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Journal of Urology
Journal Prestige (SJR): 2.297
Citation Impact (citeScore): 2
Number of Followers: 45  
 
  Full-text available via subscription Subscription journal
ISSN (Print) 0022-5347
Published by Elsevier Homepage  [3286 journals]
  • Re: First Experience in the UK of Treating Women with Recurrent Urinary
           Tract Infections with the Bacterial Vaccine Uromune®

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      Abstract: Publication date: December 2018Source: The Journal of Urology, Volume 200, Issue 6Author(s): Edward M. Schaeffer
       
  • Information for Authors

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      Abstract: Publication date: December 2018Source: The Journal of Urology, Volume 200, Issue 6Author(s):
       
  • Re: A Systematic Review on Vaginal Laser Therapy for Treating Stress
           Urinary Incontinence: Do we Have Enough Evidence'

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      Abstract: Publication date: December 2018Source: The Journal of Urology, Volume 200, Issue 6Author(s): Alan J. Wein
       
  • Re: Development of the Impact of Nighttime Urination (INTU) Questionnaire
           to Assess the Impact of Nocturia on Health and Functioning

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      Abstract: Publication date: December 2018Source: The Journal of Urology, Volume 200, Issue 6Author(s): Alan J. Wein
       
  • Re: Luteolin Attenuates Wnt Signaling via Upregulation of FZD6 to Suppress
           Prostate Cancer Stemness Revealed by Comparative Proteomics

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      Abstract: Publication date: December 2018Source: The Journal of Urology, Volume 200, Issue 6Author(s): Anthony Atala
       
  • Re: Systemic Surfaceome Profiling Identifies Target Antigens for
           Immune-Based Therapy in Subtypes of Advanced Prostate Cancer

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      Abstract: Publication date: December 2018Source: The Journal of Urology, Volume 200, Issue 6Author(s): Anthony Atala
       
  • Re: SPAG5 Promotes Proliferation and Suppresses Apoptosis in Bladder
           Urothelial Carcinoma by Upregulating Wnt3 via Activating the AKT/mTOR
           Pathway and Predicts Poorer Survival

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      Abstract: Publication date: December 2018Source: The Journal of Urology, Volume 200, Issue 6Author(s): Anthony Atala
       
  • Re: Bilateral Testicular Germ Cell Tumors in the Era of Multimodal Therapy

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      Abstract: Publication date: December 2018Source: The Journal of Urology, Volume 200, Issue 6Author(s): Jerome P. Richie
       
  • Re: The Natural History of Leydig Cell Testicular Tumours: An Analysis of
           the National Cancer Registry

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      Abstract: Publication date: December 2018Source: The Journal of Urology, Volume 200, Issue 6Author(s): Jerome P. Richie
       
  • Re: Intraductal/Ductal Histology and Lymphovascular Invasion are
           Associated with Germline DNA-Repair Gene Mutations in Prostate Cancer

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      Abstract: Publication date: December 2018Source: The Journal of Urology, Volume 200, Issue 6Author(s): Samir S. Taneja
       
  • Re: Gallium 68 PSMA-11 PET/MR Imaging in Patients with Intermediate- or
           High-Risk Prostate Cancer

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      Abstract: Publication date: December 2018Source: The Journal of Urology, Volume 200, Issue 6Author(s): Samir S. Taneja
       
  • Re: Association between Early Confirmatory Testing and the Adoption of
           Active Surveillance for Men with Favorable-Risk Prostate Cancer

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      Abstract: Publication date: December 2018Source: The Journal of Urology, Volume 200, Issue 6Author(s): Samir S. Taneja
       
  • Re: Intravesical rAd-IFNα/Syn3 for Patients with High-Grade, bacillus
           Calmette-Guerin-Refractory or Relapsed Non-Muscle-Invasive Bladder Cancer:
           A Phase II Randomized Study

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      Abstract: Publication date: December 2018Source: The Journal of Urology, Volume 200, Issue 6Author(s): Sam S. Chang
       
  • Re: Impact of Molecular Subtypes in Muscle-Invasive Bladder Cancer on
           Predicting Response and Survival after Neoadjuvant Chemotherapy

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      Abstract: Publication date: December 2018Source: The Journal of Urology, Volume 200, Issue 6Author(s): Sam S. Chang
       
  • Re: Gene Expression Profile of the Clinically Aggressive Micropapillary
           Variant of Bladder Cancer

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      Abstract: Publication date: December 2018Source: The Journal of Urology, Volume 200, Issue 6Author(s): Sam S. Chang
       
  • Re: Diagnostic Performance and Interreader Agreement of a Standardized MR
           Imaging Approach in the Prediction of Small Renal Mass Histology

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      Abstract: Publication date: December 2018Source: The Journal of Urology, Volume 200, Issue 6Author(s): M. Pilar Laguna
       
  • Re: Multiple Growth Periods Predict Unfavourable Pathology in Patients
           with Small Renal Masses

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      Abstract: Publication date: December 2018Source: The Journal of Urology, Volume 200, Issue 6Author(s): M. Pilar Laguna
       
  • Re: Over 30-yr Experience on the Management of Graft Stones after Renal
           Transplantation

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      Abstract: Publication date: December 2018Source: The Journal of Urology, Volume 200, Issue 6Author(s): Dean G. Assimos
       
  • Re: An In Vitro Evaluation of Laser Settings and Location in the
           Efficiency of the Popcorn Effect

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      Abstract: Publication date: December 2018Source: The Journal of Urology, Volume 200, Issue 6Author(s): Dean G. Assimos
       
  • Re: Caliceal Fluid Temperature during High-Power Holmium Laser Lithotripsy
           in an In Vivo Porcine Model

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      Abstract: Publication date: December 2018Source: The Journal of Urology, Volume 200, Issue 6Author(s): Dean G. Assimos
       
  • Re: Exosomes Derived from Calcium Oxalate-Exposed Macrophages Enhance IL-8
           Production from Renal Cells, Neutrophil Migration and Crystal Invasion
           through Extracellular Matrix

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      Abstract: Publication date: December 2018Source: The Journal of Urology, Volume 200, Issue 6Author(s): Dean G. Assimos
       
  • Re: Delayed Posterior Urethroplasty following Pelvic Fracture Urethral
           Injury: Do we Have to Wait 3 Months'

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      Abstract: Publication date: December 2018Source: The Journal of Urology, Volume 200, Issue 6Author(s): Allen F. Morey
       
  • Re: Impact of Adjuvant Radiation on Artificial Urinary Sphincter
           Durability in Postprostatectomy Patients

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      Abstract: Publication date: December 2018Source: The Journal of Urology, Volume 200, Issue 6Author(s): Allen F. Morey
       
  • Re: Hypoandrogenism is Prevalent in Males with Urethral Stricture Disease
           and is Associated with Longer Strictures

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      Abstract: Publication date: December 2018Source: The Journal of Urology, Volume 200, Issue 6Author(s): Allen F. Morey
       
  • Re: Multiple-Institution Comparison of Resident and Faculty Perceptions of
           Burnout and Depression during Surgical Training

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      Abstract: Publication date: December 2018Source: The Journal of Urology, Volume 200, Issue 6Author(s): Matthew J. Resnick
       
  • Re: Comparative Toxicities and Cost of Intensity-Modulated Radiotherapy,
           Proton Radiation, and Stereotactic Body Radiotherapy among Younger Men
           with Prostate Cancer

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      Abstract: Publication date: December 2018Source: The Journal of Urology, Volume 200, Issue 6Author(s): Matthew J. Resnick
       
  • Re: Comparison of Rates and Outcomes of Readmission to Index vs Nonindex
           Hospitals after Major Cancer Surgery

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      Abstract: Publication date: December 2018Source: The Journal of Urology, Volume 200, Issue 6Author(s): Matthew J. Resnick
       
  • Re: Assessment of Functional Capacity before Major Non-Cardiac Surgery: An
           International, Prospective Cohort Study

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      Abstract: Publication date: December 2018Source: The Journal of Urology, Volume 200, Issue 6Author(s): Matthew J. Resnick
       
  • Re: National Trends and Characteristics of Success in the Urology Match
           Process

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      Abstract: Publication date: December 2018Source: The Journal of Urology, Volume 200, Issue 6Author(s): Matthew J. Resnick
       
  • Re: Impact of Prolonged Dialysis prior to Renal Transplantation

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      Abstract: Publication date: December 2018Source: The Journal of Urology, Volume 200, Issue 6Author(s): David A. Goldfarb
       
  • Re: Excluding Patients from Transplant Due to Social Support: Results from
           a National Survey of Transplant Providers

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      Abstract: Publication date: December 2018Source: The Journal of Urology, Volume 200, Issue 6Author(s): David A. Goldfarb
       
  • Re: Recurrence after Management of Meatal Balanitis Xerotica Obliterans

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      Abstract: Publication date: December 2018Source: The Journal of Urology, Volume 200, Issue 6Author(s): Douglas A. Canning
       
  • Re: Proximal Hypospadias Repair with Bladder Mucosal Graft: Our 10 Years
           Experience

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      Abstract: Publication date: December 2018Source: The Journal of Urology, Volume 200, Issue 6Author(s): Douglas A. Canning
       
  • Re: Comparison of Lingual Mucosa and Buccal Mucosa Grafts Used in Inlay
           Urethroplasty in Failed Hypospadias of Pre-Pubertal Boys in a Chinese
           Group

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      Abstract: Publication date: December 2018Source: The Journal of Urology, Volume 200, Issue 6Author(s): Douglas A. Canning
       
  • Re: Evaluation of Mathisen’s Technique for Ureteral Reimplantation in
           Children with Primary Vesicoureteral Reflux

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      Abstract: Publication date: December 2018Source: The Journal of Urology, Volume 200, Issue 6Author(s): Douglas A. Canning
       
  • Re: Case: Anuria and Acute Renal Failure Post-Endoscopic Valve Ablation
           and Foley Catheter Insertion in a Newborn with a Small-Capacity,
           Non-Compliant Bladder

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      Abstract: Publication date: December 2018Source: The Journal of Urology, Volume 200, Issue 6Author(s): Douglas A. Canning
       
  • Re: Autophagy, Apoptosis, and Cell Proliferation in Exstrophy-Epispadias
           Complex

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      Abstract: Publication date: December 2018Source: The Journal of Urology, Volume 200, Issue 6Author(s): Douglas A. Canning
       
  • Re: Major Depression, Antidepressant Use, and Male and Female Fertility

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      Abstract: Publication date: December 2018Source: The Journal of Urology, Volume 200, Issue 6Author(s): Craig Niederberger
       
  • Re: Male Sleep Duration and Fecundability in a North American
           Preconception Cohort Study

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      Abstract: Publication date: December 2018Source: The Journal of Urology, Volume 200, Issue 6Author(s): Craig Niederberger
       
  • Re: Association between Use of Marijuana and Time to Pregnancy in Men and
           Women: Findings from the National Survey of Family Growth

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      Abstract: Publication date: December 2018Source: The Journal of Urology, Volume 200, Issue 6Author(s): Craig Niederberger
       
  • Re: Effect of Exposure to Second-Hand Smoke from Husbands on Biochemical
           Hyperandrogenism, Metabolic Syndrome and Conception Rates in Women with
           Polycystic Ovary Syndrome Undergoing Ovulation Induction

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      Abstract: Publication date: December 2018Source: The Journal of Urology, Volume 200, Issue 6Author(s): Craig Niederberger
       
  • Re: Dietary Patterns are Positively Associated with Semen Quality

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      Abstract: Publication date: December 2018Source: The Journal of Urology, Volume 200, Issue 6Author(s): Craig Niederberger
       
  • Re: Clomiphene Citrate and Human Chorionic Gonadotropin are Both Effective
           in Restoring Testosterone in Hypogonadism: A Short-Course Randomized Study
           

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      Abstract: Publication date: December 2018Source: The Journal of Urology, Volume 200, Issue 6Author(s): Allen D. Seftel
       
  • Re: An Analysis of Online Content Related to Testosterone Supplementation

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      Abstract: Publication date: December 2018Source: The Journal of Urology, Volume 200, Issue 6Author(s): Allen D. Seftel
       
  • Re: A Review of the FAERS Data on 5-Alpha Reductase Inhibitors:
           Implications for Post-Finasteride Syndrome

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      Abstract: Publication date: December 2018Source: The Journal of Urology, Volume 200, Issue 6Author(s): Allen D. Seftel
       
  • Re: Cardiovascular Safety of Phosphodiesterase Type 5 Inhibitors after
           Nearly 2 Decades on the Market

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      Abstract: Publication date: December 2018Source: The Journal of Urology, Volume 200, Issue 6Author(s): Allen D. Seftel
       
  • Re: Reduction in Peyronie’s-Like Plaque Size Using a Vacuum Erection
           Device in a Rat Model of Peyronie’s Disease via the TGF-β/SMAD
           Signalling Pathway

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      Abstract: Publication date: December 2018Source: The Journal of Urology, Volume 200, Issue 6Author(s): Allen D. Seftel
       
  • Re: Prospective Randomised Non-Inferiority Trial of Pelvic Drain Placement
           vs no Pelvic Drain Placement after Robot-Assisted Radical Prostatectomy

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      Abstract: Publication date: December 2018Source: The Journal of Urology, Volume 200, Issue 6Author(s): Jeffrey A. Cadeddu
       
  • Re: Focal Irreversible Electroporation as Primary Treatment for Localized
           Prostate Cancer

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      Abstract: Publication date: December 2018Source: The Journal of Urology, Volume 200, Issue 6Author(s): Jeffrey A. Cadeddu
       
  • Re: Effect of 5-Day Nitrofurantoin vs Single-Dose Fosfomycin on Clinical
           Resolution of Uncomplicated Lower Urinary Tract Infection in Women: A
           Randomized Clinical Trial

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      Abstract: Publication date: December 2018Source: The Journal of Urology, Volume 200, Issue 6Author(s): Edward M. Schaeffer
       
  • Re: Patterns of Medical Management of Overactive Bladder (OAB) and Benign
           Prostatic Hyperplasia (BPH) in the United States

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      Abstract: Publication date: December 2018Source: The Journal of Urology, Volume 200, Issue 6Author(s): Alan J. Wein
       
  • Re: CT and MR Imaging Features of Artificial Urinary Sphincters, Penile
           Prostheses, and Other Devices in the Male Lower Genitourinary Tract

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      Abstract: Publication date: December 2018Source: The Journal of Urology, Volume 200, Issue 6Author(s): Cary Siegel
       
  • Re: Systematic Review of Interventions to Reduce Urinary Tract Infection
           in Nursing Home Residents

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      Abstract: Publication date: December 2018Source: The Journal of Urology, Volume 200, Issue 6Author(s): Tomas L. Griebling
       
  • Re: Economic Evaluation of a Catheter-Associated Urinary Tract Infection
           Prevention Program in Nursing Homes

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      Abstract: Publication date: December 2018Source: The Journal of Urology, Volume 200, Issue 6Author(s): Tomas L. Griebling
       
  • Re: Dynamic Changes in the Appropriateness of Urinary Catheter Use among
           Hospitalized Older Patients in the Emergency Department

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      Abstract: Publication date: December 2018Source: The Journal of Urology, Volume 200, Issue 6Author(s): Tomas L. Griebling
       
  • Re: Comparing Catheter-Associated Urinary Tract Infection Prevention
           Programs between Veterans Affairs Nursing Homes and Non-Veterans Affairs
           Nursing Homes

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      Abstract: Publication date: December 2018Source: The Journal of Urology, Volume 200, Issue 6Author(s): Tomas L. Griebling
       
  • Re: How Often do Clinically Diagnosed Catheter-Associated Urinary Tract
           Infections in Nursing Homes Meet Standardized Criteria'

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      Abstract: Publication date: December 2018Source: The Journal of Urology, Volume 200, Issue 6Author(s): Tomas L. Griebling
       
  • Re: 80-W GreenLight Laser Vaporization versus Transurethral Resection of
           the Prostate for Treatment of Benign Prostatic Obstruction: 5-Year
           Outcomes of a Single-Center Prospective Randomized Trial

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      Abstract: Publication date: December 2018Source: The Journal of Urology, Volume 200, Issue 6Author(s): Steven A. Kaplan
       
  • Re: Transperineal Laser Ablation for Percutaneous Treatment of Benign
           Prostatic Hyperplasia: A Feasibility Study

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      Abstract: Publication date: December 2018Source: The Journal of Urology, Volume 200, Issue 6Author(s): Steven A. Kaplan
       
  • Re: Learning Curves and Perioperative Outcomes after Endoscopic
           Enucleation of the Prostate: A Comparison between GreenLight 532-nm and
           Holmium Lasers

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      Abstract: Publication date: December 2018Source: The Journal of Urology, Volume 200, Issue 6Author(s): Steven A. Kaplan
       
  • Re: Association between Chronic Obstructive Pulmonary Disease and
           Increased Risk of Benign Prostatic Hyperplasia: A Retrospective Nationwide
           Cohort Study

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      Abstract: Publication date: December 2018Source: The Journal of Urology, Volume 200, Issue 6Author(s): Steven A. Kaplan
       
  • The Journal of Urology® Home Study Course 2018 Volume
           199/200

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      Abstract: Publication date: December 2018Source: The Journal of Urology, Volume 200, Issue 6Author(s):
       
  • Reply by Authors

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      Abstract: Publication date: December 2018Source: The Journal of Urology, Volume 200, Issue 6Author(s):
       
  • Re: Correlations between Sonographic and Urodynamic Findings after Mid
           Urethral Sling Surgery: L. Wen, K. L. Shek, N. Subramaniam, T. Friedman
           and H. P. Dietz J Urol 2018; 199: 1571–1576.

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      Abstract: Publication date: December 2018Source: The Journal of Urology, Volume 200, Issue 6Author(s): Darren M. Gold, David Ende
       
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      Abstract: Publication date: December 2018Source: The Journal of Urology, Volume 200, Issue 6Author(s):
       
  • Re: Comparison of Pathological Stage in Patients Treated with and without
           Neoadjuvant Chemotherapy for High Risk Upper Tract Urothelial Carcinoma:
           R. S. Liao, M. Gupta, Z. R. Schwen, H. D. Patel, M. Kates, M. H. Johnson,
           N. M. Hahn, D. McConkey, T. J. Bivalacqua and P. M. Pierorazio J Urol
           2018; 200: 68–73.

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      Abstract: Publication date: December 2018Source: The Journal of Urology, Volume 200, Issue 6Author(s): Wenbin Xue, Lu Yang, Qiang Wei
       
  • Editorial Comment

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      Abstract: Publication date: December 2018Source: The Journal of Urology, Volume 200, Issue 6Author(s): Michael W. Kattan
       
  • Editorial Comment

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      Abstract: Publication date: December 2018Source: The Journal of Urology, Volume 200, Issue 6Author(s): Rajesh K. Ahlawat
       
  • A Prediction Model Using Machine Learning Algorithm for Assessing
           Stone-Free Status after Single Session Shock Wave Lithotripsy to Treat
           Ureteral Stones

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      Abstract: Publication date: December 2018Source: The Journal of Urology, Volume 200, Issue 6Author(s): Min Soo Choo, Saangyong Uhmn, Jong Keun Kim, Jun Hyun Han, Dong-Hoi Kim, Jin Kim, Seong Ho LeePurposeThe aim of this study was to develop and validate a decision support model using a machine learning algorithm to predict treatment success after single session shock wave lithotripsy in ureteral stone cases.Materials and MethodsOf the 1,803 patients treated with shock wave lithotripsy we selected those with ureteral stones who had preoperative computerized tomography available. Treatment success after single session shock wave lithotripsy was defined as freedom from stones or residual stone fragments less than 2 mm long on computerized tomography or plain x-ray of the kidneys, ureters and bladder 2 weeks later. Decision tree analysis was done using a machine learning algorithm to identify relevant parameters. A decision support model was developed to calculate the probability of treatment success.ResultsA total of 791 patients were enrolled in study. Mean ± SD stone length was 5.9 ± 2.3 mm and mean stone volume was 89.3 ± 140.0 mm3. The overall treatment success rate after SWL was 64.4% (509 cases). The rate for upper, middle and lower ureter stones was 59.8%, 65.5% and 69.6%, respectively. On decision tree analysis the top 3 performance criteria factors were volume, length and HU. Decision models were constructed with all possible combinations of factors. The model with 15 factors had greater than 92% accuracy and an average ROC AUC of 0.951.ConclusionsWe applied a machine learning algorithm, a subfield of artificial intelligence, to predict the outcome after single session shock wave lithotripsy for ureteral stones. A 92.29% accurate decision model was developed with 15 factors and an average ROC AUC of 0.951.
       
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      Abstract: Publication date: December 2018Source: The Journal of Urology, Volume 200, Issue 6Author(s): Tony Khoury
       
  • Psychosocial and Sexual Outcomes in Adolescents following Surgery for
           Proximal Hypospadias in Childhood

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      Abstract: Publication date: December 2018Source: The Journal of Urology, Volume 200, Issue 6Author(s): Marie Andersson, Sofia Sjöström, Maria Wängqvist, Lisa Örtqvist, Agneta Nordenskjöld, Gundela HolmdahlPurposeWe evaluated psychosocial outcomes, psychosexual development and sexual function in adolescents who had undergone surgery for proximal hypospadias. We hypothesized that these outcomes would be impaired compared to peers.Materials and MethodsWe identified 55 males age 14 years or older who underwent surgery for penoscrotal to perineal (intraoperatively defined) hypospadias between 1996 and 2005. A total of 33 patients with a median age of 17.5 years (range 14 to 25) answered a Web based questionnaire with self-constructed questions, completed the validated Psychological General Well-Being Index, Body-Esteem Scale for Adolescents and Adults and Penile Perception Score, and underwent clinical evaluation. A total of 31 patients with distal hypospadias (median age 19 years, range 14 to 35) and 25 age matched healthy men (17.5 years, range 14 to 25) served as controls.ResultsInterest in sex, age at sexarche and satisfaction with sexual experiences were comparable between patients and controls. Three patients with proximal hypospadias (10%) and 1 control (4%) reported occasional erectile problems. Three patients with proximal hypospadias (11%), 1 patient with distal hypospadias (3%) and 1 control (4%) affirmed anejaculation. There were no differences in results between validated questionnaires. Patients with proximal hypospadias were more dissatisfied with penile length (39%) compared to controls (12%, p = 0.049). Concerning physical contact, 10 patients (38%) expressed uncertainty. Extra support in school was more frequent among patients with proximal hypospadias (p = 0.024 vs distal hypospadias, p = 0.068 vs control group).ConclusionsDespite concerns regarding penile length, sexual experiences were comparable to those of other adolescents, although more than a third of patients with proximal hypospadias demonstrated uncertainty on questions relating to desire for physical contact. Specialized tutoring in school was more common in patients with proximal hypospadias. Continuous followup throughout childhood allowing extra time for age adequate information and support is warranted.
       
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      Abstract: Publication date: December 2018Source: The Journal of Urology, Volume 200, Issue 6Author(s):
       
  • Editorial Comment

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      Abstract: Publication date: December 2018Source: The Journal of Urology, Volume 200, Issue 6Author(s): Marco Castagnetti
       
  • Novel Anatomical Observations of the Prostate, Prostatic Vasculature and
           Penile Vasculature in Classic Bladder Exstrophy Using Magnetic Resonance
           Imaging

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      Abstract: Publication date: December 2018Source: The Journal of Urology, Volume 200, Issue 6Author(s): Karl S. Benz, Emily Dunn, Mahir Maruf, James Facciola, John Jayman, Matthew Kasprenski, Jason E. Michaud, Heather Di Carlo, John P. GearhartPurposeWe used magnetic resonance imaging to define the innate pelvic neurovascular course and prostatic anatomy in infants with classic bladder exstrophy before the pelvis was altered by surgery.Materials and MethodsPelvic magnetic resonance imaging was performed in male infants with classic bladder exstrophy and compared to a group of age matched controls. Data collected included prostatic dimensions as well as course of the prostatic artery, periprostatic vessels and pudendal neurovasculature.ResultsThe prostate was larger in the transverse (p
       
  • Diagnostic Value of Anteroposterior Diameter of Renal Pelvis for
           Predicting Postnatal Surgery: A Systematic Review and Meta-Analysis

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      Abstract: Publication date: December 2018Source: The Journal of Urology, Volume 200, Issue 6Author(s): Lei Zhang, Yan Li, Chao Liu, Xiang Li, Hao SunPurposeWe assessed the diagnostic value of anteroposterior diameter of the fetal renal pelvis in predicting postnatal surgery.Materials and MethodsPubMed®, Embase® and Cochrane Library databases were searched for articles comparing patients who underwent surgery or conservative therapy with 15 mm anteroposterior diameter as a cutoff value. Data on sensitivity, specificity, positive likelihood ratio, negative likelihood ratio, diagnostic OR and area under the summary ROC curve were used to evaluate the diagnostic value of anteroposterior diameter of the fetal renal pelvis in predicting postnatal surgery.ResultsFive studies involving a total of 1,159 patients met the inclusion criteria. The summary sensitivity and specificity were 0.81 (95% CI 0.60 to 0.92) and 0.78 (95% CI 0.68 to 0.86), respectively. Positive and negative likelihood ratios of anteroposterior diameter were 3.73 (95% CI 2.75 to 5.06) and 0.24 (95% CI 0.11 to 0.52), respectively. Diagnostic OR of anteroposterior diameter for predicting postnatal surgery was 13.33 (95% CI 6.61 to 26.89) and area under the summary ROC curve was 0.85 (95% CI 0.82 to 0.88). Subgroup analysis suggested postnatal anteroposterior diameter was associated with higher diagnostic OR compared to prenatal anteroposterior diameter for predicting postnatal surgery (ratio between prenatal and postnatal anteroposterior diameter 0.27, 95% CI 0.09 to 0.86, p = 0.026).ConclusionsUsing 15 mm anteroposterior diameter of the fetal renal pelvis as a cutoff showed moderate diagnostic value for predicting postnatal surgery.
       
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      Abstract: Publication date: December 2018Source: The Journal of Urology, Volume 200, Issue 6Author(s):
       
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      Abstract: Publication date: December 2018Source: The Journal of Urology, Volume 200, Issue 6Author(s): Steven K. Wilson
       
  • Impact of Radiation and Transcorporeal Artificial Sphincter Placement in
           Patients with Prior Urethral Cuff Erosion: Results from a Retrospective
           Multicenter Analysis

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      Abstract: Publication date: December 2018Source: The Journal of Urology, Volume 200, Issue 6Author(s): Daniel C. Moser, Melissa R. Kaufman, Douglas F. Milam, Niels V. Johnsen, Mario A. Cleves, Joshua A. Broghammer, William O. Brant, LeRoy A. Jones, Jeffrey D. Brady, Martin S. Gross, Kavina Jani, Gerard D. HenryPurposeMany providers elect to use a transcorporeal approach for artificial urinary sphincter placement in an attempt to minimize risks, given the increased risk of complications in revision cases. We present outcomes in a multicenter retrospective analysis of artificial urinary sphincter cuff reimplantation in patients with prior cuff erosion with special consideration given to the transcorporeal approach.Materials and MethodsWe compiled a multi-institutional database of patients who underwent artificial urinary sphincter reimplantation after prior urethral erosion. Of the 34 identified patients 24 underwent transcorporeal cuff replacement. Patients with transcorporeal cuff replacement were further analyzed with specific stratification for radiation therapy.ResultsThe rate of subsequent complications after eroded cuff reimplantation was 32.4% (11 of 34 patients). The most frequent complication was recurrent erosion, which developed in 9 of the 34 patients (26.4%). Repeat artificial urinary sphincter complications developed more frequently in patients with history of radiation compared to nonirradiated patients (8 of 16 or 50% vs 3 of 18 or 16.7%). However, this difference was not statistically significant (p = 0.066). The transcorporeal technique was applied in 24 of 33 patients (70.5%) and relative to the nontranscorporeal group there was no difference in the complication rate (p = 0.438). On subgroup analysis of the transcorporeal group there was a higher rate of repeat complications in irradiated patients (p = 0.006).ConclusionsThese data suggest that transcorporeal cuff reimplantation may not decrease the incidence of repeat complications after prior cuff erosion. However, radiation therapy is associated with a worse outcome even when transcorporeal cuff placement is performed.
       
  • Editorial Comment

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      Abstract: Publication date: December 2018Source: The Journal of Urology, Volume 200, Issue 6Author(s): H. Henry Lai
       
  • Painful Bladder Symptoms Related to Somatic Syndromes in a Convenience
           Sample of Community Women with Overactive Bladder Symptoms

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      Abstract: Publication date: December 2018Source: The Journal of Urology, Volume 200, Issue 6Author(s): Casey G. Kowalik, Joshua A. Cohn, Sophia Delpe, Melissa R. Kaufman, Alan Wein, Roger R. Dmochowski, W. Stuart ReynoldsPurposeWe investigated the relationship of painful bladder filling and urinary urgency to somatic and chronic pain symptoms in women with overactive bladder without an interstitial cystitis/bladder pain syndrome diagnosis.Materials and MethodsWomen who met overactive bladder criteria based on symptoms were recruited, including 183 (83.9%) from the community and 35 (16.1%) from the urology clinic to complete validated questionnaires assessing urinary symptoms, somatic symptoms and pain syndromes. Participants were categorized into 1 of 3 groups, including 1) neither symptom, 2) either symptom or 3) both symptoms, based on their reports of painful urinary urgency and/or painful bladder filling. Multivariable regression analyses were performed to determine factors predictive of having painful urgency and/or painful filling.ResultsOf 218 women with overactive bladder 101 (46%) had neither painful bladder filling nor urinary urgency, 94 (43%) had either symptom and 23 (11%) had both symptoms. When controlling for age, women with either or both urological pain symptoms were more likely to have irritable bowel syndrome, chronic pelvic pain and temporomandibular disorder than women in the neither group. Additionally, these women had higher pain intensity and somatic symptoms scores than women with neither symptom.ConclusionsThe majority of women with overactive bladder who had not been diagnosed with interstitial cystitis/bladder pain syndrome reported painful urgency and/or painful filling. Experiencing painful urgency and/or filling was associated with an increased somatic symptom burden and greater pain intensity. These findings support the hypothesis that overactive bladder and interstitial cystitis/bladder pain syndrome diagnoses may represent a continuum of bladder hypersensitivity.
       
  • Symptom Based Clustering of Women in the LURN Observational Cohort Study

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      Abstract: Publication date: December 2018Source: The Journal of Urology, Volume 200, Issue 6Author(s): Victor P. Andreev, Gang Liu, Claire C. Yang, Abigail R. Smith, Margaret E. Helmuth, Jonathan B. Wiseman, Robert M. Merion, Kevin P. Weinfurt, Anne P. Cameron, H. Henry Lai, David Cella, Brenda W. Gillespie, Brian T. Helfand, James W. Griffith, John O.L. DeLancey, Matthew O. Fraser, J. Quentin Clemens, Ziya Kirkali, LURN Study GroupPurposeWomen with lower urinary tract symptoms are often diagnosed based on a predefined symptom complex or a predominant symptom. There are many limitations to this paradigm as often patients present with multiple urinary symptoms which do not perfectly fit the preestablished diagnoses. We used cluster analysis to identify novel, symptom based subtypes of women with lower urinary tract symptoms.Materials and MethodsWe analyzed baseline urinary symptom questionnaire data obtained from 545 care seeking female participants enrolled in the LURN (Symptoms of Lower Urinary Tract Dysfunction Research Network) Observational Cohort Study. Symptoms were measured with the LUTS (lower urinary tract symptoms) Tool and the AUA SI (American Urological Association Symptom Index), and analyzed using a probability based consensus clustering algorithm.ResultsFour clusters were identified. The 138 women in cluster F1 did not report incontinence but experienced post-void dribbling, frequency and voiding symptoms. The 80 women in cluster F2 reported urgency incontinence as well as urgency and frequency but minimal voiding symptoms or stress incontinence. Cluster F3 included 244 women who reported all types of incontinence, urgency, frequency and mild voiding symptoms. The 83 women in cluster F4 reported all lower urinary tract symptoms at uniformly high levels. All but 2 of 44 LUTS Tool and 8 AUA SI questions significantly differed between at least 2 clusters (p 
       
  • Reply by Authors

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      Abstract: Publication date: December 2018Source: The Journal of Urology, Volume 200, Issue 6Author(s):
       
  • Editorial Comment

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      Abstract: Publication date: December 2018Source: The Journal of Urology, Volume 200, Issue 6Author(s): Richard A. Santucci
       
  • A Critical Analysis of Bulbar Urethroplasty Stricture Recurrence:
           Characteristics and Management

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      Abstract: Publication date: December 2018Source: The Journal of Urology, Volume 200, Issue 6Author(s): Arman A. Kahokehr, Michael A. Granieri, George D. Webster, Andrew C. PetersonPurposeWe evaluated the management of recurrent bulbar urethral stricture disease after urethroplasty at our institution.Materials and MethodsWe performed an institution review board approved, retrospective case study of our urethroplasty database to collect stricture related and postoperative information with an emphasis on bulbar urethral stricture disease recurrence after urethroplasty between 1996 and 2012. Repair types included primary anastomotic, augmented anastomotic and onlay repair. Recurrence, which was defined as the need for intervention, was diagnosed with cystoscopy or retrograde urethrogram.ResultsWe identified 437 men who underwent urethroplasty of bulbar urethral stricture disease as performed by 2 surgeons from January 1996 to December 2012. Of the men 395 had available followup data. Recurrence was identified in 25 men (6.3%), of whom all presented with symptoms, including a weak stream in 23, urinary tract infection in 1 and pyelonephritis in 1. Median time to recurrence was 10 months. Recurrence was initially treated endoscopically in 23 of 25 cases (92%), dilatation in 12 and visual urethrotomy in 11. In 5 patients (22%) further recurrence developed after endoscopic treatment, which was managed by repeat urethroplasty in 2, self-calibration only in 2 and visual urethrotomy with subsequent self-calibration in 1. We identified 2 distinct phenotypes of recurrent stricture, including type A—short focal recurrence, which may be salvaged with an endoscopic procedure, and type B—the long graft length type, which is less likely to be salvaged with endoscopy.ConclusionsRecurrence after urethroplasty is most likely to develop within the first 12 months. Type A short focal recurrence may be managed by a salvage endoscopic procedure, including dilation or visual urethrotomy. These data on the phenotype of recurrence may be useful for patient treatment.
       
  • Editorial Comment

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      Abstract: Publication date: December 2018Source: The Journal of Urology, Volume 200, Issue 6Author(s): Vítor Cavadas, Diogo Nunes-Carneiro
       
  • Editorial Comment

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      Abstract: Publication date: December 2018Source: The Journal of Urology, Volume 200, Issue 6Author(s): Demetrius Bagley
       
  • The Effect of Thiazide and Potassium Citrate Use on the Health Related
           Quality of Life of Patients with Urolithiasis

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      Abstract: Publication date: December 2018Source: The Journal of Urology, Volume 200, Issue 6Author(s): Eric P. Raffin, Kristina L. Penniston, Jodi A. Antonelli, Davis P. Viprakasit, Timothy D. Averch, Vincent G. Bird, Ben H. Chew, Sri Sivalingam, Roger L. Sur, Stephen Y. Nakada, Vernon M. PaisPurposeTo our knowledge it is unknown whether the benefits of medical management of urolithiasis outweigh the potential side effects of the medications used, including potassium citrate and thiazide diuretics. Therefore, we evaluated the relationship between potassium citrate or thiazides and overall stone related health related quality of life.Materials and MethodsCross-sectional data were obtained on stone forming enrollees in the North American Stone Quality of Life Consortium. We used the WISQOL (Wisconsin Stone Quality of Life) questionnaire to compare health related quality of life between patients treated and not treated with potassium citrate or thiazide type diuretics. Additionally, the likelihood of gastrointestinal complaints was compared between those prescribed and not prescribed potassium citrate. The likelihood of fatigue and sexual complaints was also compared in those prescribed and not prescribed thiazides.ResultsOf the 1,511 subjects, including 787 males and 724 females, 279 were on potassium citrate and 238 were on thiazides at study enrollment. Patients prescribed potassium citrate had higher health related quality of life in each domain vs those not prescribed potassium citrate (p
       
  • Editorial Comment

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      Abstract: Publication date: December 2018Source: The Journal of Urology, Volume 200, Issue 6Author(s): Necole M. Streeper
       
  • Conversion from Cystine to Noncystine Stones: Incidence and Associated
           Factors

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      Abstract: Publication date: December 2018Source: The Journal of Urology, Volume 200, Issue 6Author(s): Lael Reinstatler, Karen Stern, Hunt Batter, Kymora B. Scotland, Gholamreza Safaee Ardekani, Marcelino Rivera, Ben H. Chew, Brian Eisner, Amy E. Krambeck, Manoj Monga, Vernon M. PaisPurposePatients with cystinuria are often treated with medical alkalization and shock wave lithotripsy, although each treatment is hypothesized to increase the risk of calcium phosphate stones. We performed a multicenter retrospective review to evaluate whether stones of another composition develop in patients with cystinuria and with what frequency.Materials and MethodsWe retrospectively reviewed the records of a multi-institutional cohort of patients with cystinuria. We assessed medications, stone analyses, 24-hour urinalyses and types of procedures. We compared patients who formed only cystine stones vs those with noncystine stones.ResultsWe identified 125 patients from a total of 5 institutions who were followed a mean of 5.2 years (range 0 to 26). Stones with noncystine components were submitted by 37 patients (29.6%). Potassium citrate medication was not associated with a noncystine composition (p = 0.1877). Regarding surgical management 18 patients (13%) underwent at least 1 shock wave lithotripsy session (range 0 to 9) and 79 (63%) underwent percutaneous nephrolithotomy at least once (range 0 to 10). When stratified based on pure cystine vs converted stones, the average total number of shock wave lithotripsy and percutaneous nephrolithotomy procedures was higher in the group with cystine and subsequent noncystine stone compositions (0.94 vs 0.10, p
       
  • Impact of Potassium Citrate vs Citric Acid on Urinary Stone Risk in
           Calcium Phosphate Stone Formers

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      Abstract: Publication date: December 2018Source: The Journal of Urology, Volume 200, Issue 6Author(s): Steeve Doizi, John R. Poindexter, Margaret S. Pearle, Francisco Blanco, Orson W. Moe, Khashayar Sakhaee, Naim M. MaaloufPurposeTo our knowledge no medication has been shown to be effective for preventing recurrent calcium phosphate urinary stones. Potassium citrate may protect against calcium phosphate stones by enhancing urine citrate excretion and lowering urine calcium but it raises urine pH, which increases calcium phosphate saturation and may negate the beneficial effects. Citric acid can potentially raise urine citrate but not pH and, thus, it may be a useful countermeasure against calcium phosphate stones. We assessed whether these 2 agents could significantly alter urine composition and reduce calcium phosphate saturation.Materials and MethodsIn a crossover metabolic study 13 recurrent calcium phosphate stone formers without hypercalciuria were evaluated at the end of 3, 1-week study phases during which they consumed a fixed metabolic diet and received assigned study medications, including citric acid 30 mEq twice daily, potassium citrate 20 mEq twice daily or matching placebo. We collected 24-hour urine specimens to perform urine chemistry studies and calculate calcium phosphate saturation indexes.ResultsUrine parameters did not significantly differ between the citric acid and placebo phases. Potassium citrate significantly increased urine pH, potassium and citrate compared to citric acid and placebo (p
       
  • Editorial Comment

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      Abstract: Publication date: December 2018Source: The Journal of Urology, Volume 200, Issue 6Author(s): Charles D. Scales
       
  • Gender Equivalence in the Prevalence of Nephrolithiasis among Adults
           Younger than 50 Years in the United States

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      Abstract: Publication date: December 2018Source: The Journal of Urology, Volume 200, Issue 6Author(s): Gina Tundo, Sari Khaleel, Vernon M. PaisPurposeAlthough urolithiasis affects each gender, conventional teaching proposes that men are 3 times more likely to have stones. However, clinical practice refutes such a disparity, particularly among working age adults. Small studies have suggested an erosion of this gender gap. Therefore, we examined the relationship between gender and stone prevalence among American adults younger than 50 years.Materials and MethodsWe analyzed the NHANES (National Health and Nutrition Examination Survey) 2007 to 2012 cohort. Weighted proportions and multivariate logistic regression of the cohort and pertinent subgroups were assessed to determine the prevalence and the odds of nephrolithiasis.ResultsThe cohort of 17,658 subjects, which was weighted to represent the American population of 218,828,951 adults, was 48.1% male. In our cohort of 8,888 adults weighted to represent 123,976,786 subjects younger than 50 years, which was 49.3% male and 50.7% female, there was no difference in stone prevalence (6.3% in males and 6.4% in females, p = 0.85). On unadjusted logistic regression of those younger than 50 years men were no more likely to report a stone history (OR 0.98, p = 0.85). Multivariate logistic regression adjusting for diabetes, obesity, ethnicity, age, and water, sodium and protein intake confirmed no difference in stone prevalence between the genders (OR 1.1, p = 0.51).ConclusionsAmong adults of working and child rearing ages in the United States the much touted gender disparity in nephrolithiasis is not present. Prior assessments of gender based stone prevalence may have failed to specifically assess this economically critical demographic or there may in fact be an ongoing epidemiological change. Recognition that women are as likely as men to form stones in this cohort suggests the need to better elucidate the pathophysiology of stones in women.
       
  • Editorial Comment

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      Abstract: Publication date: December 2018Source: The Journal of Urology, Volume 200, Issue 6Author(s): Bernhard J. Eigl, Nawaid Usmani
       
  • Editorial Comment

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      Abstract: Publication date: December 2018Source: The Journal of Urology, Volume 200, Issue 6Author(s): Roderick C.N. van den Bergh, Henk G. van der Poel, Declan G. Murphy
       
  • Re: In Vivo Replacement of Damaged Bladder Urothelium by Wolffian Duct
           Epithelial Cells

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      Abstract: Publication date: December 2018Source: The Journal of Urology, Volume 200, Issue 6Author(s): Alan J. Wein
       
 
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