Urology

OBJECTIVE: To demonstrate, using actual insurance data, that benign pelvic conditions are associated with increased health care costs and that these costs increase further with each additional coexisting benign pelvic diagnosis. METHODS: D…

OBJECTIVE: To examine Chronic Overlapping Pain Conditions (COPC) prevalence in Urologic Chronic Pelvic Pain Syndrome (UCPPS) patients and assess the independent contributions of specific COPCs and pairwise COPC combinations to the severity …

ObjectiveTo compare IVF utilization rates and IVF outcomes in states with and without mandates for male infertility coverage. In 2020, 43 states recorded their lowest fertility rate in 3 decades. In-vitro fertilization (IVF) is an important…

BACKGROUND: Endometriosis is a chronic, debilitating condition affecting up to 10% of reproductive-age women. Urinary tract endometriosis is found in 1%-6% of women diagnosed with pelvic endometriosis, with the most common sites being the b…

OBJECTIVE: Bladder endometriosis is the presence of stroma and endometrial glands in the thickness of the detrusor muscle. The main symptoms it produces are dysuria and hematuria whose intensity is directly proportional to the size of the n…

OBJECTIVE: To explore association between misdiagnosis of IC/BPS and demographics. Interstitial cystitis/bladder pain syndrome (IC/BPS) is associated with significant diagnostic uncertainty, resulting in frequent misdiagnosis as there is li…

ObjectiveTo provide a conceptual framework to guide investigations into burdens of noncancerous genitourinary conditions (NCGUCs), which are extensive and poorly understood.MethodsThe National Institute of Diabetes and Digestive and Kidney …

OBJECTIVE: To further examine anesthetic bladder capacity as a biomarker for interstitial cystitis/bladder pain syndrome (IC/BPS) patient subtypes, we evaluated demographic and clinical characteristics in a large and heterogeneous female pa…

There is growing evidence suggesting cannabinoids may provide suitable alternatives to conventional treatments in an increasing number of clinical settings. This review evaluates how cannabinoids are used to treat certain benign urological …

OBJECTIVE: To examine the prevalence of comorbid conditions in a nationwide population of men and women with IC/BPS utilizing a more heterogeneous sample than most studies to date. METHODS: Using the Veterans Affairs Informatics and Comput…

OBJECTIVE: To identify the potential biomarkers of interstitial cystitis/painful bladder syndrome (IC), a chronic syndrome of bladder-centric pain with unknown etiology that has an adverse impact on quality of life, we analyzed the urine an…

OBJECTIVE: To assess the character and prevalence of female pelvic pain in a general urology population presenting for evaluation of unrelated non-painful complaints. METHODS: This is an IRB-approved, prospective, cross-sectional survey-ba…

OBJECTIVE: To elucidate the relationship between catastrophization and pelvic pain symptomatology in chronic pelvic pain (CPP) patients using standardized questionnaires. METHODS: CPP patients completed standardized questionnaires which in…

ObjectiveTo characterize the pathways to care that infertile couples requiring varicocele repair (VR) pursue prior to presenting to a male fertility clinic.MethodsAn IRB-approved single center retrospective review of patients undergoing VR …

OBJECTIVE: To better characterize granular cell tumor of the bladder, with only 20 cases reported to date and unclear management guidelines. METHODS: We report five benign and one malignant granular cell tumor of the bladder. RESULTS: Pat…

OBJECTIVE: To identify the rate of catastrophizing in a cohort of subjects with chronic pain after self-reported mesh complications and identify interactions of catastrophization with other patient factors, such as age, number of pelvic sur…

A 41-year-old female patient presented with left-sided flank pain and gross hematuria temporally unrelated to her menstrual cycle. Abdominal computed tomography scan showed a large left-sided solid, enhancing kidney mass radiographically co…

OBJECTIVE: To evaluate urinary tract involvement by deep infiltrating endometriosis as well as the surgical treatment and existence of predictive factors for major urologic surgery. METHODS: We conducted a retrospective analysis of 656 wom…

OBJECTIVE: To identify risk factors for urologic reconstruction during surgery for endometriosis. PATIENTS AND METHODS: We retrospectively identified patients in a surgical pathology database undergoing surgery for endometriosis at our ins…

OBJECTIVE: To determine the occurrence of lower genitourinary tract (LGUT) injury during hysterectomy for benign disease and identify risk factors for LGUT injury, with a specific focus on the effect of hysterectomy modality. METHODS: We p…

OBJECTIVE: To present the largest experience on the ureteroscopic management of ureteral obstruction secondary to intraluminal endometrial implantation. MATERIALS AND METHODS: We retrospectively evaluated patients who underwent ureteroscop…

A 46-year-old woman underwent a robotic-assisted laparoscopic hysterectomy with bilateral salpingo-oophorectomy for the treatment of endometriosis. Two weeks postoperatively, she presented with pelvic pain and vaginal drainage. A right uret…

A 41-year-old woman presented with severe lower abdominal pain. She had a history of 2 cesarean deliveries. Magnetic resonance imaging (MRI) revealed a 4.3 × 4.6 × 4.8-cm mass on the urinary bladder dome. Preoperative diagnosis was invasive…

OBJECTIVE: To discuss the contemporary management of urinary tract endometriosis and report our experience concerning laparoscopic treatment of intrinsic urinary tract endometriosis. METHODS: We performed a retrospective, multicenter study…