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Perineal urethrostomy is a surgical method for alleviating urethral obstruction in cats with complicated or recurrent obstructive feline lower urinary tract disease. While long-term quality of life after perineal urethrostomy [...]

Undescended testes are a common congenital disorder with potential sequelae that include infertility and malignancy. This article addresses a contemporary perspective on the pathophysiology of the undescended testis, impact on [...]

Urologist self-referral of services such as intensity-modulated radiation therapy and pathology has raised ethical questions that continue to be debated. In this interview, Patrick H. McKenna, MD, former chairman of [...]

In my previous editorial, I recounted the advances we had made in the past 50 years in benign disease. (1) It also provided a good opportunity to reflect on conditions [...]

Bulbomembranous urethral strictures (BMUS) after surgery for BPH are challenging, as the internal sphincter located at the bladder neck has been removed by prostatectomy, and urinary continence now depends on [...]

Background: Acute kidney injury is a serious complication of elective major surgery. Acute dialysis is used to support life in the most severe cases. We examined whether rates and outcomes of acute dialysis after elective major surgery have changed over time. Methods: We used data from Ontario's universal health care databases to study all consecutive patients who had elective major surgery at 118 hospitals between 1995 and 2009. Our primary outcomes were acute dialysis within 14 days of surgery, death within 90 days of surgery and chronic dialysis for patients who did not recover kidney function. Results: A total of 552 672 patients underwent elective major surgery during the study period, 2231 of whom received acute dialysis. The incidence of acute dialysis increased steadily from 0.2% in 1995 (95% confidence interval [CI] 0.15-0.2) to 0.6% in 2009 (95% CI 0.6-0.7). This increase was primarily in cardiac and vascular surgeries. Among patients who received acute dialysis, 937 died within 90 days of surgery (42.0%, 95% CI 40.0-44.1), with no change in 90day survival over time. Among the 1294 patients who received acute dialysis and survived beyond 90 days, 352 required chronic dialysis (27.2%, 95% CI 24.8-29.7), with no change over time. Interpretation: The use of acute dialysis after cardiac and vascular surgery has increased substantially since 1995. Studies focusing on interventions to better prevent and treat perioperative acute kidney injury are needed., More than 230 million elective major surgeries are done annually worldwide. (1) Acute kidney injury is a serious complication of major surgery. It represents a sudden loss of kidney function [...]

Non-arteritic anterior ischemic optic neuropathy (NAION) is a common condition that causes sudden, painless vision loss in older individuals. One possible etiology of NAION is acute blood loss that results [...]

Hypospadias affects between 1 in 125 and 1 in 300 males, resulting from premature arrest of urethral fold tubularization. Some evidence suggests that the number of hypospadias cases is rising, [...]

The intra- and postoperative anatomic complications, frequency, and influence of risk factors of the tension-free vaginal tape are described. Tension-free vaginal tape is a relative safe procedure and concomitant pelvic surgery can be performed safely.

Benign prostatic hyperplasia (BPH) is a common problem among older men. Transurethral resection of the prostate (TURP) is a common surgical procedure for treatment of BPH. Typically, TURP is performed using monopolar electric current and a wire electrode; however, the irrigating solution used during this procedure has the potential to cause transurethral resection (TUR) syndrome. A new technology uses bipolar electrosurgery, which creates less risk of electrical shock, and saline irrigation, which eliminates the risk for TUR syndrome., Benign prostatic hyperplasia (BPH) is a condition that affects many men. Treatment of this condition includes medical, noninvasive, and surgical approaches. Transurethral resection of the prostate (TURP) has been used [...]

In the last 11 years, four urologists have been shot by patients, two fatally. A fifth urologist was shot in 1994 and a Colorado urology clinic was the site of [...]

SAN FRANCISCO--Performing green laser enucleation of the prostate with a live audience does not result in more complications, researchers say. The finding could ease concerns about the live demonstrations of [...]

THE LATEST IN UROLOGIC SURGICAL TECHNIQUES AND OFFICE-BASED PROCEDURES The focus in global health in past decades has been on the management and prevention of communicable diseases. Successful organizations, including [...]