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  1. Article: Second-stage Scrotoplasty with Autologous Tissue Augmentation after Metoidioplasty.

    Everett, Ross G / Butler, Christi / Dy, Geolani W / Dugi, Daniel D

    Plastic and reconstructive surgery. Global open

    2024  Volume 12, Issue 1, Page(s) e5545

    Abstract: We present our technique for second-stage scrotoplasty with autologous tissue augmentation following gender-affirming metoidioplasty. This technique augments the scrotum while removing the upper labia majora and making the penis more visible and ... ...

    Abstract We present our technique for second-stage scrotoplasty with autologous tissue augmentation following gender-affirming metoidioplasty. This technique augments the scrotum while removing the upper labia majora and making the penis more visible and accessible. This procedure avoids the need for testicular prostheses and their potential for discomfort, displacement, extrusion, or infection. Our preliminary results show that the complication rate is low.
    Language English
    Publishing date 2024-01-22
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2851682-5
    ISSN 2169-7574 ; 2169-7574
    ISSN (online) 2169-7574
    ISSN 2169-7574
    DOI 10.1097/GOX.0000000000005545
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    Zs.A 7091: Show issues Location:
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    ab Jg. 2022: Lesesaal (EG)

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  2. Article ; Online: Is chest imaging needed as part of pT1a renal cell carcinoma surveillance after surgical resection?

    Charles, David / Fitzgerald, John / Landowski, Truman / Cooper, Brennen / Yong, Raymond / Everett, Ross / See, William / Jacobsohn, Kenneth / Johnson, Scott / Langenstroer, Peter

    Urologic oncology

    2023  Volume 42, Issue 1, Page(s) 23.e1–23.e4

    Abstract: Introduction: Following surgical excision of pT1a renal cell carcinoma (RCC), 2% to 5% will recur, with 50% to 60% being lung metastases. The ideal surveillance strategy to identify recurrences is unclear. Guidelines are mixed, with NCCN and AUA ... ...

    Abstract Introduction: Following surgical excision of pT1a renal cell carcinoma (RCC), 2% to 5% will recur, with 50% to 60% being lung metastases. The ideal surveillance strategy to identify recurrences is unclear. Guidelines are mixed, with NCCN and AUA recommending surveillance via chest x-ray (CXR) at least annually for 5 years, while EAU guidelines do not specifically recommend the use of CXR. In an effort to clarify the utility of surveillance CXR, we retrospectively evaluated pT1a patients following surgical treatment at a single institution.
    Methods: We performed retrospective analysis of unique patients who underwent surgical excision of pT1 RCC between January 2000 and January 2020. In addition to demographic information, we collected RCC pathology, recurrence details, and most recent chest imaging. We excluded non-RCC pathology, and patients with pulmonary nodules on baseline imaging.
    Results: We identified 463 unique patients (mean age 58.3 years, range 23-87) that underwent surgical excision of pT1a RCC with mean follow-up of 47.6 months (range 1-201). On the most recent pulmonary surveillance imaging, 72.4% (335/463) had CXR while 27.6% (128/463) had chest CT performed. Regardless of modality, pulmonary recurrence was not detected on any surveillance imaging (0/463).
    Conclusion: In patients without baseline preoperative lung pathology, we found that there is questionable clinical value in surveillance for pulmonary recurrence after resection of pT1a RCC.
    MeSH term(s) Humans ; Infant ; Child, Preschool ; Child ; Carcinoma, Renal Cell/diagnostic imaging ; Carcinoma, Renal Cell/surgery ; Carcinoma, Renal Cell/pathology ; Kidney Neoplasms/diagnostic imaging ; Kidney Neoplasms/surgery ; Kidney Neoplasms/epidemiology ; Retrospective Studies ; Tomography, X-Ray Computed ; Lung Neoplasms/diagnostic imaging ; Lung Neoplasms/surgery ; Lung Neoplasms/secondary ; Neoplasm Recurrence, Local/diagnostic imaging ; Neoplasm Recurrence, Local/epidemiology
    Language English
    Publishing date 2023-11-30
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1336505-8
    ISSN 1873-2496 ; 1078-1439
    ISSN (online) 1873-2496
    ISSN 1078-1439
    DOI 10.1016/j.urolonc.2023.10.007
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    Zs.A 4817: Show issues Location:
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    Jg. 1995 - 2021: Lesesall (2.OG)
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  3. Article: Factors associated with recurrent urinary tract infections in spinal cord injured patients who use intermittent catheterization.

    Everett, Ross G / Charles, David K / Foss, Halle E / O'Connor, R Corey / Guralnick, Michael L

    The Canadian journal of urology

    2021  Volume 28, Issue 6, Page(s) 10920–10928

    Abstract: Introduction: Urinary Tract Infection (UTI) has been cited as the primary cause of morbidity in patients with history of spinal cord injury (SCI). Despite the significance of recurrent UTI (rUTI) in this population, the causative physiologic and patient ...

    Abstract Introduction: Urinary Tract Infection (UTI) has been cited as the primary cause of morbidity in patients with history of spinal cord injury (SCI). Despite the significance of recurrent UTI (rUTI) in this population, the causative physiologic and patient characteristics are not well described. We sought to assess associations between demographic, clinical and urodynamic variables and rUTI.
    Materials and methods: The records of 136 individuals with SCI who perform clean intermittent catheterization (CIC) were retrospectively reviewed. All had a video urodynamics study (VUDS) available for analysis. Individuals were divided into non-recurrent (< 3/year) or rUTI (≥ 3/year) groups. Differences between the cohorts were analyzed. Multivariable logistic regression was performed to determine associations between various demographic, clinical, and VUDS variables and rUTI.
    Results: Self-reported rUTI were noted in 58 of 136 individuals. Of 124 individuals with urinary culture results, African American race (43.3% vs. 22.3%) and 'Other' race (13.3% vs. 8.5%) made up larger proportions in the rUTI group. Female gender (OR 4.96, 95% CI [1.44-17.13]) and African American race (OR 5.16, 95% CI [1.80-14.79]) were increasingly associated with rUTI on multivariable logistic regression. Shorter interval since injury was also significantly associated with recurrent infections with each year since injury indicating diminished likelihood (OR 0.91, 95% CI [0.82-0.99]). There were no significant differences in VUDS variables between groups and none were significant on regression as potential determinants of rUTI.
    Conclusions: Patient race, gender, and time since SCI appear to have significant associations with rUTI in individuals with SCI using CIC. However, VUDS variables were not found to be significantly associated with rUTI.
    MeSH term(s) Female ; Humans ; Intermittent Urethral Catheterization/adverse effects ; Retrospective Studies ; Spinal Cord Injuries/complications ; Urinary Bladder, Neurogenic/complications ; Urinary Bladder, Neurogenic/therapy ; Urinary Catheterization ; Urinary Tract Infections/complications ; Urinary Tract Infections/etiology
    Language English
    Publishing date 2021-12-11
    Publishing country Canada
    Document type Journal Article
    ZDB-ID 2064475-9
    ISSN 1195-9479
    ISSN 1195-9479
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    Zs.A 5607: Show issues Location:
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    Jg. 1995 - 2021: Lesesall (2.OG)
    ab Jg. 2022: Lesesaal (EG)

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  4. Article ; Online: Impact of Acetazolamide on Perioperative Pain Control in Robotic Assisted Laparoscopic Prostatectomy.

    Medairos, Robert / Lankford, Joseph / Everett, Ross / Berger, Garrett / Weierstahl, Krystal / Woehlck, Harvey / Jacobsohn, Kenneth / Johnson, Scott

    Urology

    2022  Volume 172, Page(s) 126–130

    Abstract: Objective: To evaluate the efficacy of peri-operative acetazolamide for pain control in robotic assisted laparoscopic prostatectomy (RALP). Prior studies have demonstrated that preoperative acetazolamide decreased postoperative referred pain in the ... ...

    Abstract Objective: To evaluate the efficacy of peri-operative acetazolamide for pain control in robotic assisted laparoscopic prostatectomy (RALP). Prior studies have demonstrated that preoperative acetazolamide decreased postoperative referred pain in the postsurgical period for laparoscopic procedures. The proposed mechanism is acetazolamide mediated inhibition of carbonic anhydrase, thereby preventing formation of carbonic acid and subsequent peritoneal acidosis with referred pain. This has yet to be demonstrated in the setting of RALP.
    Methods and materials: Patients undergoing RALP were randomized to receive either preoperative saline or acetazolamide prior to the procedure. Overall pain scores were recorded at multiple time points post operatively, as well as total morphine equivalents administered for adjunctive pain control.
    Results: Thirty-one patients were included in the study: 16 patients (51.6%) received perioperative acetazolamide, and 15 patients (48.4%) received perioperative saline as placebo. Overall pain scores were similar for patients receiving acetazolamide compared to placebo at various time points: first responsive (3.5 ± 3.1 vs 4.1 ± 1.7, P = .28), immediately prior to leaving PACU (2.8 ± 2.9 vs 2.9 ± 2.9, P = .48), at 4 hours post-procedure (3.1 ± 3.0 vs 2.9 ± 1.8, P = .362), or at 24 hours post-procedure (2.3 ± 1.7 vs 2.2 ± 1.6, P = .5). Shoulder tip pain was not present in either cohort. No statistically significant difference was observed for total morphine equivalents delivered between acetazolamide and placebo (17.3 vs 20.5, P= .2, respectively).
    Conclusion: Acetazolamide does not appear to impact overall pain or shoulder tip pain in the observed cohort of patients undergoing RALP.
    MeSH term(s) Male ; Humans ; Acetazolamide/therapeutic use ; Robotic Surgical Procedures/adverse effects ; Robotic Surgical Procedures/methods ; Pain, Referred ; Laparoscopy/adverse effects ; Laparoscopy/methods ; Pain, Postoperative/drug therapy ; Pain, Postoperative/etiology ; Pain, Postoperative/prevention & control ; Prostatectomy/adverse effects ; Prostatectomy/methods ; Morphine Derivatives/therapeutic use ; Treatment Outcome
    Chemical Substances Acetazolamide (O3FX965V0I) ; Morphine Derivatives
    Language English
    Publishing date 2022-12-05
    Publishing country United States
    Document type Randomized Controlled Trial ; Journal Article
    ZDB-ID 192062-5
    ISSN 1527-9995 ; 0090-4295
    ISSN (online) 1527-9995
    ISSN 0090-4295
    DOI 10.1016/j.urology.2022.11.014
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    Zs.A 1142: Show issues Location:
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    Jg. 1995 - 2021: Lesesall (1.OG)
    ab Jg. 2022: Lesesaal (EG)
    Zs.MO 275: Show issues

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  5. Article ; Online: Is a 50% improvement threshold adequate to justify progression from sacral neuromodulation testing to implant?

    Charles, David K / Everett, Ross G / Prebay, Zachary J / Landowski, Truman P / O'Connor, R Corey / Guralnick, Michael L

    Neurourology and urodynamics

    2021  Volume 40, Issue 6, Page(s) 1524–1531

    Abstract: Purpose: A ≥50% subjective improvement in urinary symptoms during sacral neuromodulation testing (SNM-I) is currently used as the indication for progression to second-stage implantation (SNM-II). While most patients will have successful SNM-I and ... ...

    Abstract Purpose: A ≥50% subjective improvement in urinary symptoms during sacral neuromodulation testing (SNM-I) is currently used as the indication for progression to second-stage implantation (SNM-II). While most patients will have successful SNM-I and proceed to SNM-II, deterioration in efficacy over time has been reported. It remains unclear if the durability of efficacy is related to the initial symptom reduction. We sought to determine if the degree of improvement after SNM-I is sufficient to predict long-term success.
    Methods: The records of all patients who underwent sacral neuromodulation (SNM) for overactive bladder were reviewed. Subjects were divided into those who reported 50%-75% improvement (Group 1) and more than 75% improvement (Group 2) after SNM-I. Differences in clinical variables and long-term device efficacy were compared between groups.
    Results: Of 213 patients who underwent SNM-I, 137 underwent permanent device implantation. A total of 76 (55%) and 61 (45%) patients reported 50%-75% (Group 1) and more than 75% (Group 2) symptomatic improvement, respectively. With a mean follow-up of 46 months, 44% of Group 1 patients and 68% of Group 2 patients still had a functioning device providing the symptomatic benefit (p = 0.007). Univariate analyses identified the presence of stress urinary incontinence at baseline and having a more than 75% improvement after SNM-I as predictors of long-term functional success.
    Conclusions: Compared to patients reporting 50%-75% symptomatic reduction after SNM-I, individuals with a more than 75% improvement during SNM-I were more likely to maintain device efficacy over time. Additional study is warranted to determine if the improvement threshold for progression to SNM-II should be increased.
    MeSH term(s) Electric Stimulation Therapy ; Humans ; Sacrococcygeal Region ; Sacrum ; Treatment Outcome ; Urinary Bladder, Overactive/diagnosis ; Urinary Bladder, Overactive/therapy
    Language English
    Publishing date 2021-05-18
    Publishing country United States
    Document type Journal Article
    ZDB-ID 604904-7
    ISSN 1520-6777 ; 0733-2467
    ISSN (online) 1520-6777
    ISSN 0733-2467
    DOI 10.1002/nau.24698
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    Zs.A 1828: Show issues Location:
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    Jg. 1995 - 2021: Lesesall (1.OG)
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  6. Article ; Online: Pain management following robotic-assisted radical prostatectomy: transitioning to an opioid free regimen.

    Prebay, Zachary J / Medairos, Robert / Landowski, Truman / Everett, Ross G / Doolittle, Johnathan / Kansal, Jagan K / Jacobsohn, Kenneth / Johnson, Scott C

    Journal of robotic surgery

    2021  Volume 15, Issue 6, Page(s) 923–928

    Abstract: Few studies demonstrate the safety and efficacy of postoperative pain regimens that exclude opioids altogether in patients undergoing robot-assisted radical prostatectomy (RARP). To reduce opioid use, we sought to develop an opioid-free regimen for RARP ... ...

    Abstract Few studies demonstrate the safety and efficacy of postoperative pain regimens that exclude opioids altogether in patients undergoing robot-assisted radical prostatectomy (RARP). To reduce opioid use, we sought to develop an opioid-free regimen for RARP and determine perioperative outcomes before and after implementation. A retrospective, pre-post-interventional study was performed at a single institution between 8/2018 and 10/2019. An opioid-free pain regimen was developed and instituted on 3/7/2019, and all patients received preoperative counseling regarding pain expectations and management. Postoperative pain score was the primary outcome. Secondary outcomes included postoperative opioid use, length of stay, adverse events and unplanned health encounters within 30 days of discharge. Pearson's chi-squared and Student's t-tests were performed on categorical and continuous variables, respectively. Multivariable analysis was performed to determine risk factors for postoperative opioid use in the opioid-free cohort. A total of 89 patients were included for analysis; consisting of 47 (53%) pre-intervention and 42 (47%) post-intervention patients. Baseline characteristics were similar between groups. A significantly lower proportion of patients in the post-intervention group were administered opioids postoperatively (5% vs 53%, p < 0.01), despite having similar postoperative pain scores (2.69 vs 3.11, p = 0.19) and length of stay (1.0 days vs 1.2 days, p = 0.07). The post-intervention group had a significantly lower rate of opioid discharge prescriptions (14% vs 96%, p < 0.01). The rate of ED visits (12% vs 15%, p = 0.68), pain-related phone calls (17% vs 19%, p = 0.76) or adverse events (19% vs 13%, p = 0.42) were similar between groups. Among the opioid-free group, older patients were less likely to be administered postoperative opioids (OR 0.84, p = 0.046). A structured opioid-free pain regimen following RARP is non-inferior compared to traditional opioid-based standard of care. Adoption of similar regimens can help address the ongoing opioid epidemic in the United States and future work is needed to apply these principles broadly.
    MeSH term(s) Analgesics, Opioid/therapeutic use ; Humans ; Male ; Pain Management ; Pain, Postoperative/drug therapy ; Prostatectomy ; Retrospective Studies ; Robotic Surgical Procedures/methods
    Chemical Substances Analgesics, Opioid
    Language English
    Publishing date 2021-01-25
    Publishing country England
    Document type Journal Article
    ZDB-ID 2268283-1
    ISSN 1863-2491 ; 1863-2483
    ISSN (online) 1863-2491
    ISSN 1863-2483
    DOI 10.1007/s11701-021-01191-x
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  7. Article ; Online: Re: The Effect of Race and Gender on the Surgical Management of the Small Renal Mass.

    Klaassen, Zachary / Everett, Ross / Madi, Rabii / Terris, Martha K

    European urology

    2015  Volume 68, Issue 1, Page(s) 163–164

    MeSH term(s) African Americans/statistics & numerical data ; Carcinoma, Renal Cell/surgery ; European Continental Ancestry Group/statistics & numerical data ; Female ; Humans ; Kidney Neoplasms/surgery ; Male
    Language English
    Publishing date 2015-07
    Publishing country Switzerland
    Document type Comment ; Journal Article
    ZDB-ID 193790-x
    ISSN 1873-7560 ; 1421-993X ; 0302-2838
    ISSN (online) 1873-7560 ; 1421-993X
    ISSN 0302-2838
    DOI 10.1016/j.eururo.2015.03.055
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    In stock of ZB MED Cologne/Königswinter

    Zs.A 1247: Show issues Location:
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    Jg. 1995 - 2021: Lesesall (1.OG)
    ab Jg. 2022: Lesesaal (EG)
    Zs.MO 294: Show issues

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  8. Article ; Online: Patient-Reported Impact of Pelvic Organ Prolapse on Continence and Sexual Function in Women With Exstrophy-Epispadias Complex.

    Everett, Ross G / Lue, Kathy M / Reddy, Sunil S / Friedlander, Daniel A / Alexander, Cameron E / Young, Ezekiel E / Abdelwahab, Mahmoud / Gandhi, Nilay M / Wright, Edward J / Gearhart, John P

    Female pelvic medicine & reconstructive surgery

    2017  Volume 23, Issue 6, Page(s) 377–381

    Abstract: Objective: This study aimed to characterize long-term urogynecologic issues of women with a history of bladder exstrophy and pelvic organ prolapse (POP) and to assess the impact of POP repair on continence and sexual function.: Design: Patient ... ...

    Abstract Objective: This study aimed to characterize long-term urogynecologic issues of women with a history of bladder exstrophy and pelvic organ prolapse (POP) and to assess the impact of POP repair on continence and sexual function.
    Design: Patient demographics and surgical history related to exstrophy and POP were collected through chart review. Patient perceptions regarding sexual function, urinary continence, and quality of life were assessed through Web-based administration of validated questionnaires: International Consultation on Incontinence Questionnaire-Urinary Incontinence Short Form and POP-Urinary Incontinence Sexual Questionnaire.
    Setting: Maryland, United States.
    Participants: Review of a single-institution exstrophy-epispadias complex database resulted in 25 adult female patients with a history of POP treated at the authors' institution. Eleven patients participated and were included in the analysis.
    Main outcome measures: Urinary continence and sexual function.
    Results: All participants underwent surgical repair for prolapse, with 7 (63.6%) experiencing unsuccessful initial repair and subsequent recurrence. Median total number of POP repairs was 2.5 (1-4). After correction of POP, patients reported a median improvement in International Consultation on Incontinence Questionnaire-Urinary Incontinence Short Form scores of 11 (21 to -1) of 21 and in POP-Urinary Incontinence Sexual Questionnaire scores of 9.5 (6.5-33.0) of 48.0. With regard to urinary continence, 6 (54.5%) patients presently reported no incontinence, 3 (27.3%) reported mild incontinence, and 2 (18.2%) reported continuous incontinence.
    Conclusions: Pelvic organ prolapse poses significant reductions in quality of life for women born with exstrophy, with effects on urinary continence and sexual function. Identification and correction of prolapse seems to result in notable improvements in the lives of these patients.
    MeSH term(s) Abnormalities, Multiple ; Adult ; Bladder Exstrophy/complications ; Bladder Exstrophy/psychology ; Bladder Exstrophy/surgery ; Epispadias/complications ; Epispadias/psychology ; Epispadias/surgery ; Female ; Humans ; Longitudinal Studies ; Middle Aged ; Patient Reported Outcome Measures ; Pelvic Organ Prolapse/complications ; Pelvic Organ Prolapse/surgery ; Quality of Life ; Reconstructive Surgical Procedures ; Retrospective Studies ; Severity of Illness Index ; Sexual Dysfunction, Physiological/etiology ; Sexual Dysfunction, Physiological/psychology ; Urinary Incontinence/etiology ; Urinary Incontinence/psychology ; Young Adult
    Language English
    Publishing date 2017-11
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2542707-6
    ISSN 2154-4212 ; 2151-8378
    ISSN (online) 2154-4212
    ISSN 2151-8378
    DOI 10.1097/SPV.0000000000000414
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    Zs.A 4599: Show issues Location:
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    Jg. 1995 - 2021: Lesesall (2.OG)
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  9. Article ; Online: Long-term sexual health outcomes in men with classic bladder exstrophy.

    Baumgartner, Timothy S / Lue, Kathy M / Sirisreetreerux, Pokket / Metzger, Sarita / Everett, Ross G / Reddy, Sunil S / Young, Ezekiel / Anele, Uzoma A / Alexander, Cameron E / Gandhi, Nilay M / Di Carlo, Heather N / Gearhart, John P

    BJU international

    2017  Volume 120, Issue 3, Page(s) 422–427

    Abstract: Objectives: To identify the long-term sexual health outcomes and relationships in men born with classic bladder exstrophy (CBE).: Materials and methods: A prospectively maintained institutional database comprising 1248 patients with exstrophy- ... ...

    Abstract Objectives: To identify the long-term sexual health outcomes and relationships in men born with classic bladder exstrophy (CBE).
    Materials and methods: A prospectively maintained institutional database comprising 1248 patients with exstrophy-epispadias was used. Men aged ≥18 years with CBE were included in the study. A 42-question survey was designed using a combination of demographic information and previously validated questionnaires.
    Results: A total of 215 men met the inclusion criteria, of whom 113 (53%) completed the questionnaire. The mean age of the respondents was 32 years. Ninety-six (85%) of the respondents had been sexually active in their lifetime, and 66 of these (58%) were moderately to very satisfied with their sex life. The average Sexual Health Inventory for Men score was 19.8. All aspects of assessment using the Penile Perception Score questionnaire were on average between 'very dissatisfied' and 'satisfied'. Thirty-two respondents (28%) had attempted to conceive with their partner. Twenty-three (20%) were successful in conceiving, while 31 (27%) reported a confirmed fertility problem. A total of 31 respondents (27%) reported undergoing a semen analysis or post-ejaculatory urine analysis. Of these, only four respondents reported azoospermia.
    Conclusion: Patients with CBE have many of the same sexual and relationship successes and concerns as the general population. This is invaluable information to give to both the parents of boys with CBE, and to the boys themselves as they transition to adulthood.
    MeSH term(s) Adult ; Bladder Exstrophy/epidemiology ; Bladder Exstrophy/physiopathology ; Bladder Exstrophy/psychology ; Epispadias/epidemiology ; Fertility/physiology ; Humans ; Male ; Prospective Studies ; Reproductive Health/statistics & numerical data ; Semen Analysis ; Sexual Behavior/statistics & numerical data ; Surveys and Questionnaires ; Young Adult
    Language English
    Publishing date 2017-09
    Publishing country England
    Document type Journal Article
    ZDB-ID 1462191-5
    ISSN 1464-410X ; 1464-4096 ; 1358-8672
    ISSN (online) 1464-410X
    ISSN 1464-4096 ; 1358-8672
    DOI 10.1111/bju.13866
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    Ui VI Zs.107: Show issues Location:
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    Zs.MO 13: Show issues

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  10. Book ; Thesis: Equality of opportunity for Latin-Americans in Texas

    Clinchy jr., Everett Ross

    (The Mexican American)

    1974  

    Author's details Everett Ross Clinchy jr
    Series title The Mexican American
    Keywords Rassenpolitik ; Volksgruppe mexikanische ; Vereinigte Staaten ; Texas
    Language Undetermined
    Size IV, 221 S
    Edition Reprint
    Document type Book ; Thesis
    Thesis / German Habilitation thesis @Columbia Univesity, Diss. 1954
    Note Bibliogr. S. 211-221
    Database ECONomics Information System

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