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https://www.readbyqxmd.com/read/29330835/international-guidelines-for-groin-hernia-management
#1
(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...
January 12, 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
#2
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
#3
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
#4
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
#5
Omer Burak Argun, Mustafa Bilal Tuna, Tünkut Doğanca, Can Obek, Panagiotis Mourmouris, Ilter Tufek, Sarper Erdogan, Bulent Cetinel, Ali Riza Kural
OBJECTIVE: To evaluate early continence rates with a novel modified vesico-urethral anastomosis technique based on prevention of urethral retraction using anastomosis sutures as stay sutures (PURS) during robot-assisted radical prostatectomy. MATERIAL AND METHOD: The modified anastomosis technique was used in 60 patients and data collected prospectively. This cohort was compared with another consecutive 60 patients operated with standard anastomosis technique. This new technique is based on preventing urethral retraction of the posterior urethra with 2 anastomosis sutures being used as stay sutures...
November 21, 2017: Journal of Endourology
https://www.readbyqxmd.com/read/29122621/simple-operating-room-bundle-reduces-superficial-surgical-site-infections-after-major-urologic-surgery
#6
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
#7
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-on-comparison-of-perioperative-outcomes-between-holmium-laser-enucleation-of-the-prostate-and-robot-assisted-simple-prostatectomy-by-zhang-et-al-from-zhang-mw-el-tayeb-mm-borofsky-ms-et-al-j-endourol-2017-31-847-850
#8
https://www.readbyqxmd.com/read/29039897/biochemical-recurrence-after-radical-prostatectomy-what-does-it-mean
#9
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
#10
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
#11
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
#12
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...
November 2017: Journal of Endourology
https://www.readbyqxmd.com/read/28791870/editorial-comment-on-cestari-et-al
#13
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
#14
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
#15
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
#16
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
#17
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
#18
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
#19
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
#20
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
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