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Re: Antimicrobial Practice Patterns for Urethroplasty: Opportunity for Improved Stewardship
Trauma/Reconstruction/Diversion Urological Survey
Trauma, and Genital and Urethral Reconstruction Re: Expanding Applications of Renal Mobilization and Downward Nephropexy in Ureteral Reconstruction M. D. Hofer, H. J. Aguilar-Cruz, N. Singla, B. H. Cordon, J. M. Scott and A. F. Morey Department of Urology, UT Southwestern, Dallas, Texas Urology 2016; 94: 232e236. doi: 10.1016/j.urology.2016.04.008
Abstract available at http://www.ncbi.nlm.nih.gov/pubmed/27112510 Editorial Comment: Complete renal mobilization with downward nephropexy has proved to be a helpful adjunctive maneuver during upper ureteral reconstruction cases. This procedure can be done laparoscopically to reduce the size of the incisiondusually for an end-to-end reconstruction for a short stricture at the pelvic brim. Furthermore, when combined with aggressive Boari bladder flap mobilization, virtually the entire ureter can be repaired without using bowel segments. Allen F. Morey, MD
Re: Antimicrobial Practice Patterns for Urethroplasty: Opportunity for Improved Stewardship M. L. McDonald and J. Buckley Department of Urology, UC San Diego Health System and VA San Diego Healthcare System, San Diego and University of California-San Diego School of Medicine, La Jolla, California Urology 2016; 94: 237e245. doi: 10.1016/j.urology.2016.03.051
Abstract available at http://www.ncbi.nlm.nih.gov/pubmed/27138266 Editorial Comment: This is an interesting survey assessing antibiotic prescribing habits among reconstructive urologists. As expected, variability and overuse are common. A major question is whether continuation of antibiotic prophylaxis is warranted from time of surgery through catheter removal, which is a common practice and is outside the American Urological Association recommendations. Another issue is whether antibiotics should instead be given only at catheter removal, which appears to be warranted based on available published data from prostatectomy series. As the title indicates, opportunities for stewardship and standardization abound regarding antibiotic prophylaxis issues in reconstructive urology. Allen F. Morey, MD
0022-5347/17/1975-0001/0 THE JOURNAL OF UROLOGY® Ó 2017 by AMERICAN UROLOGICAL ASSOCIATION EDUCATION
AND
RESEARCH, INC.
http://dx.doi.org/10.1016/j.juro.2017.02.031 Vol. 197, 1-2, May 2017 Printed in U.S.A.
www.jurology.com
j
1
Trauma, and Genital and Urethral Reconstruction Re: Expanding Applications of Renal Mobilization and Downward Nephropexy in Ureteral Reconstruction M. D. Hofer, H. J. Aguilar-Cruz, N. Singla, B. H. Cordon, J. M. Scott and A. F. Morey Department of Urology, UT Southwestern, Dallas, Texas Urology 2016; 94: 232e236. doi: 10.1016/j.urology.2016.04.008
Abstract available at http://www.ncbi.nlm.nih.gov/pubmed/27112510 Editorial Comment: Complete renal mobilization with downward nephropexy has proved to be a helpful adjunctive maneuver during upper ureteral reconstruction cases. This procedure can be done laparoscopically to reduce the size of the incisiondusually for an end-to-end reconstruction for a short stricture at the pelvic brim. Furthermore, when combined with aggressive Boari bladder flap mobilization, virtually the entire ureter can be repaired without using bowel segments. Allen F. Morey, MD
Re: Antimicrobial Practice Patterns for Urethroplasty: Opportunity for Improved Stewardship M. L. McDonald and J. Buckley Department of Urology, UC San Diego Health System and VA San Diego Healthcare System, San Diego and University of California-San Diego School of Medicine, La Jolla, California Urology 2016; 94: 237e245. doi: 10.1016/j.urology.2016.03.051
Abstract available at http://www.ncbi.nlm.nih.gov/pubmed/27138266 Editorial Comment: This is an interesting survey assessing antibiotic prescribing habits among reconstructive urologists. As expected, variability and overuse are common. A major question is whether continuation of antibiotic prophylaxis is warranted from time of surgery through catheter removal, which is a common practice and is outside the American Urological Association recommendations. Another issue is whether antibiotics should instead be given only at catheter removal, which appears to be warranted based on available published data from prostatectomy series. As the title indicates, opportunities for stewardship and standardization abound regarding antibiotic prophylaxis issues in reconstructive urology. Allen F. Morey, MD
0022-5347/17/1975-0001/0 THE JOURNAL OF UROLOGY® Ó 2017 by AMERICAN UROLOGICAL ASSOCIATION EDUCATION
AND
RESEARCH, INC.
http://dx.doi.org/10.1016/j.juro.2017.02.031 Vol. 197, 1-2, May 2017 Printed in U.S.A.
www.jurology.com
j
1