Abstract:
:The most important change in urology during the past decade was the development of minimally invasive surgery, particularly laparoscopy. However, the main drawback of laparoscopy is a steep learning curve, which results from the significant changes in the surgical environment. Although laparoscopy can provide important advantages for the patient, including decreased length of hospitalization, decreased analgesic requirement, and a shortened postoperative convalescence, one concern has been whether laparoscopic techniques should be learned solely in the operating room. For example, sports, music, and aviation are practiced before an actual performance is ever undertaken. In this review, the advantages and limitations of all available training modalities in minimally invasive surgery are described. Testing basic laparoscopic skills on inanimate models, becoming familiar with the principles of dissection and hemostasis on living animals, and studying surgical anatomy on cadavers should be considered as indispensable and complementary elements for laparoscopic training in the future. In addition, telementoring with the help of modern image processing and virtual reality eventually may become the basis of tomorrow's surgical instruction.
journal_name
Curr Urol Repjournal_title
Current urology reportsauthors
Hoznek A,Katz R,Gettman M,Salomon L,Antiphon P,de la Taille A,Yiou R,Chopin D,Abbou CCdoi
10.1007/s11934-003-0040-0keywords:
subject
Has Abstractpub_date
2003-04-01 00:00:00pages
130-7issue
2eissn
1527-2737issn
1534-6285journal_volume
4pub_type
杂志文章abstract::Despite accumulating evidence that inflammation may affect the development of prostate cancer, responsible causes of intraprostatic inflammation remain elusive. This review presents epidemiologic literature on infections, particularly sexually transmitted and other ascending urogenital infections, as possible causes o...
journal_title:Current urology reports
pub_type: 杂志文章,评审
doi:10.1007/s11934-008-0042-z
更新日期:2008-05-01 00:00:00
abstract::The increased detection of incidental renal masses has introduced new challenges into the management of patients with newly discovered renal masses. Much interest has been focused on the diagnostic accuracy and the prognostic ability of imaging studies. These studies have elucidated trends that can guide management bu...
journal_title:Current urology reports
pub_type: 杂志文章
doi:10.1007/s11934-009-0004-0
更新日期:2009-01-01 00:00:00
abstract::Laparoscopic partial nephrectomy (LPN) was first described in 1992. Its increased use in recent years is a product of overall trends in surgery to minimize operative morbidity, as well as the downward stage migration of renal tumors detected incidentally through widespread medical imaging. Today the indications for LP...
journal_title:Current urology reports
pub_type: 杂志文章,评审
doi:10.1007/s11934-009-0083-y
更新日期:2010-02-01 00:00:00
abstract::Focal therapy for prostate cancer has emerged an interesting concept as a less morbid option for the treatment of localized low-risk disease. Despite the growing interest in focal therapy, this approach has not yet gained sufficient popularity nor provided enough data to be discussed outside the experimental applicati...
journal_title:Current urology reports
pub_type: 杂志文章,评审
doi:10.1007/s11934-010-0100-1
更新日期:2010-05-01 00:00:00
abstract:PURPOSE OF REVIEW:The goal of this paper is to describe the pathophysiology of adult nocturnal enuresis and develop a generalized approach for evaluation and treatment. RECENT FINDINGS:Although nocturnal enuresis (NE) impacts a significant proportion of the adult population, research on this topic remains lacking. In ...
journal_title:Current urology reports
pub_type: 杂志文章,评审
doi:10.1007/s11934-020-00983-2
更新日期:2020-06-06 00:00:00
abstract::The inability of urologists to consistently and effectively treat men with chronic pelvic pain syndrome (CPPS), also known as chronic abacterial prostatitis, is a source of great frustration. Botulinum toxin (BTX), a potent neurotoxin, can act on most of the peripheral nerves of the pelvis through a variety of mechani...
journal_title:Current urology reports
pub_type: 杂志文章,评审
doi:10.1007/s11934-010-0118-4
更新日期:2010-07-01 00:00:00
abstract::The benefit that patients with overactive bladder (OAB) experience with conservative management is an important aspect in the evaluation of this therapy. The first-line options include behavioral interventions, and several techniques are available. Clinical research indicates amelioration of individual symptoms with t...
journal_title:Current urology reports
pub_type: 杂志文章
doi:10.1007/s11934-012-0262-0
更新日期:2012-10-01 00:00:00
abstract::The most common form of prostatitis is National Institutes of Health category III, also known as chronic abacterial prostatitis/chronic pelvic pain syndrome. The search for effective and durable therapy for this condition remains frustrating for both patients and physicians. A new approach incorporating a neurobahavio...
journal_title:Current urology reports
pub_type: 杂志文章,评审
doi:10.1007/s11934-000-0051-z
更新日期:2000-08-01 00:00:00
abstract:PURPOSE OF REVIEW:The symptoms of lower urinary tract dysfunction (LUTD) including urinary incontinence, frequency, and urgency are among the most common reasons children are referred to pediatric urologists. Despite this, the workup for LUTD is often time consuming and a source of frustration for patients, parents, an...
journal_title:Current urology reports
pub_type: 杂志文章,评审
doi:10.1007/s11934-018-0784-1
更新日期:2018-04-06 00:00:00
abstract::Benign prostatic hyperplasia (BPH) is the most common urologic affliction in aging men, leading to adverse clinical outcomes in a significant proportion of the population. Serum prostate-specific antigen (PSA) has been established as a marker for prostate cancer for the past two decades but more recently has been reco...
journal_title:Current urology reports
pub_type: 杂志文章,评审
doi:10.1007/s11934-007-0072-y
更新日期:2007-07-01 00:00:00
abstract::The prostate-specific antigen (PSA) era has increased the rates of prostate cancer detection and treatment, while reducing the risk of death from prostate cancer in the US. Image-guided prostate biopsy techniques have led to stage migration and the detection and treatment of lower risk prostate cancers. Improved techn...
journal_title:Current urology reports
pub_type: 杂志文章
doi:10.1007/s11934-012-0285-6
更新日期:2012-12-01 00:00:00
abstract::Benign prostatic hyperplasia (BPH) is one of the most common causes of lower urinary tract symptoms (LUTS) in aging men. Over the age of 60, more than a half of men have BPH and/or bothersome LUTS. Contemporary guidelines advocate surgery as the standard of care for symptomatic BPH after failure of medical therapy, wh...
journal_title:Current urology reports
pub_type: 杂志文章,评审
doi:10.1007/s11934-016-0601-7
更新日期:2016-06-01 00:00:00
abstract::Correct staging of prostate cancer at initial diagnosis, as well as accurate staging and tumor localization with biochemical recurrence, remains generally inaccurate with current imaging techniques. Newer modalities are being investigated to accurately identify patients with prostate cancer at different stages of dise...
journal_title:Current urology reports
pub_type: 杂志文章,评审
doi:10.1007/s11934-006-0018-9
更新日期:2006-05-01 00:00:00
abstract::Prostate cancer is a key health concern for men with its etiology still under investigation. Recently, the role of dietary supplements has been noted to have a major inhibitory effect on prostate cancer and numerous studies have been conducted in this regard. This review provides a summary on numerous recent studies c...
journal_title:Current urology reports
pub_type: 杂志文章,评审
doi:10.1007/s11934-016-0637-8
更新日期:2016-11-01 00:00:00
abstract::Global improvements in water quality, management of infectious diseases, and other medical therapeutics have resulted in a growing population of healthy aging men. One obligate anatomic consequence of aging for these men is the development of benign prostatic hyperplasia (BPH) with secondary bladder outlet obstruction...
journal_title:Current urology reports
pub_type: 杂志文章,评审
doi:10.1007/s11934-014-0403-8
更新日期:2014-05-01 00:00:00
abstract::Overactive bladder (OAB) affects millions of people in the United States, and as the population ages, the prevalence of OAB will invariably increase. Conventional therapy for OAB includes behavioral modification and anticholinergic medication. OAB treatment comes with significant economic impact. With anticholinergic ...
journal_title:Current urology reports
pub_type: 杂志文章
doi:10.1007/s11934-009-0054-3
更新日期:2009-09-01 00:00:00
abstract::Surgical treatment of long urethral stricture disease remains one of the most challenging problems in urology. In recent years there has been continuous discussion with regard to the etiology, location, length, and management of extensive urethral stricture disease. Various tissues such as genital and extragenital ski...
journal_title:Current urology reports
pub_type: 杂志文章,评审
doi:10.1007/s11934-014-0424-3
更新日期:2014-08-01 00:00:00
abstract:PURPOSE OF THE REVIEW:To update the most relevant literature regarding complex vascular cases in kidney transplant setting involving the graft, especially during the harvesting procedure and back-table preparation from the subsequent implant. RECENT FINDINGS:Challenging situations affecting the kidney graft such as mu...
journal_title:Current urology reports
pub_type: 杂志文章,评审
doi:10.1007/s11934-020-0955-8
更新日期:2020-01-31 00:00:00
abstract:PURPOSE OF REVIEW:The aim of this review is to describe the preoperative evaluation, surgical techniques, and postoperative management of patients with renal cell carcinoma (RCC) undergoing radical nephrectomy (RN) and inferior vena cava (IVC) thrombectomy. RECENT FINDINGS:RN and IVC thrombectomy remains the standard ...
journal_title:Current urology reports
pub_type: 杂志文章,评审
doi:10.1007/s11934-020-01007-9
更新日期:2020-10-22 00:00:00
abstract:PURPOSE OF REVIEW:It has been firmly established that hexaminolevulinate-assisted blue light cystoscopy (HAL-BLC) reduces cancer recurrence rates. This review explores the impact of HAL-BLC on other meaningful outcomes in patients with bladder cancer, including disease progression, and earlier detection of disease at t...
journal_title:Current urology reports
pub_type: 杂志文章,评审
doi:10.1007/s11934-020-0966-5
更新日期:2020-04-04 00:00:00
abstract::Chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) is the most common category of clinical prostatitis. The etiologic factors of CP/CPPS still remain unknown, and standard therapies often fail to achieve sustainable amelioration of symptoms; therefore, various treatment therapies have been approached. Recently...
journal_title:Current urology reports
pub_type: 杂志文章,评审
doi:10.1007/s11934-011-0186-0
更新日期:2011-08-01 00:00:00
abstract:PURPOSE OF REVIEW:The purpose of the study is to review and summarize major additions to the literature as pertains to enhanced recovery protocols after radical cystectomy in the past year. RECENT FINDINGS:Enhanced recovery after surgery protocols is multimodal pathways that include elements to optimize all stages of ...
journal_title:Current urology reports
pub_type: 杂志文章,评审
doi:10.1007/s11934-018-0855-3
更新日期:2018-10-18 00:00:00
abstract::Lipoxygenases oxidatively metabolize polyunsaturated fatty acids to a rich spectrum of biologically active products. One enzyme of the lipoxygenase family, Arachidonate 15-lipoxygenase-1 (arachidonate:oxygen 15-oxidoreductase, EC 1.13.11.33), is implicated in several forms of epithelial cell cancers, and provides a ra...
journal_title:Current urology reports
pub_type: 杂志文章,评审
doi:10.1007/s11934-002-0066-8
更新日期:2002-06-01 00:00:00
abstract::For many years, estrogen has been used to treat lower urinary tract dysfunction in postmenopausal women. The data supporting this practice vary. Large multi-institutional studies have shown little role for systemic estrogens in the treatment of urinary incontinence. Vaginal estrogen preparations show superiority to sy...
journal_title:Current urology reports
pub_type: 杂志文章,评审
doi:10.1007/s11934-011-0208-y
更新日期:2011-10-01 00:00:00
abstract::Because the number of patients requiring oral anticoagulation (OA) is steadily growing, more and more patients requiring surgical treatment of benign prostatic hyperplasia (BPH) are on OA. Laser treatment of BPH was said to offer a higher quality of hemostasis than transurethral resection of the prostate (TURP). Thus,...
journal_title:Current urology reports
pub_type: 杂志文章,评审
doi:10.1007/s11934-010-0115-7
更新日期:2010-07-01 00:00:00
abstract::Approximately one in seven American men will be diagnosed with prostate cancer during his lifetime, and at least 50% of newly diagnosed patients will present with low-risk disease. In the last decade, the decision-making paradigm for management has shifted due to high rates of disease detection and overtreatment, attr...
journal_title:Current urology reports
pub_type: 杂志文章,评审
doi:10.1007/s11934-015-0507-9
更新日期:2015-06-01 00:00:00
abstract::Peyronie's disease (PD) is the occurrence of a fibrous inelastic scar of the tunica albuginea of the penis. It is a relatively common disorder among men, with a reported prevalence of 3% to 8%. It is often associated with penile pain, anatomical deformities in the erect state, and difficulty with intromission. Because...
journal_title:Current urology reports
pub_type: 杂志文章,评审
doi:10.1007/s11934-011-0212-2
更新日期:2011-12-01 00:00:00
abstract::Molecular imaging of prostate cancer is in a dynamic phase of development. Currently approved techniques are limited and researchers have been working on novel agents to improve accuracy in targeting and detecting prostate tumors. In addition, the complexity of various prostate cancer states also contributes to the ch...
journal_title:Current urology reports
pub_type: 杂志文章,评审
doi:10.1007/s11934-016-0575-5
更新日期:2016-03-01 00:00:00
abstract::Bulking therapy for stress urinary incontinence in women continues to evolve from the standpoint of material science. Several new materials have recently been subjected to clinical trials with the aim of assessing efficacy and safety of these agents for possible device registration. These new additions run the gamut o...
journal_title:Current urology reports
pub_type: 杂志文章,评审
doi:10.1007/s11934-006-0012-2
更新日期:2006-09-01 00:00:00
abstract::Bladder cancer is the second commonest urinary tract malignancy with 70-80 % being non-muscle invasive (NMIBC) at diagnosis. Patients with high-risk NMIBC (T1/Tis, with high grade/G3, or CIS) represent a challenging group as they are at greater risk of recurrence and progression. Intravesical Bacilli Calmette-Guerin (...
journal_title:Current urology reports
pub_type: 杂志文章,评审
doi:10.1007/s11934-016-0625-z
更新日期:2016-09-01 00:00:00