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Associations of preorchiectomy hormone levels to testicular germ cell tumor pathology,clinical stage,and size

Asian Journal of Andrology 2021年第2期23卷 224-226页

作者： Kevin G Pineault Joseph G Cheaib amin.s herati Phillip M Pierorazio The James Buchanan Brady Urological Institute Johns Hopkins Hospital600 N Wolfe StBaltimoreMD 21287USA

Dear Editor,Despite the substantial body of evidence describing the alternations in and impact of hormones after treatment of unilateral testicular germ cell tumors(GCTs),only a few studies have examined hormone levels before radical orchiectomy.1 This letter details our investigation of the relationship between preorchiectomy hormone levels and surgical pathology,clinical stage,and tumor size among patients with *** in GCT presentation were expected based on varying preorchiectomy hormone levels.

关键词： pathology clinical size

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Resident involvement in the prostatic urethral lift:implementing innovative technology in an academic setting

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Asian Journal of Andrology 2021年第6期23卷 616-620页

作者： Ridwan Alam Matthew J Rabinowitz Taylor P Kohn Vanessa N Peña James L Liu Yasin Bhanji amin.s herati Department of Urology The James Buchanan Brady Urological InstituteJohns Hopkins University School of MedicineBaltimoreMD 21287USA

Adoption of the prostatic urethral lift(PUL)as a treatment for benign prostatic hyperplasia highlights the importance of training residents with novel technology without compromising patient *** study examin.s the effect of resident involvement during PUL on patient and procedural *** chart review was conducted on all consecutive PUL cases performed by a single academic urologist between October 2017 and November *** in post-graduate year(PGY)1–3 are considered junior residents,while those in PGY 4–6 are senior *** International Prostate symptom score(IPss)and quality of life(QOL)scores were used to measure *** and mixed-effects linear regression models were used to compare *** were 110 patients with a median age of 66.4 *** were involved in 73 cases(66.4%),and senior residents were involved in 31 of those *** involvement was not associated with adverse perioperative outcomes with respect to the number of implants fired,the percentage of implants successfully placed,or the postoperative catheterization *** adjustment for confounding factors,junior residents were associated with significantly longer case length compared to the attending alone(+12.6 min,P=0.003)but senior residents were not(+2.4 min,P=0.59).IPss and QOL scores were not significantly affected by resident involvement(P=0.12 and P=0.21,respectively).The presence of surgeons-in-training,particularly those in the early stages,prolongs PUL case length but does not appear to have an adverse impact on patient outcomes.

关键词： internship and residency operative time prostatic hyperplasia prostheses and implants quality of life

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The impact of subcentimeter cysts on chronic scrotal pain

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Asian Journal of Andrology 2023年第6期25卷 750-752页

作者： Luca Rutigliani Pranjal Agrawal amin.sedaghat herati school of Clinical Medicine The University of CambridgeCambridge CB20SPUK The James Buchanan Brady Urological Institute Johns Hopkins University School of MedicineBaltimoreMD 21224USA

subcentimeter cysts can be the cause of severe chronic scrotal pain(CsP),a condition that significantly impacts patients and is often difficult to *** article aims to investigate the impact of subcentimeter cysts on CsP and compare the effectiveness of surgical removal for cysts of different *** primary outcome was the comparison of the average pain reduction pre-and *** a median postoperative time of 27.80(range:0.59–36.30)months,the average pain reduction was 6.00(standard deviation[s.d.]:2.27)for subcentimeter cysts and 2.72(s.d.:1.43)for larger cysts(P=0.0031).In total,81.0%of all patients were pain-free after cyst removal and 100.0%reported some improvement in *** postoperative pain reduction was significantly greater for subcentimeter cysts.

关键词： pain postoperative patients

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