Showing papers in "The Journal of Urology in 2012"

TL;DR: This guideline provides a clinical framework for the diagnosis and treatment of non-neurogenic overactive bladder and identifies first through third line treatments as well as non-FDA approved, rarely applicable and treatments that should not be offered.

TL;DR: This guideline provides a clinical framework for the diagnosis, evaluation and follow-up of asymptomatic microhematuria and identifies multiphasic computed tomography as the preferred imaging technique and developed guideline statements for persistent or recurrent AMH as well as follow- up.

TL;DR: The Global Evaluative Assessment of Robotic Skills is simple to administer and able to differentiate levels of robotic surgical expertise, and shows excellent consistency, reliability and validity.

TL;DR: The findings suggest that partial nephrectomy confers a survival advantage and a lower risk of severe chronic kidney disease after surgery for localized renal tumors, however, the results should be evaluated in the context of the low quality of the existing evidence and the significant heterogeneity across studies.

TL;DR: OnabotulinumtoxinA significantly improved neurogenic detrusor overactivity symptoms vs placebo and no clinically relevant benefit in efficacy or duration was identified for the 300 U dose over the 200 U dose.

TL;DR: Targeted antimicrobial prophylaxis was associated with a notable decrease in the incidence of infectious complications after transrectal ultrasound guided prostate biopsy caused by fluoroquinolone resistant organisms as well as a decreases in the overall cost of care.

TL;DR: The incidence of kidney stones increased dramatically among adolescents in the general population during a 25-year period and factors related to variation in stone incidence during this period were identified.

TL;DR: While robotic assisted and laparoscopic surgery are associated with fewer deaths, complications, transfusions and shorter length of hospital stay compared to open surgery, robotic assisted laparoscope surgery is more costly than Laparoscopic and open surgery.

TL;DR: This Guideline is intended to serve as a tool facilitating the most effective utilization of urodynamic testing as part of a comprehensive evaluation of patients presenting with LUTS.

TL;DR: This is the first randomized, double-blind, sham controlled study to the authors' knowledge that shows that low intensity extracorporeal shock wave therapy has a positive short-term clinical and physiological effect on the erectile function of men who respond to oral phosphodiesterase type 5 inhibitor therapy.

TL;DR: Multiparametric magnetic resonance imaging with a magnetic resonance Imaging/ultrasound fusion biopsy platform is a novel diagnostic tool for detecting prostate cancer and may be ideally suited for patients with negative transrectal ultrasound biopsies in the face of a persistent clinical suspicion for cancer.

TL;DR: Current trends in robotic and open radical prostatectomy in the United States are described after examining case logs for American Board of Urology certification to provide nonindustry based estimates of current radical prostateCTomy practice patterns and further the understanding of the evolving surgical treatment of prostate cancer.

TL;DR: This anatomical vascular microdissection of the artery first and then tumor allows even complex tumors to be excised without hilar clamping and global surgical renal ischemia is unnecessary for the majority of patients undergoing robotic and laparoscopic partial nephrectomy at this institution.

TL;DR: In this cohort volume loss and not ischemia time was the primary determinant of ultimate renal function after partial nephrectomy and technical modifications aimed at minimizing volume loss during partial ne phrectomy while still achieving negative margins may result in improved functional outcomes.

TL;DR: Adding endorectal magnetic resonance imaging to the initial clinical evaluation of men with clinically low risk prostate cancer helps predict findings on confirmatory biopsy and assess eligibility for active surveillance.

TL;DR: Although detection and management of early tumors is most often associated with a good outcome, based on the initial experience with these patients and the long-term experience with hereditary leiomyomatosis and renal cell carcinoma, the recommend careful surveillance of patients at risk for SDH mutation associated renalcell carcinoma and wide surgical excision of renal tumors.

TL;DR: A significantly higher proportion of women with newly symptomatic interstitial cystitis/painful bladder syndrome responded to treatment with myofascial physical therapy than to global therapeutic massage, suggesting that myofAscialPhysical therapy may be a beneficial therapy in women with this syndrome.

TL;DR: In this article, the accuracy of magnetic resonance imaging for determining index tumor volume compared with volumes derived from histopathology was determined by using the ellipsoid formula and manual tumor segmentation.

TL;DR: Compared to final pathology, biopsy of small renal masses accurately informs an algorithm incorporating size and histological risk group that directs the management ofSmall renal masses.

TL;DR: Intravesical CG0070 was associated with a tolerable safety profile and antibladder cancer activity and patients with borderline or high retinoblastoma phosphorylation who received the multidose schedules had an 81.8% complete response rate.

TL;DR: Although widely used, trimethoprim-sulfamethoxazole is a poor empirical choice for pediatric urinary tract infections in many areas due to high resistance rates, and first-generation cephalosporins and nitrofurantoin are appropriate narrow-spectrum alternatives given their low resistance rates.

TL;DR: Hexaminolevulinate fluorescence cystoscopic detection of papillary, nonmuscle invasive bladder cancer significantly improves long-term bladder cancer time to recurrence with a trend toward improved bladder preservation.

TL;DR: Renal cell carcinoma histological subtype predicts overall and cancer specific survival and patients with collecting duct and sarcomatoid variants of renal cell carcinomas have poor survival, even those who present with low stage disease.

TL;DR: Urinary PCA3 testing in conjunction with prostate specific antigen has the potential to significantly decrease the number of unnecessary prostate biopsies.

TL;DR: Magnetic resonance imaging appears to have a high yield for predicting reclassification among men who elect active surveillance and may be used to better select and guide patients before active surveillance.

TL;DR: This guideline was peer reviewed by 55 independent experts during the guideline development process and recommended that vasectomy be considered for permanent contraception much more frequently than is the current practice in the U.S. and many other nations.

TL;DR: The novel, computer assisted, 3-dimensional transrectal ultrasound biopsy localization system achieved encouraging accuracy with less than 3 mm error for targeting hypoechoic and isoechoics lesions.

TL;DR: The optimal Ho:YAG lithotripsy power settings to achieve maximal fragmentation, minimal fragment size and minimal retropulsion are determined and anti-retropulsion devices produce more efficient lithotRIpsy, particularly at high pulse energy.

TL;DR: The recurrence values could appear low when considering the pan-urothelial field defect theory, but these values reflect, in part, the mortality associated with the initial bladder cancer.

TL;DR: There is no clear, universal pattern to the evaluation or identification of the ideal patient for such therapy among those surveyed, and there is no consensus on the optimal medication and considerable ambiguity exists as to perceived effects on fertility.