A Low-Grade Angiomyxofibromatous Tumor of the Falx Cerebelli: A Mimic of Fourth Ventricular Tumors.

Low-grade fibromyxoid tumors are very uncommon in children. A tumor of this type has never been reported in the posterior fossa to date. Such lesions may mimic more common lesions of the posterior fossa.

Urological Procedures and Impact on Advanced Practice Provider Burnout, Job Satisfaction, and Salary: AUA Census Analysis.

Introduction: More than 25% of advanced practice providers (APPs) in urology suffer from burnout. We hypothesized that procedural independence would be associated with lower burnout, higher job satisfaction, and higher salary for urologic APPs.

Methods: The AUA Census data were used to conduct a retrospective cross-sectional study.

Integration of Advanced Practice Providers into Independent Surgical Groups.

Background: Nurse practitioners and physician assistants are increasingly employed to extend surgeon capacity and access. However, their roles and the extent to which their deployment aligns with unmet need is unknown.

Study Design: Medicare data was used to identify patients managed by surgical groups (urologists, and orthopedic, general, and cardiothoracic surgeons) from 2010-2020.

Practice-Level Clustering of Industry Payments to Clinicians.

Objective: To test whether industry payments to clinicians are clustered at the level of the medical practice.

Study Setting And Design: We performed a cross-sectional study of clinicians who billed Medicare Part B in 2021 to test whether the receipt of an industry payment, log total value of industry payments, or log total number of industry payments to clinicians were clustered at the level of the medical practice. We used mixed effects linear regression to analyze practice-level clustering, controlling for clinician sex, age, urbanicity, state, and specialty, as well as practice size and specialty.

Turnover Among Early Career Advanced Practice Providers in Urology.

Objective: To understand the patterns and predictors of practice movement among advanced practice providers (APPs). The role of APPs in urology has grown significantly, yet early career turnover is common and remains poorly understood.

Materials And Methods: We conducted a retrospective cohort study using Medicare Data on Provider Practice and Specialty files between 2010 and 2021.

Characterization of Newborn Circumcision Revision and Complication Rates Among Privately Insured Boys in the United States Between 2010 and 2022.

Objective: To investigate national trends in newborn circumcision complication and secondary procedure rates and whether clinician specialty affects these rates.

Methods: The Merative MarketScan Database was queried for claims from 2010 to 2022. CPT 54150 identified newborn circumcisions; CPT 54162, 54163, 54164, 54300, and 54450 identified secondary procedures; ICD-9 and ICD-10 codes identified complications.

Prospective Validation of an Automated Hybrid Multidimensional MRI Tool for Prostate Cancer Detection Using Targeted Biopsy: Comparison with PI-RADS-based Assessment.

Purpose To evaluate the use of an automated hybrid multidimensional MRI (HM-MRI)-based tool to prospectively identify prostate cancer targets before MRI/US fusion biopsy in comparison with Prostate Imaging and Reporting Data System (PI-RADS)-based multiparametric MRI (mpMRI) evaluation by expert radiologists. Materials and Methods In this prospective clinical trial (ClinicalTrials.gov registration no.

Organ-confined prostate cancer with negative surgical margins in an entirely-embedded radical prostatectomy is essentially non-lethal-a retrospective single-institutional study of 520 patients.

Purpose: There is no risk-based stratification in serum PSA monitoring in prostate cancer (PCa) patients following radical prostatectomy (RP). Those patients with minimal risk of recurrence may be subjected to unnecessarily rigorous monitoring as well as to increased anxiety disproportionate to their actual prognosis. This study aimed to investigate outcomes in PCa patients with favorable pathologic parameters to see whether they can be followed less rigorously than current practice recommendations dictate.

Trends in the use of immediate postoperative intravesical chemotherapy following transurethral resection of bladder tumors.

Purpose: The use of immediate postoperative intravesical chemotherapy (IVC) following transurethral resection of bladder tumor (TURBT) has been shown to reduce the rate of recurrence of nonmuscle invasive bladder cancer. Historically, utilization of IVC following TURBT has been low. We sought to determine the rate of immediate postoperative IVC following TURBT, as well as assess factors that may influence its use.

An AUA Workforce Report: Data From the AUA Census Regarding Workplace Experiences Based on Gender.

Introduction: The AUA Workforce Workgroup contributes workforce-related questions to the annual AUA Census to better understand factors impacting the urologic community. This study aims to highlight pertinent gender differences potentially impacting career satisfaction and identify areas in which intervention could improve gender discrepancies. We hypothesize significant differences between males and females exist regarding responses to gender-related AUA Census questions.

The impact of metabolic syndrome on short term radical cystectomy complications.

Purpose: Radical cystectomy is a highly morbid procedure with short term perioperative complications rates cited to be as high as 60%. Short term perioperative complications have been demonstrated to be more frequent in underweight and overweight patients. We sought to evaluate the impact of metabolic syndrome on surgical outcomes.

Utilization and Timing of Cystoscopy for Hematuria Evaluation by Advanced Practice Providers and Urologists.

Objective: To characterize differences between urologists and advanced practice providers (APPs) in the utilization of cystoscopy for hematuria.

Methods: We identified patients initially evaluated for hematuria by a urologist or urology APP between 2015 and 2020 in the MarketScan Research Databases. We determined whether they received a cystoscopy within 6 months of their urology visit and the number of days until cystoscopy.

Burnout in Urological Education: An In-Depth Study of Residents and Fellows in the 2021 AUA Census.

Purpose: Our goal was to explore the current trends in burnout, career choice regret, and well-being needs among urology residents and fellows, with specific emphasis on identifying key factors associated with burnout.

Materials And Methods: The AUA Workforce Workgroup collaborated with the AUA Data Team to analyze data from the 2021 AUA Census, comprising a total of 243 residents and fellows. Key demographics, benefits and resources, career choice and debt, and burnout levels were analyzed, focusing on variables like gender, PGY (postgraduate year) level, debt burden, and personal health appointments.

Exploring the Demands of Urology: On-Call Compensation, Frequency, and Variability.

Introduction: We investigate and analyze the available information regarding on-call patterns among urologists in the US.

Methods: The AUA Workforce Workgroup collaborated with the AUA Data Team to analyze information from the 2022 AUA Census. Extracted data were analyzed to identify variability across gender, subspecialty, hours worked per week, AUA section, salary, and practice setting.