Prostate laser vaporization is safe and effective in elderly men.

Introduction: There are few data on the safety and efficacy of laser photoselective vaporization (LVP) in elderly men. We compared the safety and efficacy of LVP for the treatment of symptomatic benign prostatic hyperplasia (BPH) in men ≥75 years, who we defined as elderly, to those <75 years.

Materials And Methods: Safety and efficacy outcomes in elderly men undergoing LVP for lower urinary tract symptoms secondary to BPH from 2005 to 2012 were compared with men <75 years.

Multidrug resistant bacteriuria before percutaneous nephrolithotomy predicts for postoperative infectious complications.

Background And Purpose: Multidrug resistant (MDR) uropathogens are increasing in prevalence and may contribute to significant morbidity after percutaneous nephrolithotomy (PCNL). We investigate the presence of MDR bacteriuria and occurrence of postoperative infectious complications in patients who underwent PCNL at our institution.

Methods: Retrospective review was performed of 81 patients undergoing PCNL by a single surgeon (RLS) between 2009 and 2013.

Clinical predictors of nocturia in the sleep apnea population.

Objectives: This study aims to evaluate clinical predictors of nocturia in patients with obstructive sleep apnea (OSA).

Materials And Methods: In retrospective manner, a total of 200 patients with OSA were randomly included. Group I contained 100 patients with OSA and no nocturia, and Group II included 100 patients with OSA and nocturia.

Prevalence of nephrolithiasis in human immunodeficiency virus infected patients on the highly active antiretroviral therapy.

Background And Purpose: Protease inhibitors, specifically indinavir, have historically been implicated as a cause of nephrolithiasis in the human immunodeficiency virus (HIV) infected patients. There is a paucity of data, however, on stone disease with nonindinavir etiologies since the introduction of highly active antiretroviral therapy (HAART). We sought to describe the prevalence of nephrolithiasis in the HIV population since the use of HAART.

Alkalinized lidocaine and heparin provide immediate relief of pain and urgency in patients with interstitial cystitis.

Introduction: It has been reported in an open-label study that the combination of alkalinized lidocaine and heparin can immediately relieve the symptoms of urinary urgency, frequency, and pain associated with interstitial cystitis (IC). This combination has also been reported to relieve pain associated with sex in patients with IC.

Aim: The aim of this study was to corroborate these findings in a multicenter setting.

Prostate laser vaporization in men with urinary retention.

Objective: • To evaluate the safety and efficacy of laser vaporization of the prostate (LVP) with several different wavelengths for urinary retention.

Patients And Methods: • A cohort study of patients undergoing LVP from 2005 to 2009 at a single institution was performed. • Outcomes were compared in those patients with urinary retention versus those without, using t-tests, Mann-Whitney U-test, chi-squared test and Fisher's exact test as appropriate.

Serum sex hormones and the 20-year risk of lower urinary tract symptoms in community-dwelling older men.

Objective: To evaluate serum sex steroid hormone concentrations and long-term risk of subsequent lower urinary tract symptoms (LUTS) in a cohort of community-dwelling older men.

Subjects And Methods: Between 1984 and 1987, serum sex hormone concentrations were measured in participants in the Rancho Bernardo Study, a prospective, community-based study. In 2006, the American Urological Association Symptom Index (AUA-SI) was mailed to surviving male participants.

Shock wave lithotripsy and renal hemorrhage.

Although shock wave lithotripsy is a safe and efficacious treatment for nephrolithiasis, the most common acute complication is renal hemorrhage. Shock wave-induced renal hemorrhage is a potentially devastating injury if not promptly recognized and treated appropriately. The authors report a large perirenal hematoma occurring after shock wave lithotripsy and review the causes, prevention, and treatment of shock wave-induced renal hemorrhage.

Penile constriction devices: case report, review of the literature, and recommendations for extrication.

Introduction: Penile constriction devices often present significant challenges to urologic surgeons. Failure to remove such devices can lead to significant ischemia and loss of tissue. Patients often present after several days of ischemia and swelling have developed.

Efficacy of alpha-blockers for the treatment of ureteral stones.

Purpose: We determined if alpha-blocker therapy promotes expulsion of ureteral stones.

Materials And Methods: Meta-analysis was performed of randomized clinical trials of alpha-blockers for the treatment of ureteral stones. The primary outcome was overall stone expulsion rate.