External Urethral Sphincter Botulinum Toxin Injection to Treat Pseudodysynergia in Patients With Cerebral Palsy
To evaluate urinary outcomes following cystoscopic external urinary sphincter onabotulinumtoxinA (BTX) injections in patients with cerebral palsy (CP). Adults with CP can suffer from bladder outlet obstruction and urinary retention due to a spastic external urethral sphincter ( “pseudodysynergia”). We have used BTX injections into the sphincter to relieve the obstruction and allow patients to maintain spontaneous voiding rather than intermittent catheterization. (Source: Urology)
Source: Urology - February 20, 2024 Category: Urology & Nephrology Authors: Ryan Haggart, Christopher J. Loftus, Molly DeWitt-Foy, Valencia Henry, Shawn Grove, Joseph Pariser, Sean Elliott Tags: Urologic Congenitalism Source Type: research
Editorial Commentary on: Improving Racial Disparities in Prostate Cancer
Racial disparities in prostate cancer treatment and their subsequent impact on outcomes including mortality have been well described. In addition to lower screening rates, inequities in guideline-concordant treatment, and lower representation in clinical trials,1 there are also disparities in health-related quality of life related to prostate cancer treatment in Black men,2,3 of which androgen-deprivation therapy (ADT)-associated depression is a major component. (Source: Urology)
Source: Urology - February 20, 2024 Category: Urology & Nephrology Authors: Hiba M. Khan Tags: Editorial Comment Source Type: research
Editorial Commentary on Improving Racial Disparities in Prostate Cancer
Racial disparities in prostate cancer treatment and their subsequent impact on outcomes including mortality have been well described. In addition to lower screening rates, inequities in guideline-concordant treatment, and lower representation in clinical trials1, there are also disparities in health-related quality of life (HRQoL) related to prostate cancer treatment in Black men2,3, of which androgen-deprivation therapy (ADT)-associated depression is a major component. (Source: Urology)
Source: Urology - February 20, 2024 Category: Urology & Nephrology Authors: Hiba M. Khan Source Type: research
Editorial comment
In addition to standard peri-operative prophylaxis, both the American Urological Association and the Infectious Diseases Society of America recommend screening for asymptomatic bacteriuria prior to any procedure impacting the integrity of the urothelium and pre-treating in a culture-directed manner with a goal to improve antibiotic stewardship.1,2 However, it remains unclear when asymptomatic bacteriuria is clinically significant. The authors of this retrospective, single-institution study aimed to answer this question in the setting of urethroplasty by identifying which bacteria pose a higher risk for complications, i.e. (Source: Urology)
Source: Urology - February 20, 2024 Category: Urology & Nephrology Authors: Ahmad N. Alzubaidi, Michael Mawhorter, Joseph Y. Clark Source Type: research
Editorial Comment on “Accuracy and readability of kidney stone patient information materials generated by a large language model compared to official urologic organizations”
In the context of patient education, is generative artificial intelligence (AI) a technology looking for an indication? The present study provides a timely analysis of this emerging technology. (Source: Urology)
Source: Urology - February 20, 2024 Category: Urology & Nephrology Authors: Kelly S. Lehner, Kevin Koo Source Type: research
External Urethral Sphincter Botulinum Toxin Injection to Treat Pseudodyssynergia in Patients with Cerebral Palsy
To evaluate urinary outcomes following cystoscopic external urinary sphincter onabotulinumtoxinA (BTX) injections in patients with CP. Adults with cerebral palsy (CP) can suffer from bladder outlet obstruction and urinary retention due to a spastic external urethral sphincter ( “pseudodysynergia”). We have used BTX injections into the sphincter to relieve the obstruction and allow patients to maintain spontaneous voiding rather than intermittent catheterization. (Source: Urology)
Source: Urology - February 20, 2024 Category: Urology & Nephrology Authors: Ryan Haggart, Christopher J Loftus, Molly DeWitt-Foy, Valencia Henry, Shawn Grove, Joseph Pariser, Sean Elliott Source Type: research
Editorial Comment on “Indentation Deformity in Men With Peyronie's Disease”
In this study, Roadman et al report their experience with this technique, subsequ ent cosmetic outcomes, and patient satisfaction in the largest case series to date.1 (Source: Urology)
Source: Urology - February 19, 2024 Category: Urology & Nephrology Authors: Andrew Shumaker, Petar Bajic Tags: Editorial Comment Source Type: research
Editorial Comment on “Prostate Cancer Detection Rate of Transperineal Prostate Biopsy: Cognitive vs Software Fusion, A Multicenter Analysis”
In this study, the authors compare cognitive and software fusion approaches to transperineal prostate biopsy. The authors retrospectively assess a multi-institutional cohort of 201 cognitive and 289 software fusion biopsies, with detection of clinically significant prostate cancer (csPCa) (i.e., Grade Group ≥ 2) as the primary outcome. Analysis did not demonstrate statistically different odds of detecting csPCa by biopsy technique. (Source: Urology)
Source: Urology - February 19, 2024 Category: Urology & Nephrology Authors: Rachel Passarelli, Arnav Srivastava Tags: Editorial Comment Source Type: research
Prostate Cancer Detection Rate of Transperineal Prostate Biopsy: Cognitive vs Software Fusion, A Multicenter Analysis
To compare clinically significant prostate cancer detection with TP-TBx utilizing software vs cognitive fusion. It is established that MRI prior to prostate biopsy improves detection of clinically significant cancer (csPCa, Grade Group ≥2). MRI/US fusion targeted biopsy via a transperineal approach (TP-TBx) is increasing in utilization due to the clean percutaneous approach that greatly reduces postbiopsy infection. However, the comparative effectiveness of formal software fusion over cognitive fusion remains under studied. (Source: Urology)
Source: Urology - February 19, 2024 Category: Urology & Nephrology Authors: Michael Hung, Ashley E. Ross, Eric V. Li, Christian P. Pavlovich, Sean A. Fletcher, Sofia Gereta, Tenny R. Zhang, Timothy D. McClure, Mohamad E. Allaf, Edward M. Schaeffer, Jim C. Hu Tags: Oncology Source Type: research
mDetermining the Stone Free Rate of Retrograde Intrarenal Surgery. Which Radiological Technique? RIRSearch Study Group.
To evaluate the sensitivity and specificity of ultrasonography and kidney ureter bladder radiography(KUB) for the determination of stone free status of retrograde intrarenal surgery(RIRS) according to different stone free status definitions. (Source: Urology)
Source: Urology - February 19, 2024 Category: Urology & Nephrology Authors: Cenk Murat Yazici, Korcan Aysun G önen, Oktay Ozman, Hakan Cakir, Cem Basatac, Haci Murat Akgul, Onder Cinar, Duygu Siddikoglu, Hulusi Sıtkı Dayısoylu, Eyup Burak Sancak, Barbaros Baseskioglu, Bulent Onal, Haluk Akpinar Source Type: research
Response to Comment on “Gender-Based Disparity Exists in the Surgical Experience of Female and Male Urology Residents”
We appreciate Dr. Westney ’s remarks on our work. We agree with the call for (1) additional research examining gender bias within urology training, (2) internal program auditing to identify inequality in training experiences, and (3) the development of methods to mitigate existing disparity in training. Our results identif ied a cumulative median difference of 99 cases between female and male residents across 4 years of training. We acknowledge program selection is a limitation to our methods, as the 13 included programs voluntarily submitted their case log data. (Source: Urology)
Source: Urology - February 19, 2024 Category: Urology & Nephrology Authors: Kathryn A Marchetti, Kate H Kraft Source Type: research
Editorial comment
In this study, Roadman and colleagues report their experience with this tech nique, subsequent cosmetic outcomes, and patient satisfaction in the largest case series to date.1 (Source: Urology)
Source: Urology - February 19, 2024 Category: Urology & Nephrology Authors: Andrew Shumaker, Petar Bajic Source Type: research
Determining the Stone Free Rate of Retrograde Intrarenal Surgery. Which Radiological Technique? RIRSearch Study Group.
To evaluate the sensitivity and specificity of ultrasonography and kidney ureter bladder radiography(KUB) for the determination of stone free status of retrograde intrarenal surgery(RIRS) according to different stone free status definitions. (Source: Urology)
Source: Urology - February 19, 2024 Category: Urology & Nephrology Authors: Cenk Murat Yazici, Aysun Korcan G önen, Oktay Ozman, Hakan Cakir, Cem Basatac, Haci Murat Akgul, Onder Cinar, Duygu Siddikoglu, Hulusi Sıtkı Dayısoylu, Eyup Burak Sancak, Barbaros Baseskioglu, Bulent Onal, Haluk Akpinar Source Type: research
Editorial comment
Rates of surgical success and failure are a key component of informed consent. Residual fragments, even (Source: Urology)
Source: Urology - February 19, 2024 Category: Urology & Nephrology Authors: Cyrus Chehroudi, Smita De Source Type: research
Editorial Comment: Prostate Cancer Detection Rate of Transperineal Prostate Biopsy: Cognitive Versus Software Fusion, A Multicenter Analysis
In this study, the authors compare cognitive and software fusion approaches to transperineal prostate biopsy. The authors retrospectively assess a multi-institutional cohort of 201 cognitive and 289 software fusion biopsies, with detection of clinically significant prostate cancer (csPCa) (i.e., Grade Group ≥ 2) as the primary outcome. Analysis did not demonstrate statistically different odds of detecting csPCa by biopsy technique. (Source: Urology)
Source: Urology - February 19, 2024 Category: Urology & Nephrology Authors: Rachel Passarelli, Arnav Srivastava Source Type: research
