Angiosarcoma of the Prostate Gland following Brachytherapy for Prostatic Adenocarcinoma
We report a case of angiosarcoma of the prostate gland diagnosed in a male presenting with lower urinary tract symptoms 5 years after brachytherapy for prostate adenocarcinoma.Curr Urol 2014;8:109-112 (Source: Current Urology)
Source: Current Urology - July 24, 2015 Category: Urology & Nephrology Source Type: research

Robot-Assisted Laparoscopic Bladder Diverticulectomy and Ureteral Re-Implantation for a Diverticulum Containing High Grade Transitional Cell Carcinoma
This report demonstrates a minimally invasive approach offering radical treatment without having to recur to partial or radical cystectomy. We discuss the operative steps, the significance of this case with a review of the literature, and the future potential this may represent for the treatment of tumor-containing bladder diverticula.Curr Urol 2014;8:104-108 (Source: Current Urology)
Source: Current Urology - July 24, 2015 Category: Urology & Nephrology Source Type: research

mp-MRI Prostate Characterised PIRADS 3 Lesions are Associated with a Low Risk of Clinically Significant Prostate Cancer - A Retrospective Review of 92 Biopsied PIRADS 3 Lesions
Conclusion: We have demonstrated in our series, that prostate lesions characterized on a 3T multiparametric MRI examination of the prostate as PIRADS 3, according to the current prevalent scoring systems, are associated with a low likelihood of the presence of clinically significant prostate cancer.Curr Urol 2014;8:96-100 (Source: Current Urology)
Source: Current Urology - July 24, 2015 Category: Urology & Nephrology Source Type: research

Detection of Significant Prostate Cancer According to Anatomical Areas of Sampling Cores Obtained with Transrectal Systematic 12-Core Biopsy
Conclusions: Approximately half of the significant cancers were not accurately detected, and the detection rates in biopsy cores other than the sextant cores appeared to be significantly lower in PCa patients with aggressive features.Curr Urol 2014;8:91-95 (Source: Current Urology)
Source: Current Urology - July 24, 2015 Category: Urology & Nephrology Source Type: research

Oncological Outcomes in Japanese Men Undergoing Orchiectomy for Stage I Testicular Germ Cell Tumor
Conclusions: Despite a generally favorable prognosis in Japanese men with stage I testicular GCT, intensive follow-up or prophylactic therapy should be considered for men with possible risk factors of disease recurrence.Curr Urol 2014;8:84-90 (Source: Current Urology)
Source: Current Urology - July 24, 2015 Category: Urology & Nephrology Source Type: research

Predicting Acute Urinary Retention in Patients with Elevated Post-Void Residuals
Conclusion: In men with an elevated PVR, increased transrectal ultrasound prostate volume or PSA may help predict which patients have an elevated risk of developing AUR within the next 24 months. This information may influence which patients need early surgical intervention versus medical therapy.Curr Urol 2014;8:79-83 (Source: Current Urology)
Source: Current Urology - July 24, 2015 Category: Urology & Nephrology Source Type: research

Additional Midline Biopsies of the Peripheral Zone Associated with the First Endorectal Standard Sextant Pattern Improves the Accuracy of Prostate Cancer Detection in Japanese Patients
Conclusions: Additional midline biopsy was associated with improved accuracy of positive core biopsies in Japanese patients with a PSA range of 4.01-20 ng/ml.Curr Urol 2014;8:74-78 (Source: Current Urology)
Source: Current Urology - July 24, 2015 Category: Urology & Nephrology Source Type: research

Urological Manifestations of Henoch-Schonlein Purpura: A Review
Henoch-Schonlein purpura (HSP) is an immune-mediated systemic vasculitis generally found in children. The standard manifestations of HSP are palpable purpura, arthritis, abdominal pain, and renal complications. Although less common, there are significant urological manifestations associated with HSP. The primary objective of this review is to encourage better understanding and management of HSP by emphasizing the common and rare manifestations of HSP, how they are diagnosed, and the latest treatment options for mild to severe complications. Medline searches of HSP and its urological manifestations were conducted along with...
Source: Current Urology - July 24, 2015 Category: Urology & Nephrology Source Type: research

A Case Series of Spontaneous Rupture of the Urinary Bladder
We report 2 cases of spontaneous bladder rupture related to chronic outlet obstruction and urinary retention. In both cases, focal perforation was identified within diverticula. Bladder rupture in the absence of trauma is a rare and serious event with a mortality rate approaching 50%. These injuries are often initially misdiagnosed and it is our goal to provide insight to the presentation, management and treatment of this rare event.Curr Urol 2014;8:53-56 (Source: Current Urology)
Source: Current Urology - May 20, 2015 Category: Urology & Nephrology Source Type: research

Successful Surgical Management of Giant Condyloma Acuminatum (Buschke Lowenstein Tumor) in the Urethra of a Female Patient: A Case Report
We present a case of a 47-year-old Hispanic female that presented to the urology clinic for dysuria and upon work-up was found to have a GCA. GCA typically affects the penis, although the perianal region, vulva, vagina, rectum, scrotum, perineum and bladder may be involved. To date, we believe this is the only reported case of GCA in the urethra of a female patient with sparing of the bladder. This lesion was successfully removed with wide local excision. We believe that further studies are needed to define this disease, identify its pathogenesis, and the most successful treatment protocol.Curr Urol 2014;8:49-52 (Source: Current Urology)
Source: Current Urology - May 20, 2015 Category: Urology & Nephrology Source Type: research

Efficacy of Duloxetine in the Early Management of Urinary Continence after Radical Prostatectomy
Conclusion: According to the results, early duloxetine therapy in stress urinary incontinence that occurred after RP provided early continence.Curr Urol 2014;8:43-48 (Source: Current Urology)
Source: Current Urology - May 20, 2015 Category: Urology & Nephrology Source Type: research

Cocaine Use in the Infertile Male Population: A Marker for Conditions Resulting in Subfertility
Conclusions: Few (< 1%) men in our infertile population reported the use of cocaine, and the frequency of use was low. Given the low use rates and limitations of reporting bias, it is difficult to determine the direct effect of cocaine use on male fertility. However, while infrequent cocaine use seems to have limited impact on semen parameters, men reporting cocaine use represent a different cohort of men than the overall infertile population, with higher rates of concurrent substance abuse, tobacco use and infections, all of which may negatively impact their fertility. Reported cocaine users should be screened for concurr...
Source: Current Urology - May 20, 2015 Category: Urology & Nephrology Source Type: research

Transrectal Ultrasound Guided Biopsy of the Prostate: Is the Information Accessible, Usable, Reliable and Readable?
Conclusions: This study demonstrates variability in the quality of information available to Internet users regarding TRUS biopsies. Collaboration of website design and clinical acumen are necessary to develop appropriate websites for patient benefit.Curr Urol 2014;8:32-37 (Source: Current Urology)
Source: Current Urology - May 20, 2015 Category: Urology & Nephrology Source Type: research

Microsurgical Varicocele Repair on Men with Grade III Lesions and Chronic Dull Scrotal Pain: A Pilot Study
Conclusion: These results indicated that microsurgical varicocele repair may benefit patients with grade III lesions and chronic dull scrotal pain.Curr Urol 2014;8:29-31 (Source: Current Urology)
Source: Current Urology - May 20, 2015 Category: Urology & Nephrology Source Type: research

Are Adult Ureteroscopes Safe in the Management of Urolithiasis in a Pediatric Population?
Conclusion: Our series demonstrates that, in skilled hands, adult ureteroscopes can be use safely for the treatment of urolithiasis in pediatric patients.Curr Urol 2014;8:26-28 (Source: Current Urology)
Source: Current Urology - May 20, 2015 Category: Urology & Nephrology Source Type: research