Massive hydronephrosis, countless lithiasis and upper urinary tract carcinoma
A 51-year-old otherwise healthy man presented to the emergency department with a 6-month history of weight loss, asthenia, lumbar pain and hematuria. Urinalysis was notable for hematuria without significant pyuria. Hemoglobin was 10.3 g/dL and serum creatinine was 1.2 mg/dL. The remainder of the complete blood count, metabolic panel, and coagulation parameters were normal. An abdominal x-ray was done and based on the findings of this a CT scan was performed (Figure 2). (Source: Urology)
Source: Urology - April 9, 2022 Category: Urology & Nephrology Authors: Elena Pe ña Vallejo, Carmen Gómez del Cañizo, Ángel Tejido Sánchez Source Type: research

Inflammatory Vulvar Dermatoses (Part I)
Vulvar disease is common, and urologists are often the first providers to see patients with a vulvar skin condition.  Primary vulvar dermatoses can be localized to the anogenital area or a manifestation of more diffuse cutaneous disease. Additionally, secondary dermatoses can develop from exogenous agents and inflammatory vaginitis. Vulvar conditions are challenging to diagnose due to location and different types of skin and mucosal epithelium involved. Herein, we provide an overview of non-infectious inflammatory vulvar dermatoses (Part I) and benign and malignant vulvar neoplasms (Part II), grouped by morphologic findin...
Source: Urology - April 9, 2022 Category: Urology & Nephrology Authors: Isabella Sanchez, Jodie Raffi, Christina N. Kraus Tags: Narrative Review Source Type: research

Urodynamic Curve Patterns may Predict Female Bladder Outlet Obstruction and Detrusor Underactivity
To search for independent predictors for distinguishing bladder outlet obstruction (BOO) and detrusor underactivity (DU) in female patients with voiding difficulty. (Source: Urology)
Source: Urology - April 9, 2022 Category: Urology & Nephrology Authors: B ülent Çetinel, Bülent Önal, Berin Selçuk, Günay Can, Uğur Aferin, Ömer Yıldırım Source Type: research

Pathologic Findings and Management of Renal Mass in Horseshoe Kidneys
Objectives: To evaluate the management, surgical outcomes, and pathological findings in patients with tumor in a horseshoe-kidney(HK). HK patients present unique challenges due to aberrant vascular anatomy and risk of renal insufficiency. We hypothesized that many tumors in this setting may be indolent or benign.Materials and Methods: Patients managed for renal mass in HK at our center(1999-2021) were reviewed. Baseline characteristics, surgical approach, complications, functional outcomes, pathology, and survival were analyzed. (Source: Urology)
Source: Urology - April 8, 2022 Category: Urology & Nephrology Authors: Yosuke Yasuda, JJ Zhang, Worapat Attawettayanon, Nityam Rathi, Gustavo Roversi, Ao Zhang, Diego Aguilar Palacios, Jihad Kaouk, Georges-Pascal Haber, Venkatesh Krishnamurthi, Mohamed Eltemamy, Robert Abouassaly, Charles E. Martin, Christopher Weight, Steve Tags: ONC Source Type: research

Hypospadias with severe chordee: effect of urethral plate transection on penile length
To present our experience with urethral plate (UP) transection to treat hypospadias with severe chordee and examined the effects of this procedure on penile length. The technique involved transecting the UP to correct curvature, facilitating elongation of penile length and reconstruction of the urethra. (Source: Urology)
Source: Urology - April 7, 2022 Category: Urology & Nephrology Authors: Guanglun Zhou, Wanhua Xu, Jianchun Yin, Junjie Sun, Wenbin Zhu, Xiaodong Liu, Shoulin Li Source Type: research

Preliminary Outcomes after Same Day Discharge Protocol for Robot-Assisted Partial Nephrectomy: A Single Centre Experience
: To assess the feasibility and safety of same-day discharge (SDD) surgery after robot-assisted partial nephrectomy (RAPN) in patients with small renal tumours. (Source: Urology)
Source: Urology - April 7, 2022 Category: Urology & Nephrology Authors: Daniel Benamran, Elisabeth Grobet-Jeandin, J érémy Msika, Christophe Vaessen, Jérôme Parra, Thomas Seisen, Morgan Rouprêt Source Type: research

Ectopic Vas Deferens in a Male Infant
We present a 2-month-old male with vas deferens ectopia. (Source: Urology)
Source: Urology - April 2, 2022 Category: Urology & Nephrology Authors: Abigail Durbin, Christopher Hayden, Leslie Peard, Jacob Elam, Amanda F. Saltzman Tags: Case Report Source Type: research

Foley Catheter Balloon Rupture and Risk of Free Fragment Formation
: To assess the volume of foley catheter balloon rupture and the incidence of free fragment formation. (Source: Urology)
Source: Urology - April 2, 2022 Category: Urology & Nephrology Authors: Jason L. Lui, Nathan M. Shaw, Nizar Hakam, Behnam Nabavizadeh, Kevin D. Li, Patrick Low, Behzad Abbasi, Benjamin N. Breyer Source Type: research

Pubertal Suppression and Surgical Management of a Patient with 5-alpha Reductase Deficiency
Five-alpha reductase type 2 deficiency (5 αRD2) is a rare cause of atypical genitalia in newborns. There are no definitive guidelines regarding management of children with this disorder. While many children are raised as female given the under-virilized appearance of their external genitalia at birth, these patients are historically counse led to undergo male puberty, resulting in a change in gender identity from female to male in more than half of post-pubertal patients. Here we report the first case of a patient with 5αRD2who identified as female from a very early age, strongly desired gender-affirming surgery, and ele...
Source: Urology - April 2, 2022 Category: Urology & Nephrology Authors: Lauren M. McGee, Michael Lin-Brande, Kathryn Woods, Casey A. Seideman Source Type: research

Editorial comment
I would like to commend the authors for addressing this seminal issue in Urology. This manuscript is a critical starting point in understanding the lack of underrepresented minorities (URM) in the leadership positions within academic urology. Using Survey Data from 320 academic urologist with a response rate of 41.6%, the authors identify that 13.6% (18) of these respondents were URM are in leadership positions. In their discussion, the authors describe a top down approach in which more URM in leadership roles would provide “increase in mentorship, improved retention of URM faculty, attraction of URM students to our spec...
Source: Urology - April 1, 2022 Category: Urology & Nephrology Authors: Humphrey O. Atiemo Source Type: research

Author's reply
The editors note there exists a bottleneck at the level of recruiting underrepresented minority (URM) students into medical school. We made reference to this phenomenon citing the prevalence of URM students in medical school in 2019 was 14%, with a similar lag in URM (including Asian trainees) representation in urology trainees at 17.7% (30.8%) behind surgery at 20.4% (33.6%) and all fields at 25.6% (42.3%). While this bottleneck is evident at the beginning of medical education, these straggling numbers continue at every juncture of becoming a physician resulting in a further silo effect in competitive surgical subspecialt...
Source: Urology - April 1, 2022 Category: Urology & Nephrology Authors: Harold C. Hamann, Teresa L. Danforth Source Type: research

Editorial comment
As institutions, training programs and clinicians do their best to identify and address implicit biases, this study offers an objective perspective on the language selected by urology residency applicants in their personal statements. Over the last few years, we have witnessed a welcome revolution to the personal statement as they have actually become …more personal. This aspect of the application is under complete control of the applicant and offers the opportunity to present a small window into their personality, values, interests, goals, motivations, and pathway to urology (among many things). (Source: Urology)
Source: Urology - April 1, 2022 Category: Urology & Nephrology Authors: Mathew D. Sorensen Source Type: research

Editorial comment
In this study, the authors examine the concordance of the proportion of women and underrepresented minorities (URM) among current urology trainees to the proportion of women and URMs in the general population. This paper eloquently leads a call to action to diversify our workforce so urologists better represent the patients we serve. (Source: Urology)
Source: Urology - April 1, 2022 Category: Urology & Nephrology Authors: Kate H. Kraft Source Type: research

About Time: Assessing Time Spent in Urology Ambulatory Visits and Patient Race
Racial disparities in the diagnosis, treatment, and outcomes of many urologic diseases are well-documented. Nationally, Black men are more than twice as likely to die of prostate cancer as white men, with both higher incidence and worse outcomes after diagnosis.1 Bladder cancer survival is also lower, as Black patients present with more advanced disease and have lower rates of receipt of optimal treatment.2,3 Clearly, a complex interplay between biology, access, patterns of care, and socioeconomic and cultural factors affects how vulnerable populations with urologic pathologies fare. (Source: Urology)
Source: Urology - April 1, 2022 Category: Urology & Nephrology Authors: Julie A. Szymaniak, Anobel Y. Odisho Source Type: research

Editorial comment
Racial and ethnic diversity have long been lacking in urology. Dr. Ghanney Simons et al. quantify this disparity by examining the historical trends and current state of racial representation in medicine and urology at each stage of the pipeline to becoming a practicing urologist in the US. Black and Latinx applicants are underrepresented at every time point, a disparity that only worsens in more senior positions. The pool of URiM applicants for urology programs lags in comparison to the national population. (Source: Urology)
Source: Urology - April 1, 2022 Category: Urology & Nephrology Authors: Olutiwa A. Akinsola, Kristen R. Scarpato Source Type: research