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Urology Surgery

N Gelbrich, M B Stope, M Burchardt
Cold atmospheric plasma (CAP) is a highly reactive ionized physical state consisting of electrically charged particles, radicals and photons as well as electromagnetic radiation. Due to the high energy and reactivity of plasma components, physical plasmas are also referred to as the 4th aggregate state. In biological systems, CAP promotes antimicrobial, immunomodulatory, anti-inflammatory, and wound-healing effects. Moreover, CAP bears antineoplastic properties which may be applied as a potential intraoperative option in the treatment of wound and resection margins during surgery of urological tumors...
August 10, 2018: Der Urologe. Ausg. A
Cristina Mondelo García, José María Gutiérrez Urbón, Cristina Pérez Sanz, María Isabel Martín Herranz
BACKGROUND: There is extensive evidence of the efficacy of anti-microbial drugs in preventing infections from surgical efforts. Our objective was to describe the results obtained in our annual surgical antibiotic prophylaxis (SAP) audit in the years 2013-2017. METHODS: This was a retrospective observational study of SAP in surgical procedures carried out between 2013 and 2017 in a tertiary-level hospital. We examined the results from the services of general surgery, vascular surgery, neurosurgery, the breast unit, otolaryngology, maxillofacial surgery, traumatology, urology, pediatric surgery, gynecology, and plastic surgery...
August 10, 2018: Surgical Infections
María Fernández-Ibieta
Case Report  An 11-month-old female infant presented on the first postoperative (PO) day following an elective pyeloplasty, a dark bluish erythema of her lumbotomy wound, plus a satellite lesion of the same characteristics. Fever and sepsis developed, and despite broad spectrum antibiotics (meropenem and vancomycin) were started, a diagnosis of necrotizing soft-tissue infection (NSTI or necrotizing fasciitis) was established. Surgical debridement of both lesions was performed on day 3 PO, and a surgical contamination (ring retractor blade) was suspected, due to the particular geography of the lesion...
July 2018: Surgery Journal
Nicolae Crisan, Iulia Andras, Teodora Telecan, Andreea Szabo, Andrei Popa, Radu-Tudor Coman, Paul Medan, Ioan Coman
Laparoendoscopic single-site (LESS) approach has been successfully employed for a number of urologic procedures. The retroperitoneal approach further limits the working space and instrument movement during LESS surgery, but has the advantage of a faster post-operative recovery and lower complications rate. We present our first experience using retroperitoneal LESS approach for a renal cyst decortication in a 40-year-old patient. The operative time was 40 minutes, the blood loss was minimal and we did not encounter significant conflicts between the instruments...
July 2018: Clujul Medical (1957)
Simone Scarcella, Lucio Dell'Atti, Andrea Benedetto Galosi
The most common malignancy in young men is a germ cell tumour of the testes. Metastatic renal disease is relatively uncommon and usually manifests in the retroperitoneal lymph nodes. Visceral metastases to the liver, and metastases to the lungs and the brain are more common. Few large studies characterising patients with germ cell tumours and associated renal metastases have yet been published. We report an unusual case of successful management, through demolitive surgery, of a 22-year-old male patient affected by spontaneous intrarenal rupture of metastases secondary to testicular cancer...
August 9, 2018: BMJ Case Reports
Carrie M Aisen, Maxwell James, Doreen E Chung
OBJECTIVES: To examine the effects of trainee involvement on fundamental urology procedures. METHODS: Current Procedural Terminology codes were used to identify patients within the National Surgical Quality Improvement Program database who underwent a selection of fundamental general urology procedures (2005-2013). Operative time and perioperative complications (30-day) were compared between cases with and without trainee involvement. RESULTS: 29,488 patients had general urology procedures with information regarding trainee involvement, 13,251 (44...
August 6, 2018: Urology
Khalid Al-Otaibi
Objectives: The aim of this study is to review the complications of laparoscopic urological procedures performed using a single surgeon during a 12-year period. Materials and Methods: From June 2004 to May 2017, a total of 411 abdominal urological procedures were performed using the author. They included 250 varicocele ligations, 94 nephrectomies (simple, partial, radical, and nephroureterectomy), 34 adrenalectomies, 22 renal cyst ablation, and 11 pelvic lymph node dissections...
July 2018: Urology Annals
Raed A Azhar, Ahmed A Mobaraki, Hattan M Badr, Noor Nedal, Anmar M Nassir
Objectives: The objective of this study is to assess the current status of urologic robot-assisted surgery (RAS) in Saudi Arabia and evaluate perceptions of its importance and utility. Methods: A 59-item questionnaire was E-mailed to urologists and trainees in Saudi Arabia to assess the demographics and individual and institutional surgical practices of minimally invasive surgery (MIS) with a focus on RAS and urologic subtypes. Results: Ninety-five surveys were completed...
July 2018: Urology Annals
Hideto Ueki, Takuya Fujimoto, Masato Okuno, Yuji Kusuda, Isao Taguchi, Yasushi Itou, Sawami Kiyonaka, Gaku Kawabata
Background: CT-guided marking technique is rarely used in abdominal or urologic surgery. We developed and performed a marking technique for a small tumor, undetectable by ultrasound, using CT guidance before laparoscopic resection of the tumor. Case Presentation: A 73-year-old woman with a history of breast cancer underwent right colectomy with D3 lymph node dissection for ascending colon cancer. Five years after the operation, a solitary tumor was found in the right pararenal region of the retroperitoneal space on enhanced abdominal CT...
2018: Journal of Endourology Case Reports
Felix Cheung, Jaspreet S Sandhu
PURPOSE OF REVIEW: Urinary dysfunction is a common entity in patients undergoing radical pelvic surgery for non-urologic malignancies. These dysfunctions may manifest as lower urinary tract symptoms (LUTS) or signs such as urinary retention or leakage. Review of current literature is performed to describe the differing urinary dysfunctions that manifest after colorectal resection, hysterectomy, and sacrectomy. RECENT FINDINGS: Conventional radical surgery for pelvic malignancies often will result in debilitating functional problems...
August 6, 2018: Current Urology Reports
Chi-Hang Yee, Jenny S Y Yip, Nicole M Y Cheng, Cheuk-Hang Kwan, Kai-Man Li, Jeremy Y C Teoh, Peter K F Chiu, Joseph Hon-Ming Wong, Eddie S Y Chan, Chi-Kwok Chan, Simon S M Hou, Chi-Fai Ng
OBJECTIVE: It has been hypothesized that endothelial dysfunction and pelvic atherosclerosis may contribute to lower urinary tract symptoms (LUTS). We assessed the relationship between cardiovascular risk factors and LUTS severity in male patients presented to urology clinic. METHODS: It is a cross-sectional study on patients who presented between 2013 and 2015 with LUTS. A total of 1176 male patients were encountered, and 966 were included for analysis after excluding patients with urinary tract malignancy, urethral stricture, bladder stone and history of urinary tract surgery...
August 6, 2018: World Journal of Urology
M Vallée, F Bruyère
INTRODUCTION: The incidence of surgical site infections (SSI) in urological surgery is highly variable. The latest report of the "Institut de veille sanitaire" (InVS) found an incidence of SSI of 3% but in some specific clinical situations, rates close to 20% are sometimes observed. The aim of this publication is to provide urology nurses with a summary of the management of the main postoperative infections that can be encountered in urological surgery. MATERIAL AND METHOD: The main infectious pathologies likely to be encountered after urology have been classified in 4 chapters by repeating the formulations used by InVS by adding the specificities related to urological surgery...
August 3, 2018: Progrès en Urologie
Hamdan Alhazmi, Noor Nabi Junejo, Mohammed Albeaiti, Ahmad Alshammari, Hossam Aljallad, Ahmed Almathami, Santiago Vallasciani
BACKGROUND: Orchidopexy should be performed during the first 18 months of life to decrease the risk of infertility and tumor formation. In our center, the timing of surgical correction varies depending on the availability of an operating room. OBJECTIVES: Evaluate whether orchidopexy performed for patients referred to our center is done within the recommended time period and to determine causes for delay. DESIGN: Retrospective descriptive study...
July 2018: Annals of Saudi Medicine
Giuseppe Simone, Umberto Anceschi, Gabriele Tuderti, Leonardo Misuraca, Antonio Celia, Bernardino De Concilio, Manuela Costantini, Antonio Stigliano, Francesco Minisola, Mariaconsiglia Ferriero, Salvatore Guaglianone, Michele Gallucci
BACKGROUND: In the era of minimally invasive surgery, partial adrenalectomy has certainly been underused. We aimed to report surgical technique and perioperative, pathologic, and early functional outcomes of a two-center robot-assisted partial adrenalectomy (RAPA) series. OBJECTIVE: To detail surgical technique of RAPA for unilateral aldosterone-producing adenoma (UAPA), and to report perioperative and 1-yr functional outcomes. DESIGN, SETTING, AND PARTICIPANTS: Data of 10 consecutive patients who underwent RAPA for UAPA at two centers from June 2014 to April 2017 were prospectively collected and reported...
August 1, 2018: European Urology
Athanasios E Dellis, Athanasios G Papatsoris
Interstitial cystitis/bladder pain syndrome (IC/BPS) is a painful and debilitating clinical entity which is challenging to diagnose and even more difficult to treat. Unfortunately, none of the existing oral and intravesical medications have been established as effective and therefore relevant research is ongoing. Areas covered: In this review, the authors present established and emerging treatment options for IC/BPS in terms of medication and minimal invasive procedures. Both American and European Urological Association Guidelines recommend multimodal behavioral techniques alongside oral (e...
August 3, 2018: Expert Opinion on Pharmacotherapy
Ruchir Chavada, Deborah Tong, Michael Maley
There has been a progressive rise in the incidence of blood stream infections (BSI) caused by multidrug-resistant Gram-negative organisms (MDR GN), which cause increased morbidity and mortality. For this reason, recent studies have focused on risk factors of acquisition of carbapenemase-producing Enterobacteriaceae and extended-spectrum beta-lactamase producers. However, there is limited data on risk factors for BSI caused by AmpC-producing Enterobacteriaceae (AmpC EC), especially in low prevalence settings such as Australia...
August 1, 2018: Diseases (Basel)
Riccardo Bertolo, Enrico Checcucci, Daniele Amparore, Riccardo Autorino, Alberto Breda, Miguel Ramírez-Backhaus, Prokar Dasgupta, Cristian Fiori, Jens Rassweiler, Evangelos N Liatsikos, Francesco Porpiglia
OBJECTIVES: literature regarding experience with 3D laparoscopy in urology has remained scanty, and this might be also related to the parallel explosion of robotic assisted laparoscopic surgery. The study aim was to compare 3D versus 2D laparoscopic approaches for urological procedures in perioperative outcomes in a subgroups analysis of studies reporting procedures requiring intracorporeal suturing. MATERIALS AND METHODS: we searched EMBASE and Medline from database inception to September 22, 2017 for studies comparing patients undergoing 2D versus 3D laparoscopic approach for urological procedures...
August 1, 2018: Journal of Endourology
Richard J Fantus, Andrew Cohen, Christopher B Riedinger, Kristine Kuchta, Chi H Wang, Katharine Yao, Sangtae Park
To evaluate trends in contemporary robotic surgery across multiple organ sites as they relate to robotic prostatectomy volume. We queried the National Cancer Database for patients who underwent surgery from 2010 to 2013 for prostate, kidney, bladder, corpus uteri, uterus, cervix, colon, sigmoid, rectum, lung and bronchus. The trend between volumes of robotic surgery for each organ site was analyzed using the Cochran-Armitage test. Multivariable models were then created to determine independent predictors of robotic surgery within each organ site by calculating the odds ratio with 95% CI...
July 30, 2018: Journal of Robotic Surgery
Osama Shaeer, Kamal Shaeer
BACKGROUND: Penile prosthesis implantation into scarred corporeal bodies is one of the most challenging procedures in prosthetic urologic surgery, especially following infection and extrusion of a penile implant. Several instruments and techniques have been used for making dilatation of scarred corporeal bodies easier and safer in expert hands. Nevertheless, in some cases, implantation is not possible. AIM: This work presents extracorporeal transseptal implantation as a last resort in such cases...
July 26, 2018: Journal of Sexual Medicine
Markus Leibner
This article describes the economic situation in German outpatient practices of urology during the period 2012-2015 based on data from the Zi-Praxis-Panel (ZiPP). Additionally, it discusses the aspects of working times and operating times. Furthermore, the article presents a new Zi project in the field of day surgery and ambulant inpatient surgery. It then introduces a new economic climate index for outpatient practices. Finally, the article explains the immediate excess value which outpatient practices gain from participating in the yearly ZiPP survey...
July 27, 2018: Der Urologe. Ausg. A
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