Abstract:
BACKGROUND AND PURPOSE:Laparoscopic urologic surgery is not widely practiced in South Africa. After presenting a laparoscopic training course, we evaluated how effectively this training translated into clinical practice. SUBJECTS AND METHODS:Invitations to the course were sent to all South African urologists. Ten applicants attended the course, which consisted of dry and in-vivo animal surgery. Two questionnaires were sent out after the course. Questionnaire 1 (at course completion) aimed at identifying the precourse laparoscopic experience and expectations of the trainee. Questionnaire 2 (6 months postcourse) assessed how much laparoscopic surgery the participant had performed since the course. RESULTS:Seventeen percent of all South African urologists responded to the invitation. Prior to the course, 40% of trainees had performed >or=10 laparoscopic cases, 30% had performed <10 cases, and 30% had never performed laparoscopy, whereas 60% expected to be doing one or two cases a month after completing the course. Six months after the course, 60% had performed no laparoscopic cases. Of the three trainees who had never before done laparoscopic procedures, none had started to perform procedures since the course. The commonest procedures performed were varicocelectomy and diagnostic laparoscopy for nonpalpable testis. CONCLUSIONS:A hands-on laparoscopic training course to introduce laparoscopic urology into South African private urology practice has not translated into a satisfactory number of clinical cases being performed. The causes are likely multifactorial but are greatly influenced by social and economic forces. One possible solution may be to offer a mentor-based training program.
journal_name
J Endouroljournal_title
Journal of endourologyauthors
Naude AM,Heyns CF,Matin SFdoi
10.1089/end.2005.19.1180subject
Has Abstractpub_date
2005-12-01 00:00:00pages
1180-4issue
10eissn
0892-7790issn
1557-900Xjournal_volume
19pub_type
杂志文章abstract:PURPOSE:To report our experience with congenital inferior vena cava (IVC) anomalies found during laparoscopic retroperitoneal lymph node dissection (LRPLND). PATIENTS AND METHODS:Two men with a mean age of 31.5 years (range 26-37 years) underwent LRPLND because of nonseminomatous germ-cell tumors (NSGCT) between Decem...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2007.0112
更新日期:2008-02-01 00:00:00
abstract:PURPOSE:Robot-assisted laparoscopic prostatectomy (RALP) is an increasingly popular treatment choice among men with clinically localized prostate cancer and has resulted in the need to adequately train urologists to perform the procedure. We reviewed the City of Hope experience to determine if the extent of fellow invo...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2008.0378
更新日期:2009-02-01 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:: Objective: To evaluate whether reducing the dose of fluoroscopy to ¼ of standard dose during unilateral ureteroscopy for ureteral stone treatment would impact in a reduction of total radiation emitted and whether this strategy would impact operation time, stone-free rate, ...
journal_title:Journal of endourology
pub_type: 杂志文章,随机对照试验
doi:10.1089/end.2018.0722
更新日期:2019-07-01 00:00:00
abstract:BACKGROUND AND PURPOSE:We have previously shown that men tolerate office flexible cystoscopy better when they simultaneously view the monitor during their procedure. We sought to demonstrate similar effects of distraction on women undergoing rigid office cystoscopy. PATIENTS AND METHODS:100 consecutive women underwent...
journal_title:Journal of endourology
pub_type: 杂志文章,随机对照试验
doi:10.1089/end.2008.0076
更新日期:2008-12-01 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:We describe and evaluate a new transperineal laparoscopic approach for male patients, designed to facilitate laparoscopic prostatectomy and cystectomy. PATIENTS AND METHODS:We operated on 12 patients. We did three laparoscopic prostatectomies and nine laparoscopic cystectomies. On five, an ileal conduit was ma...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2010.0247
更新日期:2011-04-01 00:00:00
abstract::We herein present the first case in the literature of enucleation of an aldosterone-producing adenoma by laparoscopy. The indication for adrenal-sparing surgery was bilateral adrenal adenoma. The operation turned out to be easier than laparoscopic adrenalectomy. The postoperative course was uneventful, and the patient...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.1997.11.145
更新日期:1997-04-01 00:00:00
abstract::Liver injury during percutaneous nephrolithotomy (PCNL) is very rare and is usually overlooked. In this report, we present a case of inadvertent liver injury during right supracostal PCNL and describe diagnostic tools, conservative management measures, and outcome. A literature review of potential risk factors and sug...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2008.0147
更新日期:2008-08-01 00:00:00
abstract:: Purpose: To report on the safety, technical results, and oncologic outcomes of computed tomography guided percutaneous microwave ablation of stage cT1b renal cell carcinoma. Materials and Methods: This single-center retrospecti...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2020.0382
更新日期:2020-10-01 00:00:00
abstract::Patients with large median prostate lobes undergoing robot-assisted radical prostatectomy are at potential risk of ureteric orifice injury, during posterior bladder neck transection and vesicourethral anastomosis reconstruction. We describe our technique of in situ robot-assisted ureteral stenting with double-pigtail ...
journal_title:Journal of endourology
pub_type: 临床试验,杂志文章
doi:10.1089/end.2009.0133
更新日期:2009-12-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Performing warm-up exercises before athletic competition or stage performance is very common; however, most surgeons do not "warm up" before performing complex surgery. We analyzed the intraoperative effects of warming up before surgery in an experienced laparoscopic surgeon. METHODS:A retrospec...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2011.0134
更新日期:2012-07-01 00:00:00
abstract::Minimal bleeding during endoscopic surgery of the urinary tract may prevent optimum vision. We used neurosurgical patties for dissection during our laparoscopic procedures in the pediatric population and aimed to describe this technique as an alternative to standard ways of dissection during laparoscopic procedures. W...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2010.0435
更新日期:2011-05-01 00:00:00
abstract:: Introduction: Miniaturization of percutaneous nephrolithotomy (mPCNL) was proposed to decrease postoperative bleeding, as there is decreased parenchymal injury compared with standard percutaneous nephrolithotomy (SPCNL). Published randomized controlled trials (RCTs) evalua...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2020.0533
更新日期:2020-10-12 00:00:00
abstract:PURPOSE:We recently described a novel technique of percutaneous non-dismembered endopyeloplasty (Fenger type). Herein, we extend this transrenal technique further and report percutaneous dismembered endopyeloplasty (Anderson-Hynes type). MATERIALS AND METHODS:In five pigs with unilateral ureteropelvic junction (UPJ) o...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2005.19.210
更新日期:2005-03-01 00:00:00
abstract::Five patients with major (Grade IV) renal trauma required ureteral stent placement to facilitate urinary drainage. Three of these patients had stents placed for recurrent gross hematuria with flank pain. All three had obstructing blood clots present at the time of stent placement. The fourth patient had a stent placed...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.1998.12.545
更新日期:1998-12-01 00:00:00
abstract::Using high-speed photography and acoustic emission measurements, we studied the dynamics of a transient cavitation bubble near a stone surface and the concomitant shockwaves generated during electrohydraulic lithotripsy (EHL). At each spark discharge, a vapor plasma and subsequently a cavitation bubble oscillating aro...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.1997.11.55
更新日期:1997-02-01 00:00:00
abstract:BACKGROUND AND PURPOSE:To evaluate the safety and efficacy of percutaneous nephrolithotomy (PCNL) for the management of complete staghorn calculi in children journal_title:Journal of endourology pub_type: 杂志文章 doi:10.1089/end.2005.19.968 更新日期:2005-10-01 00:00:00
abstract:PURPOSE:Telemedicine has become a common method for the transmission of images and patient data across long distances. Our goal was to assess the efficiency and accuracy of Photomailer MD software, a store-and-forward telemedicine system, in the urologic setting. METHODS:Photomailer MD software was loaded on two compu...
journal_title:Journal of endourology
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1089/end.1999.13.141
更新日期:1999-04-01 00:00:00
abstract:BACKGROUND AND PURPOSE:As life expectancy continues to increase, we will be faced with the need to counsel older patients on the risks and benefits of undergoing surgery. It is clear that laparoscopic renal surgery has significant benefits over open renal surgery. However, contemporary data on whether these benefits ca...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2007.9885
更新日期:2007-11-01 00:00:00
abstract:PURPOSE:We developed a genitourinary skills training (GUST) curriculum for incoming third year medical students (MS3) and performed a follow-up study of comfort with and utilization of these skills. MATERIALS AND METHODS:GUST consisted of a didactic lecture followed by skills sessions including standardized patient te...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2012.0284
更新日期:2012-10-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Extracorporeal shockwave therapy (ESWT) has been reported to improve the symptoms of Peyronie's disease. However, the response rates to this treatment appear to be variable. This study aimed to determine whether any patient or plaque characteristics are associated with a better outcome. PATIENTS...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2006.20.135
更新日期:2006-02-01 00:00:00
abstract::Urologists have witnessed replacement of complex open surgical procedures with minimally invasive therapies over the past quarter century. Nothing personifies this more than an anatrophic nephrolithotomy in the management of kidney stones. The Boyce procedure, once the gold standard for staghorn calculi, is rarely per...
journal_title:Journal of endourology
pub_type: 杂志文章,评审
doi:10.1089/end.2009.1548
更新日期:2009-10-01 00:00:00
abstract::It seems likely, and indeed inevitable, that medical device usage will continue its rapid increase over the next 10 to 20 years and beyond. For surgeons, these new inventions will come in many forms but should take into account biocompatibility and resistance to encrustations and to microorganisms. This review focuses...
journal_title:Journal of endourology
pub_type: 杂志文章,评审
doi:10.1089/end.1999.13.1
更新日期:1999-02-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Whereas ureteroscopic lithotripsy is more efficacious than SWL in treating lower-ureteral stones, the same has not been universally said of its ability to treat proximal ureteral stones. Because failed proximal lithotripsy is often attributable to the complications associated with stone migration...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2004.18.862
更新日期:2004-11-01 00:00:00
abstract::Myelomeningocele (MMC) is characterized by paraplegia and incontinence, often necessitating surgery. Current models of MMC in sheep and primates create a spinal defect long after anomalous neural tube closure ordinarily occurs. An ideal model of MMC would allow creation of the defect at the earliest age in a low-cost ...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.1998.12.199
更新日期:1998-04-01 00:00:00
abstract::Bisphosphonates bind renal calculi and inhibit calcium oxalate crystal growth in vitro. We evaluated their ability to inhibit calcium oxalate urolithiasis in a lithogenic rat model. Male Sprague-Dawley rats (four groups, eight rats each) were fed 1.0% ethylene glycol in their drinking water for 6 weeks. All rats had i...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.1997.11.1
更新日期:1997-02-01 00:00:00
abstract:PURPOSE:To review the success rate and complications of radiologically guided percutaneous nephrostomies (PCNs) performed by urologists and compare the complication rates with the standards recommended by the Society of Interventional Radiology (SIR) and the American College of Radiology (ACR). PATIENTS AND METHODS:Fr...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2006.0281
更新日期:2007-07-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Laparoscopic inguinal hernia repair has become a frequently performed procedure. It is thus inevitable that some candidates for radical prostatectomy for prostatic carcinoma will have undergone such previous intervention. Mesh placement in the space of Retzius as performed in laparoscopic hernia ...
journal_title:Journal of endourology
pub_type: 杂志文章,meta分析,评审
doi:10.1089/end.2012.0285
更新日期:2012-11-01 00:00:00
abstract::One of the most difficult, time-consuming, and at the same time critical steps of laparoscopic pyeloplasty is ureteral spatulation. We describe a reproducible technique that greatly simplifies this surgical step. Using standard laparoscopic scissors, the ureter is partially cut just inferior to the ureteropelvic junct...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2011.0354
更新日期:2012-06-01 00:00:00