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https://www.readbyqxmd.com/read/29122621/simple-operating-room-bundle-reduces-superficial-surgical-site-infections-after-major-urologic-surgery
#1
Sarah C Vij, Ganesh Kartha, Venkatesh Krishnamurthi, Michelle Ponziano, Howard B Goldman
OBJECTIVE: To reduce our superficial surgical site infection rate (sSSI) 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 prior to skin closure, irrigating the wound prior to skin closure and using a new separate sterile closing instrument set for skin closure...
November 6, 2017: 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-prospective-comparative-study
#2
Souichiro 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 3-layer 2-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 2 groups, which were treated by the standard PR technique (standard PR group; n=24) or the 3-layer PR technique using peritoneum (3-layer PR group; n=24) during RARP...
October 23, 2017: Journal of Endourology
https://www.readbyqxmd.com/read/29048202/editorial-comment-for-zhang-et-al-end-2017-0095-or-r1
#3
Peter John Gilling
Since HoLEP was first described 20 years ago[1] there have been an increasing number of energy sources and techniques described to endoscopically enucleate the prostatic adenoma for BPH management [2]. Robotic-assisted laparoscopic techniques have developed in parallel, largely driven by Radical Prostatectomy for prostate cancer treatment, but recently applied to simple prostatectomy for BPH [3]. Both HoLEP and RASP are most compelling when applied to large prostates (>80g) when procedures such as TURP and Vaporization become less justifiable on both safety and efficacy grounds...
October 19, 2017: Journal of Endourology
https://www.readbyqxmd.com/read/29039897/biochemical-recurrence-after-radical-prostatectomy-what-does-it-mean
#4
Rafael Tourinho-Barbosa, Victor Srougi, Igor Nunes-Silva, Mohammed Baghdadi, Gregory Rembeyo, Sophie S Eiffel, Eric Barret, Francois Rozet, Marc Galiano, Xavier Cathelineau, Rafael Sanchez-Salas
BACKGROUND: Radical prostatectomy (RP) has been used as the main primary treatment for prostate cancer (PCa) for many years with excellent oncologic results. However, approximately 20-40% of those patients has failed to RP and presented biochemical recurrence (BCR). Prostatic specific antigen (PSA) has been the pivotal tool for recurrence diagnosis, but there is no consensus about the best PSA threshold to define BCR until this moment. The natural history of BCR after surgical procedure is highly variable, but it is important to distinguish biochemical and clinical recurrence and to find the correct timing to start multimodal treatment strategy...
October 17, 2017: International Braz J Urol: Official Journal of the Brazilian Society of Urology
https://www.readbyqxmd.com/read/28976344/-laparoscopic-adenomectomy-evolution-of-the-technique-and-results
#5
Alejandro Garcia-Segui
OBJECTIVE: Laparoscopic adenomectomy (LA) is an effective procedure for the treatment of benign prostatic hyperplasia (BPH), which reproduces the surgical steps of the open adenomectomy (OA) by a minimally invasive approach to obtain the favorable results of open surgery in combination with the benefits offered by laparoscopic techniques. We performed a comprehensive bibliographic review of the technique and its current results in order to describe the evolution of the surgical technique and present the current evidence on the LA...
October 2017: Archivos Españoles de Urología
https://www.readbyqxmd.com/read/28964658/a-decade-of-robot-assisted-radical-prostatectomy-training-time-based-metrics-and-qualitative-grading-for-fellows-and-residents
#6
Muammer Altok, Mary F Achim, Surena F Matin, Curtis A Pettaway, Brian F Chapin, John W Davis
OBJECTIVES: As modern urology residency and fellowship training in robot-assisted surgery evolves toward standardized curricula (didactics, dry/wet-laboratory exercises, and surgical assistance), additional tools are needed to evaluate on-console performance. At the start of our robotics program in 2006, we set-up a time- and quality-based evaluation program and aim to consolidate this data into a simple set of metrics for self-evaluation. MATERIALS AND METHODS: Using our index procedure of robot-assisted radical prostatectomy (RARP), we prospectively collected data on 2,215 cases over 10 years from 6 faculty surgeons and 94 trainees (43 urologic oncology fellows and 51 urology residents)...
September 27, 2017: Urologic Oncology
https://www.readbyqxmd.com/read/28854815/robot-assisted-versus-open-simple-prostatectomy-for-benign-prostatic-hyperplasia-in-large-glands-a-propensity-score-matched-comparison-of-perioperative-and-short-term-outcomes
#7
Igor Sorokin, Varun Sundaram, Nirmish Singla, Jordon Walker, Vitaly Margulis, Claus Roehrborn, Jeffrey C Gahan
OBJECTIVE: To report the largest comparative analysis of robotic vs open simple prostatectomy (OSP) for large-volume prostate glands. MATERIALS AND METHODS: We retrospectively reviewed 103 patients that underwent open and 64 patients that underwent robotic simple prostatectomy from 2012 to 2016 at a single institution. A propensity score-matched analysis was performed with five covariates, including age, body mass index, race, Charlson comorbidity index, and prostate volume...
September 26, 2017: Journal of Endourology
https://www.readbyqxmd.com/read/28791870/editorial-comment-on-cestari-et-al
#8
Chandru P Sundaram
No abstract text is available yet for this article.
September 5, 2017: Journal of Endourology
https://www.readbyqxmd.com/read/28753869/pten-loss-but-not-erg-expression-in-diagnostic-biopsies-is-associated-with-increased-risk-of-progression-and-adverse-surgical-findings-in-men-with-prostate-cancer-on-active-surveillance
#9
Utku Lokman, Andrew M Erickson, Hanna Vasarainen, Antti S Rannikko, Tuomas Mirtti
BACKGROUND: Active surveillance (AS) is an option for men with low-risk prostate cancer (PCa). PTEN and ERG have been considered as potential biomarkers of PCa progression and survival. OBJECTIVE: To study the role of ERG and PTEN status in the Prostate Cancer Research International: Active Surveillance (PRIAS) trial diagnostic biopsies (DBxs) in predicting surveillance discontinuation and adverse surgical findings in subsequent radical prostatectomy (RP). DESIGN, SETTING, AND PARTICIPANTS: A total of 231 patients were recruited to the PRIAS between 2007 and 2013 in Helsinki...
March 22, 2017: European Urology Focus
https://www.readbyqxmd.com/read/28721479/new-prostate-cancer-prognostic-grade-group-pgg-can-multiparametric-mri-mpmri-accurately-separate-patients-with-low-intermediate-and-high-grade-cancer
#10
Jamie N Holtz, Rachel Kloss Silverman, Kae Jack Tay, Jill T Browning, Jiaoti Huang, Thomas J Polascik, Rajan T Gupta
PURPOSE: Our objective is to determine the accuracy of multiparametric MRI (mpMRI) in predicting pathologic grade of prostate cancer (PCa) after radical prostatectomy (RP) using simple apparent diffusion coefficient metrics and, specifically, whether mpMRI can accurately separate disease into one of two risk categories (low vs. higher grade) or one of three risk categories (low, intermediate, or high grade) corresponding to the new prognostic grade group (PGG) criteria. METHODS: This retrospective, HIPAA-compliant, IRB-approved study included 140 patients with PCa who underwent 3 T mpMRI with endorectal coil and transrectal ultrasound-guided (TRUS-G) biopsy before RP...
July 18, 2017: Abdominal Radiology
https://www.readbyqxmd.com/read/28651993/evaluation-of-bleeding-risk-in-patients-on-anticoagulation-for-mechanical-cardiac-valve-operated-for-benign-prostatic-obstruction
#11
S Gardic, V Misrai, A R Azzouzi, A Campeggi, J-N Cornu, A De La Taille, S Lebdai, R Mathieu, G Robert, A Descazeaud
OBJECTIVE: To evaluate bleeding risk in patients on anticoagulation for mechanical cardiac valve operated for benign prostatic obstruction (BPO). MATERIAL AND METHOD: Fifty-eight patients operated between 1998 and 2014, in seven French departments of Urology were included. Forty-five patients were operated by conventional surgery (transurethral resection of the prostate 38, open simple prostatectomies 7), and 13 patients were operated by Greenlight™ photovaporization of the prostate (PVP)...
June 23, 2017: Progrès en Urologie
https://www.readbyqxmd.com/read/28637364/comparison-of-perioperative-outcomes-between-holmium-laser-enucleation-of-the-prostate-and-robot-assisted-simple-prostatectomy
#12
Mimi W Zhang, Marawan M El Tayeb, Michael S Borofsky, Casey A Dauw, Kristofer R Wagner, Patrick S Lowry, Erin T Bird, Tillman C Hudson, James E Lingeman
OBJECTIVES: To compare perioperative outcomes for patients undergoing holmium laser enucleation of the prostate (HoLEP) and robotic-assisted simple prostatectomy (RSP) for benign prostatic hypertrophy (BPH). METHODS: Patient demographics and perioperative outcomes were compared between 600 patients undergoing HoLEP and 32 patients undergoing RSP at two separate academic institutions between 2008 and 2015. RESULTS: Patients undergoing HoLEP and RSP had comparable ages (71 vs 71, p = 0...
July 19, 2017: Journal of Endourology
https://www.readbyqxmd.com/read/28599001/diagnostic-value-and-relative-weight-of-sequence-specific-magnetic-resonance-features-in-characterizing-clinically-significant-prostate-cancers
#13
Olivier Rouvière, Tristan Dagonneau, Fanny Cros, Flavie Bratan, Laurent Roche, Florence Mège-Lechevallier, Alain Ruffion, Sébastien Crouzet, Marc Colombel, Muriel Rabilloud
PURPOSE: To assess the diagnostic weight of sequence-specific magnetic resonance features in characterizing clinically significant prostate cancers (csPCa). MATERIALS AND METHODS: We used a prospective database of 262 patients who underwent T2-weighted, diffusion-weighted, and dynamic contrast-enhanced (DCE) imaging before prostatectomy. For each lesion, two independent readers (R1, R2) prospectively defined nine features: shape, volume (V_Max), signal abnormality on each pulse sequence, number of pulse sequences with a marked (S_Max) and non-visible (S_Min) abnormality, likelihood of extracapsular extension (ECE) and PSA density (dPSA)...
2017: PloS One
https://www.readbyqxmd.com/read/28557799/repeatability-of-dose-painting-by-numbers-treatment-planning-in-prostate-cancer-radiotherapy-based-on-multiparametric-magnetic-resonance-imaging
#14
Marcel A van Schie, Peter Steenbergen, Cuong Viet Dinh, Ghazaleh Ghobadi, Petra van Houdt, Floris Pos, Stijn Heijmink, Henk van der Poel, Steffen Renisch, Torbjoern Vik, Uulke van der Heide
Dose painting by numbers (DPBN) refers to a voxel-wise prescription of radiation dose modelled from functional image characteristics, in contrast to dose painting by contours which requires delineations to define the target for dose escalation. The direct relation between functional imaging characteristics and DPBN implies that random variations in images may propagate into the dose distribution. The stability of MR-only prostate cancer treatment planning based on DPBN with respect to these variations is as yet unknown...
May 30, 2017: Physics in Medicine and Biology
https://www.readbyqxmd.com/read/28550473/the-significance-of-de-ritis-aspartate-transaminase-alanine-transaminase-ratio-in-predicting-pathological-outcomes-and-prognosis-in-localized-prostate-cancer-patients
#15
Huitao Wang, Kewei Fang, Jinsong Zhang, Yongming Jiang, Guang Wang, Haiyan Zhang, Tao Chen, Xin Shi, Yuhang Li, Fei Duan, Jianhe Liu
PURPOSE: To illustrate whether De Ritis (aspartate transaminase-AST/alanine transaminase-ALT) ratio is useful in risk stratification of localized prostate cancer and propose an easy predictive model for biochemical recurrence-free survival (BCRFS). METHODS: In total, 438 patients who underwent radical prostatectomy were included in this study. Blood samples including AST and ALT were collected 1-7 days before surgery. An elevated AST and ALT value was defined as over 40 or 56 IU/L...
August 2017: International Urology and Nephrology
https://www.readbyqxmd.com/read/28471003/australian-validation-of-the-cancer-of-the-prostate-risk-assessment-post-surgical-score-to-predict-biochemical-recurrence-after-radical-prostatectomy
#16
Kerri Beckmann, Michael O'Callaghan, Andrew Vincent, David Roder, Jeremy Millar, Sue Evans, John McNeil, Kim Moretti
BACKGROUND: The Cancer of the Prostate Risk Assessment Post-Surgical (CAPRA-S) score is a simple post-operative risk assessment tool predicting disease recurrence after radical prostatectomy, which is easily calculated using available clinical data. To be widely useful, risk tools require multiple external validations. We aimed to validate the CAPRA-S score in an Australian multi-institutional population, including private and public settings and reflecting community practice. METHODS: The study population were all men on the South Australian Prostate Cancer Clinical Outcomes Collaborative Database with localized prostate cancer diagnosed during 1998-2013, who underwent radical prostatectomy without adjuvant therapy (n = 1664)...
May 4, 2017: ANZ Journal of Surgery
https://www.readbyqxmd.com/read/28451939/robot-assisted-laparoscopic-y-v-plasty-in-12-patients-with-refractory-bladder-neck-contracture
#17
Michael Musch, Jan Lukas Hohenhorst, Anne Vogel, Heinrich Loewen, Susanne Krege, Darko Kroepfl
We present preliminary results of a case series on refractory bladder neck contracture (BNC) treated with robot-assisted laparoscopic Y-V plasty (RAYV). Between 01/2013 and 02/2016, 12 consecutive adult male patients underwent RAYV in our hospital. BNC developed after transurethral procedures (n = 9), simple prostatectomy (n = 2) and HIFU therapy of the prostate (n = 1). Each patient had had multiple unsuccessful previous endoscopic treatments. All RAYV procedures were performed using a transperitoneal six-port approach (four-arm robotic setting)...
April 27, 2017: Journal of Robotic Surgery
https://www.readbyqxmd.com/read/28446934/endoscopic-extraperitoneal-radical-prostatectomy-after-radical-resection-of-pt1-pt2-rectal-cancer-a-report-of-thirty-cases
#18
Zhuo Liu, Dechuan Li, Yinbo Chen
INTRODUCTION: Endoscopic extraperitoneal radical prostatectomy (EERPE) has gained popularity for the treatment of localized prostate cancer. However, prior complex lower abdominal or pelvic surgery can complicate subsequent EERPE. To date, there have been few reports on patients who underwent EERPE after radical resection of pT1-pT2 rectal cancer. AIM: To present our experience with EERPE in patients after radical resection of pT1-pT2 rectal carcinoma and introduce a simple and effective way to create an extraperitoneal working space...
2017: Wideochirurgia i Inne Techniki Mało Inwazyjne, Videosurgery and Other Miniinvasive Techniques
https://www.readbyqxmd.com/read/28352623/corrigendum-to-modified-urethrovesical-anastomosis-during-robot-assisted-simple-prostatectomy-technique-and-results-prostate-int-4-2016-61-64
#19
Octavio A Castillo, Ivar Vidal-Mora, Arquimedes Rodriguez-Carlin, Andres Silva, Oscar Schatloff, Vincenzo Borgna
[This corrects the article DOI: 10.1016/j.prnil.2016.04.001.].
March 2017: Prostate International
https://www.readbyqxmd.com/read/28325718/herniation-of-a-urinary-bladder-diverticulum-diagnosis-and-management-of-a-fluctuating-inguinal-mass
#20
Reza Nabavizadeh, Behnam Nabavizadeh, Lance J Hampton, Aliakbar Nabavizadeh
Inguinal herniation of a bladder diverticulum is a rare finding. The diagnosis should be suspected if the size of hernia is variable on urination. These patients may also experience obstructive voiding symptoms. Various imaging modalities may clarify the diagnosis. In our patient, intravenous urography precisely showed a bladder diverticulum in the right inguinal area. The patient underwent open simple prostatectomy and herniorrhaphy. He remains symptom-free on follow-up.
March 21, 2017: BMJ Case Reports
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