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M C Sighinolfi, B Rocco, S Micali, M Sandri, G Bianchi
No abstract text is available yet for this article.
September 20, 2018: Urology
Mazyar Ghanaat, Andrew G Winer, Daniel D Sjoberg, Bing Ying Poon, Mahyar Kashan, Amy L Tin, John P Sfakianos, Eugene K Cha, Timothy F Donahue, Guido Dalbagni, Harry W Herr, Bernard H Bochner, Andrew J Vickers, S Machele Donat
OBJECTIVE: To assess the impact on recovery of bowel function using an 80 mm versus 60 mm gastrointestinal anastomosis (GIA) stapler following radical cystectomy and urinary diversion (RC/UD) for bladder cancer. METHODS: We identified 696 patients using a prospectively maintained RC/UD database from January 2006-November 2010. Two nonrandomized consecutive cohorts were compared. Patients between January 2006-December 2007 (n=180) were treated using a 60mm GIA stapler, and 331 patients between January 2008-December 2010 were subject to an 80 mm GIA stapler...
September 20, 2018: Urology
Fiona Teeling, Mr Nicholas Raison, Mr Majed Shabbir, Mr Tet Yap, Professor Prokar Dasgupta, Mr Kamran Ahmed
A systematic review and meta-analysis was performed to determine the relationship between testosterone therapy and risk of recurrence in testosterone-deficient survivors of curatively treated high-risk prostate cancer. Primary outcome was the risk of biochemical recurrence (BCR) in 109 high-risk patients in 13 included studies (1997-2017). Biochemical and symptomatic effects of therapy were also reviewed. The BCR rate was 0.00 (0.00-0.05), lower than the expected rate for high-risk prostate cancer survivors, suggesting that testosterone therapy may not increase their BCR risk...
September 20, 2018: Urology
Fatih Yanaral, Faruk Ozgor, Omer Sarilar
No abstract text is available yet for this article.
September 20, 2018: Urology
Shina Kawai, Taiju Hyuga, Shigeru Nakamura, Hideo Nakai
OBJECTIVES: To correct all types of glanular/subcoronal hypospadias, we performed surgery named the distal urethroplasty and glanuloplasty procedure (DUG procedure). We analyzed cases that we have experienced. METHODS: A vertical incision with the meatal margin was made in the 12 o'clock direction, with the margin of the external urethral meatus as the center. By this meatoplasty according to Heineke-Mikulicz principle, we changed all type of glanular/subcoronal hypospadias to the hypospadias with wide meatus and wide glans...
September 19, 2018: Urology
Jaya Sai Chavali, Juan Garisto, Riccardo Bertolo, Jose Agudelo, Jihad H Kaouk
OBJECTIVES: To report a step-by-step technique for robot-assisted transvesical simple prostatectomy (RASP) focusing on surgical hints to facilitate the procedure. METHODS: From January 2014 to April 2018 the institutional database was queried for consecutive patients undergoing RASP performed by a single-surgeon. Procedures were performed according to standardized steps as reported in the accompanying video. Ports were placed in a 'W' configuration. Surgery started with the bladder detachment, then the endopelvic fascia was exposed...
September 15, 2018: Urology
Raveen Syan, Kai B Dallas, Ericka Sohlberg, Lisa Rogo-Gupta, Christopher S Elliott, Ekene A Enemchukwu
OBJECTIVES: To determine the rate and risk factors for future stress incontinence (SUI) surgery in a large population based cohort of previously continent women following pelvic organ prolapse (POP) repair without concomitant SUI treatment. METHODS: Data from the Office of Statewide Health Planning and Development (OSHPD) was used to identify all women who underwent anterior, apical or combined antero-apical POP repair without concomitant SUI procedures in the state of California between 2005-2011 with at least one-year follow-up...
September 14, 2018: Urology
Daniele Castellani, Luca Cindolo, Cosimo De Nunzio, Mirko Di Rosa, Francesco Greco, Luca Gasparri, Vincenzo Maria Altieri, Luigi Schips, Andrea Tubaro, Marco Dellabella
OBJECTIVES: To compare in daily practice efficacy and safety of standard 180-Watt GreenLight laser photo-selective vaporization (PVP) and Thulium laser Vaporesection of the prostate (ThuVEP). MATERIAL: All men were evaluated with prostate volume (PV), PSA, International Prostate Symptom Score (IPSS) and maximum urinary flow (Qmax). Patient Global Impression of Improvement (PGI-I) was evaluated with PGI-I scale at 6-months. Antiplatelet/anticoagulant therapy, operation time, 24-hours hemoglobin drop (ΔHb), length of catheterization, discharge day, early complications and reoperation after 30-days were gathered...
September 14, 2018: Urology
Tiago Antunes-Lopes, Alice Vasconcelos, Daniel Costa, Ana Charrua, João Neves, João Silva, Francisco Cruz, Carlos Silva
OBJECTIVE: To investigate LUTS and urinary levels of neuro-inflammatory, inflammatory and oxidative stress markers in elderly men with chronic pelvic ischemia (CPI) caused by significant aorto-iliac disease. METHODS: Thirteen men aged over 60 years, with aorta, unilateral or bilateral common/internal iliac artery occlusion documented by computed tomography angiography or angiography, were enrolled from the vascular surgery department. Twelve sex and age-matched controls, without significant aorto-iliac disease were used for comparison...
September 13, 2018: Urology
Naoya Masumori, Koji Ichihara, Takeshi Maehana
OBJECTIVE: To accurately predict the ischemic time (IT) and select candidates for transabdominal laparoscopic partial nephrectomy (LPN). METHODS: Transabdominal LPN was performed for 135 Japanese patients with renal masses <7cm in diameter between 2009 and 2016 by a single surgeon in a single institute. The renal parenchymal sutures were done with a combination of felt, Hem-o-lok and Lapra-Ty. The original R.E.N.A.L. nephreometry score (NS) was modified as follows...
September 13, 2018: Urology
Ahmad Alfaseh, Ahmad Slyman, Amro Ilaiwy
Ureter triplication is an extremely rare congenital anomaly of the urinary system with approximately 100 cases reported in medical literature since it was first described in 1870. It is classified into 4 types, and commonly associated with ipsilateral or contralateral urological anomalies. In this report, we present a case of a pediatric Type III- triplicate ureter associated with ipsilateral vesicoureteral reflux and contralateral idiopathic renal atrophy that was discovered during kidney transplant work-up...
September 13, 2018: Urology
Abhinav Khanna, Nitin Yerram, Hui Zhu, Simon Kim, Robert Abouassaly
OBJECTIVES: To study trends in Bacillus Calmette-Guerin (BCG) utilization for non-muscle invasive bladder cancer (NMIBC) before and during national BCG shortages. METHODS: The National Cancer Database was used to identify patients with localized NMIBC. Multivariate logistic regression was used to assess factors associated with BCG use. Temporal trends in BCG use were studied using segmented regression analysis. RESULTS: We identified 238,279 patients with NMIBC from 2004-2015...
September 13, 2018: Urology
Mallikarjuna Chiruvella, Bhavatej Enganti, Mohammed Taif Bendigeri, Syed Mohammed Ghouse, Deepak Ragoori, Purnachandra Reddy
OBJECTIVE: To present our TUEB technique, wherein the enucleated adenoma is resected while keeping it attached near the verumontanum avoiding the need of a morcellator. To evaluate the safety and short-term outcomes of our technique of TUEB for the treatment of symptomatic benign prostatic hypertrophy (BPH). METHODS: This was a retrospective evaluation of prospectively maintained database of patients with symptomatic BPH who underwent TUEB from January 2016 to September 2017...
September 12, 2018: Urology
Scott Martin Vouri, Seth A Strope, Margaret A Olsen, Hong Xian, Mario Schootman
No abstract text is available yet for this article.
September 8, 2018: Urology
Alexander K Chow, Alyssa N Kahan, Thomas Hwang, Christopher L Coogan, Kalyan C Latchamsetty
OBJECTIVE: To investigate the incidence of pulmonary metastases (PM) and the utility of the surveillance CXR in detecting PM after curative treatment to better define surveillance recommendations for T1a and T1b RCC. MATERIALS AND METHODS: A retrospective review of a multi-institutional database was performed to include patients with renal masses treated with partial nephrectomy (PN) or radical nephrectomy (RN). Patients were excluded for ≥T2 disease, benign pathology, and metastases...
September 8, 2018: Urology
Verena C Obmann, Shivani Pahwa, William Tabayayong, Yun Jiang, Gregory O'Connor, Sara Dastmalchian, John Lu, Soham Shah, Karin A Herrmann, Raj Paspulati, Gregory MacLennan, Lee Ponsky, Robert Abouassaly, Vikas Gulani
OBJECTIVE: To evaluate the performance of a rapid, low cost, non-contrast MRI examination as a secondary screening tool in detection of clinically significant prostate cancer. METHODS: In this prospective single institution study 129 patients with elevated PSA levels or abnormal digital rectal examination findings underwent MRI with an abbreviated biparamatric MRI protocol consisting of high resolution axial T2- and diffusion weighted images. Index lesions were classified according to PI-RADS v2...
September 7, 2018: Urology
Rachel A Moses, Sorena Keihani, James R Craig, Jacob Basilius, James M Hotaling, Sara M Lenherr, William O Brant, Jeremy B Myers
OBJECTIVE: To assess the efficacy of exchanging the pressure regulating balloon(PRB) to 71-80cmH2 0 in patients with persistent or recurrent stress urinary incontinence(SUI) following artificial urinary sphincter(AUS) placement. METHODS: Patients with SUI following AUS placement who underwent PRB replacement between 2011-2017 in the absence of urethral cuff malfunction, atrophy, stricture, or erosion were reviewed. Primary outcomes included changes in pad per day(PPD), Incontinence Symptom Index(ISI) score, and Incontinence Quality of Life(I-QOL)...
September 7, 2018: Urology
Yaw A Nyame, Benjamin Abelson, Abhinav Khanna, Venu Menon, Eric A Klein, Howard B Goldman
OBJECTIVE: To determine whether positive troponin is a predictor of intermediate and long-term mortality in patients undergoing major urologic surgeries at our institution. METHODS: This is a retrospective analysis of patients undergoing major urologic surgery at the Cleveland Clinic from 2010 to 2015. Patients were stratified by the presence and maximum value of troponin blood-draw, if performed within 30 days of surgery. Survival analysis was performed using Kaplan-Meier function (univariate) and Cox regression analysis (continuous) to assess mortality risk...
September 7, 2018: Urology
Kirtishri Mishra, Matthew J Maurice, Laura Bukavina, Robert Abouassaly
OBJECTIVES: To evaluate whether the technical advantages of robotic-assisted surgery over standard laparoscopy, which are well established for complex renal surgery, lead to variable surgical outcomes between laparoscopic adrenalectomy (LA) and robotic adrenalectomy (RA). METHODS: Using the National Cancer Database, we identified patients who underwent LA or RA for non-metastatic primary adrenal malignancy from 2010-2013. Primary outcomes were need for open conversion, surgical margin status, and performance of regional lymphadenectomy...
September 6, 2018: Urology
Roger Li, Miao Zhang, Jonathan J Duplisea, Patricia Troncoso, John F Ward
No abstract text is available yet for this article.
September 5, 2018: Urology
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