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Objective: To investigate the ability of preoperative dexterity assessments to predict postoperative success of inflatable penile prosthesis (IPP) placement for erectile dysfunction., Materials: A timed 9-hole peg test, pinch and grip strength assessment, and Disabilities of the Arm Shoulder and Hand (DASH) questionnaire were administered during the preoperative visit before IPP placement. In addition to standard preoperative workup, subjective handshake strength was recorded. Initial device-cycling and assessment of pump placement occurred 3-4 weeks after surgery. Three months postoperatively a survey measuring satisfaction, difficulty of use, confidence, and erectile change was administered. Correlation between preoperative assessment variables and the postoperative questionnaire was assessed., Results: Twenty-nine patients were included. Mean age and BMI were 63.0 years and 30.7 kg/m2 respectively. Postoperatively 65.5% of patients were satisfied; 41.4% reported no difficulty of use; and 75.8% were confident in device use by one month. 68.9% rated their erection as much improved or very much improved. Grip strength was inversely associated with difficulty of use (p= 0.037). There was an association between increased age and decreased confidence of device use (p = 0.068). Peg test, pinch strength, and handshake were not statistically significant., Conclusions: Grip strength is a useful adjunct to assess manual functional status during preoperative IPP evaluation for patients whose manual functional status is unclear. These tests are inexpensive and easy to perform in the clinic., Competing Interests: Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this article., (Copyright © 2025. Published by Elsevier Inc.)

Objective: To determine better in-office measures for artificial urinary sphincter outcomes, we investigated the ability of preoperative timed peg-transfer, pinch strength, grip strength, and Disabilities of the Arm Shoulder and Hand Outcome questionnaire in predicting postoperative satisfaction, confidence, and ease of use of artificial urinary sphincter placement for stress urinary incontinence., Materials and Methods: A timed 9-hole peg test, pinch and grip strength assessment, and upper extremity questionnaire were administered during the preoperative visit before sphincter placement. In addition to standard preoperative workup, short-form International Consultation of Incontinence Questionnaire and physician handshake were recorded. Activation occurred 6 weeks after surgery along with assessment of adequacy of pump placement. Three months from surgery a repeat incontinence questionnaire and a survey measuring satisfaction, difficulty of use, and confidence were given. Correlation between preoperative assessment variables and the postoperative questionnaire was assessed., Results: Thirty-nine patients were included. Average age and body mass index were 68.8 years and 28.8 kg/m 2 , respectively. Prior prostatectomy accounted for 92.3% of patients, and 46.2% had prior pelvic radiation. Postoperatively, 59.0% of patients were very satisfied; 64.1% of patients reported no difficulty of use; 53.8% felt confidence within 1 day; and 66.7% had much better bladder control. Average pad improvement count was 5.3. Pinch test was associated with satisfaction (P = .011) while peg test was associated with confidence (P = .049). Handshake and upper extremity questionnaire were not significant., Conclusion: The pinch and 9-hole peg transfer tests are cost-effective and easily performed adjuncts that could be used during artificial urinary sphincter evaluation for patients with unclear manual functional status., Competing Interests: Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this article., (Copyright © 2024 Elsevier Inc. All rights reserved.)

Equations estimating the glomerular filtration rate are important clinical tools in detecting and managing kidney disease. Urologists extensively use these equations in clinical decision making. For example, the estimated glomerular function rate is used when considering the type of urinary diversion following cystectomy, selecting systemic chemotherapy in managing urologic cancers, and deciding the type of cross-sectional imaging in diagnosing or staging urologic conditions. However, these equations, while widely accepted, are imprecise and adjust for race which is a social, not a biologic construct. The recent killings of unarmed Black Americans in the US have amplified the discussion of racism in healthcare and has prompted institutions to reconsider the role of race in estimation of glomerular filtration rate equations and raced-based medicine. Urologist should be aware of the consequences of removing race from these equations, potential alternatives, and how these changes may affect Black patients receiving urologic care., (Copyright © 2021 Elsevier Inc. All rights reserved.)