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Joao Matos, Ilaria Mussetto, Nicola Romano, Luca Valle, Cristina Gauglio, Lorenzo Egildo Derchi
Malignant neoplasm arising from ileal ureter used for ureteral reconstructive surgery is an exceedingly rare event. Ureteroileoplasty was being performed since the beginning of the last century, but it was described more extensively in literature during the 1950s.1,2 Recurrent urinary infections, chronic renal failure, urolithiasis, anastomotic stricture, metabolic acidosis and chronic dilation of the graft had been described as late complications of ureteroileoplasty.3,4 Herein, we describe history, imaging and pathologic findings of a small bowel adenocarcinoma arising from ileal ureter in a woman of 78 year-old, subjected to ureteroileoplasty about forty years earlier...
April 19, 2019: Urology
Ertugrul Sefik, Ibrahim Halil Bozkurt, Zehra Hilal Adibelli, Mehmet Erhan Aydin, Serdar Celik, Gülsen Yucel Oguzdogan, Ismail Basmaci, Sacit Nuri Gorgel, Enver Vardar, Bulent Gunlusoy, Tansu Degirmenci
OBJECTIVE: To evaluate the histopathological correlation of recently described subclassification of Bosniak category 3 cysts (3s and 3n). MATERIALS AND METHODS: A total of 106 patients who underwent partial/radical nephrectomy due to a complex renal cyst (≥Bosniak 3) were retrospectively reviewed. All the scans of the patients were reevaluated by two experienced uroradiologists. Bosniak 3 cysts were reclassified as 3n (nodularity on the cyst wall/septae) and 3s (septated cysts without nodularity) as described in a recently published paper...
April 19, 2019: Urology
Jim K Shen, Patrick Kilday, Clayton S Lau
No abstract text is available yet for this article.
April 19, 2019: Urology
James R Furr, Eric S Wisenbaugh, Joel Gelman
OBJECTIVE: To report success and patient reported urinary and sexual outcomes of patients who underwent anastomotic urethroplasty and dorsal buccal onlay urethroplasty. MATERIALS AND METHODS: Patients who underwent primary transecting anastomotic or dorsal buccal onlay urethroplasty for bulbar strictures at our institution between 1998 and 2015 were analyzed. Patients who had a prior urethroplasty, involvement of a different portion of the urethra, or a diagnosis of LS or hypospadias were excluded...
April 19, 2019: Urology
M Francesca Monn, Matthew J Mellon
Penetrating perineal trauma is an unusual urologic injury. Even less common is a delayed presentation. Herein we present the case of a patient with delayed development of a corporal cutaneous fistula three months following perineal trauma.
April 19, 2019: Urology
E Charles Osterberg, Shay Golan, M Pilar Laguna Pes, Scott E Eggener, Bogdan Petrut, Shrawan K Singh, Petros Sountoulides, Levent N Türkeri, J Stuart Wolf
OBJECTIVE: To determine factors associated with performance and quality of lymph node dissection during radical nephrectomy. MATERIALS AND METHODS: Using an international data registry, we performed multilevel logistic regression to determine the association of surgical approach (open surgery vs. minimally invasive surgery), institutional experience (low, moderate and high tertiles), and institutional preference (minimally invasive surgery, balanced, and open surgery tertiles) with the performance of lymph node dissection in subgroups by clinical stage and nodal status...
April 19, 2019: Urology
Luísa Jerónimo Alves, Catarina Diogo Gameiro, Sofia Pinheiro Lopes, João de Brito Ascensão, Rui Campos Sousa
No abstract text is available yet for this article.
April 19, 2019: Urology
Samuel C Haywood, Kara Long Roche, Bernard H Bochner
No abstract text is available yet for this article.
April 18, 2019: Urology
Marina Caputo, Chiara Mele, Marco Zavattaro, Maria Teresa Samà, Mara Giordano, Paolo Umari, Alessandro Volpe, Gianluca Aimaretti, Flavia Prodam
A 53-year-old male referred to our Centre because of hypergonadotropic hypogonadism detected during urological follow-up for urethral lithiasis. Physical Examination showed short stature, micropenis, ambiguous external genitalia, normal secondary sexual characteristics. Karyotype: 45 × 0/46XY. Abdominal MRI revealed the presence of uterus-like structure, right annex and left testes without prostate. He underwent laparoscopic removal of dysgenetic tissues; histological examination confirmed the presence of little uterus, fallopian tubes, little atrophic ovary, and vaginal tract; left testes was atrophic with sclero-jalinosis of seminal tubes and Leydig's cells hyperplasia...
April 18, 2019: Urology
Julia B Ward, Lydia Feinstein, Casey Pierce, John Lim, Kevin C Abbott, Tamara Bavendam, Ziya Kirkali, Brian R Matlaga
OBJECTIVE: To examine the recent epidemiology of pediatric urinary stone disease (USD) in the United States. METHODS: We utilized the 2004-2016 Optum© Clinformatics® Data Mart database, a de-identified adjudicated administrative health claims database that includes 15-18 million individuals covered annually by commercial insurance in all 50 US states. The analysis included 12,739,125 children aged 0-18 years. We calculated annual rates of USD, ambulatory visits, and procedures, and the prevalence of prescription fills...
April 18, 2019: Urology
Avinash Maganty, Robert M Turner, Jonathan G Yabes, Benjamin J Davies, Dwight E Heron, Bruce L Jacobs
OBJECTIVE: To quantify the use of downstream studies following staging bone scans in patients with muscle-invasive bladder cancer. Bone scans may be obtained in high-risk bladder cancer patients prior to radical cystectomy to exclude bone metastases. However, false positive bone scans can occur, resulting in the need for additional studies. PATIENTS AND METHODS: Using Surveillance, Epidemiology, and End Results (SEER)-Medicare data, we identified 4404 patients diagnosed with muscle-invasive bladder cancer from 2004-2011...
April 18, 2019: Urology
Andrew R Medendorp, Jennifer T Anger, Chengshi Jin, Katherine A Amin, Lindsay A Hampson, Una J Lee, Anne M Suskind
OBJECTIVES: To determine whether frailty is associated with increased odds of 30-day surgical complications among men undergoing both artificial urinary sphincter (AUS placement and removal procedures and to determine whether frailty was associated with increased odds of having an AUS removal procedure. METHODS: This is a retrospective cohort study of men undergoing AUS placement and removal procedures using data from the American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) from 2006-2013...
April 18, 2019: Urology
M Francesca Monn, Juan Socas, Matthew J Mellon
OBJECTIVE: To evaluate the feasibility and outcomes of full thickness penile skin grafting (FTSG) for phalloplasty during acquired buried penis repair. MATERIALS AND METHODS: A retrospective cohort study of patients undergoing complex genital reconstruction for buried penis between January 2013 and April 2018 was performed. Patients undergoing FTSG were identified. All patients underwent escutcheonectomy, scrotoplasty, and penile skin grafting by a single Urologist (MM) and Plastic surgeon (JS)...
April 18, 2019: Urology
Justin Penticuff, Sarah McDermott, Alonso Carrasco, Paul Bowlin, Karen Lewing, Joel F Koenig
Alveolar soft part sarcoma (ASPS) is a rare malignancy with high rates of metastasis at presentation, defined by an unclear cellular origin and a unique unbalanced ASPSCR1-TFE3 translocation (der(17)t(X:17)(p11:q25))1 . ASPS is insensitive to chemotherapy and has been reported to involve the bladder only twice in the pediatric literature; once as a primary malignancy2 , and once as a secondary malignancy after cytotoxic chemotherapy3 . Herein, we report the third case of pediatric bladder ASPS in a female patient who received cytotoxic chemotherapy for low-risk neuroblastoma...
April 12, 2019: Urology
Manuela A Hoffmann, Helmut J Wieler, Christian Baues, Nicholas J Kuntz, Ines Richardsen, Mathias Schreckenberger
Prostate-specific-membrane-antigen (PSMA) is a transmembrane protein with significantly increased expression in the cells and metastases of prostate carcinoma (PCa). PSMA-expression correlates with higher serum levels of prostate-specific-antigen (PSA) and a higher Gleason Score (GS). This finding has led to the development of novel imaging modalities such as 68Ga-/18F-labeled PSMA PET/CT and PET/MRI. This article reviews the literature pertaining to various new imaging technologies for the management of PCa...
April 12, 2019: Urology
Laura Lorenzo Soriano, Guzmán Ordaz Jurado, José Luis Pontones Moreno, Sara Villarroya Castillo, Soraya Hernández Girón, Iván Sáez Moreno, David Ramos Soler
OBJETIVES: To assess if 'tumour budding' (TB) behaves as a poor prognostic factor in muscle-invasive bladder carcinoma (MIBC). TB is the presence of tumour cells isolated or in small groups of fewer than five cells located at the tumour invasion front. MATERIAL AND METHODS: Retrospective study of 106 patients with MIBC who underwent radical cystectomy. A cytokeratin AE1/AE3 immunostaining was applied to identify and quantify TB by the 'hot-spot' method. The variables evaluated were: age, gender, TNM stage, associated CIS, differentiation degree, tumour size, tumour location, lymphatic, venous or perineural invasion, p53, Ki67, molecular subtype (basal/luminal) and chemotherapy...
April 12, 2019: Urology
Marianna Gasperi, John N Krieger, Matthew S Panizzon, Jack Goldberg, Dedra Buchwald, Niloofar Afari
OBJECTIVE: To evaluate the genetic and environmental relationship among prostatitis and other urological conditions, including benign prostatic hyperplasia (BPH) and prostate cancer (CaP), a classical twin design and biometric modeling was used. While prostatitis - characterized by pain and voiding symptoms, no clear etiology, and functional and quality of life impairments - co-occurs with other urinary conditions, the degree of shared overlapping etiological processes among them remains unclear...
April 12, 2019: Urology
Mary Katie Wang, Thomas Gaither, Andrew Phelps, Ronald Cohen, Laurence Baskin
OBJECTIVE: To evaluate the incidence and durability of compensatory hypertrophy with solitary kidneys in the setting of those with multicystic dysplastic kidney or Wilms tumor status post nephrectomy. PATIENTS AND METHODS: We conducted a retrospective cohort study of patients with multicystic dysplastic kidneys (MCDK) and Wilms tumor (WT). MCDK patients were verified by sonographic findings prenatally. WT patients entered our study at time of nephrectomy. We compared the natural history of hypertrophy between the two cohorts via renal length measurement...
April 12, 2019: Urology
Vitaly Zholudev, Amir Ishaq Khan, Dattatraya Patil, Christopher P Filson, Akanksha Mehta
OBJECTIVE: To analyze variation in total healthcare costs for vasectomies performed in the United States, based on procedure setting and use of ancillary pathology services. METHODS: We queried the MarketScan Commercial Claims database using CPT, ICD, and HCPCS codes to identify men who underwent vasectomy between 2009-2015, either in the office or ambulatory surgical center (ASC) setting, with or without use of pathology services. All payments for each treatment episode were calculated based on relevant claims...
April 8, 2019: Urology
Jihad Kaouk, Juan Garisto, Mohamed Eltemamy, Riccardo Bertolo
OBJECTIVES: To describe the step-by-step technique for robotic intracorporeal ileal conduit urinary diversion (ICUD) following radical cystectomy performed by using the novel da Vinci SP® surgical system (Intuitive Surgical, Sunnyvale, CA). METHODS: Four consecutive patients (2 males and 2 female) were initially counseled for robotic cystectomy with ICUD performed by using the da Vinci SP® surgical system. Surgeries were performed by duplicating the steps of the institutional approach for intracorporeal ileal conduit urinary diversion performed with the multi-arms robotic platform...
April 6, 2019: Urology
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