Urologic Surgery

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History taking in a child who presents with a first episode of nephrolithiasis should include determination of whether there are affected family members, because pediatric patients with a positive family history appear to be at risk for recurrent stones, according to research reported at the AUA annual meeting in Orlando, FL.

Anterior urethral strictures associated with hypospadias repair or lichen sclerosus pose a surgical challenge, often necessitating a staged approach to repair, using oral mucosa grafts. In a Cleveland Clinic study presented yesterday, multistage urethroplasty with buccal mucosa led to a high rate of durable patency, associated with a low incidence of complications and revisions.

In this article, I outline my patient discussion concerning prostate cancer screening, which includes defining what the PSA test is, why to screen or not to screen, the screening controversy, current guidelines, and decision aids.

Patients with chronic kidney disease who undergo robot-assisted partial nephrectomy for kidney cancer have minimal loss of renal function-a smaller amount even than patients with normal kidney function, according to researchers at Henry Ford Hospital in Detroit, who say their study is the largest of its kind.

In this article, we briefly review the evaluation of patients with PPI and discuss the benefits and drawbacks of conservative, pharmacologic, injection, and surgical treatments.