- Urinary Bladder and Prostate Research
- Pelvic floor disorders treatments
- Prostate Cancer Diagnosis and Treatment
- Urological Disorders and Treatments
- Urinary Tract Infections Management
- Pelvic and Acetabular Injuries
- Anorectal Disease Treatments and Outcomes
- Urinary and Genital Oncology Studies
- Urologic and reproductive health conditions
- Hormonal and reproductive studies
- Ureteral procedures and complications
- Diversity and Career in Medicine
- Sexual function and dysfunction studies
- Surgical Simulation and Training
- Bladder and Urothelial Cancer Treatments
- Healthcare Policy and Management
- Medical Malpractice and Liability Issues
- Renal cell carcinoma treatment
- Botulinum Toxin and Related Neurological Disorders
- Kidney Stones and Urolithiasis Treatments
- Medical Imaging and Pathology Studies
- Diverticular Disease and Complications
- Innovations in Medical Education
- Prostate Cancer Treatment and Research
- Cardiac tumors and thrombi
Columbia University Irving Medical Center
2016-2025
Northwell Health
2025
North Shore University Hospital
2025
Columbia University
2010-2024
New York Proton Center
2010-2020
New York Medical College
2019
New York Hospital Queens
2010-2018
NewYork–Presbyterian Hospital
2010-2018
Institute for Female Pelvic Medicine and Reconstructive Surgery
2018
The University of Texas Southwestern Medical Center
2018
The purpose of this guideline is to provide evidence-based guidance clinicians all specialties on the evaluation, management, and treatment idiopathic overactive bladder (OAB). informs reader valid diagnostic processes provides an approach selecting options for patients with OAB through shared decision-making process, which will maximize symptom control quality life, while minimizing adverse events burden disease.
Study Type – Prognosis (cohort) Level of Evidence 2a What's known on the subject? and What does study add? The metabolic syndrome, or Syndrome X, has traditionally been associated with an increased risk cardiovascular disease sexual dysfunction. Emerging data however now suggest that syndrome may also have a heretofore unrecognized negative effect voiding function as well. Weight loss through either behavioural modification bariatric surgery shown to lead improvement in stress urge...
The purpose of this guideline is to provide evidence-based guidance clinicians all specialties on the evaluation, management, and treatment idiopathic overactive bladder (OAB). informs reader valid diagnostic processes provides an approach selecting options for patients with OAB through shared decision-making process, which will maximize symptom control quality life, while minimizing adverse events burden disease.
Objective: We evaluated 5-year safety, efficacy and prostate volume data from BPH patients treated with finasteride or dutasteride. Methods: A retrospective analysis of 378 consecutive men 5α-reductase inhibitor monotherapy between January 2004 September 2009 (197 on 211 dutasteride) in a single clinic was performed. Efficacy assessments included International Prostate Symptom Score (IPSS), peak urinary flow rate (Qmax), postvoid residual urine (PVR), prostate-specific antigen (PSA) (PV)....
No AccessJournal of UrologyAdult Urology1 Sep 2011Outcomes and Complications After 532 nm Laser Prostatectomy in Anticoagulated Patients With Benign Prostatic Hyperplasia Doreen E. Chung, James S. Wysock, Richard K. Lee, Scott R. Melamed, Steven A. Kaplan, Alexis Te ChungDoreen Chung Section Urology, University Chicago Department Surgery, Mount Sinai Hospital, Chicago, Illinois , WysockJames Wysock Weill Cornell Medical College, University, New York, York LeeRichard Lee MelamedScott Melamed...
OBJECTIVE: To compare the safety and effectiveness of transvaginal mesh repair native tissue repair, in response to a U.S. Food Drug Administration (FDA) 522 study order assess co-primary endpoints superiority noninferiority. METHODS: This was prospective, nonrandomized, parallel cohort, multi-center trial comparing with for treatment pelvic organ prolapse. The primary were composite success at 36 months comprised anatomical (defined as prolapse quantification [POP-Q] point Ba≤0 and/or C≤0),...
Some groups consider magnetic resonance imaging the gold standard to diagnose urethral diverticula with up 100% reported sensitivity. We describe cases contradicting this paradigm and identify reasons for discrepancies.We searched a database women who underwent diverticulum surgery from 1998 2008 also preoperative imaging. Images were reviewed by blinded panel of urologists radiologist. They came consensus on presence or absence, site anatomy cancer, compared operative findings....
Abstract Aim Female urethral stricture disease is rare and has several surgical approaches including endoscopic dilations (ENDO), urethroplasty with local vaginal tissue flap (ULT) or free graft (UFG). This study aims to describe the contemporary management of female evaluate outcomes these three approaches. Methods a multi‐institutional, retrospective cohort evaluating operative treatment for stricture. Surgeries were grouped into categories: ENDO, ULT, UFG. Time from surgery recurrence by...
Abstract Introduction Onabotulinumtoxin A (BTX‐A) is an effective therapy for overactive bladder (OAB), however, adverse events may prevent patients from initiating therapy. The study objective was to report real‐world rates of incomplete emptying and urinary tract infection (UTI) in men women undergoing BTX‐A OAB. Methods Eleven clinical sites performed a retrospective adults first‐time injection (100 units) idiopathic OAB 2016. Exclusions included: postvoid residual (PVR) > 150 ml,...
ABSTRACT Introduction Onabotulinumtoxin A (BTX‐A) is a minimally invasive therapy for idiopathic overactive bladder (iOAB). Incomplete emptying known risk of the procedure, with an overall rate as high 20% in male and female patients. Risk factors incomplete after BTX‐A have been reported literature, but are widely variable amongst studies therefore patients at increased this adverse effect cannot easily be identified by clinicians. The aim study was to evaluate whether pre‐procedure...
Introduction:The objective was to determine the prevalence of, and factors that predict, detrusor underactivity (DU) in patients presenting with incontinence or lower urinary tract symptoms (LUTS) following radical prostatectomy (RP).We also determined of bladder outlet obstruction (BOO) overactivity (DO) this population.Methods: Patients who underwent urodynamics post-RP were identified.Detrusor defined as a maximum flow rate (Qmax) ≤15 mL/s pressure (Pdet) Qmax <20 cmH20 Pdet during...
Introduction: The objective was to determine the prevalence of, and factors that predict, detrusor underactivity (DU) in patients presenting with incontinence or lower urinary tract symptoms (LUTS) following radical prostatectomy (RP). We also determined of bladder outlet obstruction (BOO) overactivity (DO) this population.Methods: Patients who underwent urodynamics post-RP were identified. Detrusor defined as a maximum flow rate (Qmax) ≤15 mL/s pressure (Pdet) Qmax <20 cmH20 Pdet during...
Purpose: Decision-making regarding surgery for post-prostatectomy incontinence (PPI) is challenging. The 24-hour pad weight test commonly used to objectively quantify PPI. However, may vary based upon activity level. We aimed variability in weights patient-reported activity. Materials and Methods: 25 patients who underwent radical prostatectomy were prospectively enrolled. All demonstrated clinical stress urinary without urgency incontinence. On three consecutive alternating days, submitted...
Most urologic surgeons will experience surgical complications during their career. These can traumatize the surgeon. A national survey of AUA members was conducted to better understand impact on mental, emotional, and physical health.
Sling procedures, which have become the dominant method of surgical management stress urinary incontinence, are frequently performed by urologists and gynecologists. Few studies investigating trends in focused on differences provision care between specialties. In this study we compared national practice patterns sling procedures provider type.We analyzed 2006 to 2013 ACS (American College Surgeons) NSQIP (National Surgical Quality Improvement Program) database. CPT-4 codes were used identify...
Near infrared spectroscopy is a technology with the potential to diagnose bladder outlet obstruction noninvasively. We investigated correlation between near algorithm classification of obstructed or unobstructed (based on pattern, maximum flow rate and post-void residual) pressure studies in men lower urinary tract symptoms. also assessed whether pattern itself, independent (which includes residual urine), correlates obstruction.Subjects simultaneously underwent urodynamics evaluation....
The thulium laser was introduced in 2005 for the treatment of benign prostatic hyperplasia (BPH). Enucleation studies from outside North America show comparable efficacy and lower morbidity to transurethral resection prostate. A few exist describing outcomes vaporization, most commonly used technique urologists. We present our 3-month vaporization prostate (ThuVP).From December 2010 October 2013, 68 men underwent ThuVP using 150 W CyberTM(®). Data were collected on demographics,...
In the United States numbers of electrosurgical transurethral prostate resection procedures have been decreasing. Since is a difficult procedure to master, we hypothesized that recent residents are lacking in training for this procedure. We used summary case log information provided by Accreditation Council Graduate Medical Education determine if number performed graduating chief has decreased and there an increase surgical adverse events. addition, investigated whether increased laser...