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To describe epidemiologic features of sports-related genitourinary (GU) injuries and determine patient cohorts and particular sporting activities associated with increased GU injury risk.The National Electronic Injury Surveillance System, a data set validated to provide a probability sample of injury-related US emergency department (ED) presentations, was analyzed to characterize GU injuries between...
To evaluate complications and functional outcome and to identify patient-associated risk factors, we analyzed consecutive patients undergoing thulium:yttrium-aluminum-garnet laser enucleation of the prostate (ThuLEP) in our department.A total of 234 patients were prospectively analyzed. Preoperative data, postoperative complications, and outcome at 6, 12, and 24 months were recorded. Individual risk...
To identify the effect of the 2012 United States Preventive Services Task Force (USPSTF) prostate-specific antigen (PSA) recommendation statement on primary care referral patterns and urologists' decision making.Men referred to our institution for newly elevated PSA level from June 2011 to June 2013 were identified. Patients with a prior history of prostate cancer or biopsy were excluded. Clinical...
To describe and illustrate the evolution of surgical technique, emphasizing technical modifications of laparoscopic donor nephrectomy (LDN) and the impact on complication outcome.This is a retrospective observational study of prospectively collected data on all consecutive purely LDN surgeries performed at a tertiary academic medical center (n = 1325), performed between March 2000 and October 2013...
To evaluate the long-term results of patients surgically treated for metastatic clear cell renal cell carcinoma (CCRCC) with a unique pancreatic secondary localization to assess the importance of radical treatment in this rare group of patients.This is a retrospective monocentric study including 20 surgically treated patients between 1997 and 2012 for a unique pancreatic metastasis of a CCRCC. The...
Congenital prepubic sinus is a rare anomaly, especially in women; only 17 cases in 13 reports were found in the English literature after a search in the PubMed during 1990-2013. We report the diagnosis and successful minimally invasive excision of a congenital prepubic sinus in an adolescent female patient. Our experience and a review of the literature suggest the most likely etiology to be a variant...
To develop and validate an assessment tool for the performance of urethrovesical anastomosis (UVA).A multicenter, prospective, observational study was conducted in 2 phases. Phase 1, development and content validation, used a panel of 5 experienced robotic surgeons to develop a 6-domain scoring system, Robotic Anastomosis Competence Evaluation (RACE), to assess technical skills for performing UVA...
To find the optimal characterization of asymptomatic radiographic stone burden on computed tomography (CT) scans.A survey was sent to stone formers who underwent a CT scan while asymptomatic during a stone clinic evaluation. Symptomatic stone passage events after CT scan were detected by survey and medical record review. Radiographic stone burden was quantified by number of stones, largest stone diameter,...
A 22-year-old male patient presented with iatrogenic vesicourethral fistula after immediate retrograde endoscopic realignment of urethra after a posterior urethral injury associated with pelvic fracture.
To evaluate the S.T.O.N.E. nephrolithometry scoring system for percutaneous nephrolithotomy using computerized tomography (CT) imaging with strict criteria for stone clearance.We analyzed a cohort of 122 patients who consecutively underwent primary percutaneous nephrolithotomy from July 2010 to March 2012 at our university-based referral hospital. All patients routinely have preoperative and postoperative...
Nephropleural fistula is a direct and persistent communication between the intrarenal collecting system and the intrathoracic cavity and is a rare complication of supracostal puncture during percutaneous nephrolithotomy. We report a case of a 4-year-old male child who underwent percutaneous removal of a right renal stone. He developed a nephropleural fistula and displacement of double J stent into...
To compare the efficacy and the safety of flexible ureterorenoscopy (f-URS) in the treatment of kidney stones according to the body mass index (BMI), which seems to be less influenced by weight compared with shock wave lithotripsy and percutaneous nephrolithotomy.We conducted a retrospective monocentric study in patients with a known BMI who underwent an f-URS for kidney stones between 2006 and 2008...
To study the prevalence of fluoroquinolone-resistant (FQ-resistant) and extended-spectrum β-lactamase–producing (ESBL-producing) bacteria in the rectums of patients undergoing transrectal ultrasound-guided prostate biopsy (TRUS-Bx), identifying predictive factors for such carriage and to correlate with the microbiology of those who developed postbiopsy infection (PBI).A total of 371 men undergoing...
To compare the efficacy of 4 mg and 8 mg doxazosin XL treatments in patients with benign prostatic hyperplasia–related lower urinary tract symptoms and determine the efficiency of 8 mg in those patients with inadequate response to 4 mg.A total of 162 patients were included in this study. Of the patients, 108 were randomized to receive 4 mg doxazosin XL (group 1), and 54 were randomized to receive...
To evaluate the surveillance recommendations for early-stage testis cancer and the risk of secondary malignancies due to increased radiation exposure.Using National Comprehensive Cancer Network (NCCN) guidelines 2012 and 2014 for early-stage testicular cancer, the numbers of abdominal and pelvic computed tomography scans (CTAPs) and chest radiographies were calculated, and lifetime attributable risk...
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