Laparoscopic radical retropubic prostatectomy combined with approaches through a small open incision.

Abstract:

PURPOSE:The laparoscopic technique is now applied to radical prostatectomy. However, even in laparoscopic prostatectomy, we need a small open wound to remove the prostate from the abdomen. We have developed a modified technique of extraperitoneal laparoscopic radical prostatectomy, exploiting this small open wound as a route for surgical manipulations as well. Here, we described our technique and its initial outcomes. PATIENTS AND METHODS:An extraperitoneal retropubic space was developed with finger manipulations through a 3- to 5-cm long suprapubic incision. Three or four trocar ports were set up. A specially designed abdominal wall-lifter was applied to create an endoscopic working space. The surgeons worked using open or endoscopic manipulations through the suprapubic incision or the trocar ports. From October 2000 to August 2001, 11 patients with prostate cancer underwent this surgery. RESULTS:We completed surgery endoscopically without major complications except in one case in which we could not identify a bleeding source. Surgical time ranged from 229 to 469 min. Blood loss ranged from 550 to 3797 ml including urine spilled in the surgical field. Urinary continence returned in 10 cases at 1 to 8 months after surgery. One patient still needed pads at 3 months after surgery. CONCLUSION:Our technique allowed us to avoid insufflation of the abdomen with gas and intraperitoneal surgical intervention that are disadvantages of conventional laparoscopic prostatectomy, offering the same advantages as conventional laparoscopic prostatectomy.

journal_name

Aktuelle Urol

journal_title

Aktuelle Urologie

authors

Ishida H,Yoshida T,Okada K,Takimoto Y

doi

10.1055/s-2003-41602

subject

Has Abstract

pub_date

2003-07-01 00:00:00

pages

231-3

issue

4

eissn

0001-7868

issn

1438-8820

journal_volume

34

pub_type

杂志文章
  • [Papillary cystadenoma: a rare differential diagnosis of a paratesticular tumour].

    abstract::Testicular and paratesticular cystadenomas arise from an oviduct-like structure, which, morphologically, is almost identical with the ovarian surface epithelium. These are very rare benign tumours of adults. They present as asymptomatic cystic lesions. Bilateral paratesticular cystadenomas are associated with the Von-...

    journal_title:Aktuelle Urologie

    pub_type: 杂志文章

    doi:10.1055/s-0043-101214

    authors: Dräger DL,Zonnur S,Erbersdobler A,Protzel C,Hakenberg OW

    更新日期:2018-06-01 00:00:00

  • [Primary Tumour Treatment in Patients with Metastatic Prostate Cancer].

    abstract::Prostate cancer (PCa) with distant metastasis at diagnosis (M1) is associated with an unfavourable prognosis. Therefore, according to current treatment guidelines, local treatment (radical prostatectomy or irradiation of the prostate gland) is not recommended in men with M1 disease. However, M1 patients inevitably dev...

    journal_title:Aktuelle Urologie

    pub_type: 杂志文章,评审

    doi:10.1055/s-0042-113547

    authors: Steuber T,Beyer B

    更新日期:2016-09-01 00:00:00

  • [The German HTA report: orchiectomy versus LH-RH analogues in the treatment of advanced prostate carcinoma: are there any consequences for the daily health service?].

    abstract:PURPOSE:This systematic review evaluates international data on the medical effectiveness of orchiectomy and medical therapy with LH-RH analogues in patients with advanced prostate cancer. These results are discussed in the context of primary, neoadjuvant, adjuvant and intermittent hormone deprivation. MATERIALS AND ME...

    journal_title:Aktuelle Urologie

    pub_type: 杂志文章,评审

    doi:10.1055/s-2008-1038282

    authors: Rohde V,Grabein K,Weidner W,Wasem J,Hessel F

    更新日期:2008-11-01 00:00:00

  • [Validation of a pelvic floor questionnaire with improvement and satisfaction scales to assess symptom severity, bothersomeness and quality of life before and after pelvic floor therapy].

    abstract:BACKGROUND:The aim of this study was to integrate and validate an additional post-treatment module including improvement and satisfaction scales to the validated German pelvic floor questionnaire. METHODS:The questionnaire contained the domains bladder, bowel prolapse, and sexual symptoms. It was completed by 55 patie...

    journal_title:Aktuelle Urologie

    pub_type: 杂志文章

    doi:10.1055/s-0031-1271544

    authors: Baessler K,Junginger B

    更新日期:2011-09-01 00:00:00

  • [Current Aspects of Epididymo-Orchitis].

    abstract:BACKGROUND:Acute epididymitis is an inflammation of the epididymis. It mostly occurs unilaterally and may spread to the testis ('epididymo-orchitis') if untreated. Increasing technological advances allow for an even more detailed examination of concurrent symptoms such as ejaculate changes and the whole spectrum of pat...

    journal_title:Aktuelle Urologie

    pub_type: 杂志文章,评审

    doi:10.1055/s-0042-104803

    authors: Pilatz A,Boecker M,Schuppe HC,Wagenlehner F

    更新日期:2016-05-01 00:00:00

  • [Leiomyoma of the urethra - cause of an obstruction misdiagnosed as hereditary urethral stricture in a young man].

    abstract::Leiomyomas are benign neoplasms arising from smooth muscle cells. We describe the case of a 17-year-old boy admitted with progressive severe obstructive voiding symptoms. Retrograde urethrography showed a bulbous urethral stricture which was resected with primary urethral anastomosis. Histopathological examination con...

    journal_title:Aktuelle Urologie

    pub_type: 杂志文章

    doi:10.1055/s-2007-993038

    authors: Seseke S,Schweyer S,Reissig K,Seseke F

    更新日期:2008-03-01 00:00:00

  • [Geriatric urology -- incontinence in the elderly].

    abstract::Urinary incontinence is a major problem in elderly patients. Severe underreporting of symptoms in combination with a reluctance of health professionals to ask about continence problems lead to a relevant illness burden. Individual psychological distress and reduction in self-perceived quality of life ending in social ...

    journal_title:Aktuelle Urologie

    pub_type: 杂志文章,评审

    doi:10.1055/s-2005-915613

    authors: Friedrich C,Pientka L,Pannek J

    更新日期:2005-11-01 00:00:00

  • [Sequential therapy for asymptomatic or mildly symptomatic metastatic castration-resistant prostate cancer].

    abstract::Abiraterone acetate (in combination with prednisone/prednisolone (abiraterone/P)), enzalutamide or docetaxel may all be used for the first-line treatment of asymptomatic or mildly symptomatic mCRPC. As treatment with docetaxel can result in the emergence of considerable adverse events, the less toxic substances abirat...

    journal_title:Aktuelle Urologie

    pub_type: 杂志文章

    doi:10.1055/a-1036-1568

    authors: Miller K

    更新日期:2020-12-01 00:00:00

  • [Potential for improvement by new resection and imaging techniques in TUR-B].

    abstract::Transurethral resection of bladder tumors (TURB) is the cornerstone in urological care of bladder cancer patients. Since the introduction of resectoscopes almost 100 years ago, little has changed in the basic resection technique. The further dissemination of the en-bloc resection (ERBT), which in contrast to fragmente...

    journal_title:Aktuelle Urologie

    pub_type: 杂志文章

    doi:10.1055/a-1171-1137

    authors: Hennig MJP,Kramer MW

    更新日期:2020-08-01 00:00:00

  • [The assessment of pathological PSA values by the general practitioner--observation or intervention?].

    abstract:AIM:The aim of the present study was to evaluate the initiated consecutive diagnostic course after measurement of an elevated PSA value by the general practitioner. PATIENTS AND METHODS:406 patients who underwent ultrasound-guided transrectal biopsy of the prostate were assessed retrospectively. Using a standardised q...

    journal_title:Aktuelle Urologie

    pub_type: 杂志文章

    doi:10.1055/s-0028-1098883

    authors: Braun KP,Brookman-Amissah S,May M,Grassmel Y,Hoschke B,Braun V

    更新日期:2009-05-01 00:00:00

  • [Ureteroarterial fistula - pathogenesis, diagnostics, and therapeutic outcome].

    abstract::Although ureteroarterial fistulas are rare, they result in a high mortality because of the massive urogenital haemorrhage. The diagnosis is often difficult even when invasive measures are applied. Including the ureteroarterial fistula in the diagnostic process in cases of macrohaematuria with a positive medical histor...

    journal_title:Aktuelle Urologie

    pub_type: 杂志文章

    doi:10.1055/s-0034-1376953

    authors: Luther B,von Lilien-Waldau V,Mamopoulos A,Katoh M,Friedrich M,Weinknecht S,Lent V

    更新日期:2014-05-01 00:00:00

  • [Legal limits of (online) marketing for doctors].

    abstract::The online marketing of physicians must be measured against the same advertising regulations as conventional marketing. In this context, the Medical Professional Code of Conduct, the Medical Products Advertising Act ("Heilmittelwerbegesetz") and the Law against Unfair Competition are particularly relevant. In addition...

    journal_title:Aktuelle Urologie

    pub_type: 杂志文章

    doi:10.1055/a-0893-6315

    authors: Petersilie F

    更新日期:2019-08-01 00:00:00

  • [Percutaneous Stone Treatment Today: Standard-, Mini-, Micro-, Ultramini-PCNL].

    abstract:BACKGROUND:Percutaneous nephrolithotripsy (PCNL) is one of the main interventional treatment modalities for large kidney stones (> 2 cm diameter). With the implementation of miniaturised techniques the indications for PCNL have been broadened to smaller stones. Especially for urologists without emphasis on endourology ...

    journal_title:Aktuelle Urologie

    pub_type: 杂志文章,评审

    doi:10.1055/s-0035-1555863

    authors: Wilhelm K,Fritsche HM,Netsch C,AG „Endourologie und Urolithiasis“ der GeSRU Academics.

    更新日期:2015-07-01 00:00:00

  • [Bladder hernia: report of a case series and review of the literature].

    abstract::Inguinal bladder hernia accounts for only 1 - 4 % of all inguinal hernias. It may be difficult to diagnose due to the atypical symptoms. In most cases, the diagnosis is only made intraoperatively. However, a preoperative diagnosis is important to avoid possible iatrogenic complications. We report a case series of five...

    journal_title:Aktuelle Urologie

    pub_type: 杂志文章

    doi:10.1055/a-1190-3186

    authors: Trenti E,Palermo S,Huqi D,Ladurner C,Krause P,Pycha A,Comploj E

    更新日期:2020-06-18 00:00:00

  • [Gap junctions in the human urinary bladder].

    abstract:PURPOSE:Gap junctions are intercellular contacts important for the synchronization of muscle cell activity through electrical coupling. Since the role of gap junctions for the function of smooth bladder muscle is still a matter of debate, we investigated the occurrence of gap junctions and the gap junctional protein co...

    journal_title:Aktuelle Urologie

    pub_type: 杂志文章

    doi:10.1055/s-2003-42001

    authors: John H,Wang X,Hauri D,Maake C

    更新日期:2003-09-01 00:00:00

  • [Significance and Value of PSMA Ligands in Prostate Cancer].

    abstract::In recent years, PSMA-targeting PET tracers such as 68Ga-PSMA-11 have shown promising results, thus contributing to a better management of prostate cancer patients. At the present time, 68Ga-PSMA-11 is most frequently used for diagnostic evaluation in the setting of biochemical recurrence of prostate cancer. In this c...

    journal_title:Aktuelle Urologie

    pub_type: 杂志文章,评审

    doi:10.1055/s-0043-100269

    authors: Gasch C,Körber S,Kremer C,Eiber M,Kratochwil C,Haberkorn U,Hohenfellner M,Hadaschik B,Giesel FL

    更新日期:2017-04-01 00:00:00

  • [Enhanced endoscopic imaging for urothelial cancer].

    abstract::The precise identification and detection of bladder tumours is a prerequisite for complete transurethral resection and, thus, the reduction of recurrence. White-light cystoscopy remains the gold standard and has been further improved by the introduction of digital HD techniques. New digital techniques such as narrow-b...

    journal_title:Aktuelle Urologie

    pub_type: 杂志文章,评审

    doi:10.1055/a-0731-0008

    authors: Knoll T,Bach T

    更新日期:2019-02-01 00:00:00

  • Quantitative analysis of testicular interstitial fibrosis after vasectomy in humans.

    abstract:PURPOSE:Germ cell differentiation, DNA synthesis, and apoptosis can be evaluated quantitatively. On the other hand, an interstitial lesion is difficult to examine. We have focused on the quantitative analysis of testicular interstitial fibrosis after vasectomy. MATERIALS AND METHODS:Forty testicular biopsy specimens f...

    journal_title:Aktuelle Urologie

    pub_type: 杂志文章

    doi:10.1055/s-2003-41612

    authors: Shiraishi K,Takihara H,Naito K

    更新日期:2003-07-01 00:00:00

  • [Intravesical salpingiosis: case report and review of the literature].

    abstract::Endosalpingiosis of the urinary bladder is a rare benign condition characterised by the presence of ectopic endosalpingeal tissue in the bladder. If histology shows two or more Müllerian-derived components, this condition is referred to as Müllerianosis.To our knowledge less than 20 cases of Müllerianosis and 5 cases ...

    journal_title:Aktuelle Urologie

    pub_type: 杂志文章,评审

    doi:10.1055/s-0043-110039

    authors: Gilbert N,Guo X,Bauer J,Hennig M,Kümpers C,Merseburger AS

    更新日期:2018-06-01 00:00:00

  • Final report on low-dose estramustine phosphate (EMP) monotherapy and very low-dose EMP therapy combined with LH-RH agonist for previously untreated advanced prostate cancer.

    abstract:PURPOSE:In order to assess the efficacy and toxicity of oral estramustine phosphate (EMP) administration, low-dose EMP monotherapy (study 1) and very low-dose EMP therapy with luteinizing hormone-releasing hormone (LH-RH) agonist (study 2) were conducted in previously untreated prostate cancer and long-term outcomes we...

    journal_title:Aktuelle Urologie

    pub_type: 杂志文章

    doi:10.1055/s-0029-1224657

    authors: Kitamura T,Suzuki M,Nishimatsu H,Kurosaki T,Enomoto Y,Fukuhara H,Kume H,Takeuchi T,Miao L,Jiangang H,Xiaoqiang L

    更新日期:2010-01-01 00:00:00

  • [Tuberculous orchiepididymitis and CNS complication].

    abstract:INTRODUCTION:Hydrocephalus as a complication of tuberculous orchiepididymitis is extremely rare. In this reported case, hydrocephalus was the consequence of a disseminated tuberculous process. CASE REPORT:A 28-year-old man was treated for a left-sided orchiepididymitis. He developed the signs of increased intracranial...

    journal_title:Aktuelle Urologie

    pub_type: 杂志文章

    doi:10.1055/s-2004-830255

    authors: Miletic B,Morovic M,Tomic Z,Ticac B

    更新日期:2006-01-01 00:00:00

  • [c-MET Oncogene in Renal Cell Carcinomas].

    abstract::c-Met plays a significant role in multiple cellular processes. Being encoded by a proto-oncogene, tyrosine kinase supports aggressive tumour behaviour such as tumour invasiveness and formation of metastases. For some subtypes of renal cell carcinoma studies have shown a association between c-Met expression and clinica...

    journal_title:Aktuelle Urologie

    pub_type: 杂志文章,评审

    doi:10.1055/s-0042-115401

    authors: Erlmeier F,Weichert W,Autenrieth M,Ivanyi P,Hartmann A,Steffens S

    更新日期:2016-12-01 00:00:00

  • [Monstrous scrotal leiomyoma: case report and literature survey].

    abstract::The scrotal leiomyoma is a rare benign tumour, deriving from the smooth muscle. This tumour entity constitutes a differential diagnosis to malignant testicular tumours. Up to now, only 8 cases have been reported in the literature. We report on a 63-year-old European patient, presenting in our clinic for further treatm...

    journal_title:Aktuelle Urologie

    pub_type: 杂志文章,评审

    doi:10.1055/s-0034-1385898

    authors: Winkel A,Schmitz KJ,Kusche D

    更新日期:2014-07-01 00:00:00

  • [Terminology and Pathophysiology of Overactive Bladder (OAB)].

    abstract::In 2002, the International Continence Society defined the term overactive bladder (OAB) as a symptom syndrome that is accompanied by urgency with or without urge incontinence, frequency and nocturia. A proven urinary tract infection or other obvious pathologies must be excluded.The pathophysiology of OAB has not been ...

    journal_title:Aktuelle Urologie

    pub_type: 杂志文章,评审

    doi:10.1055/s-0042-108871

    authors: Höfner K

    更新日期:2016-12-01 00:00:00

  • [Conservative treatment options for female incontinence].

    abstract::In this narrative review, we give an overview of contemporary conservative treatment concepts for urinary incontinence in female patients. Hereby, we focus on pure stress urinary incontinence, urge incontinence and mixed urinary incontinence. We emphasise the value of rationally used diagnostic methods to be able to d...

    journal_title:Aktuelle Urologie

    pub_type: 杂志文章,评审

    doi:10.1055/s-0043-121483

    authors: Kretschmer A,Bauer RM

    更新日期:2018-02-01 00:00:00

  • [Active surveillance for screen-detected prostate cancer - a strategy for the future?].

    abstract::For good reasons, newly detected prostate cancer must not necessarily be treated with curative -intent: Prostate-specific antigen screening leads to overdiagnosis in 54 %. Current international guidelines on the treatment of prostate cancer take this development into account by recommending "active surveillance" (AS) ...

    journal_title:Aktuelle Urologie

    pub_type: 杂志文章,评审

    doi:10.1055/s-0030-1247461

    authors: Weissbach L,Schaefer C

    更新日期:2010-07-01 00:00:00

  • [How accurate is the correlation between clinical and pathological TNM stages in renal tumours?].

    abstract:PURPOSE:In clinical practice the tumour size measured in the histopathological examination of the operative specimen is used both to determine tumour stage. We have investigated the agreement between tumour size determined by preoperative computed tomography (CT) and pathological tumour size. MATERIAL AND METHODS:Betw...

    journal_title:Aktuelle Urologie

    pub_type: 杂志文章

    doi:10.1055/s-0031-1271392

    authors: Frommhold J,Jocham D,Doehn C

    更新日期:2011-07-01 00:00:00

  • [Symptomatic renal tumours in metastatic renal cell carcinoma - surgical options].

    abstract::Between 15 and 20 % of patients diagnosed with renal cell carcinoma suffer from metastatic disease by the time of diagnosis. In addition to systemic therapy, there are various surgical strategies to treat the primary tumour, e. g. cytoreductive nephrectomy (CN) or palliative nephrectomy (PN). In the immunotherapy era,...

    journal_title:Aktuelle Urologie

    pub_type: 杂志文章,评审

    doi:10.1055/a-0658-0832

    authors: Gilbert N,Merseburger AS,Kramer M

    更新日期:2018-09-01 00:00:00

  • [Cancer control in focus insights and future perspectives for the focal treatment of prostate cancer].

    abstract::Faced with the dilemma of choosing between the extremes of standard whole gland therapy and active surveillance, those affected by prostate cancer have recently been on the lookout for less invasive alternatives. Particularly the question of whether it would be possible in low risk cancer to treat only the tumour itse...

    journal_title:Aktuelle Urologie

    pub_type: 杂志文章,评审

    doi:10.1055/s-0034-1396803

    authors: Schostak M,Köllermann J,Hadaschik B,Blana A,Ganzer R,Henkel T,Köhrmann KU,Liehr UB,Machtens S,Roosen A,Salomon G,Sentker L,Witzsch U,Schlemmer HP,Baumunk D

    更新日期:2015-01-01 00:00:00

  • [Low capacity bladder: dugs and/or toilet training].

    abstract:BACKGROUND:Behavioral interventions are part of the standard therapy for the overactive bladder syndrome although its impact still is unclear. METHODS:A systematic review according to the key words "overactive bladder" and "behavioral therapy" was undertaken. Original studies dealing with adults and with an English ab...

    journal_title:Aktuelle Urologie

    pub_type: 杂志文章,评审

    doi:10.1055/s-0035-1550037

    authors: Wiedemann A,Heppner HJ

    更新日期:2015-09-01 00:00:00