Scholars@Duke
Gary Joseph Faerber

Gary Joseph Faerber

Professor of Urology
Urology

Selected Publications

Infection Risk in Patients with Mixed Flora in Urine Cultures Prior to Ureteroscopy.

Journal Article J Endourol · August 2025 Purpose: Urine cultures are routinely used to inform preoperative antibiotic choice and duration prior to endourologic surgery. The presence of mixed flora in preoperative urine cultures holds unclear clinical significance. This study examines infectious o ... Full text Link to item Cite

When Lithotomy Was a Procedure Not a Position: The Case Report of James K. Polk's Bladder Stone.

Journal Article Urology · July 2025 In 1812 James K. Polk underwent a lithotomy procedure by Dr. Ephraim McDowell of Kentucky to remove a bladder stone. Polk had an uneventful post-operative course and many years later became the 11th President of the United States. Lithotomy was a term init ... Full text Link to item Cite

EDITORIAL COMMENT.

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

Rural For-Profit Hospitals Are Associated With Higher Commercial Prices for 3 Common Urological Procedures.

Journal Article Urol Pract · November 2023 INTRODUCTION: Rural patients lack access to urological services, and high local prices may dissuade underinsured patients from surgery. We sought to describe commercially insured prices for 3 urological procedures at rural vs metropolitan and for-profit vs ... Full text Link to item Cite

EDITORIAL COMMENT.

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

Association of Rural Hospital for-Profit Status With Higher Publicly Reported Prices for the Components of Inpatient Hematuria Evaluation Among Commercially Insured Patients.

Journal Article Urol Pract · March 2023 INTRODUCTION: Rural patients have limited access to urological care and are vulnerable to high local prices. Little is known about price variation for urological conditions. We aimed to compare reported commercial prices for the components of inpatient hem ... Full text Link to item Cite

EDITORIAL COMMENT.

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

The LEGO™ Exercise: An Assessment of Core Competencies in Urology Residency Interviews.

Journal Article J Surg Educ · 2021 BACKGROUND: In competitive residency specialties such as Urology, it has become increasingly challenging to differentiate similarly qualified applicants. Residency interviews are utilized to rank applicants, yet they are often biased and do not explicitly ... Full text Link to item Cite

No-Shows in Adult Urology Outpatient Clinics: Economic and Operational Implications.

Journal Article Urol Pract · September 2020 INTRODUCTION: We analyzed trends and explored implications of no-show rates in adult urology from provider related characteristics at an academic program. METHODS: No-show rates were determined from electronic health records of appointments in adult urolog ... Full text Link to item Cite

Reply by Authors.

Journal Article Urol Pract · September 2020 Full text Open Access Link to item Cite

Editorial Commentary

Journal Article Urology Practice · January 1, 2019 Full text Cite

Improving Resident and Nurse Communication Practices: Results of a Collaborative Culture Initiative

Journal Article Urology Practice · September 1, 2018 Introduction: Paging is a critical modality for urgent hospital communication. We sought to improve overnight nurse paging practices to reduce noncritical pages, improve resident sleep practices and create a team approach to patient care between residents ... Full text Cite

Outcomes of Ureteroscopic Stone Treatment in Patients With Spinal Cord Injury.

Journal Article Urology · June 2018 OBJECTIVE: To evaluate the association of clinical factors on outcomes in patients with spinal cord injury (SCI) undergoing ureteroscopy. Immobility, recurrent urinary tract infection, and lower urinary tract dysfunction contribute to renal stone formation ... Full text Link to item Cite

The Urology Applicant: An Analysis of Contemporary Urology Residency Candidates.

Journal Article Urology · May 2018 OBJECTIVE: To better understand today's urology applicant. METHODS: All 2016 Urology Residency Match applicants to the study-participating institutions were provided a survey via email inquiring about their paths to urology, their career aspirations, how t ... Full text Link to item Cite

Ureteral Anatomy

Chapter · January 1, 2018 Ureteroscopy remains one of the fundamental skills in endourology and is the basis for numerous endoscopic procedures. A thorough understanding of ureteral anatomy is essential for successful and safe ureteroscopy. This chapter reviews the relevant uretera ... Full text Cite

Author Reply.

Journal Article Urology · August 2017 Full text Link to item Cite

Determining Resident Sleep During and After Call With Commercial Sleep Monitoring Devices.

Journal Article Urology · August 2017 OBJECTIVE: To demonstrate that commercial activity monitoring devices (CAMDs) are practical for monitoring resident sleep while on call. Studies that have directly monitored resident sleep are limited, likely owing to both cost and difficulty in study inte ... Full text Link to item Cite

Editorial Comment.

Journal Article Urology · June 2017 Full text Link to item Cite

Editorial Comment.

Journal Article Urology · January 2017 Full text Link to item Cite

Duct Diameter and Size of Stones Predict Successful Extracorporeal Shock Wave Lithotripsy and Endoscopic Clearance in Patients With Chronic Pancreatitis and Pancreaticolithiasis.

Journal Article Pancreas · September 2016 OBJECTIVES: The need for endoscopic therapy before extracorporeal shock wave lithotripsy (SWL) to facilitate pancreatic duct stone removal is unclear. Predictive factors associated with successful fragmentation and subsequent complete duct clearance are va ... Full text Link to item Cite

Definitive Management of Failure After Pyeloplasty.

Journal Article J Endourol · May 2016 INTRODUCTION: Failure after pyeloplasty is difficult to manage. We report our experience managing pyeloplasty failures. METHODS: We retrospectively reviewed the case log of a single surgeon, from August 1996 to August 2014, to identify all patients undergo ... Full text Link to item Cite

Contemporary Practice Patterns of Flexible Ureteroscopy for Treating Renal Stones: Results of a Worldwide Survey.

Journal Article J Endourol · November 2015 INTRODUCTION: Flexible ureteroscopy (fURS) is increasingly used in the treatment of renal stones. However, wide variations exist in technique, use, and indications. To better inform our knowledge about the contemporary state of fURS for treating renal ston ... Full text Link to item Cite

Experience with 45 Consecutive Patients with Neobladders Undergoing Retrograde Ureteroscopy for Upper Tract Abnormalities

Journal Article Urology Practice · September 1, 2015 Introduction: In this study we reviewed the feasibility, technique, complications and outcomes of retrograde ureteroscopy in patients with orthotopic neobladders. Methods: We retrospectively reviewed our retrograde ureteroscopic experience in patients with ... Full text Cite

Editorial Comment.

Journal Article Urology · August 2015 Full text Link to item Cite

Wire-reinforced ureteral stents to rescue from nephrostomy tube in extrinsic ureteral obstruction.

Journal Article Can J Urol · June 2015 INTRODUCTION: Ureteral obstruction due to extrinsic compression is associated with significant morbidity and mortality. Management options for this condition include renal drainage with percutaneous nephrostomy (PCN) or internal ureteral stent placement. A ... Link to item Cite

Symptomatic subcapsular and perinephric hematoma following ureteroscopic lithotripsy for renal calculi.

Journal Article J Endourol · March 2015 OBJECTIVE: Ureteroscopic lithotripsy (URSL) is believed to be associated with less risk of symptomatic renal hematoma than extracorporeal shockwave lithotripsy (SWL) and percutaneous nephrolithotomy (PCNL). We sought to document the rate of and risk factor ... Full text Link to item Cite

Open surgical partial nephrectomy for upper tract urothelial carcinoma.

Journal Article Int J Urol · April 2014 We aimed to determine the ability of partial nephrectomy to prevent end-stage renal disease and tumor recurrence or progression in patients with upper tract urothelial carcinoma. Retrospectively, eight patients undergoing partial nephrectomy for upper trac ... Full text Link to item Cite

Expulsive therapy versus early endoscopic stone removal in patients with acute renal colic: a comparison of indirect costs.

Journal Article J Urol · March 2014 PURPOSE: While medical expulsive therapy is associated with lower health care expenditures compared to early endoscopic stone removal in patients with renal colic, little is known about the effect of medical expulsive therapy on indirect costs. MATERIALS A ... Full text Link to item Cite

Risk factors for delayed hematuria following photoselective vaporization of the prostate.

Journal Article J Urol · September 2013 PURPOSE: Photoselective vaporization of the prostate has become an increasingly popular option for the treatment of benign prostatic hyperplasia. However, delayed bleeding has been raised as a potential issue as more cases are performed. We characterize de ... Full text Link to item Cite

Ureteral stents for impassable ureteroscopy.

Journal Article J Endourol · May 2013 BACKGROUND: For the narrow ureter that will not accommodate a ureteroscope, it is common practice to place a ureteral stent, to allow subsequent ureteroscopy in the passively dilated ureter. Surprisingly, there are limited data on the effectiveness or safe ... Full text Link to item Cite

Postoperative imaging

Chapter · January 1, 2013 Full text Cite

Authors' response to letter to the Editor

Journal Article Journal of Endourology · July 1, 2012 Full text Cite

Prospective tracking of pediatric urology consults: knowing is half the battle.

Journal Article J Urol · May 2012 PURPOSE: The planned clinical activity of pediatric urologists has been well described. However, little is known about nonscheduled work (eg consultation requests). We describe the unplanned clinical activity of pediatric urologists at a high volume academ ... Full text Link to item Cite

Long-term outcomes of immediate versus delayed nephroureterectomy for upper tract urothelial carcinoma.

Journal Article J Endourol · May 2012 PURPOSE: To compare immediate nephroureterectomy with delayed nephroureterectomy after a trial of nephron-sparing endoscopic surgery in patients who were treated initially at our institution from 1996 to 2004 for upper tract urothelial carcinoma. Patients ... Full text Link to item Cite

Long-term outcomes after primary failures of artificial urinary sphincter implantation.

Journal Article Urology · April 2012 OBJECTIVES: To assess our institutional outcomes after primary artificial urinary sphincter (AUS) failures. METHODS: From 1985 to 2010, a total of 149 patients underwent 318 primary and additional AUS procedures. We classified additional procedures as revi ... Full text Link to item Cite

Prevention of wrong site surgery during upper tract endoscopy.

Conference Urology · February 2012 OBJECTIVE: To evaluate the use of radiopaque stickers during endoscopic surgical cases to prevent wrong side surgery. METHODS: We used radiopaque markers before planned endoscopic surgery to ensure correct side surgery. These markers are labeled "R" and "L ... Full text Link to item Cite

Reply

Journal Article Urology · September 1, 2011 Full text Cite

Are stone protocol computed tomography scans mandatory for children with suspected urinary calculi?

Journal Article Urology · September 2011 OBJECTIVE: To examine the clinical utility of noncontrast-enhanced computed tomography (NCCT) in pediatric patients with urolithiasis who progressed to surgery. Although NCCT is routine for the evaluation of adult patients with suspected urolithiasis, its ... Full text Link to item Cite

Ex-vivo ureteroscopy at the time of live donor nephrectomy.

Journal Article J Endourol · September 2011 BACKGROUND AND PURPOSE: Potential transplant renal allograft recipients exceed the number of donors. Our institution now considers patients with small, unilateral, nonobstructing, incidental renal calculi for possible renal donation. We adopted ex-vivo ure ... Full text Link to item Cite

Immediate unplanned hospital admission after outpatient ureteroscopy for stone disease.

Journal Article J Urol · June 2011 PURPOSE: Medicare recently changed reimbursement for ureteroscopy, encouraging migration to ambulatory surgical centers. To our knowledge the risk of immediate unplanned hospital admission, which may discourage ureteroscopy at ambulatory surgical centers, ... Full text Link to item Cite

Editorial comment.

Journal Article Urology · May 2011 Full text Link to item Cite

University of Michigan surgical experience with ureterolysis for retroperitoneal fibrosis: a comparison of laparoscopic and open surgical approaches.

Journal Article Urology · February 2011 OBJECTIVES: To compare our experience with open surgical ureterolysis (OU) and laparoscopic ureterolysis (LU) to determine any differences in success and convalescence. OU for extrinsic compression of the ureters secondary to retroperitoneal fibrosis effec ... Full text Link to item Cite

Multi-institutional assessment of ureteroscopic laser papillotomy for chronic flank pain associated with papillary calcifications.

Journal Article J Urol · January 2011 PURPOSE: We evaluated the long-term safety, efficacy and durability of ureteroscopic laser papillotomy for chronic flank pain associated with renal papillary calcifications. MATERIALS AND METHODS: We reviewed the medical records of all patients who underwe ... Full text Link to item Cite

Understanding the barriers to the dissemination of medical expulsive therapy.

Journal Article J Urol · December 2010 PURPOSE: Increasing trial evidence suggests that a course of medical expulsive therapy is warranted for patients with ureteral stones who are amenable to conservative treatment, and that this efficacious process of care is underused. To better understand t ... Full text Link to item Cite

Escherichia coli global gene expression in urine from women with urinary tract infection.

Journal Article PLoS Pathog · November 11, 2010 Murine models of urinary tract infection (UTI) have provided substantial data identifying uropathogenic E. coli (UPEC) virulence factors and assessing their expression in vivo. However, it is unclear how gene expression in these animal models compares to U ... Full text Open Access Link to item Cite

Urinary tract stones.

Journal Article Prim Care · September 2010 Urinary tract stone disease is one of the most common urologic conditions in the US, with a lifetime prevalence of about 13% for men and 7% for women. In this article we review the management of urinary tract stones and discuss when to seek urologic consul ... Full text Link to item Cite

Long-term outcomes of nephroureterectomy versus endoscopic management for upper tract urothelial carcinoma.

Journal Article J Urol · June 2010 PURPOSE: We compared outcomes in patients treated with nephroureterectomy vs nephron sparing endoscopic surgery for upper tract urothelial carcinoma. MATERIALS AND METHODS: Patients treated at our institution for upper tract urothelial carcinoma from 1996 ... Full text Link to item Cite

Localized amyloidosis of the upper urinary tract: a case series of three patients managed with reconstructive surgery or surveillance.

Journal Article J Endourol · April 2010 OBJECTIVE: To evaluate the clinical presentation, diagnosis, treatment, and prognosis of primary localized amyloidosis of the upper urinary tract. METHODS: Patients with primary localized amyloidosis of the upper urinary tract were identified by database i ... Full text Link to item Cite

Medical expulsive therapy for ureteral calculi in the real world: targeted education increases use and improves patient outcome.

Journal Article J Urol · February 2010 PURPOSE: In controlled trials medical expulsive therapy has improved outcomes in patients with ureteral stones but its real-world use and effectiveness outside a clinical trial have not been thoroughly examined. We studied the impact of targeted education ... Full text Link to item Cite

Long-term durability of pubovaginal fascial slings in women who then become pregnant and deliver

Journal Article International Urogynecology Journal · January 1, 2010 Introduction and hypothesis: Pubovaginal fascial slings are commonly performed after childbearing is completed. Limited data is available regarding women who become pregnant following a sling procedure. Methods: Three hundred forty-one women of childbearin ... Full text Cite

Unusual foreign body resulting in upper urinary tract calculus formation

Journal Article Current Urology · November 1, 2009 While the presence of foreign bodies in the urinary tract is a known cause of calculus formation, foreign body-induced lithiasis of the upper urinary tract is quite unusual. We present a case of renal lithiasis associated with a human body hair in a patien ... Full text Cite

Editorial comment.

Journal Article Urology · October 2009 Full text Link to item Cite

Editorial comment.

Journal Article Urology · October 2009 Full text Link to item Cite

Changing practice locations for upper urinary tract stone disease.

Journal Article J Urol · September 2009 PURPOSE: Complex surgical procedures are migrating out of hospitals and into ambulatory surgery centers. We evaluated the extent to which surgery for urolithiasis could be a candidate for such migration. MATERIALS AND METHODS: Patients undergoing stone sur ... Full text Link to item Cite

Single-center North American experience with wolf Piezolith 3000 in management of urinary calculi.

Journal Article Urology · May 2009 OBJECTIVES: To review our experience with the newest generation piezoelectric lithotripter, the Piezolith 3000, in adult patients undergoing extracorporeal shock wave lithotripsy for solitary urinary calculi. METHODS: We identified 139 shock wave lithotrip ... Full text Link to item Cite

Weekend admission and treatment of patients with renal colic: a case of avoidable variation?

Journal Article Urology · April 2009 OBJECTIVES: To determine whether, for symptomatic urolithiasis, the thresholds to intervene and the nature of the intervention might be susceptible to practice style differences that vary by day of presentation. Weekend hospital admission is associated wit ... Full text Link to item Cite

Atorvastatin-induced hemorrhagic cystitis: a case report.

Journal Article Urology · March 2009 The first case of hemorrhagic cystitis due to atorvastatin for treatment of hyperlipidemia is reported. Hematuria resolved spontaneously with discontinuation of the drug. ... Full text Link to item Cite

Urology

Chapter · December 1, 2008 Full text Cite

Success of laser endoureterotomy of ureteral strictures associated with ureteral stones is related to stone impaction.

Journal Article J Endourol · November 2008 PURPOSE: Since the holmium:yttrium-aluminum-garnet (Ho:YAG) laser is the flexible lithotrite of choice for ureteral stones, its application to ureteral strictures associated with ureteral calculi is convenient. The results of Ho:YAG laser endoureterotomy i ... Full text Link to item Cite

The University of Michigan experience with percutaneous nephrostolithotomy for urinary matrix calculi.

Journal Article Urology · July 2008 OBJECTIVES: To evaluate commonalities in presentation and long-term efficacy of treatment by percutaneous nephrostolithotomy of matrix stones, a rare form of urinary calculi. METHODS: The clinical data of 9 consecutive patients with urinary matrix calculi ... Full text Link to item Cite

Holmium:yttrium-aluminum-garnet laser endoureterotomy for the treatment of transplant kidney ureteral strictures.

Journal Article Transplantation · May 15, 2008 BACKGROUND: The management of ureteral strictures in transplanted kidney is challenging. Open surgical treatment is effective but entails significant convalescence. Holmium:yttrium-aluminum-garnet (Ho:YAG) laser endoureterotomy is useful for other types of ... Full text Link to item Cite

Long-term durability and functional outcomes among patients with artificial urinary sphincters: a 10-year retrospective review from the University of Michigan.

Journal Article J Urol · May 2008 PURPOSE: The artificial urinary sphincter continues to be one of the most effective and commonly used surgical treatments for severe urinary incontinence. The long-term durability and functional outcome remains unclear. This study sought to report the arti ... Full text Link to item Cite

Urology residency and research: round table discussion and plea for innovation.

Journal Article Urology · May 2008 OBJECTIVES: To evaluate the current and future states of resident research experience in urology residencies in the United States. METHODS: Round table discussion with leading educators and Urology faculty from a university urology residency. RESULTS: Rese ... Full text Link to item Cite

Body composition and serum prostate-specific antigen: review and findings from Flint Men's Health Study.

Journal Article Urology · April 2008 Recent studies have suggested that obesity is associated with lower serum prostate-specific antigen levels, perhaps influencing the recommendation for prostate biopsy and potentially explaining part of the observed poorer prognosis among obese men. African ... Full text Link to item Cite

Idiopathic retroperitoneal fibrosis: a role for mycophenolate mofetil.

Journal Article Clin Nephrol · April 2008 PURPOSE: Idiopathic retroperitoneal fibrosis (IRPF) is an unusual progressive illness for which consistent therapeutic recommendations have not been devised. The present report describes a collaborative nephrology and urology approach to distinguish IRPF f ... Full text Link to item Cite

Success of ureteral stents for intrinsic ureteral obstruction.

Journal Article J Endourol · February 2008 PURPOSE: Previous reports suggest a high success rate for retrograde ureteral stenting for intrinsic ureteral obstruction, but few preoperative predictors of success have been offered. We reviewed our experience to look for factors that suggest failure of ... Full text Link to item Cite

Retrograde ureteral stents for extrinsic ureteral obstruction: nine years' experience at University of Michigan.

Journal Article Urology · November 2007 OBJECTIVES: To review our experience with retrograde ureteral stenting for extrinsic ureteral obstruction because previous reports have suggested only moderate success. METHODS: We performed a retrospective review of the course of patients who underwent re ... Full text Link to item Cite

Progression of disease despite good endoscopic local control of upper tract urothelial carcinoma.

Journal Article Urology · September 2007 OBJECTIVES: Several series have demonstrated the effective management of low-grade upper tract urothelial carcinoma (UC) in select patients using endoscopic approaches. Despite rigorous surveillance, we have identified 3 patients with renal parenchymal rec ... Full text Link to item Cite

Comparative analysis of urinary incontinence severity after autologous fascia pubovaginal sling, pubovaginal sling and tension-free vaginal tape.

Journal Article J Urol · February 2007 PURPOSE: Autologous fascia, Pelvicol implant and polypropylene are common materials used in suburethral anti-incontinence procedures. We explored the relative effectiveness of the autologous fascia pubovaginal sling, Pelvicol pubovaginal sling and Gynecare ... Full text Link to item Cite

Ureteroscopic laser papillotomy to treat papillary calcifications associated with chronic flank pain.

Journal Article Urology · April 2006 OBJECTIVES: To evaluate retrospectively the efficacy and durability of a novel approach using ureteroscopic laser papillotomy for the treatment of painful papillary calcifications. Chronic pain due to renal papillary calcifications has not been addressed b ... Full text Link to item Cite

Solitary common iliac artery inflammatory aneurysm in a healthy woman: case report and review of the literature.

Journal Article Ann Vasc Surg · November 2005 Inflammatory aneurysms represent only 3-10% of all aortoiliac aneurysms and tend to be more common in men. We report a case of a solitary inflammatory aneurysm of the right common iliac artery in a healthy young woman. The patient presented with persistent ... Full text Link to item Cite

MDCT urography of upper tract urothelial neoplasms.

Journal Article AJR Am J Roentgenol · June 2005 OBJECTIVE: The purpose of our study was to review the MDCT urography appearance of pathologically proven transitional cell carcinomas of the renal collecting system and ureter and to correlate the MDCT urography findings with pathology findings. MATERIALS ... Full text Link to item Cite

Ex vivo ureteroscopic treatment of calculi in donor kidneys at renal transplantation

Journal Article Journal of Urology · January 1, 2004 Purpose: We evaluated the safety and efficacy of ex vivo ureteroscopy (ExURS) as a means of rendering the donated kidney stone-free at live donor renal transplantation. Materials and Methods: A total of 10 suitable kidney donors with small, unilateral nono ... Full text Cite

A randomized clinical trial of the effect of intraoperative saline perfusion on postvasectomy azoospermia.

Journal Article Ann Fam Med · 2004 BACKGROUND: We wanted to determine whether a saline flush during vasectomy would reduce the time needed to reach azoospermia. METHODS: During vasectomy men were randomly assigned to flush the prostatic end of the vas deferens with 10 mL of normal saline (i ... Full text Link to item Cite

Predictive factors for applicability and success with endoscopic treatment of upper tract urothelial carcinoma.

Journal Article J Urol · December 2003 PURPOSE: We report on endoscopic treatment outcomes for upper tract urothelial carcinoma and identify predictive factors for success. MATERIALS AND METHODS: A total of 61 renal units were referred for endoscopic treatment of an upper tract tumor, 69% of wh ... Full text Link to item Cite

Evaluating the Accreditation Council on Graduate Medical Education core clinical competencies: techniques and feasibility in a urology training program.

Journal Article J Urol · October 2003 PURPOSE: We describe several traditional and novel techniques for teaching and evaluating the Accreditation Council on Graduate Medical Education (ACGME) core clinical competencies in a urology residency training program. MATERIALS AND METHODS: The evoluti ... Full text Link to item Cite

Retrograde ureteroscopy in patients with orthotopic ileal neobladder urinary diversion.

Journal Article J Urol · July 2003 PURPOSE: We assess the feasibility, technique, complications and clinical outcomes of retrograde ureteroscopy in patients with orthotopic ileal neobladder. MATERIALS AND METHODS: We retrospectively reviewed our ureteroscopy experience to identify procedure ... Full text Link to item Cite

Identifying patients who are suitable for stentless ureteroscopy following treatment of urolithiasis.

Journal Article J Urol · July 2003 PURPOSE: Foregoing ureteral stents following ureteroscopy for urinary calculi is an evolving practice. Randomized trials support stent omission in select cases though generalizability is unclear and criteria for stentless ureteroscopy are unknown. Therefor ... Full text Link to item Cite

Helical computed tomography for identification of crossing vessels in ureteropelvic junction obstruction-comparison with operative findings.

Journal Article Urology · July 2003 OBJECTIVES: To evaluate the use of contrast-enhanced helical computed tomography (HCT) scanning with three-dimensional reconstructions as a possible identifier of crossing vessels in ureteropelvic junction (UPJ) obstruction. Endoscopic treatment of UPJ obs ... Full text Link to item Cite

Controversial cases in endourology

Journal Article Journal of Endourology · January 1, 2003 Full text Cite

Safety and Efficacy of Same-Session Bilateral Ureteroscopy

Journal Article Journal of Endourology · January 1, 2003 Purpose: Same-session ureteroscopy for bilateral urinary calculi would potentially reduce costs and the need for a second anesthetic compared with staged procedures. We sought to establish the safety and efficacy of same-session bilateral ureteroscopy rela ... Full text Cite

Editorial comments

Journal Article Journal of Urology · November 1, 2002 Full text Cite

Ureteroscopic treatment of renal calculi in morbidly obese patients: a stone-matched comparison.

Journal Article Urology · September 2002 OBJECTIVES: To report a matched comparison of morbidly obese (MO) patients and normal weight (NW) patients who underwent ureteroscopic (URS) treatment of renal calculi. Shock wave lithotripsy and percutaneous nephrostolithotomy may be precluded in MO patie ... Full text Link to item Cite

Ureteroscopic treatment of lower pole calculi: comparison of lithotripsy in situ and after displacement.

Journal Article J Urol · July 2002 PURPOSE: Ureteroscopic management is a viable option for lower pole calculi less than 2 cm. Recently a technique was described to displace the calculus into a more accessible calix using a nitinol basket or grasper before lithotripsy. We compared the effic ... Link to item Cite

Ureteroscopy for the treatment of urolithiasis in children.

Journal Article J Urol · April 2002 PURPOSE: Ureteroscopy for treating urolithiasis in prepubertal children has become more common with the advent of smaller instruments. We reviewed our experience with ureteroscopy for urolithiasis in this cohort of patients as well as the literature using ... Full text Link to item Cite

Successful angioembolization of renal artery pseudoaneurysms after blunt abdominal trauma.

Journal Article Urology · March 2002 We report a case of minimally invasive management of renal artery pseudoaneurysms after blunt abdominal trauma. A 44-year-old man developed gross hematuria after a motor vehicle collision. The initial radiographic evaluation revealed only a parenchymal lac ... Full text Link to item Cite

Urinary tract abnormalities: initial experience with multi-detector row CT urography.

Journal Article Radiology · February 2002 PURPOSE: To evaluate multi-detector row computed tomographic (CT) urography for detection of urinary tract abnormalities. MATERIALS AND METHODS: Sixty-five patients referred from the urology service, in whom urinary tract abnormalities were strongly suspec ... Full text Link to item Cite

Flexible ureteroscopy in conjunction with in situ lithotripsy for lower pole calculi.

Journal Article Urology · December 2001 OBJECTIVES: To demonstrate the efficacy and safety of ureteroscopy as a compromise in treating small and intermediate-size lower pole calculi. The optimal management of lower pole calculi remains controversial. Shock wave lithotripsy is associated with min ... Full text Link to item Cite

Arterial pseudoaneurysm complicating endoscopic fulguration of upper urinary tract urothelial carcinoma.

Journal Article Urology · November 2001 We report a case of intrarenal arterial pseudoaneurysm after ureteroscopic fulguration of recurrent urothelial carcinoma. An asymptomatic 90-year-old woman underwent uneventful cauterization of two small papillary urothelial carcinomas. One month postopera ... Full text Link to item Cite

Collagen implant for treating stress urinary incontinence in women with urethral hypermobility.

Journal Article J Urol · October 2001 PURPOSE: We evaluated the use of collagen in women with stress urinary incontinence and urethral hypermobility. MATERIALS AND METHODS: We treated 90 patients with stress urinary incontinence and urethral hypermobility with 1 to 3 injections of Contigen imp ... Link to item Cite

Revision rate after artificial urinary sphincter implantation for incontinence after radical prostatectomy: actuarial analysis.

Journal Article J Urol · October 2001 PURPOSE: We determined the actuarial revision rate for artificial urinary sphincters implanted in patients who were incontinent after radical prostatectomy. MATERIALS AND METHODS: We reviewed the records of 70 consecutive patients who were incontinent afte ... Link to item Cite

Comparison of outcomes of ureteroscopy for ureteral calculi located above and below the pelvic brim.

Journal Article Urology · September 2001 OBJECTIVES: To compare the safety and efficacy of ureteroscopy performed for proximal and distal ureteral calculi in a contemporary cohort. Ureteroscopy has been used most often for distal ureteral calculi. However, advances in endoscopic equipment have fa ... Full text Link to item Cite

Complications of ureteroscopy: analysis of predictive factors.

Journal Article J Urol · August 2001 PURPOSE: Although overall and major complication rates of 10% to 20% and 0% to 6%, respectively, have been observed in large series of ureteroscopy, to our knowledge no systemic analysis to determine factors predictive of these complications has been repor ... Full text Link to item Cite

Pediatric urolithiasis.

Journal Article Curr Opin Urol · July 2001 Urinary lithiasis in the pediatric population has evolved from a mere clinical curiosity to a disease process worthy of thoughtful and rigorous scientific study. All aspects of urinary lithiasis have undergone this evolution, including the epidemiology of ... Full text Link to item Cite

The natural history of lower urinary tract symptoms in black American men: relationships with aging, prostate size, flow rate and bothersomeness.

Journal Article J Urol · May 2001 PURPOSE: Studies of lower urinary tract symptoms in men have been restricted to predominately white populations and these observations may not be generalized to black American men. A goal of the Flint Men's Health Study was to evaluate the prevalence of lo ... Link to item Cite

Routine placement of ureteral stents is unnecessary after ureteroscopy for urinary calculi.

Journal Article Urology · April 2001 OBJECTIVES: To report a matched comparison of patients with and without stenting after ureteroscopy for calculi, including middle or proximal ureteral and renal calculi. The elimination of routine stenting after ureteroscopy would prevent stent pain, minim ... Full text Link to item Cite

Urinary tract erosions after synthetic pubovaginal slings: diagnosis and management strategy.

Journal Article Urology · October 1, 2000 OBJECTIVES: To review our experience with the diagnosis and management of genitourinary tract erosions after pubovaginal sling placement. METHODS: Clinic and operative records from the urology and gynecology services at two university hospitals were review ... Full text Link to item Cite

Nephrolithiasis associated with the ketogenic diet.

Journal Article J Urol · August 2000 PURPOSE: The ketogenic diet has been used for treating seizure disorders for more than 70 years. Nephrolithiasis is a known complication of this diet with a reported stone rate as high as 10% but there is sparse literature detailing the nature and treatmen ... Link to item Cite

Use of a working channel catheter during flexible ureteroscopic laser lithotripsy.

Journal Article J Urol · June 2000 PURPOSE: We describe a technique which protects the working channel of the flexible ureteroscope from damage caused by the laser fiber during laser lithotripsy. MATERIALS AND METHODS: A 2Fr catheter is placed into the working channel of the flexible ureter ... Link to item Cite

Collagen injection for the treatment of incontinence after cystectomy and orthotopic neobladder reconstruction in women.

Journal Article J Urol · January 2000 PURPOSE: We determine the clinical efficacy of endoscopically injected collagen for the treatment of new onset urinary incontinence in women following cystectomy and orthotopic neobladder. MATERIALS AND METHODS: Three women 58 to 74 years old underwent tra ... Link to item Cite

Stent placement for the diagnosis of upper tract obstruction.

Journal Article Tech Urol · December 1999 The aim of this study was to evaluate the effectiveness of ureteral stent placement in diagnosing ureteropelvic junction (UPJ) obstruction in patients with negative or equivocal radiographic/nuclear studies and to assess relief of symptoms following defini ... Link to item Cite

Androgen deprivation therapy for prostate cancer results in significant loss of bone density.

Journal Article Urology · October 1999 OBJECTIVES: Advanced prostate cancer is a frequently diagnosed condition in the aging male population, and many men will ultimately be treated with androgen deprivation therapy (ADT). Long-term consequences of ADT on bone mineral density (BMD) have not bee ... Full text Link to item Cite

Determination of the effective therapeutic dose of intrathecal sufentanil for extracorporeal shock wave lithotripsy.

Journal Article Anesth Analg · October 1999 UNLABELLED: Intrathecal (IT) sufentanil provides effective analgesia for extracorporeal shock wave lithotripsy. However, the optimal dose of sufentanil has not been established. We designed a prospective, randomized, double-blinded study to determine the o ... Full text Link to item Cite

Long-term outcome of incontinent ileovesicostomy management of severe lower urinary tract dysfunction.

Journal Article J Urol · June 1999 PURPOSE: We evaluated the extended 5-year followup outcome of incontinent ileovesicostomy. MATERIALS AND METHODS: We reviewed the charts of 25 men and 13 women with a mean age of 44.9 years who underwent incontinent ileovesicostomy, including the original ... Link to item Cite

Urethral diverticulectomy and pubovaginal sling for simultaneous treatment of urethral diverticulum and intrinsic sphincter deficiency.

Journal Article Tech Urol · December 1998 The purpose of this article is to determine the efficacy and safety of simultaneous urethral diverticulectomy and placement of a pubovaginal sling in patients with concomitant urethral diverticula and intrinsic sphincter deficiency (ISD). Sixteen women (me ... Link to item Cite

Comparison of transurethral versus periurethral collagen injection in women with intrinsic sphincter deficiency.

Journal Article Tech Urol · September 1998 Two different injection techniques for collagen injection have been described for the treatment of intrinsic sphincter deficiency (ISD) in women: periurethral and transurethral. The purpose of this review was-to compare these two different techniques to de ... Link to item Cite

Laser treatment of large cavernous hemangiomas of the penis.

Journal Article J Urol · July 1998 PURPOSE: Cavernous hemangiomas of the penis are rare benign tumors commonly excised for cosmesis and bleeding. Reports of laser treatment of these lesions with the patient under local anesthesia indicate good functional and cosmetic results. We report our ... Link to item Cite

Variations in Valsalva leak point pressure with increasing vesical volume.

Journal Article J Urol · June 1998 PURPOSE: Although leak point pressure testing is a valuable tool in the diagnosis of female stress urinary incontinence, little standardization in methodology exists. We examined the effect of vesical volume on leak point pressure to assess the need for de ... Full text Link to item Cite

Contemporary diagnosis and treatment of fibroepithelial ureteral polyp.

Journal Article J Endourol · October 1997 Fibroepithelial polyps of the ureter are rare, benign tumors often not easily distinguished from malignant transitional-cell carcinomas by radiologic means. Historically, many patients have undergone unnecessary nephroureterectomy for these lesions. With r ... Full text Link to item Cite

Long-term results of transurethral collagen injection in men with intrinsic sphincter deficiency.

Conference J Endourol · August 1997 Male stress urinary incontinence (SUI) secondary to intrinsic sphincter deficiency (ISD) is a well-recognized potential complication of various forms of therapy for both benign and malignant conditions of the prostate. Short-term efficacy of collagen thera ... Full text Link to item Cite

Intrathecal sufentanil for extracorporeal shock wave lithotripsy provides earlier discharge of the outpatient than intrathecal lidocaine.

Journal Article Anesth Analg · June 1997 Many anesthetic techniques are currently used for extracorporeal shock wave lithotripsy (ESWL). This randomized, prospective, double-blind study was designed to examine postoperative recovery with two anesthetic techniques for unilateral ESWL; i.e., intrat ... Full text Link to item Cite

Retrograde treatment of ureteropelvic junction obstruction using the ureteral cutting balloon catheter.

Journal Article J Urol · February 1997 PURPOSE: We assessed the efficacy and safety of a new cutting balloon catheter to treat symptomatic ureteropelvic junction obstruction in adults. MATERIALS AND METHODS: A total of 32 adults (mean age 40 years, range 18 to 79) underwent retrograde balloon i ... Link to item Cite

Percutaneous nephrolithotripsy in the morbidly obese patient.

Journal Article Tech Urol · 1997 From 1989 to 1995, 530 patients underwent percutaneous nephrolithotripsy, of which 93 were identified as morbidly obese. A retrospective study was performed comparing results of nephrolithotripsy in patients with near normal ideal body weight versus those ... Link to item Cite

Endoscopic collagen injection therapy in elderly women with type I stress urinary incontinence.

Journal Article J Urol · February 1996 PURPOSE: The safety and efficacy of collagen injection therapy for the treatment of type I stress urinary incontinence were determined. MATERIALS AND METHODS: A total of 12 women 68 to 85 years old (mean age 76) with type I stress urinary incontinence unde ... Link to item Cite

Positional variation in the Whitaker test.

Journal Article Radiology · October 1995 PURPOSE: To describe positional variation in the outcome of the Whitaker test. MATERIALS AND METHODS: The authors retrospectively reviewed the cases of six patients in whom the pressure gradient during Whitaker testing varied by at least 10 cm of water and ... Full text Link to item Cite

Percutaneous endopyelotomy in infants and young children after failed open pyeloplasty.

Journal Article J Urol · October 1995 PURPOSE: We assessed the efficacy and safety of percutaneous endopyelotomy in infants and young children with secondary ureteropelvic junction obstruction after previous open pyeloplasty. MATERIALS AND METHODS: Three boys and 2 girls with persistent ureter ... Link to item Cite

Endoscopic injection of glutaraldehyde cross-linked collagen for the treatment of intrinsic sphincter deficiency in women.

Journal Article Urology · September 1995 OBJECTIVES: To determine the clinical efficacy, safety, and durability of endoscopically injected glutaraldehyde cross-linked (GAX) collagen for the treatment of intrinsic sphincter deficiency (ISD) in women. METHODS: Forty-two women with a mean age of 64 ... Full text Link to item Cite

Urinary incontinence in girls. Evaluation, treatment, and its place in the standard model of voiding dysfunctions in children.

Journal Article Urol Clin North Am · August 1995 Urinary incontinence is the principle voiding dysfunction of childhood. This can be viewed as one among many dysfunctions in our standard model of voiding dysfunction. A careful elimination history is essential to manage any voiding dysfunction. ... Link to item Cite

Long-term outcome evaluation of patients undergoing the meatal advancement and glanuloplasty procedure.

Journal Article J Urol · May 1995 A total of 100 consecutive children with distal hypospadias who underwent a variation of the Duckett procedure of meatal advancement and glanuloplasty between 1985 and 1990 was evaluated for outcome in terms of urinary stream, erection, cosmetic appearance ... Link to item Cite

Compliance and complications of clean intermittent catheterization in the spinal cord injured patient.

Journal Article Paraplegia · March 1995 The optimal management of the neuropathic bladder secondary to spinal cord injury remains unsettled. Some have advocated the use of chronic indwelling catheters in tetraplegic patients supposedly due to comparable complication rates with non-indwelling cat ... Full text Link to item Cite

Treatment of pediatric urethral stricture disease with the neodymium:yttrium-aluminum-garnet laser.

Journal Article Urology · August 1994 OBJECTIVES: The aim of this study was to assess the efficacy and safety of the neodymium:yttrium-aluminum-garnet (Nd:YAG) laser in the treatment of pediatric urethral stricture disease. METHODS: Twelve boys who had previously undergone unsuccessful cold-kn ... Full text Link to item Cite

Incontinent ileo-vesicostomy urinary diversion in the treatment of lower urinary tract dysfunction.

Conference J Urol · July 1994 The combination of high spinal cord injury and neurovesical dysfunction can present formidable problems in urological management. The lack of upper extremity function often prevents intermittent catheterization and leads to alternative methods. A total of ... Full text Link to item Cite

Urologic laparoscopy with a new blunt-tipped trocar: safe, rapid access without the use of fascial sutures.

Journal Article Urology · June 1994 Fifteen patients underwent successful laparoscopic procedures where a new blunt-tipped trocar was used both to gain initial access to and to insufflate the abdominal cavity. The use of this new trocar obviates the need for the use of the Veress needle and ... Full text Link to item Cite

Corynebacterium induced urethral incrustation.

Journal Article J Urol · June 1994 To our knowledge we report the first case of extensive urethral incrustation to be caused by corynebacterium group D2 infection. The condition was treated effectively by intravenous vancomycin hydrochloride, cystolitholapaxy and urinary acidification with ... Full text Link to item Cite

Dislocation of the testis as a delayed presentation of scrotal trauma.

Journal Article Urology · May 1994 Traumatic dislocation of the testis is a rare event in which the full extent of the dislocation is present immediately following the initial trauma. We present a case in which the testicular dislocation progressed over a period of four days following the i ... Full text Link to item Cite

Intravesical instillation of gentamicin sulfate: in vitro, rat, canine, and human studies.

Journal Article Urology · April 1994 OBJECTIVE: Intravesical instillation of gentamicin sulfate has been used empirically as prophylaxis and to treat bacilluria in spinal-cord-injured patients undergoing clean intermittent catheterization. To assess the risks of absorption and the effects of ... Full text Link to item Cite

Massive locally extensive prostate cancer.

Journal Article Urology · February 1994 A massive, locally extensive adenocarcinoma of the prostate (2,246 ccm) presenting as constipation and a palpable abdominal mass, was treated with androgen deprivation resulting in a 94 percent reduction in tumor size, and relief of symptoms. Serum prostat ... Full text Link to item Cite

Synchronous cystoscopy and cystometry in the management of neurogenic bladder dysfunction.

Journal Article J Urol · August 1993 The physical difficulties associated with cystoscopy and cystometry in the spinal cord injury patient led to a clinical trial of synchronous cystoscopy and cystometry in these individuals. Following a disappointing experience with external transducer metho ... Full text Link to item Cite

The management of meatal obstruction due to Kaposi's sarcoma of the glans penis.

Journal Article J Urol · July 1993 Kaposi's sarcoma involving the glans penis was first described in 1902, with a subsequent report of meatal disease in 1943. With the recognition of the acquired immunodeficiency syndrome, genital lesions are becoming more frequently reported, with 51 cases ... Full text Link to item Cite

Congenital prostatic cyst causing ejaculatory duct obstruction: management by transrectal cyst aspiration.

Journal Article J Urol · May 1993 Congenital prostatic cysts are relatively uncommon and rarely symptomatic. We describe a 24-year-old man who presented with a 2-month history of anejaculation accompanied with bilateral epididymal pain. Transrectal ultrasonography of the prostate revealed ... Full text Link to item Cite

Results of combined Nesbit penile plication with plaque incision and placement of Dacron patch in patients with severe Peyronie's disease.

Journal Article J Urol · May 1993 We treated 9 men with severe curvature of the penis secondary to Peyronie's disease with penile plication and a previously unreported technique of incision of the Peyronie plaque and placement of Dacron patch. All men were potent before penile straightenin ... Full text Link to item Cite

Evidence for urothelial cell activation in interstitial cystitis.

Journal Article J Urol · March 1993 Bladder biopsy samples from 17 interstitial cystitis patients and 20 controls were evaluated for urothelial cell activation using a panel of monoclonal antibodies to HLA-DR, intercellular adhesion molecule 1, interleukin 1 alpha and tumor necrosis factor a ... Full text Link to item Cite

Percutaneous Extraction of Calculi from Continent Augmentation Cystoplasty

Journal Article Journal of Endourology · January 1, 1992 We report the complete removal of stones from a continent urinary reservoir via a percutaneous route without using the continent efferent limb. Large-diameter endoscopic instruments greatly facilitated calculus extraction. © 1992, Mary Ann Liebert, Inc. Al ... Full text Cite