Abstract:
:Since 2003, Karolinska University Hospitals have performed totally intracorporeal robotic-assisted radical cystectomy (RARC) in carefully selected patients. As our technique has evolved, the proportion of patients undergoing RARC has progressively increased. Whilst open radical cystectomy remains the gold standard, several high-volume centres have now demonstrated that RARC is both feasible and safe. RARC comprises three stages: radical cystectomy, extended lymph node dissection and urinary diversion. The majority of centres in the United States currently perform RARC utilizing an extracorporeal approach for the urinary diversion stage, perceiving this to be a more accessible option with a reduced risk of complications. We assess the evidence for this perception, reviewing the literature and reporting the functional outcomes and complication rates for a totally intracorporeal RARC approach. We also describe our technique for both intracorporeal orthotopic neobladder and intracorporeal ileal conduit, identifying the potential hazard steps and the 'tips and tricks' to optimize outcomes.
journal_name
Curr Urol Repjournal_title
Current urology reportsauthors
Collins JW,Hosseini A,Sooriakumaran P,Nyberg T,Sanchez-Salas R,Adding C,Schumacher MC,Wiklund NPdoi
10.1007/s11934-014-0457-7subject
Has Abstractpub_date
2014-11-01 00:00:00pages
457issue
11eissn
1527-2737issn
1534-6285journal_volume
15pub_type
杂志文章abstract::Partial nephrectomy has become an accepted treatment of cT1 renal masses as it provides improved long-term renal function compared to radical nephrectomy (Campbell et al. J Urol. 182:1271-9, 2009). Hilar clamping is utilized to help reduce bleeding and improve visibility during tumor resection. However, concern over r...
journal_title:Current urology reports
pub_type: 杂志文章,评审
doi:10.1007/s11934-016-0596-0
更新日期:2016-05-01 00:00:00
abstract:PURPOSE OF REVIEW:We sought to determine whether infertile men can accurately be identified within a large insurance claims database to validate its use for reproductive health research. RECENT FINDINGS:Prior literature suggests that men coded for infertility are at higher risk for chronic disease though it was previo...
journal_title:Current urology reports
pub_type: 杂志文章,评审
doi:10.1007/s11934-017-0714-7
更新日期:2017-09-01 00:00:00
abstract::Aging can be associated with an abnormal decline in testosterone production, mainly due to pituitary failure, and is reflected by low serum testosterone concentrations. Manifestations of testosterone deficiency can be subtle, can be misinterpreted as consequences of normal aging, and include lack of libido and energy,...
journal_title:Current urology reports
pub_type: 杂志文章,评审
doi:10.1007/s11934-000-0013-5
更新日期:2000-12-01 00:00:00
abstract:PURPOSE OF REVIEW:Male urethral stricture disease is characterized by the formation of scar tissue within the urethra resulting in lower urinary tract symptoms, infection, and potentially kidney dysfunction. There is significant variability in clinical practice for the treatment of urethral stricture. We sought to summ...
journal_title:Current urology reports
pub_type: 杂志文章,评审
doi:10.1007/s11934-018-0771-6
更新日期:2018-02-26 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::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 importan...
journal_title:Current urology reports
pub_type: 杂志文章
doi:10.1007/s11934-003-0040-0
更新日期:2003-04-01 00:00:00
abstract:PURPOSE OF REVIEW:Molecular characterization of cancer allows us to understand oncogenesis and clinical prognosis as well as facilitates development of biomarkers and treatment. Our aim was to review the current literature on genomic characterization of bladder cancer, and how far we are in implementing genomics into c...
journal_title:Current urology reports
pub_type: 杂志文章,评审
doi:10.1007/s11934-020-0960-y
更新日期:2020-03-13 00:00:00
abstract::Chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) is a prevalent disease for which there is no standardized therapy. Traditional treatments have included antibiotics, α-blockers, and anti-inflammatories, but those have not proven to be efficacious therapies through many clinical trials. Alternative therapies,...
journal_title:Current urology reports
pub_type: 杂志文章,评审
doi:10.1007/s11934-011-0188-y
更新日期:2011-08-01 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::Bladder outlet obstruction (BOO) in women can be either anatomic or functional. Anatomic causes for BOO are often readily apparent by history and physical exam. On the other hand, causes for functional obstruction, including dysfunctional voiding, primary bladder neck obstruction, and detrusor-external sphincter dyssy...
journal_title:Current urology reports
pub_type: 杂志文章,评审
doi:10.1007/s11934-012-0267-8
更新日期:2012-10-01 00:00:00
abstract:PURPOSE OF REVIEW:Spina bifida is caused by incomplete neural tube closure during the first trimester. This condition may lead to bowel and bladder dysfunction as well as truncal weakness and motor anomalies. Presentations vary between myelomeningoceles and lipomeningoceles and may result in different outcomes. This re...
journal_title:Current urology reports
pub_type: 杂志文章,评审
doi:10.1007/s11934-017-0684-9
更新日期:2017-05-01 00:00:00
abstract:PURPOSE OF REVIEW:Urolithiasis is a disease of prevalence across the world and up to a quarter of patients present with multiple stones. Most procedures carried out in this scenario are staged; however, there is a growing body of evidence to suggest bilateral simultaneous (BS) procedures are safe. We performed a system...
journal_title:Current urology reports
pub_type: 杂志文章
doi:10.1007/s11934-019-0877-5
更新日期:2019-02-21 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::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::Urgency and urinary urge incontinence are troublesome and complex symptoms that can complicate the diagnosis and treatment of stress urinary incontinence. Despite this fact, first-line intervention frequently is directed toward the incompetent bladder neck using surgical approaches. Persistent urgency or detrusor inst...
journal_title:Current urology reports
pub_type: 杂志文章,评审
doi:10.1007/s11934-004-0065-z
更新日期:2004-12-01 00:00:00
abstract::This paper is aimed at focusing on the nerve-sparing aspect of the robotic prostatectomy. It reviews the existing principles and presents the arguments based on robotic fresh cadaver dissections and from actual robotic prostatectomy cases. ...
journal_title:Current urology reports
pub_type: 杂志文章,评审
doi:10.1007/s11934-005-0080-8
更新日期:2005-03-01 00:00:00
abstract::Recent studies have cast doubt on the reliability of serum total prostate-specific antigen as a biomarker for the detection and prognosis of prostate cancer. Biomarkers that can identify those men at risk for clinically significant prostate cancer are desperately needed. The search for biomarkers that may improve the ...
journal_title:Current urology reports
pub_type: 杂志文章,评审
doi:10.1007/s11934-005-0004-7
更新日期:2005-05-01 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::Testosterone (T) deficiency syndrome (TDS) is a prevalent condition, commonly managed with exogenous T. Despite an abundance of T formulations, alternative treatments are often sought for various reasons. To evaluate outcomes of alternative therapies, a PubMed search was performed of all publications that included men...
journal_title:Current urology reports
pub_type: 杂志文章,评审
doi:10.1007/s11934-014-0417-2
更新日期:2014-07-01 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::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::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::Complications of locally advanced prostate cancer are often overlooked in the overall treatment of prostate cancer, can have significant morbidity, and can provide a challenge for the treating urologist. Despite advances in early detection and treatment of prostate cancer, as many as 10% of patients present with or de...
journal_title:Current urology reports
pub_type: 杂志文章,评审
doi:10.1007/s11934-007-0008-6
更新日期:2007-05-01 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:PURPOSE OF REVIEW:Urethral reconstruction has evolved in the last several decades with the introduction of various techniques including fasciocutaneous skin flaps and buccal mucosal grafts. However, distal urethral strictures have continued to be a reconstructive challenge due to tendency for adverse cosmetic outcomes,...
journal_title:Current urology reports
pub_type: 杂志文章,评审
doi:10.1007/s11934-018-0792-1
更新日期:2018-04-17 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::The quality of functional outcome has become increasingly important in view of improvement in prognosis with colorectal cancer patients. Sexual dysfunction remains a common problem after colorectal cancer treatment, despite the good oncologic outcomes achieved by expert surgeons. Although radiotherapy and chemotherapy...
journal_title:Current urology reports
pub_type: 杂志文章,评审
doi:10.1007/s11934-013-0341-x
更新日期:2013-08-01 00:00:00
abstract:BACKGROUND:Vesico-vaginal fistulae (VVF) remain the most prevalent genitourinary fistula detrimentally impacting quality of life. PURPOSE OF THE REVIEW:The purpose of this review is to examine relevant literature on management of VVF. RECENT FINDINGS:Obstructed labor is the leading cause of VVF in the developing worl...
journal_title:Current urology reports
pub_type: 杂志文章,评审
doi:10.1007/s11934-017-0708-5
更新日期:2017-08-01 00:00:00
abstract::Androgen deprivation therapy (ADT) is a well-established treatment for locally advanced, biochemically recurrent and metastatic prostate cancer. However, it is associated with significant side effects including hot flashes, loss of libido and erectile function, muscular atrophy, metabolic abnormalities, and osteoporos...
journal_title:Current urology reports
pub_type: 杂志文章,评审
doi:10.1007/s11934-015-0481-2
更新日期:2015-03-01 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