Pub Date : 2023-12-01DOI: 10.1097/ju9.0000000000000080
Dicken S. C. Ko
{"title":"Potential System Utilization and Cost Savings of Advanced Microbial Testing for Urinary Tract Infections","authors":"Dicken S. C. Ko","doi":"10.1097/ju9.0000000000000080","DOIUrl":"https://doi.org/10.1097/ju9.0000000000000080","url":null,"abstract":"","PeriodicalId":74033,"journal":{"name":"JU open plus","volume":"59 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139024264","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-12-01DOI: 10.1097/ju9.0000000000000088
Oscar Li, Aurora Grutman, Matthew Rabinowitz, Marisa Clifton
To assess Instagram content and trends by urology residency programs. A cross-sectional analysis of urology residency program Instagram accounts was completed after data collection between October 1 and 20, 2022. Included accounts were reviewed and descriptive details were recorded, such as number of followers, those followed, and post content. All posts were then coded on a predetermined list of 7 categories: (1) resident promotion; (2) faculty/departmental promotion; (3) activities outside medicine; (4) research, presentation, or awards; (5) urology match/application-related promotion; (6) “urology in general”; and (7) other. Overall, 66 of 147 (44.9%) programs had an account at the time of analysis. About half (31 of 66, 47%) of accounts were created between June and December 2020. Accounts had a median of 633 followers (IQR: 254,844) and 39 posts (IQR: 18,64). Of the 3236 posts analyzed, the majority featured residents or activities outside medicine; video posts were least used. Posts promoting residents had significantly higher average likes per post compared with all other categories except posts about “urology in general.” To our knowledge, this is the first study analyzing the use of Instagram by urology residency programs for recruitment. Our study describes an increasing number of urology residency program Instagram accounts for showcasing residents and life outside of medicine to engage with followers.
{"title":"Utilization of Instagram by Urology Residency Programs for Applicant Recruitment","authors":"Oscar Li, Aurora Grutman, Matthew Rabinowitz, Marisa Clifton","doi":"10.1097/ju9.0000000000000088","DOIUrl":"https://doi.org/10.1097/ju9.0000000000000088","url":null,"abstract":"\u0000 \u0000 To assess Instagram content and trends by urology residency programs.\u0000 \u0000 \u0000 \u0000 A cross-sectional analysis of urology residency program Instagram accounts was completed after data collection between October 1 and 20, 2022. Included accounts were reviewed and descriptive details were recorded, such as number of followers, those followed, and post content. All posts were then coded on a predetermined list of 7 categories: (1) resident promotion; (2) faculty/departmental promotion; (3) activities outside medicine; (4) research, presentation, or awards; (5) urology match/application-related promotion; (6) “urology in general”; and (7) other.\u0000 \u0000 \u0000 \u0000 Overall, 66 of 147 (44.9%) programs had an account at the time of analysis. About half (31 of 66, 47%) of accounts were created between June and December 2020. Accounts had a median of 633 followers (IQR: 254,844) and 39 posts (IQR: 18,64). Of the 3236 posts analyzed, the majority featured residents or activities outside medicine; video posts were least used. Posts promoting residents had significantly higher average likes per post compared with all other categories except posts about “urology in general.”\u0000 \u0000 \u0000 \u0000 To our knowledge, this is the first study analyzing the use of Instagram by urology residency programs for recruitment. Our study describes an increasing number of urology residency program Instagram accounts for showcasing residents and life outside of medicine to engage with followers.\u0000","PeriodicalId":74033,"journal":{"name":"JU open plus","volume":"114 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138615232","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-12-01DOI: 10.1097/ju9.0000000000000093
Omer A. Raheem, Mahmoud Khalil
{"title":"Editorial Comments on Uropathogenic Dysbiosis Pattern is Associated with Urethral Fibrosis","authors":"Omer A. Raheem, Mahmoud Khalil","doi":"10.1097/ju9.0000000000000093","DOIUrl":"https://doi.org/10.1097/ju9.0000000000000093","url":null,"abstract":"","PeriodicalId":74033,"journal":{"name":"JU open plus","volume":"24 32","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138624191","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-12-01DOI: 10.1097/ju9.0000000000000054
Evan Prakoso Gandakusuma, S. Pramod, H. Agustina
Apocrine carcinoma is a rare tumor of the skin that typically arises in areas rich in apocrine glands. In our report, a 64-year-old man came to the emergency department with a complaint of an enlarging, tender mass in the scrotum growing over the previous 3 months associated with discomfort. Tumor markers were checked, and elevation of lactate dehydrogenase (LDH) and beta-human chorionic gonadotropin (HCG) was found. The patient was initially diagnosed with testicular cancer with infiltration to the scrotum. Wide mass excision with bilateral orchidectomy was performed. Results from histopathological examination revealed an apocrine adenocarcinoma of the scrotum. We report a case of primary apocrine adenocarcinoma of the scrotum initially suspected as testicular cancer.
{"title":"Scrotum Apocrine Adenocarcinoma Mimicking Testicular Cancer with Infiltration to the Scrotum: A Case Report with Literature Review","authors":"Evan Prakoso Gandakusuma, S. Pramod, H. Agustina","doi":"10.1097/ju9.0000000000000054","DOIUrl":"https://doi.org/10.1097/ju9.0000000000000054","url":null,"abstract":"Apocrine carcinoma is a rare tumor of the skin that typically arises in areas rich in apocrine glands. In our report, a 64-year-old man came to the emergency department with a complaint of an enlarging, tender mass in the scrotum growing over the previous 3 months associated with discomfort. Tumor markers were checked, and elevation of lactate dehydrogenase (LDH) and beta-human chorionic gonadotropin (HCG) was found. The patient was initially diagnosed with testicular cancer with infiltration to the scrotum. Wide mass excision with bilateral orchidectomy was performed. Results from histopathological examination revealed an apocrine adenocarcinoma of the scrotum. We report a case of primary apocrine adenocarcinoma of the scrotum initially suspected as testicular cancer.","PeriodicalId":74033,"journal":{"name":"JU open plus","volume":"118 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138988934","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-12-01DOI: 10.1097/ju9.0000000000000077
Jennifer Espinales, Firas G. Petros
{"title":"Editorial Comment: Metastatic Renal Cell Carcinoma to the Maxillary Sinus Presenting As Recurrent Epistaxis","authors":"Jennifer Espinales, Firas G. Petros","doi":"10.1097/ju9.0000000000000077","DOIUrl":"https://doi.org/10.1097/ju9.0000000000000077","url":null,"abstract":"","PeriodicalId":74033,"journal":{"name":"JU open plus","volume":" 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138610059","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-12-01DOI: 10.1097/ju9.0000000000000065
Alberto Benitez Cano, Karl-Dietrich Sievert
{"title":"Editorial Comment: The Minimal Utility of Analyzing Ureteropelvic Junction Tissue at the Time of Pyeloplasty","authors":"Alberto Benitez Cano, Karl-Dietrich Sievert","doi":"10.1097/ju9.0000000000000065","DOIUrl":"https://doi.org/10.1097/ju9.0000000000000065","url":null,"abstract":"","PeriodicalId":74033,"journal":{"name":"JU open plus","volume":"436 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139021766","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-12-01DOI: 10.1097/ju9.0000000000000055
F. J. Aschwanden, Dominic Ditsch, F. von Wallenberg, Andres Affentranger, Thomas Treumann, Agostino Mattei, C.D. Fankhauser
We describe a surgical technique for robotic-assisted partial nephrectomy, including 3 novel steps to facilitate resection and suturing. This approach minimizes positive surgical margins and the risk of postoperative bleeding. This article describes a retrospective study of a single-surgeon series, including 49 patients. The study approach includes descriptive analysis of the Intraoperative Adverse Incident Classification, analysis of postoperative complications using the Clavien-Dindo Classification, and description of pathological and oncological outcomes. The median operative time was 221 minutes (IQR: 196-263), and the median ischemia time was 20 minutes (IQR: 12-24). Intraoperative Adverse Incident Classification Grade 1 complications occurred in 2 patients (4%). Conversion to open partial nephrectomy was necessary in 1 patient (2%). Postoperative complications were reported in 7 patients (14%). Of these, 3 patients (6%) experienced a Clavien-Dindo Classification Grade 2 complication, 2 patients (4%) experienced a Grade 3a complication, 1 patient (2%) experienced a Grade 3b complication, and 1 patient (2%) experienced a Grade 4a complication. Endovascular coiling and blood transfusion were necessary in 2 patients (4%), and 2 patients (4%) were readmitted. A positive surgical margin was reported in 1 patient (2%). Metastatic relapse occurred in 1 patient (2%) 535 days after surgery who did not have a positive surgical margin. Our novel 3 surgical steps during robotic-assisted partial nephrectomy allow an oncologically safe resection with a low risk of postoperative complications.
{"title":"A Novel Partial Nephrectomy Technique Using Blunt Dissection, Clipping of Intrarenal Vessels, Followed by Closure Using a Fibrin Sealant and Sliding Clips","authors":"F. J. Aschwanden, Dominic Ditsch, F. von Wallenberg, Andres Affentranger, Thomas Treumann, Agostino Mattei, C.D. Fankhauser","doi":"10.1097/ju9.0000000000000055","DOIUrl":"https://doi.org/10.1097/ju9.0000000000000055","url":null,"abstract":"\u0000 \u0000 \u0000 We describe a surgical technique for robotic-assisted partial nephrectomy, including 3 novel steps to facilitate resection and suturing. This approach minimizes positive surgical margins and the risk of postoperative bleeding.\u0000 \u0000 \u0000 \u0000 This article describes a retrospective study of a single-surgeon series, including 49 patients. The study approach includes descriptive analysis of the Intraoperative Adverse Incident Classification, analysis of postoperative complications using the Clavien-Dindo Classification, and description of pathological and oncological outcomes.\u0000 \u0000 \u0000 \u0000 The median operative time was 221 minutes (IQR: 196-263), and the median ischemia time was 20 minutes (IQR: 12-24). Intraoperative Adverse Incident Classification Grade 1 complications occurred in 2 patients (4%). Conversion to open partial nephrectomy was necessary in 1 patient (2%). Postoperative complications were reported in 7 patients (14%). Of these, 3 patients (6%) experienced a Clavien-Dindo Classification Grade 2 complication, 2 patients (4%) experienced a Grade 3a complication, 1 patient (2%) experienced a Grade 3b complication, and 1 patient (2%) experienced a Grade 4a complication. Endovascular coiling and blood transfusion were necessary in 2 patients (4%), and 2 patients (4%) were readmitted. A positive surgical margin was reported in 1 patient (2%). Metastatic relapse occurred in 1 patient (2%) 535 days after surgery who did not have a positive surgical margin.\u0000 \u0000 \u0000 \u0000 Our novel 3 surgical steps during robotic-assisted partial nephrectomy allow an oncologically safe resection with a low risk of postoperative complications.\u0000","PeriodicalId":74033,"journal":{"name":"JU open plus","volume":" 41","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138620857","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-12-01DOI: 10.1097/ju9.0000000000000092
Huma K. Sadulla, Henry H. Woo
{"title":"Editorial Comment: Utilization of Instagram by Urology Residency Programs for Applicant Recruitment","authors":"Huma K. Sadulla, Henry H. Woo","doi":"10.1097/ju9.0000000000000092","DOIUrl":"https://doi.org/10.1097/ju9.0000000000000092","url":null,"abstract":"","PeriodicalId":74033,"journal":{"name":"JU open plus","volume":" 62","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138614057","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-11-01DOI: 10.1097/ju9.0000000000000067
Samuel A. Gold, Vitaly Margulis
We thank the reviewers for providing these editorial comments that highlight the question posed to urologists, the FDA, and patients as to whether ranitidine increases the risk of renal malignancies.1,2 We believe preclinical data and limited population data demonstrate an association between this now-recalled medication and kidney cancer but not causation.3 As this issue spills into the legal system and regulatory bodies, it is incumbent on all the parties involved to carefully evaluate the dynamic stream of information and seek out further answers on this topic.
{"title":"Reply by Authors: Carcinogenic Effects of Nitrosodimethylamine Contamination in Ranitidine: Defining the Relationship with Renal Malignancies","authors":"Samuel A. Gold, Vitaly Margulis","doi":"10.1097/ju9.0000000000000067","DOIUrl":"https://doi.org/10.1097/ju9.0000000000000067","url":null,"abstract":"We thank the reviewers for providing these editorial comments that highlight the question posed to urologists, the FDA, and patients as to whether ranitidine increases the risk of renal malignancies.1,2 We believe preclinical data and limited population data demonstrate an association between this now-recalled medication and kidney cancer but not causation.3 As this issue spills into the legal system and regulatory bodies, it is incumbent on all the parties involved to carefully evaluate the dynamic stream of information and seek out further answers on this topic.","PeriodicalId":74033,"journal":{"name":"JU open plus","volume":"46 4","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135615306","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-11-01DOI: 10.1097/ju9.0000000000000081
Michel A. Pontari
{"title":"Editorial Comment: Pelvic Floor Dysfunction: A Common Cause of Chronic Orchialgia","authors":"Michel A. Pontari","doi":"10.1097/ju9.0000000000000081","DOIUrl":"https://doi.org/10.1097/ju9.0000000000000081","url":null,"abstract":"","PeriodicalId":74033,"journal":{"name":"JU open plus","volume":"46 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139298020","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}