For full functionality of this publication it is necessary to enable Javascript.

Click here to see instructions how to enable JavaScript in your web browser.


<--

 

Review Articles 
 
Management Update

Relationship Between Depression and Lower Urinary Tract Symptoms Secondary to Benign Prostatic Hyperplasia

Claire Dunphy, BA, Leanna Laor, MD, Alexis Te, MD, Steven Kaplan, MD, Bilal Chughtai, MD

The authors provide an overview of current data on the relationship between depression and lower urinary tract symptoms secondary to benign prostatic hyperplasia, with a focus on pathophysiology and patient management implications.

 

 

Treatment Update

Penile Rehabilitation Strategies Among Prostate Cancer Survivors

Fouad Aoun, MD, MSc, Alexandre Peltier, MD, Roland van Velthoven, MD, PhD

Despite advances in technical and surgical approaches, erectile dysfunction (ED) remains the most common complication among prostate cancer survivors, adversely impacting quality of life. This article analyzes the concept and rationale of ED rehabilitation programs in prostate cancer patients. Emphasis is placed on the pathophysiology of ED after diagnosis and treatment of prostate cancer to understand the efficacy of rehabilitation programs in clinical practice.

 

 

Treatment Update

A Review of Transplantation Practice of the Urologic Organs: Is It Only Achievable for the Kidney?

Jack Donati-Bourne, MBChB, MRCS, MSc, Harry W. Roberts, MBChB, MSc, Yaseen Rajjoub, MD, Robert A. Coleman, MBBS

Transplantation is a viable treatment option for failure of most major organs. Within urology, transplantation of the kidney and ureter are well documented; however, evidence supporting transplantation of other urologic organs is limited. Failure of these organs carries significant morbidity, and transplantation may have a role in management. This article reviews the knowledge, research, and literature surrounding transplantation of each of the urologic organs.

 

 

Diagnosis and Treatment Update

Diagnosis, Evaluation, and Treatment of Mixed Urinary Incontinence in Women

Bilal Chughtai, MD, Leanna Laor, MD, Claire Dunphy, BA, Richard Lee, MD, Alexis Te, MD, Steven Kaplan, MD

Mixed urinary incontinence (MUI) is a common clinical problem in the community and hospital setting. The broad definition of the term makes it difficult to diagnose, as well as determine effective treatment strategies. There are no current guidelines recommended for physicians. The estimated prevalence of this condition is approximately 30% in all women with incontinence. It has also been suggested that patients with MUI report more bothersome symptoms than either stress or urge incontinence; approximately 32% of 40- to 64-year-olds with MUI report symptoms of depression. The authors examine the diagnosis, evaluation, and treatment of patients with MUI.

 
 
LUGPA News

 

From the President’s Desk: 2015 Updates and a Look Forward

Gary M. Kirsh, MD

 

LUGPA Welcomes Membership of Smaller Practices

Neal D. Shore, MD

 

 

Coding Corner 
 

Preparing for the Transition to ICD-10 by Chart Reviews of Four Urology Practice Types

Jonathan Rubenstein, MD

 

 

Case Reviews 
 

Juxta-adrenal Ancient Schwannoma: A Rare Retroperitoneal Tumor

Daniel A. Wollin, MD, Ganesh Sivarajan, MD, Pratibha Shukla, MD, Jonathan Melamed, MD, William C. Huang, MD, Herbert Lepor, MD

Retroperitoneal schwannoma is a rare tumor that is often misdiagnosed as malignancy due to a concerning appearance on cross-sectional imaging. Pathology and immunohistochemistry form the gold standard for diagnosis; as such, local excision is the treatment of choice for this disease. The authors present two cases of juxta-adrenal ancient schwannoma that were treated with adrenalectomy and discuss the current literature regarding this entity.

 

Genitourinary Presentation of Tuberculosis

Jerry Yuan, MD

Tuberculosis (TB) is less common in developed countries; however, the incidence of TB—especially resistant strains—is on the rise worldwide. Cases of TB manifesting as urologic complications are rare in the United States. Urologists should be aware of this potential manifestation, especially in patients who have recently immigrated to the United States or have traveled abroad for prolonged periods. Two cases are presented here to illustrate this entity.

 

Long-term Survival From Muscle-invasive Bladder Cancer With Initial Presentation of Symptomatic Cerebellar Lesion: The Role of Selective Surgical Extirpation of the Primary and Metastatic Lesion

Ganesh K. Kartha, MD, Joseph Sanfrancesco, MD, Esther Udoji, MD, Hemant Chaparala (MS4), Donna Hansel, MD, PhD, J. Stephen Jones, MD

The authors report on a case of an isolated bladder urothelial carcinoma metastasis to the cerebellum with an 11-year survival following extirpative therapy of both the primary and brain metastasis.

 

 

Literature Reviews 
 

The Comparison of Magnetic Resonance Image–Guided Targeted Biopsy Versus Standard Template Saturation Biopsy in the Detection of Prostate Cancer

Meena Davuluri, MD, MPH, Stacy Loeb, MD

 

Standard and Targeted Biopsy During Follow-up for Active Surveillance

Brian Weiss, MD, Stacy Loeb, MD

 

MRI/Ultrasound Fusion Biopsy Versus Standard 12-Core Biopsy

Brian Weiss, MD, Stacy Loeb, MD

 

Review Articles 
 
Management Update

Relationship Between Depression and Lower Urinary Tract Symptoms Secondary to Benign Prostatic Hyperplasia

Claire Dunphy, BA, Leanna Laor, MD, Alexis Te, MD, Steven Kaplan, MD, Bilal Chughtai, MD

The authors provide an overview of current data on the relationship between depression and lower urinary tract symptoms secondary to benign prostatic hyperplasia, with a focus on pathophysiology and patient management implications.

 

 

Treatment Update

Penile Rehabilitation Strategies Among Prostate Cancer Survivors

Fouad Aoun, MD, MSc, Alexandre Peltier, MD, Roland van Velthoven, MD, PhD

Despite advances in technical and surgical approaches, erectile dysfunction (ED) remains the most common complication among prostate cancer survivors, adversely impacting quality of life. This article analyzes the concept and rationale of ED rehabilitation programs in prostate cancer patients. Emphasis is placed on the pathophysiology of ED after diagnosis and treatment of prostate cancer to understand the efficacy of rehabilitation programs in clinical practice.

 

 

Treatment Update

A Review of Transplantation Practice of the Urologic Organs: Is It Only Achievable for the Kidney?

Jack Donati-Bourne, MBChB, MRCS, MSc, Harry W. Roberts, MBChB, MSc, Yaseen Rajjoub, MD, Robert A. Coleman, MBBS

Transplantation is a viable treatment option for failure of most major organs. Within urology, transplantation of the kidney and ureter are well documented; however, evidence supporting transplantation of other urologic organs is limited. Failure of these organs carries significant morbidity, and transplantation may have a role in management. This article reviews the knowledge, research, and literature surrounding transplantation of each of the urologic organs.

 

 

Diagnosis and Treatment Update

Diagnosis, Evaluation, and Treatment of Mixed Urinary Incontinence in Women

Bilal Chughtai, MD, Leanna Laor, MD, Claire Dunphy, BA, Richard Lee, MD, Alexis Te, MD, Steven Kaplan, MD

Mixed urinary incontinence (MUI) is a common clinical problem in the community and hospital setting. The broad definition of the term makes it difficult to diagnose, as well as determine effective treatment strategies. There are no current guidelines recommended for physicians. The estimated prevalence of this condition is approximately 30% in all women with incontinence. It has also been suggested that patients with MUI report more bothersome symptoms than either stress or urge incontinence; approximately 32% of 40- to 64-year-olds with MUI report symptoms of depression. The authors examine the diagnosis, evaluation, and treatment of patients with MUI.

 
 
LUGPA News

 

From the President’s Desk: 2015 Updates and a Look Forward

Gary M. Kirsh, MD

 

LUGPA Welcomes Membership of Smaller Practices

Neal D. Shore, MD

 

 

Coding Corner 
 

Preparing for the Transition to ICD-10 by Chart Reviews of Four Urology Practice Types

Jonathan Rubenstein, MD

 

 

Case Reviews 
 

Juxta-adrenal Ancient Schwannoma: A Rare Retroperitoneal Tumor

Daniel A. Wollin, MD, Ganesh Sivarajan, MD, Pratibha Shukla, MD, Jonathan Melamed, MD, William C. Huang, MD, Herbert Lepor, MD

Retroperitoneal schwannoma is a rare tumor that is often misdiagnosed as malignancy due to a concerning appearance on cross-sectional imaging. Pathology and immunohistochemistry form the gold standard for diagnosis; as such, local excision is the treatment of choice for this disease. The authors present two cases of juxta-adrenal ancient schwannoma that were treated with adrenalectomy and discuss the current literature regarding this entity.

 

Genitourinary Presentation of Tuberculosis

Jerry Yuan, MD

Tuberculosis (TB) is less common in developed countries; however, the incidence of TB—especially resistant strains—is on the rise worldwide. Cases of TB manifesting as urologic complications are rare in the United States. Urologists should be aware of this potential manifestation, especially in patients who have recently immigrated to the United States or have traveled abroad for prolonged periods. Two cases are presented here to illustrate this entity.

 

Long-term Survival From Muscle-invasive Bladder Cancer With Initial Presentation of Symptomatic Cerebellar Lesion: The Role of Selective Surgical Extirpation of the Primary and Metastatic Lesion

Ganesh K. Kartha, MD, Joseph Sanfrancesco, MD, Esther Udoji, MD, Hemant Chaparala (MS4), Donna Hansel, MD, PhD, J. Stephen Jones, MD

The authors report on a case of an isolated bladder urothelial carcinoma metastasis to the cerebellum with an 11-year survival following extirpative therapy of both the primary and brain metastasis.

 

 

Literature Reviews 
 

The Comparison of Magnetic Resonance Image–Guided Targeted Biopsy Versus Standard Template Saturation Biopsy in the Detection of Prostate Cancer

Meena Davuluri, MD, MPH, Stacy Loeb, MD

 

Standard and Targeted Biopsy During Follow-up for Active Surveillance

Brian Weiss, MD, Stacy Loeb, MD

 

MRI/Ultrasound Fusion Biopsy Versus Standard 12-Core Biopsy

Brian Weiss, MD, Stacy Loeb, MD

 

Review Articles 
 
Management Update

Relationship Between Depression and Lower Urinary Tract Symptoms Secondary to Benign Prostatic Hyperplasia

Claire Dunphy, BA, Leanna Laor, MD, Alexis Te, MD, Steven Kaplan, MD, Bilal Chughtai, MD

The authors provide an overview of current data on the relationship between depression and lower urinary tract symptoms secondary to benign prostatic hyperplasia, with a focus on pathophysiology and patient management implications.

 

 

Treatment Update

Penile Rehabilitation Strategies Among Prostate Cancer Survivors

Fouad Aoun, MD, MSc, Alexandre Peltier, MD, Roland van Velthoven, MD, PhD

Despite advances in technical and surgical approaches, erectile dysfunction (ED) remains the most common complication among prostate cancer survivors, adversely impacting quality of life. This article analyzes the concept and rationale of ED rehabilitation programs in prostate cancer patients. Emphasis is placed on the pathophysiology of ED after diagnosis and treatment of prostate cancer to understand the efficacy of rehabilitation programs in clinical practice.

 

 

Treatment Update

A Review of Transplantation Practice of the Urologic Organs: Is It Only Achievable for the Kidney?

Jack Donati-Bourne, MBChB, MRCS, MSc, Harry W. Roberts, MBChB, MSc, Yaseen Rajjoub, MD, Robert A. Coleman, MBBS

Transplantation is a viable treatment option for failure of most major organs. Within urology, transplantation of the kidney and ureter are well documented; however, evidence supporting transplantation of other urologic organs is limited. Failure of these organs carries significant morbidity, and transplantation may have a role in management. This article reviews the knowledge, research, and literature surrounding transplantation of each of the urologic organs.

 

 

Diagnosis and Treatment Update

Diagnosis, Evaluation, and Treatment of Mixed Urinary Incontinence in Women

Bilal Chughtai, MD, Leanna Laor, MD, Claire Dunphy, BA, Richard Lee, MD, Alexis Te, MD, Steven Kaplan, MD

Mixed urinary incontinence (MUI) is a common clinical problem in the community and hospital setting. The broad definition of the term makes it difficult to diagnose, as well as determine effective treatment strategies. There are no current guidelines recommended for physicians. The estimated prevalence of this condition is approximately 30% in all women with incontinence. It has also been suggested that patients with MUI report more bothersome symptoms than either stress or urge incontinence; approximately 32% of 40- to 64-year-olds with MUI report symptoms of depression. The authors examine the diagnosis, evaluation, and treatment of patients with MUI.

 
 
LUGPA News

 

From the President’s Desk: 2015 Updates and a Look Forward

Gary M. Kirsh, MD

 

LUGPA Welcomes Membership of Smaller Practices

Neal D. Shore, MD

 

 

Coding Corner 
 

Preparing for the Transition to ICD-10 by Chart Reviews of Four Urology Practice Types

Jonathan Rubenstein, MD

 

 

Case Reviews 
 

Juxta-adrenal Ancient Schwannoma: A Rare Retroperitoneal Tumor

Daniel A. Wollin, MD, Ganesh Sivarajan, MD, Pratibha Shukla, MD, Jonathan Melamed, MD, William C. Huang, MD, Herbert Lepor, MD

Retroperitoneal schwannoma is a rare tumor that is often misdiagnosed as malignancy due to a concerning appearance on cross-sectional imaging. Pathology and immunohistochemistry form the gold standard for diagnosis; as such, local excision is the treatment of choice for this disease. The authors present two cases of juxta-adrenal ancient schwannoma that were treated with adrenalectomy and discuss the current literature regarding this entity.

 

Genitourinary Presentation of Tuberculosis

Jerry Yuan, MD

Tuberculosis (TB) is less common in developed countries; however, the incidence of TB—especially resistant strains—is on the rise worldwide. Cases of TB manifesting as urologic complications are rare in the United States. Urologists should be aware of this potential manifestation, especially in patients who have recently immigrated to the United States or have traveled abroad for prolonged periods. Two cases are presented here to illustrate this entity.

 

Long-term Survival From Muscle-invasive Bladder Cancer With Initial Presentation of Symptomatic Cerebellar Lesion: The Role of Selective Surgical Extirpation of the Primary and Metastatic Lesion

Ganesh K. Kartha, MD, Joseph Sanfrancesco, MD, Esther Udoji, MD, Hemant Chaparala (MS4), Donna Hansel, MD, PhD, J. Stephen Jones, MD

The authors report on a case of an isolated bladder urothelial carcinoma metastasis to the cerebellum with an 11-year survival following extirpative therapy of both the primary and brain metastasis.

 

 

Literature Reviews 
 

The Comparison of Magnetic Resonance Image–Guided Targeted Biopsy Versus Standard Template Saturation Biopsy in the Detection of Prostate Cancer

Meena Davuluri, MD, MPH, Stacy Loeb, MD

 

Standard and Targeted Biopsy During Follow-up for Active Surveillance

Brian Weiss, MD, Stacy Loeb, MD

 

MRI/Ultrasound Fusion Biopsy Versus Standard 12-Core Biopsy

Brian Weiss, MD, Stacy Loeb, MD