Editorial Comment
The authors argue against use of the term favorable intermediate risk disease to describe low volume GG2 cancer based on rates of adverse pathology of about 20%, which may not be considered favorable. (Source: The Journal of Urology)
Source: The Journal of Urology - July 25, 2018 Category: Urology & Nephrology Authors: Elias S. Hyams Tags: Adult Urology Source Type: research
Editorial Comment
This study adds important evidence to the growing body of literature questioning the usefulness of CTU in the workup of microscopic hematuria as recommended by AUA guidelines (reference 3 in article). Notably guidelines define microscopic hematuria as more than 3 red blood cells per high power field compared to a positive dipstick in DETECT. (Source: The Journal of Urology)
Source: The Journal of Urology - July 24, 2018 Category: Urology & Nephrology Authors: Anobel Y. Odisho Tags: Adult Urology Source Type: research
Editorial Comment
This study by Tan et al is a post hoc analysis of 3,556 patients enrolled in the DETECT I prospective multicenter observational study.1 Their goal was to determine whether RBUS could replace CTU for the investigation of patients with microscopic hematuria. The authors found that RBUS can safely replace CTU in patients with microscopic hematuria but CTU should be done to investigate gross hematuria. (Source: The Journal of Urology)
Source: The Journal of Urology - July 24, 2018 Category: Urology & Nephrology Authors: Tim A. Wollin, Adrian S. Fairey Tags: Adult Urology Source Type: research
Reply by Authors
We agree with the comments that there is a clear need for international consensus on hematuria evaluation.1 There remains a lack of consensus on the definition of hematuria. In the United Kingdom the term macroscopic hematuria has been supplanted by visible hematuria as it is easily relatable to patients for whom targeted campaigns to raise awareness of the significance of hematuria are in place. (Source: The Journal of Urology)
Source: The Journal of Urology - July 24, 2018 Category: Urology & Nephrology Tags: Adult Urology Source Type: research
Objective assessment of robotic surgical technical skill: A systemic review
Robotic surgeries, especially in urology, have grown exponentially over the past decade. Various skill assessment tools have been developed. We review the present status, current challenges, and future needs of robotic evaluations, with a focus on urologic applications. (Source: The Journal of Urology)
Source: The Journal of Urology - July 24, 2018 Category: Urology & Nephrology Authors: Jian Chen, Nathan Cheng, Giovanni Cacciamani, Paul Oh, Michael Lin-Brande, Daphne Remulla, Inderbir S. Gill, Andrew J. Hung Source Type: research
Discrepancies in Self-Reported and Actual Conflicts of Interest in Pediatric Urology Robotic Surgery
In assessing publications that address the benefits of robotic surgery over traditional laparoscopic and open approaches, transparency of conflicts of interest (COI) is essential. We sought to assess discrepancies between self-reported and actual COI, and whether or not COI is associated with favorable endorsement of robotic surgery. (Source: The Journal of Urology)
Source: The Journal of Urology - July 24, 2018 Category: Urology & Nephrology Authors: Masaya Jimbo, Candace F. Granberg, Tijani S. Osumah, Jathin Bandari, Glenn M. Cannon, Jonathan C. Routh, Patricio C. Gargollo Source Type: research
Toileting behaviors of adult women: What is healthy?
The objective of this study was to assess toileting behaviors in community-dwelling adult women. (Source: The Journal of Urology)
Source: The Journal of Urology - July 24, 2018 Category: Urology & Nephrology Authors: Casey G. Kowalik, Adam Daily, Sophia Delpe, Melissa R. Kaufman, Jay Fowke, Roger R. Dmochowski, W. Stuart Reynolds Source Type: research
Gubernaculum Testis and Cremasteric Vessels Preservation During Laparoscopic Orchidopexy for Intra-Abdominal Testis: Effect on Testicular Atrophy Rates
Gubernaculum-sparing laparoscopic orchidopexy (GSLO) - which involves anatomical delivery of the testis through the internal inguinal ring (IIR) - has been proposed as an alternative to Conventional Laparoscopic Fowler-Stephens Orchidopexy (CLO) maximizing collateral blood supply and potentially reducing atrophy rates. Herein, we test this hypothesis by comparing the 2 techniques. (Source: The Journal of Urology)
Source: The Journal of Urology - July 24, 2018 Category: Urology & Nephrology Authors: Luis H. Braga, Forough Farrokhyar, Melissa McGrath, Armando J. Lorenzo Source Type: research
Editorial Comment
There is no standard of care for biochemical relapse after definitive therapy of prostate cancer. When confronted with treatment options, there are 2 extremes in the patient response, including, “Start ADT to get PSA down under any circumstance” and “Defer ADT for as long as possible.” The former reaction occurs despite education about the long natural history of biochemical relapse without ADT or disease characteristics that support a longer time to metastatic disease, such as long er PSA DT or a Gleason score less than 8. (Source: The Journal of Urology)
Source: The Journal of Urology - July 23, 2018 Category: Urology & Nephrology Authors: Celestia S. Higano Tags: Adult Urology Source Type: research
A Prediction Model Using Machine Learning Algorithm for Assessing Stone-Free Status after Single Session Shock Wave Lithotripsy to Treat Ureteral Stones
The aim of this study was to develop and validate a decision support model using a machine learning algorithm to predict treatment success after single session shock wave lithotripsy in ureteral stone cases. (Source: The Journal of Urology)
Source: The Journal of Urology - July 20, 2018 Category: Urology & Nephrology Authors: Min Soo Choo, Saangyong Uhmn, Jong Keun Kim, Jun Hyun Han, Dong-Hoi Kim, Jin Kim, Seong Ho Lee Tags: New Technology and Techniques Source Type: research
Impact of Potassium Citrate vs Citric Acid on Urinary Stone Risk in Calcium Phosphate Stone Formers
To our knowledge no medication has been shown to be effective for preventing recurrent calcium phosphate urinary stones. Potassium citrate may protect against calcium phosphate stones by enhancing urine citrate excretion and lowering urine calcium but it raises urine pH, which increases calcium phosphate saturation and may negate the beneficial effects. Citric acid can potentially raise urine citrate but not pH and, thus, it may be a useful countermeasure against calcium phosphate stones. We assessed whether these 2 agents could significantly alter urine composition and reduce calcium phosphate saturation. (Source: The Journal of Urology)
Source: The Journal of Urology - July 20, 2018 Category: Urology & Nephrology Authors: Steeve Doizi, John R. Poindexter, Margaret S. Pearle, Francisco Blanco, Orson W. Moe, Khashayar Sakhaee, Naim M. Maalouf Tags: Adult Urology Source Type: research
Acute Kidney Injury after Partial Nephrectomy of Solitary Kidneys: Impact on Long-Term Stability of Renal Function
Acute kidney injury often leads to chronic kidney disease in the general population. The long-term functional impact of acute kidney injury observed after partial nephrectomy has not been adequately studied. (Source: The Journal of Urology)
Source: The Journal of Urology - July 20, 2018 Category: Urology & Nephrology Authors: Joseph Zabell, Sudhir Isharwal, Wen Dong, Joseph Abraham, Jitao Wu, Chalairat Suk-Ouichai, Diego Aguilar Palacios, Erick Remer, Jianbo Li, Steven C. Campbell Tags: Adult Urology Source Type: research
Impact of Potassium Citrate vs. Citric Acid on Urinary Stone Risk in Calcium Phosphate Stone Formers
No medication has been shown to be effective at preventing recurrence of calcium phosphate urinary stones. Potassium citrate may protect against calcium phosphate stones by enhancing urine citrate excretion and lowering urine calcium, but it raises urine pH which increases calcium phosphate saturation and may negate the beneficial effects. Citric acid can potentially raise urine citrate but not pH, and thus may be a useful countermeasure against calcium phosphate stones. We aimed to assess whether these two agents can significantly alter urine composition and reduce calcium phosphate saturation. (Source: The Journal of Urology)
Source: The Journal of Urology - July 20, 2018 Category: Urology & Nephrology Authors: Steeve Doizi, John R. Poindexter, Margaret S. Pearle, Francisco Blanco, Orson W. Moe, Khashayar Sakhaee, Naim M. Maalouf Source Type: research
Oncologic and functional outcome of partial gland ablation with HIFU for localized prostate cancer
We assessed the outcomes of high-intensity focused ultrasound for the primary treatment of localized prostate cancer in a retrospective series. This represents one of the largest published series of intermediate and high-risk patients. (Source: The Journal of Urology)
Source: The Journal of Urology - July 20, 2018 Category: Urology & Nephrology Authors: Roman Bass, Neil Fleshner, Antonio Finelli, Jack Barkin, Liying Zhang, Laurence Klotz Source Type: research
Acute Kidney Injury after Partial Nephrectomy in Solitary Kidneys: Impact on Long-term Stability of Renal Function
Acute kidney injury (AKI) often leads to chronic kidney disease (CKD) in the general population. The long-term functional impact of AKI observed after partial nephrectomy (PN) has not been adequately studied. (Source: The Journal of Urology)
Source: The Journal of Urology - July 20, 2018 Category: Urology & Nephrology Authors: Joseph Zabell, Sudhir Isharwal, Wen Dong, Joseph Abraham, Jitao Wu, Chalairat Suk-Ouichai, Diego Aguilar Palacios, Erick Remer, Jianbo Li, Steven C. Campbell Source Type: research
