Revision of Failed Artificial Urinary Sphincter: A Comprehensive Review
Urologic Symptom Management in Parkinson's Disease - Current Treatments and Emerging Directions - Systematic Review
This review synthesizes current evidence on therapeutic strategies for Parkinson's disease (PD)-related overactive bladder (OAB), encompassing PD-targeted treatments, pharmacologic interventions, and advanced therapies such as neuromodulation and intravesical botulinum toxin. We address the complexity of managing lower urinary tract symptoms (LUTS) in patients with PD due to progressive neurodegeneration affecting micturition control and cognitive vulnerabilities in this population.
Reviewing the Current State of Renal Cell Carcinoma with a Tumor Thrombus: Epidemiology, Pathophysiology, Metastasis, and Systemic Therapy
The purpose of this review is to highlight relevant literature on the epidemiology and pathophysiology of renal cell carcinoma with a tumor thrombus (RCC-TT), metastatic management, and the role of systemic therapy (ST).
"Defining the Drip: A Systematic Review of Incontinence Definitions and Predictors Following HoLEP"
The goal of this paper was to identify the factors contributing to urinary incontinence in patients undergoing holmium laser enucleation of the prostate (HoLEP) for benign prostatic hyperplasia by performing a systematic review of the literature.
Incisional Hernia after Robotic Urological Surgery
To summarize the current evidence on the incidence, risk factors, diagnosis, prevention, and management of incisional hernias following robotic urologic surgery.
The Role of Diet in Kidney Stone Pathogenesis and Prevention
The origin of kidney stones is multifactorial, involving a complex interplay of genetic, metabolic, and environmental factors. This review aims to detail the relationship between the molecular pathogenesis of kidney stone disease and the impact diet can have on stone formation and patient outcomes.
Testosterone and Lower Urinary Tract Symptoms: A Narrative Review
To examine current evidence on the relationship between testosterone and lower urinary tract symptoms (LUTS) in men, focusing on endocrine, metabolic, and inflammatory mechanisms and their implications for clinical practice.
Evaluation and Management of Recurrent Pelvic Organ Prolapse
Postoperative prolapse recurrence is not uncommon, despite advances in surgical options and techniques. There is no consensus on the optimal approach to guide counseling and management for patients with recurrent prolapse following surgical repair.
Urologic Manifestations of Nonrelaxing Pelvic Floor Dysfunction: Insights on Clinical Workup and Management
Non-relaxing pelvic floor dysfunction (NR-PFD) is a poorly understood and underdiagnosed cause of voiding dysfunction in patients without clear anatomic or neurologic obstruction. Symptoms may include pelvic pain, urinary complaints, defecatory dysfunction, and sexual issues, but their variability makes NR-PFD challenging to recognize and manage. This review focuses on the urologic manifestations of NR-PFD and outlines current diagnostic and treatment strategies.
Management of Stone Disease in the Spina Bifida Patient
This review provides a detailed overview of the specifics of presentation, diagnosis, and management of upper and lower urinary tract stone disease for individuals with spina bifida.
Direct-to-Consumer Erectile Dysfunction Medications: is the Convenience Worth the Cost?
Erectile dysfunction (ED) is a highly prevalent disease, affecting over 24% of men in the United States. Factors such as privacy and accessibility often act as barriers to care for patients. With the emergence of telemedicine, direct-to-consumer (DTC) platforms have become popular avenues for patients to seek care. These platforms are especially attractive to patients with ED due to their promises of providing discrete and convenient care. Phosphodiesterase type 5 (PDE5) inhibitors remain the most commonly prescribed therapy for ED. This review evaluates recent literature over the past five years to better understand the economics of PDE5 inhibitors offered through DTC platforms.
Lower Urinary Tract Symptoms in Patients with Congenital Genitourinary Anomalies
This review synthesizes the recent literature on lower urinary tract symptoms in pediatric patients with congenital conditions. We will discuss emerging insights from multiple studies on pathophysiology, prevalence, clinical impact, management strategies, and long-term outcomes.
Contemporary Review of Overlap in Overactive Bladder Patients with Nephrolithiasis: Fluid Reduction in Overactive Bladder and Associated Factors Related To Nephrolithiasis
This contemporary review paper analyzes the impact of fluid reduction in overactive bladder and associated factors related to nephrolithiasis.
Primary Bladder Neck Obstruction in Women: A Systematic Review
To systematically evaluate and synthesize the existing literature on treatment outcomes for primary bladder neck obstruction (PBNO) in women, given the absence of prior systematic reviews focused on this population.
Diet Adherence in Urolithiasis Patients: a Mini Review
The review aims to understand how well patients follow dietary recommendations to prevent kidney stone recurrence and to identify strategies that can enhance their compliance with these dietary guidelines.
The Diagnosis and Management of Urosymphyseal Fistula with Pubic Osteomyelitis
Urosymphyseal Fistula (USF) is a rare, often debilitating condition in which the urinary tract fistulizes with the pubic bone, resulting in recurrent pubic osteomyelitis (POM) from urinary tract seeding. These injuries commonly arise in the setting of pelvic radiation and are generally preceded by instrumentation of the lower urinary tract for obstruction. USFs tend to be recognized only after patients fail to recover from multiple lower urinary tract infections, resulting in repeat hospital readmissions. While fistula closures with urinary tract reconstruction have been described, treatment of USF is often complex and is best treated via urinary diversion with pubic bone debridement in the setting of preoperative optimization and long-term postoperative antibiotic regimens. The general understanding of USF presentation, work-up, and management is largely based on retrospective reviews with small sample sizes and case reports. Here we review the etiology, diagnosis, and considerations when providing care for this complex condition and propose a management algorithm to guide care.
Next-Generation Nerve-Sparing Techniques in Robotic Radical Prostatectomy: A Contemporary Review
To summarize the evolution and future of technologies and techniques that assist in providing good functional outcomes during nerve-sparing robot-assisted radical prostatectomy.
Managing Radiation Exposure to Endourologists during Pregnancy
This manuscript provides a comprehensive review of the risks of radiation exposure in endourology and highlights strategies to ensure the health and safety of endourologists during pregnancy.
Three-Dimensional Virtual Models in Robot Assisted Partial Nephrectomy: A Needed Tool in the Era of Precision Surgery
Robot-assisted partial nephrectomy (RAPN) has become the gold standard for treating localized renal cell carcinoma (RCC) in high-volume centres. However, increasing tumor complexity demands refined preoperative planning tools. This review summarizes current evidence regarding the use of three-dimensional virtual models (3DVM) in RAPN, focusing on their clinical applications, outcomes and future perspectives.
Rethinking Gleason 6 Prostate Cancer: Embracing PrNLMP for Precision and Progress
A Comprehensive Review of Artificial Urinary Sphincters: History, Current Utilization, and Future Innovations
This narrative review summarizes the evolution of the artificial urinary sphincter (AUS) and its role in treating male stress urinary incontinence (SUI). This review discusses the history of AUS and changes that have helped drive current and future developments in AUS innovation.
