Laparoendoscopic Single-Site (LESS) Surgery in Pediatric Urology: A 4-Year Experience
Conclusion:Our study demonstrated that LESS surgery using our glove port technique and conventional laparoscopic instruments is a feasible and safe technique for the surgical management of various pediatric urological conditions.Curr Urol 2018;12:153-157 (Source: Current Urology)
Source: Current Urology - May 10, 2019 Category: Urology & Nephrology Source Type: research
Optimal Monitoring of Prostate-Specific Antigen Detects Prostate Cancer at the Localized Stage after Photoselective Vaporization for Benign Prostatic Hyperplasia
Conclusions:We found that it was possible to diagnose prostate cancer at a localized stage under our optimal PSA monitoring schedule before and after PVP.Curr Urol 2018;12:147-152 (Source: Current Urology)
Source: Current Urology - May 10, 2019 Category: Urology & Nephrology Source Type: research
Survival Following Salvage Surgery after Failed Radiotherapy for Penile Cancer: A SEER-Based Study
Conclusion:Our results demonstrate, the overall survival of PC patients underwent SS was poor with nearly one third of patients dying within the first year and only one third surviving up to 3 years from the SS.Curr Urol 2018;12:142-146 (Source: Current Urology)
Source: Current Urology - May 10, 2019 Category: Urology & Nephrology Source Type: research
Risk of SOFA Deterioration in Conservative Treatment for Emphysematous Pyelonephritis: Pitfalls of Current Trends in Therapeutics from Multicenter Clinical Experience
Conclusion: Most EPN patients can currently be conservatively managed successfully. However, it should be noted that less-invasive management could cause deterioration in SOFA after admission, yielding a risk of septic mortality.Curr Urol 2018;12:134-141 (Source: Current Urology)
Source: Current Urology - May 10, 2019 Category: Urology & Nephrology Source Type: research
Cross-Sectional Investigations of Pre- and Post-Operative Renal Global Function and Renal Parenchymal Volumetry in Both Partial and Radical Nephrectomy Utilizing Film-Based Technology
Objectives:To investigate pre- and post-operative renal global function and renal parenchymal volume (RPV) in both partial nephrectomy (PN) and radical nephrectomy (RN) utilizing film-based technology.Patients and Methods:The patient cohort consisted of 81 and 82 cases with T1 tumors ( ≤ 7 cm) treated by PN and RN, respectively. Renal global function was assessed using the estimated glomerular filtration rate (eGFR), and RPV was measured using a Synapse Vincent volumetric analyzer which creates a reconstructed image from a computed tomography scan. Renal global function and RPV were evaluated pre-operatively and 6 months...
Source: Current Urology - May 10, 2019 Category: Urology & Nephrology Source Type: research
Laparoscopic Training in Urology Residency Programs: A Systematic Review
Conclusion:There were considerable differences between national urology residency programs in terms of exposure to laparoscopy. Most residents would prefer higher exposure to laparoscopy throughout their residencies.Curr Urol 2018;12:121-126 (Source: Current Urology)
Source: Current Urology - May 10, 2019 Category: Urology & Nephrology Source Type: research
Etiology, Diagnosis, and Management of Seminal Vesicle Stones
Conclusion:The current imaging techniques have increased the case reports and diagnosis of SV calculi; however, more research is warranted for understanding the pathogenesis of the formation of SV stones. An optimal management of the extraction of SV stones depends on a number of factors such as size and location.Curr Urol 2018;12:113-120 (Source: Current Urology)
Source: Current Urology - May 10, 2019 Category: Urology & Nephrology Source Type: research
Delayed Successful Surgical Repair of Penile Fracture: A Case Report
Penile fracture is a very rare urological emergency resulting from traumatic rupture of the tunica albuginea of one or both corpora cavernosa, usually during sexual intercourse. Immediate surgical treatment is the current standard of care with lower risks of late complications, including erectile dysfunction, penile curvature, and tunical scar formation. We, hereby, report an over delayed presentation (23 days) of a penile fracture, which was successfully managed surgically. Our case emphasizes on the fact that there are not any “lost” cases and surgical treatment should always be offered to penile fracture, independen...
Source: Current Urology - March 12, 2019 Category: Urology & Nephrology Source Type: research
“Vaginal Delivery”: A Novel Extraction Route for Large Renal Calculi Encountered During Laparoscopic Pyeloplasty
Conclusions:This simple, novel technique is an easily reproducible method, for the removal of large urinary calculi during either traditional laparoscopic or robotic-assisted laparoscopic stone surgery in the appropriate female patient. It avoids the need for additional abdominal incisions or complex techniques involving lithotripsy which may be more complicated and time consuming. All previously published stone extraction techniques for large calculi (greater than 20 mm) within this systematic review are also critically appraised.Curr Urol 2018;12:104-110 (Source: Current Urology)
Source: Current Urology - March 12, 2019 Category: Urology & Nephrology Source Type: research
National Survey of Patterns Employing Targeted MRI/US Guided Prostate Biopsy in the Diagnosis and Staging of Prostate Cancer
Conclusion: While there are some reservations about employing MRI/US guided biopsy as standard of care in all prostate biopsies, the data suggests urologists support its use, and are making efforts to introduce targeted MRI/US guided biopsy into their practice. Regional and practice setting variations exist in implementation.Curr Urol 2018;12:97-103 (Source: Current Urology)
Source: Current Urology - March 12, 2019 Category: Urology & Nephrology Source Type: research
Diagnostic Accuracy of a MR Protocol Acquired with and without Endorectal Coil for Detection of Prostate Cancer: A Multicenter Study
Conclusion:Our results suggest that there may be no significant differences for detection of prostate cancer between images acquired with and without an ERC.Curr Urol 2018;12:88-96 (Source: Current Urology)
Source: Current Urology - March 12, 2019 Category: Urology & Nephrology Source Type: research
The Influence of Pain on the Outcome of Extracorporeal Shockwave Lithotripsy
Introduction:The aim of this study was to determine the predictive value of pain scores on the efficacy of extracor-poreal shockwave lithotripsy (ESWL) and to identify other predictive risk factors for treatment success.Materials and Methods:A total of 476 patients who underwent ESWL (piezoelectric lithotripsy) for urolithiasis between September 2011 and December 2015 were identified. The primary end-point of this study was success rate, which was evaluated 4 months after ESWL. The secondary outcome was the occurrence of complications as a result of ESWL.Results:The average pain perception was reported at 5 on a scale from...
Source: Current Urology - March 12, 2019 Category: Urology & Nephrology Source Type: research
Experience of a Tertiary-Level Urology Center in the Clinical Urological Events of Rare and Very Rare Incidence. II. Urological Self-Inflicted Harms: 1. Unintentional Patient's Side-Inflictor Urological Injuries
Conclusion:Unintentional patient's side-inflictor urological injuries are very rare events and mainly involve the external male urogenital organs under different motivating stressors. They could be differen-tiated into direct organ and catheter manipulation injuries with variable final outcomes from mild short-term harms to permanent disabilities.Curr Urol 2018;12:74-80 (Source: Current Urology)
Source: Current Urology - March 12, 2019 Category: Urology & Nephrology Source Type: research
Utility of Routine Intraoperative Ureteral Frozen Section Analysis at Radical Cystectomy: Outcomes from a Regional Australian Center
Conclusion:Patients with positive ureteric FSA are at higher risk of mortality post cystectomy, despite excision to negative tissue. However, FSA of the distal ureters at cystectomy were unlikely to be positive unless the bladder cancer stage was ≥ T2. Hence, routine ureteric FSA may not be necessary in patients undergoing cystectomy for non-muscle invasive bladder tumors.Curr Urol 2018;12:70-73 (Source: Current Urology)
Source: Current Urology - March 12, 2019 Category: Urology & Nephrology Source Type: research
Peri-Operative Outcomes after Open and Robot-Assisted Radical Cystectomy by Using an Advanced Bipolar Seal and Cut Technology (Caiman ®): A Prospective, Comparative, and Multi-Institutional Study
Objective:To report and compare the peri-operative outcomes of patients undergoing open (ORC) and robotic-assisted radical cystectomy (RARC) for bladder cancer performed with a radiofrequency seal and cut device (Caiman ®).Materials and Methods:Data of patients undergoing ORC or RARC between January 2015 and March 2016 at 6 Italian institutions were prospectively recorded and analyzed. Thirty-and 90-day complications were stratified according to the Martin's criteria and graded according to the Clavien-Dindo classification. Data on operative time, blood loss, transfusion rate, complications, and length of stay were evalua...
Source: Current Urology - March 12, 2019 Category: Urology & Nephrology Source Type: research
