About 8% of trauma seen at military treatment facilities in Afghanistan and Iraq were in the pediatric age group, and in that group 13% had urologic injuries.

Based on a meta-analysis, earlier administration of adjuvant chemotherapy (within 45 days vs 90 days) in patients who have up-front radical cystectomy for muscle-invasive bladder cancer may have a survival advantage.

Patients who used an at-home uroflow app (vs in-clinic uroflowmetry) had a higher percentage of usable data as defined by a voided volume of > 150 mL (85% vs 62%).

Predictors of lower-urinary-tract symptoms after holmium laser enucleation of the prostate (HoLEP) requiring Botox included patients with lower prostate volumes, lower enucleation times, and higher energy per gram enucleated.

Patients who were most likely to have regret after having sacral neuromodulation were those who did not report > 50% symptom improvement, experienced complications, or had the device explanted.

A low-cost, low-fidelity model for urethroplasties can be made for $10.

A single-surgeon prospective study showed that a structured, microsurgical training program can improve overall microsurgery skills, with those who had higher interest and willingness to correct their actions based on feedback having greater improvement.

A Veterans Affairs study showed that a mail-in semen analysis (postvasectomy and full semen analysis) can decrease cost and increase patient satisfaction.

A systematic review of the literature showed that kidney-sparing surgeries such as ureterectomy or endoscopic resection for upper-tract urothelial carcinoma may provide similar survival to radical nephroureterectomy at the cost of increased recurrence, although the literature was highly heterogeneous.

For percutaneous nephrolithotomy (PCNL), complication rates may be higher when using a preexisting nephrostomy tube tract placed by interventional radiology vs a new intraoperative access obtained by urologists.

The use of SPY fluorescence angiography during open urinary diversion to assess ureteral perfusion intraoperatively can decrease rates of ureteroenteric strictures.

In the veteran population, there may be an association between certain exposures and prostate cancer risk, but further research is needed as the current evidence is limited.

A hybrid operating room with advanced imaging and powerful workstation processor can be expensive to set up but has benefits for the patient in areas of stone disease and oncology.

Prostate multiparametric MRI is changing urologic practice in screening and diagnosing prostate cancer.

Data from the Behavioral Risk Factor Surveillance System show that PSA screening in Black military veterans is higher than both White military veterans and the general population.

Patients with classic bladder exstrophy and cloacal exstrophy were significantly more likely to undergo primary closure at exstrophy centers of excellence when diagnosed prenatally and may have an improved chance of successful primary closure.

Three-D printing may be useful to treat urological emergencies without increasing supply burden and may become an integral part of the medical planning for long-duration missions in diverse settings.

In a retrospective review of patients on anticoagulant or antiplatelet medications, HoLEP appears safe and efficient.

In one small retrospective study of patients who underwent HoLEP, 70% were referred by local urologists and 15% by their primary care physicians.

A real-world analysis of men showed a higher all-cause mortality in White vs Black men after starting androgen deprivation therapy for prostate cancer.

Pregnant patients with cystinuria have an increased risk of stone events compared to the general population and undergo more frequent imaging and surgical intervention but do not have a higher rate of urologic or obstetric complications.

The inventor of the ClearPetra access sheath described the ClearPetra flexi, a ureteral access sheath with a passively deflectable tip that can provide suction as one dusts stones and potentially can decrease operative time.

A systematic review and meta-regression analysis showed that peritoneal interposition flaps, regardless of the specific technique, appeared effective at reducing lymphocele rates after robot-assisted laparoscopic prostatectomy + pelvic lymph node dissection, and of the techniques, interposition with fenestration and the PELYCAN technique had the lowest rate of symptomatic lymphoceles.

Based on an anonymous online questionnaire of medical students, residents, and staff on neonatal circumcision, there is room to improve trainee and faculty knowledge and comfortability with performing both newborn penile exam and circumcision.

Men with testicular retraction secondary to hyperactive cremasteric muscle reflex had an almost 4-fold increase in thickness of the cremasteric muscles compared to an anatomic control group.

In a retrospective single-institution study, there appears to be no difference in radiation exposure between standard PCNL, mini PCNL, and ultra-mini PCNL.

The amount of caffeine consumed increased during medical school training and remained stable during residency, and there was no significant difference in caffeine consumption between medical vs surgical residents.

In a review of initial visits to urology that had outside medical records, the median number of pages was 12, and less than one-third of those records had information relevant to the consult.

Only 1 in 4 published US urolithiasis trials report race or ethnicity enrollment.

Hispanic patients demonstrate statistically significant elevations in 24-hour urine calcium and uric acid levels compared to an age- and sex-matched non-Hispanic cohort.

It was a pleasure to attend the 70th Annual Kimbrough Seminar in Norfolk, Virginia, January 14-17, 2024.

The next Kimbrough Seminar will occur January 15-19, 2025, in Memphis, Tennessee.