Although younger age and self-reported urological oncologist and/or laparoscopic/robotic specialist status correlated strongly with thromboprophylaxis use, self-reported adherence to AUA Best Practice Statement was low, even in high risk cases with clear AUA Best Practice Statement recommendations such as radical cystectomy. These data identify opportunities for quality improvement in patients undergoing major urological surgery.
websites were collected using a Java-based natural language processing platform. Two hundred randomized posts were analyzed using grounded theory methodology. The focus group and digital ethnography data sets were coded independently and then compared.RESULTS: All major themes that emerged during analysis of focus group data were reported in the analysis of social media posts. Of the 14 major themes identified through the digital ethnography analysis, twelve were also identified in analysis of focus group transcripts. A comparison of themes confirmed that UTIs have a dramatically negative impact on patients' quality of life, patients desire non-antibiotic alternatives for prevention and treatment, and they experience significant frustration with the medical community's current management of rUTIs. This prompted them to seek support and guidance from peers and the online community.CONCLUSIONS: Social media presents a unique and rich opportunity to learn about the experience of non-experimental patients outside of a research setting, whereas focus group discussions allow for more concentrated data collection focused on specific topics. Although social media platforms provide perspective from a much larger, more diverse population with an anonymous forum to discuss problems in the acute setting, a comparison of patient perspectives on rUTIs gleaned from focus groups were very similar to those identified using digital ethnography, confirming the transferability of findings from both analyses.
To report 4-year safety and efficacy outcomes of the Aquablation procedure for the treatment of men with symptomatic benign prostatic hyperplasia (BPH) and large-volume prostates.METHODS: 101 men with moderate-to-severe BPH symptoms and prostate volumes between 80-150cc underwent robotically executed Aquablation in a prospective multicenter international clinical trial with scheduled follow-up at 5 years. Herein we report the 4 year data.RESULTS: Mean prostate volume was 107cc (range 80-150). Mean operative time, TRUS in to catheter in, was 55 minutes and mean Aquablation resection time was 8 minutes. IPSS scores improved from 23.2 at baseline to 5.6 at 4 years (change of -16.6 points, p<.0001). Qmax improved from 8.7 cc/sec at baseline to 18.2 cc/sec at 4 years. Improvements in both IPSS, IPSS Quality of Life, Qmax, and PVR were immediate and sustained throughout follow-up (Figure 1). At 4 years the retreatment rate was less than 1% per year.CONCLUSIONS: At 4-year prospective follow-up, the Aquablation procedure was shown to be safe and effective in men with large prostates (80-150cc). ClinicalTrials.gov number, NCT03123250.*
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