Abstract:
:It is now established that an experienced, dedicated robotic surgeon can perform a high quality extended template pelvic lymph node dissection at the time of robot-assisted radical cystectomy. The evidence for this conclusion can be seen in comparing absolute lymph node counts, percent positive lymph nodes, and oncologic outcomes from N1 patients. In this report, we outline the endpoints of study for this question, and report recent data on efforts to advance robot-assisted urinary diversion, cost-focused studies, and standardized complication reporting. These studies demonstrate maintenance of adequate lymph node dissections while advancing the goal of reducing morbidity for patients needing radical cystectomy for invasive disease.
journal_name
Curr Urol Repjournal_title
Current urology reportsauthors
Davis JW,Kamat AMdoi
10.1007/s11934-012-0288-3subject
Has Abstractpub_date
2013-02-01 00:00:00pages
59-63issue
1eissn
1527-2737issn
1534-6285journal_volume
14pub_type
杂志文章,评审abstract::High-intensity focused ultrasound (HIFU) is an emerging, noninvasive, local treatment of prostate cancer with 15 years of clinical experience, during which about 30,000 HIFU treatments have been performed worldwide. In this paper, we review relevant publications regarding the means by which new and old prostate cancer...
journal_title:Current urology reports
pub_type: 杂志文章,评审
doi:10.1007/s11934-011-0184-2
更新日期:2011-06-01 00:00:00
abstract::Robot-assisted surgery has become a widely used surgical approach in the management of urologic malignancies. With its initial experience in the treatment of prostate cancer, the technology rapidly expanded to other urologic malignancies including bladder cancer. Since its introduction in 2003, robot-assisted radical ...
journal_title:Current urology reports
pub_type: 杂志文章,评审
doi:10.1007/s11934-016-0598-y
更新日期:2016-06-01 00:00:00
abstract::Laparoscopic radical nephrectomy can be efficaciously performed by either the transperitoneal or the retroperitoneal laparoscopic approach. The primary indication for selecting one approach over another has historically depended on the individual surgeon's experience and training. With either technique, laparoscopy ad...
journal_title:Current urology reports
pub_type: 杂志文章,评审
doi:10.1007/s11934-002-0030-7
更新日期:2002-04-01 00:00:00
abstract::The use of injectable bulking agents into the submucosal layer of the pediatric urinary tract continues to grow. Treatment strategies for vesicoureteral reflux and urinary incontinence have changed with the introduction of dextranomer/hyaluronic acid as a minimally invasive option. Socially and medically debilitating ...
journal_title:Current urology reports
pub_type: 杂志文章,评审
doi:10.1007/s11934-006-0074-1
更新日期:2006-03-01 00:00:00
abstract::Adrenal cortical carcinoma is a relatively uncommon malignancy that represents a significant clinical challenge for the development of optimal treatment strategies. Historically, successful treatment has relied upon rapid identification of the lesion, accurate staging with diagnostic imaging, and complete surgical ext...
journal_title:Current urology reports
pub_type: 杂志文章,评审
doi:10.1007/s11934-007-0024-6
更新日期:2007-01-01 00:00:00
abstract::DNA microarray technology provides a means to examine large numbers of molecular changes related to a biological process in a high throughput manner. This review discusses plausible utilities of this technology in prostate cancer research, including definition of prostate cancer predisposition, global profiling of gen...
journal_title:Current urology reports
pub_type: 杂志文章,评审
doi:10.1007/s11934-002-0011-x
更新日期:2002-02-01 00:00:00
abstract::Tuberculosis of the genitourinary tract presents with atypical manifestations. Only 20% to 30% of patients with genitourinary tuberculosis have a history of pulmonary infection. Tuberculosis often affects the lower genitourinary system rather than the kidney. Tuberculosis of the lower genitourinary tract most commonly...
journal_title:Current urology reports
pub_type: 杂志文章,评审
doi:10.1007/s11934-008-0053-9
更新日期:2008-07-01 00:00:00
abstract:PURPOSE OF REVIEW:For many diseases that place a large burden on our health care system, men often have worse health outcomes than women. As the largest single provider of health care to men in the USA, the Veterans Health Administration (VA) has the potential to serve as leader in the delivery of improved men's health...
journal_title:Current urology reports
pub_type: 杂志文章,评审
doi:10.1007/s11934-017-0733-4
更新日期:2017-09-18 00:00:00
abstract::Functional magnetic resonance imaging (fMRI) techniques enable noninvasive assessment of renal function. Diffusion-weighted imaging, diffusion tensor imaging, blood oxygen level-dependent MRI, magnetic resonance elastography, and arterial spin labeling are some of the emerging techniques that have potential to investi...
journal_title:Current urology reports
pub_type: 杂志文章,评审
doi:10.1007/s11934-011-0229-6
更新日期:2012-02-01 00:00:00
abstract:PURPOSE OF THE REVIEW:There is an abundance of evidence that the human microbiome plays an important and nuanced role in controlling human metabolism, immunity, and cancer. Herein we aim to review the most current research looking at prostate cancer and its link with the gut and genitourinary microbiome. There is now a...
journal_title:Current urology reports
pub_type: 杂志文章,评审
doi:10.1007/s11934-019-0922-4
更新日期:2019-09-07 00:00:00
abstract::Overactive bladder syndrome continues to be a significant burden for the general population. Current first-line medical therapy often includes antimuscarinic medications designed for overactive bladder. Poor efficacy and significant side effects of these antimuscarinic medications have left patients and physicians loo...
journal_title:Current urology reports
pub_type: 杂志文章,评审
doi:10.1007/s11934-010-0134-4
更新日期:2010-09-01 00:00:00
abstract::Significant progress has been made over the past 15 years regarding the development of bladder control and the evaluation and management of pediatric voiding dysfunction. Incontinence is a problem of significant social consequence that is commonly due to dysfunctional voiding (ie, discoordination between the detrusor ...
journal_title:Current urology reports
pub_type: 杂志文章
doi:10.1007/s11934-010-0099-3
更新日期:2010-03-01 00:00:00
abstract::The cholinergic system of the bladder includes muscarinic receptors distributed to detrusor myocytes and structures within mucosa including bladder afferent (sensory) nerves. The receptors have been shown to be involved in afferent signaling from the bladder, but it has not been established to what extent effects on t...
journal_title:Current urology reports
pub_type: 杂志文章,评审
doi:10.1007/s11934-008-0079-z
更新日期:2008-11-01 00:00:00
abstract:PURPOSE OF REVIEW:Inflatable penile prosthesis (IPP) is a treatment for erectile dysfunction. IPPs have undergone improvements; however, post-surgical infections still occur. Furthermore, the type of pathogens infecting the implants has changed recently from Gram-positive to Gram-negative bacteria and fungi due to adva...
journal_title:Current urology reports
pub_type: 历史文章,杂志文章,评审
doi:10.1007/s11934-019-0874-8
更新日期:2019-01-30 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::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::Robot-assisted surgery has changed the landscape of surgery. Implementation of robotics into most surgical specialties has left many educators challenged to develop the tools necessary to train and credential surgeons. Advances in robot-assisted surgery have led to the development of simulators and tools to assess ski...
journal_title:Current urology reports
pub_type: 杂志文章,评审
doi:10.1007/s11934-015-0508-8
更新日期:2015-06-01 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::Nodal staging is important in prostate cancer treatment. While surgical lymph node dissection is the classic method of determining whether lymph nodes harbor malignancy, this is a very invasive technique. Current noninvasive approaches to identifying malignant lymph nodes are limited. Conventional imaging methods rely...
journal_title:Current urology reports
pub_type: 杂志文章,评审
doi:10.1007/s11934-015-0505-y
更新日期:2015-05-01 00:00:00
abstract:PURPOSE OF REVIEW:In light of the announcement that the United States Medical Licensing Examination Step 1 exam will transition to pass/fail reporting, we reviewed recent literature on evaluating residency applicants with a focus on identifying objective measurements of applicant potential. RECENT FINDINGS:References ...
journal_title:Current urology reports
pub_type: 杂志文章,评审
doi:10.1007/s11934-020-00993-0
更新日期:2020-08-17 00:00:00
abstract::As bladder reconstruction strategies evolve, a feasible and safe source of transplantable urothelium becomes a major consideration for patients with advanced bladder disease, particularly cancer. Pluripotent stem cells, such as embryonic stem cells (ESCs) and induced pluripotent stem cells (iPSCs), are attractive cand...
journal_title:Current urology reports
pub_type: 杂志文章,评审
doi:10.1007/s11934-014-0466-6
更新日期:2015-01-01 00:00:00
abstract:PURPOSE OF REVIEW:The classification of morphologically normal sperm has been progressively redefined. Concurrently, our understanding of the significance of sperm morphology in relation to male factor infertility has evolved. In this review, we will discuss the evolution of sperm morphology assessment and factors that...
journal_title:Current urology reports
pub_type: 杂志文章,评审
doi:10.1007/s11934-019-0911-7
更新日期:2019-06-15 00:00:00
abstract::Complementary and alternative medicine (CAM) has recently attracted national attention in the United States because of its widespread use and associated cost. CAM covers a broad spectrum of healing philosophies and approaches. Despite its widespread use, little is known about its safety, efficacy, cost effectiveness, ...
journal_title:Current urology reports
pub_type: 杂志文章,评审
doi:10.1007/s11934-001-0084-y
更新日期:2001-06-01 00:00:00
abstract::Inflatable penile prosthesis (IPP) is an effective treatment for erectile dysfunction in patients' refractory to oral or injectable treatment. While the rate of infection has decreased over the past decade, it is still the most feared complication of IPP placement. Here, we assemble possible patient and surgical facto...
journal_title:Current urology reports
pub_type: 杂志文章,评审
doi:10.1007/s11934-015-0554-2
更新日期:2015-12-01 00:00:00
abstract::Patients with one or more low-grade bladder tumors of the urinary bladder will often develop a subsequent tumor but these so called "recurrences" are almost always of similar grade and rarely invade beyond the basement membrane. Therefore, the clinician should try to minimize the morbidity associated with treating the...
journal_title:Current urology reports
pub_type: 杂志文章,评审
doi:10.1007/s11934-015-0555-1
更新日期:2015-12-01 00:00:00
abstract:PURPOSE OF REVIEW:We reviewed the literature to determine what role, if any, radical prostatectomy should play in the treatment of high-risk and/or node-positive prostate cancer. RECENT FINDINGS:The AUA, NCCN, and EAU all include radical prostatectomy as a treatment option for high-risk prostate cancer based on eviden...
journal_title:Current urology reports
pub_type: 杂志文章,评审
doi:10.1007/s11934-017-0703-x
更新日期:2017-07-01 00:00:00
abstract::Adrenal hemorrhage is a rare yet potentially life-threatening event that occurs both in traumatic conditions and in a variety of nontraumatic conditions. Clinical manifestations of adrenal hemorrhage can vary widely depending on the degree and rate of hemorrhage, as well as the amount of adrenal cortex compromised by ...
journal_title:Current urology reports
pub_type: 杂志文章,评审
doi:10.1007/s11934-009-0014-y
更新日期:2009-01-01 00:00:00
abstract:PURPOSE OF REVIEW:While recurrence after primary treatment of prostate cancer (PCa) is not uncommon, there is currently no consensus on the most appropriate management after radiation treatment failure. This article seeks to explore the currently utilized modalities for salvage treatment for radiorecurrent PCa. We focu...
journal_title:Current urology reports
pub_type: 杂志文章,评审
doi:10.1007/s11934-017-0709-4
更新日期:2017-08-01 00:00:00
abstract::Erectile dysfunction (ED) often is caused by endothelial dysfunction and may be a sign that a patient has vascular disease elsewhere in the body. Risk factors for coronary artery disease such as lipid abnormalities, smoking, diabetes, and hypertension also are risk factors for ED. Oral therapy for ED, such as sildenaf...
journal_title:Current urology reports
pub_type: 杂志文章,评审
doi:10.1007/s11934-003-0028-9
更新日期:2003-12-01 00:00:00
abstract::The development of a lymphocele after pelvic surgery is a well-documented complication, especially where pelvic lymph node dissection (PLND) is part of the operation. However, not all lymphoceles are symptomatic and require treatment. Most lymphoceles spontaneously resolve, and even lymphoceles that become symptomatic...
journal_title:Current urology reports
pub_type: 杂志文章,评审
doi:10.1007/s11934-014-0445-y
更新日期:2014-10-01 00:00:00