Surgical management of extravaginal testicular torsion in a 16-year-old male: a case report
Extravaginal torsion (EVT) is a rare type of testicular torsion that usually occurs in neonates. The primary type of testicular torsion that occurs in adolescents is intravaginal torsion (IVT). In this case report, we describe the first case of EVT reported in a 16-year-old male with a contralateral bell clapper deformity and subsequent surgical management using a tunica vaginalis flap (TVF) and bilateral orchiopexy. In discussion of this case, we examine possible anatomical causes of EVT and suggestions for appropriate surgical management. (Source: Urology)
Source: Urology - March 28, 2024 Category: Urology & Nephrology Authors: Mary Namugosa, Kevin J. Parham, Ashley N. Matthew, Brandon Wilson, Ryan Fogg, Eric D. Nelson Source Type: research

Transurethral Resection of Bladder Tumor Outcomes are Predicted by a 5-item Frailty Index
To evaluate the mFI-5 as a predictor of post-operative outcomes following transurethral resection of bladder tumor (TURBT). (Source: Urology)
Source: Urology - March 22, 2024 Category: Urology & Nephrology Authors: Christopher Connors, Daniel Wang, Micah Levy, Krishna T. Ravivarapu, Chih Peng Chin, Juan Sebastian Arroyave, Olamide Omidele, Francisca Larenas, Michael Palese Tags: Oncology Source Type: research

Author Response On: Impact of Dobbs v. Jackson Women ’s Health Organization on Professional Decision Making among Urology Applicants
We engage in research for many reasons, but this manuscript held significant personal interest for me. Amid the rigors of residency training, I experienced the loss of a very desired pregnancy. When the Dobbs ’ decision leaked in May 2022, I was an attending. One of my first thoughts was how differently my miscarriage experience could have been as a resident. In 2019, I had the financial resources to travel out-of-state if needed, but I was allowed to recover in my own home. I was able to receive the n ecessary medical care with speed and dignity. (Source: Urology)
Source: Urology - March 21, 2024 Category: Urology & Nephrology Authors: Danielle Velez, Casey A. Seideman Source Type: research

Re: Predictors of Excellent Urology Residents at the Time of the Urology Match
We read the article by Thompson and colleagues1 with great interest given the competitive nature of urology residency and desire of all programs to match high quality candidates who will achieve success as residents and, later, independent physicians. The timing is quite apropos with resident interviews currently in full swing. The manuscript utilized a logistic regression model trained to predict resident excellence, as based on scoring from the current and prior program directors. Based on their multivariable model, no negative interview comments and honors in all core clinical clerkships were independently associated wi...
Source: Urology - March 20, 2024 Category: Urology & Nephrology Authors: Danly Omil-Lima, Chad R. Tracy, Ryan L. Steinberg Source Type: research

Robotic Flexible Ureteroscopy: A Step-by-Step Video by Using Roboflex Avicenna Platform
The management of kidney stones, particularly those in the renal pelvis, is a critical aspect of urology. The European Association of Urology guidelines recommend Extracorporeal Shock Wave Lithotripsy or Endourology methods, encompassing Percutaneous Nephrolithotomy and Ureterorenoscopy (URS), for stones ranging from 10-20  mm. Robotic-assisted urological procedures have gained prominence in recent years, promising enhanced precision and safety. (Source: Urology)
Source: Urology - March 18, 2024 Category: Urology & Nephrology Authors: Rifat Burak Erg ül, Mehmet Gurcan, Ahmet Baris Aydin, İsmet Nane, Faruk Özcan, Tzevat Tefik Tags: Laparoscopy and Robotics Source Type: research

Postoperative Recovery of Quality-of-Life Following Ureteroscopy for Nephrolithiasis: The Impact on Pain Intensity and Interference and the Ability to Participate in Social Roles
To prospectively capture patient-reported outcomes to assess the recovery profile of ureteroscopy (URS). (Source: Urology)
Source: Urology - March 18, 2024 Category: Urology & Nephrology Authors: Justin B. Ziemba, Amanda Jones, George Lin, Hanna Stambakio, Gregory E. Tasian, Jing Huang Tags: Endourology and Stones Source Type: research

Design, Development, and Validation of a First, Low-cost, Three-dimensional (3D) Printed Optical Urethrotomy Simulation Model
To develop and validate a low-cost, portable, and reusable simulation model for optical internal urethrotomy (OIU) training. (Source: Urology)
Source: Urology - March 18, 2024 Category: Urology & Nephrology Authors: Chandra Shekhar Biyani, Mithun Kailavasan, Thomas Sparborth, Andrei A. Kozan, Vishwanath Hanchanale, Mamoun Hamid Elmamoun, Sanjay Rajpal, Tiago Oliveira, Ben Van Cleynenbreugel Tags: Education Source Type: research

Editorial comment on: “Clinical Efficacy Evaluation of a Novel Negative Pressure Ureteroscopic Lithotripsy for Ureteral Stones”
There have been numerous advances in the treatment of nephrolithiasis, including miniaturized instrumentation and new laser technology; however, the purpose of the procedure remains the same —to render the patient stone free. Recent publications re-emphasizes the need to render patients stone free with residual fragment size contributing to stone-related events for both percutaneous nephrolithotomy1 and ureteroscopy.2 Both the vacuum-assisted ureteral and percutaneous access sheaths a re now commonly used with advertised benefits of a reduction in stone retropulsion, shorter operating room times, and potentially reducing...
Source: Urology - March 18, 2024 Category: Urology & Nephrology Authors: Roshan M. Patel Tags: Editorial Comment Source Type: research

Robotic Flexible Ureteroscopy: A Step-by-step Video by Using Roboflex AvicennaTM Platform
The management of kidney stones, particularly those in the renal pelvis, is a critical aspect of urology. The European Association of Urology guidelines recommend Extracorporeal Shock Wave Lithotripsy or Endourology methods, encompassing Percutaneous Nephrolithotomy and Ureterorenoscopy (URS), for stones ranging from 10-20 mm. Robotic-assisted urological procedures have gained prominence in recent years, promising enhanced precision, and safety. (Source: Urology)
Source: Urology - March 18, 2024 Category: Urology & Nephrology Authors: Rifat Burak Erg ül, Mehmet Gurcan, Ahmet Baris Aydin, İsmet Nane, Faruk Özcan, Tzevat Tefik Source Type: research

Analyzing the Current State and Visibility of Diversity, Equity, and Inclusion Initiatives at Urology Residency Programs
To analyze AUA urology residency program websites to determine visibility of DEI initiatives. There is growing interest in diversity, equity, and inclusion (DEI) initiatives by urology applicants, and in recent years, urology programs have invested in efforts to promote DEI. (Source: Urology)
Source: Urology - March 18, 2024 Category: Urology & Nephrology Authors: Sarosh Irani, Laura Zebib, Efe Chantal Ghanney Simons, Juan J Andino, Ganesh Palapattu, Keow Mei Goh Source Type: research

Design, development and validation of a first, low-cost, three-dimensional (3D) printed optical urethrotomy simulation model
To develop and validate a low-cost, portable, and reusable simulation model for optical internal urethrotomy (OIU) training. (Source: Urology)
Source: Urology - March 18, 2024 Category: Urology & Nephrology Authors: Chandra Shekhar Biyani, Mithun Kailavasan, Thomas Sparborth, Andrei A Kozan, Vishwanath Hanchanale, Mamoun Hamid Elmamoun, Sanjay Rajpal, Tiago Oliveira, Ben Van Cleynenbreugel Source Type: research

Post-Operative Recovery of Quality-of-Life Following Ureteroscopy for Nephrolithiasis: The Impact on Pain Intensity and Interference and the Ability to Participate in Social Roles
To prospectively capture patient-reported outcomes to assess the recovery profile of ureteroscopy. (Source: Urology)
Source: Urology - March 18, 2024 Category: Urology & Nephrology Authors: Justin B. Ziemba, Amanda Jones, George Lin, Hanna Stambakio, Gregory E. Tasian, Jing Huang Source Type: research

Institutional Micro-Cost Comparative Analysis of Reusable vs  Single-use Cystoscopes With Assessment of Environmental Footprint
To conduct a comparative cost analysis between single-use and reusable cystoscopes from a national healthcare system perspective and assess the environmental footprint. (Source: Urology)
Source: Urology - March 16, 2024 Category: Urology & Nephrology Authors: Riccardo Bertolo, Veronica Gilioli, Alessandro Veccia, Sarah Malandra, Luca Dal Corso, Daniela Fenzi, Francesca Mazzetto, Alessandro Antonelli Tags: Health Services Research Source Type: research

Institutional Micro-Cost Comparative Analysis of Reusable vs. Single-Use Cystoscopes with assessment of environmental footprint
To conduct a comparative cost analysis between single-use and reusable cystoscopes from a national healthcare system perspective and assess the environmental footprint. (Source: Urology)
Source: Urology - March 16, 2024 Category: Urology & Nephrology Authors: Riccardo Bertolo, Veronica Gilioli, Alessandro Veccia, Sarah Malandra, Luca DAL Corso, Daniela Fenzi, Francesca Mazzetto, Alessandro Antonelli Source Type: research

On: Urology Residency Applicant Selection: Program Directors ’ New Criteria
Participation in a residency matching program is an annual rite of passage for thousands of graduating senior medical students in the United States, and for numerous other medical professionals seeking postgraduate medical training. The process was centralized decades ago in an effort to improve fairness for candidates, maximize opportunities for programs to recruit their top choices from among their applicants, and streamline the logistical process. As a medical educator working directly with both medical students and urology residents, it has been fascinating to watch this process evolve over time. (Source: Urology)
Source: Urology - March 16, 2024 Category: Urology & Nephrology Authors: Tomas L. Griebling Source Type: research