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Arab Journal of Urology

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https://www.readbyqxmd.com/read/30147961/robot-assisted-partial-nephrectomy-how-to-minimise-renal-ischaemia
#1
REVIEW
Chandran Tanabalan, Avi Raman, Faiz Mumtaz
Renal ischaemia research has shown an increase in renal damage proportional to ischaemic time. Therefore, we assessed the importance of renal ischaemic times for warm and cold ischaemia approaches, and explored the different surgical techniques that can help to minimise renal ischaemia in robot-assisted partial nephrectomy (RAPN). Minimising renal ischaemia during nephron-sparing surgery (NSS) is a key factor in preserving postoperative renal function. Current data support a safe warm ischaemia time (WIT) of ≤25 min and cold ischaemic time of ≤35 min, resulting in no significant deterioration in renal function...
September 2018: Arab Journal of Urology
https://www.readbyqxmd.com/read/30147960/successful-management-of-ureteric-endometriosis-by-laparoscopic-ureterolysis-a-review-and-report-of-three-further-cases
#2
REVIEW
Deepa Talreja, Vivek Salunke, Shinjini Pande, Chirag Gupta
Objective: To review articles highlighting the effectiveness of conservative laparoscopic ureterolysis as a primary treatment option in patients with ureteric endometriosis and to report on a further three cases. Patients and methods: PubMed, EMBASE, Cochrane database were searched to identify articles reporting cases of laparoscopic management of ureteric endometriosis and, in particular management by ureterolysis. We further described three new cases of ureteric endometriosis managed at our institute...
September 2018: Arab Journal of Urology
https://www.readbyqxmd.com/read/30147959/contemporary-use-of-ultrasonic-versus-standard-electrosurgical-dissection-in-laparoscopic-nephrectomy-safety-efficacy-and-cost
#3
Nand Kishore Arvind, Qutubuddin Ali, Onkar Singh, Shilpi Gupta, Surbhi Sahay
Objective: To assess the safety, efficacy and cost-effectiveness of ultrasonic dissection (USD) compared with standard monopolar electrosurgery (ES) in laparoscopic nephrectomy (LN). Patients and methods: Retrospective analysis of patients' records who underwent elective LN was performed. Patients were divided in to two groups: USD and ES groups depending on the energy source used during LN. The preoperative (demographics, indication for surgery), intraoperative (conversion to open surgery, operative time, estimated blood loss [EBL], complications), and postoperative (morbidity/mortality, volume of drainage, hospital stay, cost) data were collected and analysed...
September 2018: Arab Journal of Urology
https://www.readbyqxmd.com/read/30147958/different-approaches-to-the-prostate-the-upcoming-role-of-a-purpose-built-single-port-robotic-system
#4
Jihad Kaouk, Juan Garisto, Riccardo Bertolo
With the aim of minimising the patient's postoperative pain, expediting recovery and improving cosmesis, the idea of performing a laparoscopic procedure through a single abdominal incision was introduced. In the present report, we describe five different access routes to the prostate that may be at the surgeon's disposal with the potential of decreasing patient's perioperative morbidity. Robotic radical prostatectomy has been refined and became a standard of care in surgery for localised prostate cancer. The advent of single-port robotic surgery has prompted the re-discovery of different access routes to the prostate and ideally all of them are feasible...
September 2018: Arab Journal of Urology
https://www.readbyqxmd.com/read/30147957/expanding-the-indications-of-robotic-surgery-in-urology-a-systematic-review-of-the-literature
#5
REVIEW
Raj P Pal, Anthony J Koupparis
Objectives: To evaluate the recent developments in robotic urological surgery, as the introduction of robotic technology has overcome many of the difficulties of pure laparoscopic surgery enabling surgeons to perform complex minimally invasive procedures with a shorter learning curve. Robot-assisted surgery (RAS) is now offered as the standard for various surgical procedures across multiple specialities. Methods: A systematic search of MEDLINE, PubMed and EMBASE databases was performed to identify studies evaluating robot-assisted simple prostatectomy, salvage radical prostatectomy, surgery for urolithiasis, distal ureteric reconstruction, retroperitoneal lymph node dissection, augmentation ileocystoplasty, and artificial urinary sphincter insertion...
September 2018: Arab Journal of Urology
https://www.readbyqxmd.com/read/30147956/the-age-of-robotic-surgery-is-laparoscopy-dead
#6
EDITORIAL
Noor N P Buchholz, Christian Bach
No abstract text is available yet for this article.
September 2018: Arab Journal of Urology
https://www.readbyqxmd.com/read/30140471/corrigendum-to-twin-penile-skin-flap-is-it-the-answer-for-repair-of-long-anterior-urethral-strictures-arab-j-urol-16-2-2018-224-231
#7
Diaaeldin Mostafa, Hisham Elshawaf, Mohamed Abuelnaga, Mohamed Kotb, Abdelwahab Elkassaby
[This corrects the article DOI: 10.1016/j.aju.2017.12.006.].
September 2018: Arab Journal of Urology
https://www.readbyqxmd.com/read/30140470/robotic-stone-surgery-current-state-and-future-prospects-a-systematic-review
#8
REVIEW
Philippe F Müller, Daniel Schlager, Simon Hein, Christian Bach, Arkadiusz Miernik, Dominik S Schoeb
Objective: To provide a comprehensive review of robot-assisted surgery in urolithiasis and to consider the future prospects of robotic approaches in stone surgery. Materials and methods: We performed a systematic PubMed© literature search using predefined Medical Subject Headings search terms to identify PubMed-listed clinical research studies on robotic stone surgery. All authors screened the results for eligibility and two independent reviewers performed the data extraction...
September 2018: Arab Journal of Urology
https://www.readbyqxmd.com/read/30140469/laparoscopic-and-hand-assisted-laparoscopic-donor-nephrectomy-a-systematic-review-and-meta-analysis
#9
REVIEW
Mark P Broe, Rose Galvin, Lorna G Keenan, Richard E Power
Objective: To compare the perioperative outcomes of hand-assisted laparoscopic donor nephrectomy (HALDN) and pure LDN, as HALDN and LDN are the two most widely used techniques of DN to treat end-stage renal disease. Methods: In this systematic review and meta-analysis, we performed a literature search of PubMed, Embase, Web of Science, and Cochrane from 01/01/1995 to 31/12/2014. The primary outcome was conversion to an open procedure. Secondary outcomes were warm ischaemia time (WIT), operation time (OT), estimated blood loss (EBL), complications, and length of stay (LOS)...
September 2018: Arab Journal of Urology
https://www.readbyqxmd.com/read/30140468/re-laparoscopic-renal-surgery-is-here-to-stay-by-angus-chin-on-luk-rajadoss-muthukrishna-pandian-and-rakesh-heer-department-of-urology-freeman-hospital-high-heaton-newcastle-upon-tyne-uk
#10
EDITORIAL
https://www.readbyqxmd.com/read/30140467/laparoscopic-renal-surgery-is-here-to-stay
#11
REVIEW
Angus Chin On Luk, Rajadoss Muthu Krishna Pandian, Rakesh Heer
Objectives: To review the current literature comparing the outcomes of renal surgery via open, laparoscopic and robotic approaches. Materials and methods: A comprehensive literature search was performed on PubMed, MEDLINE and Ovid, to look for studies comparing outcomes of renal surgery via open, laparoscopic, and robotic approaches. Results: Limited good-quality evidence suggests that all three approaches result in largely comparable functional and oncological outcomes...
September 2018: Arab Journal of Urology
https://www.readbyqxmd.com/read/30140466/robot-assisted-radical-cystectomy-with-intracorporeal-urinary-diversion-the-new-gold-standard-evidence-from-a-systematic-review
#12
REVIEW
Niyati Lobo, Ramesh Thurairaja, Rajesh Nair, Prokar Dasgupta, Muhammad Shamim Khan
Objective: To investigate whether a totally intracorporeally radical cystectomy (RC) can be considered the new 'gold standard' in bladder cancer, as open RC (ORC) is the current 'gold standard' for surgical treatment of muscle-invasive and high-grade non-muscle-invasive bladder cancer. However, robot-assisted radical cystectomy (RARC) is becoming the preferred surgical approach in many centres as it seems to maintain the oncological control of open surgery whilst offering improved perioperative benefits...
September 2018: Arab Journal of Urology
https://www.readbyqxmd.com/read/30140465/how-robotic-surgery-is-changing-our-understanding-of-anatomy
#13
REVIEW
Fabrizio Dal Moro
The most recent revolution in our understanding and knowledge of the human body is the introduction of new technologies allowing direct magnified vision of internal organs, as in laparoscopy and robotics. The possibility of viewing an anatomical detail, until now not directly visible during open surgical operations and only partially during dissections of cadavers, has created a 'new surgical anatomy'. Consequent refinements of operative techniques, combined with better views of the surgical field, have given rise to continual and significant decreases in complication rates and improved functional and oncological outcomes...
September 2018: Arab Journal of Urology
https://www.readbyqxmd.com/read/30140464/a-brief-overview-of-the-development-of-robot-assisted-radical-prostatectomy
#14
Oliver W Hakenberg
Robot-assisted radical prostatectomy (RP) has gained remarkable worldwide distribution and has become a standard procedure for localised prostate cancer, indeed a new 'gold standard'. There are proven advantages in reduced blood loss and shorter recovery time. Whilst case series publications often report improved functional outcomes, systematic hospital and healthcare data analyses mostly do not support these findings. Robotic surgery remains more costly. Its use has also increased knowledge about the anatomy of RP...
September 2018: Arab Journal of Urology
https://www.readbyqxmd.com/read/30140463/complications-in-robotic-urological-surgeries-and-how-to-avoid-them-a-systematic-review
#15
REVIEW
Rafael Rocha Tourinho-Barbosa, Marcos Tobias-Machado, Adalberto Castro-Alfaro, Gabriel Ogaya-Pinies, Xavier Cathelineau, Rafael Sanchez-Salas
Objectives: To review the main complications related to the robot-assisted laparoscopic (RAL) approach in urology and to suggest measures to avoid such issues. Methods: A systematic search for articles of the contemporary literature was performed in PubMed database for complications in RAL urological procedures focused on positioning, access, and operative technique considerations. Each complication topic is followed by recommendations about how to avoid it. Results: In all, 40 of 253 articles were included in this analysis...
September 2018: Arab Journal of Urology
https://www.readbyqxmd.com/read/30140462/the-age-of-robotic-surgery-is-laparoscopy-dead
#16
REVIEW
Hartwig Schwaibold, Felix Wiesend, Christian Bach
Introduction: Robot-assisted laparoscopic surgery (RALS) has become a widely used technology in urology. Urological procedures that are now being routinely performed robotically are: radical prostatectomy (RP), radical cystectomy (RC), renal procedures - mainly partial nephrectomy (PN), and pyeloplasty, as well as ureteric re-implantation and adrenalectomy. Methods: This non-systematic review of the literature examines the effectiveness of RALS compared with conventional laparoscopic surgery for the most relevant urological procedures...
September 2018: Arab Journal of Urology
https://www.readbyqxmd.com/read/29892492/uretero-arterial-fistula-due-to-a-hypogastric-aneurysm
#17
Augustin Pirvu
Uretero-arterial fistula is a rare condition that can result in life-threatening haematuria, which should be diagnosed and treated immediately. We report a case of uretero-arterial fistula due to a hypogastric aneurysm. The patient underwent an endovascular treatment of the hypogastric aneurysm associated with a percutaneous nephrostomy. Most fistulae are not identified on computed tomography (CT) and a high degree of suspicion is needed. Presence of unexplained haematuria with CT diagnosis of hypogastric aneurysm should raise suspicions of uretero-arterial fistula as a possible cause...
June 2018: Arab Journal of Urology
https://www.readbyqxmd.com/read/29892491/war-related-penile-injuries-in-libya-single-institution-experience
#18
Abdalla M Etabbal, Fathi F Hussain, Mohamed O Benkhadoura, Abdalla M Banni
Objective: To report on our initial experience in the management of war-related penile injuries; proper diagnosis and immediate treatment of penile injuries is essential to gain satisfactory results. Besides treating primary wounds and restoring penile function, the cosmetic result is also an important issue for the surgeon. Patients and methods: The study was conducted in the Department of Urology at Benghazi Medical Center and comprised all patients who presented with a shotgun, gunshot or explosive penile injury between February 2011 and August 2017...
June 2018: Arab Journal of Urology
https://www.readbyqxmd.com/read/29892490/comparing-tamsulosin-silodosin-versus-silodosin-plus-tadalafil-as-medical-expulsive-therapy-for-lower-ureteric-stones-a-randomised-trial
#19
Md Jawaid Rahman, M Shazib Faridi, Naloh Mibang, Rajendra Sinam Singh
Objective: To compare the efficacy of tamsulosin, silodosin, and silodosin plus tadalafil as medical expulsive therapy (MET) for distal ureteric calculi. Methods: In all, 120 patients who met the inclusion criteria were randomised into one of three treatment arms: tamsulosin (Group A), silodosin (Group B), and silodosin plus tadalafil (Group C). The drugs were given for a maximum of 4 weeks. The primary endpoint was the stone expulsion rate and secondary endpoints were stone expulsion time, number of pain episodes, and side-effects associated with MET...
June 2018: Arab Journal of Urology
https://www.readbyqxmd.com/read/29892489/influence-of-postnatal-hydroureter-in-determining-the-need-for-voiding-cystourethrogram-in-children-with-high-grade-hydronephrosis
#20
Amr Hodhod, John-Paul Capolicchio, Roman Jednak, Eid El-Sherif, Abd El-Alim El-Doray, Mohamed El-Sherbiny
Objective: To evaluate the utility of hydroureter (HU) to identify high-grade vesico-ureteric reflux (VUR) in patients with high-grade postnatal hydronephrosis (PH). Patients and methods: We retrospectively reviewed patients' charts that had antenatal hydronephrosis from 2008 to 2014. Patients were excluded if they presented with febrile urinary tract infection (fUTI), neurogenic bladder, posterior urethral valve, multi-cystic dysplastic kidney, and multiple congenital malformations...
June 2018: Arab Journal of Urology
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