The relationship between hematologic malignancies on male hypogonadism: a scoping review.

Introduction: The associated symptoms of hypogonadism have been reported in patients with various types of cancer. However, the prevalence and significance of hypogonadism among certain hematologic malignancies have not been completely summarized in recent literature.

Objective: In this review we aimed to examine the current literature on hypogonadism in patients with hematologic malignancies, with emphasis on leukemias, lymphomas, and multiple myeloma (MM).

Maximizing outcomes in penile prosthetic surgery: exploring strategies to prevent and manage infectious and non-infectious complications.

Inflatable Penile Prostheses (IPP) implantation is a surgical treatment for patients desiring definitive treatment for erectile dysfunction. While this procedure has proven to be effective, it also carries its own set of unique risks that need to be carefully considered. The article reviews the current understanding of complications associated with penile prosthetic surgery and provides strategies to mitigate these adverse events.

Impact of Patient, Surgical, and Perioperative Factors on Discharge Disposition after Radical Cystectomy.

Radical cystectomy (RC) is a complex procedure associated with lengthy hospital stays and high complication and readmission rates. We evaluated the impact of patient, surgical, and perioperative factors on discharge disposition following RC at a tertiary referral center. From 2012 to 2019, all bladder cancer patients undergoing RC at our institution were identified (n = 1153).

Hyperandrogenism and Hyperestrogenism Secondary to Mixed Germ-Cell Testicular Tumor.

Testicular cancer with androgen and estrogen secretion is classically associated with Leydig cell tumors. Rare case reports have described this finding in germ-cell tumors along with signs of androgen and estrogen excess including gynecomastia and infertility. We report the case of a 19-year-old male with a non-seminomatous testicular germ-cell tumor found to have hyperandrogenism, hyperestrogenism, and suppression of central sex hormones.

Association of Suturing Technical Skill Assessment Scores Between Virtual Reality Simulation and Live Surgery.

Robotic surgical performance, in particular suturing, has been linked to postoperative clinical outcomes. Before attempting live surgery, virtual reality (VR) simulators afford opportunities for training surgeons to learn fundamental technical skills. Herein, we evaluate the association of suturing technical skill assessments between VR simulation and live surgery, and functional clinical outcomes.

Technical Skill Impacts the Success of Sequential Robotic Suturing Substeps.

Robotic surgical performance, in particular suturing, has been associated with postoperative clinical outcomes. Suturing can be deconstructed into components (, , , and ) allowing for the provision of more specific feedback while teaching suturing and more precision when evaluating suturing technical skill and prediction of clinical outcomes. This study evaluates if the technical skill required for particular substeps of the suturing process is associated with the execution of subsequent substeps in terms of technical skill, accuracy, and efficiency.

Road to automating robotic suturing skills assessment: Battling mislabeling of the ground truth.

Objective: To automate surgeon skills evaluation using robotic instrument kinematic data. Additionally, to implement an unsupervised mislabeling detection algorithm to identify potentially mislabeled samples that can be removed to improve model performance.

Methods: Video recordings and instrument kinematic data were derived from suturing exercises completed on the Mimic FlexVR robotic simulator.

Survival Analysis Using Surgeon Skill Metrics and Patient Factors to Predict Urinary Continence Recovery After Robot-assisted Radical Prostatectomy.

Background: It has been shown that metrics recorded for instrument kinematics during robotic surgery can predict urinary continence outcomes.

Objective: To evaluate the contributions of patient and treatment factors, surgeon efficiency metrics, and surgeon technical skill scores, especially for vesicourethral anastomosis (VUA), to models predicting urinary continence recovery following robot-assisted radical prostatectomy (RARP).

Design, Setting, And Participants: Automated performance metrics (APMs; instrument kinematics and system events) and patient data were collected for RARPs performed from July 2016 to December 2017.