Urologic Surgery

This video demonstrates a posterior urethroplasty for treatment of pelvic fracture urethral injury.

This article provides a real-world definition of refractory overactive bladder and its prevalence, then examines treatment options, with a focus on percutaneous tibial nerve stimulation as a noninvasive form of neuromodulation “for the masses.”

In this video, Edward Karpman, MD, shows how he performs microsurgical two-layer vasovasostomy to reconstruct the vas deferens after vasectomy.

In this video, Daniel H. Williams, IV, MD, demonstrates the use of microsurgical epididymovasostomy (two-suture intussusception technique) when no sperm are found in the testicular end of the vas deferens at the time of microsurgical reconstruction.

New products and services from Samsung Electronics America, Syneron Medical, American Medical Systems, New Star, Buffalo Filter, Cook Medical, Endo International, Trimel BioPharma Metamark, and the National Comprehensive Cancer Network.

Ureteroscopy is being increasingly used for surgical management of nephrolithiasis in pediatric patients, and that trend appears to be associated with cost benefits, a recent study indicates.

Other products discussed in this article include a prosthesis for underactive bladder, a prostate cancer test, and an erectile dysfunction drug.

This video demonstrates a wide-excision prostatectomy for patients with locally advanced, high-risk prostate cancer.

These videos depict a classic tennis racquet bladder neck reconstruction and mucosal eversion as popularized by Patrick Walsh, MD, for open prostatectomy, but used by relatively few surgeons for robotic prostatectomy.

Other products featured include a 16-slice CT scanner, new generic testosterone gel, prostate cancer risk calculator, and more.

This video demonstrates the step-by-step process, including positioning, ventral phalloplasty, and a modified “no-touch” technique, utilized in the placement of an inflatable penile prosthesis.

These videos demonstrate the difference in anatomic approach between a single penoscrotal and double perineal/penoscrotal incision technique for simultaneous placement of the inflatable penile prosthesis and artificial urinary sphincter.

This video first demonstrates the ventral phalloplasty and then shows the placement of an inflatable penile prosthesis.

This video demonstrates a technique for placing an AMS Spectra penile prosthesis (American Medical Systems) using a subcoronal incision.

This video demonstrates a unique, retractor-less approach to penoscrotal placement of the AMS 700 penile prosthesis (American Medical Systems)

In this article, Ahmed A. Hussein, MD, and James F. Smith, MD, MS, examine the effect of malignancy and anti-cancer treatment on fertility, review current fertility preservation methods, and offer a preview of fertility preservation techniques that hold future promise.

This video presents a thorough description of all the treatment options available for erectile dysfunction, including their administration, benefits, and limitations.

In this first installment of UrologyTimes.com's new video section, called ‘Y’tube, we present videos from high-volume prosthetic surgeons performing inflatable penile prosthesis (IPP) placement and discussing diagnosis and management of ED. William O. Brant, MD, offers the following general commentary about these procedures, as well as specific comments in the text accompanying each individual video.

Other products featured include a testosterone gel, exercise program to strengthen male pelvic muscles, and a book about prostate cancer diagnosis and management.

This article reviews the evaluation and the medical and surgical management options for patients with what most experts refer to as chronic scrotal content pain.

Andrew C. Peterson, MD, presents the take home messages on trauma/reconstruction/diversion from the AUA annual meeting in Orlando, FL.

New urology products and services from Symtelligence Medical Informatics, LABORIE, Metamark Genetics, the MediSafe Project, and Olympus

The significant variation in reporting of voiding cystourethrogram between free-standing pediatric and non-pediatric institutions unveiled in a recent study is “embarrassing,” according to one leading pediatric urologist.

New products and services from TERUMO Medical Corp., TOLMAR Pharmaceuticals, Spry Publishing, and Beckman Coulter Diagnostics.

History taking in a child who presents with a first episode of nephrolithiasis should include determination of whether there are affected family members, because pediatric patients with a positive family history appear to be at risk for recurrent stones, according to research reported at the AUA annual meeting in Orlando, FL.

Local deficiency in neutrophil gelatinase-associated lipocalin may be a contributing pathogenic factor for recurrent urinary tract infections in some children, according to research from Boston Children’s Hospital reported at the AUA annual meeting in Orlando, FL.

A study of contemporary trends in the management of upper tract calculi shows the approach to treatment is influenced by several provider-specific attributes and identifies a steady shift toward increasing use of ureteroscopy.

Lumenis Ltd. has announced the U.S. launch of the Lumenis Pulse 120H Holmium laser platform for a range of urologic applications.

Anterior urethral strictures associated with hypospadias repair or lichen sclerosus pose a surgical challenge, often necessitating a staged approach to repair, using oral mucosa grafts. In a Cleveland Clinic study presented yesterday, multistage urethroplasty with buccal mucosa led to a high rate of durable patency, associated with a low incidence of complications and revisions.

This article examines the relationship between the metabolic syndrome and kidney stone disease. We explain elements of the metabolic workup and practical strategies for prevention and management of stones in patients with the metabolic syndrome.