A5069057391- Urinary Bladder and Prostate Research
- Urological Disorders and Treatments
- Pelvic floor disorders treatments
- Prostate Cancer Diagnosis and Treatment
- Sexual function and dysfunction studies
- Urologic and reproductive health conditions
- Genital Health and Disease
- Bladder and Urothelial Cancer Treatments
- Urinary Tract Infections Management
- Urinary and Genital Oncology Studies
- Hormonal and reproductive studies
- Ureteral procedures and complications
- Pelvic and Acetabular Injuries
- Sexual Differentiation and Disorders
- Pediatric Urology and Nephrology Studies
- Laser Applications in Dentistry and Medicine
- Cardiovascular Syncope and Autonomic Disorders
- Female Genital Mutilation/Cutting Issues
- Photoacoustic and Ultrasonic Imaging
- Diverticular Disease and Complications
- Optical Imaging and Spectroscopy Techniques
- Sexuality, Behavior, and Technology
- Pain Management and Treatment
- Infectious Disease Case Reports and Treatments
- Pain Management and Placebo Effect
Vanderbilt University Medical Center
2013-2023
Nashville Oncology Associates
2010-2019
Vanderbilt University
2007-2018
University of Kansas
2017
Henry M. Jackson Foundation
2015
Chinese Center For Disease Control and Prevention
2015
Vanderbilt Health
2014
Maastricht University Medical Centre
2000
The University of Texas Southwestern Medical Center
1995-1996
NewYork–Presbyterian Hospital
1996
Benign prostatic hyperplasia is commonly treated with alpha-adrenergic-receptor antagonists (alpha-blockers) or 5alpha-reductase inhibitors. The long-term effect of these drugs, singly combined, on the risk clinical progression unknown.We conducted a long-term, double-blind trial (mean follow-up, 4.5 years) involving 3047 men to compare effects placebo, doxazosin, finasteride, and combination therapy measures benign hyperplasia.The overall progression--defined as an increase above base line...
This 5-year, prospective, multicenter trial evaluated the long-term safety and efficacy of sacral neuromodulation in patients with refractory urge incontinence, urgency frequency retention.A total 17 centers worldwide enrolled 163 (87% female). Following test stimulation 11 declined implantation 152 underwent using InterStim. Of those treated 96 (63.2%) had 25 (16.4%) 31 (20.4%) retention. Voiding diaries were collected annually for 5 years. Clinical success was defined as 50% or greater...
Neuromodulation of sacral nerves has shown promising results in correcting voiding dysfunction. We report the a multicenter trial designed to assess efficacy nerve neuromodulation patients presenting with refractory urinary urgency-frequency.A total 51 from 12 centers underwent baseline assessment, including detailed diary, urodynamic evaluation and percutaneous test stimulation at S3 and/or S4. All enrolled study had undergone prior conventional treatment, such as pharmacotherapy,...
In light of China's unique ethnic and sociocultural context, a marked rise in HIV prevalence among MSM, it is important to determine prevalence, genotypes predictors anal human papillomavirus (HPV) HIV-infected uninfected men who have sex with (MSM) Beijing, China.In 2010-2011, we recruited MSM (age range 18-61; median 28 years) through peer volunteers, collected demographic/behavioral information via interviewer-administrated questionnaires. Trained health workers swabs for HPV genotyping...
Controversy remains regarding initial management of traumatic urethral disruption injuries. We evaluated the outcomes primary endoscopic realignment vs suprapubic tube placement in this patient population.We reviewed our urological trauma database for patients with blunt related posterior injuries from 2000 to 2014. Patients underwent or alone. The outcome was success realignment, defined as no further need intervention. Secondary were interventions and/or urethroplasty, time urethroplasty...
Catheter drainage has become a standard management strategy for extraperitoneal bladder rupture from blunt trauma. However, data are lacking critically comparing outcomes between operative and nonoperative management. In this study we evaluate strategies identify risk factors complications.Patients with uncomplicated due to trauma 2000 2014 were identified our registry. Initial consisted of early cystorrhaphy or catheter drainage. Outcomes analyzed incidence inpatient complications, length...
The reported success rate for surgical cavernosa-to-spongiosum shunts in patients with refractory low flow priapism is variable and yet it to be as high 100% terms of achieving detumescence. long-term potency after the introduction shunt procedure also 50%. We reviewed efficacy various detumescence we clarified erectile dysfunction at followup.Patients were included analysis if they had painful more than 4 hours duration that was conservative management, ultimately requiring a shunt. Data,...
We report the impact of urethral risk factors on erosion rates and device survival outcomes after transcorporeal artificial urinary sphincter placement.We performed a retrospective analysis all sphincters placed at single institution between January 2000 May 2014. assessed patient demographic, comorbid diseases surgical characteristics for considered poor survival. Risk were compared to postoperative complications requiring explantation, including cuff erosion, infection revision.A total 37...
We sought to explore our patient outcomes utilizing sacral neuromodulation in the management of refractory urinary urge incontinence following urogynecological surgical procedures.A total 25 women with surgery were selected for SNS therapy and retrospectively analyzed. All patients completed a comprehensive urological evaluation. Clinical data was recorded determine identify parameters that would be predictive response neuromodulation. Outcomes determined via subjective questionnaire graded...
Voluntary medical male circumcision reduces the risk of HIV heterosexual transmission in men, but its effect on male-to-male sexual is uncertain.Circumcision status men who have sex with (MSM) China was evaluated by genital examination and self-report; anal role assessed questionnaire interview. Serostatus for syphilis confirmed.Among 1155 participants (242 were seropositive 913 unknown at enrollment), rate self-report (10.4%) higher than confirmed (8.2%). Male (by examination) associated...
Substantial controversy and conflicting data exist regarding the survival of artificial urinary sphincter in patients with prior radiation therapy. We present from a multi-institutional analysis examining effect for prostate cancer on device survival.A database was compiled cuff erosion, which included demographic comorbid patient characteristics, functional analyses interventions. identified 80 iatrogenic or idiopathic erosion. Idiopathic erosion cases were further analyzed to determine...
No AccessJournal of UrologyAdult Urology1 Jan 2014Difference between Urethral Circumference and Artificial Urinary Sphincter Cuff Size, its Effect on Postoperative Incontinence Jennifer Rothschild, Laura Chang Kit, Lara Seltz, Li Wang, Melissa Kaufman, Roger Dmochowski, Douglas F. Milam RothschildJennifer Rothschild Department Urologic Surgery, Vanderbilt University Medical Center, Nashville, Tennessee More articles by this author , KitLaura Kit Urological Albany College, Albany, New York...
Postural Tachycardia Syndrome (POTS) represents an autonomic disorder predominantly affecting females between 15 and 50 years of age. POTS is a chronic (>6 months) characterized by excessive heart rate increment on standing (>30 beats/min) in the presence characteristic symptoms cerebral hypoperfusion or sympathetic activation. Patients have clinically been noted to describe lower urinary tract (LUTS), although urologic not methodically assessed population. Herein, we present data from pilot...
Many providers elect to use a transcorporeal approach for artificial urinary sphincter placement in an attempt minimize risks, given the increased risk of complications revision cases. We present outcomes multicenter retrospective analysis cuff reimplantation patients with prior erosion special consideration approach.We compiled multi-institutional database who underwent after urethral erosion. Of 34 identified 24 replacement. Patients replacement were further analyzed specific...
No AccessJournal of UrologyAdult Urology1 Mar 2020Penile Prosthesis Insertion in the Era Antibiotic Stewardship—Are Postoperative Antibiotics Necessary? Benjamin M. Dropkin, Leah P. Chisholm, Jeremiah D. Dallmer, Niels V. Johnsen, Roger R. Dmochowski, Douglas F. Milam, and Melissa Kaufman DropkinBenjamin Dropkin *Correspondence: Department Urologic Surgery, Vanderbilt University Medical Center, A1302 Center North, Nashville, Tennessee 37203 telephone: 615-343-5602; FAX: 615-322-8990, E-mail...