Effects of Mindfulness Meditation on Patient Experience During Urodynamics: A Prospective Study.

Introduction And Hypothesis: Urodynamics (UDS) assesses voiding dysfunction using intravesical, vaginal, or rectal catheters, which can be distressing. This study was aimed at utilizing mindfulness to reduce anxiety and pain in patients undergoing UDS.

Methods: A single-institution randomized controlled trial was conducted on 60 patients who underwent UDS.

Liposomal versus plain bupivacaine for pain control following vaginal reconstruction.

Introduction: Liposomal bupivacaine (LB) is a depot formulation of bupivacaine, which releases the drug over 72 hours to prolong local pain control. This retrospective study compares the effect of using LB versus plain bupivacaine on postoperative pain control, length of hospital stay and cost among patients undergoing vaginal reconstructive surgery.

Materials And Methods: Patients who underwent vaginal reconstructive surgery with levatorplasty and received an injection of 20 cc of either plain bupivacaine or LB for pudendal nerve block were included.

Stressors and Coping Mechanisms Related to Burnout Within Urology.

Objective: To identify factors and stress coping mechanisms associated with burnout within the field of urology.

Methods: A survey study was completed using the abbreviated Maslach Burnout Inventory to evaluate emotional exhaustion, depersonalization, and low personal achievement. Demographic information, training status, practice setting, work hours, and mechanisms used to cope with stress were evaluated.

Consistencies and Discrepancies Between the Expectations of Urology Trainees and the Experience of Practicing Urologists.

Objective: To compare the expectations of urology trainees with the experience of practicing urologists.

Methods: Residents, fellows, and practicing urologists were surveyed in 2018 regarding weekly work hours, number of hospitals covered, call nights per week, administrative workload relative to residency, annual net income, and time to pursue personal interests and hobbies. Urology trainees, defined as residents and fellows, were also surveyed regarding their expectations for clinical practice.

A realistic, durable, and low-cost training model for percutaneous renal access using ballistic gelatin.

Objective: The purpose of this study was to design and implement a realistic, durable, and low-cost training model for percutaneous renal access.

Material And Methods: Ballistic gelatin mixed with radiographic contrast was poured into surgical gloves to create a radio-dense renal collecting system. The collecting system model was then embedded in a pure ballistic gelatin block resting upon a clear acrylic glass base.

The effect of high impact crossfit exercises on stress urinary incontinence in physically active women.

Aims: The impact of CrossFit (high energy and intensity exercise) on SUI has not been well described. This study evaluates the incidence of SUI in physically active women, and examines specific exercises that can increase SUI.

Methods: A cross-sectional study was conducted in women from four CrossFit centers and one aerobic center for comparison.

The Effect of Lemonade and Diet Lemonade Upon Urinary Parameters Affecting Calcium Urinary Stone Formation.

Purpose: To determine the effects of regular and diet lemonade upon urinary parameters affecting kidney stone formation.

Methods: In this prospective blinded crossover study, 12 healthy participants consumed either 2 L of regular or diet lemonade daily while on a standardized low sodium moderate calcium diet. Twenty four-hour urine collections were obtained at baseline on the controlled diet only and on days 4 and 5 of each treatment phase.

Comparing the vaginal wall sling with autologous rectus fascia and polypropylene sling: Short term outcomes and patient satisfaction.

Objectives: Many women are affected by stress urinary incontinence (SUI). Due to investigations of the safety of synthetic mesh slings, there has been renewed interest in autologous slings. The aim of this study is to evaluate whether different sling material affects outcomes and patient satisfaction.

Translabial Ultrasound Evaluation of Pelvic Floor Structures and Mesh in the Urology Office and Intraoperative Setting.

Background: Translabial ultrasound (TUS) can provide an inexpensive alternative imaging modality for evaluating pelvic floor structures and synthetic slings as mesh can be difficult to identify on pelvic exam or cystoscopy, patients may be unable to provide an accurate history of previous pelvic surgery, and cross-sectional imaging with computed tomography and magnetic resonance imaging can be inadequate for evaluating synthetic slings.

Objective: To demonstrate the use of TUS in the evaluation of female pelvic floor structures and mesh.

Methods: Translabial ultrasound can be used in the Urology clinic or intraoperative setting using a curvilinear transducer.

Dextrose Instillation as an Alternative Agent to Observe Ureteral Efflux During Pelvic Reconstructive Surgery.

Objective: To evaluate the use, cost, postoperative urinary tract infection (UTI) rates, and complications of dextrose instillation during cystoscopy.

Methods: The medical records of patients who underwent cystoscopy during pelvic reconstructive surgery between June 2016 and June 2017 were reviewed. Patients were divided into two groups: patients who had one ampule of dextrose 50% (D50) directly instilled and patients who did not have D50 instilled during cystoscopy.

Role of reactive oxygen species in male infertility: An updated review of literature.

Objectives: To review the literature and provide an updated summary on the role of reactive oxygen species (ROS) in male infertility.

Methods: A review of PubMed, Cochrane review, and Web of Science databases for full-text English-language articles published between 1943 and 2017 was performed, focusing on the aetiology of ROS, physiological role of ROS on spermatic function, pathological role of ROS in infertility, evaluation of ROS, and role of antioxidants in oxidative stress.

Results: ROS play a role in spermatic function and fertilisation.

Postoperative urinary retention after pelvic organ prolapse repair: Vaginal versus robotic transabdominal approach.

Aims: Postoperative urinary retention has been reported in 13-32% of patients that undergo pelvic organ prolapse (POP) repair. The purpose of our study was to compare rates of urinary retention between transvaginal and robotic transabdominal approaches and identify risk factors for postoperative urinary retention following POP repair.

Methods: Medical records of patients that underwent POP repair were reviewed.

In automated fluoroscopy settings, does shielding affect radiation exposure to surrounding unshielded tissues?

Background And Purpose: Automatic brightness control (ABC), a function of modern fluoroscopy machines, adjusts radiation intensity in real time to enhance image quality. While shielding reduces radiation exposure to protected areas, it is unknown how much radiation adjacent unshielded areas receive when using ABC settings. Our purpose was to assess radiation dosage to shielded and unshielded tissue when using fluoroscopic ABC mode compared with fixed exposure settings.