1,497 results match your criteria Open Journal of Urology [Journal]


The effect of bladder filling rate on the voiding behaviour of patients with overactive bladder.

J Urol 2019 Feb 28:101097JU0000000000000199. Epub 2019 Feb 28.

University Hospital of Limerick, Dooradoyle , Limerick , Ireland.

Introduction: Many self-help guides advise patients that spreading fluid intake throughout the day can reduce symptoms of overactive bladder (OAB). However, although animal studies suggest a link between faster filling rates and increased afferent nerve firing, the relationship between filling rate and bladder sensation has not been examined in humans. The aim of this study is to investigate the effect of bladder volume and rate of bladder filling on the bladder sensation and voiding patterns of patients with OAB. Read More

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http://dx.doi.org/10.1097/JU.0000000000000199DOI Listing
February 2019

The Impact Of Experience On The Risk Of Surgical Margins And Biochemical Recurrence After Robot-Assisted Radical Prostatectomy: A Learning-Curve Study.

J Urol 2019 Feb 7. Epub 2019 Feb 7.

Department of Epidemiology and Biostatistics, Memorial Sloan Kettering Cancer Center, New York, NY, USA.

Background: Improved cancer control with increasing surgical experience (the "learning curve") has been demonstrated for open and laparoscopic prostatectomy. We assessed the relationship between surgical experience and oncologic outcomes of robot-assisted radical prostatectomy.

Methods: We analyzed 1827 prostate cancer patients treated with robot-assisted radical prostatectomy. Read More

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http://dx.doi.org/10.1097/JU.0000000000000147DOI Listing
February 2019
1 Read

Epidural Analgesia Decreases Narcotic Requirements in Patients with Low Level Spina Bifida Undergoing Urological Laparotomy for Neurogenic Bladder and Bowel.

J Urol 2019 01;201(1):169-173

Division of Pediatric Anesthesiology, Riley Hospital for Children, Indianapolis, Indiana.

Purpose: Concerns regarding anatomical anomalies and worsening neurological symptoms have prevented widespread use of epidural catheters in patients with low level spina bifida. We hypothesize that thoracic epidural placement in the T9 to T10 interspace is safe and decreases narcotic requirements following major open lower urinary tract reconstruction in patients with low level spina bifida.

Materials And Methods: We reviewed consecutive patients with low level spina bifida who underwent lower urinary tract reconstruction and received epidurals for postoperative pain control. Read More

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http://dx.doi.org/10.1016/j.juro.2018.06.063DOI Listing
January 2019
1 Read

Clinical Results of Transarterial Embolization to Control Postoperative Vascular Complications after Partial Nephrectomy.

J Urol 2019 Apr;201(4):702-708

Department of Radiology, Yonsei University College of Medicine , Seoul , Republic of Korea.

Purpose: We evaluated the safety and clinical efficacy of transarterial embolization of vascular complications after partial nephrectomy.

Materials And Methods: This retrospective study included 1,187 patients who underwent partial nephrectomy between January 2006 and December 2017. A total of 36 patients were referred to the interventional radiology department for vascular complications after partial nephrectomy. Read More

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http://www.jurology.com/doi/10.1016/j.juro.2018.10.022
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http://dx.doi.org/10.1016/j.juro.2018.10.022DOI Listing
April 2019
11 Reads

Robot-Assisted Laparoscopic Reoperative Repair for Failed Pyeloplasty in Children: An Updated Series.

J Urol 2019 Jan 29. Epub 2019 Jan 29.

Department of Urology, Northwestern University, Chicago, Illinois.

Purpose: Reoperative pyeloplasty is commonly used in children with recurrent obstruction after pyeloplasty. We previously reported on reoperative robot-assisted laparoscopic repair for failed pyeloplasty in 16 children and concluded that short-term and intermediate outcomes were comparable to open reoperative repair. In this updated series we describe longer term outcomes from an extended study. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00225347184405
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http://dx.doi.org/10.1016/j.juro.2018.10.021DOI Listing
January 2019
12 Reads

Robotic Assisted Radical Cystectomy vs Open Radical Cystectomy: Systematic Review and Meta-Analysis.

J Urol 2019 Apr;201(4):715-720

Department of Urology, University of Miami , Miami , Florida.

Purpose: We performed an updated systematic review and meta-analysis of outcomes important to patients in those undergoing robot-assisted and open radical cystectomy.

Materials And Methods: Multiple scientific databases were searched up to July 2018 for randomized, controlled trials comparing robot-assisted and open radical cystectomy. The primary outcomes of interest were disease progression, major (Clavien III-V) complications and 90-day quality of life. Read More

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http://dx.doi.org/10.1016/j.juro.2018.10.006DOI Listing
April 2019
4 Reads
4.471 Impact Factor

A 52-Week Study of Dose Adjusted Subcutaneous Testosterone Enanthate in Oil Self-Administered via Disposable Auto-Injector.

J Urol 2019 Mar;201(3):587-594

Division of Endocrinology, Department of Medicine, Harbor-UCLA Medical Center and Los Angeles Biomedical Research Institute, Torrance, California.

Purpose: In this open label, single arm, dose blinded, 52-week registration phase study we evaluated the efficacy and safety of a subcutaneous testosterone enanthate auto-injector administered weekly to men with hypogonadism.

Materials And Methods: A total of 150 patients were initiated on a 75 mg subcutaneous testosterone enanthate auto-injector self-administered weekly. Dose adjustments were made at week 7 to 50, 75 or 100 mg testosterone enanthate based on the week 6 total testosterone trough concentration. Read More

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http://dx.doi.org/10.1016/j.juro.2018.09.057DOI Listing
March 2019
18 Reads

Radical Prostatectomy after Vascular Targeted Photodynamic Therapy with Padeliporfin: Feasibility, and Early and Intermediate Results.

J Urol 2019 02;201(2):315-321

Department of Urology, Lyon Sud University Hospital, Lyon.

Purpose: Vascular targeted photodynamic therapy with TOOKAD® is a new therapeutic option for localized prostate cancer management. The objectives of this study were to assess the feasibility of radical prostatectomy after vascular targeted photodynamic therapy and describe functional and oncologic outcomes.

Materials And Methods: We retrospectively included in study 45 patients who underwent salvage radical prostatectomy after vascular targeted photodynamic therapy for recurrent prostate cancer at a total of 14 surgical centers in Europe between October 2008 and March 2017. Read More

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http://dx.doi.org/10.1016/j.juro.2018.08.084DOI Listing
February 2019
30 Reads
4.471 Impact Factor

Discrepancies in Self-Reported and Actual Conflicts of Interest for Robotic Pediatric Urological Surgery.

J Urol 2019 02;201(2):393-399

Department of Urology, Mayo Clinic, Rochester, Minnesota.

Purpose: Transparency of conflicts of interest is essential when assessing publications that address the benefits of robotic surgery over traditional laparoscopic and open operations. We assessed discrepancies between self-reported and actual conflicts of interest as well as whether conflicts of interest are associated with favorable endorsement of robotic surgery.

Materials And Methods: We searched the Embase® and MEDLINE® databases for articles on robotic surgery within pediatric urology. Read More

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http://dx.doi.org/10.1016/j.juro.2018.07.043DOI Listing
February 2019
1 Read

Intraoperative Cyst Rupture during Partial Nephrectomy for Cystic Renal Masses-Does it Increase the Risk of Recurrence?

J Urol 2018 Dec 20;200(6):1200-1206. Epub 2018 Jun 20.

Department of Urology, Centre Hospitalier Universitaire Rennes, Rennes, France.

Purpose: Our objective was to assess the prevalence of intraoperative cyst rupture and its impact on oncologic outcomes.

Materials And Methods: All patients who underwent partial nephrectomy for a cystic renal mass via an open or robot-assisted approach at a total of 8 academic institutions were included in this retrospective study. All operative reports were carefully reviewed and any description of cyst rupture, cyst effraction or local spillage intraoperatively was recorded as cyst rupture. Read More

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http://dx.doi.org/10.1016/j.juro.2018.06.025DOI Listing
December 2018
11 Reads

Complex Robotic Lower Urinary Tract Surgery in Patients with History of Open Surgery.

J Urol 2019 01;201(1):162-168

Section of Pediatric Urology, Nationwide Children's Hospital, Columbus, Ohio.

Purpose: We describe our experience with robot-assisted complex lower urinary tract reconstruction in patients with a history of open abdominal surgery.

Materials And Methods: Patients with any previous open abdominal surgery undergoing robot-assisted complex lower urinary tract reconstruction were included. Complex lower urinary tract reconstruction was defined as bladder neck reconstruction or continent catheterizable conduits or both, redo surgery at the bladder neck for persistent incontinence or any of these procedures with creation of a Malone antegrade continence enema. Read More

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http://dx.doi.org/10.1016/j.juro.2018.06.017DOI Listing
January 2019

The Temporal Association of Robotic Surgical Diffusion with Overtreatment of the Small Renal Mass.

J Urol 2018 Nov 22;200(5):981-988. Epub 2018 May 22.

Department of Urology, Mayo Clinic, Rochester, Minnesota. Electronic address:

Purpose: We evaluated contemporary practice patterns in the management of small renal masses.

Materials And Methods: We identified 52,804 patients in the NCDB (National Cancer Database) who were diagnosed with a small renal mass (4 cm or less) between 2010 and 2014. Utilization trends of active surveillance, ablation and robotic, laparoscopic and open surgical techniques were compared among all comers, elderly patients 75 years old or older and individuals with competing health risks, defined as a Charlson index of 2 or greater. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00225347184323
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http://dx.doi.org/10.1016/j.juro.2018.05.081DOI Listing
November 2018
7 Reads

Long-Term Continence Outcomes in Men Undergoing Radical Prostatectomy: A Prospective 15-Year Longitudinal Study.

J Urol 2018 09 7;200(3):626-632. Epub 2018 May 7.

Department of Urology, New York University School of Medicine, New York, New York. Electronic address:

Purpose: We examined the time dependent rates of urinary continence following open retropubic radical prostatectomy.

Materials And Methods: A total of 1,995 men treated with radical prostatectomy were enrolled in a prospective longitudinal outcomes study. The UCLA-PCI-UFS (UCLA-Prostate Cancer Index-Urinary Function Index) was administered at baseline, and 3, 6, 12, 24, 96, 120 and 180 months after open retropubic radical prostatectomy. Read More

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http://dx.doi.org/10.1016/j.juro.2018.05.005DOI Listing
September 2018
1 Read

Impact of Host Factors on Robotic Partial Nephrectomy Outcomes: Comprehensive Systematic Review and Meta-Analysis.

J Urol 2018 Oct 3;200(4):716-730. Epub 2018 May 3.

USC Institute of Urology & Catherine and Joseph Aresty Department of Urology, Keck School of Medicine, University of Southern California, Los Angeles, California. Electronic address:

Purpose: Host factors (tumor size/complexity, patient comorbidities) impact outcomes of robotic partial nephrectomy. We report a comprehensive systematic review and meta-analysis to critically evaluate the impact of host factors on operative, perioperative, functional, oncologic and survival outcomes of robotic partial nephrectomy.

Materials And Methods: All full text English language publications on robotic partial nephrectomy comparing host factors were evaluated. Read More

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http://www.jurology.com/doi/10.1016/j.juro.2018.04.079
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http://dx.doi.org/10.1016/j.juro.2018.04.079DOI Listing
October 2018
16 Reads

A National Contemporary Analysis of Perioperative Outcomes of Open versus Minimally Invasive Sacrocolpopexy.

J Urol 2018 Oct 7;200(4):862-867. Epub 2018 Apr 7.

Division of Urology, Rhode Island Hospital and The Miriam Hospital, Providence, Rhode Island; Warren Alpert Medical School of Brown University, Providence, Rhode Island.

Purpose: We evaluated the perioperative morbidity of open abdominal sacrocolpopexy and minimally invasive sacrocolpopexy using data on a contemporary nationwide cohort.

Materials And Methods: We used the ACS (American College of Surgeons) NSQIP® (National Surgical Quality Improvement Program) database to identify women who underwent abdominal or minimally invasive sacrocolpopexy from 2010 to 2016. Associations of surgical approach with 30-day complications, blood transfusion, prolonged hospitalization and reoperation were evaluated by logistic regression. Read More

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http://dx.doi.org/10.1016/j.juro.2018.03.131DOI Listing
October 2018
10 Reads

Impact of Surgical Factors on Robotic Partial Nephrectomy Outcomes: Comprehensive Systematic Review and Meta-Analysis.

J Urol 2018 08 24;200(2):258-274. Epub 2018 Mar 24.

USC Institute of Urology, and Catherine and Joseph Aresty Department of Urology, Keck School of Medicine, University of Southern California, Los Angeles, California. Electronic address:

Purpose: Utilization of robotic partial nephrectomy has increased significantly. We report a literature wide systematic review and cumulative meta-analysis to critically evaluate the impact of surgical factors on the operative, perioperative, functional, oncologic and survival outcomes in patients undergoing robotic partial nephrectomy.

Materials And Methods: All English language publications on robotic partial nephrectomy comparing various surgical approaches were evaluated. Read More

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http://dx.doi.org/10.1016/j.juro.2017.12.086DOI Listing
August 2018
20 Reads

Can a Modified Bosniak Classification System Risk Stratify Pediatric Cystic Renal Masses?

J Urol 2018 08 20;200(2):434-439. Epub 2018 Mar 20.

Department of Surgery, Division of Urology, University of Colorado School of Medicine and Children's Hospital of Colorado, Aurora, Colorado. Electronic address:

Purpose: We characterize and apply the modified Bosniak classification system to a cohort of children with cystic renal lesions and known surgical pathology.

Materials And Methods: We identified all patients at our institution with cystic renal masses who also underwent surgery for these lesions. Patients without available preoperative imaging or pathology were excluded. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00225347184271
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http://dx.doi.org/10.1016/j.juro.2018.03.076DOI Listing
August 2018
20 Reads

A Phase II, Randomized, Multicenter Study Comparing 10 Months versus 4 Months of Degarelix Therapy in Prolonging the Off Treatment Interval in Men with Localized Prostate Cancer Receiving Intermittent Androgen Deprivation Therapy for Biochemical Recurrence following Radical Local Therapy.

J Urol 2018 08 11;200(2):335-343. Epub 2018 Mar 11.

Division of Urology, Université de Montreal, Montreal, Quebec, Canada.

Purpose: Clinical trials in men initiating intermittent androgen deprivation therapy have used a range of induction durations between 3 and 12 months. We sought to determine whether the duration of induction androgen deprivation therapy would influence the duration of the off treatment interval and the recovery of serum testosterone.

Materials And Methods: This was a prospective, randomized, open label study. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00225347184250
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http://dx.doi.org/10.1016/j.juro.2018.03.010DOI Listing
August 2018
7 Reads

Comparing Outcomes of Robotic and Open Inguinal Lymph Node Dissection in Patients with Carcinoma of the Penis.

J Urol 2018 Jun 4;199(6):1518-1525. Epub 2018 Jan 4.

Uro-Oncology Division, Department of Surgical Oncology, Rajiv Gandhi Cancer Institute and Research Centre, New Delhi, India. Electronic address:

Purpose: We compared outcomes between robot-assisted video endoscopic inguinal lymphadenectomy and open inguinal lymph node dissection in patients without bulky nodal metastasis in a tandem contemporary cohort.

Materials And Methods: We retrospectively analyzed a prospectively maintained hospital registry of 51 patients who underwent robot-assisted video endoscopic inguinal lymphadenectomy and 100 treated with open inguinal lymph node dissection from 2012 to 2016 for groins without bulky nodal metastasis and who had a minimum 9-month followup. Complications were graded by the Clavien-Dindo classification, and nodal yield and disease recurrence during followup were assessed. Read More

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http://dx.doi.org/10.1016/j.juro.2017.12.061DOI Listing
June 2018
7 Reads
1 Citation
4.471 Impact Factor

Navigation of Fluorescence Cameras during Soft Tissue Surgery-Is it Possible to Use a Single Navigation Setup for Various Open and Laparoscopic Urological Surgery Applications?

J Urol 2018 Apr 22;199(4):1061-1068. Epub 2017 Nov 22.

Interventional Molecular Imaging Laboratory, Department of Radiology, Leiden University Medical Center, Leiden, The Netherlands; Department of Urology, The Netherlands Cancer Institute-Antoni van Leeuwenhoek Hospital, Amsterdam, The Netherlands. Electronic address:

Purpose: Real-time visualization fluorescence imaging can guide surgeons during tissue resection. Unfortunately tissue induced signal attenuation limits the value of this technique to superficial applications. By positioning the fluorescence camera via a dedicated navigation setup we reasoned that the technology could be made compatible with deeper lesions, increasing its impact on clinical care. Read More

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http://dx.doi.org/10.1016/j.juro.2017.09.160DOI Listing
April 2018
13 Reads

Role of Clinical and Surgical Factors for the Prediction of Immediate, Early and Late Functional Results, and its Relationship with Cardiovascular Outcome after Partial Nephrectomy: Results from the Prospective Multicenter RECORd 1 Project.

J Urol 2018 Apr 14;199(4):927-932. Epub 2017 Nov 14.

Department of Urology, University of Florence, Careggi Hospital, Florence, Italy. Electronic address:

Purpose: We sought to determine the predictors of short-term and long-term renal function impairment after partial nephrectomy.

Materials And Methods: Clinical data on 769 consecutive patients who underwent partial nephrectomy were prospectively recorded at a total of 19 urological Italian centers from 2009 to 2012 in the RECORd 1 (Italian Registry of Conservative Renal Surgery) Project. We extracted clinical data on 708 of these patients who were alive, free of recurrent disease and with a minimum 2-year functional followup. Read More

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http://dx.doi.org/10.1016/j.juro.2017.11.065DOI Listing
April 2018
21 Reads

Laparoscopic Retroperitoneal Lymph Node Dissection for Clinical Stage I Nonseminomatous Germ Cell Tumors of the Testis: Safety and Efficacy Analyses at a High Volume Center.

J Urol 2018 03 28;199(3):741-747. Epub 2017 Sep 28.

Testis Surgery Unit, Fondazione IRCCS Istituto Nazionale Tumori, Milan, Italy.

Purpose: The prognosis of stage I nonseminomatous germ cell tumor of the testis is favorable. Early and late side effects of treatment may affect quality of life and survival. We determined the tolerability, safety and efficacy of laparoscopic retroperitoneal lymph node dissection in patients with stage I nonseminomatous germ cell tumor of the testis at a high volume center. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00225347177762
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http://dx.doi.org/10.1016/j.juro.2017.09.088DOI Listing
March 2018
31 Reads

Long-Term Antitumor Activity and Safety of Enzalutamide Monotherapy in Hormone Naïve Prostate Cancer: 3-Year Open Label Followup Results.

J Urol 2018 02 1;199(2):459-464. Epub 2017 Sep 1.

Massachusetts General Hospital Cancer Center, Boston, Massachusetts.

Purpose: A phase 2 study of enzalutamide monotherapy in patients with hormone naïve prostate cancer demonstrated high prostate specific antigen response rates at 25 weeks, 1 year and 2 years with minimal effects on total body bone mineral density and favorable safety. In this followup analysis we evaluated enzalutamide antitumor activity and safety at 3 years.

Materials And Methods: In a single arm analysis 67 patients with hormone naïve prostate cancer and noncastrate testosterone (230 ng/dl or greater) received enzalutamide 160 mg per day orally until disease progression or unacceptable toxicity. Read More

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http://dx.doi.org/10.1016/j.juro.2017.08.103DOI Listing
February 2018
29 Reads

Depressive Symptoms and Low Sexual Desire after Radical Prostatectomy: Early and Long-Term Outcomes in a Real-Life Setting.

J Urol 2018 02 1;199(2):474-480. Epub 2017 Sep 1.

Unit of Urology, Division of Experimental Oncology, Istituto di Ricerca Urologica, Istituto di Ricovero e Cura a Carattere Scientifico Ospedale San Raffaele, Milan, Italy; University Vita-Salute San Raffaele, Milan, Italy. Electronic address:

Purpose: We assessed the rate and predictors of depressive symptoms and impaired sexual desire in patients who underwent open or robot-assisted radical prostatectomy.

Materials And Methods: A total of 811 patients completed IIEF (International Index of Erectile Function) and BDI (Beck Depression Inventory) preoperatively, and 6, 12, 24 and 36 months postoperatively. Rates and predictors of depressive symptoms and impaired sexual desire were assessed with descriptive statistics and logistic regression models. Read More

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http://dx.doi.org/10.1016/j.juro.2017.08.104DOI Listing
February 2018
22 Reads

Reasons for Seeking Clinical Care for Lower Urinary Tract Symptoms: A Mixed Methods Study.

J Urol 2018 02 20;199(2):528-535. Epub 2017 Jul 20.

Duke University Medical Center, Durham, North Carolina.

Purpose: The primary objective of this study was to evaluate reasons for seeking care among men and women with lower urinary tract symptoms.

Materials And Methods: Participants were recruited from urology and urogynecology clinics, and the community. The sample was enriched with persons expected to have abnormal or diminished bladder sensations (eg participants with lower back surgery and participants 65 years old or older). Read More

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http://dx.doi.org/10.1016/j.juro.2017.07.067DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5775934PMC
February 2018
9 Reads

Robotic versus Open Level I-II Inferior Vena Cava Thrombectomy: A Matched Group Comparative Analysis.

J Urol 2017 12 8;198(6):1241-1246. Epub 2017 Jul 8.

Department of Urology, State Key Laboratory of Kidney Diseases, Chinese PLA General Hospital/PLA Medical School, Beijing, China; Department of Urology, First Affiliated Hospital of Nanchang University (LC), Nanchang, China. Electronic address:

Purpose: We compared treatment outcomes of robotic vs open inferior vena cava thrombectomy for renal tumors with level I-II inferior vena cava tumor thrombus.

Materials And Methods: We retrospectively reviewed the medical records of patients who underwent robotic or open inferior vena cava thrombectomy between 2006 and 2016. To reduce the inherent biases of a nonrandomized study the robotic and open groups were matched 1:1 based on key variables. Read More

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http://dx.doi.org/10.1016/j.juro.2017.06.094DOI Listing
December 2017
4 Reads

Ureterocalicostomy for Reconstruction of Complicated Ureteropelvic Junction Obstruction in Adults: Long-Term Outcome and Factors Predicting Failure in a Contemporary Cohort.

J Urol 2017 12 23;198(6):1374-1378. Epub 2017 Jun 23.

Department of Urology and Renal Transplant, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India.

Purpose: Ureterocalicostomy is a well established treatment option in patients who have recurrent ureteropelvic junction obstruction with postoperative fibrosis and a relatively inaccessible renal pelvis. We evaluated the long-term outcome of ureterocalicostomy and factors predicting its failure.

Materials And Methods: We retrospectively analyzed data on 72 patients who underwent open or laparoscopic ureterocalicostomy from 2000 to 2014. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00225347177673
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http://dx.doi.org/10.1016/j.juro.2017.06.079DOI Listing
December 2017
18 Reads

High Intensity Focused Ultrasound for Radiorecurrent Prostate Cancer: A North American Clinical Trial.

J Urol 2018 01 23;199(1):133-139. Epub 2017 Jun 23.

Department of Urology, David Geffen School of Medicine at University of California-Los Angeles, Los Angeles, California. Electronic address:

Purpose: We determined the safety and efficacy of whole gland high intensity focused ultrasound in men with radiorecurrent prostate cancer.

Materials And Methods: A total of 100 men with clinically localized recurrent prostate cancer at least 2 years after external beam radiation therapy underwent whole gland high intensity focused ultrasound in an open label trial from 2009 to 2012. Treatments were performed at 16 sites, including 14 in the United States and 2 in Canada. Read More

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http://dx.doi.org/10.1016/j.juro.2017.06.078DOI Listing
January 2018
50 Reads

Microsurgically Assisted Inguinal Hernia Repair and Simultaneous Male Fertility Procedures: Rationale, Technique and Outcomes.

J Urol 2017 11 19;198(5):1168-1174. Epub 2017 Jun 19.

Department of Urology and Institute for Reproductive Medicine, Weill Cornell Medicine, New York, New York. Electronic address:

Purpose: Inguinal herniorrhaphy is the most common general surgical procedure. It is associated with frequent complications such as recurrence in 2.0% to 14. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00225347177490
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http://dx.doi.org/10.1016/j.juro.2017.06.072DOI Listing
November 2017
8 Reads

The Conditional Survival with Time of Intravesical Recurrence of Upper Tract Urothelial Carcinoma.

J Urol 2017 12 17;198(6):1278-1285. Epub 2017 Jun 17.

Department of Urology, Keio University School of Medicine, Tokyo, Japan.

Purpose: Since conditional survival analysis provides better estimates of survival time at each followup, we assessed changes in conditional intravesical recurrence-free survival rates after radical nephroureterectomy. We also sought to determine how the impact of well-known risk factors evolves with time, particularly in patients with localized upper tract urothelial carcinoma.

Materials And Methods: We identified 364 patients with Ta-3N0M0 localized upper tract urothelial carcinoma who underwent open or laparoscopic radical nephroureterectomy at 1 of our 3 institutions. Read More

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http://dx.doi.org/10.1016/j.juro.2017.06.073DOI Listing
December 2017
5 Reads

Preoperatively Dilated Ureters are a Specific Risk Factor for the Development of Ureteroenteric Strictures after Open Radical Cystectomy and Ileal Neobladder.

J Urol 2017 11 20;198(5):1098-1106. Epub 2017 May 20.

Department of Urology, Klinikum Kassel, Kassel, Germany.

Purpose: We evaluated preoperative ureteral obstruction as a risk factor for benign ureteroenteric anastomosis strictures in patients who underwent open radical cystectomy and ileal neobladder diversion.

Materials And Methods: A total of 953 patients in whom bilateral ileoureterostomy was performed between January 1986 and March 2009 formed the study population. A nonrefluxing Le Duc technique was applied in 357 consecutive patients and a refluxing Wallace type technique was applied in 596. Read More

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http://dx.doi.org/10.1016/j.juro.2017.05.069DOI Listing
November 2017
11 Reads

Long-Term Safety and Efficacy of Solifenacin in Children and Adolescents with Overactive Bladder.

J Urol 2017 10 12;198(4):928-936. Epub 2017 May 12.

Division of Urology, CHU de Québec-Université Laval, Québec, Canada.

Purpose: We evaluated the long-term safety and efficacy of once daily oral solifenacin suspension in children (5 to less than 12 years old) and adolescents (12 to less than 18 years old) with overactive bladder.

Materials And Methods: We conducted a 40-week, open label extension of a 12-week double-blind, placebo controlled trial. Outcome measures included incidence and severity of adverse events (primary end point), laboratory variables, vital signs, 12-lead electrocardiogram, post-void residual volume, and change from baseline to end of treatment in mean number of micturitions and incontinence episodes per 24 hours, number of incontinence-free days per 7 days and number of grade 3 or 4 urgency episodes per 24 hours (adolescents only). Read More

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http://dx.doi.org/10.1016/j.juro.2017.05.038DOI Listing
October 2017
37 Reads

Robotic Intracorporeal Continent Cutaneous Diversion.

J Urol 2017 08 21;198(2):436-444. Epub 2017 Mar 21.

Section of Robotic Surgery, University of Southern California Institute of Urology, Catherine and Joseph Aresty Department of Urology, University of Southern California, Los Angeles, California; Department of Urology, Regina Elena National Cancer Institute (GS, MF, SG, FM, MG), Rome, Italy.

Purpose: Robotic intracorporeal urinary diversion has mostly been done for ileal conduit or orthotopic neobladder diversion. We present what is to our knowledge the initial series, detailed technique and outcomes of the robotic intracorporeal Indiana pouch with a minimum 1-year followup.

Materials And Methods: Ten patients underwent robotic radical cystectomy, pelvic lymphadenectomy and intracorporeal Indiana pouch urinary diversion for cancer in 9 and benign disease in 1. Read More

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http://dx.doi.org/10.1016/j.juro.2017.01.091DOI Listing
August 2017
11 Reads

Natural History, Predictors and Management of Ureteroenteric Strictures after Robot Assisted Radical Cystectomy.

J Urol 2017 09 1;198(3):567-574. Epub 2017 Mar 1.

Department of Urology, Roswell Park Cancer Institute, Buffalo, New York. Electronic address:

Purpose: Ureteroenteric strictures represent the most common complication requiring reoperation after radical cystectomy. We investigated the prevalence, outcomes, predictors and management of ureteroenteric strictures.

Materials And Methods: We retrospectively reviewed our quality assurance, robot assisted radical cystectomy database to identify patients in whom ureteroenteric strictures developed. Read More

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http://dx.doi.org/10.1016/j.juro.2017.02.3339DOI Listing
September 2017
37 Reads