PURPOSE OF REVIEW To review recent developments at Vanderbilt University of new robotic technologies and platforms designed for minimally invasive urologic surgery and their design rationale and potential roles in advancing current urologic surgical practice. RECENT FINDINGS Emerging robotic platforms are being developed to improve performance of a wider variety of urologic interventions beyo...

Primary emergency considerations in urology from the critical care perspective include hemorrhagic, obstructive, infectious, and ischemic processes, in addition to a wide variety of general postoperative difficulties that may warrant emergent intervention. Oncologic emergencies also arise in urology and may require urgent critical care management. Urologic trauma (addressed in a separate sectio...

PURPOSE Actinomycosis is a chronic granulomatous infection caused by the gram-positive anaerobic bacteria, Actinomyces israelli. This paper reviews the etiology and clinical presentation associated with Actinomycosis that often presents as a pelvic mass that mimics a pelvic malignancy. MATERIALS AND METHODS A combination of patients treated by the authors in the recent past and a literature r...

Treatment of pain of urogenital origin, chronic pelvic pain syndrome, can be frustrating for patients and physicians. The usual approaches do not always produce the desired results. Visceral pain from pelvic organs and myofascial pain from muscle trigger points share common characteristics. Referred pain from myofascial trigger points can mimic visceral pain syndromes and visceral pain syndrome...

Numerous urologic tissue substitutes have been attempted with both synthetic and organic materials (1). The first application of a free-tissue graft for bladder replacement was reported by Neuhoff in 1917, when fascia was used to augment bladders in dogs (2). Since that first report, multiple other free-graft materials have been used experimentally and clinically, including skin, bladder submuc...

BACKGROUND Hematuria is differentiated between glomerular and urinary tract origins on the basis of urinary red cell morphology. We used this distinction in a program of mass screening for urinary tract cancer to achieve cost-effective and safe hematuria screening. METHODS Of a total of 21372 adults (mean age 52.3 years; range 20-79 years) participating in a health screening, 912 (4.3%) had a...

Renal tumors other than Wilms’ tumor are infrequent in childhood. Wilms’ tumors account for 6% to 7% of childhood cancer, whereas the remaining renal tumors account for less than l%.27 The most common nonWilms‘ tumors are clear cell sarcoma of the kidney, rhabdoid tumor of the kidney (both formerly considered unfavorable Wilms’ tumor variants but now considered separate tumors), renal cell carc...

PURPOSE Urologic injuries occur frequently during surgery in the pelvic cavity. Inadequate diagnosis and treatment may lead to severe complications and side effects. This investigation examined the clinical features of urologic complications following obstetric and gynecologic surgery. MATERIALS AND METHODS We accumulated 47,318 obstetric and gynecologic surgery cases from 2007 to 2011. Ninet...

Purpose The purpose of this study was to forecast the future supply and demand for urologists and to discuss the possible policy implications. Materials and Methods A demographic utilization-based model was used to calculate the total urologist requirements for Korea. Utilization rates for ambulatory and inpatient genitourinary specialty services were estimated according to age, sex, and insu...

INTRODUCTION Glutathione S-transferases (GSTs) are phase 2 enzymes responsible for catalyzing the biotransformation of a wide variety of electrophilic compounds, having a crucial role in the detoxification of active metabolites of procarcinogens produced by phase 1 reactions, tying them to glutathione and promoting their excretion in the urine. OBJECTIVES we evaluated GSTM1, GSTT1 and GSTP1 g...