keyword
https://read.qxmd.com/read/38520651/the-2012-briganti-nomogram-predicts-disease-progression-in-surgically-treated-intermediate-risk-prostate-cancer-patients-with-favorable-tumor-grade-group-eventually-associated-with-some-adverse-factors
#21
JOURNAL ARTICLE
Antonio Benito Porcaro, Rossella Orlando, Andrea Panunzio, Alessandro Tafuri, Alberto Baielli, Francesco Artoni, Francesca Montanaro, Sebastian Gallina, Alberto Bianchi, Giovanni Mazzucato, Emanuele Serafin, Alessandro Veccia, Michele Boldini, Lorenzo Pierangelo Treccani, Riccardo Rizzetto, Matteo Brunelli, Filippo Migliorini, Riccardo Bertolo, Maria Angela Cerruto, Alessandro Antonelli
To evaluate the prognostic potential of the 2012 Briganti nomogram for pelvic lymph node invasion on disease progression after surgery in intermediate-risk (IR) prostate cancer (PCa) patients with favorable tumor grade (International Society of Urological Pathology grade group 1 or 2), eventually associated with adverse clinical features as PSA between 10 and 20 ng/mL and/or clinical stage T2b. All IR PCa patients treated with robot-assisted radical prostatectomy and eventually extended pelvic lymph node dissection at the Department of Urology of the Integrated University Hospital of Verona between 2013 and 2021, with the abovementioned features, and available follow-up were considered...
March 23, 2024: Journal of Robotic Surgery
https://read.qxmd.com/read/38520298/are-adverse-events-during-surgery-for-benign-prostatic-hyperplasia-device-related-a-review-of-the-maude-database
#22
JOURNAL ARTICLE
Daniel J Heidenberg, Ethan Nethery, Kevin M Wymer, Nathanael Judge, Scott M Cheney, Karen L Stern, Mitchell R Humphreys
PURPOSE: The Manufacturer and User Facility Device Experience database contains anonymous, voluntary medical device reports. A review of device-related adverse events associated with Benign Prostatic Hyperplasia surgeries was completed. The objective was to evaluate the occurrence and contributing factors to clinically significant complications in a cohort of patients electing to undergo surgical intervention for Benign Prostatic Hyperplasia. METHODS: The Manufacturer and User Facility Device Experience database was queried for "Aquablation, Greenlight Laser, Holmium Laser, Morcellator, Water Vapor Thermal Therapy, Loop Resection, and Prostatic Urethral Lift" from 2018 through 2021...
March 23, 2024: Urologia
https://read.qxmd.com/read/38520132/effect-of-detrusor-underactivity-on-surgical-outcomes-of-holmium-laser-enucleation-of-the-prostate
#23
JOURNAL ARTICLE
Hyun Ju Jeong, Hyomyoung Lee, Min Soo Choo, Sung Yong Cho, Seong Jin Jeong, Seung-June Oh
OBJECTIVE: To evaluate the effect of detrusor underactivity (DUA) on the postoperative outcomes of holmium laser enucleation of the prostate (HoLEP) in patients with benign prostatic hyperplasia (BPH). PATIENTS AND METHODS: Patients with BPH who underwent HoLEP between January 2018 and December 2022 were enrolled in this prospective database study. Patients were divided into DUA (bladder contractility index [BCI] <100) and non-DUA (BCI ≥100) groups. Objective (maximum urinary flow rate [Qmax ], post-void residual urine volume [PVR]) and subjective outcomes (International Prostate Symptom Score [IPSS], Overactive Bladder Symptom Score [OABSS], satisfaction with treatment question [STQ], overall response assessment [ORA], and willingness to undergo surgery question [WUSQ]) were compared between the two groups before surgery, and at 3 and 6 months after HoLEP...
March 22, 2024: BJU International
https://read.qxmd.com/read/38519609/the-death-of-laparoscopy
#24
JOURNAL ARTICLE
Davide Ferrari, Tommaso Violante, Marco Novelli, Patrick P Starlinger, Rory L Smoot, Janani S Reisenauer, David W Larson
BACKGROUND: The introduction of laparoscopy in 1989 revolutionized surgical practices, reducing post-operative complications, and enhancing outcomes. Despite its benefits, limitations in laparoscopic tools have led to continued use of open surgery. Robotic-assisted surgery emerged to address these limitations, but its adoption trends and potential impact on open and laparoscopic surgery require analysis. METHODS: A retrospective analysis used the American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) databases from 2012 to 2021...
March 22, 2024: Surgical Endoscopy
https://read.qxmd.com/read/38519285/mini-endoscopic-combined-intra-renal-surgery-miniecirs-with-endoview-puncture-in-a-12-month-boy-a-safe-but-challenging-procedure
#25
JOURNAL ARTICLE
Yesica Y Quiroz, Erika Llorens, Irene Giron, Joan Palou, Juan Carlos Osorio, Anna Bujons
INTRODUCTION: Associating minipercutaneous nephrolithotomy and retrograde flexible ureteroscopy (fURS) is called Mini Endoscopic Combined Intra-Renal Surgery (miniECIRS). It's a safe and efficient technique, also in children. MATERIAL AND METHODS: The video describes miniECIRS in a 12 month-old boy with an infectious pelvic left stone (16 mm) and multiple caliceal stones. The UAS used was a 10FR and the percutaneous access was a 14Fr with Clear-Petra® sheath...
March 6, 2024: Journal of Pediatric Urology
https://read.qxmd.com/read/38518154/percutaneous-nephrolithotomy-versus-open-surgery-in-the-treatment-of-urinary-calculi
#26
JOURNAL ARTICLE
Ruipeng Tang, Zhengjin Yi, Yong Wang, Li Wan, Xiangyu Liu, Shubin Wang, Chuan Xiao
OBJECTIVE: To evaluate the effectiveness of percutaneous nephrolithotomy (PCNL) compared with open surgery for urinary stone removal. METHODS: A total of 95 patients with urinary stones were screened for eligibility between October 2020 and December 2021. After excluding 5 patients who revoked their consent, 90 patients were randomized to receive either traditional open surgery (traditional group) or PCNL (PCNL group), with 45 patients in each group. In addition, the two groups received Shugan Qingre Tonglin decoction twice daily for 2 weeks...
March 22, 2024: Alternative Therapies in Health and Medicine
https://read.qxmd.com/read/38517537/adrenal-fast-track-and-enhanced-recovery-in-retroperitoneoscopic-surgery-for-primary-aldosteronism-improving-patient-outcome-and-efficiency
#27
JOURNAL ARTICLE
Elle C J van de Wiel, Janneke Mulder, Anke Hendriks, Ingeborg Booij Liewes-Thelosen, Xiaoye Zhu, Hans Groenewoud, Peter F A Mulders, Jaap Deinum, Johan F Langenhuijsen
PURPOSE: No data exist on perioperative strategies for enhancing recovery after posterior retroperitoneoscopic adrenalectomy (PRA). Our objective was to determine whether a multimodality adrenal fast-track and enhanced recovery (AFTER) protocol for PRA can reduce recovery time, improve patient satisfaction and maintain safety. METHODS: Thirty primary aldosteronism patients were included. Fifteen patients were treated with 'standard-of-care' PRA and compared with 15 in the AFTER protocol...
March 22, 2024: World Journal of Urology
https://read.qxmd.com/read/38516737/management-of-a-complex-fistula-involving-abdominal-wall-small-bowel-colon-and-bladder
#28
JOURNAL ARTICLE
Mishal Gillani, Seth A Rosen
Successful surgical management of a chronic complex abdominal fistula requires thoughtful pre-operative evaluation and planning and often benefits from a multi-disciplinary approach. Initially, attention is focused on controlling sepsis and ensuring adequate hydration and electrolyte replacement. Next, efforts to optimize nutrition and engage the patient in prehabilitation are prioritized. Simultaneously, imaging is used to gain detailed assessment of anatomy. We present a challenging case involving a Jackson-Pratt (JP) drain from prior surgery causing a complex intra-abdominal fistula...
March 22, 2024: American Surgeon
https://read.qxmd.com/read/38516173/neonatal-epididymo-orchitis-with-pyocele-mimicking-testicular-torsion-a-case-report
#29
Abdullah Ayed, Abderrazak Alik, Shahid Khan, Mutasim E Ibrahim
We report a case of epididymo-orchitis (EO) in a 12-day-old Saudi boy. The neonate, initially diagnosed with hydrocele post-delivery, presented with left scrotal swelling. Doppler ultrasound revealed normal testicles but an enlarged, echogenic left epididymis with pyocele. Despite initial therapy with amoxicillin and cefotaxime, a repeated ultrasound indicated compromised testicular vascularity, necessitating emergency surgical exploration. This revealed purulent discharge and inflammation, with Escherichia coli as a causative agent...
May 2024: Urology Case Reports
https://read.qxmd.com/read/38515053/extended-pelvic-lymph-node-dissection-during-robotic-prostatectomy-antegrade-versus-retrograde-technique
#30
JOURNAL ARTICLE
Giancarlo Albo, Andrea Gallioli, Francesco Ripa, Elisa De Lorenzis, Luca Boeri, Carolina Bebi, Lorenzo Rocchini, Fabrizio Longo, Stefano Paolo Zanetti, Matteo Turetti, Michela Piccoli, Emanuele Montanari
BACKGROUND: Robot-assisted radical prostatectomy (RARP) with extended lymphadenectomy (ePLND) is the gold standard for surgical treatment of prostate cancer (PCa). Recently, the en-bloc ePLND has been proposed but no studies reported on the standardization of the technique. The aim of the study is to describe different standardized en-bloc ePLND, the antegrade and the retrograde ePLND, and to compare their surgical and oncological outcomes. MATERIALS & METHODS: From January 2018 to September 2019, all patients subjected to RARP plus ePLND by one single surgeon were enrolled...
March 21, 2024: BMC Urology
https://read.qxmd.com/read/38514479/flaps-and-grafts-in-robotic-reconstructive-surgery
#31
REVIEW
Karen M Doersch, Kathleen A Li, Divya Ajay
PURPOSE OF REVIEW: The robotic approach is increasingly popular in reconstructive urology. Reconstructive surgeons have commonly used flaps and grafts for obliterating dead space including tissue interposition or as an alternative to mesh in addressing lower urinary tract dysfunction. Advantages of the robotic approach are less incisional pain, excellent visualization in the deep pelvis, and improved surgeon ergonomics. In this literature review, we describe flaps and grafts used in lower urinary tract robotic reconstructive urology, serving as an almanac for these techniques...
March 22, 2024: Current Urology Reports
https://read.qxmd.com/read/38514285/opioid-prescription-usage-and-disposal-after-provider-education-and-sms-based-parent-education
#32
JOURNAL ARTICLE
Keerthana Mohankumar, Andrea H Rossman, Raymond Yong, Angela Thao, Katie Sheridan, Elizabeth B Roth
INTRODUCTION: Adequate pain control after outpatient pediatric urologic surgery is important for both providers and caregivers; however, opioid pain medications are often prescribed in excess of utilization. The resultant excess opioid medication has potential to be diverted or misused. While families are instructed to dispose of leftover opioids, a significant proportion may not dispose of leftover medication. We performed a quality improvement (QI) initiative within a tertiary academic care center to examine opioid excess, opioid disposal, and whether a two-component QI intervention of provider education and family education via automated SMS messages on opioid disposal could improve excess opioid prescribing and leftover opioid disposal...
March 7, 2024: Journal of Pediatric Urology
https://read.qxmd.com/read/38514162/chronic-pelvic-pain-and-dysmenorrhea-disguising-a-rare-submucosal-leiomyoma-of-the-urinary-bladder
#33
JOURNAL ARTICLE
Brody Smith, Kashish Khanna, Daniel P Pierce, Trushar Patel
Representing 0.43% of all urinary bladder neoplasms, leiomyomas are rare mesenchymal tumours with a benign pathophysiology. There have only been approximately 250 cases published on this subject, necessitating further inquiry into this disease and effective management protocols. Treatment options may include a broad spectrum of surgical interventions, from minimally invasive resection to radical cystectomy, depending on the location, size and symptoms associated with the tumour. To date, few cases of leiomyoma have resulted in recurrence after removal, and zero have reported malignant transformation...
March 21, 2024: BMJ Case Reports
https://read.qxmd.com/read/38513641/-old-and-new-regional-anesthesia-procedures-under-review-abdomen-to-toe
#34
JOURNAL ARTICLE
Paul Kessler
Ultrasound (US) technology has significantly expanded the spectrum of regional anesthesiological procedures in recent years. Abdominal wall blocks are becoming an increasingly integral part of a multimodal postoperative pain concept after abdominal surgery, gynecological or urological interventions. Thoracic epidural analgesia remains the gold standard for extensive surgery. The requirement for rapid postoperative mobilization and discharge after lower extremity surgery has led to the abandonment of neuroaxial or plexus blocks in favor of selective, peripheral blocks such as the PENG block or adductor canal block...
March 2024: Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie: AINS
https://read.qxmd.com/read/38512711/development-of-machine-learning-algorithm-to-predict-the-risk-of-incontinence-after-robot-assisted-radical-prostatectomy
#35
JOURNAL ARTICLE
Daniele Amparore, Sabrina De Cillis, Eugenio Alladio, Michele Sica, Federico Piramide, Paolo Verri, Enrico Checcucci, Alberto Piana, Alberto Quarà, Edoardo Cisero, Matteo Manfredi, Michele Di Dio, Cristian Fiori, Francesco Porpiglia
Introduction: Predicting postoperative incontinence beforehand is crucial for intensified and personalized rehabilitation after robot-assisted radical prostatectomy. Although nomograms exist, their retrospective limitations highlight artificial intelligence (AI)'s potential. This study seeks to develop a machine learning algorithm using robot-assisted radical prostatectomy (RARP) data to predict postoperative incontinence, advancing personalized care. Materials and Methods: In this propsective observational study, patients with localized prostate cancer undergoing RARP between April 2022 and January 2023 were assessed...
March 21, 2024: Journal of Endourology
https://read.qxmd.com/read/38512532/transurethral-bipolar-enucleation-using-a-tueb-loop-for-large-benign-prostatic-hyperplasia-a-retrospective-cohort-study
#36
JOURNAL ARTICLE
Jun Hagiuda, Tsukasa Masuda, Ryohei Takahashi, Satoshi Tamaki, Ken Nakagawa
PURPOSE: We aimed to assess the efficacy and safety of transurethral enucleation with bipolar system (TUEB) regardless of the prostate size using a specially developed TUEB loop. METHODS: A total of 251 patients who underwent TUEB were categorized into two groups depending on the prostate volume (PV): small-PV (≤ 80 mL) group, 133 patients; large-PV (> 80 mL) group, 118 patients. Comparisons of background information and treatment outcomes were performed between the groups...
March 21, 2024: World Journal of Urology
https://read.qxmd.com/read/38512350/ultrasound-guided-robotic-surgical-procedures-a-systematic-review
#37
REVIEW
Matteo Pavone, Barbara Seeliger, Elena Teodorico, Marta Goglia, Cristina Taliento, Nicolò Bizzarri, Lise Lecointre, Cherif Akladios, Antonello Forgione, Giovanni Scambia, Jacques Marescaux, Antonia C Testa, Denis Querleu
INTRODUCTION: Ultrasound has been nicknamed "the surgeon's stethoscope". The advantages of laparoscopic ultrasound beyond a substitute for the sense of touch are considerable, especially for robotic surgery. Being able to see through parenchyma and into vascular structures enables to avoid unnecessary dissection by providing a thorough assessment at every stage without the need for contrast media or ionising radiation. The limitations of restricted angulation and access within the abdominal cavity during laparoscopy can be overcome by robotic handling of miniaturised ultrasound probes and the use of various and specific frequencies will meet tissue- and organ-specific characteristics...
March 21, 2024: Surgical Endoscopy
https://read.qxmd.com/read/38511609/complications-of-obliterative-versus-reconstructive-vaginal-surgery-for-pelvic-organ-prolapse-in-octogenarians-a-retrospective-cohort-study
#38
JOURNAL ARTICLE
Charlotte Elizabeth Mahon Coleman, Kyra Bonasia, Dante Pascali, Aisling Clancy
AIMS: Women of advanced age may choose between restorative or obliterative surgery for surgical management of pelvic organ prolapse. Obliterative surgery is traditionally reserved for a subset of older women with more severe medical comorbidities, since obliterative approaches are generally considered to be less morbid and older individuals have higher rates of perioperative complications than younger cohorts. This study compared perioperative complications amongst octogenarians undergoing obliterative versus reconstructive approaches...
March 21, 2024: Neurourology and Urodynamics
https://read.qxmd.com/read/38509626/a-clinical-pharmaceutical-medication-reconciliation-with-patient-interview-for-a-medication-review-to-identify-drug-related-problems-in-elective-patients-during-hospital-admission
#39
JOURNAL ARTICLE
E-M Schmidt, M Oetting, A Spiegel, O Zube, T Bertsche
Background and aim: Drug-related problems (DRPs), e.g.drug-drug interactions (DDI), can lead to adversedrug reactions (ADRs) and thus complications during hospitalization. For this reason, such DRP, DDI and ADR should be identified and characterized as early as possible during hospital admission. We aimed to perform a clinical-pharmaceutical medication reconciliation in which patient-related information was collected and compared to drug-related information in a medication review. Investigations: During a 24-week-period, we consecutively invited patients electively admitted to Urology, Otolaryngology, Oral and Maxillofacial Surgery, General and Visceral Surgery, and Oncology Departments of a 300-bed hospital...
February 29, 2024: Die Pharmazie
https://read.qxmd.com/read/38508941/the-assessment-of-bladder-cancer-resectability-with-bimanual-palpation-a-prospective-study-in-laparoscopy-and-open-cystectomy-patients
#40
JOURNAL ARTICLE
Anna K Czech, Katarzyna Gronostaj, Jakub Frydrych, Kamil Polok, Jakub Fronczek, Przemyslaw Dudek, Lukasz Belch, Marcin Chlosta, Dominik Choragwicki, Tomasz Dymowski, Mateusz Ostachowski, Katarzyna Piatek-Koziej, Mikołaj Przydacz, Pawel Pyrkosz, Tomasz Wiatr, Marcin Wrozek, Piotr L Chlosta
PURPOSE: To evaluate the value of examination under anesthesia (EUA) in the assessment of bladder resectability during cystectomy. MATERIALS AND METHODS: This prospective study included consecutive patients undergoing cystectomy for bladder cancer at a single center between June 2017 and October 2020. EUA was conducted before cystectomy by two urologists who assessed the bladder for limited mobility. One examiner was blinded to the imaging results. Soft tissue surgical margin status in the pathological evaluation of a cystectomy specimen served as a measure of resectability...
March 19, 2024: Urologic Oncology
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