Abstract:
OBJECTIVES:To report the initial experience with incorporation of needlescopic (2 mm) instruments and optics in various therapeutic minimally invasive urologic procedures. METHODS:Needlescopic techniques were used to successfully perform a variety of urologic surgeries including adrenalectomy, nephrectomy, renal cyst marsupialization, orchiopexy, lymphocele marsupialization, and pelvic lymph node dissection. RESULTS:To date we have performed 42 needlescopic procedures in 39 patients (14 female and 25 male) ranging in age from 8 months to 87 years (mean 46.6 years). Three procedures were converted to conventional laparoscopy and one to open surgery, yielding a needlescopic success rate of 90.5%. Surgical times averaged 132 minutes and blood loss averaged 67 mL. Procedures were performed on an outpatient basis in 33.3% of cases, and 94.9% of patients were discharged home within 23 hours. The overall complication and conversion rate was 14.3% and there was no mortality. CONCLUSIONS:Our initial experience is quite promising. In select patients, needlescopic urologic surgery is feasible and safe, and may reduce postoperative pain, hospital stay, and recovery time, and improve cosmesis. Further evaluation of, and improvement in, 2-mm instrumentation and optical technology is needed.
journal_name
Urologyjournal_title
Urologyauthors
Soble JJ,Gill ISdoi
10.1016/s0090-4295(98)00234-9subject
Has Abstractpub_date
1998-08-01 00:00:00pages
187-94issue
2eissn
0090-4295issn
1527-9995pii
S0090-4295(98)00234-9journal_volume
52pub_type
临床试验,杂志文章相关文献
UROLOGY文献大全abstract:OBJECTIVES:To assess the safety and efficacy of a suprapubic prostatectomy technique performed in a rural hospital in Asia. METHODS:A retrospective study of 200 consecutive suprapubic transvesical prostatectomies with a removable bladder neck partition suture for benign prostatic hyperplasia from 1995 to 1998 in a rur...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/s0090-4295(99)00307-6
更新日期:1999-12-01 00:00:00
abstract:OBJECTIVES:To evaluate the use of laparoscopic techniques in patients with a renal transplant. METHODS:Since 1992, 358 patients have undergone urologic laparoscopy at our hospital. Among these, 37 procedures (10.4%) were performed in patients with a renal transplant: 14 bilateral nephrectomies for severe drug-resistan...
journal_title:Urology
pub_type: 临床试验,杂志文章
doi:10.1016/s0090-4295(96)00559-6
更新日期:1997-04-01 00:00:00
abstract:OBJECTIVE:To validate the Advanced Scope Trainer (AST; Mediskills, Northampton, UK). The AST is a currently unvalidated simulator, developed for flexible ureterorenoscopy (fURS) training. This study aims to assess the face, content, construct, and concurrent validity to assess the level of transferability of skills to ...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2017.07.047
更新日期:2017-12-01 00:00:00
abstract::Five patients with Peyronie disease were treated successfully with a surgical technique derived from Nesbit's technique for the treatment of congenital curvature of the penis. Excision of ellipses of tunica albuginea from the convex side of the penis as described by Nesbit was not done, but instead the tunica was reev...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/0090-4295(85)90285-7
更新日期:1985-06-01 00:00:00
abstract::Laparoscopic nephrectomy has been shown to be an effective minimally invasive technique for treating benign renal disease requiring surgical excision. However, its application to approach renal malignancy has been limited. Herein, we report on 8 patients with renal tumor who underwent a laparoscopic nephrectomy. All k...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/0090-4295(93)90289-m
更新日期:1993-11-01 00:00:00
abstract:OBJECTIVE:To investigate the characteristics and outcomes of late recurrence (LR) in patients with bladder cancer (BCa) treated with radical cystectomy (RC) and to identify clinicopathologic predictors of LR and postrecurrence survival. MATERIALS AND METHODS:This multicenter study included 1652 BCa patients. LR was de...
journal_title:Urology
pub_type: 杂志文章,多中心研究
doi:10.1016/j.urology.2017.04.049
更新日期:2017-08-01 00:00:00
abstract:OBJECTIVE:To evaluate the effectiveness and tolerance of the AdVance Male Sling System for the treatment of male stress urinary incontinence in patients after prostatic surgery. METHODS:An international, observational, prospective, multicenter study was conducted on male patients with urinary incontinence after prosta...
journal_title:Urology
pub_type: 杂志文章,多中心研究
doi:10.1016/j.urology.2018.06.035
更新日期:2018-10-01 00:00:00
abstract:OBJECTIVE:To present the results of a new technique for abdominoplasty in patients with the Prune Belly syndrome (PBS). METHODS:Since 1985, 46 children with PBS underwent surgical treatment that included urinary tract reconstruction (UTR), orchidopexy, and abdominoplasty. In 41 patients, we performed the abdominoplast...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2013.09.031
更新日期:2014-02-01 00:00:00
abstract:OBJECTIVE:To evaluate the national patterns of urologic follow up after spinal cord injury (SCI) and the occurrence and predictors of urological complications. MATERIALS AND METHODS:This retrospective cohort study used a 5% sample of Medicare data 2007-2010. The minimum adequate urologic surveillance was defined as a ...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2015.06.005
更新日期:2015-09-01 00:00:00
abstract:OBJECTIVES:To investigate a link between the appearance of photoacoustic imaging (PAI) and microvasculature in prostate cancer and to assess the feasibility of PAI for angiogenesis imaging in prostate cancer. METHODS:We have developed a PAI system equipped with a transrectal ultrasound (TRUS)-type probe. Three patient...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2017.07.008
更新日期:2017-10-01 00:00:00
abstract:OBJECTIVES:Sildenafil has been demonstrated to be safe and effective in the treatment of men with erectile dysfunction. The role of sildenafil in treating women with sexual dysfunction has heretofore not been reported. The purpose of this preliminary study was to ascertain the response of postmenopausal women with self...
journal_title:Urology
pub_type: 临床试验,杂志文章
doi:10.1016/s0090-4295(98)00633-5
更新日期:1999-03-01 00:00:00
abstract::Eosinophilic cystitis is a rare and poorly understood disorder. We report the first case of an acute flare of eosinophilic cystitis in a 51-year-old woman after bladder instillation with dimethyl sulfoxide (DMSO) for presumed interstitial cystitis. The patient presented with severe bladder pain, fever, and eosinophili...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2004.01.020
更新日期:2004-06-01 00:00:00
abstract:OBJECTIVES:Intracavernous needle injection is an effective delivery method for pharmacotherapy of erectile dysfunction. Needle phobia, pain, and concern about local tissue injury have stimulated the search for new, less invasive means of inducing penile erection. In this preliminary communication, we evaluate a jet inj...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/S0090-4295(97)00541-4
更新日期:1997-12-01 00:00:00
abstract:OBJECTIVE:To investigate the perioperative complication rates for paraplegic-quadriplegic patients (PQPs) undergoing percutaneous nephrolithotomy (PCNL) as compared with non-PQPs using a standardized method of complication reporting via the Clavien system. METHODS:Two hundred thirteen consecutive PCNLs performed by a ...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2014.11.057
更新日期:2015-05-01 00:00:00
abstract::The effect of introducing a fine catheter on the urethral wall was studied by electromyography in rabbits. On introducing the catheter, increased electrical activity in the form of biphasic potentials was recorded from the external sphincter and bladder neck. This indicates active muscular contraction of these regions...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/0090-4295(82)90371-5
更新日期:1982-08-01 00:00:00
abstract::A patient with false elevation of serum creatinine level due to 5-fluorocytosine (5-FC) is reported. 5-FC interferes with the enzymatic method used for creatinine determination in the Kodak Ektachem analyzer. Clinicians should be aware of the potential for spurious azotemia in patients receiving 5-FC therapy for funga...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/0090-4295(90)80276-s
更新日期:1990-09-01 00:00:00
abstract:OBJECTIVES:Several studies have shown that 5-aminolevulinic acid (5-ALA)-induced fluorescence cystoscopy improves the detection of superficial bladder cancer. The results have suggested a reduced rate of recurrent tumors with the use of 5-ALA fluorescence before bladder tumor resection. We performed a prospective, rand...
journal_title:Urology
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.urology.2006.12.023
更新日期:2007-04-01 00:00:00
abstract:INTRODUCTION:To describe the technique of injecting Lipiodol in the submucosa of the urinary bladder wall as a novel modality to improve localization of muscle-invasive bladder tumors before image-guided radiation therapy. TECHNICAL CONSIDERATIONS:Eight patients underwent submucosal Lipiodol injections at transurethra...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2013.09.058
更新日期:2014-04-01 00:00:00
abstract:OBJECTIVE:To characterize the changes in urine composition associated with increasing severity of diabetes, we analyzed urine composition relative to glycated hemoglobin (HbA1c) and treatment strategy in a largely minority population. METHODS:Patients treated for kidney stones between 2001 and 2013 at a single tertiar...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2015.10.013
更新日期:2016-01-01 00:00:00
abstract:OBJECTIVES:To evaluate the feasibility of implementing a diet-based intervention in men with prostate cancer. METHODS:Seventy-four men aged 50 to 80 years with biopsy-proven adenocarcinoma of the prostate were randomized to receive either telephone-based dietary counseling or standardized, written nutritional informat...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2007.11.050
更新日期:2008-09-01 00:00:00
abstract:OBJECTIVE:To explore relationships between dose to periprostatic anatomic structures and erectile dysfunction (ED) outcomes in an institutional cohort treated with prostate brachytherapy. METHODS:The Sexual Health Inventory for Men (SHIM) instrument was administered for stage cT1-T2 prostate cancer patients treated wi...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2019.08.014
更新日期:2020-01-01 00:00:00
abstract::PTEN Hamartoma-Tumor-Syndrome (PHTS) describes a series of conditions characterized by germline-mutation of the PTEN tumor-suppressor gene. PHTS patients have an increased lifetime risk of multiple malignancies, including thyroid, breast, and endometrial cancers. PHTS patients also have 20-30 fold increased risk of re...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2020.11.024
更新日期:2020-11-21 00:00:00
abstract:OBJECTIVE:To evaluate the association of the MyProstateScore (MPS) urine test on the decision to undergo biopsy in men referred for prostate biopsy in urology practice. METHODS:MPS testing was offered as an alternative to immediate biopsy in men referred to the University of Michigan for prostate biopsy from October 2...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2020.07.042
更新日期:2020-11-01 00:00:00
abstract:OBJECTIVES:To evaluate three urine markers, BTA stat, cytology, and urinary survivin levels, in the spinal cord injury (SCI) population. The incidence of bladder cancer in patients with SCI is up to 20 times greater than in the general population. However, bladder cancer biomarkers have not been assessed in this popula...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2005.05.022
更新日期:2005-10-01 00:00:00
abstract::For clinical practice and research of overactive bladder syndrome, it is essential to evaluate urgency symptoms in daily life. We have developed a portable patient-activated device to record bladder sensations. This electronic device is pocket-size and light, with five grading buttons and another button for cancellati...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2007.01.036
更新日期:2007-03-01 00:00:00
abstract:OBJECTIVES:To review our experience to better define pediatric renal cell carcinoma (RCC). Pediatric RCC is rare, and recent data suggest it may be a unique disease. METHODS:A retrospective review was conducted of hospital and pathology records from 1965 to 2003. Patients with RCC were identified, and the clinical and...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2005.06.104
更新日期:2005-12-01 00:00:00
abstract:OBJECTIVE:To determine the outcomes of pregnancy and cesarean delivery (CD) in women with neuropathic bladder (NB) and pediatric lower urinary tract reconstruction (LUTR) as these women often have normal fertility and may become pregnant. METHODS:We reviewed consecutive patients with NB due to spinal dysraphism who un...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2017.11.052
更新日期:2018-04-01 00:00:00
abstract:OBJECTIVE:To evaluate Thiel-embalmed cadavers as a new training model for urological endoscopy procedures. MATERIALS AND METHODS:Twelve urologists performed upper and lower urinary tract endoscopies on 5 different Thiel-embalmed cadavers to evaluate this potentially new training model in urological endoscopic procedur...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2016.01.040
更新日期:2016-07-01 00:00:00
abstract:OBJECTIVES:To establish whether a difference in the clinical outcomes of patients with progressive and primary muscle-invasive bladder cancer exists. METHODS:The records of patients who had undergone radical cystectomy for bladder urothelial carcinoma from 1990 to 2005 were reviewed. According to our inclusion criteri...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2007.05.008
更新日期:2007-09-01 00:00:00
abstract:OBJECTIVES:The techniques for hemostasis after renal tumor excision have limited the widespread application of laparoscopic partial nephrectomy (LPN). To improve hemostasis and aid visualization, we report our experience with a novel radiofrequency coagulation (RFC) technique for LPN. METHODS:Ten patients underwent RF...
journal_title:Urology
pub_type: 临床试验,杂志文章
doi:10.1016/s0090-4295(01)01086-x
更新日期:2001-07-01 00:00:00