
Source: Urology - May 24, 2020 Category: Urology & Nephrology Source Type: research

Treatment Setting Influences Treatment Modality for Urinary Stone Disease
To determine whether selection of treatment modality for urinary stone disease differs between primary and outreach healthcare centers, and if patient rurality predicts treatment modality. (Source: Urology)
Source: Urology - May 24, 2020 Category: Urology & Nephrology Authors: Charles J. Paul, Thomas S. Gruca, Paul G. Morrison, George M. Ghareeb, Sang Hee Kim, Bradley A. Erickson Source Type: research

Bladder paraganglioma mimicking a tumor contained in a ureterocele
Extra-adrenal pheochromocytoma is called paraganglioma. Paraganglioma near the ureterovesical junction can be confused with urothelial carcinoma in a ureterocele. Urinary metanephrine can be an indicator for bladder paraganglioma. Metaiodobenzylguanidine scintigraphy (MIBG) is an excellent method not only for distinguishing bladder paraganglioma from other submucosal mesenchymal tumors but also for detecting multifocal lesions. In the present case, we did not perform a preoperative MIBG scan because the patient was asymptomatic and urinary metanephrine was negative. (Source: Urology)
Source: Urology - May 24, 2020 Category: Urology & Nephrology Authors: Young Hyo Choi, Dong Sup Lee Source Type: research

High-Risk Non-Muscle Invasive Bladder Cancer: Selecting the Appropriate Patient for Timely Cystectomy
The heterogenous nature of high-risk non-muscle invasive bladder cancer encompasses a wide range of tumor biologies with varying recurrence and progression risks. Radical cystectomy provides excellent oncologic outcomes but is often underutilized. Timing for these patients is critical, however, to its effectiveness. Certain unfavorable tumor characteristics predict worse outcomes and may help select the most appropriate patients for more aggressive initial therapy. This manuscript aims to outline factors that predict worse outcomes in high-risk non-muscle invasive bladder cancer and proposes which patients may benefit most...
Source: Urology - May 20, 2020 Category: Urology & Nephrology Authors: George E. Koch, Amy N. Luckenbaugh, Sam S. Chang Source Type: research

A Rare Case of Vena Cava Tumor Thrombus Associated with Epithelioid Angiomyolipoma
Renal angiomyolipoma (AML) is a benign, mesenchymal tumor consisting of mature adipose tissue, thick-walled blood vessels, and spindle smooth muscle-like cells. Although the majority of AMLs arise sporadically, they are seen in 50-90% of patients with Tuberous Sclerosis Complex (TSC). In the absence of symptoms or concern for malignancy, AML is managed conservatively with the priority of maintaining kidney function. Tumors ≤4 cm typically undergo observation with annual imaging. Selective renal arterial embolization or partial nephrectomies are performed for indications such as hemorrhage, bleeding, and/or suspicion of ...
Source: Urology - May 20, 2020 Category: Urology & Nephrology Authors: Grace Lee, Reza Nabavizadeh, Adeboye O. Osunkoya, Viraj A. Master Tags: Grand Rounds Source Type: research

Interventional Radiology Image-guided Suprapubic Cystostomy Using Trocar versus Seldinger Technique: A Comparative Analysis of Outcomes and Complications
To compare two techniques —trocar and Seldinger—for performing percutaneous suprapubic cystostomy (SPC). (Source: Urology)
Source: Urology - May 20, 2020 Category: Urology & Nephrology Authors: Dustin G. Roberts, Ricky B. Patel, Scott J. Genshaft, Siddharth A. Padia, Justin P. McWilliams, John M. Moriarty, Ravi N. Srinivasa Source Type: research

Non-obstetrical robotic-assisted laparoscopic surgery in pregnancy: a systematic literature review
Urologic and gynecologic surgeons are the top utilizers of robotic surgery; however, non-obstetrical robotic-assisted laparoscopic surgery (RALS) in pregnant patients is infrequent. A systematic literature review was performed to ascertain the frequency, indication and complications of RALS in pregnancy. Results showed thirty-eight pregnancies from eleven publications between 2008-2020. Five cases were for urologic indication and thirty-three for gynecologic indication. Minimal surgical alterations were required. (Source: Urology)
Source: Urology - May 20, 2020 Category: Urology & Nephrology Authors: Courtney Capella, Joseph Godovchik, Thenappan Chandrasekar, Huda B. Al-Kouatly Source Type: research

The START (Surgical Triage And Resource Allocation Tool) of Surgical Prioritisation during the COVID-19 Pandemic
To the Editor: Guidelines on deferring surgeries during the COVID-19 pandemic have been based primarily on disease urgency, without addressing resource allocation specifically.1-5 We highlight resource stewardship issues, and share an easily-administered and highly-adaptable tool for surgical prioritisation depending on surgical acuity and resource utilisation, two key determinants of resource allocation in a pandemic. (Source: Urology)
Source: Urology - May 20, 2020 Category: Urology & Nephrology Authors: Yi Quan Tan, Ziting Wang, Ho Yee Tiong, Wei Jin Chua, Qing Hui Wu, Edmund Chiong Tags: Letters to the Editor Source Type: research

Decisional Conflict and Knowledge Among Patients with Varicocele Seeking Treatment for Infertility
To study disease-specific knowledge and decisional quality in men with varicocele being counseled for infertility. (Source: Urology)
Source: Urology - May 19, 2020 Category: Urology & Nephrology Authors: Rajiv Jayadevan, Arash Amighi, Steven Mills, Ali Almuzeni, Justin Nork, Matthew Pollard, Lorna Kwan, Sriram Eleswarapu, Jesse Mills Tags: Infertility Source Type: research

The Early Impact of COVID-19 Pandemic on Surgical Urologic Oncology Practice in Turkey: Multi-Institutional Experience from Different Geographic Areas
The human spread of a novel beta-coronavirus, i.e. severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), was first reported in Wuhan in December 2019.1 COVID-19 was then designated as the name of the disease resulting from this infection which is short for “Coronavirus Disease 2019”.1 COVID-19 has been declared as a pandemic by the World Health Organization (WHO) on March 11, 2020, which is also the date when the first confirmed case in Turkey has been announced by the Ministry of Health. (Source: Urology)
Source: Urology - May 19, 2020 Category: Urology & Nephrology Authors: Ilker Tinay, Ender Ozden, Evren Suer, Ozan Bozkurt, Volkan Izol, Bahadir Sahin, Levent Turkeri Tags: Commentary Source Type: research

Use of Nitrous Oxide in Office-based Urologic Procedures: A Review
Nitrous oxide (N2O) is underutilized in ambulatory urology. Here, we review available data regarding application, efficacy, and side effect profile of N2O in ambulatory urologic procedures. Data were available from 11 studies. N2O has been described in the setting of transrectal ultrasound-guided prostate biopsies, flexible cystoscopy, ureteral stent placement, and extracorporeal shockwave lithotripsy in adult patients and catheterization in children. Studies showed significant improvements in peri-procedural pain and anxiety relative to alternative (or none) forms of analgesia. (Source: Urology)
Source: Urology - May 19, 2020 Category: Urology & Nephrology Authors: Ajay Gopalakrishna, Raevti Bole, Roy Lipworth, Masaya Jimbo, Sevann Helo, Tobias Kohler, Matthew Ziegelmann Tags: Review Source Type: research

Transvesical versus Transabdominal – Which is the Best Approach to Bladder Diverticulectomy using the Single Port Robotic System?
Application of the Single Port (SP) robotic platform [Intuitive ®] is expanding.  Using two illustrative examples of bladder diverticula (BD) resulting from bladder outflow obstruction (BOO), we describe in this video our techniques utilising SP to treat BD via Extravesical (EV#1) and Transvesical (TV#2) approaches. (Source: Urology)
Source: Urology - May 19, 2020 Category: Urology & Nephrology Authors: Pratik M. Gurung, Michael Witthaus, Timothy Campbell, Hani H. Rashid, Ahmed E. Ghazi, Guan Wu, Jean V. Joseph Tags: “Show Me How” Video Source Type: research

Multi-instance deep learning of ultrasound imaging data for pattern classification of congenital abnormalities of the kidney and urinary tract in children
To reliably and quickly diagnose children with posterior urethral valves (PUV), we developed a multi-instance deep learning method to automate image analysis. (Source: Urology)
Source: Urology - May 19, 2020 Category: Urology & Nephrology Authors: Shi Yin, Qinmu Peng, Hongming Li, Zhengqiang Zhang, Xinge You, Katherine Fischer, Susan L. Furth, Yong Fan, Gregory E. Tasian Tags: Pediatric Urology Source Type: research

Racial and Socioeconomic Factors Influence Utilization of Advanced Therapies in Commercially Insured OAB Patients: An Analysis of over 800,000 OAB Patients
To determine if racial and/or socioeconomic factors influence advanced therapy utilization for refractory overactive bladder (OAB) amongst the commercially insured. (Source: Urology)
Source: Urology - May 18, 2020 Category: Urology & Nephrology Authors: Raveen Syan, Chiyuan A. Zhang, Ekene A. Enemchukwu Tags: Female Urology Source Type: research

Guess who's coming to dinner: covid-19 in a covid-free unit
To assess the impact of the pandemic on surgical activity and the occurrence and features of Covid-19 in a Covid-free urologic unit in a regional hospital in Northern Italy. (Source: Urology)
Source: Urology - May 18, 2020 Category: Urology & Nephrology Authors: Lorenzo G. Luciani, Daniele Mattevi, Guido Giusti, Silvia Proietti, Fabrizio Gallo, Maurizio Schenone, Gianni Malossini Tags: Infectious Diseases Source Type: research

Gender Bias in Medicine: Does it Exist at AUA Plenary Sessions?
To determine if gender bias exists at the plenary sessions of the American Urologic Association (AUA) annual conference by evaluating variations in the use of a professional title (PT) during speaker introductions at these sessions. (Source: Urology)
Source: Urology - May 18, 2020 Category: Urology & Nephrology Authors: Meenakshi Davuluri, Emily Barry, Stacy Loeb, Kara Watts Source Type: research

Inaccuracies in News Media Reporting about the 2019 US Food and Drug Administration Ban on Transvaginal Mesh for Pelvic Organ Prolapse Repair
To analyze inaccuracies in the news media reporting of the 2019 US Food and Drug Administration (FDA) ban on surgical mesh for transvaginal repair of pelvic organ prolapse (POP). (Source: Urology)
Source: Urology - May 18, 2020 Category: Urology & Nephrology Authors: Shagnik Ray, Marisa M. Clifton, Kevin Koo Source Type: research

Trends in the Diagnosis and Management of Combined Rectal and Vaginal Pelvic Organ Prolapse
To examine the rates of surgical repair of comorbid rectal prolapse (RP) and pelvic organ prolapse (POP) over time in a large population-based cohort. (Source: Urology)
Source: Urology - May 18, 2020 Category: Urology & Nephrology Authors: Jacqueline M Speed, Chiyuan Amy Zhang, Brooke Gurland, Ekene Enemchukwu Source Type: research