Abstract:
PURPOSE:Laparoscopic training has been incorporated into many urology residency programs. Although the impact of laparoscopic training courses has been examined, the impact of residency training in laparoscopy on subsequent urology practice patterns has not been assessed. MATERIALS AND METHODS:Urologists completing their residency from 1977 through 1999 at Tulane University and the University of California-San Diego were sent anonymous questionnaires in September 2000. The questionnaires evaluated practice demographics, operative experience in laparoscopy during residency, and the role of laparoscopy in the urologist's current practice. Factors impacting the decision to perform or not perform laparoscopy were evaluated. RESULTS:Sixty-one former residents (67%) responded to the questionnaire. Urologists were more likely to perform laparoscopic procedures if they had been trained during their residency (69%) than if they had no experience during residency (34%; p < 0.025). Intensity of laparoscopic experience in residency did not appear to correlate with ongoing practice, with 73% of residents having <15 cases during residency training continuing to perform laparoscopy compared with 67% of residents doing 15 to 80 laparoscopic cases. Urologists who had been trained in laparoscopy during residency cited the need for more training (47%) and inadequate case volume (47%) as reasons for not currently performing laparoscopy. Among those who had received residency training, the most common reasons given were inadequate case volume (61%) and increased operative time (57%). CONCLUSIONS:This survey suggests that laparoscopic procedures are more likely to be performed by physicians who have received training during residency. As the number of urologists who have been trained in laparoscopy during residency increases, shifts in practice patterns will continue to evolve, along with advances in urologic laparoscopy.
journal_name
J Endouroljournal_title
Journal of endourologyauthors
Shay BF,Thomas R,Monga Mdoi
10.1089/089277902753752232subject
Has Abstractpub_date
2002-05-01 00:00:00pages
251-6issue
4eissn
0892-7790issn
1557-900Xjournal_volume
16pub_type
杂志文章abstract:PURPOSE:The CyberKnife (CK), a linear accelerator mounted on a robotic device, enables excellent dose conformation to the target and minimizes dose to surrounding normal tissue. It is a very suitable device for performing hypofractionated stereotactic body radiotherapy as monotherapy for low- to intermediate-risk prost...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2009.0438
更新日期:2010-05-01 00:00:00
abstract:INTRODUCTION:Renal papillary pits are commonly encountered during ureteroscopy. The mechanism by which such pits arise is unclear. One hypothesis is that pits represent sites where stones overgrowing Randall's plaque (RP) were dislodged. We sought to examine this theory by using digital ureteroscopy and stone μCT. MAT...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2018.0589
更新日期:2019-04-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Holmium:YAG lithotripsy of uric acid calculi produces cyanide. The laser and stone parameters required to produce cyanide are poorly defined. In this study, we tested the hypotheses that cyanide production: (1) varies with holmium:YAG power settings; (2) varies among holmium:YAG, pulsed-dye, and ...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2000.14.169
更新日期:2000-03-01 00:00:00
abstract:PURPOSE:Recently, laparoscopic nephropexy has been performed using a transperitoneal approach. We evaluated the efficacy of a retroperitoneoscopic technique for symptomatic nephroptosis. PATIENTS AND METHODS:Three men and two women with right nephroptosis underwent retroperitoneal laparoscopic nephropexy. Their sympto...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/089277903770802344
更新日期:2003-11-01 00:00:00
abstract::A patient with a lymphocele after laparoscopic pelvic lymphadenectomy and radical retropubic prostatectomy was treated successfully with a single instillation of diatrizoate meglumine through a Jackson-Pratt drain. The authors review the origin of lymphoceles and various methods for treating them. ...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.1993.7.337
更新日期:1993-08-01 00:00:00
abstract:PURPOSE:To review the outcome of transperitoneal laparoscopic dismembered pyeloplasty (LDP) in our institution. PATIENTS AND METHODS:From April 2001 to April 2005, 36 men and 34 women underwent LDP for symptomatic and radiologically proved ureteropelvic junction (UPJ) obstruction. A successful outcome was defined clin...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2006.20.1050
更新日期:2006-12-01 00:00:00
abstract:INTRODUCTION:Kidney stone disease (KSD) affects millions of people worldwide and has an increasing incidence. Social media (SoMe) and search engines are both gaining in usage, while also being used by patients to research their conditions and aid in managing them. With this in mind, many authors have expressed the beli...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2018.0319
更新日期:2018-08-01 00:00:00
abstract:INTRODUCTION:Laparoscopic partial nephrectomy (LPN) has not received widespread clinical application because of its technical challenge. Bovine serum albumin glutaraldehyde (BSAG) is a hemostatic agent that is independent of the clotting cascade. We evaluated the use of BSAG as the sole agent for parenchymal and collec...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2009.0200
更新日期:2010-03-01 00:00:00
abstract:PURPOSE:This report describes a new animal model for research on the parameters of shockwave delivery and the mechanisms of shockwave action in SWL. MATERIALS AND METHODS:Female pigs (approximately 45 kg) were anesthetized for creation of an upper pole peripheral caliceal access. The tract was dilated with a 30F Nephr...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/089277902320913215
更新日期:2002-10-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Chronic unilateral hematuria is characterized by intermittent or continuous gross hematuria that cannot be diagnosed using standard radiology and hematology methods. In the past, it was managed with partial or total nephrectomy. In the age of minimally invasive procedures, however, endoscopy has ...
journal_title:Journal of endourology
pub_type: 临床试验,杂志文章
doi:10.1089/end.2009.0064
更新日期:2009-08-01 00:00:00
abstract:INTRODUCTION:The gold standard treatment for upper tract urothelial carcinoma (UTUC) is radical nephroureterectomy (RNU). The role of endoscopic resection is limited to low-risk patients. In this study, we present our 30-year experience in the endoscopic management of UTUC. METHODS:In this retrospective study, we iden...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2015.0248
更新日期:2016-03-01 00:00:00
abstract:: Introduction: Elevated intrarenal pressure (IRP) during flexible ureterorenoscopy (FURS) is a predictor of postoperative complications. The aim of this study is to evaluate IRP during FURS in a porcine kidney model to determine the safest combination of irrigation device, ...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2020.0838
更新日期:2020-11-05 00:00:00
abstract:PURPOSE:To report one of the largest series of clinical and renal function outcomes of treated iatrogenic vascular lesions (IVL) after partial nephrectomy (PN). Angioembolization (AE) is the treatment of choice for patients with these lesions, but the additional renal injury conferred by this treatment has not been wel...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2013.0201
更新日期:2013-12-01 00:00:00
abstract:BACKGROUND AND PURPOSE:A unilateral paravertebral (PVB) block with catheter can provide extendable analgesia without physiological changes. The objective of this study was to assess the efficacy of PVB bupivacaine for providing perioperative pain relief in adults undergoing percutaneous nephrolithotomy (PCNL) under gen...
journal_title:Journal of endourology
pub_type: 杂志文章,随机对照试验
doi:10.1089/end.2014.0179
更新日期:2014-09-01 00:00:00
abstract::The results of 10 years' experience of treating pelviureteric junction (PUJ) obstruction by balloon dilatation are reviewed, and recommendations about the suitability of the technique for individual patients are made based on the patient's history and a preoperative DTPA renogram. Of 76 patients, 32 (42%) had no furth...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.1997.11.239
更新日期:1997-08-01 00:00:00
abstract:BACKGROUND AND PURPOSE:The best management of upper ureteral calculi is undefined. We performed a prospective randomized comparison between semirigid ureteroscopy (URS) and shockwave lithotripsy (SWL) for upper ureteral stones <2 cm to evaluate safety and efficacy of both procedures. PATIENTS AND METHODS:Patients with...
journal_title:Journal of endourology
pub_type: 杂志文章,随机对照试验
doi:10.1089/end.2012.0493
更新日期:2015-01-01 00:00:00
abstract::This study aimed to measure acoustic access to the prostate for extracorporeal ultrasound ablation. Both transabdominal and transperineal approaches were considered. The objective was to measure the size and shape of the aperture available for unobstructed targeting of the prostate. CT images of 17 randomly selected m...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2009.0567
更新日期:2010-11-01 00:00:00
abstract:: Purpose: Kidney stone recurrence rates vary between patients. A patient's risk informs the frequency and intensity of preventative interventions. Clinicians routinely use clinical experience to estimate risk. We sought to compare clinician estimated recurrence risk with th...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2020.0978
更新日期:2020-11-16 00:00:00
abstract:: Introduction: To compare short- and midterm outcomes of the first 55 patients undergoing robot-assisted kidney transplant (RAKT) with patients undergoing open kidney transplant (OKT) during the same period in a tertiary care hospital. Materials and...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2020.0213
更新日期:2020-09-01 00:00:00
abstract:: Purpose: To conduct a randomized, controlled, multicenter study that could compare the efficacy and stent-related symptom scores between 5F and 6F ureteral stents after ureteroscopic lithotripsy (URS). Materials and Methods: Fr...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2019.0482
更新日期:2020-03-01 00:00:00
abstract:PURPOSE:To provide clinical outcomes of the Resonance metallic ureteral stent in patients with malignant ureteral obstruction, as well as clinical factors predicting stent failure. METHODS:Cancer patients who have received Resonance stents from July 2009 to March 2012 for ureteral obstruction were included for chart r...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2013.0792
更新日期:2014-06-01 00:00:00
abstract::Laparoscopy has become the essential surgical approach to the adrenal gland at many institutions, including ours. At the Cleveland Clinic, laparoscopic adrenalectomy for benign and malignant adrenal neoplasms can be performed by either the transperitoneal or the retroperitoneal approach. Herein, we present our techniq...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/089277901750299302
更新日期:2001-06-01 00:00:00
abstract:PURPOSE:To determine whether on-clamp partial nephrectomy (ON-PN) has any significant impact on long-term renal function in a two kidney model. PATIENTS AND METHODS:From November 1999 to July 2013, 607 patients underwent PN at our institution. After excluding patients with solitary kidneys, multiple renal masses, and ...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2014.0476
更新日期:2015-04-01 00:00:00
abstract::We evaluated the safety and efficacy of high-intensity focused ultrasound (HIFU) using a modified Sonablate 200 and compared the clinical response with that of the prototype Sonablate at 6 months after treatment. Since 1995, 35 patients ages 66 +/- 7 years underwent HIFU with the Sonablate 200 for symptomatic benign p...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.1997.11.197
更新日期:1997-06-01 00:00:00
abstract:PURPOSE:We aimed to understand the characteristics of patients who are less likely to submit adequate urine collections at metabolic stone evaluation. METHODS:Inadequate urine collection was defined using two definitions: (1) Reference ranges for 24-hour creatinine/kilogram (Cr/24) and (2) discrepancy in total 24-hour...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2014.0544
更新日期:2015-06-01 00:00:00
abstract:: Introduction: A number of clinical and radiological predictors of either stone impaction or ureteral stone passage (SP) have been proposed. We aimed at identifying the key predictors of successful SP by using readily available CT-based tools/measurements. ...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2020.0645
更新日期:2020-10-27 00:00:00
abstract::The lateral repair is an accepted method for the reconstitution of paravaginal defects. Several open or vaginal approaches have been described, but there is still a deficit of reproducible laparoscopic approaches. Thus, only a few clinics perform the laparoscopic approach although it offers several advantages compared...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2010.0096
更新日期:2010-10-01 00:00:00
abstract:PURPOSE:This study aimed to examine the effect of postoperative addition of a local anesthetic agent to irrigation fluid on the alleviation or prevention of pain after transurethral resection of the prostate (TURP). PATIENTS AND METHODS:This prospective, double blind, placebo-controlled study included 50 patients aged...
journal_title:Journal of endourology
pub_type: 杂志文章,随机对照试验
doi:10.1089/end.2013.0001
更新日期:2013-07-01 00:00:00
abstract::Seminal vesicle cysts associated with other genitourologic abnormalities are rare. We describe the first known robot-assisted excision of a cystic seminal vesicle associated with ipsilateral renal agenesis in a symptomatic pediatric patient. The patient was discharged home on postoperative day 1 and remains symptom fr...
journal_title:Journal of endourology
pub_type: 杂志文章,评审
doi:10.1089/end.2006.0279
更新日期:2007-07-01 00:00:00
abstract:INTRODUCTION:Clinical studies have shown beneficial role of oral alpha-blockers for ureteral stent-related morbidity. However, the in vivo effects of oral alpha-blockers on a stented ureter are unclear. We evaluated the effects of alpha-blockade on ureteral dynamics in a stented porcine ureter. METHODS:Twenty-seven fe...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2015.0251
更新日期:2016-04-01 00:00:00