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Article ; Online: Detection of Testicular Metastasis from Renal Cell Carcinoma on PSMA-PET Scan.

Olmstead, Theresa / Emmerling, Michael / Bantumilli, Surekha / Raynor, Mathew / Nielsen, Matthew E / Bjurlin, Marc A / Rose, Tracy L

Journal of kidney cancer and VHL

2024 Volume 11, Issue 1, Page(s) 49–53

Abstract: The use of prostate-specific membrane antigen-positron emission tomography (PSMA-PET) is becoming more widespread for the diagnosis and management of prostate cancer. Here we report a case of oligometastatic renal cell carcinoma (RCC) to the testes ... ...

Abstract	The use of prostate-specific membrane antigen-positron emission tomography (PSMA-PET) is becoming more widespread for the diagnosis and management of prostate cancer. Here we report a case of oligometastatic renal cell carcinoma (RCC) to the testes diagnosed incidentally on PSMA-PET imaging. This case demonstrates the potential for diagnosis of nonprostate disease with PSMA-PET imaging, as well as the promising nature of PSMA-PET for the diagnosis and surveillance of RCC. In addition, this case report discusses the rare occurrence of oligometastatic RCC to the testis.
Language	English
Publishing date	2024-03-05
Publishing country	Australia
Document type	Case Reports
ZDB-ID	2803342-5
ISSN	2203-5826 ; 2203-5826
ISSN (online)	2203-5826
ISSN	2203-5826
DOI	10.15586/jkcvhl.v11i1.268
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Article ; Online: Practice of immediate sequential bilateral cataract surgery (ISBCS) since COVID-19: a patient and surgeon survey.

Wang, Haoyu / Ramjiani, Vipul / Raynor, Mathew / Tan, Jennifer

Eye (London, England)

2021 Volume 36, Issue 4, Page(s) 888–890

MeSH term(s)	COVID-19 ; Cataract ; Cataract Extraction ; Humans ; Surgeons
Language	English
Publishing date	2021-04-06
Publishing country	England
Document type	Letter ; Comment
ZDB-ID	91001-6
ISSN	1476-5454 ; 0950-222X
ISSN (online)	1476-5454
ISSN	0950-222X
DOI	10.1038/s41433-021-01521-1
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Article ; Online: Practice of immediate sequential bilateral cataract surgery (ISBCS): A teaching hospital experience in United Kingdom.

Wang, Haoyu / Ramjiani, Vipul / Auger, Graham / Raynor, Mathew / Currie, Zanna / Tan, Jennifer

European journal of ophthalmology

2023 Volume 33, Issue 5, Page(s) 1959–1968

Abstract: Background / objectives: Utilisation of ISBCS has been encouraged since COVID-19 in line with the RCOphth recommendations. This study aims to share experience from a UK teaching hospital on ISBCS and to evaluate pre-, intra- and post-operative outcomes ... ...

Abstract	Background / objectives: Utilisation of ISBCS has been encouraged since COVID-19 in line with the RCOphth recommendations. This study aims to share experience from a UK teaching hospital on ISBCS and to evaluate pre-, intra- and post-operative outcomes from the ISBCS cohort. Methods: Of 3402 cataract surgeries performed between July 2020 and July 2021 (1 year since the reopening of the cataract service from COVID-19), 208 eyes of 104 patients (6.1%) undergoing ISBCS were retrospectively studied on their demographics, biometry, surgeon grades, and pre-, intra- and post-operative data. Results: The mean age was 74.5 ± 9.4 years and 62% were female. Eighty-nine percent of the eyes were performed under local anaesthesia and 70% were 'routine' cases. Other risk factors included: short eyes requiring pre-operative mannitol infusion (10%), high myopia (8%), poor dilation (2%) and a 'glaucoma' cohort [angle closure (2%) and prior trabeculectomy (1%)]. Three eyes (1%) had complications intra-operatively in second eye (1 case each: posterior capsule rupture, corneal oedema and zonular dehiscence). Two patients (1%) had complications in the first eye (1 case each: suprachoroidal haemorrhage, conjunctival & iris haemorrhage), hence had their second eye postponed. Twelve months post-operatively, 20 eyes (10%) had recorded post-op complications with cystoid macular oedema being the commonest (4.5%) and no endophthalmitis. Eighty-six percent were discharged with satisfaction. No significant differences were found in pre-operative features, complication rates and post-operative outcomes between consultant and non-consultant surgeons (p > 0.05). Conclusions: Our experience which included a cohort of high-risk patients showed safe and successful practice of ISBCS without having a negative impact on training.
MeSH term(s)	Humans ; Female ; Aged ; Aged, 80 and over ; Male ; Phacoemulsification ; Retrospective Studies ; Visual Acuity ; COVID-19/epidemiology ; Cataract Extraction/adverse effects ; Cataract/etiology ; Hospitals, Teaching ; Hemorrhage/complications
Language	English
Publishing date	2023-02-03
Publishing country	United States
Document type	Journal Article
ZDB-ID	1089461-5
ISSN	1724-6016 ; 1120-6721
ISSN (online)	1724-6016
ISSN	1120-6721
DOI	10.1177/11206721231154609
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Article ; Online: Improving Staff Workflow in Urology Procedure Clinic Using the Model for Improvement.

Nortey, Gabrielle / Koch, Nicholas / Chadwick, Sara Jordan / Lang, Shawanda / Parker, Sherry / Farmer, Franklin / Mandelkehr, Larry / Raynor, Mathew / Smith, Angela

Urology

2023 Volume 177, Page(s) 89–94

Abstract: Objective: To maximize procedure volume and minimize workflow inefficiency in our urological procedure clinic, we hypothesized that for staff (nurses/medical assistants) and patient teams, team workflow duration (TWD) (the time required to complete team ...

Abstract	Objective: To maximize procedure volume and minimize workflow inefficiency in our urological procedure clinic, we hypothesized that for staff (nurses/medical assistants) and patient teams, team workflow duration (TWD) (the time required to complete team duties for a single appointment) could be reduced by 50% with a targeted workflow intervention developed using the Model for Improvement and Plan-Do-Study-Act cycles. Workflow inefficiency leads to wasted time and workplace dissatisfaction, resulting in lost revenue due to low procedure volume and high staff turnover. Methods: A baseline time study was performed to measure TWD for clinical teams, including the front desk, physician, staff, and patient teams. Implementation of previously identified interventions was also recorded. A workflow intervention was developed in which staff duties were split among two roles: staffer and triager. TWD and intervention implementation were remeasured over six Plan-Do-Study-Act cycles. Semistructured interviews were conducted as a balance measure to assess impact on staff workflow and wellness. Results: Our workflow intervention resulted in a 44% and 42% reduction in staff and patient TWD, saving nearly 17 minutes per appointment on average. Thematic analysis revealed that time saved could be best used to protect lunch breaks and allow time to complete nonclinical duties such as patient calls, which had previously been performed after-hours. Conclusion: Introduction of staffer and triager roles to staff workflow increased clinic efficiency by reducing workflow and procedure appointment duration. Time saved was used to increase procedure volume while also supporting staff wellness.
MeSH term(s)	Humans ; Workflow ; Urology ; Physicians ; Time Factors
Language	English
Publishing date	2023-04-11
Publishing country	United States
Document type	Journal Article
ZDB-ID	192062-5
ISSN	1527-9995 ; 0090-4295
ISSN (online)	1527-9995
ISSN	0090-4295
DOI	10.1016/j.urology.2023.03.035
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Article: Medical and Surgical Treatment Modalities for Lower Urinary Tract Symptoms in the Male Patient Secondary to Benign Prostatic Hyperplasia: A Review.

Macey, Matthew Ryan / Raynor, Mathew C

Seminars in interventional radiology

2016 Volume 33, Issue 3, Page(s) 217–223

Abstract: Benign prostatic hyperplasia (BPH) with lower urinary tract symptoms (LUTS) is one of the most common ailments affecting aging men. Symptoms typically associated with BPH include weak stream, hesitancy, urgency, frequency, and nocturia. More serious ... ...

Abstract	Benign prostatic hyperplasia (BPH) with lower urinary tract symptoms (LUTS) is one of the most common ailments affecting aging men. Symptoms typically associated with BPH include weak stream, hesitancy, urgency, frequency, and nocturia. More serious complications of BPH include urinary retention, gross hematuria, bladder calculi, recurrent urinary tract infection, obstructive uropathy, and renal failure. Evaluation of BPH includes a detailed history, objective assessment of urinary symptoms with validated questionnaires, and measurement of bladder function parameters, including uroflowmetry and postvoid residual. In general, treatment of LUTS associated with BPH is based on the effect of the symptoms on quality of life (QOL) and include medical therapy aimed at reducing outlet obstruction or decreasing the size of the prostate. If medical therapy fails or is contraindicated, various surgical options exist. As the elderly population continues to grow, the management of BPH will become more common and important in maintaining patient's QOL.
Language	English
Publishing date	2016-03-21
Publishing country	United States
Document type	Journal Article ; Review
ZDB-ID	848341-3
ISSN	1098-8963 ; 0739-9529
ISSN (online)	1098-8963
ISSN	0739-9529
DOI	10.1055/s-0036-1586142
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Article ; Online: Decisional Conflict Among Patients Newly Diagnosed With Clinical T1 Renal Masses: A Prospective Study.

Feinberg, Amir / Gessner, Kathryn H / Deal, Allison M / Heiling, Hillary / Myers, Shannon / Raynor, Mathew C / Milowsky, Matthew I / Wobker, Sara E / Commander, Clayton / Lazard, Allison J / Bjurlin, Marc A / Smith, Angela B / Johnson, David C / Wallen, Eric M / Kim, William Y / Tan, Hung-Jui

The Journal of urology

2024 , Page(s) 101097JU0000000000004023

Abstract: Purpose: Because multiple management options exist for clinical T1 renal masses, patients may experience a state of uncertainty about the course of action to pursue (ie, decisional conflict). To better support patients, we examined patient, clinical, ... ...

Abstract	Purpose: Because multiple management options exist for clinical T1 renal masses, patients may experience a state of uncertainty about the course of action to pursue (ie, decisional conflict). To better support patients, we examined patient, clinical, and decision-making factors associated with decisional conflict among patients newly diagnosed with clinical T1 renal masses suspicious for kidney cancer. Materials and methods: From a prospective clinical trial, participants completed the Decisional Conflict Scale (DCS), scored 0 to 100 with < 25 associated with implementing decisions, at 2 time points during the initial decision-making period. The trial further characterized patient demographics, health status, tumor burden, and patient-centered communication, while a subcohort completed additional questionnaires on decision-making. Associations of patient, clinical, and decision-making factors with DCS scores were evaluated using generalized estimating equations to account for repeated measures per patient. Results: Of 274 enrollees, 250 completed a DCS survey; 74% had masses ≤ 4 cm in size, while 11% had high-complexity tumors. Model-based estimated mean DCS score across both time points was 17.6 (95% CI 16.0-19.3), though 50% reported a DCS score ≥ 25 at least once. On multivariable analysis, DCS scores increased with age (+2.64, 95% CI 1.04-4.23), high- vs low-complexity tumors (+6.50, 95% CI 0.35-12.65), and cystic vs solid masses (+9.78, 95% CI 5.27-14.28). Among decision-making factors, DCS scores decreased with higher self-efficacy (-3.31, 95% CI -5.77 to -0.86]) and information-seeking behavior (-4.44, 95% CI -7.32 to -1.56). DCS scores decreased with higher patient-centered communication scores (-8.89, 95% CI -11.85 to -5.94). Conclusions: In addition to patient and clinical factors, decision-making factors and patient-centered communication relate with decisional conflict, highlighting potential avenues to better support patient decision-making for clinical T1 renal masses.
Language	English
Publishing date	2024-05-08
Publishing country	United States
Document type	Journal Article
ZDB-ID	3176-8
ISSN	1527-3792 ; 0022-5347
ISSN (online)	1527-3792
ISSN	0022-5347
DOI	10.1097/JU.0000000000004023
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Article ; Online: Postoperative ileus after radical cystectomy: looking for answers to an age-old problem.

Raynor, Mathew C / Pruthi, Raj S

European urology

2014 Volume 66, Issue 2, Page(s) 273–274

MeSH term(s)	Cystectomy/adverse effects ; Female ; Gastrointestinal Agents/therapeutic use ; Gastrointestinal Tract/physiopathology ; Humans ; Ileus/prevention & control ; Male ; Piperidines/therapeutic use ; Recovery of Function/drug effects
Chemical Substances	Gastrointestinal Agents ; Piperidines
Language	English
Publishing date	2014-08
Publishing country	Switzerland
Document type	Comment ; Editorial
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.2014.03.041
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Article ; Online: Enhanced recovery programmes: an important step towards going lean in healthcare.

Pruthi, Raj S / Raynor, Mathew C

BJU international

2014 Volume 113, Issue 5, Page(s) 685–686

MeSH term(s)	Cystectomy/methods ; Female ; Humans ; Male ; Program Evaluation/methods ; Recovery of Function ; Urinary Bladder Neoplasms/surgery ; Urination/physiology
Language	English
Publishing date	2014-05
Publishing country	England
Document type	Comment ; Editorial
ZDB-ID	1462191-5
ISSN	1464-410X ; 1464-4096 ; 1358-8672
ISSN (online)	1464-410X
ISSN	1464-4096 ; 1358-8672
DOI	10.1111/bju.12584
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Article ; Online: Author Reply.

Commander, Clayton W / Johnson, David C / Raynor, Mathew C

Urology

2017 Volume 102, Page(s) 36–37

Language	English
Publishing date	2017-04
Publishing country	United States
Document type	Journal Article
ZDB-ID	192062-5
ISSN	1527-9995 ; 0090-4295
ISSN (online)	1527-9995
ISSN	0090-4295
DOI	10.1016/j.urology.2016.10.058
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Article: Medical and Surgical Treatment Modalities for Lower Urinary Tract Symptoms in the Male Patient Secondary to Benign Prostatic Hyperplasia: A Review

Macey, Matthew Ryan / Raynor, Mathew C.

Seminars in Interventional Radiology

(Men's Health)

2016 Volume 33, Issue 03, Page(s) 217–223

Series title	Men's Health
Abstract	Benign prostatic hyperplasia (BPH) with lower urinary tract symptoms (LUTS) is one of the most common ailments affecting aging men. Symptoms typically associated with BPH include weak stream, hesitancy, urgency, frequency, and nocturia. More serious complications of BPH include urinary retention, gross hematuria, bladder calculi, recurrent urinary tract infection, obstructive uropathy, and renal failure. Evaluation of BPH includes a detailed history, objective assessment of urinary symptoms with validated questionnaires, and measurement of bladder function parameters, including uroflowmetry and postvoid residual. In general, treatment of LUTS associated with BPH is based on the effect of the symptoms on quality of life (QOL) and include medical therapy aimed at reducing outlet obstruction or decreasing the size of the prostate. If medical therapy fails or is contraindicated, various surgical options exist. As the elderly population continues to grow, the management of BPH will become more common and important in maintaining patient's QOL.
Keywords	benign prostatic hyperplasia ; lower urinary tract symptoms ; transurethral resection of the prostate ; interventional radiology
Language	English
Publishing date	2016-08-30
Publisher	Thieme Medical Publishers
Publishing place	Stuttgart ; New York
Document type	Article
ZDB-ID	848341-3
ISSN	1098-8963 ; 0739-9529
ISSN (online)	1098-8963
ISSN	0739-9529
DOI	10.1055/s-0036-1586142
Database	Thieme publisher's database

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