Abstract:
AIM AND BACKGROUND:Posttransplant vesicoureteral reflux (VUR) is a common urologic complication after renal transplantation, although its management is controversial. The treatment of choice is open surgical revision ureteral reimplantation with significant morbidity. Recently, endoscopic correction by using nonanimal dextranomer/hyaluronic acid copolymer (NA Dx/HA) injection has been reported to be effective in the treatment of VUR of transplanted kidneys. Herein, we present our 3-year endoscopic correction results in transplanted kidneys where we used two different injection techniques, subureteral and intraureteral. MATERIALS AND METHODS:We retrospectively reviewed all patients who underwent endoscopic VUR correction of posttransplant VUR by NA Dx/HA injection between July 2005 and March 2009. We excluded patients with underlying urologic abnormalities. RESULTS:A total of 26 patients (14 women and 12 men) with a mean age of 32.2 years (range: 15–55) were studied. The VUR was also graded as nondilating reflux in 10 (grade I–II) and dilating reflux in 16 (grade III–IV). Seventeen ureters (5 nondilating and 12 dilating VUR) were injected NA Dx/HA intraureterally, and 9 ureters (5 nondilating and 4 dilating VUR) were injected NA Dx/HA subureterally. Overall success rate was 53.8% (14 out of 26). Intraureteral injection technique was successful in nine cases (52.9%), and subureteral injection technique was successful in five cases (55.5%). In nondilating VUR, injection corrected 90% (9 out of 10) of posttransplant patients, whereas in dilating VUR group injection corrected only 31.25% (5 out of 16). We found no statistical significance of injection technique on the success rate. CONCLUSIONS:Endoscopic correction by using NA Dx/HA with any injection technique seems to be a plausible alternative to correction of refluxing posttransplant ureters, particularly in nondilating VUR.
journal_name
J Endouroljournal_title
Journal of endourologyauthors
Yucel S,Akin Y,Celik O,Erdogru T,Baykara Mdoi
10.1089/end.2010.0219subject
Has Abstractpub_date
2010-10-01 00:00:00pages
1661-4issue
10eissn
0892-7790issn
1557-900Xjournal_volume
24pub_type
杂志文章abstract::Laparoscopic nephrolysis was performed in an 81-year-old man with recurrent chyluria. A total of five trocars were used for approaching the lymphatic ducts over the right ureter and renal hilum. The lymphatic ducts identified were easily ligated under laparoscopic magnification. The recovery of this patient was quick ...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.1995.9.319
更新日期:1995-08-01 00:00:00
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
更新日期:2014-12-01 00:00:00
abstract::This is a case report of a 37-year-old man with severe testicular pain unresolved after conventional investigative and therapeutic methods. On the basis of his history of abdominal trauma followed by emergency splenectomy and evidence of functioning splenic tissue on a radionuclide scan, the diagnosis of splenosis was...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.1999.13.373
更新日期:1999-06-01 00:00:00
abstract:PURPOSE:To determine the feasibility of retrograde endoscopy after radical retropubic prostatectomy (RRP) and its effects on post-prostatectomy continence. PATIENTS AND METHODS:We retrospectively reviewed all patients who underwent RRP at our institution between 1999 and 2005, identifying those who subsequently requir...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2006.0131
更新日期:2007-02-01 00:00:00
abstract::Robot-assisted partial nephrectomy (RAPN) has been established as a viable alternative to open and laparoscopic partial nephrectomy for small renal tumors. Multiple variations in surgical technique have been described to reduce warm ischemia time (WIT). We present our off-clamp technique for RAPN. From August 2007 to ...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2012.0170
更新日期:2013-01-01 00:00:00
abstract:BACKGROUND AND PURPOSE:To compare urinary stone size as measured by abdominal plain radiography (AXR) with stone size as measured by noncontrast three-dimensional spiral CT in patients with acute renal colic. PATIENTS AND METHODS:Patients presenting to the emergency room of a single institution with urinary stones tha...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/089277903770802245
更新日期:2003-11-01 00:00:00
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 appl...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2005.19.1180
更新日期:2005-12-01 00:00:00
abstract::Recently, the use of botulinum toxin A has been extended to patients with non-neurogenic urologic disorders such as refractory idiopathic overactive bladder. We describe a modification of our original injection technique that allows one to deliver botulinum toxin into the bladder quickly and efficiently in an office s...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2005.19.880
更新日期:2005-09-01 00:00:00
abstract:OBJECTIVE:To assess the association between the R.E.N.A.L. Nephrometry score, the amount of non-neoplastic parenchymal volume (NNPV) removed, and the renal function decline in patients undergoing robotic partial nephrectomy (RPN). PATIENTS AND METHODS:The Multi-institutional Mount Sinai Kidney Cancer Database was used...
journal_title:Journal of endourology
pub_type: 杂志文章
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更新日期:2016-10-01 00:00:00
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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:INTRODUCTION:Drugs and their metabolites are known factors in 1% to 2% of all kidney stones. Certain antiepileptic drugs are known to cause stone formation. Phenytoin is used as a first line antiepileptic therapy for many seizure disorders. We present what we believe to be the first report of a phenytoin metabolite uri...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2007.0410
更新日期:2008-08-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Creation of an optimally apposed, tension-free, well-supported vesicourethral anastomosis remains the cornerstone for anastomotic healing after radical prostatectomy. We report the effect of three techniques of bladder neck reconstruction during robot-assisted radical prostatectomy on anastomotic...
journal_title:Journal of endourology
pub_type: 临床试验,杂志文章
doi:10.1089/end.2009.0630
更新日期:2010-12-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Several experienced practitioners of open surgery with limited or no laparoscopic background have adopted robot-assisted laparoscopic radical prostatectomy (RLRP) as an alternative to open radical prostatectomy (RRP), demonstrating outcomes comparable to those in large RRP and laparoscopic prosta...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2006.0239
更新日期:2007-04-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Laparoscopic radical nephrectomy (LRN) has benefits in terms of cosmesis, less postoperative pain, hospital stay, and early recovery when compared with open radical nephrectomy. One of the major points of concern of this surgery, especially in developing countries, is the additional cost because ...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2008.0235
更新日期:2009-03-01 00:00:00
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
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.2016.0730
更新日期:2017-02-01 00:00:00
abstract::Looking for a virtually "scarless" surgery mini-laparoscopy (ML) could be a viable alternative to conventional laparoscopy. ML is a reproducible technique and allows for the preservation of the triangulation concept, the cornerstone of laparoscopic surgery. Drawback of ML could be the poor performance of miniaturized ...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2015.0782
更新日期:2016-06-01 00:00:00
abstract::Eighteen male patients underwent endoscopic management of urethral obliterations and severe strictures of the subprostatic urethra. Thirteen patients who performed clean urethral self-dilatation after endoscopic repair had a lower incidence of recurrent strictures (P = 0.03) and required fewer visual internal urethrot...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.1996.10.385
更新日期:1996-08-01 00:00:00
abstract::Endoscopic fetal surgery may reduce preterm labor associated with open hysterotomy but is partially limited by current visualization technology. We investigated a three-dimensional (3D) imaging system coupled to a head-mounted display (3D-HMD) and also employed a computer-controlled zoom endoscope for noninsufflated a...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.1998.12.407
更新日期:1998-10-01 00:00:00
abstract::Since the advantages of using ureteral stents in conjunction with extracorporeal shock wave lithotripsy were first recognized, the growing demand for outpatient stone treatment has made stent use much more frequent. However, prophylactic stent placement must be judicious to maximize success and minimize associated mor...
journal_title:Journal of endourology
pub_type: 杂志文章,评审
doi:10.1089/end.1993.7.155
更新日期:1993-04-01 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
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journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2007.0432
更新日期:2008-09-01 00:00:00
abstract:: Introduction: Double-J ureteral stents are subject to encrustation. Studies have shown that the encrustation onset is linked with indwelling time. In prevention, it is admitted that the Double-J stent indwelt for medium or long term should be replaced periodically. However...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2020.0254
更新日期:2021-01-01 00:00:00
abstract:: Objective: To evaluate the learning curve in an untrained resident surgeon for the initial case series of tension-free vaginal tape-obturator (TVT-O) to treat stress urinary incontinence. Materials and Methods: A retrospective ...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2019.0571
更新日期:2020-02-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Innovations in minimally invasive surgery have led to the proposal of incision-free natural orifice translumenal endoscopic surgery (NOTES). The purpose of this manuscript is to describe the initial technique of natural orifice translumenal endoscopic surgical radical prostatectomy (NOTES-RP). M...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2008.0670
更新日期:2009-04-01 00:00:00
abstract:PURPOSE:To evaluate the use of virtual endoscopy (VE) for the investigation of the pelvicaliceal unit and the depiction of its anatomic deformities. PATIENTS AND METHODS:Two study groups were prospectively enrolled in our protocol: ten patients with nonurologic pathologies, and thus without any known deformity of the ...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2005.19.37
更新日期:2005-01-01 00:00:00
abstract::A 42-year-old man undergoing bilateral laparoscopic hernia repair requested vasectomy for family planning purposes. Bilateral vasectomy was done by a laparoscopic approach at the time of extraperitoneal hernia repair, and a separate scrotal incision was avoided. In addition to reporting a case of laparoscopic vasectom...
journal_title:Journal of endourology
pub_type: 杂志文章,评审
doi:10.1089/089277902753619618
更新日期:2002-03-01 00:00:00
abstract:PURPOSE:To examine the effects of antibiotic prophylaxis on postoperative infection rate in patients with negative urine cultures undergoing ureteroscopy (URS). PATIENTS AND METHODS:Using the Clinical Research Office of the Endourological Society (CROES) URS Global Study database, patients with a negative baseline uri...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2014.0470
更新日期:2015-02-01 00:00:00
abstract:PURPOSE:To evaluate the efficacy of doxazosin in inducing spontaneous passage of stones in the distal ureter and to compare its efficacy according to the size of the stone. PATIENTS AND METHODS:Seventy-three patients with a mean age of 46.38 +/- 10.17 years who presented with a distal-ureteral stone were divided into ...
journal_title:Journal of endourology
pub_type: 杂志文章,随机对照试验
doi:10.1089/end.2006.0107
更新日期:2007-05-01 00:00:00
abstract:OBJECTIVE:The purpose is to report our 10-year experience with surgical management of large or symptomatic adrenal myelolipoma. PATIENTS AND METHODS:Patients receiving surgical treatment for adrenal myelolipoma between December 2001 and September 2011 in our institution were retrospectively reviewed. Patients were div...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2013.0283
更新日期:2014-02-01 00:00:00