Antegrade endoscopic removal of retained urethral sling mesh in the bladder.

The midurethral sling has emerged as an effective, minimally invasive treatment for patients with stress urinary incontinence. Bladder penetration is a known complication that, if unrecognized, may result in retained intravesical mesh. This rare complication can cause patient discomfort as well as become a nidus for infection and bladder calculi.

Minimally invasive methods for bulbar urethral strictures: a survey of members of the American Urological Association.

Objective: To determine current practice patterns, we mailed a questionnaire regarding urethral stricture evaluation, treatment, and follow-up to members of the American Urological Association (AUA). The minimally invasive methods used for treating and evaluating anterior urethral strictures vary widely among clinicians.

Methods: A nationwide survey of practicing members of the AUA was performed by mailed questionnaires.

The efficacy of oral midazolam for decreasing anxiety in children undergoing voiding cystourethrogram: a randomized, double-blind, placebo controlled study.

Purpose: Voiding cystourethrogram is an invasive test that evokes anxiety. Our primary aim was to determine whether midazolam is beneficial in decreasing anxiety in children who undergo voiding cystourethrogram. Secondary aims were an examination of parent anxiety, health care professional perceptions and post-procedure behavioral outcomes in children after voiding cystourethrogram.

Management of the bladder during surgical treatment of enterovesical fistulas from benign bowel disease.

Background: Management of the bladder in enterovesical fistulas from benign bowel disease is not well described in the literature and there is no clear consensus.

Study Design: A retrospective chart review was done of all patients with benign bowel disease and an enterovesical fistula who underwent definitive surgical management between January 1993 and December 2005. Patients were excluded if they had any history of abdominal cancer or pelvic radiation.

The sexual lives of residents and fellows in graduate medical education programs: a single institution survey.

Introduction: The prevalence of sexual problems among resident physicians has not been investigated.

Aim: To explore the sexual behavior of residents and fellows in training and to determine the incidence of sexual dysfunction in this population.

Methods: Residents and fellows at our institution were invited to complete a demographic questionnaire, as well as two to three gender-specific validated instruments for the assessment of human sexuality.

Evaluation of a novel precision template-guided biopsy system for detecting prostate cancer.

Objective: To explore the ability of a novel transrectal ultrasonography (TRUS) device (TargetScan, Envisioneering Medical Technologies, St. Louis MO) that creates a three-dimensional map of the prostate and calculates an optimal biopsy scheme, to accurately sample the prostate and define the true extent of disease, as standard TRUS-guided prostate biopsy relies on the operator to distribute the biopsy sites, often resulting in under- and oversampling regions of the gland.

Patients And Methods: In a multicentre retrospective chart review evaluating patients who had a TargetScan prostate biopsy between January 2006 and June 2007, we determined the overall cancer detection rate in all patients and in subgroups based on prostate specific antigen level, digital rectal examination, and indication for biopsy.

Longterm changes in creatinine clearance after laparoscopic renal surgery.

Background: Controversy exists about the impact of ischemia on renal function. We evaluated the creatinine clearance of patients having undergone laparoscopic renal extirpative and ablative surgery.

Study Design: The records of patients undergoing laparoscopic procedures for renal masses from February 2000 to March 2004 were examined.

The sexual lives of medical students: a single institution survey.

Introduction: Little is known about the personal sexual lives of medical students.

Aim: To assess sexual habits and determine the presence of sexual dysfunction among medical students.

Main Outcome Measures: Demographic and sexual experience data and domain scores on validated sexuality surveys.

Gunshot wound injury of the testis: the use of tunica vaginalis and polytetrafluoroethylene grafts for reconstruction.

Purpose: Gunshot wounds to the scrotum and testis are rare. Blast injury from gunshot wounds can result in blast defects that are difficult to close. We reviewed our experience with reconstruction of the testis tunica albuginea to determine the efficacy of graft reconstruction.

Prospective evaluation of learning curve for laparoscopic radical prostatectomy: identification of factors improving operative times.

Objectives: To evaluate the time required for each component of laparoscopic radical prostatectomy (LRP) performed by a single surgeon to identify the factors that expedite the learning curve. LRP is a technically demanding procedure with a lengthy learning curve.

Methods: The LRP procedure was divided into 12 steps, and the time for each step was prospectively recorded during the first 50 consecutive patients undergoing LRP by a single surgeon.