Volume 15, Number 2

Review Articles

Management of Recurrent Urinary Tract Infections in Healthy Adult Women

Management Update

Duane R HicklingVictor W Nitti

Recurrence after urinary tract infection (rUTI) is common in adult women. The majority of recurrences are believed to be reinfection from extraurinary sources such as the rectum or vagina. However, uropathogenic Escherichia coli are now known to invade urothelial cells and form quiescent intracellular bacterial reservoirs. Management of women with frequent symptomatic rUTI can be particularly vexing for both patients and their treating physicians. This review addresses available and promising management strategies for rUTI in healthy adult women. [Rev Urol. 2013;15(2):41-48 doi: 10.3909/riu0566] © 2013 MedReviews®, LLC

Recurrent urinary tract infectionUropathogenic Escherichia coliProphylaxis

Review Articles

Optimizing Shock Wave Lithotripsy: A Comprehensive Review

Treatment Update

Jessica N LangePaul D McClainDean G Assimos

Shock wave lithotripsy is a commonly used procedure for eradicating upper urinary tract stones in patients who require treatment. A number of methods have been proposed to improve the results of this procedure, including proper patient selection, modifications in technique, adjunctive therapy to facilitate elimination of fragments, and changes in lithotripter design. This article assesses the utility of these measures through an analysis of contemporary literature. [Rev Urol. 2013;15(2):49-60 doi: 10.3909/riu0568] © 2013 MedReviews®, LLC

Upper urinary tract stonesShock wave lithotripsyComminution

Review Articles

Conservative Treatment for Postprostatectomy Incontinence

Treatment Update

Alexis E TeBilal ChughtaiRichard LeeSteven A Kaplan

Postprostatectomy incontinence (PPI) is a bothersome complication of radical prostatectomy. Although most men recover from PPI, some men continue to have persistent urinary incontinence. The initial management of persistent PPI usually consists of conservative measures such as pelvic floor muscle exercises. Surgical treatments are usually not entertained for men with urinary incontinence until conservative treatments have failed. This article discusses risk factors for PPI and various options for its treatment, including biofeedback and pharmacotherapy. [Rev Urol. 2013;15(2):61-66 doi: 10.3909/riu0569] © 2013 MedReviews®, LLC

Radical prostatectomyPostprostatectomy incontinencePelvic floor muscle training

Review Articles

The Use of Vacuum Erection Devices in Erectile Dysfunction After Radical Prostatectomy

Management Update

James AdsheadKimberley HoylandNikhil Vasdev

The risk of postoperative erectile dysfunction (ED) following radical prostatectomy (RP) is reported to be between 14% and 89%. With an increase in the detection of prostate cancer in younger men, there is a greater emphasis on the appropriate management of ED following RP. A number of options are available to manage ED after RP, including phosphodiesterase-5 inhibitors, intracorporeal injections, intraurethral alprostadil, and vacuum erection devices (VEDs). Penile rehabilitation programs are increasingly used to facilitate the return of natural postoperative erections; the VED is an ideal therapy given that it increases blood flow and oxygenation to the corpora to reverse the changes that result in ED after RP. [Rev Urol. 2013;15(2):67-71 doi: 10.3909/riu0574] © 2013 MedReviews®, LLC

Radical prostatectomyErectile dysfunctionPenile rehabilitationVacuum erection device

Meeting Reviews

Best of the 2013 AUA Annual Meeting

Highlights From the 2013 American Urological Association Meeting, May 4-8, 2013, San Diego, CA

Adam JM Kern

Prostate cancerPSA screeningNephrolithiasisOveractive bladderPCA3Interstitial cystitisProstate biopsyTransrectal ultrasoundErectile dysfunctionCystectomyChronic pelvic pain syndromeShock wave lithotripsyProstate markers

Meeting Reviews

Advances in Localized Prostate Cancer

Highlights From the 2012 Friends of Israel Urological Symposium, July 3-5, 2012, Tel Aviv, Israel

Stacy LoebJames F Borin

[Rev Urol. 2013;15(2):82-83 doi: 10.3909/riu0583] © 2013 MedReviews®, LLC

Prostate cancerPSA screeningPreventionMarkersTreatment

Case Review

Endoscopic Management of Genitourinary Foreign Bodies

Joseph B SongRobert S FigenshauSam B BhayaniAlana C DesaiBrian M BenwayMohammed HaseebuddinYoussef S Tanagho

Retrieval of foreign bodies from the genitourinary system, most commonly inserted for sexual satisfaction or as a result of a psychiatric illness, can pose a significant surgical challenge. Due to their breadth of size, shape, and location within the genitourinary system, endoscopic management can be difficult. Here, we review the management of four cases of foreign object insertion into the genitourinary system and their outcomes and management. [Rev Urol. 2013;15(2):84-91 doi: 10.3909/riu0571] © 2013 MedReviews®, LLC

Foreign body insertionSoundingGenitourinary foreign objectEndoscopic extraction