Review
Urology & Nephrology
Arun Sahai, Ased Ali, Rachel Barratt, Mohammed Belal, Suzanne Biers, Rizwan Hamid, Christopher Harding, Richard Parkinson, Sheilagh Reid, Nikesh Thiruchelvam
Summary: Injuries to the bladder and ureter are rare and may pose challenges for urologists in managing these acute problems. Providing consensus statements and advice is crucial in guiding clinicians through the management pathway for such cases.
Article
Andrology
Xinfei Li, Kunlin Yang, Guangpu Ding, Xiaofeng Zou, Liefu Ye, Jinfeng Wu, Peng Zhang, Dong Fang, Han Hao, Zhe Li, Hongjian Zhu, Xuesong Li, Haowen Jiang, Kunjie Wang, Liqun Zhou, Hong Li
Summary: This study investigated the common causes, characteristics, and management strategies of ureteric injury. The majority of injuries were iatrogenic, primarily caused by urological procedures. Different management strategies should be applied based on the condition of the patient, timing of diagnosis, and location and length of the injury.
TRANSLATIONAL ANDROLOGY AND UROLOGY
(2022)
Review
Public, Environmental & Occupational Health
Carrie J. J. Ngongo, Thomas J. I. P. Raassen, Marietta Mahendeka, Ladeisha Lombard, Jos van Roosmalen, Marleen Temmerman
Summary: This retrospective study analyzed rare causes of genital fistulas in 6,787 women from nine African countries. Rare causes included trauma, radiation, infection, and congenital malformation. Trauma caused by traditional healers was a particular concern among Somali women.
Review
Urology & Nephrology
Deshin Reddy, Abdullah E. Laher, Maeyane Moeng, Ahmed Adam
Summary: This study aims to identify and review the most up-to-date guidelines on bladder trauma. The findings suggest that there is consensus among different guidelines regarding the diagnosis and management of bladder injury. However, there are discrepancies and a lack of recommendations concerning the follow-up, iatrogenic injury, pediatric trauma, and spontaneous rupture. Minimally invasive techniques are gaining traction in treating hemodynamically stable patients.
Article
Medicine, General & Internal
Matthew Newman, G. Nityanandan, Niamh Smyth
Summary: Bladder rupture, both intraperitoneal and extraperitoneal, can lead to urinary leakage and affect renal function, often misdiagnosed as acute kidney injury.
CUREUS JOURNAL OF MEDICAL SCIENCE
(2022)
Article
Medicine, Research & Experimental
Yuqian Guo, Guoxing Li, Lei Gao, Xiaocheng Cheng, Liyou Wang, Yuhong Qin, Dongying Zhang
Summary: In the mouse model of renal fibrosis induced by unilateral ureteric obstruction, deficiency in lncRNA Gas5 exacerbates renal fibrosis, leading to more severe fibrosis and collagen deposition in the obstructed kidney.
Article
Urology & Nephrology
Catalina K. K. Hwang, Stanley Moore, Ziho Lee, Alexander J. J. Skokan, Judith C. C. Hagedorn
Summary: This study retrospectively analyzed the management and outcomes of female patients with urethral or bladder neck injury at a high-volume Level 1 trauma center between 2005 and 2019. The results showed that female patients with urethral or bladder neck injury had a risk of complications during acute surgical management, but long-term complications could be avoided through prompt management.
INTERNATIONAL UROLOGY AND NEPHROLOGY
(2023)
Editorial Material
Urology & Nephrology
Katherine W. Canty, Abigail Keogh, Michael P. Kurtz, Jeannette M. Perez-Rossello
Summary: This study presents 3 cases of male patients with genital bruising caused by physical abuse, aiming to raise awareness of genital trauma as a sentinel injury. An evaluation for child abuse is recommended in the absence of an underlying medical condition or a clear acceptable accidental mechanism for the genital injury.
Article
Medicine, General & Internal
Hani Sayedin, Mohammad Al-Machhour
Summary: Iatrogenic ureteric injury, often caused by gynecological or urological surgical procedures, requires repair based on timely diagnosis. Conservative waiting and delayed ureteric repair may be advisable for similar injuries to allow for resolution of postoperative inflammation and spontaneous healing.
CUREUS JOURNAL OF MEDICAL SCIENCE
(2021)
Article
Surgery
M. Dar Parvez, Kour Supreet, Sharma Ajay, Kumar Subodh
Summary: The most common cause of pneumoperitoneum in trauma patients is hollow viscus injury, but other rare causes, such as intraperitoneal urinary bladder rupture, should be ruled out in patients with pneumoperitoneum and normal hollow viscus during laparotomy.
Review
Urology & Nephrology
Konstantinos Kapetanos, Alexander Light, Niyukta Thakare, Krishnaa Mahbubani, Kasra Saeb-Parsy, Kourosh Saeb-Parsy
Summary: The most common causes of ureteric damage are iatrogenic injury and external trauma. Current approaches to treatment include stent placement or surgical reconstruction. Bioengineered alternatives have shown promising outcomes, particularly with natural grafts and hybrid materials.
Article
Urology & Nephrology
Chih-Po Hsu, Chi-Tung Cheng, Jen-Fu Huang, Chih-Yuan Fu, Francesco Bajani, Marissa Bokhari, Justin Mis, Stathis Poulakidas, Faran Bokhari
Summary: This study investigated the impact of transarterial embolization (TAE) and nephrectomy on acute kidney injury (AKI) in blunt renal trauma patients using data from the National Trauma Data Bank (NTDB). The results showed that nephrectomy was a risk factor for AKI in these patients, while TAE was not.
WORLD JOURNAL OF UROLOGY
(2022)
Article
Nutrition & Dietetics
Shang-Yu Chan, Chih-Po Hsu, Chun-Hsiang Ou Yang, Chia-Cheng Wang, Yu-Tung Wu, Chih-Yuan Fu, Chi-Hsun Hsieh, Chi-Tung Cheng, Wei-Cheng Lin, Jen-Fu Huang, Chien-Hung Liao
Summary: This study examined the impact of low plasma selenium concentration on clinical outcomes in patients with major trauma and found that it did not have a negative effect on mortality, infectious complications, ICU or hospital stay. The meta-analysis of four eligible studies showed no significant association between low serum selenium level and clinical outcomes.
Review
Medicine, General & Internal
Anish B. Patel, E. Charles Osterberg, Praveen N. Satarasinghe, Jessica L. Wenzel, Sabah T. Akbani, Saad L. Sahi, Brent J. Emigh, J. Stuart Wolf, Carlos V. R. Brown
Summary: Urologic trauma can lead to urethral injury, and the management recommendations vary depending on the type of injury. The retrograde urethrogram is the preferred initial diagnostic method for suspected urethral injury. Iatrogenic urethral injury caused by traumatic catheterization is best managed by an experienced clinician attempting catheterization or using a suprapubic catheter for proper drainage. Penetrating trauma, such as gunshot wounds, may result in anterior and/or posterior urethral injury, requiring early operative repair. Blunt trauma, such as straddle injuries or pelvic fractures, can be treated with either early endoscopic realignment or delayed urethroplasty after suprapubic cystostomy. Regardless of the type of injury and treatment chosen, regular follow-up with a urologist is crucial for accurate assessment of outcomes and management of complications.
JOURNAL OF CLINICAL MEDICINE
(2023)
Review
Pediatrics
Tao Peng, Hongcai Zhong, Baohui Hu, Shankun Zhao
Summary: The incidence of pediatric urolithiasis (PU) is increasing worldwide, and its treatment differs from that of adults. Currently, there are multiple treatment methods for PU. In the future, with technological advancements, the treatment of PU will become more precise. However, doctors should consider the pros and cons of various minimally invasive surgical treatments and factors affecting treatment selection to choose the best individualized treatment plan.
FRONTIERS IN PEDIATRICS
(2022)
Article
Urology & Nephrology
Geolani W. Dy, Min Suk Jun, Gaines Blasdel, Rachel Bluebond-Langner, Lee C. Zhao
Summary: The study described a step-by-step technique for RPGAV using the Single Port (SP) robot system and compared outcomes between Xi and SP systems. The SP robot reduced operative time and there was no difference in complication rates with both approaches.
Article
Urology & Nephrology
Ziho Lee, Matthew Lee, Helaine Koster, Randall Lee, Nathan Cheng, Min Jun, Jeremy Slawin, Lee C. Zhao, Michael D. Stifelman, Daniel D. Eun
Summary: Robotic ureteroplasty with buccal mucosa graft demonstrates low peri-operative morbidity and excellent intermediate-term outcomes, according to this study.
Article
Urology & Nephrology
Aeen M. Asghar, Ziho Lee, Randall A. Lee, Jeremy Slawin, Nathan Cheng, Helaine Koster, David M. Strauss, Matthew Lee, Rohit Reddy, Alice Drain, Tenzin Lama-Tamang, Min S. Jun, Michael J. Metro, Mutahar Ahmed, Michael Stifelman, Lee Zhao, Daniel D. Eun
Summary: The study aimed to investigate the experience of robotic ureteral reconstruction (RUR) in patients with radiation-induced ureteral strictures (RIUS). Different reconstruction techniques were utilized, and the surgical outcomes showed that the majority of patients had good results during follow-up.
JOURNAL OF ENDOUROLOGY
(2021)
Article
Urology & Nephrology
Kirtishri Mishra, Amr Mahran, Bissan Abboud, Laura Bukavina, Ahmed Elshafei, Al Ray, Austin Fernstrum, Rayan Abboud, Mohammed Elgammal, Lee C. Zhao, Shubham Gupta
Summary: The Martini staging system is somewhat effective in predicting postoperative complications of rectourethral fistula repair based on grade and etiology, but lacks comprehensive application. There is a need for more comprehensive staging systems in this field.
Article
Radiology, Nuclear Medicine & Medical Imaging
Matthew Nazarian, Rachel Bluebond-Langner, Paul Smereka, Lee Zhao, Justin Ream, Nicole Hindman
Summary: This essay reviews common gender affirming genital surgeries, post-operative anatomy, and complications, as well as routine radiologic imaging recommendations for transgender patients.
Article
Urology & Nephrology
Jaime A. Cavallo, Alex J. Vanni, Geolani W. Dy, Sabrina Stair, Nabeel A. Shakir, David Canes, Lee C. Zhao
Summary: The study of complex posterior urethroplasty using a combined robotic, transabdominal, and open transperineal approach demonstrates comparable success and complication rates to open techniques, and allows for adjunctive procedures such as prostatectomy.
JOURNAL OF ENDOUROLOGY
(2021)
Letter
Surgery
Geolani W. Dy, Lee Zhao, Rachel Bluebond-Langner
PLASTIC AND RECONSTRUCTIVE SURGERY
(2021)
Article
Surgery
Ara A. Salibian, Loren S. Schechter, William M. Kuzon, Mark-Bram Bouman, Wouter B. van der Sluis, Lee C. Zhao, Rachel Bluebond-Langner
Summary: Various techniques such as skin grafts, scrotal flaps, urethral flaps, and peritoneal flaps can be used to augment neovaginal canal dimensions with minimal donor-site morbidity. Further research is needed to compare complications, neovaginal depth, and lubrication to assess the indications and advantages and disadvantages of different lining options.
PLASTIC AND RECONSTRUCTIVE SURGERY
(2021)
Article
Urology & Nephrology
Geolani W. Dy, Gaines Blasdel, Nabeel A. Shakir, Rachel Bluebond-Langner, Lee C. Zhao
Summary: This study presented the technique and early outcomes of salvage neovaginal reconstruction using robotic dissection and peritoneal flap mobilization. The results showed that robotic peritoneal flap vaginoplasty is a safe and effective approach for neovaginal reconstruction with minimal complications.
Review
Andrology
Carmen Kloer, Augustus Parker, Gaines Blasdel, Samantha Kaplan, Lee Zhao, Rachel Bluebond-Langner
Summary: This study investigated the sexual health outcomes of vaginoplasty for transgender and gender diverse patients. It found that the majority of patients were able to achieve orgasm postoperatively and reported high levels of general sexual satisfaction. The study highlights the importance of standardized metrics for reporting sexual health outcomes and suggests the need for future studies to improve measurement methods.
Editorial Material
Urology & Nephrology
Brian W. Chao, Nabeel A. Shakir, Grace S. Hyun, Jamie P. Levine, Lee C. Zhao
Summary: Robotic-assisted testicular autotransplantation is a feasible and effective management option for solitary intra-abdominal testis. The procedure preserves testicular endocrine function and eliminates the need for intraoperative testicular biopsy.
Article
Urology & Nephrology
Wen Liu, Nabeel Shakir, Lee Cheng Zhao
Summary: This study reviewed 9 patients who underwent robotic lower urinary tract reconstruction using buccal mucosa grafts. The results showed that the technique was durable and safe, comparable to open approaches.
Article
Urology & Nephrology
Lavinia M. Anzai, David A. Daar, Jordan D. Frey, Lee C. Zhao, Jamie P. Levine
Summary: The scarred urethra is a challenging problem for reconstruction, but using free ileal flaps for urethral substitution surgery can be a promising alternative solution for patients who have tried multiple unsuccessful reconstruction attempts.
JOURNAL OF UROLOGICAL SURGERY
(2022)
Article
Urology & Nephrology
Augustus Parker, Hilliard Brydges, Gaines Blasdel, Rachel Bluebond-Langner, Lee C. Zhao
Summary: This study investigated the use of AlloDerm in canal deepening surgeries. The results showed that AlloDerm is a safe and effective option for revision surgeries and does not require a secondary donor site.
Article
Surgery
Bofeng Chen, Ashley V. Alford, Bonnie E. Lonze, Lee C. Zhao
Summary: Single-port robotic-assisted laparoscopic surgery is a promising approach for the treatment of ureteral strictures in renal transplantation patients. The use of concurrent ureteroscopy and near-infrared fluorescence enables safe and rapid identification of the ureter, and side-to-side anastomosis allows for preservation of ureteral vasculature.
AMERICAN JOURNAL OF TRANSPLANTATION
(2023)