Outcomes of Intradetrusor OnabotulinumtoxinA Injection in Adults with Congenital Spinal Dysraphism in Tertiary Transitional Urology Clinic
ConclusionsIntradetrusor onabotulinumtoxinA injection may improve refractory urinary incontinence in selected adults with spinal dysraphism. However, despite improvement in maximum cystometric capacity, bladder compliance does not improve following therapy in patients who had loss of compliance at baseline. (Source: Urology Practice)
Source: Urology Practice - July 5, 2018 Category: Urology & Nephrology Source Type: research
Charge-to-Cost Ratio Varies among Common Urological Surgery Procedures
Publication date: Available online 2 July 2018 Source:Urology Practice Author(s): Tyler R. McClintock, Matthew Mossanen, Mahek A. Shah, Ye Wang, Benjamin I. Chung, Steven L. Chang (Source: Urology Practice)
Source: Urology Practice - July 3, 2018 Category: Urology & Nephrology Source Type: research
National Trends and Characteristics of Success in the Urology Match Process
Conclusions Urology has remained a highly competitive specialty with a competitive match rate and increasing number of applicants. These data may guide future applicants in achieving desired professional goals. (Source: Urology Practice)
Source: Urology Practice - June 14, 2018 Category: Urology & Nephrology Source Type: research
The Promise and Disappointment of Neoadjuvant Chemotherapy and Transurethral Resection for Muscle Invasive Bladder Cancer: Updated Results and Long-Term Followup
Conclusions Long-term followup shows a subset of patients achieving good outcomes while preserving the bladder. However, we also observed an inability to reliably identify this subset of patients given current clinical and pathological markers. Until we are able to achieve that goal, the safest oncologic approach remains neoadjuvant chemotherapy followed by radical cystectomy. (Source: Urology Practice)
Source: Urology Practice - June 14, 2018 Category: Urology & Nephrology Source Type: research
Burden of Disease for Urethral Stricture Managed by Repeat Endoscopic Treatment vs Single Endoscopic Treatment or Urethroplasty in the Veterans Affairs Population
Conclusions In the Veterans Health Administration system men who undergo repeated scheduled endoscopic treatments for urethral stricture may be at increased risk for emergent procedures, even if they eventually progress to urethroplasty, compared to men who undergo urethroplasty immediately after a failed endoscopic intervention. (Source: Urology Practice)
Source: Urology Practice - June 14, 2018 Category: Urology & Nephrology Source Type: research
Extended Experience with High Submuscular Placement of Urological Prosthetic Balloons and Reservoirs: Refined Technique for Optimal Outcomes
Conclusions Experience with high submuscular placement of urological balloons and reservoirs confirms that it is safe and well tolerated. With refinements in technique the complication rates are similar in frequency to those with space of Retzius but appear to be minor in nature with negligible risk of visceral or vascular injury. (Source: Urology Practice)
Source: Urology Practice - June 14, 2018 Category: Urology & Nephrology Source Type: research
The Interstitial Cystitis/Bladder Pain Syndrome Clinical Picture: A Perspective from Patient Life Experience
Conclusions The biopsychosocial information provided by our patients will better inform the health care professional on how to develop personalized treatment strategies and also individualized patient directed outcomes independent of bladder pain and urination symptoms. (Source: Urology Practice)
Source: Urology Practice - June 14, 2018 Category: Urology & Nephrology Source Type: research
Patient Portal Use in Pediatric Urology —Is it Meaningful Use for Everyone?
Conclusions Primary language and socioeconomic factors may be significant barriers to portal adoption. Patient education to reduce these barriers may increase portal acceptance and increase meaningfulness to the portal for patients/parents and providers. (Source: Urology Practice)
Source: Urology Practice - June 14, 2018 Category: Urology & Nephrology Source Type: research
Trends in Prevalence, Management and Cost of Scrotal Pain in the United States between 2007 and 2014
Conclusions Incidence of scrotal pain and associated use of prescription medication have increased in the last decade, contributing to a high economic burden. A greater understanding of the evaluation and management of scrotal pain is necessary. (Source: Urology Practice)
Source: Urology Practice - June 14, 2018 Category: Urology & Nephrology Source Type: research
A Retrospective Comparative Outcomes and Cost Analysis of Office Based, Ultrasound Guided Renal Mass Biopsy Performed by Urologists and Standard Hospital Biopsies for Small Renal Masses
Conclusions Office based, ultrasound guided renal mass biopsy for small renal masses is a safe and efficacious option for select patients, and potentially offers greater convenience and availability as well as decreased health care costs. (Source: Urology Practice)
Source: Urology Practice - June 14, 2018 Category: Urology & Nephrology Source Type: research
Patient Acceptance of Teleurology via Telephone vs Face-to-Face Clinic Visits for Hematuria Consultation at a Veterans Affairs Medical Center
Conclusions Patients prefer teleurology to face-to-face clinic visits for the initial evaluation of hematuria. Teleurology positively impacts compliance and access by potentially eliminating common challenges facing patients, and by improving efficiency, convenience and flexibility. (Source: Urology Practice)
Source: Urology Practice - June 14, 2018 Category: Urology & Nephrology Source Type: research
Review Article: Patient Centered Specialty Practice: A Value Based Care Solution for Urology Groups
Conclusions By incorporating high quality cancer care standards such as those established by the Health and Medicine Division of the National Academies of Sciences, Engineering and Medicine, and the Centers for Medicare and Medicaid Services urology practices can position themselves as patient centered specialty practice facilities recognized by the National Committee for Quality Assurance, which are capable of becoming the primary medical homes for patients with chronic urological conditions. (Source: Urology Practice)
Source: Urology Practice - June 14, 2018 Category: Urology & Nephrology Source Type: research
Gender and racial disparities in early urology exposures during medical school
Conclusions Disparities in early urology exposures, especially research exposure, exist by gender and less so among UIM applicants. Identifying these disparities may uncover systematic bias within career trajectories and provide targets for earlier interventions in medical school training. (Source: Urology Practice)
Source: Urology Practice - June 12, 2018 Category: Urology & Nephrology Source Type: research
Genitourinary Prosthetic Use Among Prostate Cancer Survivors Treated with Radical Prostatectomy
Conclusions Overall, receipt of genitourinary prosthetic surgery for incontinence (1.5%) or erectile dysfunction (1.6%) was rare following radical prostatectomy. However, diabetic and older men demonstrated a greater likelihood of device placement.
(Source: Urology Practice)
Source: Urology Practice - May 24, 2018 Category: Urology & Nephrology Source Type: research
Evaluating clinical implementation approaches for prostate cancer decision support
Conclusions Implementation success was realized when physicians engaged and staff provided follow-up contacts. New practice changes to implement interventions require multi-modal strategies for early success. (Source: Urology Practice)
Source: Urology Practice - May 23, 2018 Category: Urology & Nephrology Source Type: research
