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Urology

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Full-Text Articles in Medicine and Health Sciences

Propensity-Matched Analysis Of Patient-Reported Outcomes For Neoadjuvant Chemotherapy Prior To Radical Cystectomy, M. A. Feuerstein, L. Goldstein, B. Reaves, A. Sun, M. Goltzman, B. A. Morganstern, A. Shabsigh, D. F. Bajorin, J. E. Rosenberg, B. H. Bochner, +7 Additional Authors Jan 2019

Propensity-Matched Analysis Of Patient-Reported Outcomes For Neoadjuvant Chemotherapy Prior To Radical Cystectomy, M. A. Feuerstein, L. Goldstein, B. Reaves, A. Sun, M. Goltzman, B. A. Morganstern, A. Shabsigh, D. F. Bajorin, J. E. Rosenberg, B. H. Bochner, +7 Additional Authors

Journal Articles

© 2019, Springer-Verlag GmbH Germany, part of Springer Nature. Purpose: To evaluate patient-reported outcomes (PROs) for bladder cancer patients undergoing neoadjuvant chemotherapy (NAC) prior to radical cystectomy (RC) using longitudinal data and propensity-matched scoring analyses. Methods: 155 patients with muscle-invasive bladder cancer scheduled for RC completed the European Organization for Research and Treatment of Cancer questionnaires, EORTC QLQ-C30, EORTC QLQ-BLM30, Fear of Recurrence Scale, Mental Health Inventory and Satisfaction with Life Scale within 4 weeks of surgery. A propensity-matched analysis was performed comparing pre-surgery PROs among 101 patients who completed NAC versus 54 patients who did not receive NAC. We …


Rapid Recurrence And Radiographic Progression Of Sarcomatoid Renal Cell Carcinoma, M. P. Edelson, W. J. Wu, A. Kurzyna, J. Steckel Jan 2018

Rapid Recurrence And Radiographic Progression Of Sarcomatoid Renal Cell Carcinoma, M. P. Edelson, W. J. Wu, A. Kurzyna, J. Steckel

Journal Articles

© 2017 Sarcomatoid renal cell carcinoma (sRCC) is an aggressive variant of renal cell carcinoma (RCC) that has a significantly lower overall survival. Even after prompt surgical extirpation, this histologic variant progresses rapidly. We present a case of an early recurrence and rapid progression of sRCC despite successful radical resection.


Efficacy Of Multi-Detector Computed Tomography For The Diagnosis Of Medullary Sponge Kidney, G. S. Gaunay, R. G. Berkenblit, C. H. Tabib, J. R. Blitstein, M. Patel, D. M. Hoenig Jan 2018

Efficacy Of Multi-Detector Computed Tomography For The Diagnosis Of Medullary Sponge Kidney, G. S. Gaunay, R. G. Berkenblit, C. H. Tabib, J. R. Blitstein, M. Patel, D. M. Hoenig

Journal Articles

© 2018 S. Karger AG, Basel. Objective: To expand the diagnostic armamentarium for medullary sponge kidney (MSK), we evaluate the use of high-resolution multidetector computed tomography (MDCT) for MSK diagnosis and compare to the standard intravenous urography (IVU). Despite a significant prevalence amongst stone formers, diagnosis of this well described condition has declined. IVU, the gold standard in MSK diagnosis, has largely been replaced by CT, which has previously been shown unable to demonstrate signs of MSK. Methods and Materials: Patients with known history of MSK based on IVU underwent limited MDCT urogram. Control group patients, without MSK, also had …


Advances In Localized Prostate Cancer Management, D. B. Samadi, M. A. Feuerstein, S. B. Jazayeri, S. A. Kaplan, Y. Farahat Jan 2018

Advances In Localized Prostate Cancer Management, D. B. Samadi, M. A. Feuerstein, S. B. Jazayeri, S. A. Kaplan, Y. Farahat

Journal Articles

No abstract provided.


Infected Retroperitoneal Fat Necrosis After Laparoscopic Partial Nephrectomy, D. Nethala, W. J. Wu, P. K. Mistry, L. Richstone Jan 2018

Infected Retroperitoneal Fat Necrosis After Laparoscopic Partial Nephrectomy, D. Nethala, W. J. Wu, P. K. Mistry, L. Richstone

Journal Articles

No abstract provided.


Racial Disparities In Clinically Significant Prostate Cancer Treatment: The Potential Health Information Technology Offers, N. A. Bickell, J. J. Lin, S. R. Abramson, G. P. Hoke, W. Oh, S. J. Hall, R. Stock, K. Fei, A. S. Mcalearney Jan 2018

Racial Disparities In Clinically Significant Prostate Cancer Treatment: The Potential Health Information Technology Offers, N. A. Bickell, J. J. Lin, S. R. Abramson, G. P. Hoke, W. Oh, S. J. Hall, R. Stock, K. Fei, A. S. Mcalearney

Journal Articles

Copyright © 2018 American Society of Clinical Oncology. All rights reserved. Black men are more likely to die as a result of prostate cancer than white men, despite effective treatments that improve survival for clinically significant prostate cancer. We undertook this study to identify gaps in prostate cancer care quality, racial disparities in care, and underlying reasons for poorer quality care. Methods We identified all black men and random age-matched white men with Gleason scores $ 7 diagnosed between 2006 and 2013 at two urban hospitals to determine rates of treatment underuse. Underuse was defined as not receiving primary surgery, …


Ascaris In The Urinary Tract: A Case Report And Review Of The Literature, B. Baralo, S. Gurram, J. Steckel, M. Chulii, A. Sharpilo Jan 2018

Ascaris In The Urinary Tract: A Case Report And Review Of The Literature, B. Baralo, S. Gurram, J. Steckel, M. Chulii, A. Sharpilo

Journal Articles

No abstract provided.


Multiple Roles Of Aryloxide Leaving Groups In Enantioselective Annulations Employing Α,Β-Unsaturated Acyl Ammonium Catalysis, M. D. Greenhalgh, S. Qu, A. M. Slawin, A. D. Smith Jan 2018

Multiple Roles Of Aryloxide Leaving Groups In Enantioselective Annulations Employing Α,Β-Unsaturated Acyl Ammonium Catalysis, M. D. Greenhalgh, S. Qu, A. M. Slawin, A. D. Smith

Journal Articles

© 2018 The Royal Society of Chemistry. An isothiourea-catalysed Michael addition-annulation process using β-fluoroalkyl-substituted α,β-unsaturated aryl esters and a range of 2-acylbenzazoles is reported for the enantioselective synthesis of dihydropyranone and dihydropyridinone products bearing polyfluorinated stereocenters (29 examples, up to 98% yield, >99:1 er). The choice of aryl group of the aryl ester proved essential in determining reaction enantioselectivity and dihydropyranone:dihydropyridinone product selectivity. The aryloxide leaving group is shown to play a number of essential additional roles, operating (i) as a Brønsted base, circumventing the need for an auxiliary base; and (ii) as a Lewis base to catalyse the isomerisation …


Elevated Urine Levels Of Macrophage Migration Inhibitory Factor In Inflammatory Bladder Conditions: A Potential Biomarker For A Subgroup Of Interstitial Cystitis/Bladder Pain Syndrome Patients, P. L. Vera, D. M. Preston, R. M. Moldwin, D. R. Erickson, B. Mowlazadeh, F. Ma, D. E. Kouzoukas, K. L. Meyer-Siegler, M. Fall Jan 2018

Elevated Urine Levels Of Macrophage Migration Inhibitory Factor In Inflammatory Bladder Conditions: A Potential Biomarker For A Subgroup Of Interstitial Cystitis/Bladder Pain Syndrome Patients, P. L. Vera, D. M. Preston, R. M. Moldwin, D. R. Erickson, B. Mowlazadeh, F. Ma, D. E. Kouzoukas, K. L. Meyer-Siegler, M. Fall

Journal Articles

No abstract provided.


Comparison Of Multiparametric Mri Scoring Systems And The Impact On Cancer Detection In Patients Undergoing Mr Us Fusion Guided Prostate Biopsies, A. R. Rastinehad, N. Waingankar, B. Turkbey, O. Yaskiv, A. M. Sonstegard, M. Fakhoury, C. A. Olsson, D. N. Siegel, P. L. Choyke, E. Ben-Levi, R. Villani Jan 2015

Comparison Of Multiparametric Mri Scoring Systems And The Impact On Cancer Detection In Patients Undergoing Mr Us Fusion Guided Prostate Biopsies, A. R. Rastinehad, N. Waingankar, B. Turkbey, O. Yaskiv, A. M. Sonstegard, M. Fakhoury, C. A. Olsson, D. N. Siegel, P. L. Choyke, E. Ben-Levi, R. Villani

Journal Articles

INTRODUCTION: Multiple scoring systems have been proposed for prostate MRI reporting. We sought to review the clinical impact of the new Prostate Imaging Reporting and Data System v2 (PI-RADS) and compare those results to our proposed Simplified Qualitative System (SQS) score with respect to detection of prostate cancers and clinically significant prostate cancers. METHODS: All patients who underwent multiparametric prostate MRI (mpMRI) had their images interpreted using PI-RADS v1 and SQS score. PI-RADS v2 was calculated from prospectively collected data points. Patients with positive mpMRIs were then referred by their urologists for enrollment in an IRB-approved prospective phase III trial …


Endoscopic Lysis Of Bladder Scar Associated With Hunner's Lesions: A New Technique, S. Bahlani, R. Moldwin Jan 2015

Endoscopic Lysis Of Bladder Scar Associated With Hunner's Lesions: A New Technique, S. Bahlani, R. Moldwin

Journal Articles

AbstractObjective Five to ten percent of interstitial cystitis/bladder pain syndrome (IC/BPS) patients have Hunner's lesions (HL), areas of non-specific inflammation and scarring. The poor quality of life of patients with HL is entwined in associated pain and loss of bladder capacity. Although the decrease in bladder capacity is usually dependent on pain, it may also be dependent upon scarring and associated compliance changes produced by the inflammatory process. This report reviews the potential role of endoscopic scar lysis using the holmium laser in the management of these patients whose only other therapeutic option is urinary diversion. Methods Two patients with …


Similarities Between Interstitial Cystitis/Bladder Pain Syndrome And Vulvodynia: Implications For Patient Management, J. Y. Fariello, R. M. Moldwin Jan 2015

Similarities Between Interstitial Cystitis/Bladder Pain Syndrome And Vulvodynia: Implications For Patient Management, J. Y. Fariello, R. M. Moldwin

Journal Articles

Interstitial cystitis/bladder pain syndrome (IC/BPS) and vulvodynia are chronic pain syndromes that appear to be intertwined from the perspectives of embryology, pathology and epidemiology. These associations may account for similar responses to various therapies.


Quality Of Life And Symptom Assessment In Randomized Clinical Trials Of Bladder Cancer: A Systematic Review, M. A. Feuerstein, M. Jacobs, A. Piciocchi, B. Bochner, A. Pusic, P. Fayers, J. Blazeby, F. Efficace, Promotion Registry Patient-Reported Outcome Measurements Over Time In Oncology Jan 2015

Quality Of Life And Symptom Assessment In Randomized Clinical Trials Of Bladder Cancer: A Systematic Review, M. A. Feuerstein, M. Jacobs, A. Piciocchi, B. Bochner, A. Pusic, P. Fayers, J. Blazeby, F. Efficace, Promotion Registry Patient-Reported Outcome Measurements Over Time In Oncology

Journal Articles

OBJECTIVES: Patient-reported outcomes (PRO) help patients, caretakers, clinicians, and policy makers make informed decisions regarding treatment effectiveness. Our objective was to assess the quality of PRO reporting and methodological strengths and weaknesses in randomized controlled trials (RCT) in bladder cancer.; METHODS: A systematic literature search of bladder cancer RCT published between January 2004 and March 2014 was performed. Relevant studies were evaluated using a predetermined extraction form that included trial demographics, clinical and PRO characteristics, and standards of PRO reporting based on recommendations of the International Society for Quality of Life Research.; RESULTS: In total, 9 RCTs enrolling 1,237 patients …


Transurethral Convective Water Vapor As A Treatment For Lower Urinary Tract Symptomatology Due To Benign Prostatic Hyperplasia Using The Rezum((R)) System: Evaluation Of Acute Ablative Capabilities In The Human Prostate, C. M. Dixon, E. Rijo Cedano, L. A. Mynderse, T. R. Larson Jan 2015

Transurethral Convective Water Vapor As A Treatment For Lower Urinary Tract Symptomatology Due To Benign Prostatic Hyperplasia Using The Rezum((R)) System: Evaluation Of Acute Ablative Capabilities In The Human Prostate, C. M. Dixon, E. Rijo Cedano, L. A. Mynderse, T. R. Larson

Journal Articles

BACKGROUND: The purpose of this study was to assess the acute ablative characteristics of transurethral convective water vapor (steam) using the Rezum((R)) system in men with benign prostatic hyperplasia through histologic and radiographic studies. METHODS: Seven patients were treated with transurethral intraprostatic injections of sterile steam under endoscopic visualization followed by previously scheduled adenectomies. The extirpated adenomas were grossly examined followed by whole mount sectioning and staining with triphenyl-tetrazolium chloride (TTC) to evaluate thermal ablation. Histology was performed after hematoxylin and eosin staining on one prostate. After review of results from the first patient cohort, an additional 15 patients with …


Humoral Immune Response Against Nontargeted Tumor Antigens After Treatment With Sipuleucel-T And Its Association With Improved Clinical Outcome, D. Guhathakurta, N. A. Sheikh, L. Q. Fan, H. Kandadi, T. C. Meagher, S. J. Hall, J. B. Whitmore, M. W. Frohlich, J. B. Trager, C. G. Drake, +7 Additional Authors Jan 2015

Humoral Immune Response Against Nontargeted Tumor Antigens After Treatment With Sipuleucel-T And Its Association With Improved Clinical Outcome, D. Guhathakurta, N. A. Sheikh, L. Q. Fan, H. Kandadi, T. C. Meagher, S. J. Hall, J. B. Whitmore, M. W. Frohlich, J. B. Trager, C. G. Drake, +7 Additional Authors

Journal Articles

PURPOSE: Antitumor activity of cancer immunotherapies may elicit immune responses to nontargeted (secondary) tumor antigens, or antigen spread. We evaluated humoral antigen spread after treatment with sipuleucel-T, an immunotherapy for asymptomatic or minimally symptomatic metastatic castration-resistant prostate cancer (mCRPC), designed to target prostatic acid phosphatase (PAP; primary antigen). EXPERIMENTAL DESIGN: Serum samples from patients with mCRPC enrolled in the placebo-controlled phase III IMPACT study (evaluable n = 142) were used to assess humoral antigen spread after treatment with sipuleucel-T. Immunoglobulin G (IgG) responses to self-antigens (including tumor antigens) were surveyed using protein microarrays and confirmed using Luminex xMAP. IgG responses …


Outcomes Of Midurethral Slings In Women With Concomitant Preoperative Severe Lower Urinary Tract Voiding Symptoms, M. S. Ingber, R. M. Krlin, S. P. Vasavada, F. Firoozi, H. B. Goldman Jan 2015

Outcomes Of Midurethral Slings In Women With Concomitant Preoperative Severe Lower Urinary Tract Voiding Symptoms, M. S. Ingber, R. M. Krlin, S. P. Vasavada, F. Firoozi, H. B. Goldman

Journal Articles

BACKGROUND: Women with stress urinary incontinence and concomitant obstructive (voiding) lower urinary tract symptoms (LUTS) represent a challenging patient population. Furthermore, their diagnosis and management remain incompletely studied and controversial. We evaluated the outcomes of midurethral sling procedures in women with severe obstructive LUTS. METHODS: We performed a post hoc analysis of women who were part of an institutional review board-approved study of midurethral sling surgery. Preoperatively and at 4-6 weeks postoperatively, patients completed the American Urological Association Symptom Score (AUASS) questionnaire. A postvoid residual urine test was obtained preoperatively, at the time of the voiding trial, and 4-6 weeks …


The Value Of Testicular Ultrasound In The Prediction Of The Type And Size Of Testicular Tumors, A. Shtricker, D. Silver, E. Sorin, L. Schreiber, N. Katlowitz, A. Tsivian, K. Katlowitz, S. Benjamin, A. A. Sidi Jan 2015

The Value Of Testicular Ultrasound In The Prediction Of The Type And Size Of Testicular Tumors, A. Shtricker, D. Silver, E. Sorin, L. Schreiber, N. Katlowitz, A. Tsivian, K. Katlowitz, S. Benjamin, A. A. Sidi

Journal Articles

OBJECTIVES: Ultrasound (US) is often used for the work-up of testicular pathology. The findings may implicate on its management. However, there is only scant data on the correlation between US findings and testicular tumor type and size. Herein, we report on a multicenter study, analyzing these correlations. METHODS: The study included patients who underwent orchiectomy between 2000 and 2010. Their charts were reviewed for US echogeneity, lesion size, pathological dimensions, histology, and the presence of calcifications, fibrosis, necrosis and/or intraepithelial neoplasia. The incidence of these parameters in benign versus malignant lesions and seminomatous germ cell tumors (SGCT) versus nonseminomatous germ …


Long-Term Survival Rates After Resection For Locally Advanced Kidney Cancer: Memorial Sloan Kettering Cancer Center 1989 To 2012 Experience, W. M. Bazzi, D. D. Sjoberg, M. A. Feuerstein, A. Maschino, S. Verma, M. Bernstein, M. F. O'Brien, T. Jang, W. Lowrance, P. Russo, +1 Additional Author Jan 2015

Long-Term Survival Rates After Resection For Locally Advanced Kidney Cancer: Memorial Sloan Kettering Cancer Center 1989 To 2012 Experience, W. M. Bazzi, D. D. Sjoberg, M. A. Feuerstein, A. Maschino, S. Verma, M. Bernstein, M. F. O'Brien, T. Jang, W. Lowrance, P. Russo, +1 Additional Author

Journal Articles

Purpose: We analyzed the 23-year Memorial Sloan Kettering Cancer Center experience with surgical resection, and concurrent adrenalectomy and lymphadenectomy for locally advanced nonmetastatic renal cell carcinoma. Materials and Methods: We retrospectively reviewed the records of 802 patients who underwent nephrectomy with or without concurrent adrenalectomy or lymphadenectomy for locally advanced renal cell carcinoma, defined as stage T3 or greater and M0. Patients who received adjuvant treatment within 3 months of surgery or had fewer than 3 months of followup or bilateral renal masses at presentation were excluded from analysis. Five and 10-year progression-free and overall survival was estimated by the …


Comparing Open Radical Cystectomy And Robot-Assisted Laparoscopic Radical Cystectomy: A Randomized Clinical Trial, B. H. Bochner, G. Dalbagni, D. D. Sjoberg, J. Silberstein, G. E. K. Paz, S. M. Donat, J. A. Coleman, S. Mathew, A. Vickers, G. C. Schnorr, M. A. Feuerstein, B. Rapkin, R. O. Parra, H. W. Herr, V. P. Laudone Jan 2015

Comparing Open Radical Cystectomy And Robot-Assisted Laparoscopic Radical Cystectomy: A Randomized Clinical Trial, B. H. Bochner, G. Dalbagni, D. D. Sjoberg, J. Silberstein, G. E. K. Paz, S. M. Donat, J. A. Coleman, S. Mathew, A. Vickers, G. C. Schnorr, M. A. Feuerstein, B. Rapkin, R. O. Parra, H. W. Herr, V. P. Laudone

Journal Articles

Background: Open radical cystectomy (ORC) and urinary diversion in patients with bladder cancer (BCa) are associated with significant perioperative complication risk. Objective: To compare perioperative complications between robot-assisted radical cystectomy (RARC) and ORC techniques. Design, setting, and participants: A prospective randomized controlled trial was conducted during 2010 and 2013 in BCa patients scheduled for definitive treatment by radical cystectomy (RC), pelvic lymph node dissection (PLND), and urinary diversion. Patients were randomized to ORC/PLND or RARC/PLND, both with open urinary diversion. Patients were followed for 90 d postoperatively. Intervention: Standard ORC or RARC with PLND; all urinary diversions were performed via …


Decision-Making Processes Among Prostate Cancer Survivors With Rising Psa Levels: Results From A Qualitative Analysis, M. J. Shen, C. J. Nelson, E. Peters, S. F. Slovin, S. J. Hall, M. Hall, P. C. Herrera, E. A. Leventhal, H. Leventhal, M. A. Diefenbach Jan 2015

Decision-Making Processes Among Prostate Cancer Survivors With Rising Psa Levels: Results From A Qualitative Analysis, M. J. Shen, C. J. Nelson, E. Peters, S. F. Slovin, S. J. Hall, M. Hall, P. C. Herrera, E. A. Leventhal, H. Leventhal, M. A. Diefenbach

Journal Articles

Background. Prostate cancer survivors with a rising prostate-specific antigen (PSA) level have few treatment options, experience a heightened state of uncertainty about their disease trajectory that might include the possibility of cancer metastasis and death, and often experience elevated levels of distress as they have to deal with a disease they thought they had conquered. Guided by self-regulation theory, the present study examined the cognitive and affective processes involved in shared decision making between physicians and patients who experience a rising PSA after definitive treatment for prostate cancer. Methods. In-depth interviews were conducted with 34 prostate cancer survivors who had …


Development And Preliminary Testing Of Progress: A Web-Based Education Program For Prostate Cancer Survivors Transitioning From Active Treatment, S. M. Miller, S. V. Hudson, S. K. A. Hui, M. A. Diefenbach, L. Fleisher, M. Buyyounouski, C. Denlinger, C. Miyamoto, A. Reese, J. Baman, +6 Additional Authors Jan 2015

Development And Preliminary Testing Of Progress: A Web-Based Education Program For Prostate Cancer Survivors Transitioning From Active Treatment, S. M. Miller, S. V. Hudson, S. K. A. Hui, M. A. Diefenbach, L. Fleisher, M. Buyyounouski, C. Denlinger, C. Miyamoto, A. Reese, J. Baman, +6 Additional Authors

Journal Articles

This formative research study describes the development and preliminary evaluation of a theory-guided, online multimedia psycho-educational program (PROGRESS) designed to facilitate adaptive coping among prostate cancer patients transitioning from treatment into long-term survivorship. Guided by the Cognitive-Social Health Information Processing Model (C-SHIP) and using health communications best practices, we conducted a two-phase, qualitative formative research study with early stage prostate cancer patients (n = 29) to inform the Web program development. Phase 1 included individual (n = 5) and group (n = 12) interviews to help determine intervention content and interface. Phase 2 employed iterative user/usability testing (n = 12) …


Responses Of Advanced Directives By Jehovah's Witnesses On A Gynecologic Oncology Service, N. P. Nagarsheth, N. Gupta, A. Gupta, E. Moshier, H. Gretz, A. Shander Jan 2015

Responses Of Advanced Directives By Jehovah's Witnesses On A Gynecologic Oncology Service, N. P. Nagarsheth, N. Gupta, A. Gupta, E. Moshier, H. Gretz, A. Shander

Journal Articles

OBJECTIVES: To review the responses of advance directives signed by Jehovah's Witness patients prior to undergoing surgery at a gynecologic oncology service. STUDY DESIGN: A retrospective chart review of gynecologic oncology patients undergoing surgery at a bloodless surgery center from 1998-2007 was conducted. Demographic, pathologic, and clinical data were recorded. The proportion of patients who accepted and refused various blood-derived products was determined and was compared to previously published results from a similar study of labor and delivery unit patients. RESULTS: No gynecologic oncology patients agreed to accept transfusions of whole blood, red cells, white cells, platelets, or plasma under …


Health-Related Quality Of Life (Hrqol) In Cystine Compared With Non-Cystine Stone Formers, F. Modersitzki, L. Pizzi, M. Grasso, D. S. Goldfarb Jan 2014

Health-Related Quality Of Life (Hrqol) In Cystine Compared With Non-Cystine Stone Formers, F. Modersitzki, L. Pizzi, M. Grasso, D. S. Goldfarb

Journal Articles

Cystinuria is a genetic cause of recurrent kidney stones which may be more recurrent and larger than more common non-cystine stones. They may have a greater impact on health-related quality of life (HRQoL). We measured this impact by surveying HRQoL in patients with stones, comparing non-cystine stone formers (NCSF) to cystine stone formers (CYSF) and both groups to normative values of the US population. We used SF-36v2 via an internet instrument. CYSF patients were recruited via cystinuria-related websites, two patient advocacy groups, and an active endourology practice. NCSF patients were recruited from the same practice and by email. Total n …


A Systematic Review And Meta-Analysis Of Tobacco Use And Prostate Cancer Mortality And Incidence In Prospective Cohort Studies, F. Islami, D. M. Moreira, P. Boffetta, S. J. Freedland Jan 2014

A Systematic Review And Meta-Analysis Of Tobacco Use And Prostate Cancer Mortality And Incidence In Prospective Cohort Studies, F. Islami, D. M. Moreira, P. Boffetta, S. J. Freedland

Journal Articles

Context: An association between tobacco smoking and prostate cancer (PCa) incidence and mortality was suggested in an earlier meta-analysis of 24 prospective studies in which dose-response associations and risks per unit of tobacco use were not examined. Objective: We investigated the association between several measures of tobacco use and PCa mortality (primary outcome) and incidence (secondary outcome) including dose-response association. Evidence acquisition: Relevant articles from prospective studies were identified by searching the PubMed and Web of Science databases (through January 21, 2014) and reference lists of relevant articles. Combined relative risks (RRs) and 95% confidence intervals (CIs) were calculated using …


Predicting Bone Scan Positivity After Biochemical Recurrence Following Radical Prostatectomy In Both Hormone-Naive Men And Patients Receiving Androgen-Deprivation Therapy: Results From The Search Database, D. M. Moreira, M. R. Cooperberg, L. E. Howard, W. J. Aronson, C. J. Kane, M. K. Terris, C. L. Amling, M. Kuchibhatla, S. J. Freedland Jan 2014

Predicting Bone Scan Positivity After Biochemical Recurrence Following Radical Prostatectomy In Both Hormone-Naive Men And Patients Receiving Androgen-Deprivation Therapy: Results From The Search Database, D. M. Moreira, M. R. Cooperberg, L. E. Howard, W. J. Aronson, C. J. Kane, M. K. Terris, C. L. Amling, M. Kuchibhatla, S. J. Freedland

Journal Articles

BACKGROUND: To evaluate the factors associated with positive bone scans after biochemical recurrence (BCR) following radical prostatectomy in both hormone-naive subjects and subjects after androgen-deprivation therapy (ADT). METHODS: Retrospective analysis of 380 bone scans of 301 hormone-naive subjects and 214 bone scans of 137 subjects after ADT following BCR from the Shared Equal Access Regional Cancer Hospital database. Generalized estimating equations and local regression plots were used to evaluate bone scan positivity by patients' demographics, pathological features, PSA levels and kinetics. RESULTS: Among hormone-naive subjects and subjects on ADT, bone scan positivity was seen in 24 (6%) and 65 (30%) …


Cigarette Smoking Is Associated With An Increased Risk Of Biochemical Disease Recurrence, Metastasis, Castration-Resistant Prostate Cancer, And Mortality After Radical Prostatectomy: Results From The Search Database, D. M. Moreira, W. J. Aronson, M. K. Terris, C. J. Kane, C. L. Amling, M. R. Cooperberg, P. Boffetta, S. J. Freedland Jan 2014

Cigarette Smoking Is Associated With An Increased Risk Of Biochemical Disease Recurrence, Metastasis, Castration-Resistant Prostate Cancer, And Mortality After Radical Prostatectomy: Results From The Search Database, D. M. Moreira, W. J. Aronson, M. K. Terris, C. J. Kane, C. L. Amling, M. R. Cooperberg, P. Boffetta, S. J. Freedland

Journal Articles

BACKGROUND: The current study was conducted to analyze the association between cigarette smoking and metastasis (the primary outcome) as well as time to biochemical disease recurrence (BCR), metastasis, castration-resistant prostate cancer (CRPC), and prostate cancer-specific and overall mortality (secondary outcomes) after radical prostatectomy among men from the Shared Equal Access Regional Cancer Hospital cohort. METHODS: A retrospective analysis was performed of 1450 subjects for whom smoking status was available from preoperative notes. Analysis of baseline characteristics by smoking status was performed using the chi-square and rank sum tests. The association between smoking status and time to the event was analyzed …


Pharmacologically Induced Erect Penile Length And Stretched Penile Lengh Are Both Good Predictors Of Post-Inflatable Prosthesis Penile Length, E. C. Osterberg, A. Maganty, R. Ramasamy, J. F. Eid Jan 2014

Pharmacologically Induced Erect Penile Length And Stretched Penile Lengh Are Both Good Predictors Of Post-Inflatable Prosthesis Penile Length, E. C. Osterberg, A. Maganty, R. Ramasamy, J. F. Eid

Journal Articles

Inflatable penile prosthesis (IPP) remains the gold standard for the surgical treatment of refractory erectile dysfunction; however, current literature to aid surgeons on how best to counsel patients on their postoperative inflated penile length is lacking. The aim of this study was to identify preoperative parameters that could better predict postoperative penile length following insertion of an IPP. Twenty men were enrolled in a prospective study examining penile lengths before and after IPP surgery. Patients with Peyronie's disease were excluded from this analysis. Baseline preoperative characteristics, including body mass index, history of hypertension, diabetes, Sexual Health Inventory for Men scores …


Robotic Assisted Laparoscopic Prostatectomy In Men With Proctocolectomy And Restorative Ileal Pouch-Anal Anastomosis, M. Leapman, Y. S. Kwon, S. A. Collingwood, E. Chin, M. Katsigeorgis, A. R. Hobbs, D. B. Samadi Jan 2014

Robotic Assisted Laparoscopic Prostatectomy In Men With Proctocolectomy And Restorative Ileal Pouch-Anal Anastomosis, M. Leapman, Y. S. Kwon, S. A. Collingwood, E. Chin, M. Katsigeorgis, A. R. Hobbs, D. B. Samadi

Journal Articles

We conducted a retrospective chart review of robotic prostatectomies done by a single surgeon between 2003 and 2012. During that time period, we identified two patients within the year 2012, with ileal pouch-anal anastomosis (IPPA) who also underwent robotic prostatectomies. The demographics and postoperative characteristics of the two patients were assessed. In both patients, prostatectomy, bilateral nerve sparing, and pelvic lymphadenectomy were successfully performed and the integrity of ileal pouch was maintained. There was a mean surgical time of 144.5 minutes, and an average estimated blood loss was 125 mL. Both patients were discharged on the second day postoperatively. In …


Aggressive Renal Angiomyolipoma Of The Lipomatous Variant With Inferior Vena Cava Thrombus: A Case Report And Review Of The Literature, C. Fox, S. S. Salami, D. M. Moreira, G. S. Landis, D. Chan, O. Yaskiv, M. A. Vira Jan 2014

Aggressive Renal Angiomyolipoma Of The Lipomatous Variant With Inferior Vena Cava Thrombus: A Case Report And Review Of The Literature, C. Fox, S. S. Salami, D. M. Moreira, G. S. Landis, D. Chan, O. Yaskiv, M. A. Vira

Journal Articles

Two variants of renal angiomyolipoma (AML)—classic and epithelioid—have been described. Although the epithelioid variant has been reported to demonstrate an aggressive clinical behavior, classic AML is usually benign. Herein, we report a case of a 42-year-old asymptomatic woman with a lipomatous variant of renal AML associated with an inferior vena cava thrombus managed with radical nephrectomy and caval thrombectomy.


Calyceal Diverticula: A Comprehensive Review, N. Waingankar, S. Hayek, A. D. Smith, Z. Okeke Jan 2014

Calyceal Diverticula: A Comprehensive Review, N. Waingankar, S. Hayek, A. D. Smith, Z. Okeke

Journal Articles

Calyceal diverticula are rare outpouchings of the upper collecting system that likely have a congenital origin. Stones can be found in up to 50% of calyceal diverticula, although, over the combined reported series, 96% of patients presented with stones. Diagnosis is best made by intravenous urography or computed tomography urogram. Shock wave lithotripsy (SWL) is an option for first-line therapy in patients with stone-bearing diverticula that have radiologically patent necks in mid- to upper-pole diverticula and small stone burdens. Stone-free rates are the lowest with SWL, although patients report being asymptomatic following therapy in up to 75% of cases with …