Impact of cautery versus cautery-free preservation of neurovascular bundles on early return of potency.

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 Endourol

journal_title

Journal of endourology

authors

Ahlering TE,Skarecky D,Borin J

doi

10.1089/end.2006.20.586

subject

Has Abstract

pub_date

2006-08-01 00:00:00

pages

586-9

issue

8

eissn

0892-7790

issn

1557-900X

journal_volume

20

pub_type

杂志文章
  • Case report: conservative treatment of liver injury during percutaneous nephrolithotomy.

    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

    authors: El-Nahas AR,Mansour AM,Ellaithy R,Abol-Enein H

    更新日期:2008-08-01 00:00:00

  • Ineffectiveness of remote ischemic renal preconditioning in a porcine solitary-kidney model.

    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

    authors: Bedir S,Ma Y,Antonelli J,Cadeddu JA,Gahan JC

    更新日期:2015-05-01 00:00:00

  • Trocar arrangement for HALS.

    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

    authors: Lopez-Pujals A,Leveillee RJ

    更新日期:2004-05-01 00:00:00

  • Selective suture ligation of the dorsal vein complex during robot-assisted laparoscopic radical prostatectomy.

    abstract::Technique for apical dissection and control of the dorsal vein complex (DVC) during robot-assisted laparoscopic radical prostatectomy (RALP) affects blood loss, apical positive margins, and recovery of urinary control. Over the past 7 years, our technique for apical dissection has been spurred by the overarching goal ...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.2012.0415

    authors: Carter SC,Konijeti R,Hu J

    更新日期:2012-12-01 00:00:00

  • Gas Bubble Anatomy During Laser Lithotripsy: An Experimental In Vitro Study of a Pulsed Solid-State Tm:YAG and Ho:YAG Device.

    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: ...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.2020.0526

    authors: Petzold R,Suarez-Ibarrola R,Miernik A

    更新日期:2020-12-22 00:00:00

  • Extraperitoneal endosurgical lymphadenectomy with insufflation in the staging of bladder and prostate cancer.

    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

    authors: Villers A,Vannier JL,Abécassis R,Baron JC,Anidjar M,Khoury R,Delmas V,Desmonts JM,Boccon-Gibod L

    更新日期:1993-06-01 00:00:00

  • Is it necessary to place a Double J catheter after laparoscopic ureterolithotomy? A four-year experience.

    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

    doi:10.1089/end.2012.0082

    authors: Karami H,Javanmard B,Hasanzadeh-Hadah A,Mazloomfard MM,Lotfi B,Mohamadi R,Yaghoobi M

    更新日期:2012-09-01 00:00:00

  • Contemporary Attitudes and Practice Patterns of North American Urologists in Investigating Stone-Forming Patients-A Survey of Endourological Society Members.

    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

    authors: McGuire BB,Matulewicz RS,Zuccarino-Crowe R,Nadler RB,Perry KT

    更新日期:2016-04-01 00:00:00

  • Comparison of standard with tubeless percutaneous nephrolithotomy.

    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

    pub_type: 杂志文章

    doi:10.1089/end.2007.0338

    authors: Gupta NP,Mishra S,Suryawanshi M,Seth A,Kumar R

    更新日期:2008-07-01 00:00:00

  • Laparoscopy for definite localization and simultaneous treatment of ectopic ureter draining a dysplastic kidney in children.

    abstract:BACKGROUND AND PURPOSE:Single-system ectopic ureter draining a dysplastic kidney is a rare urologic abnormality. In this study, we evaluated our own experience using laparoscopy for the simultaneous identification and removal of such ureterorenal units. PATIENTS AND METHODS:Between February 1999 and August 2001, four ...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/089277902760261392

    authors: Kim HH,Kang J,Kwak C,Byun SS,Oh SJ,Choi H

    更新日期:2002-08-01 00:00:00

  • Two concomitant robot-assisted procedures in one anesthesia session: our experience.

    abstract:PURPOSE:To evaluate the feasibility and safety of two concomitant robot-assisted procedures in the same patient in one anesthesia setting. PATIENTS AND METHODS:Data were reviewed for 15 patients for whom two concomitant robot-assisted surgeries at our center were planned. Preoperative details, port position, intraoper...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.2008.0481

    authors: Nayyar R,Gupta NP,Hemal AK,Kumar R

    更新日期:2009-02-01 00:00:00

  • Laparoscopic retroperitoneal lymph node dissection for low-stage cancer: a Washington University update.

    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

    authors: Gardner MW,Roytman TM,Chen C,Brandes SB,Kibel AS,Grubb RL,Bhayani SB,Figenshau RS

    更新日期:2011-11-01 00:00:00

  • Preoperative warming up exercises improve laparoscopic operative times in an experienced laparoscopic surgeon.

    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

    authors: Mucksavage P,Lee J,Kerbl DC,Clayman RV,McDougall EM

    更新日期:2012-07-01 00:00:00

  • Comparing Expert Reported Outcomes to National Surgical Quality Improvement Program Risk Calculator-Predicted Outcomes: Do Reporting Standards Differ?

    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

    authors: Knight BA,Potretzke AM,Larson JA,Bhayani SB

    更新日期:2015-09-01 00:00:00

  • Supracostal tubeless percutaneous nephrolithotomy: a retrospective cohort study.

    abstract:PURPOSE:To evaluate the safety of tubeless percutaneous nephrolithotomy in patients undergoing supracostal percutaneous renal access. PATIENTS AND METHODS:Between October 1999 and October 2010, 302 patients underwent percutaneous nephrolithotomy via a supracostal access tract. Two hundred forty-eight (82.1%) patients ...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.2012.0218

    authors: Duty B,Conlin M,Wagner M,Bayne A,Adams G,Fuchs E

    更新日期:2013-03-01 00:00:00

  • Prostate histoscanning in clinically localized biopsy proven prostate cancer: an accuracy study.

    abstract:PURPOSE:To assess the accuracy of prostate histoscanning (PHS) for spatial detection and localization of prostate cancer (PCa). PATIENTS AND METHODS:Prospective, single center study from January to September 2012 was conducted. Inclusion criterion was biopsy confirmed PCa in patients scheduled for radical prostatectom...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.2013.0419

    authors: Macek P,Barret E,Sanchez-Salas R,Galiano M,Rozet F,Ahallal Y,Gaya JM,Durant M,Mascle L,Giedelman C,Lunelli L,Validire P,Nesvadba M,Cathelineau X

    更新日期:2014-03-01 00:00:00

  • Endoscopic snare resection of bladder tumors: evaluation of an alternative technique for bladder tumor resection.

    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

    authors: Maurice MJ,Vricella GJ,MacLennan G,Buehner P,Ponsky LE

    更新日期:2012-06-01 00:00:00

  • Safety and Efficacy of Transurethral Resection of Bladder Tumor Comparing Spinal Anesthesia with Spinal Anesthesia with an Obturator Nerve Block: A Systematic Review and Meta-analysis.

    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

    authors: Krishan A,Bruce A,Khashaba S,Abouelela M,Ehsanullah SA

    更新日期:2020-12-22 00:00:00

  • Vesicourethral anastomosis during laparoscopic radical prostatectomy: the running suture method.

    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

    authors: Hoznek A,Salomon L,Rabii R,Ben Slama MR,Cicco A,Antiphon P,Abbou CC

    更新日期:2000-11-01 00:00:00

  • Role of color-coded Doppler sonography in the assessment of internal ureteral stent patency.

    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

    authors: Haferkamp A,Brkovic D,Wiesel M,Staehler G,Dörsam J

    更新日期:1999-04-01 00:00:00

  • Predicting an effective ureteral access sheath insertion: a bicenter prospective study.

    abstract:INTRODUCTION:The use of a ureteral access sheath (UAS) may provide significant advantages, particularly, in the treatment of a large renal stone burden. However, in some patients, the passage of a UAS up the ureter is impossible. We prospectively evaluated the ability to insert a 14F UAS and analyzed the possible predi...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.2014.0215

    authors: Mogilevkin Y,Sofer M,Margel D,Greenstein A,Lifshitz D

    更新日期:2014-12-01 00:00:00

  • Practical and intuitive surgical approach renal ranking to predict outcomes in the management of renal tumors: a novel score tool.

    abstract:BACKGROUND AND PURPOSE:Surgery continues to be the main form of treatment for patients with renal tumors. We create a more practical and intuitive score for renal tumor classification. PATIENTS AND METHODS:Eighty patients underwent surgery for renal tumors and were prospectively enrolled. The tumors were classified us...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.2013.0148

    authors: Tannus M,Goldman SM,Andreoni C

    更新日期:2014-04-01 00:00:00

  • Independent predictors of failure of shockwave lithotripsy for ureteral stones employing a second-generation lithotripter.

    abstract:PURPOSE:To define factors associated with the failure of shockwave lithotripsy (SWL) in the treatment of ureteral stones. PATIENTS AND METHODS:We retrospectively studied 405 men and 283 women (mean age 52.6 years) who underwent SWL with a second-generation lithotripter in the period 1994 to 2001. We evaluated availabl...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/089277903765444302

    authors: Delakas D,Karyotis I,Daskalopoulos G,Lianos E,Mavromanolakis E

    更新日期:2003-05-01 00:00:00

  • Maintaining perioperative normothermia during laparoscopic and open urologic surgery.

    abstract:PURPOSE:The ability to maintain normothermia during surgical procedures is crucial for improvement of the quality of patient care and the outcome of the procedure. We tested the hypothesis of whether one warming protocol is able to maintain normothermic core temperatures equally well in major open and laparoscopic urol...

    journal_title:Journal of endourology

    pub_type: 临床试验,杂志文章

    doi:10.1089/end.2007.0324

    authors: Hoda MR,Popken G

    更新日期:2008-05-01 00:00:00

  • Urinary cystatin C and NGAL as early biomarkers for assessment of renal ischemia-reperfusion injury: a serum marker to replace creatinine?

    abstract:PURPOSE:To assess application of cystatin C and neutrophil gelatinase-associated lipocalin (NGAL) as biomarkers for renal ischemic injury. We also evaluated the use of allopurinol as a renoprotective agent. A second goal was to assess cystatin C as a biomarker in patients undergoing partial nephrectomy. METHODS:Using ...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.2013.0198

    authors: Woodson BW,Wang L,Mandava S,Lee BR

    更新日期:2013-12-01 00:00:00

  • Acute and chronic interstitial cryotherapy of the adrenal gland as a treatment modality.

    abstract:BACKGROUND AND OBJECTIVES:Adrenalectomy is indicated for patients with large adrenal lesions or functional tumors. Cryoablation is currently used as a surgical alternative for the treatment of prostate, lung, brain, pharynx, and liver tumors. The purpose of this study was to determine if cryosurgery could be delivered ...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.1999.13.299

    authors: Schulsinger DA,Sosa RE,Perlmutter AA,Vaughan ED Jr

    更新日期:1999-05-01 00:00:00

  • Comparison of Safety and Efficacy in Preventing Postoperative Infectious Complications of a 14/16F Ureteral Access Sheath with a 12/14F Ureteral Access Sheath in Flexible Ureteroscopic Lithotripsy.

    abstract:PURPOSE:There are a variety of ureteral access sheath (UAS) lengths (13-55 cm) and diameters (9.5/11.5F-16/18F) available in the market. However, urologists are faced with a dilemma when choosing the ideal UAS diameter. Thus, we evaluated a case-control study of the efficacy and safety of 12/14F and 14/16F UASs in flex...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.2018.0222

    authors: Chen Y,Liao B,Feng S,Ye D,Zeng G,Wang K,Shi M

    更新日期:2018-10-01 00:00:00

  • Lasertripsy of upper urinary tract calculi after unsuccessful extracorporeal lithotripsy or ureteroscopy: comparison with primary lasertripsy.

    abstract::Lasertripsy of upper urinary tract calculi after unsuccessful extracorporeal lithotripsy (SWL) or ureteroscopy (Group 1; N = 26 patients, 36 calculi) was compared with primary lasertripsy (Group 2; N = 56 patients, 79 calculi). Access to calculi was achieved by a Candela miniscope or flexible ureteroscope, and laser f...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.1993.7.473

    authors: Boline GB,Belis JA

    更新日期:1993-12-01 00:00:00

  • Newly developed ultrasonic aspirator and its application for endoscopic surgery.

    abstract::The authors have developed an ultrasonic aspirator to assist in urologic endoscopic surgery. It appeared that ultrasonic aspiration of bladder tumors was clinically efficient in transurethral surgery. Tumors 1 to 2 cm in diameter could be aspirated completely with this instrument alone. The application of the ultrason...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.1994.8.285

    authors: Shiozawa H,Miki M,Tochimoto M

    更新日期:1994-08-01 00:00:00

  • Robot-assisted laparoscopic skills development: formal versus informal training.

    abstract:INTRODUCTION:The learning curve for robotic surgery is not completely defined, and ideal training components have not yet been identified. We attempted to determine whether skill development would be accelerated with formal, organized instruction in robotic surgical techniques versus informal practice alone. MATERIALS...

    journal_title:Journal of endourology

    pub_type: 杂志文章,随机对照试验

    doi:10.1089/end.2009.0511

    authors: Benson AD,Kramer BA,Boehler M,Schwind CJ,Schwartz BF

    更新日期:2010-08-01 00:00:00