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  Aquablation Compared with Simple Prostatectomy for Prostate Volumes >80 Grams

  Joshua Kuperus, Minhaj Jabeer, Aidan Kennedy, Paul Horning, Greg Palmateer, Bernadette M.M. Zwaans, Jason Hafron, and Kenneth M. Peters

  Publication Date: 5-2025

  • Benign prostatic hyperplasia (BPH) is the most common benign urological disease in men. 1

  • Moderate-to-severe lower urinary tract symptoms (LUTS) from BPH affect 30% of men over 502 and medical treatment often fails for men with moderate-to-severe symptoms, leading them to seek surgical options. 3

  • Transurethral resection of the prostate (TURP) remains the gold standard for prostates less than 80 mL; simple prostatectomy (SP) remains the standard for larger prostates.

  • Aquablation (Aqua) is a novel BPH procedure that may be used for both small and large prostates from 50 to 150 mL. 4

  • Although TURP has been compared with Aqua extensively, there is a gap in the literature regarding the direct comparison of Aqua to SP.

  • SP, while a well-established operation, is an invasive procedure associated with a relatively high complication rate. 5,6

  • Aqua potentially offers an endoscopic solution for men with large prostates.

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  Effect of Emsella Chair Therapy on Stress Urinary Incontinence

  Ayman Alam, Bernadette Zwaans, Erica Zagaja, and Kenneth Peters

  Publication Date: 5-2024

  Stress urinary incontinence (SUI) is the unintentional loss is urine that occurs during a stress event, such as coughing, sneezing, laughing, or exercise. It is caused by the weakening of the pelvic floor muscles or urethral sphincter. It is more commonly seen in women, with up to 33% of women experiencing the condition at least once in their lifetime, while less than 3% of men experience SUI1. Risk factors for women include obesity, smoking, and past pregnancy, while SUI in men mainly develops due to iatrogenic causes such as radical prostatectomy.

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  Nocturia in Men and Associated Comorbidities; A Southeast Michigan Study

  Daniel Fortney, Alexander Geisenhoff, Bernadette Zwaans, and Michael Lutz

  Publication Date: 5-2024

  • Nocturia, defined as waking up during the night to void, is a prevalent condition affecting a considerable proportion of the population.
  • Many studies have demonstrated that nocturia is associated with poor quality of life and numerous adverse health outcomes 1,2,3,4.
  • Patients with nocturia are estimated to have 60% greater hospitalization rates and 19% higher rates of outpatient visits, equating to an annual economic cost of $3,491 per patient 5.
  • Although pre-existing studies have not consistently aligned on the association between nocturia and specific comorbidities, the overall agreement on the negative health outcomes and economic strain caused by untreated nocturia remains significant.

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  Demographics and Pain: An Observational Study of Men Attending an Urban Health Event

  Steven A. Kessler and Michael D. Lutz

  Publication Date: 5-2024

  • Chronic pain has been estimated to be present in 11.4 to 24 percent of the population.
  • Of the 369 measured diseases, the World Health Organization’s Global Burden of Disease Study has 3 conditions associated with chronic pain in the top.
  • The economic burden associated with chronic pain is high, with one study suggesting higher annual costs than heart disease, cancer, and diabetes.
  • Studies have shown that race and socioeconomic status are factors associated with higher prevalence of chronic pain.

  • Higher in minority populations, and those of lower socioeconomic status.
  • One study showed that after correcting for income, employment and adverse life events, race had less of an association.

  • The goal of this study is to use survey data from a well attended Men’s health event in an urban setting to observe correlations between certain demographics and the response to a question about chronic pain.
  • Our hypothesis was that the data would confirm previous studies that race and socioeconomic status would be associated with the prevalence of chronic pain.

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  Virtual Pee Pee Party in the Time of a Pandemic: A Cost and Time Analysis of Participant Recruitment and Urine Sample Collection through Social Media Optimization

  Prasun Sharma, Sarah N. Bartolone, Eli P. Ward, Laura E. Lamb, Joseph Janicki, Christopher Smith, Melissa Laudano, Bernadette M. M. Zwaans, and Michael B. Chancellor

  Publication Date: 5-2024

  Conducting a clinical research study can be expensive and time consuming. High cost and/or long duration of a study can delay bringing new diagnostics and therapy to patients and increase cost of care to the patients. Online recruitment of participants, using social media (e.g. Facebook, TikTok, Twitter, YouTube, etc.) for at-home collection of clinical samples has potential to reduce cost of participant acquisition and retention. A cost and time effective online recruitment technique, crowdsourcing, may also help research facilities with smaller budgets to maximize their findings1. Online recruitment may also help reach out to more disease stakeholders including participants outside a clinic’s typical geographic area as well as reach more patients suffering from a particular disease of interest.

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  The Effects of BMI on the Development of Radiation Cystitis Onset: A Pilot Study

  Kelsa G. Kazyak and Bernadette MM Zwaans

  Publication Date: 5-2023

  Radiation cystitis (RC) is a debilitating adverse side effect of pelvic radiation therapy. Despite advancements within the field of radiation oncology, the location of the bladder makes it difficult to avoid during radiation and approximately 5-10% of cancer survivors with a history of pelvic radiation are at risk. While RC is not common, the long-term effects can be crippling and we hope to provide more information on the risk factors to help survivors and inform clinicians.

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  Evaluating the effect of the COVID-19 pandemic on the use and impact of social media in the urology residency match: A review of the literature

  Shivam Patel, Brent Yelton, Andrew Shanholtzer, Brianna Walter, and Syed Mohammad Jafri

  Publication Date: 5-2023

  Social media (SoMe) use within healthcare has changed significantly since the start of the COVID-19 pandemic. This project highlights recent changes in SoMe use within the field of urology and summarizes how they have impacted the urology residency application and match process.

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  Urodynamic Characteristics of Patients with Urge Incontinence treated with Sacral Neuromodulation and Adjunct Botulinum Toxin Injection

  Brent Yelton and Jason Gilleran

  Publication Date: 5-2023

  Sacral neuromodulation (SN) and intradetrusor botulinum toxin (BTX) are effective treatments for refractory overactive bladder (OAB) and urge incontinence (UI).1 The decision on which treatment to use is based on several factors. Urodynamics (UDS) have not been proven to determine who will respond to SN. Detrusor overactivity (DO) suggests that BTX may be more effective, given its direct role on muscle. The purpose of this study is to determine if presence and severity of DO on UDS is associated with failure of SN and response to BTX.

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  Elimination Of Postoperative Narcotics In Infant Robotic Pyeloplasty Using Caudal Anesthesia And A Non-Narcotic Pain Pathway

  Kwesi Asantey, Kristen Meier, Zachary Rollins, Andrew B. Banooni, and Zachary J. Liss

  Publication Date: 5-2-2022

  INTRODUCTION
  /="/">Research suggests that narcotic pain medications are dramatically overprescribed. We hypothesize that narcotics are unnecessary in the majority of infants for postoperative pain control. In this series, we report our experience combining caudal blocks with a non-narcotic postoperative pathway as a means of completely eliminating postoperative narcotics following infant robotic pyeloplasty.

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  Standardizing the Pelvic Floor Exam: Is it reproducible and durable?

  Ly Hoang Roberts, Bernadette Zwaans, Daniel T. Fortney, Steven A. Kessler, Hailey Eisner, Lauren Tennyson, and Kenneth M. Peters

  Publication Date: 2-24-2022

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  The Incidence of New or Worsening OAB Symptoms in Patients with Prior SARS CoV-2 Infection

  Ly Hoang Roberts, Bernadette Zwaans, Kenneth M. Peters, Michael Chancellor, and Priya Padmanabhan

  Publication Date: 2-26-2022

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  Assessing the Prevalence of Sport-Induced Urinary Incontinence and its Emotional Impact on Female Gymnasts

  Nikta Rezakahn Khajeh and Kenneth M. Peters

  Publication Date: 5-2-2022

  INTRODUCTION
  Female gymnasts put strain on their pelvic floor muscles with high impact exercises that increase their susceptibility for stress urinary incontinence (SUI). Moreover, they refrain from seeking medical attention because of embarrassment. This project seeks to quantify the prevalence of SUI in female gymnasts while also influencing conversation about SUI in the gymnastics community to alleviate its stigma. We hypothesize there to be a high prevalence of SUI in young female gymnasts compared to nonathletic females.

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  Urinary cytokines as potential biomarkers of mild cognitive impairment and Alzheimer’s disease: a pilot study

  Nazia Saiyed, Ali Yilmaz, Sangeetha Vishweswariah, Sarah Bartolone, Tammy Osentoski, Stacey Ruff, Amita Pai, Michael Maddens, Khaled Imam, and Stewart F. Graham

  Publication Date: 10-21-2022

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  Evaluation of TrenGuard Patient Positioning System

  Joshua Volin, Patrick Herndon, Michelle Jankowski, Deborah Hasenau, and Jason Hafron

  Publication Date: 5-2-2022

  INTRODUCTION
  The TrenGuard™ patient positioning device is a comprehensive patient restraint system for patient positioning when in Trendelenburg position during robotic surgery. This study aims to compare patient migration with the TrenGuard™ patient restraint system (TGPRS) to traditional patient restraint with surgical tape and egg crate foam bolsters (STECFB).