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 multiple vessels, renal artery aneurysms, kidney anatomical anomalies, or major injuries do not contraindicate the transplant, but require an exhaustive graft viability assessment and several bench surgery techniques. Graft vessel conditioning in the back-table might include simple anastomosis between them, enlarging with venous patch or reconstruction with donor or synthetic grafts. Compared with conventional transplant, literature reports longer warm ischemia time (40 vs 32 min) and slightly increased rates of delayed graft function (10.3% vs 8.2%) and vascular complications (10.8% vs 8.1%), but similar graft and patient survival. Kidney graft vascular complex cases require exhaustive assessment, meticulous harvesting, good surgical technique in the bench table, and proper surgery in the recipient. Despite its complexity, vascular complex kidney transplant offers comparable outcomes in the long term to conventional population when technically well performed, with slightly increased rates of vascular complications and delayed graft function.
journal_name
Curr Urol Repjournal_title
Current urology reportsauthors
Hevia V,Gómez V,Hevia M,Lorca J,Santiago M,López-Plaza J,Álvarez S,Díez V,Gordaliza C,Burgos FJdoi
10.1007/s11934-020-0955-8subject
Has Abstractpub_date
2020-01-31 00:00:00pages
5issue
1eissn
1527-2737issn
1534-6285pii
10.1007/s11934-020-0955-8journal_volume
21pub_type
杂志文章,评审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：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：:Significant clinical and basic science advances in the field of sexual medicine have facilitated investigation of the link between endothelial dysfunction and erectile dysfunction. Most sexual medicine practitioners accept the premise that in aging men with risk factors such as increased waist circumference, diabetes,...
journal_title：Current urology reports
pub_type： 杂志文章,评审
doi：10.1007/s11934-007-0054-0
更新日期：2007-11-01 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：:Impotence is often accompanied by loss of phallic length. To enhance penile prosthesis surgery, it is possible to perform simple adjuvant procedures that will increase perceived or true length. This article presents an overview of these techniques, which may be categorized as involving removal or fixation of tissue ab...
journal_title：Current urology reports
pub_type： 杂志文章
doi：10.1007/s11934-009-0075-y
更新日期：2009-11-01 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：: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：:Author Siamak Daneshmand would like to note that this article published in Current Urology Reports inadvertently did not disclose financial information that could possibly be a conflict of interest. ...
journal_title：Current urology reports
pub_type： 杂志文章,已发布勘误
doi：10.1007/s11934-019-0890-8
更新日期：2019-04-05 00:00:00
abstract：:The management of clinical benign prostatic hyperplasia (BPH) remains a common problem in daily urologic practice. Recently, a new minimally invasive procedure for BPH, the Urolift System, has been introduced. This article reviews the current literature discussing the technique, efficacy, adverse events, limitations, ...
journal_title：Current urology reports
pub_type： 杂志文章,评审
doi：10.1007/s11934-016-0619-x
更新日期：2016-09-01 00:00:00
abstract：:The Infectious Diseases Society of America has published guidelines for the treatment of uncomplicated cystitis. Recommendations are that for healthy, adult, nonpregnant women with bacterial cystitis, 3 days of trimethoprim/ sulfamethoxazole (TMP/SMZ) or trimethoprim alone is standard therapy in those regions where le...
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
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：:Preservation of postoperative urinary continence remains the primary concern of all men and their surgeons following robot-assisted radical prostatectomy (RARP). Without doubt, continence is the most important quality of life issue following radical prostatectomy. Identification of difficulties and lessons learned ove...
journal_title：Current urology reports
pub_type： 杂志文章,评审
doi：10.1007/s11934-012-0295-4
更新日期：2013-02-01 00:00:00
abstract：PURPOSE OF REVIEW:To discuss considerations and current evidence for the diagnosis and management of vaginal mesh exposures following female mesh-augmented anti-incontinence and pelvic organ prolapse surgery. RECENT FINDINGS:Since the introduction of mesh into female pelvic surgery, various applications have been repo...
journal_title：Current urology reports
pub_type： 杂志文章,评审
doi：10.1007/s11934-020-01002-0
更新日期：2020-10-30 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：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：: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：PURPOSE OF REVIEW:Amid the opioid crisis, postoperative pain management is a major challenge for practitioners. Recent pain management guidelines emphasize the importance of using regional anesthesia as part of opioid-sparing multimodal analgesia. This report aims to review recent evidence regarding the utilization of ...
journal_title：Current urology reports
pub_type： 杂志文章,评审
doi：10.1007/s11934-019-0883-7
更新日期：2019-03-23 00:00:00
abstract：:The lack of reliable imaging tools in detecting prostate cancer makes a random biopsy still the standard of care to detect prostate cancer. To reduce the number of cores during a biopsy and therefore the risk of biopsy-related complications, an imaging tool which provides reliable guided biopsies is required. Transrec...
journal_title：Current urology reports
pub_type： 杂志文章,评审
doi：10.1007/s11934-013-0392-z
更新日期：2014-03-01 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：:Increasing evidence recently has pointed toward a relationship between lower urinary tract symptoms (LUTS) and the presence of metabolic syndrome. This relationship has been supported by recent epidemiologic findings. Possible pathophysiologic links also have been proposed to explain the relationship between these two...
journal_title：Current urology reports
pub_type： 杂志文章,评审
doi：10.1007/s11934-996-0008-y
更新日期：2006-07-01 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：: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：: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：: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 is an acquired condition that presents clinically with a palpable induration, a distinct plaque, or a curvature of the erect penis. At times, the erections are painful. Erectile dysfunction (ED) often is associated with Peyronie's disease. The current era of phosphodiesterase therapy for the treatme...
journal_title：Current urology reports
pub_type： 杂志文章,评审
doi：10.1007/s11934-005-0041-2
更新日期：2005-11-01 00:00:00
abstract：:Each of the three most common contemporary treatments for localized prostate cancer, radical prostatectomy, external beam radiotherapy, and brachytherapy, can have adverse effects on sexual health. Sexual health outcome can be improved by treatment-specific factors, such as the use of nerve-sparing technique during ra...
journal_title：Current urology reports
pub_type： 杂志文章,评审
doi：10.1007/s11934-004-0039-1
更新日期：2004-06-01 00:00:00
abstract：:Health information technology (HIT) is expected to transform the delivery of health care in the United States, but implementation and adoption vary widely across settings, specialties, and geographies. Significant barriers to high-level adoption persist despite federal incentives to hospitals and health-care providers...
journal_title：Current urology reports
pub_type： 杂志文章,评审
doi：10.1007/s11934-013-0356-3
更新日期：2013-12-01 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：: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：: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
