The July Effect in Urologic Surgery: Myth or Reality?
ConclusionsOur study demonstrated that surgical outcomes are not compromised by having surgery at the beginning of the academic year despite resident turnover representing appropriate oversight during this potentially vulnerable time. (Source: Urology Practice)
Source: Urology Practice - July 10, 2018 Category: Urology & Nephrology Source Type: research
The timing and frequency of infectious complications after radical cystectomy: an opportunity for rescue antibiotic treatment
Publication date: Available online 15 February 2018Source: Urology PracticeAuthor(s): Brian J. Jordan, Kevin C. Lewis, Richard S. Matulewicz, Shilajit KunduAbstractObjectivesTo evaluate the timing, frequency, and antibiotic sensitivity of post-radical cystectomy (RC) urinary tract infections (UTI) in order to guide an infection reduction initiative.MethodsA combined review of all patients undergoing RC in the 2011-2013 ACS-NSQIP database and 100 consecutive patients from our institution was performed. The rates and timing of postoperative UTI and sepsis in addition to associations with readmissions were evaluated. Specific...
Source: Urology Practice - July 10, 2018 Category: Urology & Nephrology Source Type: research
Patient Factors Influencing Decision to Undergo Vasectomy Reversal
ConclusionsThe most common reason for presentation for VR is a joint desire for children. The largest barrier to VR was cost. Individuals with lower incomes, a new partner, and unmarried status were less likely to undergo VR. (Source: Urology Practice)
Source: Urology Practice - July 10, 2018 Category: Urology & Nephrology Source Type: research
Gender-based differences in discriminatory questions asked of urology applicants during residency interviews
ConclusionsAn alarming percentage of urology applicants are asked interview questions that violate employment law. Females are disproportionately questioned about age, parental status and intent for children. Education of interviewers regarding legally restricted questions is warranted. (Source: Urology Practice)
Source: Urology Practice - July 10, 2018 Category: Urology & Nephrology Source Type: research
The Role of Patient- and Procedure-Specific Factors on Urology Operating Room Peri-Operative Times
ConclusionsOur analysis is a novel approach to assessing OR efficiency by characterizing the non-operative time a patient spends in the OR. Robotic cases have longer non-operative times and increasing patient complexity prolongs pre-operative time in the OR. Better preparation of complex patients pre-operatively will allow better use of constrained OR resources. (Source: Urology Practice)
Source: Urology Practice - July 10, 2018 Category: Urology & Nephrology Source Type: research
Trends in insurance status during initial presentation of testicular carcinoma: Examining health outcomes and implications of health reform for young adults in the United States.
ConclusionsSocioeconomic disparities continue to be barriers for young adults presenting with testicular cancer in the United States. Longer prospective follow-up will be required to assess the impact of payer status with the reportedly increased health coverage fostered by the ACA. (Source: Urology Practice)
Source: Urology Practice - July 10, 2018 Category: Urology & Nephrology Source Type: research
Laser Papillotomy for Chronic Flank Pain – A Reassessment of Efficacy in the Era of Automated Opioid Prescription Monitoring
ConclusionsLaser papillotomy for chronic flank pain has a high failure rate, especially in patients who are on narcotic pain medication preoperatively. In the era of automated opioid prescription monitoring, urologists should use such information to make surgical decisions and properly counsel patients. (Source: Urology Practice)
Source: Urology Practice - July 10, 2018 Category: Urology & Nephrology Source Type: research
Patient Perceptions of Chaperones During Intimate Exams and Procedures in Urology Clinic
ConclusionsA minority of patients preferred a chaperone during an intimate exam or procedure in urology clinic. Patients prioritized comfort level with the provider which trumped gender of provider, invasiveness of exam, and who the chaperone was. The use of chaperones during intimate exams and procedures is routine in many institutions. In an era of patient centered care, it is crucial to understand patient preferences and expectations. (Source: Urology Practice)
Source: Urology Practice - July 10, 2018 Category: Urology & Nephrology Source Type: research
Influential Factors in Pursuit of Pediatric Urology Fellowship Training
ConclusionAs the subspecialty of pediatric urology continues to grow, we identified key elements that help shape and influence choices to participate in the future of this ever-evolving field. (Source: Urology Practice)
Source: Urology Practice - July 10, 2018 Category: Urology & Nephrology Source Type: research
Operating Room Supply Cost Awareness: A cross-sectional analysis
ConclusionsTrainees and faculty generally have poor knowledge of operating room supply costs. In our academic setting, we noted an interest among both faculty and residents to make cost data more accessible. These data would provide an opportunity for surgeons to act as cost arbiters in the operating room. (Source: Urology Practice)
Source: Urology Practice - July 10, 2018 Category: Urology & Nephrology Source Type: research
Editorial Commentary
Publication date: May 2018Source: Urology Practice, Volume 5, Issue 3Author(s): Brad Schwartz (Source: Urology Practice)
Source: Urology Practice - July 10, 2018 Category: Urology & Nephrology Source Type: research
Financial Relationships between Urologists and Industry: An Analysis of Open Payments Data
ConclusionsNearly 75% of urologists in United States received nonresearch payments from industry in 2014. Most individual payments were for less than $20 but the majority of urologists received more than $100 in aggregate during the study year, with most of the money going toward speaker fees. Payments were positively correlated with Part D prescribing, yet confounding variables make it difficult to establish a cause and effect relationship. (Source: Urology Practice)
Source: Urology Practice - July 10, 2018 Category: Urology & Nephrology Source Type: research
What Gay and Bisexual Men Treated for Prostate Cancer are Offered and Attempt as Sexual Rehabilitation for Prostate Cancer: Results from the Restore Study
ConclusionsTreatment for prostate cancer lacks adequate history taking and consensus around rehabilitation practices, resulting in idiosyncratic approaches to rehabilitation. Four clinical questions may improve outcomes. Prostate cancer specialists need education to become culturally competent in addressing the unique needs of gay and bisexual patients. (Source: Urology Practice)
Source: Urology Practice - July 10, 2018 Category: Urology & Nephrology Source Type: research
What Gay and Bisexual Men Treated for Prostate Cancer Want in a Sexual Rehabilitation Program: Results of the Restore Needs Assessment
ConclusionsGay and bisexual men treated for prostate cancer want a recovery curriculum that explicitly addresses the sexual challenges they face before, during and after treatment. While differences were identified across race and treatment type, they were relatively few and minor in magnitude, suggesting that a single online curriculum could advance rehabilitation for this population. (Source: Urology Practice)
Source: Urology Practice - July 10, 2018 Category: Urology & Nephrology Source Type: research
Editorial Commentary
Publication date: May 2018Source: Urology Practice, Volume 5, Issue 3Author(s): W. Bedford Waters (Source: Urology Practice)
Source: Urology Practice - July 10, 2018 Category: Urology & Nephrology Source Type: research
