Hypospadias repair by laser tissue soldering: intraoperative results and follow-up in 30 children.

Abstract:

OBJECTIVES:We examined the use of laser tissue soldering (LTS) as an adjunct to suturing of, as well as a primary means of, tissue closure in urethral reconstruction. METHODS:Since June 1994, 26 boys ranging in age from 3 months to 14 years (mean 3.0 years) underwent hypospadias repair using LTS techniques. The classification of hypospadias was subcoronal in 13, midpenile in 5, penoscrotal in 7, and scrotal in 1. Laser tissue soldering was used in an additional 4 patients: tunica vaginalis patch graft corporoplasty in 2 (scrotal hypospadias), epispadias fistulae in 1, and urethral diverticulum in 1. Of these cases, 3 hypospadias repairs were completely sutureless. An intraoperative comparision was made between suturing and LTS with respect to operative time and degree of difficulty in performing LTS. Postoperatively, patients were examined to determine complications, including stricture, fistula, or impaired wound healing. An unselected group of 25 consecutive boys undergoing hypospadias repair between 1991 and 1992 served as a historical control group. RESULTS:No intraoperative complications resulted from laser activation. In 5 of the 30 procedures (16.6%), suture disruption was noted to occur, with a higher incidence seen with finer, dyed suture material. For hypospadias repair, the average time to suture was 6.7 min/cm (n = 23), whereas it was 3.1 min/cm for adjunctive LTS (n = 23) and 1.4 min/cm for sutureless urethroplasty (n = 3). Follow-up ranged from 3 to 22 months (average 9.6). Four fistulae were noted (1 onlay, 2 skin tube grafts, 1 Thiersch tube) each following penoscrotal or scrotal hypospadias repair; a fifth fistula developed following a traumatic catheterization in a sutureless repair. The overall complication rate in the LTS group was 19% (5 of 26) versus 24% (6 of 25) for controls, whereas that for the distal forms of hypospadias was 11% (2 of 18) and 13.6% (3 of 22), respectively. CONCLUSIONS:Tissue soldering with laser and chromophore-doped solder is feasible, safe, and easy to perform. Laser tissue soldering may be an alternative to standard microsuture technique for hypospadias repair.

journal_name

Urology

journal_title

Urology

authors

Kirsch AJ,de Vries GM,Chang DT,Olsson CA,Connor JP,Hensle TW

doi

10.1016/S0090-4295(96)00243-9

subject

Has Abstract

pub_date

1996-10-01 00:00:00

pages

616-23

issue

4

eissn

0090-4295

issn

1527-9995

pii

S0090-4295(96)00243-9

journal_volume

48

pub_type

临床试验,杂志文章

相关文献

UROLOGY文献大全
  • Efficacy and safety of tramadol for premature ejaculation: a systematic review and meta-analysis.

    abstract:OBJECTIVE:To present a systematic review to assess efficacy and safety of tramadol for premature ejaculation. METHODS:A literature search was performed using the Cochrane Library, MEDLINE, EMBASE, and Science Citation Index Expanded. Literature reviewed included meta-analyses and randomized and nonrandomized prospecti...

    journal_title:Urology

    pub_type: 杂志文章,meta分析,评审

    doi:10.1016/j.urology.2012.05.035

    authors: Wu T,Yue X,Duan X,Luo D,Cheng Y,Tian Y,Wang K

    更新日期:2012-09-01 00:00:00

  • Improved technique of laparoscopic nephrectomy for multicystic dysplastic kidney.

    abstract::We report removal of a multicystic dysplastic kidney with a laparoscopic technique that uses only three trocar sites. Additionally, we have found placement of a ureteral catheter and full mechanical and antibacterial bowel cleansing unnecessary. The role of this surgery in the management of multicystic dysplastic kidn...

    journal_title:Urology

    pub_type: 杂志文章

    doi:10.1016/s0090-4295(94)80107-x

    authors: Emmert GK Jr,Eubanks S,King LR

    更新日期:1994-09-01 00:00:00

  • Financial comparative analysis of minimally invasive surgery to open surgery for localized prostate cancer: a single-institution experience.

    abstract:OBJECTIVES:To evaluate the financial implications of how the costs of new minimally invasive surgery such as laparoscopic robotic prostatectomy (LRP) and cryosurgical ablation of the prostate (CAP) technologies compare with those of conventional surgery. METHODS:From January 2002 to July 2005, 452 consecutive patients...

    journal_title:Urology

    pub_type: 杂志文章

    doi:10.1016/j.urology.2006.10.025

    authors: Mouraviev V,Nosnik I,Sun L,Robertson CN,Walther P,Albala D,Moul JW,Polascik TJ

    更新日期:2007-02-01 00:00:00

  • Erectile dysfunction and fruit/vegetable consumption among diabetic Canadian men.

    abstract:OBJECTIVE:To evaluate the association between fruit/vegetable consumption and erectile dysfunction (ED) among Canadian men with diabetes. METHODS:Data from the 2011 Survey on Living with Chronic Diseases in Canada - Diabetes Component were analyzed using Statistical Analysis System Enterprise Guide (SAS EG). Responden...

    journal_title:Urology

    pub_type: 杂志文章

    doi:10.1016/j.urology.2013.07.061

    authors: Wang F,Dai S,Wang M,Morrison H

    更新日期:2013-12-01 00:00:00

  • Novel Use of Pudendal Neuromodulation in a Pediatric Patient With Caudal Regression and Partial Sacral Agenesis for Refractory Bowel Bladder Dysfunction.

    abstract::Sacral neuromodulation (SNM) has been used off-label in the United States for over a decade in the pediatric population. Many published studies have demonstrated efficacy with SNM in this population; however, a significant number of children with refractory bowel bladder dysfunction (BBD) also have underlying comorbid...

    journal_title:Urology

    pub_type: 杂志文章

    doi:10.1016/j.urology.2016.03.006

    authors: Schober MS,Ching CB,Peters KM,Alpert SA

    更新日期:2016-08-01 00:00:00

  • Surgical management of renal cell carcinoma invading into the liver: radical nephrectomy en bloc with right hepatic lateral sector.

    abstract::Renal cell carcinoma demonstrates expansive growth and invasion of adjacent structures. Direct liver extension, although uncommon, is a dismal prognostic sign. We propose radical nephrectomy en bloc with right lateral sector (segments 6 and 7) of the liver. The operative procedure was performed in 2 male patients, 61 ...

    journal_title:Urology

    pub_type: 杂志文章

    doi:10.1016/s0090-4295(01)00939-6

    authors: Johnin K,Nakai O,Kataoka A,Koizumi S,Dok An C,Okada Y,Makuuchi M

    更新日期:2001-05-01 00:00:00

  • Traditional approaches to androgen deprivation therapy.

    abstract::For most of the past 25 years, 1 of the favored approaches to treating prostate cancer has been the suppression of circulating testosterone with luteinizing hormone-releasing hormone (LHRH) agonists. LHRH agonists produce a downregulation of LHRH receptors and an uncoupling of the LHRH signal transduction mechanism. T...

    journal_title:Urology

    pub_type: 杂志文章

    doi:10.1016/j.urology.2011.05.051

    authors: Moul JW,Evans CP,Gomella LG,Roach M 3rd,Dreicer R

    更新日期:2011-11-01 00:00:00

  • An algorithm combining age, total prostate-specific antigen (PSA), and percent free PSA to predict prostate cancer: results on 4298 cases.

    abstract:OBJECTIVES:To (1) determine if patient age and total prostate-specific antigen (PSA) levels could enhance the ability of percent free PSA to distinguish prostate cancer from benign prostate disease within the 4.0 to 20 ng/mL total PSA range; (2) define the probability of prostate cancer based on patient age, total PSA,...

    journal_title:Urology

    pub_type: 杂志文章

    doi:10.1016/s0090-4295(98)00205-2

    authors: Carlson GD,Calvanese CB,Partin AW

    更新日期:1998-09-01 00:00:00

  • Is there a role for magnetic resonance imaging in diagnosing colovesical fistulas?

    abstract:OBJECTIVES:Colovesical fistula is a devastating complication, usually secondary to diverticulitis or colon cancer. Imaging plays a crucial role in delineating the underlying anatomy and identifying an etiologic factor. Barium enema, computed tomography, and cystoscopy have been the mainstays of investigation, but they ...

    journal_title:Urology

    pub_type: 杂志文章

    doi:10.1016/j.urology.2008.06.036

    authors: Ravichandran S,Ahmed HU,Matanhelia SS,Dobson M

    更新日期:2008-10-01 00:00:00

  • Expression and clinical significance of von Hippel-Lindau downstream genes: Jade-1 and β-catenin related to renal cell carcinoma.

    abstract:OBJECTIVE:To investigate the expression of Jade-1 and β-catenin and their effect in the development of renal cell carcinoma (RCC). METHODS:The expression of Jade-1 and β-catenin in 11 normal kidney tissue specimens (normal group) and 60 RCC specimens (RCC group) was determined using real-time polymerase chain reaction...

    journal_title:Urology

    pub_type: 杂志文章

    doi:10.1016/j.urology.2012.02.024

    authors: Lian X,Duan X,Wu X,Li C,Chen S,Wang S,Cai Y,Weng Z

    更新日期:2012-08-01 00:00:00

  • Prevalence of baseline chronic kidney disease in patients presenting with solid renal tumors.

    abstract:OBJECTIVES:To evaluate the prevalence of baseline chronic kidney disease (CKD) in a large cohort of patients presenting with renal masses to a tertiary care center, comparing serum creatinine (sCr) and estimated glomerular filtration rate (eGFR). sCr inadequately reflects renal function. eGFR and chronic kidney disease...

    journal_title:Urology

    pub_type: 杂志文章

    doi:10.1016/j.urology.2010.11.050

    authors: Canter D,Kutikov A,Sirohi M,Street R,Viterbo R,Chen DY,Greenberg RE,Uzzo RG

    更新日期:2011-04-01 00:00:00

  • Improved penile histology by phalloidin stain: circular and longitudinal cavernous smooth muscles, dual-endothelium arteries, and erectile dysfunction-associated changes.

    abstract:OBJECTIVE:To investigate whether fluorochrome-conjugated phalloidin can delineate cavernous smooth muscle (CSM) cells and whether it can be combined with immunofluorescence (IF) staining to quantify erectile dysfunction (ED)-associated changes. METHODS:ED was induced by cavernous nerve crush in rats. Penile tissues of...

    journal_title:Urology

    pub_type: 杂志文章

    doi:10.1016/j.urology.2011.06.021

    authors: Lin G,Qiu X,Fandel TM,Albersen M,Wang Z,Lue TF,Lin CS

    更新日期:2011-10-01 00:00:00

  • Extended Ureteral Stricture Corrected With Appendiceal Replacement in a Kidney Transplant Recipient.

    abstract:OBJECTIVE:To present our technique of ureteral replacement with an appendicovesicostomy for the treatment of extended ureteral stricture after kidney transplantation. Ureteral stricture represents a urologic complication that may cause progressive function impairment and graft loss. Symptomatic ureteral stenosis is gen...

    journal_title:Urology

    pub_type: 杂志文章

    doi:10.1016/j.urology.2015.06.010

    authors: Adani GL,Pravisani R,Baccarani U,Bolgeri M,Lorenzin D,Terrosu G,Girometti R,Cherchi V,Risaliti A

    更新日期:2015-10-01 00:00:00

  • Use of glyceryl trinitrate patches in patients with ureteral stones: a randomized, double-blind, placebo-controlled study.

    abstract:OBJECTIVES:To report a randomized, double-blind, placebo-controlled trial of glyceryl trinitrate (GTN) patches. The primary outcome measure was stone passage at 6 weeks. GTN is a potent smooth muscle relaxant that may offer benefit by both reducing pain and facilitating ureteral stone passage. METHODS:Fifty consecutiv...

    journal_title:Urology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/s0090-4295(01)01323-1

    authors: Hussain Z,Inman RD,Elves AW,Shipstone DP,Ghiblawi S,Coppinger SW

    更新日期:2001-10-01 00:00:00

  • Alpha-blockade therapy for benign prostatic hyperplasia: from a nonselective to a more selective alpha1A-adrenergic antagonist.

    abstract::Benign prostatic hyperplasia (BPH) is very common in older men, causing symptoms that can markedly impair quality of life. Surgical treatment, typically transurethral resection of the prostate (TURP), is highly effective but can be costly and is associated with the risk for significant morbidity. Medical treatments fo...

    journal_title:Urology

    pub_type: 杂志文章,评审

    doi:10.1016/s0090-4295(98)00140-x

    authors: Beduschi MC,Beduschi R,Oesterling JE

    更新日期:1998-06-01 00:00:00

  • Compartment syndrome: an unusual complication of the lithotomy position.

    abstract::The compartment syndrome is a rare complication of surgery in the lithotomy position, but one that may result in neurovascular damage and permanent disability. Herein, we present a case of bilateral three-compartment syndrome following urethroplasty in the dorsolithotomy position, with review of the literature and dis...

    journal_title:Urology

    pub_type: 杂志文章,评审

    doi:10.1016/0090-4295(94)90204-6

    authors: Moses TA,Kreder KJ,Thrasher JB

    更新日期:1994-05-01 00:00:00

  • Functional Implications of Renal Tumor Enucleation Relative to Standard Partial Nephrectomy.

    abstract:OBJECTIVE:To compare the surgical precision for optimizing nephron-mass preservation of tumor enucleation (TE) vs standard partial nephrectomy (SPN), with primary focus on functional outcomes. TE is presumed to optimize preservation of parenchymal mass and function but this has not yet been rigorously studied and quant...

    journal_title:Urology

    pub_type: 杂志文章

    doi:10.1016/j.urology.2016.07.048

    authors: Blackwell RH,Li B,Kozel Z,Zhang Z,Zhao J,Dong W,Capodice SE,Barton G,Shah A,Wetterlin JJ,Quek ML,Campbell SC,Gupta GN

    更新日期:2017-01-01 00:00:00

  • Fibroepithelial Vaginal Polyps in a Newborn Female.

    abstract::Discussion, diagnosis, and management of fibroepithelial polyps in a newborn female. ...

    journal_title:Urology

    pub_type: 杂志文章

    doi:10.1016/j.urology.2019.06.026

    authors: Smart VA,Roger EI,Ricca RL,Spitzer TL,Fox JA

    更新日期:2019-10-01 00:00:00

  • Bazex syndrome: acrokeratosis paraneoplastica in association with simultaneous multiple genitourinary tumors.

    abstract::We report a patient with Bazex (Bazex-Dupre-Christol) syndrome in association with multifocal basal cell carcinoma, epidermoid carcinoma of the lung, adenocarcinoma of the prostate, and possibly undifferentiated carcinoma of the bladder. To our knowledge, this is the first report of a patient with Bazex syndrome that ...

    journal_title:Urology

    pub_type: 杂志文章

    doi:10.1016/s0090-4295(00)00529-x

    authors: Atilla MK,Yllmaz Y,Bekerecioğlu M,Akpolat N,Kösem M,Aydin S

    更新日期:2000-07-01 00:00:00

  • Robot-assisted partial nephrectomy: a large single-institutional experience.

    abstract:OBJECTIVES:To report experience with 100 robot-assisted partial nephrectomy (RAPN) operations performed at our institution. Nephron-sparing surgery is an established treatment for patients with small renal masses. The laparoscopic approach has emerged as an alternative to open nephron-sparing surgery, but it is recogni...

    journal_title:Urology

    pub_type: 杂志文章

    doi:10.1016/j.urology.2009.10.040

    authors: Scoll BJ,Uzzo RG,Chen DY,Boorjian SA,Kutikov A,Manley BJ,Viterbo R

    更新日期:2010-06-01 00:00:00

  • Useful technique for long-term urinary drainage by inlying ureteral stent. Six-year experience.

    abstract::Endoscopically placed inlying ureteral stents have proved useful in the conservative management of patients with ureteral obstruction, urinary fistula, and malignancy and have obviated the need for operative intervention. In high-risk symptomatic patients with widespread malignancy, internal urinary diversion offers t...

    journal_title:Urology

    pub_type: 杂志文章

    doi:10.1016/0090-4295(79)90143-2

    authors: Kearney GP,Mahoney EM,Brown HP

    更新日期:1979-08-01 00:00:00

  • Cystography after radical retropubic prostatectomy: clinical implications of abnormal findings.

    abstract:OBJECTIVES:In many institutions, cystography is obtained routinely after radical retropubic prostatectomy to assess the integrity of the vesicourethral anastomosis before the removal of the catheter. This study presents the Indiana experience with cystograms performed following radical retropubic prostatectomy. METHOD...

    journal_title:Urology

    pub_type: 杂志文章

    doi:10.1016/S0090-4295(99)80163-0

    authors: Leibovitch I,Rowland RG,Little JS Jr,Foster RS,Bihrle R,Donohue JP

    更新日期:1995-07-01 00:00:00

  • Ureteral reaction to suture material.

    abstract::Dog ureters were anastomosed end to end using either chromic catgut, polyglycolic acid (PGA), polyglactin-910, or polypropylene sutures. Analysis of luminal diameters, fibrosis, scar vascularity, and inflammatory reaction four and seven months later indicated that in ureters of the uninfected dog the best results were...

    journal_title:Urology

    pub_type: 杂志文章

    doi:10.1016/0090-4295(83)90087-0

    authors: Smith MW,Bartone FF,Tan EC,Gardner PJ

    更新日期:1983-03-01 00:00:00

  • Sexual dysfunction in combat veterans with post-traumatic stress disorder.

    abstract:OBJECTIVES:To evaluate the prevalence, clinical correlates, and severity of sexual dysfunction in combat veterans with and without post-traumatic stress disorder (PTSD) using a validated instrument for assessing sexual function. The results of recent studies have suggested that combat veterans with PTSD experience a hi...

    journal_title:Urology

    pub_type: 杂志文章

    doi:10.1016/s0090-4295(02)01899-x

    authors: Cosgrove DJ,Gordon Z,Bernie JE,Hami S,Montoya D,Stein MB,Monga M

    更新日期:2002-11-01 00:00:00

  • Carcinoma of prostate presenting as intracranial tumor with multiple cranial nerve palsies.

    abstract::Carcinoma of the prostate is one of the commonest of cancers occurring in men over the age of fifty years. A small focus of cancer in the prostate can be active biologically and give rise to metastases without producing any symptoms of bladder neck obstruction. In such cases, the attention may be directed away from th...

    journal_title:Urology

    pub_type: 杂志文章

    doi:10.1016/0090-4295(82)90208-4

    authors: Rao KG

    更新日期:1982-04-01 00:00:00

  • Organ Preservation for Recurrent Urethral Adenocarcinoma With Concurrent Chemotherapy and Radiation.

    abstract::Urethral adenocarcinoma of males is a rare disease with limited prospective data to define optimal treatment. Surgical excision remains the primary treatment for early-stage disease. Multimodality therapy with a combination of chemotherapy, radiation, or surgery has been explored in patients with locally advanced dise...

    journal_title:Urology

    pub_type: 杂志文章

    doi:10.1016/j.urology.2017.11.033

    authors: Mendiratta P,Rini BI,Tendulkar RD

    更新日期:2018-03-01 00:00:00

  • Fluoroscopy-guided renal access in supine percutaneous nephrolithotomy.

    abstract:OBJECTIVE:To describe a standardized and easily reproducible method for fluoroscopy-guided renal access during supine percutaneous nephrolithotomy (sPCNL). PATIENTS AND METHODS:From January 2009 to January 2010, 35 patients underwent sPCNL. In 10 patients, ultrasound-guided puncture was unsuccessful. In these patients...

    journal_title:Urology

    pub_type: 杂志文章

    doi:10.1016/j.urology.2011.02.058

    authors: Hoznek A,Ouzaid I,Gettman M,Rode J,De La Taille A,Salomon L,Abbou CC

    更新日期:2011-07-01 00:00:00

  • Antioxidant activity in the semen of fertile and infertile men.

    abstract:OBJECTIVES:To evaluate catalase- and superoxide dismutase (SOD)-like activities in the seminal plasma of fertile and infertile men. METHODS:Semen samples were obtained from consecutive men presenting for vasectomy (n = 12) and infertility evaluation (n = 105) at our institution. Catalase-like activity was measured by ...

    journal_title:Urology

    pub_type: 杂志文章

    doi:10.1016/s0090-4295(00)00453-2

    authors: Zini A,Garrels K,Phang D

    更新日期:2000-06-01 00:00:00

  • Comparison of a Visual Prostate Symptom Score and International Prostate Symptom Score: A Prospective Multicenter Study and Literature Review.

    abstract:OBJECTIVE:To evaluate the correlation between Visual Prostate Symptom Score (VPSS) and the International Prostate Symptom Score (IPSS) and uroflowmetry parameters in men with lower urinary tract symptoms (LUTS) with literature review. METHODS:Patients were pooled from 4 different urology clinics in Turkey and divided ...

    journal_title:Urology

    pub_type: 杂志文章

    doi:10.1016/j.urology.2020.09.001

    authors: Ölçücü MT,Aydın ME,Avcı S,Koraş Ö,Eren AE,Yılmaz K,Ateş M

    更新日期:2020-12-01 00:00:00

  • Ham's F-10 medium and Ham's F-10 medium plus vitamin E have protective effect against oxidative stress in human semen.

    abstract:OBJECTIVES:To investigate possible protective effects of vitamin E and Ham's F-10 medium (HF-10) on lipid peroxidation, apoptosis, motility, and vitality of spermatozoa. METHODS:Normozoospermic semen samples were obtained from 35 volunteers. Normal saline solution, HF-10 only, or HF-10 with vitamin E were added to spl...

    journal_title:Urology

    pub_type: 杂志文章

    doi:10.1016/j.urology.2005.08.022

    authors: Yenilmez E,Yildirmis S,Yulug E,Aydin S,Tekelioglu Y,Erdem E,Topbas M,Arvas H

    更新日期:2006-02-01 00:00:00