Purpose of review This narrative review summarizes recent evidence (2023–2025) on the role of palliative care in urology. It focuses on utilization trends, access disparities, symptom burden, procedural palliative needs, and end-of-life (EOL) care in advanced genitourinary malignancies. Recent findings PC utilization in genitourinary cancers is increasing. Inpatient palliative care use rose from 4.9 to 31.5% in renal cell carcinoma and from 5.9 to 19.0% in testicular cancer

Abstract This narrative review explores the complex relationship between lower urinary tract symptoms (LUTS) and mental health disorders, focusing on the influence of anxiety and depression on bladder function. Historical perspectives highlight early psychoanalytic theories, with renewed research underscoring the link between psychiatric conditions such as anxiety, depression, and obsessive-compulsive disorder (OCD), which is closely related to anxiety and various LUTS, inclu

Abstract Background: Penile augmentation through injectable substances is becoming increasingly common. A growing number of aesthetic clinics are developing penile enlargement procedures using various injectable materials. Although these procedures are now performed in more controlled and medically supervised environments, their long-term outcomes remain poorly understood. The promotion of such medical treatments contributes to an increasing interest among adult males in self

Abstract Purpose of review: Ureteral stents are an integral part of daily urological clinical practice, but in case of ureteral stents inadvertently left in place or forgotten, they can lead to a range of complications. Managing retained DJ stents presents a complex challenge for urologists, involving various aspects such as surgery, legal implications, and financial factors both for the patient as for the health system. Ensuring proper follow-up of patients poses a significa

Abstract Background: Penile cancer is a rare malignancy, with an Australian incidence of 0.6 in 100 000 men, with a wide range of clinical presentations, from localised, curable tumours to aggressive forms with high morbidity and mortality. Epidemiological data and management guidelines for penile cancer in Australia are limited. The Australian Penile Cancer Clinical Registry (APCCR) aims to address this gap through a centralised database studying local risk factors, treatmen

Abstract Purpose: Psychological distress, including depression and anxiety, is a significant yet often overlooked issue among bladder cancer patients. Despite its negative impact on treatment adherence, hospital stays, and overall survival, psychiatric distress remains underrepresented in clinical guidelines. This systematic review aims to assess the prevalence of psychiatric distress and its impact on bladder cancer patients while evaluating the role of psychiatric intervent

Evidence for the benefits of hospital-at-home programs—including decreases in readmissions, iatrogenic complications, and spending—has accumulated over the course of 3 decades. 1 Amid the COVID-19 pandemic, the US Centers for Medicare & Medicaid Services (CMS) issued the Acute Hospital Care at Home (AHCAH) waiver, allowing hospitals to claim equal reimbursement for Medicare beneficiaries admitted to hospital-at-home programs as traditional inpatient care. This policy unleash

Review of a Statewide Hospital-Acquired Pressure Injury Prevention Program Over 15 Years in Australia Abstract PURPOSE: The purpose of this retrospective study was to evaluate the effect of an organization-level, hospital-acquired pressure injury (HAPI) prevention program over a 15-year period. A secondary aim was to summarize the program priority areas, and the resources used to inform and support its delivery. DESIGN: Retrospective statewide audit. SUBJECTS AND SETTING:

Abstract Background and objective Radiotherapy (RT) is a key curative option for localized prostate cancer (PC). However, data on late genitourinary toxicity, especially adverse events requiring urgent care or hospitalization, remain limited. The aim of the Italian Registry of Radiotherapy-Associated Disorders and Urological Treatment & Evaluation (IRRADIaTE) is to characterize the burden and management of severe genitourinary adverse events following prostate RT across multi

Abstract Importance Accurate pretreatment prostate cancer risk assessment is essential to balance long-term treatment benefits and harm. Although some clinical and pathological parameters are established prognostic factors, the role of imaging parameters in prognostication is unclear. Objective To assess the prognostic value of pretreatment magnetic resonance imaging (MRI) parameters for oncological outcomes in men undergoing radical prostatectomy. Data Sources and Study

Abstract Purpose Although late effects and their symptomatology are well described for childhood cancer survivors, less is known about survivors of young adult (YA) cancer. Our aim was to characterize symptom burden among long-term survivors of YA cancer. Methods Project Milestones is a cross-sectional cohort survey study assessing benchmarks of emerging adulthood among 3–10-year cancer survivors diagnosed 21–39 years old. We analyzed responses from the first half of cohort p

Abstract Background: Prostate cancer survivors often experience reduced health-related quality of life (QOL). Diet is related to QOL in the general population and prostate cancer survivors, with benefits observed from greater consumption of a plant-based diet after treatment. We examined whether postdiagnostic Western and prudent dietary patterns were associated with cancer-specific QOL. Methods: We studied 1,032 participants in the Health Professionals Follow-Up Study diagno

Abstract Introduction Multiple Sclerosis (MS) is a chronic condition affecting the central nervous system, often leading to urinary incontinence (UI), balance disturbances, and fatigue. This study examines the relationship between UI, core muscle morphology, balance, and fatigue in patients with MS (PwMS) to inform rehabilitation strategies. Methods A cross-sectional observational study was conducted with 27 PwMS (17 with UI and 10 without). Abdominal muscle thickness (transv

Abstract Purpose: To assess factors associated with patients' self-assessed pain scores during prostate biopsy (PBx) performed exclusively under local anesthesia (LA). Materials and methods: Consecutive patients who underwent MRI followed by a transperineal (TP) or transrectal (TR) PBx under LA were prospectively assessed. Race and ethnicity were self-reported according to NIH standards. Socioeconomic status was assessed using the Distressed Community Index (DCI). Pain was ev

Abstract Purpose Holmium laser enucleation of the prostate (HoLEP) is as an effective, size-independent treatment for benign prostatic hyperplasia (BPH) with durable outcomes. However, one of its adverse outcomes is post-operative stress urinary incontinence (SUI). We sought to determine if membranous urethral length (MUL) as measured on preoperative magnetic resonance imaging is a predictor for post-operative SUI in patients undergoing HoLEP for BPH. Methods A single-center,

Abstract Incontinence-associated dermatitis (IAD) is an inflammatory skin condition caused by prolonged exposure of the skin to urine and feces. It is common among older adults in long-term care and contributes to pain, discomfort, and increased risk for secondary infection. This study aimed to identify risk factors for IAD development and to construct a prognostic model for incontinent nursing home residents aged ≥ 65 years. A secondary analysis was conducted using data from

Abstract Objective: To evaluate the safety and outcomes of holmium laser enucleation of the prostate (HoLEP) in patients with a history of prior surgical prostate intervention, and to compare these results with the patients without previous prostate intervention. Methods: A retrospective review of a prospectively maintained database at a tertiary-level center in Texas. From August 2015 to February 2025, 1876 patients underwent HoLEP, 143 had previous prostate surgery. These w

Abstract Background and Aims: Radical prostatectomy is the key for localised prostate cancer, but postoperative urinary incontinence and chronic pain impair outcomes. Enhancing perioperative care improves prognosis. This single-centre retrospective study evaluated a symptom management theory-based nursing model for radical prostatectomy patients. Methods: A total of 165 patients were divided into the control (routine care, n = 75) and observation (symptom management nursing,

ABSTRACT Background Frailty has been associated with numerous chronic diseases. However, the relationship between frailty and overactive bladder (OAB) has not been thoroughly examined. This study aims to explore the association between frailty and OAB in a large-scale population. Methods Data from 11 888 participants aged 20 years or older, who were part of the National Health and Nutrition Examination Survey (NHANES) from 2007 to 2018, were analyzed. The frailty index was ca

Abstract BACKGROUND: Urinary incontinence (UI) is a prevalent yet underreported condition that adversely affects the quality of life of older adults. This study aimed to assess the frequency and risk factors of UI and its impact on the quality of life of adults aged 50 years and older attending outpatient clinics of a tertiary care teaching hospital in the Eastern Province, Saudi Arabia. MATERIALS AND METHODS: This cross-sectional study was conducted from December 15, 2024,