Laparoscopic pyeloplasty: an analysis of first 100 cases and important lessons learned.

Abstract:

AIM:Laparoscopic pyeloplasty (LP) is a minimally invasive approach that is becoming a standard treatment of ureteropelvic junction obstruction (UPJO). It is providing similar results when compared with open surgery. We here present our technique and analyses of experience of our first 100 cases. PATIENTS AND METHODS:We retrospectively reviewed and analyzed the records of first 100 cases of LP performed for UPJO with dilatation of renal pelvis at our centre. Patients' profile; perioperative, intraoperative and postoperative parameters like time of surgery, blood loss, complications, duration of hospital stay, outcome of procedure were analyzed. RESULTS:The mean operative time, need for an extra-port, conversions to open, estimated blood loss, complications and recurrences all significantly decreased after first 50 cases. One patient developed shock due to bleeding from inferior epigastric vessels near port-site, and had to be explored. Overall success rate was 96%. Lesser incidence of fourth-port insertion, conversions to open, and thus decreased operative time was attributed to introduction of additional techniques to reduce the learning curve. CONCLUSION:LP is a technically difficult procedure. Sticking to the basic steps of LP, and trying and thus incorporating additional tactics are useful to reduce the learning curve.

journal_name

Int Urol Nephrol

authors

Singh O,Gupta SS,Arvind NK

doi

10.1007/s11255-010-9753-4

subject

Has Abstract

pub_date

2011-03-01 00:00:00

pages

85-90

issue

1

eissn

0301-1623

issn

1573-2584

journal_volume

43

pub_type

杂志文章
  • Oxybutynin hydrochloride in the management of detrusor instability.

    abstract::The results of an investigation dealing with the therapy of instability of the detrusor using oxybutynin hydrochloride are presented. Out of an unselected group of patients 21 were enrolled in the trial. After therapy 19 patients showed significant improvement of subjective symptoms and objective urodynamic parameters...

    journal_title:International urology and nephrology

    pub_type: 杂志文章

    doi:10.1007/BF02550401

    authors: Primus G,Pummer K

    更新日期:1990-01-01 00:00:00

  • Fungal peritonitis in peritoneal dialysis: an analysis of 21 cases.

    abstract:BACKGROUND AND AIM:Fungal peritonitis is a rare but serious complication in patients undergoing peritoneal dialysis (PD). We aimed to analyze the predisposing factors, clinical aspects, etiological agents, and treatment of fungal peritonitis in patients with PD in our hospital. PATIENTS AND METHODS:The data of all pat...

    journal_title:International urology and nephrology

    pub_type: 杂志文章

    doi:10.1007/s11255-010-9763-2

    authors: Unal A,Kocyigit I,Sipahioglu MH,Tokgoz B,Oymak O,Utas C

    更新日期:2011-03-01 00:00:00

  • Role of phosphate in experimental uraemia.

    abstract::Serum, corpuscular and renal tissue phosphate (Pi) concentrations in normal and chronic renal failure rats were examined. A significant correlation was found between Pi levels and indications of renal function. In addition, there were significant relationships between phosphate levels and RBC, Hb, Hct, serum Fe, serum...

    journal_title:International urology and nephrology

    pub_type: 杂志文章

    doi:

    authors: Hosokawa S,Yoshida O

    更新日期:1993-01-01 00:00:00

  • Prognostic factors and the role of nephrectomy in metastatic renal cell carcinoma.

    abstract::The objective of this study was to evaluate the prognostic factors and role of nephrectomy in metastatic renal cell carcinoma. We reviewed 62 cases of metastatic renal cell carcinoma (RCC) at presentation to document the factors influencing the survival and to evaluate the role of nephrectomy. Sex and age of the patie...

    journal_title:International urology and nephrology

    pub_type: 杂志文章

    doi:10.1007/BF02564853

    authors: Uygur MC,Usubütün A,Ozen H,Ayhan A,Kendi S

    更新日期:1998-01-01 00:00:00

  • A case of pure renal hydatid cyst without multiple organ involvement.

    abstract::Hydatid disease of the urinary tract is very rare. We report a case of pure renal hydatid cyst, with its clinical presentation and management. ...

    journal_title:International urology and nephrology

    pub_type: 杂志文章

    doi:10.1007/BF02551409

    authors: Atan A,Cöl C,Dolapçi M,Hökelek M

    更新日期:1997-01-01 00:00:00

  • The preventive and therapeutic effects of α-lipoic acid on ethylene glycol-induced calcium oxalate deposition in rats.

    abstract:OBJECTIVE:To investigate the effect of α-lipoic acid (α-LA) in the prevention and treatment of ethylene glycol-induced calcium oxalate deposition in a rat model and preliminary exploration of the mechanism. METHODS:Sixty male Wistar rats were divided randomly and equally into six groups including two α-LA prevention g...

    journal_title:International urology and nephrology

    pub_type: 杂志文章

    doi:10.1007/s11255-020-02423-z

    authors: Wang Z,Bai Y,Wang J,Wang J

    更新日期:2020-07-01 00:00:00

  • Results of secondary ureteral implantation after kidney transplantation.

    abstract:BACKGROUND:We reviewed our experience with ureteral complications and secondary ureteral implantation after kidney transplantation. METHODS:Between 1997 and 2005, 636 patients underwent kidney transplantation at our transplant center. Ureteral implantation was performed in the Lich-Gregoire technique. Thirty-one patie...

    journal_title:International urology and nephrology

    pub_type: 杂志文章

    doi:10.1007/s11255-010-9893-6

    authors: Doehn C,Böse N,Meyer AJ,Jocham D

    更新日期:2011-09-01 00:00:00

  • Experiences in treating cancer of the bladder.

    abstract::Experience in the treatment of urinary bladder cancer based upon observation of 306 cases has been presented. Two hundred and thirteen patients were treated surgically by performing in 151 cases partial cystectomy and in 62 cases total cystectomy. Conservative treatment was applied in 75 patients. In the authors' opin...

    journal_title:International urology and nephrology

    pub_type: 杂志文章

    doi:10.1007/BF02082168

    authors: Wojewski A,Zajaczkowski T

    更新日期:1977-01-01 00:00:00

  • Genetic variation in APOL1 and MYH9 genes is associated with chronic kidney disease among Nigerians.

    abstract:PURPOSE:A region of chromosome 22 which includes APOL1 and MYH9 genes was recently identified as a risk locus for non-diabetic forms of kidney disease, including idiopathic and HIV-associated focal segmental glomerular sclerosis and kidney disease clinically attributed to hypertension among African Americans. The purpo...

    journal_title:International urology and nephrology

    pub_type: 杂志文章

    doi:10.1007/s11255-012-0263-4

    authors: Tayo BO,Kramer H,Salako BL,Gottesman O,McKenzie CA,Ogunniyi A,Bottinger EP,Cooper RS

    更新日期:2013-04-01 00:00:00

  • Effects of intradialytic resistance exercise on systemic inflammation in maintenance hemodialysis patients with sarcopenia: a randomized controlled trial.

    abstract:PURPOSE:To investigate the effect of intradialytic resistance exercise on inflammation markers and sarcopenia indices in maintenance hemodialysis (MHD) patients with sarcopenia. METHODS:Forty-one MHD patients with sarcopenia were divided into an intervention group (group E, n = 21) and a control group (group C, n = 20...

    journal_title:International urology and nephrology

    pub_type: 杂志文章,随机对照试验

    doi:10.1007/s11255-019-02200-7

    authors: Dong ZJ,Zhang HL,Yin LX

    更新日期:2019-08-01 00:00:00

  • Detection of urinary abnormalities in a community from northern Italy based on the World Kidney Day screening program.

    abstract:BACKGROUND:Chronic kidney disease (CKD) is a worldwide health problem, and promotion of the World Kidney Day has improved general population education and awareness of renal illnesses aimed at ameliorating disease prevention. The Kidney Day was also an opportunity for us to investigate risk factors for CKD in an Italia...

    journal_title:International urology and nephrology

    pub_type: 杂志文章

    doi:10.1007/s11255-010-9861-1

    authors: Fabbian F,Bedani PL,Rizzioli E,Molino C,Pala M,De Giorgi A,Longhini C,Portaluppi F

    更新日期:2011-09-01 00:00:00

  • Prognostic significance of cytological differentiation grading in estrogen-treated prostatic carcinoma diagnosed by fine-needle aspiration biopsy. (Five-year follow-up of 496 patients).

    abstract::The value of fine-needle aspiration biopsy of carcinoma of the prostate and its cytological grading is demonstrated. The grade of morphological differentiation in cytological smears has proved to be a reliable criterion for the prognosis in 496 estrogen-treated prostatic carcinoma patients. The life expectancy of low-...

    journal_title:International urology and nephrology

    pub_type: 杂志文章

    doi:10.1007/BF02082472

    authors: Faul P,Schmiedt E,Kern R

    更新日期:1980-01-01 00:00:00

  • A case report: adrenal ganglioneuroblastoma in a 59-year old man.

    abstract::Ganglioneuroblastoma is a common type of tumor in children, but is rarely seen in adults. We present here a case of adrenal ganglioneuroblastoma in a 59-year old man. ...

    journal_title:International urology and nephrology

    pub_type: 杂志文章

    doi:10.1007/s11255-004-0851-z

    authors: Gunlusoy B,Arslan M,Selek E,Sural S,Ayder AR

    更新日期:2004-01-01 00:00:00

  • Comparison of prednisolone and lamivudine combined therapy with prednisolone monotherapy on carriers of hepatitis B virus with IgA nephropathy: a prospective cohort study.

    abstract:OBJECTIVE:Chronic hepatitis B virus (HBV) carrier status has a critical impact on clinical management of patients with IgA nephropathy (IgAN) who are treated with corticosteroids, because corticosteroids may enhance HBV replication. This study compared corticosteroids and antivirals combined therapy with corticosteroid...

    journal_title:International urology and nephrology

    pub_type: 杂志文章

    doi:10.1007/s11255-013-0480-5

    authors: Fang J,Li W,Tan Z,Li D

    更新日期:2014-01-01 00:00:00

  • Circumcision with the Plastibell device. A long-term follow-up.

    abstract::Indications for operation, immediate postoperative morbidity and complications were recorded in 43 patients circumcised with the Plastibell device. Questionnaires were used in recording late postoperative morbidity and complications during the mean observation period of 29 months, and were followed by a clinical and c...

    journal_title:International urology and nephrology

    pub_type: 杂志文章

    doi:10.1007/BF02550667

    authors: Sörensen SM,Sörensen MR

    更新日期:1988-01-01 00:00:00

  • The safety and efficacy of PCNL with supracostal approach in the treatment of renal stones.

    abstract:OBJECTIVE:Supracostal superior calyceal access has been shown to be the most suitable approach for staghorn calculi, calculi in the upper ureter, and complex inferior calyceal calculi. It is a good choice for direct access for most of the intrarenal collecting system and upper ureter. The aim of this retrospective stud...

    journal_title:International urology and nephrology

    pub_type: 杂志文章

    doi:10.1007/s11255-011-9916-y

    authors: Mousavi-Bahar SH,Mehrabi S,Moslemi MK

    更新日期:2011-12-01 00:00:00

  • Metabolic syndrome is a predictor of decreased renal function among community-dwelling middle-aged and elderly Japanese.

    abstract:PURPOSE:Metabolic syndrome (MetS) is increasing worldwide with the continuous increase in obesity prevalence. Chronic kidney disease (CKD) is also a major public health problem, but there is controversy over whether baseline MetS is a predictor of decreased renal function among Japanese community-dwelling middle-aged a...

    journal_title:International urology and nephrology

    pub_type: 杂志文章

    doi:10.1007/s11255-019-02320-0

    authors: Kawamoto R,Akase T,Ninomiya D,Kumagi T,Kikuchi A

    更新日期:2019-12-01 00:00:00

  • Epicardial adipose tissue in patients with chronic kidney disease: a meta-analysis study and trial sequential analysis.

    abstract:BACKGROUND:Cardiovascular disease is the most common cause of death in patients with chronic kidney disease (CKD). Epicardial adipose tissue (EAT) is an independent predictor of cardiovascular disease in the general population, and usually increases in the patients with cardiovascular disease risk. The change of EAT in...

    journal_title:International urology and nephrology

    pub_type: 杂志文章

    doi:10.1007/s11255-020-02575-y

    authors: Song G,Qiao W,Liu K,Yu X

    更新日期:2020-12-01 00:00:00

  • Factors determining renal impairment in unilateral ureteral colic secondary to calcular disease: a prospective study.

    abstract:OBJECTIVE:To evaluate all possible risk factors that can cause impairment of overall renal function in patients with unilateral ureteral calculus and a normal contralateral kidney. METHODS:This is a prospective study of 90 patients who presented to our institute complaining of renal colic secondary to unilateral urete...

    journal_title:International urology and nephrology

    pub_type: 杂志文章

    doi:10.1007/s11255-015-0986-0

    authors: Al-Ani A,Al-Jalham K,Ibrahim T,Majzoub A,Al-Rayashi M,Hayati A,Mubarak W,Al-Rayahi J,Khairy AT

    更新日期:2015-07-01 00:00:00

  • Correlation study of chronic nonbacterial prostatitis with the levels of COX-2 and PGE2 in prostatic secretion.

    abstract:OBJECTIVE:The prostatitis syndrome is a multifactorial condition of largely unknown etiology. This study is to analyze the relationship between cyclooxygenase-2 (COX-2) and prostaglandin E2 (PGE2) with the chronic nonbacterial prostatitis (CNBP). METHODS:A total of 172 CNBP patients and 151 healthy males were recruite...

    journal_title:International urology and nephrology

    pub_type: 杂志文章

    doi:10.1007/s11255-014-0743-9

    authors: Yuan Z,Liu X,Deng W,Lai X,Yan Z,Zheng R

    更新日期:2014-10-01 00:00:00

  • Glomerular filtration rate is related to severity of obstructive coronary artery disease in patients undergoing coronary angiography.

    abstract:PURPOSE:Chronic kidney disease is independently associated with an increased risk of cardiovascular events; however, the relationship between the glomerular filtration rate (GFR) and coronary artery disease (CAD) in patients undergoing coronary angiography has yet to be fully elucidated. METHODS:This retrospective stu...

    journal_title:International urology and nephrology

    pub_type: 杂志文章

    doi:10.1007/s11255-011-0070-3

    authors: Davoodi G,Mehrabi Pari S,Rezvanfard M,Sheikh Fathollahi M,Amini M,Hakki E,Kazemisaeid A,Yaminisharif A

    更新日期:2012-08-01 00:00:00

  • Prostate cancer outcomes and delays in care.

    abstract:OBJECTIVES:To examine the survival effect of treatment delays from the time of confirmed diagnosis of prostate cancer to first treatment in an Australian population. METHODS:Three thousand one hundred and forty patients were identified from the South Australian Prostate Cancer Clinical Outcomes Collaborative database ...

    journal_title:International urology and nephrology

    pub_type: 杂志文章

    doi:10.1007/s11255-017-1508-z

    authors: O'Callaghan ME,Shi Z,Kopsaftis T,Moretti K

    更新日期:2017-03-01 00:00:00

  • Testicular seminoma: 20-year experience at the Northern Israel Oncology Center (1968-1988).

    abstract::Eighty-four patients with testicular seminoma were treated at the Northern Israel Oncology Center during the years 1968-1988. Using the staging classification of Hussey, 69 patients (82%) had Stage I, eight (10%) had Stage IIA, four (5%) had Stage IIB, one (1%) had Stage IIIA, and two (2%) had Stage IIIB disease. Sixt...

    journal_title:International urology and nephrology

    pub_type: 杂志文章

    doi:10.1007/BF02768019

    authors: Stein M,Steiner M,Moshkowitz B,Sapir D,Kessel I,Kuten A

    更新日期:1994-01-01 00:00:00

  • Myocardial ischemia by radionuclide imaging and long-term outcomes after kidney transplantation.

    abstract:PURPOSE:We examined the incidence of myocardial ischemia (MI) in kidney transplant recipients (KTR) using myocardial perfusion imaging (MPI), and its association with long-term outcomes after transplantation. METHODS:A retrospective observational study was conducted of asymptomatic KTRs who underwent post-transplant M...

    journal_title:International urology and nephrology

    pub_type: 杂志文章

    doi:10.1007/s11255-020-02542-7

    authors: Low S,Chua HR,Wong R,Goh A,Ng YH,Teo BW,Vathsala A

    更新日期:2020-10-01 00:00:00

  • Prognostic significance and therapeutic option of heart rate variability in chronic kidney disease.

    abstract::Cardiovascular disease (CVD) begins early in the course of chronic kidney disease (CKD) and is the leading cause of death in patients with CKD. Preventing the development of CVD and establishing new clinical tools for identifying high-risk individuals, particularly those with an increased risk for cardiac death, is of...

    journal_title:International urology and nephrology

    pub_type: 杂志文章,评审

    doi:10.1007/s11255-013-0421-3

    authors: Zhang J,Wang N

    更新日期:2014-01-01 00:00:00

  • Association between serum γ-glutamyltransferase and chronic kidney disease in urban Han Chinese: a prospective cohort study.

    abstract:PURPOSE:Limited numbers of literatures have focused on the association between γ-glutamyltransferase (GGT) and chronic kidney disease (CKD), and their results were controversial. Therefore, in this study, we set up a large-scale cohort of Chinese population to discover and verify the association between serum GGT and C...

    journal_title:International urology and nephrology

    pub_type: 杂志文章

    doi:10.1007/s11255-016-1429-2

    authors: Shen ZW,Xing J,Wang QL,Faheem A,Ji X,Li J,Bian WW,Jiang Z,Li XJ,Xue FZ,Liu J

    更新日期:2017-02-01 00:00:00

  • Is it worth using daclizumab induction therapy with mycophenolate mofetil-based immunosuppressive regimens in live related donor kidney transplantation? A long-term follow up.

    abstract:BACKGROUND/AIMS:The aim of this work is to determine the long-term therapeutic benefit(s) of daclizumab induction therapy with triple immunosuppressive protocols including prednisolone, cyclosporine microemulsion (CsA), and mycophenolate mofetil (MMF) in the living related donor kidney transplantation. METHODS:Twenty-...

    journal_title:International urology and nephrology

    pub_type: 杂志文章

    doi:10.1007/s11255-006-9091-8

    authors: Sheashaa HA,Bakr MA,Fouda MA,El-Dahshan KF,Ismail AM,Sobh MA,Ghoneim MA

    更新日期:2007-01-01 00:00:00

  • Long-term follow-up results of the MAGPI (meatal advancement and glanuloplasty) operations in distal hypospadias.

    abstract::Between 1985 and 1989, 54 boys underwent a MAGPI procedure. Excellent cosmetic and functional results were achieved in 94% of our cases in the early period. In order to assess the long-term results of this procedure, 41 boys attended long-term re-evaluation between 6 and 40 (mean 29) months postoperatively. MAGPI was ...

    journal_title:International urology and nephrology

    pub_type: 杂志文章

    doi:10.1007/BF02549850

    authors: Unlüer ES,Miroglu C,Ozdiler E,Ozturk R

    更新日期:1991-01-01 00:00:00

  • Under-recognized post-stroke acute kidney injury: risk factors and relevance for stroke outcome of a frequent comorbidity.

    abstract:BACKGROUND:Acute kidney injury (AKI) is emerging as a predictor of poor stroke outcome, however, it is often not recognized. The aim of our study was to evaluate post-stroke AKI burden, AKI risk factors and their influence in post-stroke outcome. METHODS:From 2013 to 2016, 440 individuals with stroke diagnosis admitte...

    journal_title:International urology and nephrology

    pub_type: 杂志文章

    doi:10.1007/s11255-019-02203-4

    authors: Grosjean F,Tonani M,Maccarrone R,Cerra C,Spaltini F,De Silvestri A,Falaschi F,Migliazza S,Tinelli C,Rampino T,Di Sabatino A,Martignoni A

    更新日期:2019-09-01 00:00:00

  • Treatment of obesity-associated overactive bladder by the phosphodiesterase type-4 inhibitor roflumilast.

    abstract:PURPOSE:To prove that phosphodiesterase type-4 inhibitors could potentially treat obesity-associated overactive bladder through modulation of the systemic inflammatory response. METHODS:In this 12-week study, 90 female Sprague-Dawley rats were divided into three groups: (1) vehicle-treated normal diet (ND)-fed rats; (...

    journal_title:International urology and nephrology

    pub_type: 杂志文章

    doi:10.1007/s11255-017-1671-2

    authors: Ding H,Li N,He X,Liu B,Dong L,Liu Y

    更新日期:2017-10-01 00:00:00