We Must Stop Misusing the Term ProstatitisChief complaints and referrals continue to include the word “prostatitis.” A recent PubMed search revealed the persistence of “CP/CPPS” (Chronic Prostatitis/Chronic Pelvic Pain), whether mood, semen quality, weather or brain functional connectivity were being correlated, and whether the interventions employed acupuncture, psychotherapy or low intensity shockwave therapy.
Author ReplyIt seems that their comments are generally in agreement with our viewpoints. “However, these two papers failed to report the incorrect diagnosis of SUI, and urine accumulates in the diverticulum and flows out after pressurization, which is mistaken for SUI.” The authors insist here on the challenge of diagnosing true SUI when a diverticulum is present, a condition called pseudo-incontinence, which corresponds to the emptying of the fluid content of the diverticulum pocket during stress efforts. This was discussed in several sections of our manuscript and is the main reason why we generally omit urodynamic testing in these women.
Stress Urinary Incontinence After Urethral Diverticulum Repair Without Concomitant Anti-Incontinence ProcedureRecently, we read the report of Chavez et al1 who demonstrated that post-urethral diverticulum (UD) repair, the rate of persistent stress urinary incontinence (SUI) was present in 14 of 31 (45%) cases, and de novo SUI occurred in 4 of 30 (13%) cases. It is controversial to perform SUI and UD surgeries simultaneously, and this paper provides new evidence about this topic. At the same time, Greiman et al demonstrated that the resolution of SUI in simultaneous surgery is 83% and the resolution is 53% in UD surgery alone.
Author ReplyThank you for your response to our article “Erectile Dysfunction and Treatment: An Analysis of Associated Chronic Health Conditions.” Your letter-to-the-editor makes thoughtful additions regarding the complexities many young men encounter in seeking healthcare. Your point on the cultural implications that impact young men when seeking preventative measures is especially noteworthy. As medicine begins to utilize telemedicine more often, it may provide a unique opportunity for young men to establish meaningful long-term rapport with providers.
“Erectile Dysfunction and Treatment: An Analysis of Associated Chronic Health Conditions”The article entitled “Erectile Dysfunction and Treatment: An Analysis of Associated Chronic Health Conditions” by Lindsey Wright et al. recently published online ahead of print in Urology 2021 Aug 21; S0090-4295(21)00782-2. highlights one of the many reasons why “Men's Health” is in need of a reformation.
Author Reply to Letter to the EditorWe thank Kokayi et al for their interest in our study on the feasibility and outcomes of active surveillance (AS) in renal oncocytoma recently published in Urology.1 We also read with great interest their results on the growth and renal function dynamics of renal oncocytomas in patients on AS.2 It is a great satisfaction to see that our institutions share common research topics in addition to similar conclusions.
Letter to the Editor-Active Surveillance for Biopsy Proven Renal Oncocytomas: Outcomes and FeasibilityWe welcome this contribution to the growing body of evidence demonstrating the safety of active surveillance (AS) for biopsy-proven renal oncocytomas. The low median growth rate of 2.4 mm/y reported in this work is in keeping with our own series1 and that of others,2,3 in which no patient has developed metastases or disease-related mortality during median follow up of 29-34 months.
Corrigendum to ‘Opioid Free Ureteroscopy: What is the True Failure Rate?’ [Urology Vol. 154 (2021) pp. 89-95]The authors regret that there is a typo in the Results section of the Abstract. “In the total cohort, benzodiazepine users had a lower risk of OF-URS failure on multivariate analysis” should read “benzodiazepine users had a higher risk of OF-URS failure”.
Re: Dudith Pierre-Victor, Howard L. Parnes, Gerald L. Andriole, et al. Prostate Cancer Incidence and Mortality Following a Negative Biopsy in a Population Undergoing PSA Screening. Urology 2021 Jun 26;S0090-4295(21)00539-2We read with great interest the recent work of Pierre-Victor et al on prostate cancer incidence and mortality in the Prostate, Lung, Colorectal and Ovarian Cancer Screening Trial.1 We previously reported, in 2017, on a similar cohort from this trial.2 We studied men in the screening arm who screened positive (via prostate-specific antigen or digital rectal exam) during the first year of the trial, and whose linked biopsy was negative. We found a similar mortality rate after a median follow-up of 12.9 years of 1.1% (vs 1.2% in the present study).
Author ReplyDear Dr Kaufman:
Letter to the Editor re: Gender Differences in Authorship in Urology: A Five-year Review of Publications in Five High-impact JournalsAppreciate the contribution by Whitley et al. 1 which provides valuable perspective on female authorship in urology journals. However, there is a significant error in Table 1 listing the impact factor for the journals evaluated. The impact factor for The Journal of Urology is listed as 2.114 while the correct number for 2019 is 5.925.
Letter-to-the-Editor ReplyReply to letter ‘Re: ‘Is Stone-Free Status After Surgical Intervention for Kidney Stones Associated with Better Health-Related Quality of Life? - A Multicenter Study from the North American Stone Quality of Life Consortium’ by Senol Tonyali (10.1016/j.urology.2020.12.044)We thank you for your interest in our recent article evaluating patients’ HRQOL and stone-free status following kidney stone surgery. We are pleased with the dialogue our findings are generating and hope this propels the emphasis of HRQOL as an important measurement of treatment success. We acknowledge the limitations of retrospective cross-sectional studies, such as ours. Despite this, we hope our study serves as a guide for future studies.