Scholars@Duke
Andrew Charles Peterson

Andrew Charles Peterson

Professor of Urology
Urology
drew.peterson@duke.edu
Box 3146 Med Ctr, Durham, NC 27710
1112A Hosp South, Durham, NC 27710

Selected Publications

The Impact of Social Deprivation on Anterior Urethral Stricture Recurrence After Urethroplasty: A Trauma and Urologic Reconstructive Network of Surgeons Analysis.

Journal Article J Urol · December 2024 PURPOSE: Several factors influence recurrence after urethral stricture repair. The impact of socioeconomic factors on stricture recurrence after urethroplasty is poorly understood. This study aims to assess the impact that social deprivation, an area-level ... Full text Link to item Cite

Experiences and Outcomes of the Society of Genitourinary Reconstructive Surgeons Fellowship Training: Growth in Fellowships Mirrors the Evolution of the Discipline.

Journal Article Urology · September 20, 2024 OBJECTIVE: To describe experiences and outcomes of the Society of Genitourinary Reconstructive Surgeons (GURS) fellowship match. In 2012, GURS developed a centralized fellowship match which has grown from 13 to 30 programs. METHODS: GURS match statistics a ... Full text Link to item Cite

A multidimensional approach to male urinary incontinence: treatment efficacy and mental health perspectives

Other Journal of Men's Health · August 1, 2024 Male urinary incontinence (UI) is a prevalent yet under-discussed condition that has a significant impact on patient quality of life and social, emotional and physical well-being. UI in men can arise as stress incontinence, urge incontinence, or mixed inco ... Full text Cite

The empty pelvis syndrome: a core data set from the PelvEx collaborative.

Journal Article Br J Surg · March 2, 2024 BACKGROUND: Empty pelvis syndrome (EPS) is a significant source of morbidity following pelvic exenteration (PE), but is undefined. EPS outcome reporting and descriptors of radicality of PE are inconsistent; therefore, the best approaches for prevention are ... Full text Link to item Cite

EDITORIAL COMMENT.

Journal Article Urology · January 2024 Full text Link to item Cite

Characterizing and Quantifying Material Fatigue of the Artificial Urinary Sphincter Pressure Regulating Balloon.

Journal Article Urology · January 2024 OBJECTIVE: To characterize and quantify changes in elastic properties and in vivo pressure characteristics of pressure regulating balloons (PRB) over time, we conducted an analysis of the mechanical characteristics of the PRB after removal from patients fo ... Full text Link to item Cite

Outcomes of Urethroplasty for Synchronous Anterior Urethral Stricture Utilizing the Trauma and Urologic Reconstruction Network of Surgeons Length, Segment and Etiology Anterior Urethral Stricture Classification System.

Journal Article Urology · November 2023 OBJECTIVE: To describe the characteristics, management, and functional outcomes of patients with synchronous urethral stricture disease (SUSD) utilizing a multi-institutional cohort. METHODS: Data were collected and assessed from a prospectively maintained ... Full text Link to item Cite

Pelvic Extirpative Surgery for the "End-Stage Irradiated Bladder".

Journal Article Cancers (Basel) · August 24, 2023 Men with prostate cancer have the daunting task of selecting from multiple modalities of treatment. The long-term effects of radiation therapy are only now being recognized. For both patients and surgeons, the end-stage irradiated bladder poses numerous pr ... Full text Link to item Cite

Synchronous Bladder Neck Contracture Dilation at the Time of Artificial Urinary Sphincter Placement Is Safe and Effective.

Journal Article Urology · August 2023 OBJECTIVE: To treat men with bladder neck contracture (BNC) and stress urinary incontinence, neither long-term nor comparative data exist to support the superiority of simultaneous BNC intervention at the time of artificial urinary sphincter placement (syn ... Full text Link to item Cite

Editorial Comment.

Journal Article J Urol · August 2023 Full text Link to item Cite

Urethral Stricture Formation After Artificial Urinary Sphincter Cuff Erosion Is Uncommon in the Absence of Pelvic Radiation.

Journal Article J Urol · July 2023 PURPOSE: Reported rates of urethral stricture development after artificial urinary sphincter erosion are highly variable. We hypothesized that the risk of stricture is commensurate with the degree of erosion. MATERIALS AND METHODS: We reviewed our prospect ... Full text Link to item Cite

EDITORIAL COMMENT.

Journal Article Urology · July 2023 Full text Link to item Cite

A Contemporary Analysis of Combat-related Urological Injuries: Data From the Department of Defense Trauma Registry.

Journal Article J Urol · June 2023 PURPOSE: There has been little to no literature published on combat-related genitourinary injuries beyond 2013. With the goal of enhancing medical readiness prior to deployment and making recommendations to improve the long-term rehabilitation of service m ... Full text Link to item Cite

Disparities in Prostate Cancer Screening for Transgender Women: An Analysis of the MarketScan Database.

Journal Article Urology · June 2023 OBJECTIVE: To describe the prevalence of PSA screening amongst transgender women. A transgender individual is someone whose gender identity differs from their birth sex or the societal norms of that assigned sex. There are no formal guidelines regarding PS ... Full text Link to item Cite

Clinical and Urodynamic Determinants of Earlier Time to Failure for the Artificial Urinary Sphincter.

Journal Article Urology · June 2023 OBJECTIVE: To determine clinical, surgical and urodynamic attributes associated with earlier AUS reintervention. The artificial urinary sphincter (AUS) is the gold standard treatment for postprostatectomy stress urinary incontinence. Factors impacting long ... Full text Link to item Cite

Bladder Neck Contractures Stabilize After Placement of the Artificial Urinary Sphincter.

Journal Article J Urol · May 2023 PURPOSE: For male cancer survivors, the combination of stress urinary incontinence and recurrent bladder neck contracture presents a management dilemma with poor consensus. Our objective was to assess the impact of artificial urinary sphincter placement on ... Full text Link to item Cite

Outcomes of an Algorithmic, Multidisciplinary Approach to Rectourethral Fistula Repair: A Pre- and Postintervention Quasi-Experimental Study.

Conference Dis Colon Rectum · April 1, 2023 BACKGROUND: Rectourethral fistulas are a rare yet severe complication of prostate surgery, pelvic irradiation therapy, or both. Multiple surgical repairs exist with widely varying success rates. OBJECTIVE: This study aimed to present our institutional mult ... Full text Link to item Cite

Artificial Urinary Sphincter Cuff Downsizing Improves Continence and Patient Satisfaction in Cases of Sub-cuff Atrophy.

Conference J Urol · April 2023 PURPOSE: The management of artificial urinary sphincter sub-cuff atrophy remains controversial, and clinical outcomes are underreported. We intend to examine the impact of cuff downsizing in cases of isolated sub-cuff atrophy. MATERIALS AND METHODS: We rev ... Full text Link to item Cite

Reply by Authors

Journal Article Journal of Urology · April 1, 2023 Full text Cite

Indications and Outcomes for Intermittent Catheterization following Bulbar AUS Cuff Placement.

Journal Article Urology · January 2023 OBJECTIVE: To evaluate the functional and surgical impact of CIC protocols in men with a bulbar AUS in place. Stress urinary incontinence (SUI) and poor bladder emptying are both sequelae of prostate cancer treatment, though there is sparse data to guide c ... Full text Link to item Cite

Resection of Pubic Symphysis and Cystectomy Significantly Improves Short-Term Patient-Reported Physical Functioning Among Patients With Pubovesical Fistula and Pubic Bone Osteomyelitis.

Journal Article Urology · September 2022 OBJECTIVE: To investigate the impact of extirpative surgery for pubic bone osteomyelitis with pubovesical fistula on prostate cancer survivors' physical and mental health. MATERIALS AND METHODS: The Short Form 12 (SF-12) is a validated instrument for asses ... Full text Link to item Cite

Patient-Reported and Physiologic Outcomes Following Pelvic Exenteration for Non-Repairable Radiated Rectourethral Fistula.

Journal Article Urology · August 2022 OBJECTIVE: To investigate the impact of pelvic exenteration (PelvEX) on patient-reported pain, distress, and quality of life along with physiologic indicators of health in cancer survivors with radiated, non-repairable rectourethral fistula (RUF). MATERIAL ... Full text Link to item Cite

Pelvic Fracture Urethral Distraction Defect.

Journal Article Urol Clin North Am · August 2022 Posterior pelvic fracture urethral distraction defects (PFUDD) can present formidable challenges in genitourinary reconstruction. Once the acuity of trauma subsides, the patient is often faced with chronic, debilitating genitourinary injuries. Treatment re ... Full text Link to item Cite

EDITORIAL COMMENT.

Journal Article Urology · August 2022 Full text Link to item Cite

Valsalva leak point pressure (VLPP) greater than 70 cm H2O is an indicator for sling success: a success prediction model for the male transobturator sling.

Conference Int Urol Nephrol · July 2022 INTRODUCTION AND OBJECTIVES: Urodynamic studies are often performed in the evaluation of post-prostatectomy urinary incontinence (PPUI). The male transobturator sling (TOS) is a minimally invasive treatment for PPUI. Others have reported their results with ... Full text Link to item Cite

Buccal Reharvest for Urethroplasty After Graft Site Closure is Safe and Does Not Affect Long-Term Oral Health.

Journal Article Urology · June 2022 OBJECTIVE: To understand the effects of reharvest on safety and long-term oral health in patients requiring buccal mucosa reharvest from a previously harvested and closed site for management of recurrent urethral stricture disease. METHODS: We conducted an ... Full text Open Access Link to item Cite

EDITORIAL COMMENT.

Journal Article Urology · June 2022 Full text Link to item Cite

Urethroscopic Findings following Urethroplasty Predict the Need for Secondary Intervention in the Long Term: A Multi-Institutional Study from Trauma and Urologic Reconstructive Network of Surgeons.

Journal Article J Urol · April 2022 PURPOSE: Postoperative surveillance urethroscopy has been shown to be an effective tool to predict reoperation within 1 year after urethroplasty. We aimed to evaluate early surveillance urethroscopy findings and long-term outcomes among urethroplasty patie ... Full text Link to item Cite

Postoperative changes in cognition and cerebrospinal fluid neurodegenerative disease biomarkers.

Journal Article Ann Clin Transl Neurol · February 2022 OBJECTIVE: Numerous investigators have theorized that postoperative changes in Alzheimer's disease neuropathology may underlie postoperative neurocognitive disorders. Thus, we determined the relationship between postoperative changes in cognition and cereb ... Full text Open Access Link to item Cite

Specific steps in the operation determine resident speed: Experience with a live tissue simulation model of laparoscopic nephrectomy.

Journal Article Front Surg · 2022 INTRODUCTION: It is increasingly important to identify and eliminate inefficiencies in resident education. We hypothesize that slower performance of specific operative steps in laparoscopic nephrectomy accounts for much of the slower operative speed observ ... Full text Link to item Cite

Editorial Comment.

Journal Article J Urol · December 2021 Full text Link to item Cite

Perioperative neurocognitive and functional neuroimaging trajectories in older APOE4 carriers compared with non-carriers: secondary analysis of a prospective cohort study.

Journal Article Br J Anaesth · December 2021 BACKGROUND: Cognitive dysfunction after surgery is a major issue in older adults. Here, we determined the effect of APOE4 on perioperative neurocognitive function in older patients. METHODS: We enrolled 140 English-speaking patients ≥60 yr old scheduled fo ... Full text Open Access Link to item Cite

EDITORIAL.

Journal Article Urology · November 2021 Full text Link to item Cite

Association Between Ejaculatory Dysfunction and Post-Void Dribbling After Urethroplasty.

Journal Article Urology · July 2021 ObjectiveTo determine whether ejaculatory dysfunction (EjD) and post-void dribbling (PVD) after urethroplasty are associated, providing evidence for a common etiology.MethodsWe reviewed a prospectively maintained database for first-time, ... Full text Cite

Use of isotonic contrast solution in the artificial urinary sphincter does not impact device longevity.

Journal Article Neurourol Urodyn · April 2021 AIMS: The artificial urinary sphincter (AUS), the gold standard for treatment of male stress urinary incontinence, can be filled with normal saline (NS) or isotonic contrast solution. Surgeons have voiced concerns about the impact on device malfunction and ... Full text Link to item Cite

Increasing Comorbidity and Frailty is Not Associated with Early Postoperative Complications among Men Undergoing Artificial Urinary Sphincter or Sling Implantation: A Real-World Application of NSQIP® Data to Reconstructive Urology.

Journal Article Urol Pract · March 2021 INTRODUCTION: Urologists may be hesitant to surgically treat urinary incontinence in comorbid genitourinary cancer survivors. We assessed the relationship between comorbidities and 30-day perioperative outcomes following artificial urinary sphincter and sl ... Full text Link to item Cite

Immunomodulatory lipid mediator profiling of cerebrospinal fluid following surgery in older adults.

Journal Article Sci Rep · February 4, 2021 Arachidonic acid (AA), docosahexaenoic acid (DHA), and eicosapentaenoic acid (EPA) derived lipids play key roles in initiating and resolving inflammation. Neuro-inflammation is thought to play a causal role in perioperative neurocognitive disorders, yet th ... Full text Open Access Link to item Cite

Urinary Pubic Symphysis Fistula Leads to Histopathologic Osteomyelitis in Prostate Cancer Survivors.

Journal Article Urology · February 2021 OBJECTIVE: To assess the histologic findings in the pubic bone resected during extirpative surgery for urinary pubic symphysis fistula (UPF). The concurrent presence of osteomyelitis and the need for bone resection at time of extirpative surgery for UPF ha ... Full text Open Access Link to item Cite

Cerebrospinal Fluid Proteome Changes in Older Non-Cardiac Surgical Patients with Postoperative Cognitive Dysfunction.

Journal Article J Alzheimers Dis · 2021 BACKGROUND: Postoperative cognitive dysfunction (POCD), a syndrome of cognitive deficits occurring 1-12 months after surgery primarily in older patients, is associated with poor postoperative outcomes. POCD is hypothesized to result from neuroinflammation; ... Full text Open Access Link to item Cite

The male sling for stress urinary incontinence: tips and tricks for success.

Journal Article Int Braz J Urol · 2021 Urethral slings are a good treatment option for mild male stress urinary incontinence. There are many different sling options, but herein our group describes our techniques with the Advance® and Virtue® slings. More important than technique, we strongly th ... Full text Link to item Cite

Medical Management of Penile and Urethral Lichen Sclerosus with Topical Clobetasol Improves Long-Term Voiding Symptoms and Quality of Life.

Journal Article J Urol · December 2020 PURPOSE: We evaluated the success of minimally invasive management of lichen sclerosus with topical and intraurethral clobetasol, as defined by improvement in patient reported outcome measures and nonprogression to surgery. MATERIALS AND METHODS: We conduc ... Full text Link to item Cite

Editorial Commentary.

Journal Article Urol Pract · November 2020 Full text Link to item Cite

Microhematuria: AUA/SUFU Guideline.

Journal Article J Urol · October 2020 PURPOSE: Patients presenting with microhematuria represent a heterogeneous population with a broad spectrum of risk for genitourinary malignancy. Recognizing that patient-specific characteristics modify the risk of underlying malignant etiologies, this gui ... Full text Link to item Cite

Development and Validation of A Male Anterior Urethral Stricture Classification System.

Journal Article Urology · September 2020 OBJECTIVE: To develop and validate a clinical classification system for urethral stricture disease (USD) based on the retrograde urethrogram (RUG), physical exam, and stricture-specific patient history. MATERIALS AND METHODS: Three elements were chosen to ... Full text Link to item Cite

Extirpative Cultures Reveal Infectious Pubic Bone Osteomyelitis in Prostate Cancer Survivors With Urinary-Pubic Symphysis Fistulae (UPF).

Journal Article Urology · August 2020 OBJECTIVE: To examine the infectious features of patients with urinary pubic symphysis fistula (UPF) and their association with osteomyelitis. METHODS: We conducted a review of our quality improvement database for 36 patients with UPF undergoing bone resec ... Full text Open Access Link to item Cite

A protocol to reduce self-reported pain scores and adverse events following lumbar punctures in older adults.

Journal Article J Neurol · July 2020 OBJECTIVE: Lumbar punctures (LPs) are important for obtaining CSF in neurology studies but are associated with adverse events and feared by many patients. We determined adverse event rates and pain scores in patients prospectively enrolled in two cohort st ... Full text Link to item Cite

Intraurethral catheter placement does not change the external circumferential measurement of the urethra during AUS placement: A prospective observational trial.

Journal Article Neurourol Urodyn · June 2020 AIMS: Measuring the urethral circumference accurately during artificial urethral sphincter (AUS) placement is an important technical aspect to optimize the selection of cuff size. Differing methods exist for this step with some experts recommending measure ... Full text Link to item Cite

Tissue Expander Scrotal Reconstruction.

Journal Article Plast Reconstr Surg Glob Open · March 2020 Fournier's gangrene is a life-threatening soft tissue infection requiring aggressive debridement of the perineum. Surgical debridement results in large defects of the scrotum requiring reconstruction for functional coverage of the testes. Several studies h ... Full text Open Access Link to item Cite

The MARBLE Study Protocol: Modulating ApoE Signaling to Reduce Brain Inflammation, DeLirium, and PostopErative Cognitive Dysfunction.

Journal Article J Alzheimers Dis · 2020 BACKGROUND: Perioperative neurocognitive disorders (PND) are common complications in older adults associated with increased 1-year mortality and long-term cognitive decline. One risk factor for worsened long-term postoperative cognitive trajectory is the A ... Full text Open Access Link to item Cite

Contemporary analysis of management of isolated pendulous urethral strictures using pedicled skin flap urethroplasty repair.

Journal Article World J Urol · December 2019 OBJECTIVES: To evaluate contemporary outcomes of urethroplasty employing a pedicled skin flap for isolated pendulous urethral strictures. SUBJECTS/PATIENTS: Inclusion of males > 18 years of age with isolated pendulous urethral strictures treated between 19 ... Full text Link to item Cite

Flow Cytometry Characterization of Cerebrospinal Fluid Monocytes in Patients With Postoperative Cognitive Dysfunction: A Pilot Study.

Journal Article Anesth Analg · November 2019 Animal models suggest postoperative cognitive dysfunction may be caused by brain monocyte influx. To study this in humans, we developed a flow cytometry panel to profile cerebrospinal fluid (CSF) samples collected before and after major noncardiac surgery ... Full text Open Access Link to item Cite

Timing of sacral neurostimulation is important for increasing bladder capacity in the anesthetized rat.

Journal Article Am J Physiol Renal Physiol · November 1, 2019 We assessed the effects of limited application of sacral neurostimulation (SNS) during bladder filling on bladder capacity using our previously published SNS model in rats. Female Sprague-Dawley rats (n = 24) were urethane anesthetized (1.2 g/kg sc) and im ... Full text Link to item Cite

The Distribution of Post-Void Residual Volumes in People Seeking Care in the Symptoms of Lower Urinary Tract Dysfunction Network Observational Cohort Study With Comparison to Asymptomatic Populations.

Journal Article Urology · August 2019 OBJECTIVE: To describe the distribution of post-void residual (PVR) volumes across patients with and without lower urinary tract symptoms (LUTS) and examine relationships between self-reported voiding symptoms, storage symptoms, and PVR. METHODS: PVR and d ... Full text Link to item Cite

Magnetic resonance imaging features of pubic symphysis urinary fistula with pubic bone osteomyelitis in the treated prostate cancer patient.

Journal Article Abdom Radiol (NY) · April 2019 INTRODUCTION: Pubic bone osteomyelitis with pubic symphysis urinary fistula represents a debilitating complication of radiation and ablative treatments for prostate cancer. The definitive radiographic diagnosis of this clinical entity is not described. In ... Full text Link to item Cite

The INTUIT Study: Investigating Neuroinflammation Underlying Postoperative Cognitive Dysfunction.

Journal Article J Am Geriatr Soc · April 2019 BACKGROUND/OBJECTIVES: Every year, up to 40% of the more than 16 million older Americans who undergo anesthesia/surgery develop postoperative cognitive dysfunction (POCD) or delirium. Each of these distinct syndromes is associated with decreased quality of ... Full text Open Access Link to item Cite

A Critical Analysis of Bulbar Urethroplasty Stricture Recurrence: Characteristics and Management.

Journal Article J Urol · December 2018 PURPOSE: We evaluated the management of recurrent bulbar urethral stricture disease after urethroplasty at our institution. MATERIALS AND METHODS: We performed an institution review board approved, retrospective case study of our urethroplasty database to ... Full text Link to item Cite

Posterior urethral stenosis after prostate cancer treatment: contemporary options for definitive management.

Journal Article Transl Androl Urol · August 2018 Posterior urethral stenosis (PUS) is an uncommon but challenging problem following prostate cancer therapy. A review of the recent literature on the prevalence of PUS and treatment modalities used in the last decade was performed. A summative narrative of ... Full text Link to item Cite

Mechanism of Action of the Transobturator Sling for Post-Radical Prostatectomy Incontinence: A Multi-institutional Prospective Study Using Dynamic Magnetic Resonance Imaging.

Journal Article Urology · June 2018 OBJECTIVE: To compare the length of the membranous (functional) urethra in male patients who underwent the male transobturator sling (TOS) for postradical prostatectomy urinary incontinence (PPI). The TOS is in established use for treatment of PPI; however ... Full text Link to item Cite

Author Reply.

Journal Article Urology · June 2018 Full text Link to item Cite

Noradrenergic dysfunction in Alzheimer's and Parkinson's Diseases-An overview of imaging studies

Journal Article Frontiers in Aging Neuroscience · May 1, 2018 Noradrenergic dysfunction contributes to cognitive impairment in Alzheimer's Disease (AD) and Parkinson's Disease (PD). Conventional therapeutic strategies seek to enhance cholinergic and dopaminergic neurotransmission in AD and PD, respectively, and few s ... Full text Cite

Unmasking of Urinary-pubic Symphysis Fistula After Implantation of Artificial Urinary Sphincter in Prostate Cancer Survivors-User Beware.

Journal Article Urology · April 2018 OBJECTIVE: To describe the dramatic and rapid unmasking of urinary-pubic symphysis fistula (UPF) and chronic osteomyelitis after artificial urinary sphincter (AUS) implantation. This has never been reported as UPF is usually an insidious sequelae of radiot ... Full text Link to item Cite

Urinary diversion in the genitourinary cancer survivor.

Journal Article Gynecol Oncol · February 2018 Urinary diversion has been in the scope of practice of Gynecologic Oncologists since the inception of the sub-specialty. However, many fewer urinary diversions are performed currently than in the past due to improved prevention of cervical cancer. The inte ... Full text Link to item Cite

Short-term Complication Rates Following Anterior Urethroplasty: An Analysis of National Surgical Quality Improvement Program Data.

Journal Article Urology · January 2018 OBJECTIVE: To determine the characteristics and predictors of perioperative complications after male anterior urethroplasty. MATERIALS AND METHODS: The American College of Surgeons-National Surgical Quality Improvement Program is a validated outcomes-based ... Full text Link to item Cite

Voiding Dysfunction, Incontinence, and Erectile Dysfunction Following High-Intensity Focus Ultrasound and Focal Cryotherapy in Treatment of Prostate Cancer

Journal Article Current Bladder Dysfunction Reports · December 1, 2017 Purpose of Review: Prostate cancer is one of the most prevalent malignancies in males and treatment is not infrequently associated with substantial morbidity. As a result, there has been growing interest in alternative therapies for prostate cancer therapy ... Full text Cite

Outcomes of Urethroplasty to Treat Urethral Strictures Arising From Artificial Urinary Sphincter Erosions and Rates of Subsequent Device Replacement.

Journal Article Urology · September 2017 OBJECTIVE: To evaluate the success of urethroplasty for urethral strictures arising after erosion of an artificial urinary sphincter (AUS) and rates of subsequent AUS replacement. PATIENTS AND METHODS: From 2009-2016, we identified patients from the Trauma ... Full text Link to item Cite

Genitourinary injuries (excluding kidney)

Chapter · July 21, 2017 You get called to the ER tent for an "abdominal gunshot wound" and begin planning your laparotomy during the walk. When you arrive, you discover that the wound is actually a degloving of the pubic area with a large laceration and partial scrotal avulsion. ... Full text Cite

AUA White Paper on Nonneurogenic Chronic Urinary Retention: Consensus Definition, Treatment Algorithm, and Outcome End Points.

Journal Article J Urol · July 2017 PURPOSE: The AUA (American Urological Association) QIPS (Quality Improvement and Patient Safety) committee created a white paper on the diagnosis and management of nonneurogenic chronic urinary retention. MATERIALS AND METHODS: Recommendations for the whit ... Full text Link to item Cite

The Artificial Urinary Sphincter: Evolution and Implementation of New Techniques in the Man with Stress Incontinence After Treatment for Prostate Cancer

Journal Article Current Bladder Dysfunction Reports · June 1, 2017 Purpose of Review: Urinary incontinence is a burdensome sequelae of prostate cancer treatment with a significant impact on quality of life. The artificial urinary sphincter has been the gold standard for management of incontinence. A variety of modificatio ... Full text Cite

How Can We Effectively Address the Medical and Psychological Concerns of Survivors of Pelvic Malignancies?

Journal Article Oncology (Williston Park) · April 15, 2017 Sexual and urinary morbidities resulting from treatment of pelvic malignancies are common. These treatment sequelae are significantly bothersome to patients and challenging to address. Awareness of these complications is critical in order to properly couns ... Link to item Cite

The effects of age, from young to middle adulthood, and gender on resting state functional connectivity of the dopaminergic midbrain

Journal Article Frontiers in Human Neuroscience · February 7, 2017 Dysfunction of the dopaminergic ventral tegmental area (VTA) and substantia nigra pars compacta (SNc) is implicated in psychiatric disorders including attention-deficit/ hyperactivity disorder (ADHD), addiction, schizophrenia and movement disorders such as ... Full text Cite

Pubic Bone Resection Provides Objective Pain Control in the Prostate Cancer Survivor With Pubic Bone Osteomyelitis With an Associated Urinary Tract to Pubic Symphysis Fistula.

Journal Article Urology · February 2017 OBJECTIVE: To investigate pain intensity perception in prostate cancer survivors with pubic bone osteomyelitis with an associated urinary tract to pubic symphysis fistula before and after definitive surgical management. MATERIALS AND METHODS: We performed ... Full text Link to item Cite

A Nationwide Assessment of the Emergency Department Management of Acute Urinary Retention Due to Urethral Stricture.

Journal Article Urology · February 2017 OBJECTIVE: To evaluate the nationwide practice patterns of the management of acute urinary retention (AUR) secondary to urethral stricture (US) in an emergency department (ED) setting. MATERIALS AND METHODS: We used the 2006-2010 Nationwide Emergency Depar ... Full text Link to item Cite

Effect of Lichen Sclerosis on Success of Urethroplasty.

Journal Article Urol Clin North Am · February 2017 Lichen sclerosis (LS) is a chronic, relapsing disease with a variable presentation. In men, genitourinary LS may affect the penile foreskin, glans, meatus, and urethra. Treatment is multifaceted, ranging from pharmacotherapy to surgery. Urethral reconstruc ... Full text Link to item Cite

Male Urethral Stricture: American Urological Association Guideline.

Journal Article J Urol · January 2017 PURPOSE: The purpose of this Guideline is to provide a clinical framework for the diagnosis and treatment of male urethral stricture. MATERIALS AND METHODS: A systematic review of the literature using the Pubmed, Embase, and Cochrane databases (search date ... Full text Link to item Cite

Review Article: Past, Present and Future of Cancer Survivorship and the Importance of the Urologist.

Journal Article Urol Pract · January 2017 INTRODUCTION: Cancer survivorship is a concept that focuses on the complete medical and holistic care of the patient with cancer from the time of diagnosis to the time of death. In 2015 the number of cancer survivors in the United States was expected to ex ... Full text Link to item Cite

Intraoperative Frontal Alpha-Band Power Correlates with Preoperative Neurocognitive Function in Older Adults.

Journal Article Front Syst Neurosci · 2017 Each year over 16 million older Americans undergo general anesthesia for surgery, and up to 40% develop postoperative delirium and/or cognitive dysfunction (POCD). Delirium and POCD are each associated with decreased quality of life, early retirement, incr ... Full text Open Access Link to item Cite

Special concerns for survivors of prostate cancer.

Journal Article Clin Adv Hematol Oncol · September 2016 Link to item Cite

Use of Structural Equation Modeling to Demonstrate the Differential Impact of Storage and Voiding Lower Urinary Tract Symptoms on Symptom Bother and Quality of Life during Treatment for Lower Urinary Tract Symptoms Associated with Benign Prostatic Hyperplasia.

Journal Article J Urol · September 2016 PURPOSE: Lower urinary tract symptoms associated with benign prostatic hyperplasia typically respond well to medical therapy. While changes in total I-PSS (International Prostate Symptom Score) are generally accepted as measurement for treatment response, ... Full text Link to item Cite

Utilization of surgical procedures and racial disparity in the treatment of urinary incontinence after prostatectomy.

Journal Article Neurourol Urodyn · August 2016 AIMS: To analyze the rates of incontinence procedures after radical prostatectomy, and define the variables associated with them. METHODS: We conducted an IRB approved retrospective review of patients with prostate cancer who underwent radical prostatectom ... Full text Link to item Cite

Intraurethral Steroids are a Safe and Effective Treatment for Stricture Disease in Patients with Biopsy Proven Lichen Sclerosus.

Journal Article J Urol · June 2016 PURPOSE: We investigated outcomes of the contemporary practice of administering intraurethral steroids to treat stricture disease in patients with biopsy proven lichen sclerosus. MATERIALS AND METHODS: We performed an institutional review board approved re ... Full text Link to item Cite

Genitourinary Prosthetics: A Primer for the Non-urologic Surgeon.

Journal Article Surg Clin North Am · June 2016 Genitourinary prosthetics are used for correction of functional deficits and to improve the quality of lives of affected patients. General surgeons must evaluate patients scheduled for nonurologic surgery with urologic devices that can impact their periope ... Full text Link to item Cite

Urinary Dysfunction in the Rectal Cancer Survivor

Journal Article Current Bladder Dysfunction Reports · June 1, 2016 Improvements in diagnosis and treatment have resulted in significant improvement in survival rates for rectal cancer. This has led to increasing focus on post-treatment quality of life. One common sequela of treatment for rectal cancer is urinary dysfuncti ... Full text Cite

A Critical Evaluation of the Utility of Imaging After Urethroplasty for Bulbar Urethral Stricture Disease.

Journal Article Urology · May 2016 OBJECTIVE: To determine the incidence of extravasation on initial postoperative pericatheter retrograde urethrogram (pcRUG) after bulbar urethroplasty and the relationship to repair type. MATERIALS AND METHODS: We performed a retrospective review to collec ... Full text Link to item Cite

Editorial Comment.

Other Urology · May 2016 Full text Link to item Cite

Author Reply.

Other Urology · May 2016 Full text Link to item Cite

Management of the Recurrent Male Urethral Stricture.

Journal Article Curr Urol Rep · April 2016 Urethral stricture disease negatively impacts quality of life and leads to significant urologic pathology including lower urinary tract symptoms, recurrent urinary tract infections, and potentially more severe sequelae such as detrusor dysfunction, renal f ... Full text Link to item Cite

Editorial Comment.

Other Urology · March 2016 Full text Link to item Cite

Urodynamic and physiologic patterns associated with the common causes of neurogenic bladder in adults.

Journal Article Transl Androl Urol · February 2016 The clinical presentation of the neurogenic bladder can be as vast as the pathologic causes however urodynamics (UDS) can help guide clinical decision-making and help simplify a complex disease state. UDS may be considered as the gold standard in helping t ... Full text Link to item Cite

Practical Urodynamics for the Clinician

Book · January 1, 2016 This text provides a comprehensive, state-of-the-art review of this field, and will serve as a valuable practical resource for clinicians with an interest in conducting urodynamics. The book reviews new data about the indications, conduct and interpretatio ... Full text Cite

Preface

Book · January 1, 2016 Full text Cite

Bedside urodynamics

Chapter · January 1, 2016 Full text Cite

AUA White Paper on Catheter Associated Urinary Tract Infections: Definitions and Significance in the Urological Patient

Journal Article Urology Practice · November 1, 2015 Introduction: Catheter associated urinary tract infections are widely recognized as the most common health care associated infection in the acute care hospital setting. Methods: Experts have reviewed the literature on catheter associated urinary tract infe ... Full text Cite

The Ohmmeter Identifies the Site of Fluid Leakage during Artificial Urinary Sphincter Revision Surgery.

Journal Article J Urol · October 2015 PURPOSE: While the AMS 800 artificial urinary sphincter improves continence in up to 90% of patients, revision surgery may be needed in up to 50%. We determined whether an ohmmeter could accurately assess the site of fluid leak from individual components o ... Full text Link to item Cite

The Artificial Urinary Sphincter is Superior to a Secondary Transobturator Male Sling in Cases of a Primary Sling Failure.

Journal Article J Urol · October 2015 PURPOSE: We compared continence outcomes in patients with post-prostatectomy stress urinary incontinence treated with a salvage artificial urinary sphincter vs a secondary transobturator sling. MATERIALS AND METHODS: We retrospectively reviewed the records ... Full text Link to item Cite

Long-term Artificial Urinary Sphincter Outcomes Following a Prior Rectourethral Fistula Repair.

Journal Article Urology · September 2015 OBJECTIVE: To determine the long-term outcomes of artificial urinary sphincter (AUS) implantation following a successful rectourethral fistula (RUF) repair. MATERIALS AND METHODS: Between January 1, 2006 and January 1, 2012, a total of 26 patients underwen ... Full text Link to item Cite

Critical Analysis of Patient-reported Complaints and Complications After Urethroplasty for Bulbar Urethral Stricture Disease.

Journal Article Urology · June 2015 OBJECTIVE: To evaluate the full spectrum of postoperative complications and patient-reported complaints after urethroplasty for bulbar urethral stricture disease. MATERIALS AND METHODS: We performed a retrospective review of our institutional database for ... Full text Link to item Cite

Editorial comment.

Other Urology · May 2015 Full text Link to item Cite

Pubic symphysis osteomyelitis in the prostate cancer survivor: clinical presentation, evaluation, and management.

Journal Article Urology · March 2015 OBJECTIVE: To describe pelvic bone osteomyelitis in the prostate cancer survivor, to report on clinical presentation and treatment, and to suggest an algorithmic approach to managing this syndrome complex. MATERIALS AND METHODS: A retrospective chart revie ... Full text Link to item Cite

Simple perineal and elaborated perineal posterior urethroplasty.

Journal Article Arab J Urol · March 2015 A pelvic fracture urethral distraction defect (PFUDD) can present in varying lengths and degrees of complexity. In recent decades the repair of PFUDD has developed into a reliance on a perineal anastomotic approach for all but the most complex cases, which ... Full text Link to item Cite

The contemporary management of urethral strictures in men resulting from lichen sclerosus.

Journal Article Transl Androl Urol · February 2015 Lichen sclerosus (LS) is a chronic, inflammatory disease primarily involving the genital skin and urethra in males. Historically, the treatment of this common condition was a challenge due to its uncertain etiology, variable response to therapy, and predil ... Full text Link to item Cite

Expanding our understanding of lower urinary tract symptoms and incontinence in adults with pompe disease.

Journal Article JIMD Rep · 2015 OBJECTIVE: To study the prevalence of lower urinary tract symptoms (LUTS) and incontinence in late-onset Pompe disease (LOPD) Methods: Adult LOPD patients seen at the Duke Pompe Clinic were prospectively recruited and asked to complete validated questionna ... Full text Link to item Cite

Scrotal and perineal sensory neuropathy after urethroplasty for bulbar urethral stricture disease: an evaluation of the incidence, timing, and resolution.

Journal Article Urology · December 2014 OBJECTIVE: To examine the timing, incidence, and resolution of scrotal and perineal sensory neuropathy after urethroplasty for bulbar urethral stricture disease. MATERIALS AND METHODS: We performed an institutional review board--approved retrospective revi ... Full text Link to item Cite

The evolution of urethroplasty for bulbar urethral stricture disease: lessons learned from a single center experience.

Journal Article J Urol · November 2014 PURPOSE: We reviewed the evolution of repairs for bulbar urethral stricture disease and analyzed changes in outcomes. MATERIALS AND METHODS: We retrospectively reviewed the records of 429 men who underwent urethroplasty for bulbar urethral stricture diseas ... Full text Link to item Cite

Surgical management of complex rectourethral fistulas in irradiated and nonirradiated patients.

Journal Article Dis Colon Rectum · September 2014 BACKGROUND: Rectourethral fistulas are an uncommon, yet devastating occurrence after treatment for prostate cancer or trauma, and their surgical management has historically been nonstandardized. Anecdotally, irradiated rectourethral fistulas portend a wors ... Full text Link to item Cite

Stress urinary incontinence in the prostate cancer survivor.

Journal Article Curr Opin Urol · July 2014 PURPOSE OF REVIEW: Urinary incontinence after treatment for prostate cancer is common, and the burden of disease is substantial with an increasing number of prostate cancer survivors. We aim to review recent advances in this field with a focus on therapeut ... Full text Link to item Cite

Rectourethral fistulas in the cancer survivor.

Journal Article Curr Opin Urol · July 2014 PURPOSE OF REVIEW: Iatrogenic rectourethral fistulas (RUFs) are a rare but challenging complication that can follow the treatment of prostate cancer. We review the literature regarding the surgical management of RUFs and subsequent outcomes, focusing on a ... Full text Link to item Cite

Best of AUA 2014: Trauma/reconstruction/diversion

Journal Article Urology Times · July 1, 2014 Cite

Editorial comment.

Journal Article Urology · May 2014 Full text Link to item Cite

Urogenital trauma

Chapter · January 1, 2014 Marcel Winkelmann, Christian Macke, Philipp Mommsen, and Christian Zeckey ... Full text Cite

Diagnosis, evaluation and follow-up of asymptomatic microhematuria (AMH) in adults: AUA guideline.

Journal Article J Urol · December 2012 PURPOSE: The purpose of this guideline is to provide a clinical framework for the diagnosis, evaluation and follow-up of asymptomatic microhematuria. MATERIALS AND METHODS: A systematic literature review using the MEDLINE® database was conducted to identif ... Full text Link to item Cite

Urinary diversion in patients with spinal cord injury in the United States.

Journal Article Urology · December 2012 OBJECTIVE: To describe the patterns in the use of bladder augmentation and urinary diversion to manage urologic sequelae among patients with spinal cord injury in the United States. MATERIALS AND METHODS: Discharge estimates were derived from the Nationwid ... Full text Link to item Cite

Spontaneous bilateral renal pelvis thrombus formation presenting as anuric acute renal failure.

Journal Article Clin Nephrol · October 2012 A 59-year-old woman was admitted to the internal medicine service after presenting to the emergency department with complaints of abdominal pain and hematuria. Upon further evaluation, the patient was found to be significantly coagulopathic secondary to th ... Full text Link to item Cite

Evaluation of Postprostatectomy Incontinence: Determining Candidacy for the Transobturator Sling

Journal Article Current Bladder Dysfunction Reports · September 1, 2012 Success rates for the male transobturator sling can be influenced by many variables. Determining who is a good surgical candidate will improve patient counseling, management of expectations, and outcomes. The extent of the currently published literature in ... Full text Cite

Early aggressive treatment of lichen sclerosus may prevent disease progression.

Journal Article J Urol · June 2012 Featured Publication PURPOSE: When not recognized and treated aggressively, lichen sclerosus may progress and cause debilitating symptoms. It also may result in significant morbidity in patients undergoing treatment for urethral strictures because unrecognized, it may result i ... Full text Link to item Cite

Outcomes following artificial sphincter implantation after prior unsuccessful male sling.

Journal Article J Urol · June 2012 Featured Publication PURPOSE: Despite the proven success and durability of the artificial urinary sphincter many patients elect an AdVance® sling as the initial treatment of male stress incontinence. We determined whether sling placement would change the outcome of an ensuing ... Full text Link to item Cite

Patient reported incontinence after radical prostatectomy is more common than expected and not associated with the nerve sparing technique: results from the Center for Prostate Disease Research (CPDR) database.

Journal Article Neurourol Urodyn · January 2012 Featured Publication AIMS: The reported incidence of urinary incontinence (UI) after radical prostatectomy (RP) ranges from 2.5 to 87%. We reviewed data from the Center for Prostate Disease Research (CPDR) to determine the incidence of patient reported UI after RP (postRPUI) a ... Full text Link to item Cite

Contemporary management of postprostatectomy incontinence.

Journal Article Eur Urol · June 2011 CONTEXT: In recent years, despite improvement in the surgical technique, the prevalence of postprostatectomy incontinence has increased due to a rise in the number of radical prostatectomies performed annually. OBJECTIVE: The aim of this review is to evalu ... Full text Link to item Cite

Lichen sclerosus: epidemiological distribution in an equal access health care system.

Journal Article J Urol · February 2011 Featured Publication PURPOSE: The incidence and demographics of lichen sclerosus range from 1/300 (0.3%) to 1/1,000 individuals (0.1%). We analyzed the incidence of lichen sclerosus in an equal access health care system, hypothesizing that it is more common in older white male ... Full text Link to item Cite

Artificial urinary sphincter: lessons learned.

Journal Article Urol Clin North Am · February 2011 Featured Publication Since its introduction in 1973, the artificial urinary sphincter (AUS) has become widely accepted therapy, particularly for male incontinence. In this article, the authors review their experience with more than 600 artificial urinary sphincter (AUS) device ... Full text Link to item Cite

Initial validation of the ProMIS surgical simulator as an objective measure of robotic task performance

Journal Article Journal of Robotic Surgery · January 1, 2011 Virtual reality robotic simulation has gained widespread momentum. In order to determine the value of virtual reality robotic simulation and its objective metrics, a reality-based robotic surgical training platform with similar analytic capabilities must b ... Full text Cite

Elective, adult circumcision does not affect patient perception of sexual health as defined by the Male Sexual Health Questionnaire (MSHQ)

Journal Article Journal of Men's Health · December 1, 2010 Background: There is persistent concern over circumcision's effect on sexual health. This prospective study was conducted to establish the effect circumcision has on patient perceptions of sexual health and satisfaction. Methods: A prospective, review boar ... Full text Cite

Adult template circumcision: a prospective, randomized, patient-blinded, comparative study evaluating the safety and efficacy of a novel circumcision device.

Journal Article Urology · October 2010 OBJECTIVES: In 2001, we reported a novel technique for pediatric circumcision that has proved to be fast, reliable, and safe during the past 4 years, with good cosmetic results. Inspired by our success with this technique, we have created a similar device ... Full text Link to item Cite

Changes in bone health and skeletal-related events following implementation of a multidisciplinary consensus statement guiding surveillance and treatment of men undergoing androgen deprivation therapy for prostate cancer.

Journal Article Aging Male · June 2010 Featured Publication PURPOSE: Androgen deprivation therapy (ADT) is a cornerstone for inhibiting progression of prostate cancer (CAP) and improving survival. After previously establishing that men with CAP treated with ADT at our institution had significant skeletal morbidity, ... Full text Link to item Cite

Intravesical therapy use in the high risk patient: practice patterns in an equal access healthcare institution before and after national guidelines.

Journal Article Can J Urol · December 2009 Featured Publication PURPOSE: We examined patterns of intravesical therapy use in nonmuscle invasive bladder cancer over the last 10 years at our institution where there is equal access to healthcare. We further examined any affect that the introduction of national guidelines ... Link to item Cite

Oral ketoconazole for prevention of postoperative penile erection: a placebo controlled, randomized, double-blind trial.

Journal Article J Urol · May 2008 Featured Publication PURPOSE: Patients undergoing penile surgery often have postoperative erections that can be painful and may interfere with wound healing. In retrospective studies ketoconazole has been shown to decrease the number and pain of postoperative erections. We con ... Full text Link to item Cite

A 5-year followup study of asymptomatic men with testicular microlithiasis.

Journal Article J Urol · April 2008 Featured Publication PURPOSE: Testicular microlithiasis is an imaging entity of the testicle with questionable significance as a marker for testicular cancer. In 2001 we reported on a large prospective screening study establishing the prevalence of testicular microlithiasis to ... Full text Link to item Cite

Lichen sclerosus: review of the literature and current recommendations for management.

Journal Article J Urol · December 2007 Featured Publication PURPOSE: We reviewed the literature regarding the clinical presentation, etiology, natural history, and medical and surgical management of lichen sclerosus in men. MATERIALS AND METHODS: We performed a comprehensive search of the literature in PubMed, MEDL ... Full text Link to item Cite

Massive steinstrasse after treatment of a staghorn calculus.

Journal Article ScientificWorldJournal · April 9, 2007 Featured Publication Full text Link to item Cite

Progression of renal tumors after laparoscopic radiofrequency ablation.

Journal Article Urology · November 2006 Featured Publication OBJECTIVES: To describe 2 patients with tumor progression after treatment with radiofrequency ablation (RFA). RFA is a minimally invasive, Food and Drug Administration-approved technique used to treat solid organ tumors. However, few studies of RFA treatme ... Full text Link to item Cite

Outcomes following erosions of the artificial urinary sphincter.

Journal Article J Urol · June 2006 Featured Publication PURPOSE: Artificial urinary sphincter urethral cuff erosion occurs in up to 5.0% of cases, presenting a complex management problem. We examine our experience with the eroded AUS, relating to preoperative risk factors, operative management and outcomes. MAT ... Full text Link to item Cite

Ureteral endometriosis in patients after total abdominal hysterectomy: presentation and diagnosis: a case series.

Journal Article Urology · March 2006 Featured Publication Although ureteral endometriosis is uncommon, it is a significant disease process that can cause irreversible renal damage because of delays in diagnosis. It is even more uncommon and therefore more likely to be left out of the differential diagnosis in pos ... Full text Link to item Cite

The 1-hour pad test is a valuable tool in the initial evaluation of women with urinary incontinence

Journal Article Journal of Pelvic Medicine and Surgery · November 25, 2005 Aim: The urinary pad weight test is an objective measure of severity of urine loss. The purpose of this study was an attempt to determine the correlation among the 1-hour pad weight test, number of pads used per day, reported magnitude of incontinence, 24- ... Full text Cite

Spermatic cord torsion in the neonate: A false negative by sonography

Journal Article Journal of Diagnostic Medical Sonography · May 1, 2005 Multiple challenges are encountered in the evaluation and treatment of spermatic cord torsion in the neonate, including confident evaluation and treatment. The authors report a full-term male presenting with multiple birth-related injuries, including suspe ... Full text Cite

Outcomes following revisions and secondary implantation of the artificial urinary sphincter.

Journal Article J Urol · April 2005 Featured Publication PURPOSE: Durable success with the artificial urinary sphincter (AUS) is common but device revision and replacement are often needed for various reasons. We examined indications and outcomes following these secondary procedures with comparisons to outcomes ... Full text Link to item Cite

Artificial urinary sphincter: Lessons learned

Journal Article Atlas of the Urologic Clinics of North America · October 1, 2004 Full text Cite

Heroic measures may not always be justified in extensive urethral stricture due to lichen sclerosus (balanitis xerotica obliterans).

Journal Article Urology · September 2004 Featured Publication OBJECTIVES: Strictures due to lichen sclerosus (LS) may affect the urethra as far proximally as the mid-bulb. For such strictures, a staged full-length repair is required and should use a nonpenile graft source such as buccal mucosa. Many cases occur in a ... Full text Link to item Cite

Use of oral ketoconazole to prevent postoperative erections following penile surgery.

Journal Article Int J Impot Res · August 2004 Featured Publication Analgesics and topical agents ineffectively inhibit painful erections after penile and urethral surgery. Oral ketoconazole reversibly inhibits testosterone production and has been used empirically at our institution to decrease postoperative erections. We ... Full text Link to item Cite

Spontaneous perinephric hemorrhage associated with urolithiasis in pregnancy.

Other ScientificWorldJournal · June 7, 2004 Spontaneous perinephric hematoma in the absence of anticoagulation, arteritis, or trauma is uncommon. We report the case of a postpartum patient with nephrolithiasis who initially presented to the obstetric service with a spontaneous perinephric hemorrhage ... Full text Link to item Cite

Functional outcomes of primary and secondary repairs of vesicovaginal fistulae via vaginal cuff scar excision.

Journal Article Int Urogynecol J Pelvic Floor Dysfunct · 2004 Featured Publication Hospital and office charts of patients who underwent vaginal cuff scar excision for vesicovaginal fistula (VVF) repair from February 1998 to December 2002 at our institution were reviewed. Preoperative demographics and fistula characteristics were gathered ... Full text Link to item Cite

Clear cell adenocarcinoma in a female urethral diverticulum.

Journal Article Urology · March 2003 Featured Publication Primary urethral carcinoma is an uncommon diagnosis, and carcinomas arising from within a urethral diverticulum are rare. Because of the limited number of diagnosed cases, optimal treatment guidelines are not available. However, patients require an aggress ... Full text Link to item Cite

Priapism associated with hemoglobin C trait.

Journal Article J Urol · November 2002 Featured Publication Full text Link to item Cite

Laparoscopic hand assisted radical cystectomy with ileal conduit urinary diversion.

Journal Article J Urol · November 2002 Featured Publication PURPOSE: Hand assisted laparoscopy was originally described in the early 1990s. Since then many studies have shown that hand assisted techniques have the same advantages of laparoscopy including decreased need for postoperative narcotics and rapid return t ... Full text Link to item Cite

The prevalence of testicular microlithiasis in an asymptomatic population of men 18 to 35 years old.

Journal Article J Urol · December 2001 Featured Publication PURPOSE: Testicular microlithiasis is an imaging entity of the testicle thought to be a marker of testicular cancer. To our knowledge the prevalence of testicular microlithiasis in an asymptomatic population at risk for testicular cancer is unknown. We rep ... Link to item Cite

Plastibell template circumcision: a new technique.

Journal Article Urology · October 2001 Featured Publication A novel circumcision technique using the Plastibell as a template is described. This technique is fast and ensures excellent cosmesis compared with the standard sleeve circumcision. It is easy to perform and allows the urologist to achieve consistently exc ... Full text Link to item Cite

Malignant lymphoma of the kidney presenting with pain and acute renal failure.

Journal Article Tech Urol · September 2000 Featured Publication Link to item Cite

Outcomes of varicocele ligation done for pain.

Journal Article J Urol · May 1998 Featured Publication PURPOSE: Surgical ligation is an option in the management of patients with painful varicocele. Little objective data exist addressing the effectiveness of this treatment. We reviewed records from 58 patients who underwent varicocele ligation at our institu ... Full text Link to item Cite

Non-Hodgkin's lymphoma with bladder involvement.

Journal Article Urology · September 1997 Featured Publication Full text Link to item Cite

Inhibition of Rhizobium etli Polysaccharide Mutants by Phaseolus vulgaris Root Compounds.

Journal Article Appl Environ Microbiol · September 1994 Crude bean root extracts of Phaseolus vulgaris were tested for inhibition of the growth of several polysaccharide mutants of Rhizobium etli biovar phaseoli CE3. Mutants deficient only in exopolysaccharide and some mutants deficient only in the O-antigen of ... Full text Link to item Cite

Post-irradiation neuromyotonia affecting trigeminal nerve distribution: an unusual presentation.

Conference Neurology · May 1992 We describe two patients who developed neuromyotonia of the floor of the mouth after irradiation of a motor branch (V3) of the trigeminal nerve. The neuromyotonia manifested as sustained muscle contraction due to peripheral nerve dysfunction. The neuromyot ... Full text Link to item Cite