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 systematic review to investigate and evaluate the evidence for these procedures. RECENT FINDINGS:A systematic review was conducted according to Cochrane and PRISMA checklist for all English-language articles from January 1996 to January 2018 using Medline, CINAHL, Scopus, EMBASE, Cochrane library, Clinicaltrials.gov and Google Scholar. All studies (a minimum of 10 patients) with bilateral simultaneous percutaneous nephrolithotomy (BS-PCNL) or bilateral simultaneous ureteroscopy (BS-URS) and ipsilateral URS with contralateral simultaneous PCNL were included. Data was extracted for patient and stone demographics, outcomes and stone-free rate (SFR) and the level of evidence (using the GRADE assessment tool). Overall, 32 studies (1966 patients) were included in the review after the identification of 302 articles in the search. This included 16 studies (1073 patients) with BS-URS, 13 studies (750 patients) with BS-PCNL and 3 studies (143 patients) with URS and simultaneous contralateral PCNL. Of these, 8 were comparative studies and compared bilateral simultaneous procedure to either a unilateral or staged comparator. The mean operating time, SFR, the Clavien I-II and the Clavien ≥ III were 75 min, 91%, 22% and 1.4% for BS-URS; 157 min, 92%, 27% and 6.4% for BS-PCNL; 151 min, 76% and 5.6% for URS with contralateral PCNL. In comparison to staged procedures, although the SFR and complication rates were similar, there was a significantly reduced operative time and hospital stay with simultaneous procedures (p < 0.001). Although evidence for bilateral simultaneous endourological procedures is limited, results from available studies show that outcomes are at least equivalent to staged procedures. Key advantages seem to be reduced operative times, cost and hospital stay which will lead to an increased uptake of these procedures in the future.
journal_name
Curr Urol Repjournal_title
Current urology reportsauthors
Geraghty RM,Jones P,Somani BKdoi
10.1007/s11934-019-0877-5subject
Has Abstractpub_date
2019-02-21 00:00:00pages
15issue
3eissn
1527-2737issn
1534-6285pii
10.1007/s11934-019-0877-5journal_volume
20pub_type
杂志文章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::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 oncolo...
journal_title:Current urology reports
pub_type: 杂志文章,评审
doi:10.1007/s11934-012-0288-3
更新日期:2013-02-01 00:00:00
abstract::Surgical techniques to repair hypospadias have undergone remarkable advances in recent years with the development and widespread use of dorsal urethral plate incision to facilitate urethroplasty. Clinical studies of the technique have shown excellent cosmesis and low complication rates for dorsal plate incision (DPI) ...
journal_title:Current urology reports
pub_type: 杂志文章,评审
doi:10.1007/s11934-001-0008-x
更新日期:2001-04-01 00:00:00
abstract:PURPOSE OF REVIEW:Therapeutic options for the management of lower urinary tract symptoms (LUTS) secondary to benign prostatic enlargement (BPE) have considerably increased in recent years. However, the ideal timing to initiate medical treatment of LUTS/BPE has not been fully established. The aim of this review was to s...
journal_title:Current urology reports
pub_type: 杂志文章,评审
doi:10.1007/s11934-018-0823-y
更新日期:2018-07-09 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:PURPOSE OF REVIEW:From health systems to individuals, nephrolithiasis is economically burdensome. The aim of the current paper is to characterize the financial burden of disease associated with nephrolithiasis with an emphasis on investigating treatment modality economic efficiency. RECENT FINDINGS:For small volume pr...
journal_title:Current urology reports
pub_type: 杂志文章,评审
doi:10.1007/s11934-020-00971-6
更新日期:2020-03-31 00:00:00
abstract::Vaginal vault prolapse is a challenging form of pelvic organ prolapse that occurs in combination with cystocele, rectocele, or enterocele in nearly 75% of affected patients. Clinical presentation will vary depending on the associated defects. Any successful therapy for vaginal vault prolapse will depend on a thorough ...
journal_title:Current urology reports
pub_type: 杂志文章,评审
doi:10.1007/s11934-007-0038-0
更新日期:2007-09-01 00:00:00
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, se...
journal_title:Current urology reports
pub_type: 杂志文章
doi:10.1007/s11934-014-0457-7
更新日期:2014-11-01 00:00:00
abstract::At present, it is reasonable to counsel all patients, as well as family members of patients, who have a palpable varicocele about the long-term risks for impaired fertility. Currently, no one can predict with absolute certainty if any adolescent with a varicocele will be at risk for future infertility. Based on existi...
journal_title:Current urology reports
pub_type: 杂志文章,评审
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更新日期:2002-04-01 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::Laparoscopic surgery was originally developed by gynecologists and general surgeons. Based on their experience, the first successful laparoscopic procedures in urology were performed transperitoneally. However, this novel technique transformed traditionally retroperitoneal procedures into transperitoneal procedures, g...
journal_title:Current urology reports
pub_type: 杂志文章,评审
doi:10.1007/s11934-004-0020-z
更新日期:2004-04-01 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:PURPOSE OF REVIEW:The clinical role of fluorine-18 fluoro-2-deoxyglucose (FDG)-positron emission tomography (PET) in renal cell carcinoma (RCC) is still evolving. Use of FDG PET in RCC is currently not a standard investigation in the diagnosis and staging of RCC due to its renal excretion. This review focuses on the cl...
journal_title:Current urology reports
pub_type: 杂志文章,评审
doi:10.1007/s11934-019-0932-2
更新日期:2019-08-29 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::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::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
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journal_title:Current urology reports
pub_type: 杂志文章,评审
doi:10.1007/s11934-001-0072-2
更新日期:2001-08-01 00:00:00
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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
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journal_title:Current urology reports
pub_type: 杂志文章,评审
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journal_title:Current urology reports
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doi:10.1007/s11934-020-00993-0
更新日期:2020-08-17 00:00:00
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journal_title:Current urology reports
pub_type: 杂志文章
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更新日期:2012-10-01 00:00:00
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doi:10.1007/s11934-019-0872-x
更新日期:2019-01-30 00:00:00
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journal_title:Current urology reports
pub_type: 杂志文章,评审
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更新日期:2009-03-01 00:00:00
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journal_title:Current urology reports
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doi:10.1007/s11934-015-0481-2
更新日期:2015-03-01 00:00:00
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journal_title:Current urology reports
pub_type: 杂志文章,评审
doi:10.1007/s11934-005-0070-x
更新日期:2005-02-01 00:00:00
abstract::There is a well-known link between treatment for lower urinary tract symptoms (LUTS) and erectile dysfunction. Surgical and medical management of LUTS all have side effect profiles which may affect erectile dysfunction, ejaculatory dysfunction, or libido. These should be taken into consideration during patient counsel...
journal_title:Current urology reports
pub_type: 杂志文章,评审
doi:10.1007/s11934-015-0549-z
更新日期:2015-11-01 00:00:00
abstract::Benign prostatic hyperplasia (BPH) is a common cause of lower urinary tract symptoms (LUTS) in men. Patients with BPH often present with a combination of obstructive and overactive bladder (OAB) symptoms. It is postulated that bladder outlet obstruction (BOO) from BPH results in concomitant OAB symptoms through ischem...
journal_title:Current urology reports
pub_type: 杂志文章
doi:10.1007/s11934-013-0363-4
更新日期:2013-12-01 00:00:00
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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
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journal_title:Current urology reports
pub_type: 杂志文章,评审
doi:10.1007/s11934-001-0030-z
更新日期:2001-02-01 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