Urologic Clinics of North America
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Urodynamics in the evaluation of female LUTS: when are they helpful and how do we use them?
Urodynamics remains the test of choice to evaluate lower urinary tract symptoms in men and women. Best practices recommend that urodynamics be applied to answer a specific urodynamic question. Recent level 1 evidence shows that urodynamics is not necessary for the evaluation of pure clinical stress...
Contemporary role of autologous fascial bladder neck slings: a urology perspective.
Fascial slings remain a successful and durable option for treatment of female stress urinary incontinence (SUI). With limited risk of disease transmission, extrusion, or complications associated with mesh, use of autologous fascia is an attractive option, particularly for complex rec...
Robotic/laparoscopic prolapse repair: role of hysteropexy: a urogynecology perspective.
This article addresses uterine preservation at the time of pelvic floor repair. Currently available data on the effectiveness of pelvic organ prolapse repairs is based on studies in which women underwent hysterectomy at the time of pelvic floor repair, and cannot be extrapolated to h...
Integration of surgery and systemic therapy for renal cell carcinoma.
Proper integration of surgery and systemic therapy is essential for improving outcomes in renal cell carcinoma (RCC). There is no current role for adjuvant therapy after nephrectomy for clinically localized disease. The potential benefits of neoadjuvant therapy for locally advanced n...
Management goals for the spina bifida neurogenic bladder: a review from infancy to adulthood.
Patients with spina bifida require longitudinal urological care as they transition from childhood to adolescence and then to adulthood. Issues important to urological health, such as protection of the upper tracts and prevention of incontinence, need vigilant follow-up throughout the patient's life....
Hypospadias: etiology and current research.
Hypospadias is one of the most common congenital defects in humans. The molecular events required in the genitourinary tract for normal development of the external genitalia are just beginning to be elucidated. Identifying the cause of hypospadias may be relevant not only in the fiel...
Treatment strategy for the adolescent varicocele.
A varicocele is a dilatation of the testicular vein and the pampiniform venous plexus within the spermatic cord. Although rare in pediatric populations, the prevalence of varicoceles markedly increases with pubertal development. Varicoceles are progressive lesions that may hinder tes...
Hemostatic agents and tissue glues in urologic injuries and wound healing.
Biosurgical preparations designed to promote surgical hemostasis and tissue adhesion are now available to the urologist and are increasingly being used across all surgical disciplines. Fibrin sealant and gelatin thrombin matrix are the two most widely used bio-surgical adjuncts in urology. Complex r...
Management of pyelonephritis and upper urinary tract infections.
The most frequent cause of upper urinary tract infection remains E. coli. Other organisms are found in complicated infections associated with diabetes mellitus, instrumentation, stone, and immunosuppression. The pathogenesis of acute pyelonephritis is reviewed herein, with an emphasis on the virulen...
Urinary tract infections in pregnancy.
Although pregnancy does not increase the prevalence of ASB in women, it does enhance the progression rate from asymptomatic to symptomatic disease. Furthermore, ASB is associated with preterm delivery. Given the fact that identification and eradication of ASB in pregnant women can lower the likeliho...