Pub Date : 2024-11-01DOI: 10.1016/j.urology.2024.08.035
Oluwarotimi S. Nettey
{"title":"Editorial Comment on “Racial/Ethnic and Socioeconomic Disparities and Self-reported Work Productivity in Urinary Incontinence Females Using the National Institute of Diabetes and Digestive and Kidney Diseases Data”","authors":"Oluwarotimi S. Nettey","doi":"10.1016/j.urology.2024.08.035","DOIUrl":"10.1016/j.urology.2024.08.035","url":null,"abstract":"","PeriodicalId":23415,"journal":{"name":"Urology","volume":"193 ","pages":"Page 62"},"PeriodicalIF":2.1,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142112357","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-11-01DOI: 10.1016/j.urology.2024.06.002
Tenny Zhang, Jeremy Wiygul
Vesicoureteral reflux (VUR) is a medical condition where urine flows retrograde from the bladder superiorly, and has traditionally been considered a risk factor for kidney damage in children. However, over the past decade and a half, several randomized controlled trials have shown the risk of kidney damage in the presence of VUR is low, and any treatment for VUR does not change that risk. Here, we review the history of VUR as a pathologic condition, how the interpretation of that history led to possibly overestimating the danger, and how current findings should be seen in the context of that history.
{"title":"Correlation not Causation: Looking Back at the History of VUR","authors":"Tenny Zhang, Jeremy Wiygul","doi":"10.1016/j.urology.2024.06.002","DOIUrl":"10.1016/j.urology.2024.06.002","url":null,"abstract":"<div><div><span><span>Vesicoureteral reflux (VUR) is a medical condition where urine flows retrograde from the </span>bladder<span> superiorly, and has traditionally been considered a risk factor for kidney damage in children. However, over the past decade and a half, several </span></span>randomized controlled trials have shown the risk of kidney damage in the presence of VUR is low, and any treatment for VUR does not change that risk. Here, we review the history of VUR as a pathologic condition, how the interpretation of that history led to possibly overestimating the danger, and how current findings should be seen in the context of that history.</div></div>","PeriodicalId":23415,"journal":{"name":"Urology","volume":"193 ","pages":"Pages 231-236"},"PeriodicalIF":2.1,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141318450","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-11-01DOI: 10.1016/j.urology.2024.06.074
David A. Duchene
{"title":"Editorial Comment on \"Predictors of Same-day Discharge After Single-port Transvesical Enucleation of the Prostate\"","authors":"David A. Duchene","doi":"10.1016/j.urology.2024.06.074","DOIUrl":"10.1016/j.urology.2024.06.074","url":null,"abstract":"","PeriodicalId":23415,"journal":{"name":"Urology","volume":"193 ","pages":"Page 114"},"PeriodicalIF":2.1,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141555574","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-11-01DOI: 10.1016/j.urology.2024.08.013
Roderick Clark, Joseph Y. Clark
{"title":"Editorial Comment on “Predictors of Contralateral Disease in Men With Unilateral Lesions on Multiparametric MRI”","authors":"Roderick Clark, Joseph Y. Clark","doi":"10.1016/j.urology.2024.08.013","DOIUrl":"10.1016/j.urology.2024.08.013","url":null,"abstract":"","PeriodicalId":23415,"journal":{"name":"Urology","volume":"193 ","pages":"Pages 153-154"},"PeriodicalIF":2.1,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141988917","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-11-01DOI: 10.1016/j.urology.2024.08.012
Elisa Berdondini , Ahmed Eissa
{"title":"Reply to Editorial Comment on “Ventral Onlay Buccal Mucosa Graft Urethroplasty For Female Urethral Stricture: Medium-term Results in a Single Surgeon Experience”","authors":"Elisa Berdondini , Ahmed Eissa","doi":"10.1016/j.urology.2024.08.012","DOIUrl":"10.1016/j.urology.2024.08.012","url":null,"abstract":"","PeriodicalId":23415,"journal":{"name":"Urology","volume":"193 ","pages":"Page 203"},"PeriodicalIF":2.1,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141996622","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-11-01DOI: 10.1016/j.urology.2024.08.040
Alyssa La Bella , Alex Molesan , Daniel A. Wollin , Souvik Paul , Ana L. Flores-Mireles
{"title":"Reply to Editorial Comment on \"Initial Antimicrobial Testing of a Novel Reusable Intermittent Urinary Catheter System and Catheter Reprocessing Device\"","authors":"Alyssa La Bella , Alex Molesan , Daniel A. Wollin , Souvik Paul , Ana L. Flores-Mireles","doi":"10.1016/j.urology.2024.08.040","DOIUrl":"10.1016/j.urology.2024.08.040","url":null,"abstract":"","PeriodicalId":23415,"journal":{"name":"Urology","volume":"193 ","pages":"Pages 18-19"},"PeriodicalIF":2.1,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142073896","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-11-01DOI: 10.1016/j.urology.2024.07.058
Woodson Smelser
{"title":"Editorial Comment on “Low-grade Urothelial Carcinoma Recurs at a Tempo That Naturally Accelerates Over Time”","authors":"Woodson Smelser","doi":"10.1016/j.urology.2024.07.058","DOIUrl":"10.1016/j.urology.2024.07.058","url":null,"abstract":"","PeriodicalId":23415,"journal":{"name":"Urology","volume":"193 ","pages":"Page 173"},"PeriodicalIF":2.1,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141914127","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-11-01DOI: 10.1016/j.urology.2024.05.005
Roxana Ramos-Carpinteyro, Nicolas Soputro, Adriana M. Pedraza, Carter Mikesell, Jaya S. Chavali, Alp Tuna Beksac, Mohamed Eltemamy, Zeyad R. Schwen, Jihad Kaouk
Objective
To determine the rate of outpatient cases and identify predictors for same-day discharge (SDD) after single-port transvesical enucleation of the prostate (STEP).
Methods
Retrospective analysis of all consecutive STEP cases performed at a single center by 3 surgeons from February 2019 to October 2023. The cohort was categorized into SDD cases (<8 hours until discharge) and inpatient cases. Group comparisons were made and logistic regression was used to identify predictors of SDD.
Results
A total of 152 STEP cases were performed successfully without additional ports or conversions. Fifty-two patients were pre-planned admissions, leaving 100 planned outpatient cases, of which 86% were discharged on the same day (median length of stay of 4.7 hours). Comparing the groups, inpatient cases were older, had higher Charlson Comorbidity Index (CCI) scores, higher estimated blood loss (EBL) during surgery, and more intraoperative complications than SDD patients. Univariate logistic regression identified age and CCI as the predictors associated with SDD after STEP. Notably, there were no major postoperative complications or readmissions in either group.
Conclusion
In our 4-year experience with STEP, lower age and CCI score were significant predictors of SDD. The comprehensive evaluation criteria for discharge foster a safe recovery at home, coupled with a 0% rate of major postoperative complications and readmissions. These findings underscore the safety and efficacy of STEP, guiding patient counseling and surgeon expectations.
{"title":"Predictors of Same-day Discharge After Single-port Transvesical Enucleation of the Prostate","authors":"Roxana Ramos-Carpinteyro, Nicolas Soputro, Adriana M. Pedraza, Carter Mikesell, Jaya S. Chavali, Alp Tuna Beksac, Mohamed Eltemamy, Zeyad R. Schwen, Jihad Kaouk","doi":"10.1016/j.urology.2024.05.005","DOIUrl":"10.1016/j.urology.2024.05.005","url":null,"abstract":"<div><h3>Objective</h3><div>To determine the rate of outpatient cases and identify predictors for same-day discharge (SDD) after single-port transvesical enucleation of the prostate (STEP).</div></div><div><h3>Methods</h3><div>Retrospective analysis of all consecutive STEP cases performed at a single center by 3 surgeons from February 2019 to October 2023. The cohort was categorized into SDD cases (<8 hours until discharge) and inpatient cases. Group comparisons were made and logistic regression was used to identify predictors of SDD.</div></div><div><h3>Results</h3><div><span><span>A total of 152 STEP cases were performed successfully without additional ports or conversions. Fifty-two patients were pre-planned admissions, leaving 100 planned outpatient cases, of which 86% were discharged on the same day (median length of stay of 4.7 hours). Comparing the groups, inpatient cases were older, had higher Charlson Comorbidity Index (CCI) scores, higher estimated </span>blood loss (EBL) during surgery, and more </span>intraoperative complications<span> than SDD patients. Univariate logistic regression identified age and CCI as the predictors associated with SDD after STEP. Notably, there were no major postoperative complications or readmissions in either group.</span></div></div><div><h3>Conclusion</h3><div>In our 4-year experience with STEP, lower age and CCI score were significant predictors of SDD. The comprehensive evaluation criteria for discharge foster a safe recovery at home, coupled with a 0% rate of major postoperative complications and readmissions. These findings underscore the safety and efficacy of STEP, guiding patient counseling and surgeon expectations.</div></div>","PeriodicalId":23415,"journal":{"name":"Urology","volume":"193 ","pages":"Pages 107-113"},"PeriodicalIF":2.1,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141029276","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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