Liposomal Bupivacaine Local Infiltration for Buccal Mucosal Graft Harvest Site Pain Control: A Single-blinded Randomized Controlled Trial.

Objective: To assess efficacy and safety of liposomal bupivacaine (LB) infiltration of the buccal mucosal graft (BMG) harvest site in alleviating pain by evaluating the postoperative narcotic usage, pain score, and morbidities.

Patients And Methods: Single-blinded randomized controlled trial of 43 adult patients for BMG substitution urethroplasty between January 2015 to June 2017 (Clinicaltrials.gov: NCT03720223).

Placental membrane grafts for urethral replacement in a rabbit model: a pilot study.

Purpose: Several graft materials are available for use in the treatment of urethral stricture disease. Placental membrane is being used in a variety of settings as a graft in wound healing and tissue repair. We aim to evaluate the effect of implanting decellularized human placental membrane into rabbit urethras.

Male Slings for Post-prostatectomy Incontinence.

Stress urinary incontinence following radical prostatectomy can have a significant impact on a man's quality of life. Male slings offer a perceived minimally invasive treatment option and do not require the manual dexterity necessary to operate an artificial urinary sphincter. In this review, we outline the history of male slings and discuss the various fixed and adjustable slings that are available on the market.

AdVance sling use decreasing relative to artificial urinary sphincters.

Introduction: To evaluate the percent of AdVance male sling usage relative to artificial urinary sphincters (AUS) over a 9 year period since its introduction in order to assess trends across the United States.

Materials And Methods: As a surrogate for procedures performed, we reviewed device utilization trends of the AdVance sling and AUS broken down by American Urological Association (AUA) section. ANOVA testing between years was used to determine purchasing trends with p values of < 0.

Minimal Device Encrustation on Vesair Intravesical Balloons in the Treatment of Stress Urinary Incontinence: Analysis of Balloons Removed from Women in the SOLECT Trial.

Introduction: Encrustation of urinary biomaterials is common; however, the incidence of surface deposition on the Vesair intravesical pressure-attenuation balloon has not been previously reported. The purpose of this analysis is to determine the incidence and potential risk factors for encrustation of the Vesair intravesical balloon.

Methods: The SOLECT trial is a prospective randomized controlled trial conducted at several European centers to evaluate the safety and efficacy of the Vesair balloon for the treatment of female stress urinary incontinence (SUI).

An update on best practice in the diagnosis and management of post-prostatectomy anastomotic strictures.

Postprostatectomy vesicourethral anastomotic stenosis (VUAS) remains a challenging problem for both patient and urologist. Improved surgical techniques and perioperative identification and treatment of risk factors has led to a decline over the last several decades. High-level evidence to guide management is lacking, primarily relying on small retrospective studies and expert opinion.

Robotic-assisted laparoscopic partial cystectomy for symptomatic urachal hamartoma.

We report a case of an urachal hamartoma in a 30-year-old African American woman. The urachal lesion was excised with a robotic-assisted laparoscopic partial cystectomy. Pathologic analysis revealed cysts, smooth muscle, and ciliated epithelium consistent with a hamartoma.

Penile Prosthesis Implantation in Patients with a History of Total Phallic Construction.

Introduction: Outcomes following penile prosthesis implantation in patients with a history of total phallic construction are not well described.

Aim: The aim of this study was to evaluate outcomes following neophallus penile prosthesis placement.

Methods: Retrospective review penile prosthesis placement in patients with prior total phallic construction.

International multi-institutional experience with the vessel-sparing technique to reconstruct the proximal bulbar urethra: mid-term results.

Objective: To present mid-term outcomes from an international, multi-institutional cohort of patients undergoing vessel-sparing excision and primary anastomosis urethroplasty for the reconstruction of the anterior urethra.

Materials And Methods: From June 2003 to December 2011, 68 patients underwent vessel-sparing anterior urethral reconstruction at five different international institutions using the vessel-sparing technique described by Jordan et al. (J Urol 177(5):1799-1802, 2007).

Evaluation of salvage male transobturator sling placement following recurrent stress urinary incontinence after failed transobturator sling.

Objective: To evaluate the outcome of patients treated with a salvage AdVance male sling after a failed primary transobturator sling placement.

Methods: Retrospective review of patients treated at our center with a primary and subsequent salvage AdVance sling. Success was defined as a dry safety pad or no pads (cured), or >50% improvement in pads used per day and patient satisfaction (improved).

Role of allograft nephrectomy following kidney graft failure: preliminary experience with pre-operative angiographic kidney embolization.

Introduction: Allograft nephrectomy (AN) is not without morbidity following graft failure (GF) in kidney transplantation (KT).

Methods: Single center retrospective review of all adult patients undergoing AN following KT, including a subset of patients who underwent pre-operative angiographic kidney embolization (PAKE).

Results: Over a 104 month period, 853 adult patients underwent deceased donor KT.

Extended outcomes in the treatment of male stress urinary incontinence with a transobturator sling.

Objective: To review extended patient outcomes after male transobturator sling placement for stress urinary incontinence.

Methods: A retrospective review of a prospectively maintained database for patients with at least 12 months of postoperative follow-up after AdVance male sling placement was performed. Success was defined as a dry safety pad or less (cured) or >50% improvement in pads used per day and patient satisfaction (improved).

Prospective evaluation of testosterone fluctuations during a transition of therapy from degarelix to leuprolide in patients on androgen deprivation therapy.

Objective: To evaluate for a possible testosterone surge during transition of therapy from degarelix to leuprolide.

Methods: We conducted an investigator-initiated, prospective, single-arm, open-label trial for evaluation of a potential testosterone surge during a transition of therapy from degarelix to leuprolide. Study patients were administered 3 monthly depot injections of degarelix, followed by one 3-month depot injection of leuprolide.

Transobturator male sling: is there a learning curve?

Introduction: A potential learning curve associated with AdVance (American Medical Systems, Minnetonka, MN, USA) sling placement has not been adequately reported.

Materials And Methods: Retrospective analysis of our AdVance single surgeon database. Patients with a history of a radical prostatectomy, no past radiation or prior incontinence interventions and at least 12 months of follow up were included.

High pressure vaginography to diagnose vaginal ureteral ectopia in patients with continuous urinary incontinence.

Introduction: Continuous urinary incontinence in female patients can be a diagnostic dilemma if traditional imaging fails to identify a source. Vaginography has been used to diagnose vaginal ectopic ureters in the past with mixed results.

Materials And Methods: Institutional review board approval was obtained for a retrospective review.

Outcome of penile revascularization for arteriogenic erectile dysfunction after pelvic fracture urethral injuries.

Objective: To review our experience with penile revascularization for patients with bilateral occlusion of the deep internal pudendal arteries after pelvic fracture urethral injury (PFUI).

Materials And Methods: We identified 17 patients who had undergone penile revascularization with end-to-side anastomosis of the deep inferior epigastric artery to the dorsal penile artery from July 1991 to December 2010. Success was defined as achieving erections sufficient for intercourse with or without pharmacologic assistance.