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Urology Surgery

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https://www.readbyqxmd.com/read/30334856/association-between-concomitant-hysterectomy-and-repeat-surgery-for-pelvic-organ-prolapse-repair-in-a-cohort-of-nearly-100-000-women
#1
Kai Dallas, Christopher S Elliott, Raveen Syan, Ericka Sohlberg, Ekene Enemchukwu, Lisa Rogo-Gupta
OBJECTIVE: To evaluate the association of hysterectomy at the time of pelvic organ prolapse (POP) repair with the risk of undergoing subsequent POP surgery in a large population-based cohort. METHODS: Data from the California Office of Statewide Health Planning and Development were used in this retrospective cohort study to identify all women who underwent an anterior, apical, posterior or multiple compartment POP repair at nonfederal hospitals between January 1, 2005, and December 31, 2011, using Current Procedural Terminology and International Classification of Diseases, 9th Revision procedure codes...
October 15, 2018: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/30332673/epididymal-dirofilariasis-in-a-child-first-case-report-from-bulgaria
#2
Valeri Velev, Teofil Pelov, Tzvetomir Garev, Stoyan Peev, Iskren Kaftandjiev, Rumen Harizanov
OBJECTIVE: To present case of a child with epididymal dirofilariasis. CLINICAL PRESENTATION AND INTERVENTION: An 11-year-old boy is admitted at the Clinic of Pediatric Urology for elective surgery treatment of epididymal cyst on the left side. After removal, the cyst was sent for histological examination. Microscopic examination of the histological slides revealed cross sections of a nematode belonging to Dirofilaria spp., differentiated morphologically as D. repens...
October 17, 2018: Medical Principles and Practice: International Journal of the Kuwait University, Health Science Centre
https://www.readbyqxmd.com/read/30325870/what-is-new-in-robot-assisted-radical-prostatectomy-a-narrative-review
#3
Alberto Martini, Giorgio Gandaglia, Alberto Briganti
PURPOSE OF REVIEW: The implementation of novel technologies and refinements in the surgical technique are continuously changing the urological surgical scenario. The purpose of this review is to provide surgeons with the latest and most relevant updates in the field of robot-assisted radical prostatectomy (RARP) occurred over the last 12 months. RECENT FINDINGS: A randomized-controlled trial showed comparable 24-month urinary continence and erectile function recovery between open radical prostatectomy (ORP) and RARP...
October 15, 2018: Current Opinion in Urology
https://www.readbyqxmd.com/read/30325869/metabolic-evaluation-who-when-and-how-often
#4
Vincent De Coninck, Etienne Xavier Keller, Olivier Traxer
PURPOSE OF REVIEW: To summarize recommendations of the guidelines of the American Urological Association and European Association of Urology, and our opinion on which urinary tract stone disease patients should be metabolically evaluated at which moment and how often. RECENT FINDINGS: A standard metabolic evaluation should be performed in all stone formers to prevent recurrent disease. This includes a medical and lifestyle history, physical examination, basic urine and blood analysis, radiological examination and stone analysis...
October 15, 2018: Current Opinion in Urology
https://www.readbyqxmd.com/read/30318331/askmusic-leveraging-a-clinical-registry-to-develop-a-new-machine-learning-model-to-inform-patients-of-prostate-cancer-treatments-chosen-by-similar-men
#5
Gregory B Auffenberg, Khurshid R Ghani, Shreyas Ramani, Etiowo Usoro, Brian Denton, Craig Rogers, Benjamin Stockton, David C Miller, Karandeep Singh
BACKGROUND: Clinical registries provide physicians with a means for making data-driven decisions but few opportunities exist for patients to interact with registry data to help make decisions. OBJECTIVE: We sought to develop a web-based system that uses a prostate cancer (CaP) registry to provide newly diagnosed men with a platform to view predicted treatment decisions based on patients with similar characteristics. DESIGN, SETTING, AND PARTICIPANTS: The Michigan Urological Surgery Improvement Collaborative (MUSIC) is a quality improvement consortium of urology practices that maintains a prospective registry of men with CaP...
October 11, 2018: European Urology
https://www.readbyqxmd.com/read/30316671/-venous-thromboembolism-and-urological-cancer-epidemiology-and-therapeutically-management
#6
M Felber, F Rozet, S Droupy, V Misraï, D M Smadja, M Rouprêt
INTRODUCTION: Active cancer is a risk factor in the occurrence of venous thromboembolism (VTE). This is the second cause of death for these patients. In onco-urology, some cancers are associated with an increased risk of VTE. The aim of this study was to propose a focus of epidemiology and VTE therapy management. MATERIAL AND METHODS: A systematic analysis of the PubMed® database was performed through the PRISMA methodology using the followings keywords : "neoplasm", "venous thromboembolism", "prophylaxis", "pulmonary embolism", "urology"...
October 10, 2018: Progrès en Urologie
https://www.readbyqxmd.com/read/30316583/treatment-of-varicocele-in-children-and-adolescents-a-systematic-review-and-meta-analysis-from-the-european-association-of-urology-european-society-for-paediatric-urology-guidelines-panel
#7
REVIEW
Mesrur Selcuk Silay, Lisette Hoen, Josine Quadackaers, Shabnam Undre, Guy Bogaert, Hasan Serkan Dogan, Radim Kocvara, Rien J M Nijman, Christian Radmayr, Serdar Tekgul, Raimund Stein
CONTEXT: The benefits and harms of intervention (surgical or radiological) versus observation in children and adolescents with varicocele are controversial. OBJECTIVE: To systematically evaluate the evidence regarding the short- and long-term outcomes of varicocele treatment in children and adolescents. EVIDENCE ACQUISITION: A systematic review and meta-analysis was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-analysis (PRISMA) statement...
October 10, 2018: European Urology
https://www.readbyqxmd.com/read/30316315/minimally-invasive-surgery-in-pediatric-urology-adaptations-and-new-frontiers
#8
REVIEW
Kunj R Sheth, Jason P Van Batavia, Diana K Bowen, Chester J Koh, Arun K Srinivasan
As the frontiers of minimally invasive surgery (MIS) continue to expand, the availability and implementation of new technology in pediatric urology are increasing. MIS is already an integral part of pediatric urology, but there is still much more potential change to come as both recent and upcoming advances in laparoscopic and robotic surgery are surveyed.
November 2018: Urologic Clinics of North America
https://www.readbyqxmd.com/read/30315888/career-expectations-and-preferences-of-urology-residency-applicants
#9
Julia Han, Andrew Rabley, Alex Vlasak, Shahab Bozorgmehri, Vincent Bird, Louis Moy
OBJECTIVE: To survey the characteristics, career goals, and practice preferences of current urology applicants. METHODS: An anonymous survey was emailed to applicants pursuing a residency position at the University of Florida for the 2017-2018 academic year Urology Match. The survey included questions on demographics, motivating factors to pursue urology, plans for fellowship training, and anticipated and desired practice patterns. RESULTS: 151 of 295 applicants completed the survey, mean age 26...
October 10, 2018: Urology
https://www.readbyqxmd.com/read/30314957/patient-consent-in-the-post-montgomery-era-a-national-multi-speciality-prospective-study
#10
Stephen R Knight, Robert Pearson, Ciara Kiely, Grace Lee, Alisdair J MacDonald, Angus Macdonald
BACKGROUND: The Montgomery ruling has had a wide-ranging impact on the consent process and has been the subject of new guidelines by bodies, including the Royal College of Surgeons (RCSEng). This is the first study to examine the current standard of consent for surgical procedures at a national level. METHOD: A national collaborative research model was used, with prospective data collection performed across hospitals in Scotland. Variables associated with the consent process were audited across three surgical specialities (general surgery, urology and orthopaedics) and measured against standards set by RCSEng, the Scottish Public Services Ombudsman and medical defence organisations...
October 9, 2018: Surgeon: Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland
https://www.readbyqxmd.com/read/30311686/recommendations-for-conducting-invasive-urodynamics-for-men-with-lower-urinary-tract-symptoms-qualitative-interview-findings-from-a-large-randomized-controlled-trial-upstream
#11
Lucy E Selman, Cynthia A Ochieng, Amanda L Lewis, Marcus J Drake, Jeremy Horwood
AIMS: To capture in-depth qualitative evidence regarding attitudes to and experiences of urodynamic testing among men with lower urinary tract symptoms (LUTS) at each end of the clinical pathway. METHODS: Semi-structured interview study conducted within the Urodynamics for Prostate Surgery: Randomized Evaluation of Assessment Methods (UPSTREAM) trial, which randomized men to a care pathway including urodynamics or routine non-invasive tests from 26 secondary care urology sites across England...
October 12, 2018: Neurourology and Urodynamics
https://www.readbyqxmd.com/read/30304733/challenging-diagnosis-of-a-solitary-retroperitoneal-mass-a-case-report-of-castleman-s-disease-and-review-of-the-literature
#12
Diego M Carrion, Mario Alvarez-Maestro, Juan Gómez Rivas, Yaroslav Brygadyr, Eugenia García-Fernandez, Luis Martínez-Piñeiro
Castleman's disease (CD) is an uncommon type of lymphoproliferative disorder. Its etiology and prevalence are unclear. The retroperitoneum is a very rare site for presentation of the unicentric variant, where it mimics malignant tumors. A 59-year-old man is referred to the urology outpatient clinic for the study of microhematuria found in a routine analysis. CT scan of the abdomen identified a solid, circumscribed mass, measuring 28 × 30 × 31 mm in the left para-aortic zone, with homogeneous contrast enhancement...
October 10, 2018: Urologia Internationalis
https://www.readbyqxmd.com/read/30303427/a-prospective-single-blind-randomized-phase-iii-study-to-evaluate-the-safety-and-efficacy-of-fibrin-sealant-grifols-as-an-adjunct-to-hemostasis-during-soft-tissue-open-surgery
#13
Shankar Lakshman, Keith Aqua, Aleksandar Stefanovic, Srdjan Djurdjevic, Péter Nyirády, Péter Osváth, Ronald Davis, Arnold Bullock, Junliang Chen, Julia Ibañez, Gladis Barrera, Jordi Navarro-Puerto
BACKGROUND/PURPOSE: Rapid hemostasis, an essential prerequisite of good surgical practice during surgical bleeding, including soft tissue open surgery, often requires adjunctive treatment. We evaluated the safety and hemostatic effectiveness of a human plasma-derived fibrin sealant (FS Grifols) in soft tissue open surgery. METHODS: Patients with moderate soft tissue bleeding during open, urologic, gynecologic or general surgery were studied. The trial consisted of a preliminary phase (to familiarize investigators with the technique for FS Grifols application and the intraoperative procedures required by the clinical protocol) and a primary phase: in both phases, patients were randomized 1:1 to FS Grifols or Surgicel® ...
October 10, 2018: Journal of Investigative Surgery: the Official Journal of the Academy of Surgical Research
https://www.readbyqxmd.com/read/30293946/current-use-of-three-dimensional-model-technology-in-urology-a-road-map-for-personalised-surgical-planning
#14
REVIEW
Francesco Porpiglia, Daniele Amparore, Enrico Checcucci, Riccardo Autorino, Matteo Manfredi, Giada Iannizzi, Cristian Fiori
CONTEXT: Despite the current era of "precision surgery", an unmet need for an optimal surgical planning and navigation still remains for most genitourinary malignancies. In this setting, the 3D virtual reconstruction of 2D cross-sectional imaging has been increasingly adopted to facilitate the surgeon in better understanding the surgical anatomy. OBJECTIVE: To provide a short overview of the most recent evidences on the current applications of 3D virtual and printed reconstructions in urologic surgery...
October 4, 2018: European Urology Focus
https://www.readbyqxmd.com/read/30290985/-place-of-partial-nephrectomy-assisted-by-robot-review-of-the-literature-at-the-time-of-a-request-for-a-specific-nomenclature
#15
G Poinas, J-A Long, X Rébillard, J-L Descotes
INTRODUCTION: Robot-assisted surgery is practiced more and more frequently in urology. Besides its place in prostatectomy for cancer, it also concerns partial nephrectomy (NP), in the treatment of renal tumors. The objective of this review is to compare the robot-assisted approach with laparoscopic or open approaches in partial nephrectomy in terms of functional or oncological outcomes and per- and postoperative complications. MATERIAL AND METHODS: A systematic review of the literature published from 2009 was carried out on PubMed...
October 2, 2018: Progrès en Urologie
https://www.readbyqxmd.com/read/30286577/virtual-reality-and-simulation-for-progressive-treatments-in-urology
#16
Alaric Hamacher, Taeg Keun Whangbo, Su Jin Kim, Kyung Jin Chung
In urology technologies and surgical practices are constantly evolving and virtual reality (VR) simulation has become a significant supplement to existing urology methods in the training curricula of urologists. However, new developments in urology also require training and simulation for a wider application. In order to achieve this VR and simulation could play a central role. The purpose of this article is a review of the principal applications for VR and simulation in the field of urology education and to demonstrate the potential for the propagation of new progressive treatments...
September 2018: International Neurourology Journal
https://www.readbyqxmd.com/read/30281004/cystectomy-for-benign-disease-readmission-morbidity-and-complications
#17
Scott G Erpelding, Adam Dugan, Sudhir Isharwal, Stephen Strup, Andrew James, Shubham Gupta
INTRODUCTION: We sought to elucidate outcomes and risks associated with cystectomy and urinary diversion for benign urological conditions compared to malignant conditions. MATERIALS AND METHODS: We identified patients who underwent cystectomy and urinary diversion for benign and malignant diseases through the American College of Surgeons National Surgery Quality Improvement Program database for the period 2007-2015. Patients were selected for inclusion based upon their current procedure terminology and International Classification of Disease, Ninth revision codes...
October 2018: Canadian Journal of Urology
https://www.readbyqxmd.com/read/30279572/urinary-exosomal-and-cell-free-dna-detects-somatic-mutation-and-copy-number-alteration-in-urothelial-carcinoma-of-bladder
#18
Dong Hyeon Lee, Hana Yoon, Sanghui Park, Jeong Seon Kim, Young-Ho Ahn, Kihwan Kwon, Donghwan Lee, Kwang Hyun Kim
Urothelial bladder carcinoma (UBC) is characterized by a large number of genetic alterations. DNA from urine is a promising source for liquid biopsy in urological malignancies. We aimed to assess the availability of cell-free DNA (cfDNA) and exosomal DNA (exoDNA) in urine as a source for liquid biopsy in UBC. We included 9 patients who underwent surgery for UBC and performed genomic profiling of tumor samples and matched urinary cfDNA and exoDNA. For mutation analysis, deep sequencing was performed for 9 gene targets and shallow whole genome sequencing (sWGS) was used for the detection of copy number variation (CNV)...
October 2, 2018: Scientific Reports
https://www.readbyqxmd.com/read/30278968/do-surgeons-and-patients-parents-value-shared-decision-making-in-pediatric-surgery-a-systematic-review
#19
Erica M Carlisle, Laura A Shinkunas, Lauris C Kaldjian
BACKGROUND: Shared decision-making (SDM) is touted as the preferred approach to clinical counseling. However, few data exist regarding whether patients prefer SDM over surgeon-guided discussions for complex surgical decision-making. Even fewer data exist regarding surgeon preferences. Such issues may be especially pronounced in pediatric surgery given the complex decision-making triad between patients/parents and surgeons. The objective of this systematic review was to evaluate patient/parent and surgeon attitudes toward SDM in pediatric surgery...
November 2018: Journal of Surgical Research
https://www.readbyqxmd.com/read/30273119/assessment-of-risk-factors-for-surgical-complications-in-neonatal-circumcision-clinic
#20
Jin Kyu Kim, Martin A Koyle, Michael E Chua, Jessica M Ming, Min Joon Lee, Amre Kesavan, Megan Saunders, Joana Dos Santos
INTRODUCTION: Despite the widespread use of circumcision, there is little understanding regarding risk factors associated with its complications. This investigation assesses potential risk factors contributing to complications of circumcision. METHODS: A retrospective review of all males who underwent a neonatal circumcision in our institution's pediatric urology clinic between January 2015 and June 2017 was performed. Continuous variables were dichotomized to determine a clinically relevant cutoff value...
September 27, 2018: Canadian Urological Association Journal, Journal de L'Association des Urologues du Canada
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