Robot-assisted laparoscopic calyceo-pyelostomy for vascular compression of the upper calyx (Fraley Syndrome)
We report the first robot-assisted calyceo-pyelostomy. (Source: Urology)
Source: Urology - June 6, 2022 Category: Urology & Nephrology Authors: O. Windisch, T. Liernur, S. Prunet, JL Descotes, G. Fiard, J.A. Long Source Type: research

RE: “Transperineal Prostate Biopsy is Associated With Lower Tissue Core Pathogen Burden Relative to Transrectal Biopsy: Mechanistic Underpinnings for Lower Infection Risk in the Transperineal Approach”
Dear Editor, (Source: Urology)
Source: Urology - June 6, 2022 Category: Urology & Nephrology Authors: Stephen A. Harrington, Gary Fialk, Jay D. Raman Source Type: research

Reply: Transperineal Prostate Biopsy is Associated With Lower Tissue Core Pathogen Burden Relative to Transrectal Biopsy: Mechanistic Underpinnings for Lower Infection Risk in the Transperineal Approach
We appreciate the insight of Dr. Harrington et al. regarding the successful implementation of topical rectal antiseptic (TRS) into their transrectal prostate biopsy protocol, and commend them for the associated reduction in infectious complications over the decade of their experience. Their study, a retrospective review of nearly 1200 men who underwent transrectal biopsy of the prostate, compared a cohort that received TRS with antibiotic prophylaxis relative to a cohort that received antibiotic prophylaxis but no TRS. (Source: Urology)
Source: Urology - June 6, 2022 Category: Urology & Nephrology Authors: Glenn T. Werneburg Tags: Letters to the editor Source Type: research

Race and Ethnicity Have a Significant Effect on the Disclosure of Erectile Function: An Analysis of NHANES Response Patterns
: To determine if race/ethnicity impacts disclosure of erectile function. (Source: Urology)
Source: Urology - June 6, 2022 Category: Urology & Nephrology Authors: Jacob M. Gaines, Eric J. Macdonald, Aaron J. Smith, Michael A. Diefenbach, Darius A. Paduch Source Type: research

Expectant Management of Blunt Grade III Renal Injuries: Early Discharge Outcomes from a Level 1 Trauma Center
: To determine whether patients with American Association for the Surgery of Trauma grade III blunt renal injuries discharged within 48 hours of admission have increased rates of readmission for renal-related complications compared to patients observed for over 48 hours. (Source: Urology)
Source: Urology - June 6, 2022 Category: Urology & Nephrology Authors: George E. Koch, Rohan G. Bhalla, Abimbola Ayangbesan, Jennifer J. Huang, William J. Walton, Bradley M. Dennis, Oscar D. Guillamondegui, Niels V. Johnsen Source Type: research

Elevated IsoPSA Selects for Clinically Significant Prostate Cancer Without a Preference for Any Particular Adverse Histopathologic or Radiographic Feature.
To explore if elevated IsoPSA selects for particular adverse radiographic or histopathologic features among men destined to undergo radical prostatectomy (RP) because of clinically significant prostate cancer identified at biopsy. (Source: Urology)
Source: Urology - June 6, 2022 Category: Urology & Nephrology Authors: Tarik Benidir, Martin Hofmann, Zaeem Lone, Jane K. Nguyen, Andrei S. Purysko, Mark Stovsky, Eric A. Klein, Christopher J. Weight Source Type: research

Urethral Stricture/Stenosis as a Complication of High Intensity Focused Ultrasound of the Prostate (HIFU): What is the Overall Patient Experience?
To analyze the location and management of urethral stricture/stenosis in patients treated with HIFU of the prostate as well as to describe patient reported satisfaction in these men. (Source: Urology)
Source: Urology - June 6, 2022 Category: Urology & Nephrology Authors: David W. Barham, John Barnard, Joel Gelman Source Type: research

Editorial comment
Prophylactic perioperative open-ended ureteral stent placement is commonly performed prior to major pelvic and abdominal surgery. Several retrospective studies and a recent meta-analysis including 98,507 patients have not demonstrated a clear difference in the risk of ureteral injury among stented versus unstented patients (OR 1.30, 95% CI 0.39-4.29).1 However these studies are highly subject to selection bias. Many surgeons believe that prophylactic stenting can ease intraoperative ureteral visualization and early identification of injuries, and they continue to request stents in select cases. (Source: Urology)
Source: Urology - June 1, 2022 Category: Urology & Nephrology Authors: Alexander C. Small Source Type: research

Editorial comment
The faculty and resident interviews as well as resident applicant ‘socials’ have remained an important factor in program ranking. The COVID-19 pandemic changed the urology match process. The Virtual Interview (VI) replicated the direct person to person meeting. A plurality of applicants noted the interview process should remain virtual in a post-COVID-19 envir onment. Most significantly the virtual application cycle reduced the cost of applying to residency.1 To further enhance virtual presentation urology programs and urology resident applicants utilized social media (Facebook and Twitter) to showcase their program an...
Source: Urology - June 1, 2022 Category: Urology & Nephrology Authors: Gilbert J. Wise Source Type: research

Author reply
The rise of social media (SoMe) as a new mode of communication in the urology match has been swift in response to the COVID-19 pandemic and the shift to virtual programming. While professional SoMe use has many benefits, in the context of the match and its communication rules there are certainly potential pitfalls that must be addressed. (Source: Urology)
Source: Urology - June 1, 2022 Category: Urology & Nephrology Authors: John R. Heard, W. Austin Wyant, Stacy Loeb, Robert Marcovich, Justin M. Dubin Source Type: research

Editorial comment
The structure of urology residency training across the country continues to evolve and change based on a variety of factors including not only feedback from current and former trainees, but also the culture surrounding medicine and clinical training. Anecdotally, in many institutions, this manifests as subtle changes from year to year stemming from a conventional hierarchical model. Program directors and chairmen ideally continually reassess resident needs and ideals for training in order to implement changes and improve resident education. (Source: Urology)
Source: Urology - June 1, 2022 Category: Urology & Nephrology Authors: Leslie Peard, Andrew M. Harri Source Type: research

Editorial comment
This work is an important addition to the literature as the goal of decreasing opioid prescribing for urologic patients is not limited to the urologist alone. Patients with suspected renal colic often seek initial care in the Emergency Department where a primary focus is on the management of acute pain. How this pain is managed in the acute setting can have significant implications. This can potentially be a patient's initial exposure to opioid medications and also may impact how urologists are able to manage these same patients in the post-surgical setting. (Source: Urology)
Source: Urology - June 1, 2022 Category: Urology & Nephrology Authors: Kevan Michael Sternberg Source Type: research

Editorial comment
Three-dimensional (3D) models have gained significant traction in urology to benefit surgical education and preoperative planning.?>1-3?> More recently, augmented reality (AR) has been presented as a tool to allow for real-time imaging guidance intraoperatively to improve accurate anatomic evaluation and tumor localization, and ultimately, allow for more precise excision.4,5 This new tool for precision surgery has the potential to improve long term oncologic and functional outcomes by maximizing residual renal volume and minimizing positive surgical margins. (Source: Urology)
Source: Urology - June 1, 2022 Category: Urology & Nephrology Authors: Tanner Corse, Michael Stifelman, Nitin Yerram Source Type: research

Author reply
We read with interest the comments by Corse and colleagues on our recently published paper about the use of indocyanine green (ICG) enabling the overlap of the 3D virtual kidney model over the real organ during surgery. The Authors present insightful comments on the new presented technology. (Source: Urology)
Source: Urology - June 1, 2022 Category: Urology & Nephrology Authors: Daniele Amparore, Enrico Checcucci, Pietro Piazzolla, Francesco Porpiglia Source Type: research

Editorial comment
Letters of recommendation have been a mainstay of applications for training since the inception of modern training programs in the late 19th century. Aside from the applicant's personal statement, they represent the only truly subjective portion of the application. Herein lies the great conundrum of letters of recommendation (LORs): They are a potent window into the applicants ’ humanity, work ethic, and curiosity—all values we seek in training applicants—and yet they also present the greatest opportunity for bias in selection decisions in that they cannot truly be “blinded.” (Source: Urology)
Source: Urology - June 1, 2022 Category: Urology & Nephrology Authors: Hadley M. Wood Source Type: research