
Using the 4Kscore Test and Magnetic Resonance Imaging Results to Avoid Unnecessary Prostate Biopsy
Herbert Lepor, MD
Finding the Wolf in Sheep’s Clothing: The 4Kscore Is a Novel Blood Test That Can Accurately Identify the Risk of Aggressive Prostate Cancer
Sanoj Punnen, MD, MAS, Nicola Pavan, MD, Dipen J. Parekh, MD
The 4Kscore® Test (OPKO Lab, Nashville, TN) is a new blood test that accurately identifies the risk of aggressive prostate cancer. The 4Kscore Test plays an important clinical role as a reflex test prior to proceeding with initial prostate biopsy in men with an elevated PSA level or abnormal digital rectal examination results, or after a prior negative biopsy and persistently abnormal PSA levels.
Expectations of Stress Urinary Incontinence Surgery in Patients With Mixed Urinary Incontinence
Benjamin M. Brucker, MD
Mixed urinary incontinence is estimated to affect 30% of all women who have urinary incontinence, and it has been shown to be more bothersome to women than pure stress incontinence. Given the degree of bother, many women will undergo surgical correction for incontinence. Patients have high expectations about the success of these interventions. Understanding mixed incontinence and the effects of our interventions can help guide therapeutic choices and manage patients’ expectations.
3D Printing and Its Urologic Applications
Youssef Soliman, MD, Allison H. Feibus, MS, Neil Baum, MD
3D printing is the development of 3D objects via an additive process in which successive layers of material are applied under computer control. This article discusses 3D printing, with an emphasis on its historical context and its potential use in the field of urology.
Hemostasis During Urologic Surgery: Fibrin Sealant Compared With Absorbable Hemostat
David M. Albala, MD, FACS, Jerome B. Riebman, MD, FACS, Richard Kocharian, MD, PhD, Bogdan Ilie, MS, John Albanese, MBA, Jessica Shen, MD, Liza Ovington, PhD, Jonathan Batiller, MB
This subanalysis compares the safety and effectiveness of a fibrin sealant versus an absorbable hemostat for achieving hemostasis during urologic procedures with mild to moderate bleeding.
Thriving in the Independent Setting: Highlights From the 2014 LUGPA Annual Meeting
Neal D. Shore, MD
How Best to Use Modifier 59
Jonathan Rubenstein, MD
Highlights From the 2014 Pediatric Urology Fall Congress, October 24-26, 2014, Miami, FL
Best of the 2014 Pediatric Urology Fall Congress
Ellen Shapiro, MD, FACS, FAAP
Adenocarcinoma of the Urethra With Mucinous Features
Arthi Satyanarayan, BA, Lucas Redd, MD, Anthony Dyer, MD, Andrew Wright, MD, Jonathan Walker, MD
Primary adenocarcinoma of the female urethra is a rare malignancy. Previous studies hypothesize multiple origins, including periurethral glands or intestinal metaplasia. The authors report a case of a 60-year-old white woman with adenocarcinoma of the urethra who initially presented with obstructive voiding complaints secondary to a urethral mass.
Rare Case of Monozygotic Twins Diagnosed With Klinefelter Syndrome During Evaluation for Infertility
Yagil Barazani, MD, Edmund Sabanegh, Jr, MD
The authors describe the fourth ever reported case of monozygotic twins with Klinefelter syndrome and shed interesting light on the reproductive concordance observed with this rare clinical entity.
En Bloc Robot-assisted Laparoscopic Partial Cystectomy, Urachal Resection, and Pelvic Lymphadenectomy for Urachal Adenocarcinoma
Christopher R. Williams, MD, Keyur Chavda, MD
The authors report a case of robot-assisted laparoscopic partial cystectomy with en bloc resection of the urachus and bilateral pelvic lymphadenectomy for urachal carcinoma.

Using the 4Kscore Test and Magnetic Resonance Imaging Results to Avoid Unnecessary Prostate Biopsy
Herbert Lepor, MD
Finding the Wolf in Sheep’s Clothing: The 4Kscore Is a Novel Blood Test That Can Accurately Identify the Risk of Aggressive Prostate Cancer
Sanoj Punnen, MD, MAS, Nicola Pavan, MD, Dipen J. Parekh, MD
The 4Kscore® Test (OPKO Lab, Nashville, TN) is a new blood test that accurately identifies the risk of aggressive prostate cancer. The 4Kscore Test plays an important clinical role as a reflex test prior to proceeding with initial prostate biopsy in men with an elevated PSA level or abnormal digital rectal examination results, or after a prior negative biopsy and persistently abnormal PSA levels.
Expectations of Stress Urinary Incontinence Surgery in Patients With Mixed Urinary Incontinence
Benjamin M. Brucker, MD
Mixed urinary incontinence is estimated to affect 30% of all women who have urinary incontinence, and it has been shown to be more bothersome to women than pure stress incontinence. Given the degree of bother, many women will undergo surgical correction for incontinence. Patients have high expectations about the success of these interventions. Understanding mixed incontinence and the effects of our interventions can help guide therapeutic choices and manage patients’ expectations.
3D Printing and Its Urologic Applications
Youssef Soliman, MD, Allison H. Feibus, MS, Neil Baum, MD
3D printing is the development of 3D objects via an additive process in which successive layers of material are applied under computer control. This article discusses 3D printing, with an emphasis on its historical context and its potential use in the field of urology.
Hemostasis During Urologic Surgery: Fibrin Sealant Compared With Absorbable Hemostat
David M. Albala, MD, FACS, Jerome B. Riebman, MD, FACS, Richard Kocharian, MD, PhD, Bogdan Ilie, MS, John Albanese, MBA, Jessica Shen, MD, Liza Ovington, PhD, Jonathan Batiller, MB
This subanalysis compares the safety and effectiveness of a fibrin sealant versus an absorbable hemostat for achieving hemostasis during urologic procedures with mild to moderate bleeding.
Thriving in the Independent Setting: Highlights From the 2014 LUGPA Annual Meeting
Neal D. Shore, MD
How Best to Use Modifier 59
Jonathan Rubenstein, MD
Highlights From the 2014 Pediatric Urology Fall Congress, October 24-26, 2014, Miami, FL
Best of the 2014 Pediatric Urology Fall Congress
Ellen Shapiro, MD, FACS, FAAP
Adenocarcinoma of the Urethra With Mucinous Features
Arthi Satyanarayan, BA, Lucas Redd, MD, Anthony Dyer, MD, Andrew Wright, MD, Jonathan Walker, MD
Primary adenocarcinoma of the female urethra is a rare malignancy. Previous studies hypothesize multiple origins, including periurethral glands or intestinal metaplasia. The authors report a case of a 60-year-old white woman with adenocarcinoma of the urethra who initially presented with obstructive voiding complaints secondary to a urethral mass.
Rare Case of Monozygotic Twins Diagnosed With Klinefelter Syndrome During Evaluation for Infertility
Yagil Barazani, MD, Edmund Sabanegh, Jr, MD
The authors describe the fourth ever reported case of monozygotic twins with Klinefelter syndrome and shed interesting light on the reproductive concordance observed with this rare clinical entity.
En Bloc Robot-assisted Laparoscopic Partial Cystectomy, Urachal Resection, and Pelvic Lymphadenectomy for Urachal Adenocarcinoma
Christopher R. Williams, MD, Keyur Chavda, MD
The authors report a case of robot-assisted laparoscopic partial cystectomy with en bloc resection of the urachus and bilateral pelvic lymphadenectomy for urachal carcinoma.

Using the 4Kscore Test and Magnetic Resonance Imaging Results to Avoid Unnecessary Prostate Biopsy
Herbert Lepor, MD
Finding the Wolf in Sheep’s Clothing: The 4Kscore Is a Novel Blood Test That Can Accurately Identify the Risk of Aggressive Prostate Cancer
Sanoj Punnen, MD, MAS, Nicola Pavan, MD, Dipen J. Parekh, MD
The 4Kscore® Test (OPKO Lab, Nashville, TN) is a new blood test that accurately identifies the risk of aggressive prostate cancer. The 4Kscore Test plays an important clinical role as a reflex test prior to proceeding with initial prostate biopsy in men with an elevated PSA level or abnormal digital rectal examination results, or after a prior negative biopsy and persistently abnormal PSA levels.
Expectations of Stress Urinary Incontinence Surgery in Patients With Mixed Urinary Incontinence
Benjamin M. Brucker, MD
Mixed urinary incontinence is estimated to affect 30% of all women who have urinary incontinence, and it has been shown to be more bothersome to women than pure stress incontinence. Given the degree of bother, many women will undergo surgical correction for incontinence. Patients have high expectations about the success of these interventions. Understanding mixed incontinence and the effects of our interventions can help guide therapeutic choices and manage patients’ expectations.
3D Printing and Its Urologic Applications
Youssef Soliman, MD, Allison H. Feibus, MS, Neil Baum, MD
3D printing is the development of 3D objects via an additive process in which successive layers of material are applied under computer control. This article discusses 3D printing, with an emphasis on its historical context and its potential use in the field of urology.
Hemostasis During Urologic Surgery: Fibrin Sealant Compared With Absorbable Hemostat
David M. Albala, MD, FACS, Jerome B. Riebman, MD, FACS, Richard Kocharian, MD, PhD, Bogdan Ilie, MS, John Albanese, MBA, Jessica Shen, MD, Liza Ovington, PhD, Jonathan Batiller, MB
This subanalysis compares the safety and effectiveness of a fibrin sealant versus an absorbable hemostat for achieving hemostasis during urologic procedures with mild to moderate bleeding.
Thriving in the Independent Setting: Highlights From the 2014 LUGPA Annual Meeting
Neal D. Shore, MD
How Best to Use Modifier 59
Jonathan Rubenstein, MD
Highlights From the 2014 Pediatric Urology Fall Congress, October 24-26, 2014, Miami, FL
Best of the 2014 Pediatric Urology Fall Congress
Ellen Shapiro, MD, FACS, FAAP
Adenocarcinoma of the Urethra With Mucinous Features
Arthi Satyanarayan, BA, Lucas Redd, MD, Anthony Dyer, MD, Andrew Wright, MD, Jonathan Walker, MD
Primary adenocarcinoma of the female urethra is a rare malignancy. Previous studies hypothesize multiple origins, including periurethral glands or intestinal metaplasia. The authors report a case of a 60-year-old white woman with adenocarcinoma of the urethra who initially presented with obstructive voiding complaints secondary to a urethral mass.
Rare Case of Monozygotic Twins Diagnosed With Klinefelter Syndrome During Evaluation for Infertility
Yagil Barazani, MD, Edmund Sabanegh, Jr, MD
The authors describe the fourth ever reported case of monozygotic twins with Klinefelter syndrome and shed interesting light on the reproductive concordance observed with this rare clinical entity.
En Bloc Robot-assisted Laparoscopic Partial Cystectomy, Urachal Resection, and Pelvic Lymphadenectomy for Urachal Adenocarcinoma
Christopher R. Williams, MD, Keyur Chavda, MD
The authors report a case of robot-assisted laparoscopic partial cystectomy with en bloc resection of the urachus and bilateral pelvic lymphadenectomy for urachal carcinoma.