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https://www.readbyqxmd.com/read/29759661/integrity-of-the-urethral-sphincter-complex-nerve-sparing-and-long-term-continence-status-after-robotic-assisted-radical-prostatectomy
#1
Myong Kim, Myungchan Park, Sahyun Pak, Seung-Kwon Choi, Myungsun Shim, Cheryn Song, Hanjong Ahn
BACKGROUND: The applicability of the sphincter complex integral theory to robotic-assisted radical prostatectomy (RARP) is unclear, with little known about the long-term effect of sphincter complex integrity on continence. OBJECTIVE: To determine whether the preoperative anatomical and functional features of the sphincter complex and the degree of nerve-sparing affect long-term continence after RARP. DESIGN, SETTING, AND PARTICIPANTS: Prospective study of 529 patients who underwent RARP at a single tertiary center...
May 11, 2018: European Urology Focus
https://www.readbyqxmd.com/read/29737495/body-mass-index-is-an-independent-predictor-of-clavien-dindo-grade-3-complications-in-patients-undergoing-robot-assisted-radical-prostatectomy-with-extensive-pelvic-lymph-node-dissection
#2
Antonio Benito Porcaro, Marco Sebben, Alessandro Tafuri, Nicolò de Luyk, Paolo Corsi, Tania Processali, Marco Pirozzi, Riccardo Rizzetto, Nelia Amigoni, Daniele Mattevi, Maria A Cerruto, Matteo Brunelli, Giovanni Novella, Vincenzo De Marco, Filippo Migliorini, Walter Artibani
Robot assisted radical prostatectomy (RARP) with extensive pelvic lymph node dissection (ePLND) is an effective procedure for treating and staging prostate cancer; however, high grade complications represent a critical issue. To investigate clinical factors associated with the risk of Clavien-Dindo grade 3 complications in patients undergoing RARP with ePLND. The study included 211 consecutive patients who were operated in a period running from June 2013 to March 2017. Factors associated with grade 3 complications were evaluated by the logistic regression model...
May 8, 2018: Journal of Robotic Surgery
https://www.readbyqxmd.com/read/29736375/the-effect-of-adjunct-caudal-block-on-postoperative-analgesia-in-robot-assisted-laparoscopic-radical-prostatectomy-a-prospective-randomized-controlled-single-blinded-pilot-study-in-a-tertiary-centre
#3
Kenneth Chen, Allen Sim, Alex Ford Kan
Objective: Caudal block provides satisfactory postoperative pain relief in lower abdominal operations. This pilot study explores its safety and effect on postoperative pain control in patients who underwent robot-assisted laparoscopic radical prostatectomy (RARP). Methods: From 2013 to 2014, 40 consecutive patients were randomized into two groups - one received caudal block using ropivacaine immediately after operation, the other received standard analgesia. Primary outcome measure was pain score based on 11-point Likert scale (0-10) recorded at recovery room, and at 6, 12, 24, 48, and 72 h after operation...
April 2018: Asian Journal of Urology
https://www.readbyqxmd.com/read/29736231/development-of-a-new-robotic-ankle-rehabilitation-platform-for-hemiplegic-patients-after-stroke
#4
Quanquan Liu, Chunbao Wang, Jian Jun Long, Tongyang Sun, Lihong Duan, Xin Zhang, Bo Zhang, Yajing Shen, Wanfeng Shang, Zhuohua Lin, Yulong Wang, Jinfeng Xia, Jianjun Wei, Weiguang Li, Zhengzhi Wu
A large amount of hemiplegic survivors are suffering from motor impairment. Ankle rehabilitation exercises act an important role in recovering patients' walking ability after stroke. Currently, patients mainly perform ankle exercise to reobtain range of motion (ROM) and strength of the ankle joint under a therapist's assistance by manual operation. However, therapists suffer from high work intensity, and most of the existed rehabilitation devices focus on ankle functional training and ignore the importance of neurological rehabilitation in the early hemiplegic stage...
2018: Journal of Healthcare Engineering
https://www.readbyqxmd.com/read/29732202/can-anastomotic-urinary-leakage-in-robotic-prostatectomy-be-considered-as-a-marker-of-surgical-skill
#5
Fabrizio Dal Moro, Paolo Beltrami, Filiberto Zattoni
Introduction: The study was conducted to analyze whether the anastomotic urinary leakage (AUL) rate in robot-assisted radical prostatectomy (RARP) can be considered as a marker of surgical skill. Material and methods: Post-operative cystograms taken after RARP, performed between 2006 and 2016 at a third-level university urology center, were prospectively collected. Cystograms were scheduled for all patients on post-operative day 6, but were performed over a range from days 4 to 10 (median 6)...
2018: Central European Journal of Urology
https://www.readbyqxmd.com/read/29722948/-transperitoneal-versus-extraperitoneal-robot-assisted-radical-prostatectomy-for-localized-prostate-cancer
#6
Chen-Zhao Hua, Zhong-Lin Cai, Wen-Juan Li, Chuan Zhou, Xu-Pan Wei, Hai-di Lü, Feng-Hai Zhou
Objective: To compare the clinical effects of transperitoneal (Tp) versus extraperitoneal (Ep) robot-assisted radical prostatectomy (RARP) in the treatment of localized prostate cancer. METHODS: We searched PubMed, EMBASE, Web of Science, EBSCO, Cochrane Library, Wanfang, CNKI, and CBM for the articles comparing the clinical effect Tp-RARP with that of Ep-RARP in the treatment of localized prostate cancer published from January 2000 to November 2016. All the articles must meet the inclusion criteria, that is, dealing with at least one of the following aspects: operation time, intraoperative blood loss, postoperative catheterization time, length of bed confinement, perioperative complications, positive surgical margins, bowel-related complications, postoperative anastomotic leakage, and postoperative urinary continence...
June 2017: Zhonghua Nan Ke Xue, National Journal of Andrology
https://www.readbyqxmd.com/read/29680952/functional-outcomes-of-robot-assisted-radical-prostatectomy-in-patients-eligible-for-active-surveillance
#7
Marc Zanaty, Khaled Ajib, Kevin Zorn, Assaad El-Hakim
OBJECTIVE: To assess the outcome of low risk prostate cancer (PCa) patients who were candidates for active surveillance (AS) but had undergone robot-assisted radical prostatectomy (RARP). METHOD: We reviewed our prospectively collected database of patients operated by RARP between 2006 and 2014. Low D'Amico risk patients were selected. Oncological outcomes were reported based on pathology results and biochemical failure. Functional outcomes on continence and potency were reported at 12 and 24 months...
April 21, 2018: World Journal of Urology
https://www.readbyqxmd.com/read/29645348/retzius-sparing-robot-assisted-radical-prostatectomy-using-revo-i-robotic-surgical-system-surgical-technique-and-results-of-the-first-human-trial
#8
Ki Don Chang, Ali Abdel Raheem, Young Deuk Choi, Byung Ha Chung, Koon Ho Rha
PURPOSE: Recently, Revo-i® robotic surgical system has been proved to be safe in the preclinical animal studies. Our aim was to evaluate the safety and proficiency of Revo-i® robotic platform in the treatment of prostate cancer (PCa). PATIENTS AND METHODS: A prospective study was carried out on 17 male patients with clinically localized PCa from August 17, 2016, to Feb 23, 2017 at our urology department using Revo-i® . Patients underwent Retzius-sparing robot-assisted radical prostatectomy (RP-RARP)...
April 12, 2018: BJU International
https://www.readbyqxmd.com/read/29611674/augmented-reality-during-robot-assisted-radical-prostatectomy-expert-robotic-surgeons-on-the-spot-insights-after-live-surgery
#9
Francesco Porpiglia, Riccardo Bertolo, Daniele Amparore, Enrico Checcucci, Walter Artibani, Prokar Dasgupta, Francesco Montorsi, Ashutosh Tewari, Cristian Fiori
3D reconstruction of the standard two-dimension cross-sectional imaging has known increasing diffusion. It may represent one of the key points for a tailored treatment planning. Along these lines, we used a novel software for augmented-reality robot-assisted radical prostatectomy (AR-RARP) at our Institution. 3D virtual models of the prostate and the prostate cancer were reconstructed from high resolution (1-mm slices) multi-parametric Magnetic Resonance Imaging (mp-MRI) by M3dics (Turin, Italy). The innovation in the study is represented by the software-based integration of the virtual model inside the Da Vinci (Intuitive, Sunnyvale, CA, USA) robotic console during robotic prostatectomy...
April 2018: Minerva Urologica e Nefrologica, the Italian Journal of Urology and Nephrology
https://www.readbyqxmd.com/read/29603580/exploring-pathways-towards-improving-patient-experience-of-robot-assisted-radical-prostatectomy-rarp-assessing-patient-satisfaction-and-attitudes
#10
Bradley R Reynolds, Caroline Bulsara, Nik Zeps, Jim Codde, Nathan Lawrentschuk, Damien Bolton, Justin Vivian
OBJECTIVE: To determine patient satisfaction and experience after Robot-Assisted Radical Prostatectomy (RARP) for prostate cancer, using a convergent mixed-method qualitative analysis approach. PATIENTS AND METHODS: 412 patients who underwent RARP between January 2014 and June 2016 were mailed questionnaires and invited to participate in focus groups. Qualitative data was thematically analysed using NVivo. Descriptive statistics were obtained from the questionnaire using SPSS...
March 30, 2018: BJU International
https://www.readbyqxmd.com/read/29602721/efficacy-and-safety-of-tadalafil-5-mg-once-daily-for-the-treatment-of-erectile-dysfunction-after-robot-assisted-laparoscopic-radical-prostatectomy-a-2-year-follow-up
#11
Soodong Kim, Gyung Tak Sung
BACKGROUND: Although nerve-sparing robot-assisted radical prostatectomy (NS-RALP) is performed, a large number of patients still experience erectile dysfunction (ED) after surgery. AIM: To evaluate the efficacy and safety of tadalafil 5 mg once daily (OaD) in ED treatment over 2 years and investigate the cause of vascular ED after NS-RARP. METHODS: We retrospectively evaluated 95 men who underwent NS-RARP and had a penile rehabilitation treatment with tadalafil 5 mg OaD...
March 27, 2018: Sexual Medicine
https://www.readbyqxmd.com/read/29600334/supra-pubic-versus-urethral-catheter-after-robot-assisted-radical-prostatectomy-systematic-review-of-current-evidence
#12
REVIEW
Riccardo Bertolo, Andrew Tracey, Prokar Dasgupta, Bernardo Rocco, Salvatore Micali, Giampaolo Bianchi, Lance Hampton, Ash K Tewari, Francesco Porpiglia, Riccardo Autorino
PURPOSE: To provide latest evidence on the use of suprapubic catheter (SPC) versus urethral catheter (UC) after robot-assisted laparoscopic radical prostatectomy (RARP). MATERIALS AND METHODS: A systematic revision of literature was performed up to September 2017 using different search engines (Pubmed, Ovid, Scopus) to identified studies comparing the use of SPC versus standard UC after RARP. Identification and selection of the studies were conducted according to the preferred reporting items for systematic reviews and meta-analysis criteria...
March 29, 2018: World Journal of Urology
https://www.readbyqxmd.com/read/29594551/pair-matched-patient-reported-quality-of-life-and-early-oncological-control-following-focal-irreversible-electroporation-versus-robot-assisted-radical-prostatectomy
#13
Matthijs J Scheltema, John I Chang, Maret Böhm, Willemien van den Bos, Alexandar Blazevski, Ilan Gielchinsky, Anton M F Kalsbeek, Pim J van Leeuwen, Tuan V Nguyen, Theo M de Reijke, Amila R Siriwardana, James E Thompson, Jean J de la Rosette, Phillip D Stricker
PURPOSE: The design, conduct and completion of randomized trials for curative prostate cancer (PCa) treatments are challenging. To evaluate the effect of robot-assisted radical prostatectomy (RARP) versus focal irreversible electroporation (IRE) on patient-reported quality of life (QoL) and early oncological control using propensity-scored matching. METHODS: Patients with T1c-cT2b significant PCa (high-volume ISUP 1 or any 2/3) who received unifocal IRE were pair-matched to patients who received nerve-sparing RARP...
March 28, 2018: World Journal of Urology
https://www.readbyqxmd.com/read/29566945/intra-surgical-total-and-re-constructible-pathological-prostate-examination-for-safer-margins-and-nerve-preservation-istanbul-preserve
#14
Can Öbek, Yesim Saglican, Umit Ince, Omer Burak Argun, Mustafa Bilal Tuna, Tunkut Doganca, Ilter Tufek, Selcuk Keskin, Ali Riza Kural
PURPOSE: To demonstrate a novel frozen section analysis technique during robot assisted radical prostatectomy with 2 distinct advantages: evaluation of the entire circumference and easier reconstruction for whole mount evaluation. MATERIAL AND METHODS: Istanbul Preserve was performed on patients who underwent robotic prostatectomy with nerve sparing between 10/2014 and 7/2016. Gland was sectioned at 3-4mm intervals from apex to bladder neck. Entire tissue representing margins (except for the most anterior portion) was circumferentially excised and microscopically analyzed...
April 2018: Annals of Diagnostic Pathology
https://www.readbyqxmd.com/read/29551549/return-to-work-following-robot-assisted-laparoscopic-and-open-retropubic-radical-prostatectomy-a-single-center-cohort-study-to-compare-duration-of-sick-leave
#15
Stefanie von Mechow, Markus Graefen, Alexander Haese, Pierre Tennstedt, Dirk Pehrke, Frank Friedersdorff, Burkhard Beyer
PURPOSE: To compare the duration of sick leave in patients with localized prostate cancer after robot-assisted radical prostatectomy (RARP) and open retropubic RP (ORP) at a German high-volume prostate cancer center. METHODS: The data of 1,415 patients treated with RP at Martini Klinik, Prostate Cancer Center between 2012 and 2016 were, retrospectively, analyzed. Information on employment status, monthly revenues and days of work missed due to sickness were assessed via online questionnaire...
March 15, 2018: Urologic Oncology
https://www.readbyqxmd.com/read/29544735/the-impact-of-implementation-of-the-european-association-of-urology-guidelines-panel-recommendations-on-reporting-and-grading-complications-on-perioperative-outcomes-after-robot-assisted-radical-prostatectomy
#16
Giorgio Gandaglia, Carlo Andrea Bravi, Paolo Dell'Oglio, Elio Mazzone, Nicola Fossati, Simone Scuderi, Daniele Robesti, Francesco Barletta, Luca Grillo, Steven Maclennan, James N'Dow, Francesco Montorsi, Alberto Briganti
The rate of postoperative complications might vary according to the method used to collect perioperative data. We aimed at assessing the impact of the prospective implementation of the European Association of Urology (EAU) guidelines on reporting and grading of complications in prostate cancer patients undergoing robot-assisted radical prostatectomy (RARP). From September 2016, an integrated method for reporting surgical morbidity based on the EAU guidelines was implemented at a single, tertiary center. Perioperative data were prospectively and systematically collected during a patient interview at 30 d after surgery as recommended by the EAU Guidelines Panel Recommendations on Reporting and Grading Complications...
March 12, 2018: European Urology
https://www.readbyqxmd.com/read/29531871/development-of-a-three-dimensional-surgical-navigation-system-with-magnetic-resonance-angiography-and-a-three-dimensional-printer-for-robot-assisted-radical-prostatectomy
#17
Wataru Jomoto, Masao Tanooka, Hiroshi Doi, Keisuke Kikuchi, Chiemi Mitsuie, Yusuke Yamada, Toru Suzuki, Toshiko Yamano, Reiichi Ishikura, Noriko Kotoura, Shingo Yamamoto
We sought to develop a surgical navigation system using magnetic resonance angiography (MRA) and a three-dimensional (3D) printer for robot-assisted radical prostatectomy (RARP). Six patients with pathologically proven localized prostate cancer were prospectively enrolled in this study. Prostate magnetic resonance imaging (MRI), consisting of T2-weighted sampling perfection with application-optimized contrasts using different flip-angle evolutions (SPACE) and true fast imaging with steady-state precession (true FISP), reconstructed by volume rendering, was followed by dynamic contrast-enhanced MRA performed with a volumetric interpolated breath-hold examination (VIBE) during intravenous bolus injection of gadobutrol...
January 2, 2018: Curēus
https://www.readbyqxmd.com/read/29520949/predictive-modelling-of-2-year-potency-outcomes-using-a-novel-90-day-erection-fullness-scale-after-robot-assisted-radical-prostatectomy
#18
Linda M Huynh, Kathryn Osann, Douglas Skarecky, Thomas E Ahlering
OBJECTIVE: To introduce a patient-reported erection fullness scale (%fullness) after robot-assisted radical prostatectomy (RARP) as a qualitative adjunct to the five-item version of the International Index of Erectile Function (IIEF-5) and as a 90-day predictor of 2-year potency outcomes. PATIENTS AND METHODS: Prospective data were collected from 540 men with preoperative IIEF-5 scores of 22-25 who underwent RARP by a single surgeon, and of whom 299 had complete data at all time points up to 2 years...
March 9, 2018: BJU International
https://www.readbyqxmd.com/read/29509303/3d-printing-in-robotic-assisted-radical-prostatectomy-an-ideal-phase-2a-study
#19
P Chandak, N Byrne, H Lynch, C Allen, G Rottenberg, A Chandra, N Raison, H Ahmed, V Kasivisvanathan, O Elhage, P Dasgupta
The surgical management of prostate cancer has been shown to be determined by the anatomical location of the tumour and its associated intricate relationship to the neurovascular bundle and the prostatic capsule. Studies have shown an improvement in decision making about preservation or resection of neurovascular bundles during robotic assisted prostatectomy (RARP) [1,2] during which the surgeon lacks the tactile feedback of conventional open surgery. This article is protected by copyright. All rights reserved...
March 6, 2018: BJU International
https://www.readbyqxmd.com/read/29484935/a-comparison-of-operative-and-margin-outcomes-from-surgeon-learning-curves-in-robot-assisted-radical-prostatectomy-in-a-changing-referral-practice
#20
COMPARATIVE STUDY
A Jaulim, A Srinivasan, S Hori, N Kumar, A Y Warren, N C Shah, V J Gnanapragasam
Introduction The aim of this study was to explore the impact of increasing proportions of high risk referrals on surgical margin outcomes of a surgeon's learning curve in robotic prostatectomy. Methods All patients in this study underwent robot assisted radical prostatectomy (RARP) performed by three different consultant urological surgeons. Data collected included preoperative clinical stage, Gleason score and prostate specific antigen levels, which were used to risk stratify patients according to National Institute for Health and Care Excellence criteria...
March 2018: Annals of the Royal College of Surgeons of England
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