Introduction:Existing literature has highlighted disparities in acute pain management across racial and sex groups in both emergency department and pre-hospital settings.This study aimed to evaluate prescribing patter...Introduction:Existing literature has highlighted disparities in acute pain management across racial and sex groups in both emergency department and pre-hospital settings.This study aimed to evaluate prescribing patterns among physicians and advanced practice providers for patients with upper tract urolithiasis in an academic emergency department.Materials and Methods:Retrospective chart review of patients diagnosed with upper tract urolithiasis was performed to evaluate age,sex,race,ethnicity,stone size and location,presence of hydronephrosis,admission status,history of prior nephrolithiasis,medications administered in the emergency department(ED),requests for urology consult or referral,and discharge medications.Results and Conclusions:In this single-center,propensity-matched analysis,we found no significant sex,race,or provider level of training-based differences in prescribing patterns for patients presenting with renal colic secondary to upper urinary tract stones in our academic emergency department.展开更多
Erectile dysfunction （ED） and stress urinary incontinence （SUI） from urethral sphincteric deficiency is not an uncommon problem. The commonest etiology is intervention for localized prostate cancer and/or radical ...Erectile dysfunction （ED） and stress urinary incontinence （SUI） from urethral sphincteric deficiency is not an uncommon problem. The commonest etiology is intervention for localized prostate cancer and/or radical cystoprostatectomy for muscle invasive bladder cancer. Despite advances in surgical technology with robotic assisted laparoscopic prostatectomy and nerve sparing techniques, the rates of ED and SUI remain relatively unchanged. They both impact greatly on quality of life domains and have been associated with poor performance outcomes. Both the artificial urinary sphincter and penile prosthesis are gold standard treatments with proven efficacy, satisfaction and durability for end-stage SUI and ED respectively. Simultaneous prosthesis implantation for concurrent conditions has been well described, mostly in small retrospective series. The uptake of combination surgery has been slow due in part to technical demands of the surgery and to an extent, a heightened anxiety over potential complications. This paper aims to discuss the technical aspect of concurrent surgery for both disease entity and the current published outcomes of the various surgical techniques with this approach.展开更多
文摘Introduction:Existing literature has highlighted disparities in acute pain management across racial and sex groups in both emergency department and pre-hospital settings.This study aimed to evaluate prescribing patterns among physicians and advanced practice providers for patients with upper tract urolithiasis in an academic emergency department.Materials and Methods:Retrospective chart review of patients diagnosed with upper tract urolithiasis was performed to evaluate age,sex,race,ethnicity,stone size and location,presence of hydronephrosis,admission status,history of prior nephrolithiasis,medications administered in the emergency department(ED),requests for urology consult or referral,and discharge medications.Results and Conclusions:In this single-center,propensity-matched analysis,we found no significant sex,race,or provider level of training-based differences in prescribing patterns for patients presenting with renal colic secondary to upper urinary tract stones in our academic emergency department.
文摘Erectile dysfunction （ED） and stress urinary incontinence （SUI） from urethral sphincteric deficiency is not an uncommon problem. The commonest etiology is intervention for localized prostate cancer and/or radical cystoprostatectomy for muscle invasive bladder cancer. Despite advances in surgical technology with robotic assisted laparoscopic prostatectomy and nerve sparing techniques, the rates of ED and SUI remain relatively unchanged. They both impact greatly on quality of life domains and have been associated with poor performance outcomes. Both the artificial urinary sphincter and penile prosthesis are gold standard treatments with proven efficacy, satisfaction and durability for end-stage SUI and ED respectively. Simultaneous prosthesis implantation for concurrent conditions has been well described, mostly in small retrospective series. The uptake of combination surgery has been slow due in part to technical demands of the surgery and to an extent, a heightened anxiety over potential complications. This paper aims to discuss the technical aspect of concurrent surgery for both disease entity and the current published outcomes of the various surgical techniques with this approach.
