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Innovation urology

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https://www.readbyqxmd.com/read/27917586/a-qualitative-perspectival-review-of-the-australian-and-new-zealand-urology-education-and-training-program
#1
Prem Rashid
INTRODUCTION: The Australian and New Zealand (ANZ) urology training program was assessed via a prospective, qualitative review to explore the challenges facing the delivery of high quality urological training now and into the future. AIM: To report the reflective considerations and opinions of leaders in the ANZ urological surgical training program. METHODS: Ethics approved semi-structured, template-based, qualitative interview techniques were employed to evaluate key aspects of the current urology training program...
December 5, 2016: BJU International
https://www.readbyqxmd.com/read/27885453/-innovative-radionuclide-use-in-urology
#2
EDITORIAL
T Maurer, J E Gschwend, M Schwaiger, M Eiber
No abstract text is available yet for this article.
November 24, 2016: Der Urologe. Ausg. A
https://www.readbyqxmd.com/read/27729942/vero%C3%A2-radiotherapy-for-low-burden-cancer-789-patients-with-957-lesions
#3
R Orecchia, A Surgo, M Muto, A Ferrari, G Piperno, M A Gerardi, S Comi, C Garibaldi, D Ciardo, A Bazani, F Golino, F Pansini, C Fodor, P Romanelli, D Maestri, V Scroffi, S Mazza, B A Jereczek-Fossa
PURPOSE: The aim of this retrospective study is to evaluate patient profile, feasibility, and acute toxicity of RadioTherapy (RT) delivered by VERO® in the first 20 months of clinical activity. METHODS: Inclusion criteria: 1) adult patients; 2) limited volume cancer (M0 or oligometastatic); 3) small extracranial lesions; 4) treatment between April 2012 and December 2013 and 5) written informed consent. Two techniques were employed: intensity modulated radiotherapy (IMRT) and stereotactic body radiotherapy (SBRT)...
2016: Ecancermedicalscience
https://www.readbyqxmd.com/read/27694176/what-medical-urologic-and-radiation-oncologists-want-from-molecular-imaging-of-prostate-cancer
#4
Leslie K Ballas, Andre Luis de Castro Abreu, David I Quinn
As molecular imaging better delineates the state of prostate cancer, clinical management will evolve. The currently licensed imaging modalities are limited by lack of specificity or sensitivity for the extent of cancer and for predicting outcome in response to therapy. Clinicians want molecular imaging that-by being more reliable in tailoring treatment and monitoring response for each patient-will become a key facet of precision medicine, surgery, and radiation therapy. Identifying patients who are candidates for specific or novel treatments is important, but equally important is the finding that a given patient may not be a good candidate for single-modality therapy...
October 2016: Journal of Nuclear Medicine: Official Publication, Society of Nuclear Medicine
https://www.readbyqxmd.com/read/27629857/photodynamic-therapy-as-a-promising-method-used-in-the-treatment-of-oral-diseases
#5
REVIEW
Ewa J Prażmo, Mirosław Kwaśny, Mariusz Łapiński, Agnieszka Mielczarek
Photodynamic therapy (PDT) consists of three elements: photosensitizer, light and oxygen. The photosensitizer has the property of selective accumulation in abnormal or infected tissues without causing any damage to the healthy cells. This innovative therapeutic method has already been successfully adapted in many fields of medicine, e.g. dermatology, gynecology, urology and cancer therapy. Dentistry is also beginning to incorporate photodisinfection for treatment of the oral cavity. The antibacterial and fungicidal properties of the photosensitizer have been used to achieve better results in root canal treatment, periodontal therapy and the eradication of candidiasis in prosthodontics...
July 2016: Advances in Clinical and Experimental Medicine: Official Organ Wroclaw Medical University
https://www.readbyqxmd.com/read/27620184/-stone-treatment-tomorrow-and-the-day-after
#6
A Miernik, S Hein, F Adams, J Halbritter, M Schoenthaler
Urological and surgical treatment of urinary stones are highly technological and technology-driven disciplines in present-day surgery. German medical engineering has always been recognized for its technical innovations in endoscopic surgery. Current and future trends are indicative of further miniaturization and automation of surgical instruments and assist systems to facilitate endourological procedures as well as improvements in the quality of results and ergonomics. These technologies include, e. g. 3D-tracking to facilitate access to the pelvicaliceal system for percutaneous nephrolithotomy (PNL) or robotic master-slave systems for endourology...
October 2016: Der Urologe. Ausg. A
https://www.readbyqxmd.com/read/27583655/from-novelty-to-the-every-day-the-evolution-of-ureteroscopy
#7
Douglas Ridyard, Lawrence Dagrosa, Vernon M Pais
Ureteroscopy revolutionized the surgical approach to the upper urinary tract, and is well recognized as a cornerstone of modern urology. Although now commonplace, ureteroscopic equipment and techniques were truly revolutionary. A review of the innovations and innovators that developed ureteroscopic surgery sets the stage for a more thorough understanding of what can be done ureteroscopically, and may additionally better inform what limitations remain. Given that future advancements in urologic therapy will be dependent upon a similar pursuit of paradigm shifting improvements in disease management, an overview of the development of modern ureteroscopy may inspire such change...
December 2016: Minerva Urologica e Nefrologica, the Italian Journal of Urology and Nephrology
https://www.readbyqxmd.com/read/27544564/management-of-extramammary-paget-s-disease-with-a-staged-modified-mohs-technique
#8
Anant Shukla, Matthew Stringer, Pansy Uberoi, Steven Hudak, George Kallingal
Extramammary Paget's disease (EMPD) is a rare intraepithelial adenocarcinoma arising from apocrine glands. We describe an innovative surgical technique to manage extensive cutaneous malignancies in a notoriously challenging location. The patient is a 78-year-old male who presented with 'jock itch' on his left groin refractory to topical treatment. A shave biopsy of the lesion demonstrated non-invasive EMPD which yielded a urology consult. Rather than the standard wide local excision (WLE), which can lead to positive margins, progression, and recurrence, we used a modified the Mohs technique and staged the procedure, providing excellent oncologic and cosmetic outcomes...
August 2016: Canadian Journal of Urology
https://www.readbyqxmd.com/read/27542552/innovation-in-robotics-and-pediatric-urology-robotic-ureteroureterostomy-for-duplex-systems-with-ureteral-ectopia
#9
Michael J Biles, Julia B Finkelstein, Mark V Silva, Sarah M Lambert, Pasquale Casale
INTRODUCTION: Robotic technology has been increasingly utilized for complicated reconstructive surgeries in pediatric urology, such as ureteroureterostomy (UU). The literature is limited regarding the performance of minimally invasive UU in children, and the existing published series utilize indwelling ureteral stents. We sought to report on our pediatric experience with robot-assisted laparoscopic (RAL)-UU using a temporary ureteral catheter in duplex systems with ureteral ectopia. METHODS: A retrospective chart review was performed of all pediatric patients who underwent RAL-UU at a single institution over a 2-year period...
October 2016: Journal of Endourology
https://www.readbyqxmd.com/read/27416637/irreversible-electroporation-a-new-modality-in-focal-therapy-for-prostate-cancer
#10
M J V Scheltema, W van den Bos, P G K Wagstaff, A W Postema, D M de Bruin, M P Laguna Pes, J J M C H de la Rosette
The extensive use of prostate-specific antigen (PSA) testing and improved imaging technologies have resulted in an increased diagnosis of prostate cancer. Early diagnosis is often accompanied by an increased number of localized (i.e. unifocal or unilateral), small-volume and low-grade prostate cancers. Focal therapy is an emerging treatment option in prostate cancer, targeting individual cancer areas while sparing important functional and anatomical urological structures. Irreversible electroporation is an innovative treatment modality in focal therapy based on the process of cell membrane electroporation limiting damage to adjacent tissue and vital structures...
July 2016: Archivos Españoles de Urología
https://www.readbyqxmd.com/read/27215429/oncolytic-virotherapy-for-urological-cancers
#11
REVIEW
Zahid Delwar, Kaixin Zhang, Paul S Rennie, William Jia
Oncolytic virotherapy is a cancer treatment in which replication-competent viruses are used that specifically infect, replicate in and lyse malignant tumour cells, while minimizing harm to normal cells. Anecdotal evidence of the effectiveness of this strategy has existed since the late nineteenth century, but advances and innovations in biotechnological methods in the 1980s and 1990s led to a renewed interest in this type of therapy. Multiple clinical trials investigating the use of agents constructed from a wide range of viruses have since been performed, and several of these enrolled patients with urological malignancies...
June 2016: Nature Reviews. Urology
https://www.readbyqxmd.com/read/27107196/the-evolving-role-of-minimally-invasive-surgery-in-pediatric-and-adolescent-urologic-oncology
#12
Armando J Lorenzo, Rodrigo L P Romao
OBJECTIVE: This review aims at evaluating the current status of minimally invasive surgery at the difficult crossroad between the attractiveness of innovation faced against the solid outcomes offered by the current gold standard, specifically concerning pediatric and adolescent urologic oncology conditions. METHODS: This is a critical review of the literature and current paradigms on the use of minimally invasive surgery for pediatric and adolescent urologic oncology cancers...
May 2016: Urology
https://www.readbyqxmd.com/read/27097964/anti-inflammatory-effects-exerted-by-killox%C3%A2-an-innovative-formulation-of-food-supplement-with-curcumin-in-urology
#13
V Cosentino, A Fratter, M Cosentino
OBJECTIVE: In this Open Controlled Trial we administered an innovative formulation of food supplement with curcumin (Killox®) to test its efficacy, safety and compatibility with other drugs, in the therapy of post-surgery complications of transurethral resection of prostate (TURP) and transurethral resection of bladder (TURB), and in the prevention of late complications. Furthermore, Killox® effects were verified in subjects with benign prostatic hyperplasia (BPH). PATIENTS AND METHODS: Killox® was administered to 40 TURP patients for 20 days, to 10 TURB patients for 10 days and to 30 BPH patients for 60 days...
April 2016: European Review for Medical and Pharmacological Sciences
https://www.readbyqxmd.com/read/27096941/-urinary-tract-infections-current-innovations-in-urine-diagnostics
#14
G Bonkat, H-H Seifert, A Halla, A Bachmann
Urine culture (UC) confirms the diagnosis of urinary tract infection (UTI) and is still considered the diagnostic 'gold standard' for pathogen identification, quantification and resistance testing. However, up to 80% of samples will not yield bacterial growth. Different techniques are currently approved for resistance testing. However, all of them are culture based and have the disadvantage of being very slow. In the field of urology, the development of drug resistance of uropathogens complicates the optimal administration of antimicrobial agents not only in the treatment, but also in the prevention of UTI before endourological and open surgical procedures...
May 2016: Aktuelle Urologie
https://www.readbyqxmd.com/read/27052085/an-innovative-way-to-reinsert-dislodged-arndt-blocker-using-urological-glide-wire
#15
Rahul Pillai, Sneha Ann Ancheri, Sathish Kumar Dharmalingam, Raj Sahajanandan
The Arndt blocker is positioned in the desired bronchus using a wire loop which couples the blocker with a fiberoptic bronchoscope (FOB). The wire loop once removed cannot be reinserted in 5F and 7F blockers making repositioning of the blocker difficult. A 34-year-old female was to undergo left thoracotomy followed by laparoscopic cholecystectomy. The left lung was isolated with a 7F Arndt bronchial blocker. During one-lung ventilation, the wire loop was removed for oxygen insufflation. There was loss of lung isolation during the procedure and dislodgement of the blocker was confirmed by FOB...
April 2016: Annals of Cardiac Anaesthesia
https://www.readbyqxmd.com/read/27030082/transurethral-assistant-transumbilical-laparoendoscopic-single-site-radical-prostatectomy
#16
Chen Zhu, Jian Su, Lin Yuan, Yang Zhang, Zi-Jie Lu, Yun Su, Ning-Hong Wang, Xiao-Jian Gu, Qing-Yi Zhu
The laparoendoscopic single-site (LESS) technique is the latest technical innovation in laparoscopic surgery to undergo exponential development in urology. This study undertaken to illustrate our initial experience LESS radical prostatectomy (RP) and analyze early outcomes. Nineteen patients diagnosed with prostate cancer underwent LESS-RP in our institute. The patients were divided into two groups: conventional LESS and transurethral assistant LESS. Preoperative, perioperative, postoperative, pathologic, and functional outcomes data were assessed...
March 29, 2016: Asian Journal of Andrology
https://www.readbyqxmd.com/read/26999995/-renal-colic-new-care-in-emergency-centers
#17
Eléonore Morandi, Omar Kherad, Yves Chollet, Philippe Dussoix
The prevalence of renal colic is increasing in industrialized countries, representing a frequent reason for consultation in emergencies. Most patients have simple renal colic that will require analgesia and ambulatory monitoring. Doctors working in emergency centers play a key role in the diagnosis, care and guidance of these patients. They must identify factors of gravity and request urological advice if necessary. This article summarizes the recent diagnostic and therapeutic innovations in the management and guidance of renal colic in emergency centers...
February 3, 2016: Revue Médicale Suisse
https://www.readbyqxmd.com/read/26981588/past-present-and-future-of-urological-robotic-surgery
#18
REVIEW
Wooju Jeong, Ramesh Kumar, Mani Menon
The first urologic robotic program in the world was built at the Vattikuti Urology Institute, Henry Ford Hospital Detroit, Michigan, in 2000 under the vision of surgical innovator, Dr. Mani Menon for the radical prostatectomy. The robot-assisted radical prostatectomy continues being modified with techniques to improve perioperative and surgical outcomes. The application of robotic surgical technique has since been expanded to the bladder and upper urinary tract surgery. The evolution of surgical technique and its expansion of application will continue to improve quality, outcome parameters and experience for the patients...
March 2016: Investigative and Clinical Urology
https://www.readbyqxmd.com/read/26964844/urinary-stone-disease-advancing-knowledge-patient-care-and-population-health
#19
Charles D Scales, Gregory E Tasian, Andrew L Schwaderer, David S Goldfarb, Robert A Star, Ziya Kirkali
Expanding epidemiologic and physiologic data suggest that urinary stone disease is best conceptualized as a chronic metabolic condition punctuated by symptomatic, preventable stone events. These acute events herald substantial future chronic morbidity, including decreased bone mineral density, cardiovascular disease, and CKD. Urinary stone disease imposes a large and growing public health burden. In the United States, 1 in 11 individuals will experience a urinary stone in their lifetime. Given this high incidence and prevalence, urinary stone disease is one of the most expensive urologic conditions, with health care charges exceeding $10 billion annually...
July 7, 2016: Clinical Journal of the American Society of Nephrology: CJASN
https://www.readbyqxmd.com/read/26918179/innovative-applications-of-robotic-surgery-%C3%A2-renal-allograft-and-autologous-transplantation
#20
REVIEW
Jason Lee, Michael Ordon
Robotic surgery has enabled surgeons to offer more patients a minimally invasive surgical option in the management of their complex diseases. While renal transplantation is associated with significant improvements in quantity and quality of life for most end-stage renal disease (ESRD) patients, it is also not devoid of its surgical risks and potential morbidities. Robotic-assisted kidney transplantation is a recently described, innovative application of the robotic surgery platform, and early experiences suggest that it is associated with comparable graft function and lower rates of complications...
2016: F1000Research
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