Sacrocolpopexy Techniques for the Savvy Surgeon
Laparoscopic sacrocolpopexy (LSCP) can be challenging even for the experienced surgeon. Knowledge and adequate visualization of the sacral and pelvic anatomy is paramount to prevent potentially catastrophic intra-operative hemorrhage, nerve or ureteral injury, and to facilitate presacral dissection. We highlight several techniques to maximize surgical efficiency, optimize visualization of the sacral anatomy during presacral dissection, as well as a method to facilitate peritoneal closure over the mesh during LSCP. (Source: Urology)
Source: Urology - May 17, 2022 Category: Urology & Nephrology Authors: Eva K. Welch, Katherine L. Dengler, Angela DiCarlo-Meacham, Walter von Pechmann, Daniel D Gruber Source Type: research

Long-term follow-up and success rate of ventral inlay buccal mucosal graft urethroplasty for female urethral stricture disease.
To determine the long-term success of ventral inlay buccal-mucosal graft urethroplasty (Vi-BMGU) for female urethral strictures (FUS). (Source: Urology)
Source: Urology - May 16, 2022 Category: Urology & Nephrology Authors: Santosh Kumaraswamy, Swarnendu Mandal, Manoj K Das, Prasant Nayak Tags: Female Urology Source Type: research

Impact of Duration of Antibiotic Prophylaxis on Incidence of UTI after OnabotulinumtoxinA Injection
To assess the impact of duration of antibiotic prophylaxis on incidence of UTI after intravesical OnabotulinumtoxinA (BTX) injection. (Source: Urology)
Source: Urology - May 16, 2022 Category: Urology & Nephrology Authors: Sarah Martin, Jacqueline Zillioux, Howard B. Goldman, Emily Slopnick Tags: Female Urology Source Type: research

High risk disease and poor followup: the importance of renal mass biopsy in a cohort of veterans
To assess the clinical utility of RMB in our multi-state system. Renal mass biopsy (RMB) is useful in the management of masses ≤ 4 cm (T1a), but evaluation of RMB in the uniquely vulnerable Veteran population is lacking. (Source: Urology)
Source: Urology - May 16, 2022 Category: Urology & Nephrology Authors: Kseniya Anishchenko, Samuel Antoine, Christopher Gieger, Rachel Lenzmeier, Simon Kim, Granville L Lloyd Tags: Oncology Source Type: research

Massive urethral bleeding following urethral catheterization induced by a pseudoaneurysm
A 58-year-old male patient who had a history of benign prostate hyperplasia, presented with chronic urinary retention and admitted for urinary catheter exchange . There was profuse bleeding of about 1000 mL noticed from the urethra after the reinsertion of Foley Catheter. No tender lump palpable was detected based on the physical examination findings. The level of hemoglobin was declined from 103 g/L to 72 g/L. Following continuous bladder irrigation, fluid induction and blood transfusion were performed. (Source: Urology)
Source: Urology - May 16, 2022 Category: Urology & Nephrology Authors: Bingfeng Luo, Keiyui Tang, Weihong YANG, Zhenquan Lu Source Type: research

Favorable Outcomes with Early Component Separation, Primary Closure of Necrotizing Soft Tissue Infections of the Genitalia (Fournier's Gangrene) Debridement Wound Defects
To evaluate the efficacy of early necrotizing soft-tissue infections of the genitalia (NSTIG) component separation, primary wound closure (CSC). We hypothesized that early CSC would be safe, decrease the need for split-thickness skin grafting (STSG) and decrease wound convalescence time. (Source: Urology)
Source: Urology - May 15, 2022 Category: Urology & Nephrology Authors: Jason M. Sandberg, Hayden L. Warner, Kevin J. Flynn, Shawn M Sexton, Hanh TD Pham, Blaize W. Kandler, Phillip M. Polgreen, Bradley A. Erickson Source Type: research

Patient-Reported and Physiologic Outcomes Following Pelvic Exenteration for Non-Repairable Radiated Rectourethral Fistula
: To investigate the impact of pelvic exenteration (PelvEX) on patient-reported pain, distress, and quality of life along with physiologic indicators of health in cancer survivors with radiated, non-repairable rectourethral fistula (RUF). (Source: Urology)
Source: Urology - May 15, 2022 Category: Urology & Nephrology Authors: Madison K Krischak, Joshua P Hayden, Kevin Krughoff, Brian M Inouye, William R Boysen, Christopher R Mantyh, Detlev Erdmann, Andrew C Peterson Source Type: research

Gender-Based Pay Gap in Urology: A Review of the Literature and Potential Solutions
Studies have repeatedly demonstrated salary-based gender disparities in the field of Urology. These disparities persist even when accounting for contributing factors such as years of experience, hours worked, and practice setting, suggesting that inherent gender bias exists. In addition to salary discrepancies, female urologists are also less likely to be promoted and less likely to hold leadership positions as compared to male urologists. We review the data supporting these disparities and provide tangible, evidence-based solutions for the field of Urology going forward. (Source: Urology)
Source: Urology - May 14, 2022 Category: Urology & Nephrology Authors: Annah Vollstedt, Helen Y. Hougen, Priyanka Gupta, Carrie Johans, Kristin G Baldea Source Type: research

Surveillance After Ureteroneocystostomy: Is it Necessary?
To determine the utility of post-operative imaging after ureteroneocystostomy and whether long-term symptom or radiographic surveillance aided in the detection of recurrent obstruction. (Source: Urology)
Source: Urology - May 14, 2022 Category: Urology & Nephrology Authors: Laura Zebib, Peyton Skupin, Paholo Barboglio-Romo, Yooni Blair, Bahaa S. Malaeb, John T. Stoffel, Sapan N. Ambani Tags: Reconstructive Urology Source Type: research

Current landscape of andrology fellowship programs and the effect of gender on post-fellowship practice patterns
: To evaluate the current landscape of andrology fellowships, characteristics of past fellows, and post-fellowship career paths of fellowship graduates. (Source: Urology)
Source: Urology - May 13, 2022 Category: Urology & Nephrology Authors: Britney Lau, Raevti Bole, Matthew Ziegelmann, Tobias K öhler, Sevann Helo Source Type: research

Delayed Sigmoid Colon Erosion by Artificial Urinary Sphincter Tubing
A 65-year-old male presents with groin discomfort from a left inguinal hernia. He has a history of prostate cancer status-post radiation therapy and prostatic stenosis treated with urethroplasty. He subsequently developed severe urinary incontinence and underwent artificial urinary sphincter (AUS) placement in 2016. The AUS was replaced in June 2020 due to mechanical failure; he has since experienced no issues and maintained excellent continence. (Source: Urology)
Source: Urology - May 11, 2022 Category: Urology & Nephrology Authors: Christine Shieh, Nathan M. Shaw, Hannah Decker, Ian Soriano, Benjamin N. Breyer Source Type: research

Interdisciplinary Management of Extramammary Paget's Disease using Mohs Micrographic Surgery with Frozen Section Cytokeratin-7 Immunostains
: To describe local recurrence rates and patient reported outcomes when Mohs micrographic surgery with cytokeratin-7 immunostains (MMS-CK7) is included in the interdisciplinary management of extramammary Paget's Disease (EMPD). (Source: Urology)
Source: Urology - May 9, 2022 Category: Urology & Nephrology Authors: Julie M. Bittar, Peter G. Bittar, Shannon T. Nugent, Leela K. Raj, Donald E. Neal, Mohammed Dany, Marilyn T. Wan, John Sharkey, Jeremy R. Etzkorn, Joseph F. Sobanko, Thuzar M. Shin, Stephen Kovach, Robert C. Kovell, Nawar Latif, Christopher J. Miller Tags: Original article Source Type: research

Medical malpractice lawsuits involving Urology trainees: Spain's setting.
We have fully read the accurate article by Golan et al (1) concerning claims for medical professional liability involving urology trainees. Limitations of legal research databases for these purposes have been commented (2). (Source: Urology)
Source: Urology - May 9, 2022 Category: Urology & Nephrology Authors: Carles Martin-Fumad ó, César Vargas-Blasco, Josep Benet-Travé, Josep Arimany-Manso Tags: Letter to the editor Source Type: research

Laparoscopy Assisted Peritoneal Pull-Through Vaginoplasty in Transgender Women
Penile inversion vaginoplasty still remains the gold standard in genital gender affirming surgeries in transwomen. However, insufficiency of the penile skin due to either radical circumcision or puberty blockers presents great challenge in vaginal reconstruction.1 Peritoneal pull-through vaginoplasty is well known technique for the treatment of vaginal absence in cis-woman due to vaginal agenesis or trauma.2 (Source: Urology)
Source: Urology - May 9, 2022 Category: Urology & Nephrology Authors: Castanon CDG, Matic S, Bizic M, Stojanovic B, Bencic M, Grubor N, Pusica S, Korac G, Djordjevic ML Tags: Source Type: research

Therapeutic Living Donor Nephrectomy For Proximal Ureteral Pathology: A Longitudinal Case Series
We present a series of patients undergoing therapeutic living donor nephrectomy (TLDN), a scenario in which a patient undergoing nephrectomy for an underlying medical problem donates the kidney to a person with end-stage renal disease. This practice is underutilized, and only a single TLDN with proximal ureteral stricture has been previously described. We aim to help define the indications, risks, and benefits for patients. (Source: Urology)
Source: Urology - May 8, 2022 Category: Urology & Nephrology Authors: Jonathan Freise, Miguel Nunez, Thomas Chi, Marshall Stoller, Chris Freise, Garrett R Roll Tags: Source Type: research