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Potential System Utilization and Cost Savings of Advanced Microbial Testing for Urinary Tract Infections 尿路感染高级微生物检测的潜在系统利用率和成本节约
Pub Date : 2023-12-01 DOI: 10.1097/ju9.0000000000000080
Dicken S. C. Ko
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引用次数: 0
Utilization of Instagram by Urology Residency Programs for Applicant Recruitment 泌尿科住院医师计划利用 Instagram 招募申请人
Pub Date : 2023-12-01 DOI: 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.
通过泌尿外科住院医师项目评估Instagram内容和趋势。在2022年10月1日至20日期间收集数据后,完成了泌尿科住院医师计划Instagram账户的横断面分析。被纳入的账户被审查并记录描述性细节,如关注者数量、被关注者数量和帖子内容。然后将所有职位编码为预定的7类清单:(1)常驻晋升;(2)院系晋升;(三)医学以外的活动;(4)研究、报告或奖励;(5)泌尿外科匹配/应用相关推广;(6)“泌尿科”;(七)其他。总体而言,147个程序中有66个(44.9%)在分析时拥有帐户。大约一半(66个账户中的31个,即47%)的账户是在2020年6月至12月间创建的。账户的中位数为633名粉丝(IQR: 254,844)和39篇帖子(IQR: 18,64)。在被分析的3236个帖子中,大多数是居民或医学以外的活动;视频帖子使用最少。推广住院医生的帖子比其他类别的帖子的平均点赞量要高得多,除了关于“泌尿科一般”的帖子。据我们所知,这是第一个分析泌尿科住院医师招募时使用Instagram的研究。我们的研究描述了越来越多的泌尿科住院医生项目Instagram账户,用于展示住院医生和医学以外的生活,以吸引关注者。
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引用次数: 1
Editorial Comments on Uropathogenic Dysbiosis Pattern is Associated with Urethral Fibrosis 编辑评论:尿道致病性菌群失调模式与尿道纤维化有关
Pub Date : 2023-12-01 DOI: 10.1097/ju9.0000000000000093
Omer A. Raheem, Mahmoud Khalil
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引用次数: 0
Scrotum Apocrine Adenocarcinoma Mimicking Testicular Cancer with Infiltration to the Scrotum: A Case Report with Literature Review 模仿睾丸癌并向阴囊浸润的阴囊腺癌:病例报告与文献综述
Pub Date : 2023-12-01 DOI: 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.
分泌腺癌是一种罕见的皮肤肿瘤,通常发生在分泌腺丰富的部位。在我们的报告中,一名 64 岁的男性来到急诊科就诊,主诉阴囊肿块增大、触痛,且在过去 3 个月中肿块不断增大,并伴有不适。对肿瘤标志物进行了检查,发现乳酸脱氢酶(LDH)和β-人绒毛膜促性腺激素(HCG)升高。患者被初步诊断为睾丸癌,并伴有阴囊浸润。患者接受了大范围肿块切除术和双侧睾丸切除术。组织病理学检查结果显示阴囊腺癌。我们报告了一例最初被怀疑为睾丸癌的原发性阴囊腺分泌性腺癌。
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引用次数: 0
Editorial Comment: Metastatic Renal Cell Carcinoma to the Maxillary Sinus Presenting As Recurrent Epistaxis 社论评论:上颌窦转移性肾细胞癌表现为复发性鼻衄
Pub Date : 2023-12-01 DOI: 10.1097/ju9.0000000000000077
Jennifer Espinales, Firas G. Petros
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引用次数: 0
Editorial Comment: The Minimal Utility of Analyzing Ureteropelvic Junction Tissue at the Time of Pyeloplasty 社论评论:肾盂成形术时分析输尿管肾盂连接组织的最小效用
Pub Date : 2023-12-01 DOI: 10.1097/ju9.0000000000000065
Alberto Benitez Cano, Karl-Dietrich Sievert
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引用次数: 0
A Novel Partial Nephrectomy Technique Using Blunt Dissection, Clipping of Intrarenal Vessels, Followed by Closure Using a Fibrin Sealant and Sliding Clips 一种新颖的肾部分切除术技术,采用钝性剥离法,剪断肾内血管,然后使用纤维蛋白密封剂和滑动夹进行缝合
Pub Date : 2023-12-01 DOI: 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.
我们描述了一种机器人辅助部分肾切除术的手术技术,包括3个新的步骤来促进切除和缝合。这种方法将阳性手术切缘和术后出血的风险降到最低。这篇文章描述了一项回顾性研究,包括49名患者的单外科医生系列。研究方法包括术中不良事件分类的描述性分析,使用Clavien-Dindo分类分析术后并发症,以及病理和肿瘤结果的描述。中位手术时间221分钟(IQR: 196 ~ 263),中位缺血时间20分钟(IQR: 12 ~ 24)。术中不良事件分类1级并发症2例(4%)。1例(2%)患者需要转行开放式部分肾切除术。术后并发症7例(14%)。其中,3例患者(6%)出现Clavien-Dindo分级2级并发症,2例患者(4%)出现3a级并发症,1例患者(2%)出现3b级并发症,1例患者(2%)出现4a级并发症。2例(4%)患者需要进行血管内盘绕和输血,2例(4%)患者再次入院。1例(2%)患者报告手术切缘阳性。1例(2%)患者在手术后535天发生转移性复发,手术切缘不阳性。我们在机器人辅助部分肾切除术中新颖的3个手术步骤使肿瘤安全切除,术后并发症风险低。
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引用次数: 0
Editorial Comment: Utilization of Instagram by Urology Residency Programs for Applicant Recruitment 编辑评论:泌尿科住院医师项目利用 Instagram 招募申请人
Pub Date : 2023-12-01 DOI: 10.1097/ju9.0000000000000092
Huma K. Sadulla, Henry H. Woo
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引用次数: 0
Reply by Authors: Carcinogenic Effects of Nitrosodimethylamine Contamination in Ranitidine: Defining the Relationship with Renal Malignancies 雷尼替丁中亚硝基二甲胺污染的致癌作用:确定与肾脏恶性肿瘤的关系
Pub Date : 2023-11-01 DOI: 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.
我们感谢审稿人提供的这些评论,这些评论强调了泌尿科医生、FDA和患者对雷尼替丁是否会增加肾脏恶性肿瘤风险的问题。我们相信临床前数据和有限的人群数据证明了这种现已召回的药物与肾癌之间的关联,但不是因果关系随着这一问题进入法律体系和监管机构,有关各方都有责任仔细评估动态信息流,并就这一主题寻求进一步的答案。
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引用次数: 0
Editorial Comment: Pelvic Floor Dysfunction: A Common Cause of Chronic Orchialgia 编辑评论:盆底功能障碍:慢性睾丸炎的常见病因
Pub Date : 2023-11-01 DOI: 10.1097/ju9.0000000000000081
Michel A. Pontari
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引用次数: 0
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