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https://www.readbyqxmd.com/read/29789815/challenging-case-robot-assisted-laparoscopic-prostatectomy-after-prior-suprapubic-open-prostatectomy
#1
Shirin Razdan, Sanjay Razdan
Introduction: Given the ubiquity of robot-assisted laparoscopic prostatectomy (RALP) for treatment of localized prostate cancer, more surgeons are encountering challenging cases, either secondary to difficult anatomy, prior abdominal surgery, or prior radiation therapy. Our case is of RALP in a patient after prior suprapubic prostatectomy. Case Presentation: A 61-year-old otherwise healthy Hispanic gentleman presented for consultation after being found to have Gleason 4 + 4 = 8 prostate cancer on transrectal ultrasound-guided biopsy by an outside provider in July 2017...
2018: Journal of Endourology Case Reports
https://www.readbyqxmd.com/read/29774816/holmium-laser-enucleation-of-the-prostate
#2
Marcelino E Rivera, James E Lingeman, Amy E Krambeck
INTRODUCTION: Holmium laser enucleation of the prostate (HoLEP) offers superior voiding outcomes to traditional transurethral resection and less morbidity than open simple prostatectomy. Likewise, HoLEP has been determined to result in excellent outcomes regardless of gland size. We present a step-by-step surgical approach to HoLEP describing both the traditional enucleation technique and a modified "top-down" surgical technique. MATERIALS AND METHODS: In this video, two techniques are presented that were performed by two (A...
May 2018: Journal of Endourology
https://www.readbyqxmd.com/read/29774812/robot-assisted-simple-prostatectomy-by-an-extraperitoneal-approach
#3
Jens-Uwe Stolzenburg, Panagiotis Kallidonis, Iason Kyriazis, Dimitrios Kotsiris, Panteleimon Ntasiotis, Evangelos N Liatsikos
The incidence of symptomatic benign prostate hyperplasia and bladder outlet obstruction has increased during the last two decades. Most of men are treated conservatively. When medical therapy is inadequate to relief symptoms, surgical treatment is necessary. Absolute indications for surgical treatment are gross hematuria, recurrent urinary infections and retentions as well as bladder stones. With advent of minimally invasive surgery, large prostates tend to be treated either endoscopically or laparoscopically (including robotic assistance)...
May 2018: Journal of Endourology
https://www.readbyqxmd.com/read/29732218/repair-of-recto-urethral-fistula-with-urethral-augmentation-by-buccal-mucosal-graft-and-gracilis-muscle-flap-interposition-our-experience
#4
Vikram Prabha, Vishal Kadeli
Introduction: Recto-urethral fistula (RUF) is a relatively rare surgical condition, the treatment of which is quite challenging. There are many causes of RUF, but 60% of them are iatrogenic following open prostatectomies, radiotherapy, brachytherapy, urethral instrumentation etc. We present a series of six cases treated at our institution. Material and methods: A retrospective study of all six patients with recto-urethral fistula treated at our centre between 2011 and 2016 was performed...
2018: Central European Journal of Urology
https://www.readbyqxmd.com/read/29669429/robot-assisted-simple-prostatectomy
#5
Ross Cockrell, David Lee, Jeremy Bonzo
TBD.
April 19, 2018: Journal of Endourology
https://www.readbyqxmd.com/read/29593197/noninvasive-continuous-blood-pressure-monitoring-by-the-clearsight-system-during-robot-assisted-laparoscopic-radical-prostatectomy
#6
Yoko Sakai, Tsutsumi Yasuo M, Takuro Oyama, Chiaki Murakami, Nami Kakuta, Katsuya Tanaka
Robot-assisted laparoscopic radical prostatectomy (RALRP) is commonly performed in the surgical treatment of prostate cancer. However, the steep Trendelenburg position (25) and pneumoperitoneum required for this procedure can sometimes cause hemodynamic changes. Although blood pressure is traditionally monitored invasively during RALRP, the ClearSight system (BMEYE, Amsterdam, The Netherlands) enables a totally noninvasive and simple continuous blood pressure and cardiac output monitoring based on finger arterial pressure pulse contour analysis...
2018: Journal of Medical Investigation: JMI
https://www.readbyqxmd.com/read/29573104/transvesical-robotic-simple-prostatectomy-with-360%C3%A2-circumferential-reconstruction-step-by-step-technique
#7
G E Cacciamani, L G Medina, A N Ashrafi, H Landsberger, M Winter, P Mekail, M M Desai, M Aron, A K Berger
OBJECTIVE: To present a step-by-step technique of a 360-degree mucosal reconstruction after robotic transvesical simple prostatectomy (RSP). PATIENT AND METHODS: We analysed first 23 consecutive patients who underwent RSP using our 360-degree reconstruction between December 2015 to October 2017. Following the transperitoneal intravesical adenoma enucleation, a circumferential 360-degree reconstruction with 2-0 V-loc suture is performed. The first suture is placed at the 9 o'clock position and the edge of the urethra and bladder mucosa is approximated using 2-0 V-loc suture The reconstruction is continued counter-clockwise and the bladder mucosa is approximated to the urethra circumferentially...
March 23, 2018: BJU International
https://www.readbyqxmd.com/read/29548871/a-novel-technique-for-robotic-simple-prostatectomy-an-evolution-of-retzius-sparing-technique
#8
Bernardino De Concilio, Tommaso Silvestri, Matteo Justich, Francesca Vedovo, Guglielmo Zeccolini, Antonio Celia
OBJECTIVE: To present a novel surgical concept by using the trans-Douglas approach to perform a robotic-assisted simple prostatectomy (RASP) for high-volume benign prostate hyperplasia. This transposition from oncological surgery enables performance of a better bladder neck sparing adenomectomy with good functional results. MATERIALS AND METHODS: The index patient is a 67-year-old man with a history of severe urinary flow outlet obstruction. Combination medical therapy is not effective...
May 2018: Urology
https://www.readbyqxmd.com/read/29531971/bcl-2-and-bcl-xl-expression-are-down-regulated-in-benign-prostate-hyperplasia-nodules-and-not-affected-by-finasteride-and-or-celecoxib
#9
Feng Li, Laura E Pascal, Jianhua Zhou, Yibin Zhou, Ke Wang, Anil V Parwani, Rajiv Dhir, Peng Guo, Dalin He, Joel B Nelson, Zhou Wang
The mechanisms involved in the development of benign prostatic hyperplasia (BPH) are poorly understood. One potential mechanism involved in BPH pathogenesis may involve altered expression of genes related to apoptosis and proliferation because reduced cell death and increased proliferation are thought to contribute to prostatic enlargement. This study examined the expression of B-cell lymphoma 2 (BCL-2) and B-cell lymphoma-extra large (BCL-XL), two important anti-apoptosis factors that are also capable of inhibiting cell proliferation via accelerated G1 arrest or delayed G1/S transition, using immunostaining in simple prostatectomy BPH specimens from patients naïve to androgen manipulation...
2018: American Journal of Clinical and Experimental Urology
https://www.readbyqxmd.com/read/29528970/robotic-assisted-simple-prostatectomy-recent-advances
#10
Randy Vince, Lance J Hampton, Mihai D Vartolomei, Shahrokh F Shariat, Francesco Porpiglia, Riccardo Autorino
PURPOSE OF REVIEW: Robotic assisted simple prostatectomy (RASP) represents a minimally invasive evolution of traditional open simple prostatectomy for the surgical treatment of severe lower urinary tract symptoms (LUTS) because of benign prostatic enlargement (BPE). Aim of the present review is to summarize the most recent evidence on this novel procedure, and to better define its current role in the surgical armamentarium for the treatment of BPE. RECENT FINDINGS: Several studies demonstrated that RASP can be safely and effectively performed in centers with sufficient expertise...
May 2018: Current Opinion in Urology
https://www.readbyqxmd.com/read/29490658/the-cambridge-prognostic-groups-for-improved-prediction-of-disease-mortality-at-diagnosis-in-primary-non-metastatic-prostate-cancer-a-validation-study
#11
V J Gnanapragasam, O Bratt, K Muir, L S Lee, H H Huang, P Stattin, A Lophatananon
BACKGROUND: The purpose of this study is to validate a new five-tiered prognostic classification system to better discriminate cancer-specific mortality in men diagnosed with primary non-metastatic prostate cancer. METHODS: We applied a recently described five-strata model, the Cambridge Prognostic Groups (CPGs 1-5), in two international cohorts and tested prognostic performance against the current standard three-strata classification of low-, intermediate- or high-risk disease...
February 28, 2018: BMC Medicine
https://www.readbyqxmd.com/read/29379735/laparoscopic-adenomectomy-in-bph-does-it-have-a-role-today
#12
REVIEW
Ramalingam Manickam, Sivasankaran Nachimuthu, Senthil Kallappan, Mizar G Pai
Symptomatic benign prostatic hyperplasia (BPH) is managed medically worldwide, but transurethral resection of prostate (TURP) is the gold standard in refractory cases. Holmium laser enucleation of prostate (HoLEP), laser vaporization are other options which are widely practiced. However in larger glands which are more than 80 g, open adenomectomy is still practiced. Laparoscopic adenomectomy is a minimally invasive option in such circumstances. This article explains about different techniques in minimally invasive adenomectomy and the role for this procedure today...
January 2018: Asian Journal of Urology
https://www.readbyqxmd.com/read/29368232/comparison-between-open-simple-prostatectomy-and-green-laser-enucleation-of-the-prostate-for-treating-large-benign-prostatic-hyperplasia-a-single-centre-experience
#13
Vincent Misraï, Marie Pasquie, Benoit Bordier, Benjamin Elman, Jean Michel Lhez, Julien Guillotreau, Kevin Zorn
PURPOSE: This study sought to compare perioperative outcomes and morbidities for open simple prostatectomy (OSP) and endoscopic green laser enucleation of the prostate (GreenLEP). METHODS: In a single department, all consecutive patients who underwent OSP between January 2005 and December 2010 were retrospectively reviewed, and all consecutive patients undergoing GreenLEP between July 2013 and January 2017 were prospectively enrolled. Perioperative data, information regarding early postoperative complications for up to 6 months and outcomes were collected and retrospectively compared...
January 25, 2018: World Journal of Urology
https://www.readbyqxmd.com/read/29330835/international-guidelines-for-groin-hernia-management
#14
(no author information available yet)
INTRODUCTION: Worldwide, more than 20 million patients undergo groin hernia repair annually. The many different approaches, treatment indications and a significant array of techniques for groin hernia repair warrant guidelines to standardize care, minimize complications, and improve results. The main goal of these guidelines is to improve patient outcomes, specifically to decrease recurrence rates and reduce chronic pain, the most frequent problems following groin hernia repair. They have been endorsed by all five continental hernia societies, the International Endo Hernia Society and the European Association for Endoscopic Surgery...
February 2018: Hernia: the Journal of Hernias and Abdominal Wall Surgery
https://www.readbyqxmd.com/read/29246146/combined-bladder-neck-preservation-and-posterior-musculofascial-reconstruction-during-robotic-assisted-radical-prostatectomy-effects-on-early-and-long-term-urinary-continence-recovery
#15
Riccardo Bartoletti, Andrea Mogorovich, Francesco Francesca, Giorgio Pomara, Cesare Selli
BACKGROUND: To evaluate the effects of combined bladder neck preservation and posterior reconstruction techniques on early and long term urinary continence in patients treated by robotic assisted radical prostatectomy (RARP). METHODS: Two-hundred ninety-two patients who previously underwent radical prostatectomy were retrospectively selected for a case-control study, excluding those with anastomotic strictures and significant perioperative complications and re-called for a medical follow-up visit after their consent to participate the study...
December 15, 2017: BMC Urology
https://www.readbyqxmd.com/read/29230007/elevated-preoperative-neutrophil-lymphocyte-ratio-predicts-upgrading-at-radical-prostatectomy
#16
Mehmet Özsoy, Marco Moschini, Harun Fajkovic, Francesco Soria, Christian Seitz, Tobias Klatte, Kilian Gust, Alberto Briganti, Pierre I Karakiewicz, Morgan Roupret, Gero Kramer, Shahrokh F Shariat
BACKGROUND: Neutrophil-lymphocyte ratio (NLR) is a widely used, representative marker of systemic inflammatory response within the body. NLR can be calculated from simple, inexpensive peripheral blood samples. High NLR is a negative prognostic factor in a variety of malignancies including urological tumors. In this study, we aim to assess the prognostic value of preoperative neutrophil- lymphocyte ratio (NLR) in patients treated with radical prostatectomy (RP) for localized prostate cancer (PCa)...
December 11, 2017: Prostate Cancer and Prostatic Diseases
https://www.readbyqxmd.com/read/29181778/retzius-space-reconstruction-following-transperitoneal-laparoscopic-robot-assisted-radical-prostatectomy-does-it-have-any-added-value
#17
Yasmin Abu-Ghanem, Zohar Dotan, Jacob Ramon, Dorit E Zilberman
Retzius space sparing (RSS) during laparoscopic robot-assisted radical prostatectomy (RALP) has been offered as an approach that reduces perioperative complications and enables faster gaining of full urinary continence due to bladder anatomy preservation. Retro and transperitoneal techniques have been proposed, whereby RSS has been implemented. We sought to explore whether Retzius space reconstruction (RSR) following transperitoneal RALP will be an advantageous step as well. A prospective registry database of 102 consecutive transperitoneal RALP cases performed by a single surgeon was reviewed...
November 27, 2017: Journal of Robotic Surgery
https://www.readbyqxmd.com/read/29160092/prevention-of-urethral-retraction-with-stay-sutures-purs-during-robot-assisted-radical-prostatectomy-improves-early-urinary-control-a-prospective-cohort-study
#18
Omer Burak Argun, Mustafa Bilal Tuna, Tunkut Doganca, Can Obek, Panagiotis Mourmouris, Ilter Tufek, Sarper Erdogan, Bulent Cetinel, Ali Rıza Kural
OBJECTIVE: To evaluate early continence rates with a novel modified vesicourethral anastomosis technique based on prevention of urethral retraction using anastomosis sutures as stay sutures (PURS) during robot-assisted radical prostatectomy. MATERIALS AND METHODS: Sixty patients operated by a single surgeon were enrolled and data collected prospectively. This cohort was compared with another consecutive 60 patients operated with standard anastomosis. The new technique is based on preventing urethral retraction of the posterior urethra with two anastomosis sutures being used as stay sutures...
February 2018: Journal of Endourology
https://www.readbyqxmd.com/read/29122621/simple-operating-room-bundle-reduces-superficial-surgical-site-infections-after-major-urologic-surgery
#19
Sarah C Vij, Ganesh Kartha, Venkatesh Krishnamurthi, Michelle Ponziano, Howard B Goldman
OBJECTIVE: To reduce our superficial surgical site infection rate following major urologic surgery by implementing a simple operating room bundle. METHODS: A simple operating room bundle was applied to all major urologic cases (cystectomy, nephrectomy, and prostatectomy) at a single tertiary referral center. The bundle included allowing skin prep to dry appropriately, changing gloves before skin closure, irrigating the wound before skin closure, and using a new separate sterile closing instrument set for skin closure...
February 2018: Urology
https://www.readbyqxmd.com/read/29061068/three-layer-two-step-posterior-reconstruction-using-peritoneum-during-robot-assisted-radical-prostatectomy-to-improve-recovery-of-urinary-continence-a-prospective-comparative-study
#20
Soichiro Ogawa, Seiji Hoshi, Tomoyuki Koguchi, Junya Hata, Yuichi Sato, Hidenori Akaihata, Masao Kataoka, Nobuhiro Haga, Yoshiyuki Kojima
INTRODUCTION: We present our experience with a novel three-layer two-step posterior reconstruction (PR) technique using peritoneum during robot-assisted radical prostatectomy (RARP) to improve recovery of postoperative urinary continence. METHODS: Forty-eight patients with localized prostate cancer were enrolled in this study and were divided randomly into two groups, which were treated by the standard PR technique (standard PR group; n = 24) or the three-layer PR technique using peritoneum (three-layer PR group; n = 24) during RARP...
December 2017: Journal of Endourology
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