Outcomes of Alternative Reservoir Placement in the Lateral Retroperitoneum During Inflatable Penile Prosthesis Placement
To describe outcomes of reservoir placement, exchange, and extraction from the lateral retroperitoneum (LR) in complex patients with a three-piece inflatable penile prosthesis (IPP). (Source: Urology)
Source: Urology - February 26, 2021 Category: Urology & Nephrology Authors: Jeffrey Loh-Doyle, Jeffery S. Lin, Leo Doumanian, Mukul Patil, Stuart D. Boyd Tags: Male Sexual Dysfunction Source Type: research

Reply to Editorial letter Re: Outpatient Extraperitoneal Single-Port Robotic Radical Prostatectomy
We greatly value the thoughtful ‘‘Editorial Comment’’ on our article in this issue of Urology. As our initial experience, in this report we showed the feasibility and potential benefits of Single-port (SP) extraperitoneal robotic radical prostatectomy (RRP) in 60 patients. (Source: Urology)
Source: Urology - February 25, 2021 Category: Urology & Nephrology Authors: Ali Amin Sherifi, Jihad Kaouk Tags: Letter to the editor Source Type: research

Ureteral Rest is Associated with Improved Outcomes in Patients Undergoing Robotic Ureteral Reconstruction of Proximal and Middle Ureteral Strictures
To evaluate the effect of ureteral rest on outcomes of robotic ureteral reconstruction. (Source: Urology)
Source: Urology - February 24, 2021 Category: Urology & Nephrology Authors: Ziho Lee, Matthew Lee, Randall Lee, Helaine Koster, Nathan Cheng, Michael Siev, Min Jun, Ravi Munver, Mutahar Ahmed, Lee Zhao, Michael Stifelman, Daniel Eun, Collaborative of Reconstructive Robotic Ureteral Surgery (CORRUS) Source Type: research

Contemporary Incidence and Predictors of Occult Inguinal Lymph Node Metastases in Men with Clinically Node-Negative (cN0) Penile Cancer
To (1) examine the contemporary incidence of occult inguinal LN metastases and (2) identify predictors of occult inguinal LN metastases to improve selection of cN0 patients for inguinal lymphadenectomy (ILND). (Source: Urology)
Source: Urology - February 23, 2021 Category: Urology & Nephrology Authors: Pooja Unadkat, Aaron Fleishman, Aria F. Olumi, Andrew Wagner, Peter Chang, Simon P. Kim, Ruslan Korets, Boris Gershman Source Type: research

Efficacy and Incontinence Rates After Urethroplasty for Radiation-Induced Urethral Stenosis: A Systematic Review and Meta-Analysis
: To estimate the efficacy of urethroplasty and rates of de novo stress urinary incontinence (SUI) in the specific setting of radiation-induced urethral stenosis (RIUS). (Source: Urology)
Source: Urology - February 22, 2021 Category: Urology & Nephrology Authors: Lucas Gomes Sapienza, Matthew Stephen Ning, Emanuel de Freitas Carvalho, Daniel Spratt, Vin ícius Fernando Calsavara, Patrick W. McLaughlin, Maria Jose Leite Gomes, Glauco Baiocchi, Eyad Abu-Isa Tags: Reconstructive Urology Source Type: research

Ureteroscopic Performance of High Power Super Pulse Thulium Fiber Laser for the Treatment of Urolithiasis: Results of the First Case Series in North America
To report the first case series of ureterorenoscopy in North America using the High Power Super Pulse Thulium Fiber Laser for the treatment of upper urinary tract stones. (Source: Urology)
Source: Urology - February 20, 2021 Category: Urology & Nephrology Authors: Raphael V. Carrera, J. Hogan Randall, Maurilio Garcia-Gil, Bodo E. Knudsen, Ben H. Chew, Jeffrey A. Thompson, Mitchell R. Humphreys, Wilson R. Molina Source Type: research

A systematic review on the use of qualitative and quantitative contrast-enhanced ultrasound in diagnosing testicular abnormalities
Greyscale and colour doppler ultrasound (CDUS) are the standard when investigating testicular lesions. However, they cannot provide information on the microvasculature. As such, differentiating benign from malignant tumours is challenging. Contrast-enhanced ultrasound (CEUS) uses ultrasound contrast agents (UCA) which are exclusively intravascular to image the microvasculature. This review assessed CEUS outcomes in investigating intra-testicular lesions and concluded that qualitative CEUS provides the most advantage by confirming vascularity, thus differentiating non-neoplastic from neoplastic lesions with added confidence...
Source: Urology - February 20, 2021 Category: Urology & Nephrology Authors: Sofia P.S. Pinto, Dr Dean Y. Huang, Ayushi A. Dinesh, Prof Paul S. Sidhu, Mr Kamran Ahmed Tags: Review Source Type: research

A privilege walk in healthcare
The crisp autumn wind broke the silence as we waited in a perfectly homogenous line. The instructor, hiding in our shadows, started her interrogation. “If you had more than ten books at home while growing up, step forward.” I moved forward like many around me. “If you have been able to freely express your religion, step forward…If you or your family never had to move due to financial inabilities, step forward…If you feel comfortable with people knowing your sexual orientation, step forward...” I looked around at my peers—piercing into their identity, beliefs, pasts. (Source: Urology)
Source: Urology - February 20, 2021 Category: Urology & Nephrology Authors: Sagar R Patel Source Type: research

Engagement of other Emergency Services in the management of Penile Ring Entrapment
We present the case of a 59-year-old man with PRE secondary to placement of 14 metallic rings for sexual pleasure. We recommend involvement of the Fire Emergency Service if local equipment is inadequate for urgent penile ring removal. (Source: Urology)
Source: Urology - February 20, 2021 Category: Urology & Nephrology Authors: Uma Walters, Helena Gresty, Tamer El-Husseiny Tags: Clinical Challenges in Urology Source Type: research

Primary renal angiosarcoma with lymph node metastasis – a rare intriguing malignancy with a grim outcome
Malignant mesenchymal tumors of the adult kidney constituting leiomyosarcoma, angiosarcoma, rhabdomyosarcoma, osteosarcoma, synovial sarcoma, and Ewing sarcoma1 encompass only 0.8 to 2.7% of all renal tumors but harbinger poorer prognosis. 2, 3 Primary angiosarcomas of the kidney are extremely rare localized/ multicentric highly aggressive tumors that cannot be differentiated from renal cell carcinomas clinically/ radiologically. The pathological examination definitively determines the diagnosis. (Source: Urology)
Source: Urology - February 20, 2021 Category: Urology & Nephrology Authors: Hema Subramanian, Divya Parepalli, Srinivas Bheemanathi Hanuman, Debasis Gochhait, Sreerag KS Tags: Grand Rounds Source Type: research

Urology Workforce Changes and Implications for Prostate Cancer Care Among Medicare Enrollees
Physician practices are rapidly consolidating in the United States, as small independently owned groups merge or are acquired by larger hospital systems.1 –9 Multiple factors motivate this shift, including the capital required for entrepreneurial activities,8 reimbursement patterns,2,10 administrative burdens,6,11 and the need for infrastructure to participate in quality measurements and population health management initiatives.12–14 While some pu blished analyses demonstrate hospital integration in select specialty practices, such as cardiology and oncology,15 changes in urologist practice organization in rece...
Source: Urology - February 18, 2021 Category: Urology & Nephrology Authors: Kathryn A. Marchetti, Mary Oerline, Brent K. Hollenbeck, Samuel R. Kaufman, Ted A. Skolarus, Vahakn B. Shahinian, Megan E.V. Caram, Parth K Modi Source Type: research

Cross-sectional survey-based study of underrepresented minorities in urology academic leadership roles
To define the current proportion of underrepresented minority (URM) academic urologists in leadership positions. (Source: Urology)
Source: Urology - February 17, 2021 Category: Urology & Nephrology Authors: Harold C. Hamann, Jordan Levine, Shervin Badkhshan, Teresa L. Danforth Source Type: research

Letter to the editor Re: Wilson et al. Outpatient Extraperitoneal Single-Port Robotic Radical Prostatectomy. Urology 2020; 144: 142-146.
We congratulate Kaouk and colleagues1 for presenting their encouraging data on outpatient robotic radical prostatectomy using the single port (SP) robot. Majority ( ∼90%) of patients had NCCN intermediate or high risk prostate cancer, and underwent concomitant nerve sparing (90%), with about ∼50% having extraprostatic disease and a quarter having positive margins on final pathology. Nearly 90% of patients were able to be discharged the same day, and opiates were increasingly less likely prescribed. (Source: Urology)
Source: Urology - February 15, 2021 Category: Urology & Nephrology Authors: Deepansh Dalela, Sohrab Arora, James Peabody, Craig Rogers Tags: Letter to the editor Source Type: research

Unilateral Corporal Cavernosum Partial Thrombosis: A Challenging Presentation and Management
A 29-year-old African American male presented to our emergency department with a five-day history of perineal pain and tender swelling of the left perineal body with no evidence of trauma. Physical examination revealed a firm left proximal corpus cavernosum body. Laboratory tests were within normal limits. Pelvic MRI confirmed the presence of a large left-sided unilateral corporal cavernosum partial thrombosis (UCCPT) filling the proximal third of the left corpus cavernosum. The patient was managed conservatively with anticoagulation, pain control, and pelvic rest. (Source: Urology)
Source: Urology - February 15, 2021 Category: Urology & Nephrology Authors: Christopher Koller, Judy Fustok, Jack Hua, Benjamin Triche, Wayne Hellstrom, Mohit Khera, Omer Raheem Tags: Clinical Challenges in Urology Source Type: research

Endovascular Stapler Complications During Minimally Invasive Nephrectomy: An Updated Review of the FDA MAUDE database from 2009-2019
To characterize the rates of endovascular stapler complications during hilar ligation in minimally invasive radical nephrectomy over the last 10 years. (Source: Urology)
Source: Urology - February 15, 2021 Category: Urology & Nephrology Authors: Nikhil Gopal, Long Bronwyn, John Phillips, Majid Eshghi Source Type: research

Phallus Preservation in Penile Cancer Surgery: Patient-Reported Aesthetic & Functional Outcomes
To assess patient-reported outcomes of oncoplastic penile reconstruction using standardised questionnaires. Whilst organ-preserving  penile cancer surgery has evolved aiming to preserve genital function, reduce psychological morbidity of radical penectomy and maximise patient quality of life, few studies have evaluated patients’ final perceptions. (Source: Urology)
Source: Urology - February 15, 2021 Category: Urology & Nephrology Authors: Stefanie M Croghan, Niall Compton, Anne E Daniels, Linda Fitzgibbon, P ádraig J Daly, Ivor M Cullen Source Type: research

A population-based study comparing outcomes for patients with metastatic castrate resistant prostate cancer treated by urologists or medical oncologists with first line abiraterone acetate or enzalutamide
To compare toxicity and all-cause mortality for mCRPC patients receiving first line oral systemic therapy prescribed by medical oncologists and urologists. (Source: Urology)
Source: Urology - February 12, 2021 Category: Urology & Nephrology Authors: Dixon T.S. Woon, Antonio Finelli, Douglas C. Cheung, Lisa J. Martin, Shabbir Alibhai, Christopher J.D Wallis, Christina Diong, Refik Saskin, Girish Kulkarni, Neil Fleshner Source Type: research

Beta-Adrenergic Antagonists and Cancer Specific Survival in Patients with Advanced Prostate Cancer: A Veterans Administration Cohort Study
To interrogate the National Veterans Health Administration (VA) database to determine if beta-blocker use at time of initiation of androgen therapy deprivation (ADT) would result in improved oncological outcomes in advanced prostate cancer. (Source: Urology)
Source: Urology - February 12, 2021 Category: Urology & Nephrology Authors: Natasza M. Posielski, Kyle A. Richards, Jinn-ing Liou, Tudor Borza, E. Jason Abel, Tracy M. Downs, David F. Jarrard Source Type: research

Widely Variable Parental Leave Practices for Urology Residency Programs in the United States
To query a cohort of program directors to better understand the contemporary landscape of parental leave for urology trainees. The American Board of Urology mandates that a resident must work 46 weeks annually in order to not extend residency. We hypothesize that formal parental leave policies may vary by institution and may not be easily accessible. (Source: Urology)
Source: Urology - February 12, 2021 Category: Urology & Nephrology Authors: Susan M. MacDonald, Jay D. Raman Source Type: research

Impact of Age, Education level and Occupation on the ability to use the ICIQ-bladder diary: results from a community cohort study using a predefined clinical history
To assess difficulties in filling the International Consultation on Incontinence Questionnaire Bladder Diary (ICIQ-BD), determining the most troublesome items and patients ’ characteristics (age, education level and professional activity) related to these difficulties. (Source: Urology)
Source: Urology - February 10, 2021 Category: Urology & Nephrology Authors: P. Pe Leve, R. Pereira e Silva, F.A. Lopes, J. Fel ício, A. Esteves, A. Uren, J. Palma dos Reis Source Type: research

Late Presentation of Wilms Tumor in a Patient with Hemihypertrophy after Normal Screening
We present a case of a child with isolated hemihypertrophy, associated with 5% risk of Wilms tumor, who presented with a tumor after the recommended screening, at age 9, brining into question the age cutoffs currently used. (Source: Urology)
Source: Urology - February 10, 2021 Category: Urology & Nephrology Authors: Katherine M. Fischer, Sameer Mittal, Christopher J. Long, Nicholas F. Evageliou, Thomas F. Kolon Tags: Pediatric Case Reports Source Type: research

Orchidopexy and Split-Thickness Skin Graft for Scrotal Defects after Necrotizing Fasciitis
To demonstrate a technique for performing orchidopexy and split-thickness skin graft for patients with deficient scrotal skin after debridement for Fournier's gangrene. This is an alternative strategy to healing by secondary intention, flaps, or testicular thigh pouches. (Source: Urology)
Source: Urology - February 10, 2021 Category: Urology & Nephrology Authors: Solomon Hayon, Alysen Demzik, Mark Ehlers, Micah McGowan, Charan Mohan, Bradley D. Figler Source Type: research

Miami Pouch: a Simple Technique for Efficient Continent Cutaneous Urinary Diversion
To report a contemporary series of Miami pouch (MP) enriched with a full technical description and step-by-step video to contribute to wider use. (Source: Urology)
Source: Urology - February 10, 2021 Category: Urology & Nephrology Authors: Michael Baboudjian, Bastien Gondran-Tellier, Floriane Michel, Rony Abdallah, Mathieu Rouy, Sarah Gaillet, Pierre Clement Sichez, Romain Boissier, Frank Bladou, Eric Lechevallier, Gilles Karsenty Tags: Reconstructive Urology Source Type: research

Real-World Compliance with Percutaneous Tibial Nerve Stimulation Maintenance Therapy in an American Population
: To evaluate percutaneous tibial nerve stimulation (PTNS) maintenance therapy dropout rates and identify factors associated with compliance in an American population. (Source: Urology)
Source: Urology - February 10, 2021 Category: Urology & Nephrology Authors: Chris Du, William Berg, Alexandra R. Siegal, Zhenyue Huang, Rosen Jeong, Kuemin Hwang, Jason Kim Tags: Female Urology Source Type: research

Comparison of the Safety and Efficacy of Valveless and Standard Insufflation During Robotic Partial Nephrectomy: A Prospective, Randomized, Multi-Institutional Trial
This study was also powered to evaluate the effect of decreasing pneumoperitoneum by 20% in the valveless system. (Source: Urology)
Source: Urology - February 9, 2021 Category: Urology & Nephrology Authors: Bethany Desroches, James Porter, Sam Bhayani, Robert Figenshau, Ping-Yu Liu, Michael Stifelman Source Type: research

Population-level assessment of smoking-related beliefs and behaviors among survivors of genitourinary cancers: an application of the theory of planned behavior
To describe attitudes, perceptions, and beliefs related to smoking and smoking cessation among survivors of genitourinary cancers using a theory-based framework. (Source: Urology)
Source: Urology - February 9, 2021 Category: Urology & Nephrology Authors: Lee Brake, Akya Myrie, Calvin Zhao, Zach Feuer, Jacob Taylor, Marc A Bjurlin, Scott E Sherman, Danil V Makarov, Richard S Matulewicz Source Type: research

Influence of Sociodemographic Factors on Definitive Intervention Among Low-Risk Active Surveillance Patients
To investigate sociodemographic factors influencing decision of initially active surveillance (AS) prostate cancer (PCa) patients to opt for definitive therapy, and, specifically, choice of radical prostatectomy (RP) versus radiation therapy (XRT). (Source: Urology)
Source: Urology - February 9, 2021 Category: Urology & Nephrology Authors: Rashid K. Sayyid, Laurence Klotz, John Z. Benton, Atul Lodh, Joshua H. Lambert, Phillip Woodruff, Soum D. Lokeshwar, Rabii Madi, Hanan Goldberg, Martha K. Terris, Christopher J.D. Wallis, Zachary Klaassen Tags: Oncology Source Type: research

Ventral approach for the non-transecting bulbar urethroplasty
Nowadays, short bulbar strictures refractory to one endoscopic treatment attempt could be managed with non-transecting urethroplasty technique as a first option1. Jordan et al2 and Bugeja et al3 described a dorsal approach, sparing vessels and spongiosum in the hope of a decrease of surgical side effects. (Source: Urology)
Source: Urology - February 9, 2021 Category: Urology & Nephrology Authors: E Mor án, I Moreno Sáez, M.A Bonillo, O Dagá, E Martínez-Cuenca, S Arlandis, E Broseta Tags: Show Me How ” Video Source Type: research

A Cystic Renal Mass in the Setting of a Pneumothorax: More Than Meets the Eye?
We describe the case of a pediatric patient who was eventually diagnosed with a pathogenic DICER1 germline variant after undergoing resection of a cystic nephroma and pleuropulmonary blastoma. (Source: Urology)
Source: Urology - February 8, 2021 Category: Urology & Nephrology Authors: Daniel S. Han, David J. Chalmers, Brian Greffe, Timothy Garrington, David Partrick, Mark Lovell, Kami Wolfe Schneider, Nicholas G. Cost Tags: Pediatric Case Reports Source Type: research

Bladder duplication in a setting of VACTER association
Bladder duplication is a rare anomaly classified as sagittal or coronal, depending on the axis of the septum. VACTER association involves congenital anomalies affecting the vertebrae, anus, heart, trachea, esophagus, kidney and genitourinary system. This is the first description of a case of coronal bladder duplication in a patient that also presented with anomalies on the foregut and other organs that correspond to VACTER association. Pertinent literature is systematically reviewed and compared with our case. (Source: Urology)
Source: Urology - February 8, 2021 Category: Urology & Nephrology Authors: Cinthia Galvez, Christian Guevara, Daniel E. Nassau, Rafael Gosalbez, Alireza Alam Tags: Pediatric Case Reports Source Type: research

Will “Hybrid” Meetings Replace Face-To-Face Meetings Post COVID-19 Era? Perceptions and Views From The Urological Community
To understand the preference and role of ‘hybrid’ urological meetings compared to face-to-face and online meetings during and after COVID-19 pandemic. The secondary outcome was finding out the most preferable webinar setting. (Source: Urology)
Source: Urology - February 6, 2021 Category: Urology & Nephrology Authors: BM Zeeshan Hameed, Yiloren Tanidir, Nithesh Naik, Jeremy Yuen-Chun Teoh, Milap Shah, Marcelo Langer Wroclawski, Afrah Budnar Kunjibettu, Daniele Castellani, Sufyan Ibrahim, Rodrigo Donalisio da Silva, Bhavan Rai, J.J.M.C.H. de la Rosette, Rajeev TP, Vinee Tags: Education Source Type: research

Discharge Opioid Prescription Patterns after Kidney Cancer Surgery
To describe opioid prescribing patterns for patients undergoing kidney cancer surgery and evaluate associations with medical resource utilization in the postoperative setting. (Source: Urology)
Source: Urology - February 6, 2021 Category: Urology & Nephrology Authors: Chinonyerem Okoro, Sarah Holt, Jonathan S. Ellison, Dima Raskolnikov, John L. Gore Source Type: research

The Sustained Therapeutic Effects of Percutaneous Posterior Tibial Nerve Stimulation in the Treatment of Neurogenic Lower Urinary Tract Symptoms in patients with Parkinson's Disease: 24-Months Clinical and Urodynamic Results.
To determine the sustained therapeutic effect of percutaneous posterior tibial nerve stimulation (PTNS) treatment in Parkinson's disease (PD) patients with detrusor activity (DA) during 24 months. (Source: Urology)
Source: Urology - February 6, 2021 Category: Urology & Nephrology Authors: Professor SAHIN KABAY, Professor SIBEL CANBAZ KABAY Source Type: research

Challenging Case of Holmium Laser Enucleation of the Prostate after Prior Prostatic Focal Laser Ablations and Rezum
Holmium laser enucleation of the prostate (HoLEP) is an effective, size independent procedure for management of benign prostatic hyperplasia (BPH)1. Additionally, HoLEP is able to be performed successfully after prior surgical BPH treatments without complication and a low rate of long term retreatment2. (Source: Urology)
Source: Urology - February 6, 2021 Category: Urology & Nephrology Authors: Deepak K. Agarwal, Amy E. Krambeck Tags: “Show Me How” Video Source Type: research

Will ‘Hybrid’ meetings replace face-to-face meetings post COVID-19 era? Perceptions and views from the urological community
To understand the preference and role of ‘hybrid’ urological meetings compared to face-to-face and online meetings during and after COVID-19 pandemic. The secondary outcome was finding out the most preferable webinar setting. (Source: Urology)
Source: Urology - February 6, 2021 Category: Urology & Nephrology Authors: BM Zeeshan Hameed, Yiloren Tanidir, Nithesh Naik, Jeremy Yuen-Chun Teoh, Milap Shah, Marcelo Langer Wroclawski, Afrah Budnar Kunjibettu, Daniele Castellani, Sufyan Ibrahim, Rodrigo Donalisio da Silva, Bhavan Rai, J.J.M.C.H. de la Rosette, Rajeev TP, Vinee Tags: Education Source Type: research

Is Opioid-Free Post-Vasectomy Analgesia a Pain? A Single Surgeon Experience
To determine the impact of transitioning from opioid to non-opioid analgesia post-vasectomy on unplanned opioid prescriptions and health encounters. (Source: Urology)
Source: Urology - February 6, 2021 Category: Urology & Nephrology Authors: Jagan Kansal, Peter Dietrich, Sarah Brink, Michael McNamara, Andrea Moyer, Robert Medairos, Jay Sandlow, Johnathan Doolittle Source Type: research

The Effect of Sacral Neuromodulation in Ambulatory Spina Bifida Patients with Neurogenic Bladder and Bowel Dysfunction
To assess the effect of sacral neuromodulation (SNM) in ambulatory spina bifida patients with neurogenic bladder and bowel dysfunction. (Source: Urology)
Source: Urology - February 5, 2021 Category: Urology & Nephrology Authors: Guoqing Chen, Limin Liao, Han Deng Tags: Female Urology Source Type: research

Management of a Prostate Cancer Patient with inherited germline BRCA1 and BRCA2 mutations, a Case Report
The Breast Cancer Gene (BRCA) confers an 8.6-fold higher risk of developing prostate cancer in men ≤ 65 years of age and portends a worse prognosis as compared to noncarriers even in patients with low volume, localized disease. The BRCA2 gene, in particular, imparts a more biologically aggressive form of prostate cancer and a higher prostate cancer specific mortality. From a treatment standpoin t, this translates to worse overall clinical outcomes for such patients. The most appropriate screening and management strategy for germline BRCA mutation carriers with prostate cancer is not known. (Source: Urology)
Source: Urology - February 5, 2021 Category: Urology & Nephrology Authors: Sij Hemal, Molly DeWitt-Foy, Eric A. Klein Tags: Case Report Source Type: research

Multi-Institutional Outcomes and Associations after Excision and Primary Anastomosis for Radiotherapy-Associated Bulbomembranous Urethral Stenoses Following Prostate Cancer Treatment
To evaluate the outcomes of excision and primary anastomosis (EPA) for radiation-associated bulbomembranous stenoses using a multi-institutional analysis. The treatment of radiation-associated urethral stenosis is typically complex owing to the adverse impact of radiation on adjacent tissue. (Source: Urology)
Source: Urology - February 5, 2021 Category: Urology & Nephrology Authors: BB Voelzke, LS Leddy, JB Myers, BN Breyer, NF Alsikafi, JA Broghammer, SP Elliott, AJ Vanni, BA Erickson, JC Buckley, LC Zhao, T Wright, KF Rourke, for the Trauma and Urologic Reconstructive Network of Surgeons (TURNS) Source Type: research

Interactive Virtual Reality Renal Models as an Educational and Preoperative Planning Tool for Laparoscopic Donor Nephrectomy
To evaluate the efficacy of interactive virtual reality (iVR) in providing a three-dimensional (3D) experience with the donor's anatomy for surgeons and patients, we present a retrospective, case-controlled study assessing the impact of iVR renal models prior to LDN on both surgical outcomes and patients ’ understanding of the procedure. (Source: Urology)
Source: Urology - February 5, 2021 Category: Urology & Nephrology Authors: Lillian Xie, Mitchell O'Leary, Francis A. Jefferson, Rajiv Karani, Luke Limfueco, Egor Parkhomenko, John M. Sung, Roshan M. Patel, Hirohito Ichii, Donald Dafoe, Ralph V. Clayman, Jaime Landman Source Type: research

Revision for Inflatable Penile Prosthesis (IPP) Surgery: A Single-Center Experience and Pictorial Representation
To elucidate factors influencing IPP revision and describe outcomes associated with revision surgery. (Source: Urology)
Source: Urology - February 3, 2021 Category: Urology & Nephrology Authors: Kevin A. Parikh, Ram A. Pathak, Robert R.A. Wilson, Ronak J. Patel, Gregory A. Broderick Source Type: research

Improving The Match: Use of Preference Signaling to Optimize the Urology Match Interview Process
To outline the principles and premise, pros and cons of the use of preference signaling (PS) in the Urology Match. (Source: Urology)
Source: Urology - February 2, 2021 Category: Urology & Nephrology Authors: Jennifer Fantasia, Sammy Elsamra, Simone Thavaseelan Tags: Education Source Type: research

Male Circumcision Complications - A systematic review, meta-analysis and meta-regression
To determine the risk of complications requiring treatment following male circumcision by health-care professionals and to explore the impact of participant characteristics, type of circumcision and study design. (Source: Urology)
Source: Urology - February 2, 2021 Category: Urology & Nephrology Authors: Daniel M ønsted Shabanzadeh, Signe Clausen, Katrine Maigaard, Mikkel Fode Tags: Review Source Type: research

Preference Signaling the Urology Match
To outline the principles and premise, pros and cons of the use of preference signaling (PS) in the Urology Match. (Source: Urology)
Source: Urology - February 2, 2021 Category: Urology & Nephrology Authors: Jennifer Fantasia, Sammy Elsamra, Simone Thavaseelan Tags: Education Source Type: research

Editorial comment
The COVID-19 pandemic has necessitated and enabled a reimagining of not only how to deliver effective clinical learning in a virtual environment, but also how to foster interest in a specialty often unfamiliar to students before an in-person rotation captures their enthusiasm. The authors designed and implemented a virtual subinternship for medical students consisting of recorded lectures, live sessions, and an interactive discussion board, which was intended to mimic the didactic experience of an in-person subinternship, despite being unable to replace the operative component vital to these rotations. (Source: Urology)
Source: Urology - February 1, 2021 Category: Urology & Nephrology Authors: Paige E. Nichols, Kevin Koo Source Type: research

Author reply
This year's application cycle has challenged us all to rethink the way we evaluate the medical students looking to become our future colleagues. Traditional metrics of performance as judged during in-person away rotations and from letters of recommendation penned by well trusted colleagues will be replaced at many institutions by a more holistic application review process.1 While this represents a deviation from our standard practice, this new paradigm may offer significant opportunity for growth as a specialty. (Source: Urology)
Source: Urology - February 1, 2021 Category: Urology & Nephrology Authors: Cheyenne Williams, Olivia O Familusi, Justin Ziemba, Daniel Lee, Sameer Mittal, Phillip Mucksavage, Ariana Smith, Robert Caleb Kovell Source Type: research

Editorial comment
Location, location, location- the new paradigm in understanding pharmaceutical promotional payments for urologists. (Source: Urology)
Source: Urology - February 1, 2021 Category: Urology & Nephrology Authors: Charles L Bennett, Oliver Sartor Source Type: research

Editorial comment
The natural history and epidemiology of prostate cancer in black men have led clinicians who manage prostate cancer to question whether active surveillance is a “safe” management strategy for black men with low-risk, localized prostate cancer. The 60% higher incidence of prostate cancer among black men suggests a unique combination of biologic, social, and environmental factors may drive disparities in this population.1 However, several studies have dem onstrated that equal access to appropriate therapy leads to parity in prostate cancer outcomes for black men,2-4 suggesting that equitable and appropriate care ...
Source: Urology - February 1, 2021 Category: Urology & Nephrology Authors: Samuel L. Washington, Yaw A. Nyame Source Type: research

Author reply
African Americans (AA) are more frequently diagnosed with prostate cancer and when prostate cancer is identified it tends to be diagnosed at earlier ages, have more poor risk features, and more frequently result in metastases or death. These figures are known by all urologists, it drives our thinking and understanding about prostate cancer in AA men. Too often these figures along with a handful of poorly performed small retrospective studies and a few “what if” scenarios extrapolating radical prostatectomy pathology in potential candidates for active surveillance lead physicians to recommend against active surv...
Source: Urology - February 1, 2021 Category: Urology & Nephrology Authors: Jonathan Silberstein Source Type: research

Editorial comment
This manuscript details the multi-institutional experience with a device, the Adjustable TransObturator Male System (ATOMS ––third generation), designed as an alternative to the standard surgical options for male stress urinary incontinence, an unfortunate but not infrequent complication associated with prior prostatectomy, mainly but not exclusively performed for the treatment of prostate cancer. In contrast to sta ndard management with either a male sling or artificial urinary sphincter, this device purports to allow adequate compression of the bulbous urethra without the need for mechanical cycling when usin...
Source: Urology - February 1, 2021 Category: Urology & Nephrology Authors: Harris E. Foster Source Type: research