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Journal Curr Urol Rep

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A Systematic Review on the Timing of Surgical Intervention for Benign Prostatic Enlargement (BPE).

Michelina D Stoddard, Ahra Cho, Alexis E Te, Bilal Chughtai,

PURPOSE OF REVIEW:Surgical intervention for benign prostatic enlargement (BPE) is typically reserved for those who fail medical therapy (i.e., α-blocker or 5-α reductase inhibitor treatment). We conducted a systematic review to determine whether timing of surgical intervention for BPE affects patient outcomes. RECENT FINDINGS:The studies we reviewed suggested that patients ... Read more >>

Curr Urol Rep (Current urology reports)
[2020, 21(12):64]

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National Trends in the Management of Lower Urinary Tract Symptoms Associated with Benign Prostatic Hyperplasia.

Joseph T Mahon, Charles Welliver,

PURPOSE OF REVIEW:To gain an understanding of current practices in the management of lower urinary tract symptoms (LUTSs) in the setting of benign prostatic hyperplasia (BPH). Including both medication therapy and emerging minimally invasive options including peri-procedure considerations, expected outcomes, and value-based considerations. RECENT FINDINGS:Medical therapy, primarily alpha blockers (ABs), ... Read more >>

Curr Urol Rep (Current urology reports)
[2020, 21(12):63]

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Medication Discontinuation Following Transurethral Prostatectomy: an Unrecognized Effectiveness Measure?

Rebecca A Campbell, Bradley C Gill,

PURPOSE OF REVIEW:Freedom from medication is a common goal for patients undergoing surgical treatment of benign prostatic hyperplasia (BPH)/lower urinary tract symptoms (LUTS). Knowing medication discontinuation rates following various forms of transurethral prostatectomy may aid patient counseling and assessing the comparative effectiveness of different approaches. This review examined discontinuation rates ... Read more >>

Curr Urol Rep (Current urology reports)
[2020, 21(12):61]

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Salvage Pelvic Lymph Node Dissection and Current State of Imaging for Recurrent Prostate Cancer: Does a Standard Exist?

Hannah McCloskey, Jesse Jacobs, Ibardo Zambrano, Theodore Moore, Amir H Khandani, Marc A Bjurlin,

PURPOSE OF REVIEW:We aim to evaluate the efficacy of salvage lymph node dissection (SLND) for nodal recurrent prostate cancer after primary treatment. We also provide a review of the diagnostic performance of next-generation sequencing (next-generation imaging (NGI)) radiotracers in the salvage setting. RECENT FINDINGS:Most studies evaluating SLND include a heterogeneous ... Read more >>

Curr Urol Rep (Current urology reports)
[2020, 21(12):62]

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A Systematic Review of Postoperative Delirium in the Urologic Patient.

Michelina D Stoddard, Ahra Cho, Stephanie A Chen, Claire Dunphy, Drew N Wright, Bilal Chughtai,

PURPOSE OF REVIEW:Postoperative delirium (POD) is a common phenomenon among general surgery patients, but it is not well described in urologic surgical patients. We sought to define the incidence and predictive risk factors for POD in patients undergoing urologic surgery. RECENT FINDINGS:Eighteen articles were included for review. The pooled incidence ... Read more >>

Curr Urol Rep (Current urology reports)
[2020, 21(12):60]

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How Fast Can We Go: Abbreviated Prostate MR Protocols.

Neha Udayakumar, Kristin K Porter,

PURPOSE OF REVIEW:Multiparametric MRI (mpMRI), composed of T2WI, DWI, and DCE sequences, is effective in identifying prostate cancer (PCa), but length and cost preclude its application as a PCa screening tool. Here we review abbreviated MRI protocols that shorten or omit conventional mpMRI components to reduce scan time and expense ... Read more >>

Curr Urol Rep (Current urology reports)
[2020, 21(12):59]

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Analyzing and Characterizing Why Men Seek Care for Lower Urinary Tract Symptoms.

Alex Landau, Charles Welliver,

PURPOSE OF REVIEW:The goal of this paper is to summarize existing literature on prevalence of lower urinary tract symptoms (LUTS) that may be attributed to benign prostatic hyperplasia (BPH, LUTS/BPH), factors associated with seeking treatment and treatment success, and subjective and objective methods of evaluating LUTS. RECENT FINDINGS:Men primarily seek ... Read more >>

Curr Urol Rep (Current urology reports)
[2020, 21(12):58]

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Role of mpMRI in Benign Prostatic Hyperplasia Assessment and Treatment.

Stephanie M Walker, Baris Turkbey,

PURPOSE OF REVIEW:To summarize the role of prostate MRI in the assessment and treatment of benign prostatic hyperplasia (BPH) and associated lower urinary tract symptoms (LUTS). RECENT FINDINGS:BPH/LUTS is a very common source of morbidity in aging men. mpMRI has become an increasingly popular modality for prostate imaging due to ... Read more >>

Curr Urol Rep (Current urology reports)
[2020, 21(12):55]

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Biologic Grafts for Use in Pelvic Organ Prolapse Surgery: a Contemporary Review.

Amanda L Merriman, Michael J Kennelly,

PURPOSE OF REVIEW:Pelvic organ prolapse (POP) is a common condition and there is a plethora of surgical techniques available to address this problem. We present a review of biologic grafts, including the latest literature to help guide a surgeon's choice on the type of biologic materials to augment repairs. RECENT ... Read more >>

Curr Urol Rep (Current urology reports)
[2020, 21(12):52]

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A Systematic Review of Reported Ejaculatory Dysfunction in Clinical Trials Evaluating Minimally Invasive Treatment Modalities for BPH.

Soum D Lokeshwar, David Valancy, Thiago Fernandes Negris Lima, Ruben Blachman-Braun, Ranjith Ramasamy,

PURPOSE OF REVIEW:To explore the sexual outcomes following the novel minimally invasive surgical procedures for benign prostatic hyperplasia- (BPH-) related lower urinary tract symptoms (LUTS), with an emphasis on ejaculatory dysfunction (EjD). RECENT FINDINGS:A database search with a 10-year time restriction was carried out until February 20, 2020 using MEDLINE ... Read more >>

Curr Urol Rep (Current urology reports)
[2020, 21(12):54]

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Management of Vaginal Mesh Exposures Following Female Pelvic Reconstructive Surgery.

Cassandra K Kisby, Brian J Linder,

PURPOSE OF REVIEW:To discuss considerations and current evidence for the diagnosis and management of vaginal mesh exposures following female mesh-augmented anti-incontinence and pelvic organ prolapse surgery. RECENT FINDINGS:Since the introduction of mesh into female pelvic surgery, various applications have been reported, each with their own unique risk profile. The most ... Read more >>

Curr Urol Rep (Current urology reports)
[2020, 21(12):57]

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Tadalafil Alone or in Combination with Tamsulosin for the Management for LUTS/BPH and ED.

A Sebastianelli, P Spatafora, S Morselli, L Vignozzi, S Serni, K T McVary, S Kaplan, S Gravas, C Chapple, Mauro Gacci,

PURPOSE OF REVIEW:Aim of our systematic review is to evaluate and summarize the efficacy and safety of tadalafil alone or in combination with tamsulosin for the management of lower urinary tract symptoms (LUTS)/benign prostatic hyperplasia (BPH) and erectile dysfunction (ED). RECENT FINDINGS:Daily tadalafil, in particular 5 mg, according to retrieved studies, ... Read more >>

Curr Urol Rep (Current urology reports)
[2020, 21(12):56]

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Current Use of the Artificial Urinary Sphincter in Adult Females.

Benoit Peyronnet, Tamsin Greenwell, Gary Gray, Rose Khavari, Nikesh Thiruchelvam, Grégoire Capon, Jeremy Ockrim, Luis Lopez-Fando, Jason Gilleran, Georges Fournier, Gommert A Van Koeveringe, Frank Van Der Aa,

PURPOSE OF REVIEW:The aim of the present report was to review the recent evidences regarding the use of artificial urinary sphincter (AUS) in adult females. RECENT FINDINGS:While the excellent functional outcomes of AUS in female patients with stress urinary incontinence (SUI) due to intrinsic sphincter deficiency (ISD) have been reported ... Read more >>

Curr Urol Rep (Current urology reports)
[2020, 21(12):53]

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Are Beta 3 Adrenergic Agonists Now the Preferred Pharmacologic Management of Overactive Bladder?

Cora Fogaing, Abubakr H Mossa, Lysanne Campeau,

PURPOSE OF THE REVIEW:This paper discusses the recent evidence supporting beta 3 adrenergic agonists as the preferred pharmacological management of overactive bladder syndrome. RECENT FINDINGS:Mirabegron has a similar efficacy profile to first-line antimuscarinics with favorable adverse effects profile. Treatment of OAB with beta-3 adrenergic agonist should be favored in patients ... Read more >>

Curr Urol Rep (Current urology reports)
[2020, 21(12):49]

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Surgical Tips for Inferior Vena Cava Thrombectomy.

Alireza Ghoreifi, Hooman Djaladat,

PURPOSE OF REVIEW:The aim of this review is to describe the preoperative evaluation, surgical techniques, and postoperative management of patients with renal cell carcinoma (RCC) undergoing radical nephrectomy (RN) and inferior vena cava (IVC) thrombectomy. RECENT FINDINGS:RN and IVC thrombectomy remains the standard management option in non-metastatic RCC patients with ... Read more >>

Curr Urol Rep (Current urology reports)
[2020, 21(12):51]

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Urology Virtual Education Programs During the COVID-19 Pandemic.

Michael Smigelski, Miyad Movassaghi, Alexander Small,

PURPOSE OF REVIEW:This article aims to describe the impact of the COVID-19 pandemic on American urology trainees, with a focus on virtual learning initiatives. RECENT FINDINGS:Urological education was forced to rapidly adapt to the COVID-19 pandemic in 2020. Significant challenges included quarantines, redeployment of residents and faculty, and suspension of ... Read more >>

Curr Urol Rep (Current urology reports)
[2020, 21(12):50]

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Urology Resident Involvement in Patient Safety and Quality Improvement Activities.

Bryant Van Leeuwen, Jiang Jinfeng, Christopher M Deibert,

PURPOSE OF REVIEW:To assess current urology resident engagement in patient safety and quality improvement (PSQI) and how to improve resident involvement in PSQI. RECENT FINDINGS:Overall urology resident participation in PSQI is low, especially when compared to other non-surgical residency programs. Multiple methods have been successfully implemented to increase resident participation ... Read more >>

Curr Urol Rep (Current urology reports)
[2020, 21(12):48]

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Targeted Microsurgical Denervation of the Spermatic Cord for Chronic Orchialgia: the Current Standard of Care.

Sijo Joseph Parekattil,

PURPOSE OF REVIEW:This paper reviews the pathophysiology, current literature, techniques for full microsurgical denervation (MDSC) and targeted microsurgical denervation (TMDSC) of the spermatic cord, and outcomes for these treatment options for patients with chronic scrotal content pain (CSCP) or orchialgia. RECENT FINDINGS:Significant reduction in pain (77-100%) is reported across various ... Read more >>

Curr Urol Rep (Current urology reports)
[2020, 21(11):47]

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Suction Use During Endourological Procedures.

Lazaros Tzelves, Andreas Skolarikos,

PURPOSE OF REVIEW:Equipment used in endourology is constantly evolving due to increasing incidence of urolithiasis. Suctioning has been used mainly in PCNL in conjunction with ultrasonic and ballistic devices for stone removal. Recently technological advances permitted the use of suctioning in more endourological techniques. This review aims to summarize the ... Read more >>

Curr Urol Rep (Current urology reports)
[2020, 21(11):46]

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Performing Medical Education Research in Urology: Challenges and Opportunities.

Courtney Yong, James A Brown, Elizabeth B Takacs,

PURPOSE OF REVIEW:The Accreditation Council for Graduate Medical Education (ACGME) mandates educating resident physicians in evidence-based medicine (EBM) as a core program requirement. However, despite the significant emphasis placed on EBM, graduate medical education is far from evidence-based, and urology is a specialty where medical education research (MER) is particularly ... Read more >>

Curr Urol Rep (Current urology reports)
[2020, 21(11):45]

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What Should Be Known by a Urologist About the Medical Management of COVID-19's Patients?

Álvaro Sánchez-González, Luis López-Fando Lavalle, Alberto Esteban-Fernández, Mercedes Ruiz, Vital Hevia, Belén Comeche, Matilde Sánchez Conde, Sara Álvarez, Javier Lorca Álvaro, Agustín Fraile Poblador, Manuel Hevia Palacios, Ana Domínguez Gutiérrez, Alberto Artiles Medina, Enrique Sanz Mayayo, Gemma Duque, Victoria Gómez Dos Santos, Santiago Moreno-Guillén, Javier Burgos Revilla,

PURPOSE OF REVIEW:The alarming number of confirmed COVID-19 cases put a strain on the healthcare systems, which had to reallocate human and technical resources to respond to the emergency. Many urologists became integrated into multidisciplinary teams, dealing with this respiratory illness and its unknown management. It aims to summarize the ... Read more >>

Curr Urol Rep (Current urology reports)
[2020, 21(10):44]

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Prevention of Urinary Incontinence in Women.

Amanda R Swanton, E Ann Gormley,

PURPOSE OF REVIEW:Despite available treatments for urinary incontinence, the data regarding prevention is less established. This review sought to identify prevention measures and discuss their underlying evidence base with an attempt to include the most recent updates in the field. RECENT FINDINGS:Urinary incontinence is a prevalent issue among women, particularly ... Read more >>

Curr Urol Rep (Current urology reports)
[2020, 21(10):43]

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Faculty Development: How Do We Encourage Faculty to Become Better Teachers and Mentors?

Alana M Murphy, Patrick J Shenot, Costas D Lallas,

PURPOSE OF REVIEW:A healthy mentor relationship is a mutually beneficial experience and a necessary part of the natural progression of a career in academic medicine. We sought to explore the advantages of and challenges to becoming a mentor in current academic urology. RECENT FINDINGS:Mentorship can promote self-confidence in the ability ... Read more >>

Curr Urol Rep (Current urology reports)
[2020, 21(10):40]

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Advances in Ambulatory Urodynamics.

Neil J Kocher, Margot S Damaser, Bradley C Gill,

PURPOSE OF REVIEW:This manuscript reviews recent technological advances in ambulatory urodynamics. RECENT FINDINGS:Ambulatory urodynamics is currently recommended by the International Continence Society as a second-line diagnostic tool in patients with nondiagnostic traditional urodynamics. Novel techniques involving telemetric monitoring are in development, which utilize catheter-free wireless systems to address several recognized ... Read more >>

Curr Urol Rep (Current urology reports)
[2020, 21(10):41]

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Use of Imaging to Optimise Prostate Cancer Tumour Volume Assessment for Focal Therapy Planning.

David Eldred-Evans, Henry Tam, Andrew P T Smith, Mathias Winkler, Hashim U Ahmed,

PURPOSE OF REVIEW:Rapid advances in imaging of the prostate have facilitated the development of focal therapy and provided a non-invasive method of estimating tumour volume. Focal therapy relies on an accurate estimate of tumour volume for patient selection and treatment planning so that the optimal energy dose can be delivered ... Read more >>

Curr Urol Rep (Current urology reports)
[2020, 21(10):38]

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