Abstract:
PURPOSE:To update our short-term potency outcomes from a cautery-free (CFT) versus bipolar cautery technique to preserve the neurovascular bundles (NVB) during robotic laparoscopic radical prostatectomy (RLP). PATIENTS AND METHODS:Previously, we reported on 3-month potency outcomes in 23 men, which we now extend to 51 men. All men met three criteria: age <66 years, Sexual Health Inventory in Men (SHIM-5) score of 22 to 25, and either unilateral or bilateral NVB preservation at LRP. Group 1 (N = 51), the study group, had preservation of the NVB with CFT. Group 2 (N = 36) had traditional dissection using bipolar cautery. The average age and preoperative SHIM scores were similar for the two groups. Data were collected prospectively via validated questionnaires. Potency was defined as an erection adequate for vaginal penetration. All men were asked to estimate the fullness of erections compared with baseline (preoperative). RESULTS:The average age and preoperative SHIM scores were similar for both groups. The rate of potency at 3 months was 47% (24/51) in group 1 versus just 8.3% (3/36) in group 2 (P < 0.001). Additionally, only 9 of 25 CFT patients (36%) reported zero fullness compared with 15 of 22 patients (68%) in the bipolar cauterytreated group (P = 0.03). CONCLUSIONS:With expanded experience, there was no change in 3-month return of sexual function (47%) compared with our initial publication. This result further supports the importance of avoiding cautery when controlling the vascular pedicle and dissecting the NVB.
journal_name
J Endouroljournal_title
Journal of endourologyauthors
Ahlering TE,Skarecky D,Borin Jdoi
10.1089/end.2006.20.586subject
Has Abstractpub_date
2006-08-01 00:00:00pages
586-9issue
8eissn
0892-7790issn
1557-900Xjournal_volume
20pub_type
杂志文章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:Our study sought to demonstrate the effects of remote ischemic preconditioning (R-IPC) on renal function in a large animal (porcine) solitary-kidney model. METHODS:Twelve pigs were assigned to two groups: Each underwent a right nephrectomy followed by a week of recovery. Group 1 (No-IPC) underwent left renal h...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2014.0563
更新日期:2015-05-01 00:00:00
abstract::The appropriate position of the hand-access device and trocars for hand-assisted laparoscopic surgery depends on several factors, including the surgeon's preference, physical stature, and handedness; the patient's anatomy; and the type of procedure being performed. This article reviews the options, including measures ...
journal_title:Journal of endourology
pub_type: 杂志文章,评审
doi:10.1089/089277904323056843
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journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2012.0415
更新日期:2012-12-01 00:00:00
abstract:: Purpose: To examine gas bubbles generated by two laser lithotripsy devices, a pulsed thulium solid-state laser and a holmium:yttrium-aluminum-garnet (Ho:YAG) device, and their possible effects in lithotripsy. Materials and Methods: ...
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doi:10.1089/end.2020.0526
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abstract::A new technique of endosurgical pelvic lymph node dissection was performed for the staging of 10 prostate and 8 bladder cancers. The technique, involving an exclusive extraperitoneal space development with CO2 insufflation, is described in detail. Using the standard endosurgical (laparoscopic) equipment, we performed ...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.1993.7.229
更新日期:1993-06-01 00:00:00
abstract:PURPOSE:To assess the necessity of placing a ureteral stent after transperitoneal laparoscopic ureterolithotomy (TPLU). PATIENTS AND METHODS:In the period from May 2006 to November 2010, 46 patients underwent TPLU. There were 13 females and 33 males. All patients had an impacted stone larger than 1.5 cm in the upper a...
journal_title:Journal of endourology
pub_type: 临床试验,杂志文章
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更新日期:2012-09-01 00:00:00
abstract:INTRODUCTION:Recent evidence would suggest a low rate of metabolic assessment in stone formers, even in those deemed as high risk. We wished to assess the attitudes and practice patterns of metabolic work up in North American members of the Endourological Society as part of the management of stone-forming patients. ME...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2015.0207
更新日期:2016-04-01 00:00:00
abstract:PURPOSE:To assess the efficacy, safety, and morbidity of tubeless percutaneous nephrolithotomy (PCNL) and compare it with standard PCNL. PATIENTS AND METHODS:A total of 135 patients (140 renal units) undergoing tubeless PCNL (group 1) from June 2000 to September 2007 were compared with a similar group of 185 (194 rena...
journal_title:Journal of endourology
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doi:10.1089/end.2007.0338
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doi:10.1089/089277902760261392
更新日期:2002-08-01 00:00:00
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journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2008.0481
更新日期:2009-02-01 00:00:00
abstract:BACKGROUND AND PURPOSE:At present, open retroperitoneal lymph node dissection (RPLND) remains the preferred approach at many high-volume centers for the surgical treatment of patients with low-stage testis cancer. Despite the potential advantages of a minimally invasive approach, including improved cosmesis and shorter...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2010.0596
更新日期:2011-11-01 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:INTRODUCTION:Expert-reported outcomes and complications may not reflect the standardized coding that can be provided by independent, third-party evaluations. The goal of this article is to compare expert-reported complications with standardized coding by the National Surgical Quality Improvement Program (NSQIP). The pr...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2015.0178
更新日期:2015-09-01 00:00:00
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journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2012.0218
更新日期:2013-03-01 00:00:00
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journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2013.0419
更新日期:2014-03-01 00:00:00
abstract::Transurethral resection of bladder tumor (TURBT) is the standard of care for initial bladder tumor management. In response to its shortcomings, we propose an alternative technique for tumor resection and retrieval: The endoscopic snare resection of bladder tumor (ESRBT). Eleven tumors managed by ESRBT were reviewed re...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2011.0587
更新日期:2012-06-01 00:00:00
abstract:: Aims: To investigate whether spinal anesthesia with an obturator nerve block (SA+ONB) can be effectively used for transurethral resection of bladder tumor (TURBT) during the coronavirus disease 2019 (COVID-19) pandemic to improve patient outcomes while also avoiding aeroso...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2020.1054
更新日期:2020-12-22 00:00:00
abstract::Vesicourethral reconstruction is the most critical and time-consuming step of laparoscopic radical prostatectomy. We describe the use of two hemicircumferential running sutures that has significantly simplified the procedure in our last 30 patients. The vesicourethral reconstruction took 31 minutes on average. Six mon...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2000.14.749
更新日期:2000-11-01 00:00:00
abstract:OBJECTIVE:To evaluate the role of color-coded Doppler sonography (CCDS) in the assessment of internal ureteral stent patency. PATIENTS AND METHODS:We compared micturating cystography (MC) and CCDS in 48 patients with internal ureteral stents. Forty-five of these patients had pyelocaliectasis on renal sonography. RESU...
journal_title:Journal of endourology
pub_type: 临床试验,杂志文章
doi:10.1089/end.1999.13.199
更新日期:1999-04-01 00:00:00
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journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2014.0215
更新日期:2014-12-01 00:00:00
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journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2013.0148
更新日期:2014-04-01 00:00:00
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journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/089277903765444302
更新日期:2003-05-01 00:00:00
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journal_title:Journal of endourology
pub_type: 临床试验,杂志文章
doi:10.1089/end.2007.0324
更新日期:2008-05-01 00:00:00
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journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2013.0198
更新日期:2013-12-01 00:00:00
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journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.1999.13.299
更新日期:1999-05-01 00:00:00
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journal_title:Journal of endourology
pub_type: 杂志文章
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更新日期:2018-10-01 00:00:00
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journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.1993.7.473
更新日期:1993-12-01 00:00:00
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journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.1994.8.285
更新日期:1994-08-01 00:00:00
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pub_type: 杂志文章,随机对照试验
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更新日期:2010-08-01 00:00:00