Abstract:
OBJECTIVE:To evaluate the effects on the potency of a bilateral cavernosal nerve-sparing approach to robot-assisted radical cystectomy (RARC) in a preoperatively potent population. PATIENTS AND METHODS:We conducted a retrospective review of 254 patients who underwent RARC between 2003 and 2012 at our single institution. We identified 33 men who were younger than 65 years and had evidence of preoperative erections on chart review. Twenty-nine of them underwent a bilateral nerve-sparing procedure, with 28 (97%) having concomitant creation of a continent urinary diversion. RESULTS:Median follow-up was 32.9 months. Postoperatively, 13 (45%) patients had documented erections sufficient for penetration with or without the use of phosphodiesterase 5 inhibitors. Additional 6 (21%) were potent with intracavernosal injections (ICI), and the remaining 10 (34%) failed ICI usage, had on-going medical issues, or lost interest in sexual activity. With univariate analysis, no significant difference was found between those who recovered erections and those who did not on a wide range of demographic, operative, and perioperative factors, including age, comorbidities, operative time, or pathologic stage. Despite neurovascular bundle preservation, there was no local cancer recurrence and no positive soft tissue margins. CONCLUSION:A cavernosal nerve-sparing robot-assisted approach to radical cystectomy allows for recovery of potency without sacrificing oncologic outcomes even with higher risk disease as compared to historical open or laparoscopic series. Further studies are required to help elucidate why some men have better recovery in this setting than others.
journal_name
J Endouroljournal_title
Journal of endourologyauthors
Haberman K,Wittig K,Yuh B,Ruel N,Lau C,Wilson TG,Chan KGdoi
10.1089/end.2014.0315subject
Has Abstractpub_date
2014-11-01 00:00:00pages
1352-6issue
11eissn
0892-7790issn
1557-900Xjournal_volume
28pub_type
杂志文章abstract:PURPOSE:This study aims to provide an overview of type and frequency of musculoskeletal complaints among urologists. In addition, the urologists' knowledge about ergonomic conditions during minimally invasive urology was assessed, and they were asked how they would prefer to gain knowledge about this topic. MATERIALS ...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2013.0654
更新日期:2014-05-01 00:00:00
abstract:BACKGROUND AND PURPOSE:The introduction of radiofrequency ablation (RFA) into other fields of surgery has fueled the interest to study its application in small renal masses (SRM). Some controversies remain, however, regarding its oncologic efficacy. We review technical factors and tissue characteristics that influence ...
journal_title:Journal of endourology
pub_type: 杂志文章,评审
doi:10.1089/end.2009.0677
更新日期:2010-05-01 00:00:00
abstract:INTRODUCTION:Intradetrusor injection of onabotulinumtoxinA (BTX-A) can be performed with rigid or flexible cystoscopy. The primary aim of this study was to analyze irrigant flow rate and total angle of deflection for the intradetrusor injection needles used for flexible cystoscopic injection of BTX-A to see if any need...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2015.0128
更新日期:2015-11-01 00:00:00
abstract:PURPOSE:To determine the temperature-time threshold of local cell death in vivo for thermal therapy in a prostate cancer animal model and to use this value as a benchmark to quantify global tissue injury. MATERIALS AND METHODS:Two studies were designed in the Dunning AT-1 rat prostate tumor hind limb model. For both s...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/089277901750426436
更新日期:2001-08-01 00:00:00
abstract:PURPOSE:To assess the current indications for ureteroscopy (URS) treatment, outcome in terms of stone-free rate, and intra- and postoperative complications using the modified Clavien grading system. PATIENTS AND METHODS:The Clinical Research Office of the Endourological Society collected prospective data as part of th...
journal_title:Journal of endourology
pub_type: 杂志文章,多中心研究
doi:10.1089/end.2013.0436
更新日期:2014-02-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Conical blunt trocar insertion may eliminate the need for fascial closure (FC) in transperitoneal laparoscopic renal surgery. This concept applies to 12-mm blunt trocar placement through muscular parts of the abdominal wall, relying on muscle splitting and eventual muscle retraction when the troc...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/089277902753483718
更新日期:2002-02-01 00:00:00
abstract::Direct extraperitoneal surgery has become the preferred approach to laparoscopic nephrectomy since the introduction of the balloon dilation method. The lateral decubitus position provides good exposure, but the prone position is used at some centers to gain better exposure with the aid of gravity. The open conversion ...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2000.14.787
更新日期:2000-12-01 00:00:00
abstract:: Introduction and Objectives: After transurethral prostatectomy, erectile dysfunction and ejaculatory dysfunction are significant concerns for patients. We compared ejaculatory hood-sparing technique in patients who underwent photoselective vaporization of the prostate usin...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2019.0558
更新日期:2020-03-01 00:00:00
abstract:PURPOSE:To compare the effectiveness and efficacy of laparoscopic transperitoneal adrenalectomy (LTA) with those of open adrenalectomy (OA) in patients with pheochromocytoma. PATIENTS AND METHODS:Among 24 patients (13 male, 11 female) who underwent surgical removal of pheochromocytoma, LTA and OA were performed in 15 ...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/089277904773582859
更新日期:2004-04-01 00:00:00
abstract:INTRODUCTION:Ureteroscopy is one of the therapeutic options in the management of urinary stone disease in children. Previous literature has described ureteroscopy primarily in mid to distal ureteral calculi. We report our experience with flexible ureteroscopy in the management of upper ureteral calculi. PATIENTS AND M...
journal_title:Journal of endourology
pub_type: 临床试验,杂志文章
doi:10.1089/end.2010.0307
更新日期:2011-04-01 00:00:00
abstract::Cryoablation of renal masses is an evolving in situ ablative technique for the management of localized renal masses and can be performed in a laparoscopic or percutaneous manner. Its usefulness is increasing and correlates with the increasing frequency of incidentally diagnosed renal lesions. At present, this techniqu...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2008.0102
更新日期:2008-06-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Recent preclinical data have indicated that erythropoietin (Epo) can protect organs from ischemic damage. We evaluated the ability of Epo to protect the kidney from the effects of ischemia. METHODS:Thirty dogs underwent a laparoscopic nephrectomy and were allowed to recover for 2 weeks. The dogs...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2008.0183
更新日期:2009-03-01 00:00:00
abstract:PURPOSE:To assess the efficacy and the safety of a new transurethral endoscopic device using bipolar electrocautery, the Gyrus system. This system permits rapid prostate tissue removal by endoscopic vaporization with little bleeding and no pad return using saline irrigation and therefore eliminating TURP syndrome. PAT...
journal_title:Journal of endourology
pub_type: 临床试验,杂志文章
doi:10.1089/089277901750161917
更新日期:2001-04-01 00:00:00
abstract:OBJECTIVE:Hospitalization and general anesthesia to perform transurethral resection of bladder tumors (BTs) may not be necessary for small recurrent BTs. We developed a new outpatient procedure. PATIENTS AND METHODS:Patients with recurrent small tumors who had previously undergone transurethral resection of BTs for lo...
journal_title:Journal of endourology
pub_type: 临床试验,杂志文章
doi:10.1089/end.2009.0250
更新日期:2010-02-01 00:00:00
abstract:PURPOSE:To investigate the effect of metabolic syndrome (MS) and its components on the outcomes of transurethral resection of the prostate (TURP). PATIENTS AND METHODS:Fifty patients with MS and 50 without MS were enrolled for the study. Patients without MS were assigned to Group 1 and patients with MS were in Group 2...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2014.0562
更新日期:2015-03-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Robot-assisted partial nephrectomy has emerged as a viable surgical treatment for patients with certain renal tumors. We hypothesized that extirpation of more complex tumors, as graded with the nephrometry score, would result in worse operative and postoperative outcomes when compared with tumors...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2011.0003
更新日期:2011-10-01 00:00:00
abstract:OBJECTIVE:To assess the frequency of minimally invasive radical cystectomy (MIRC) conversion to open surgery, what factors influence conversion, whether or not the benefits of MIRC vs open radical cystectomy (ORC) persist after conversion, and compare ORC and MIRC outcomes. MATERIALS AND METHODS:We performed a retrosp...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2018.0079
更新日期:2018-06-01 00:00:00
abstract:BACKGROUND AND PURPOSE:An integral component of many urologic reconstructive surgical procedures is the positioning of a Double-J stent to span the anastomosis. Some surgeons prefer to place a retrograde stent during cystoscopy, either during or after the reconstruction. In this communication, we describe our straightf...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2011.0296
更新日期:2012-09-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Laparoscopic inguinal hernia repair has become a frequently performed procedure. It is thus inevitable that some candidates for radical prostatectomy for prostatic carcinoma will have undergone such previous intervention. Mesh placement in the space of Retzius as performed in laparoscopic hernia ...
journal_title:Journal of endourology
pub_type: 杂志文章,meta分析,评审
doi:10.1089/end.2012.0285
更新日期:2012-11-01 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
pub_type: 杂志文章
doi:10.1089/end.2007.0338
更新日期:2008-07-01 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:The goal of this study is to identify the most efficient sweeping angle (SA) during photoselective vaporization of the prostate (PVP). MATERIALS AND METHODS:Experiments were conducted with GreenLight XPS™ laser at 120 and 180 W. Ten blocks of porcine kidney were used for each SA (0, 15, 30, 45, 60, 90, and 120...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2011.0356
更新日期:2012-04-01 00:00:00
abstract:PURPOSE:We describe and evaluate a new transperineal laparoscopic approach for male patients, designed to facilitate laparoscopic prostatectomy and cystectomy. PATIENTS AND METHODS:We operated on 12 patients. We did three laparoscopic prostatectomies and nine laparoscopic cystectomies. On five, an ileal conduit was ma...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2010.0247
更新日期:2011-04-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Proper management of the nonpalpable testicle requires an accurate diagnosis. Laparoscopic orchiopexy (LO) has become the standard for diagnosis and treatment. We classified the location of nonpalpable testicles, reviewed the technique of LO in detail, and report the results of our series, the la...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/089277903767923128
更新日期:2003-08-01 00:00:00
abstract:OBJECTIVE:To determine if patients with pathological, medical renal disease, defined as evidence of pathological abnormalities indicative of renal damage in the non-neoplastic partial nephrectomy specimens, have worsened functional outcomes following robot-assisted partial nephrectomy (RPN). MATERIALS AND METHODS:Sixt...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2014.0228
更新日期:2014-12-01 00:00:00
abstract:INTRODUCTION:Partial or complete obstruction of the urinary tract is a common and challenging urological condition that may occur in patients of any age. Serum creatinine is the most commonly used method to evaluate global renal function, although it has low sensitivity for early changes in the glomerular filtration ra...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2016.0215
更新日期:2017-02-01 00:00:00
abstract::Using high-speed photography and acoustic emission measurements, we studied the dynamics of a transient cavitation bubble near a stone surface and the concomitant shockwaves generated during electrohydraulic lithotripsy (EHL). At each spark discharge, a vapor plasma and subsequently a cavitation bubble oscillating aro...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.1997.11.55
更新日期:1997-02-01 00:00:00
abstract:PURPOSE:To compare the efficacy of extracorporeal shockwave lithotripsy (SWL) in patients with radiopaque and radiolucent ureteral calculi. PATIENTS AND METHODS:Between September 2001 and August 2002, a total of 113 consecutive patients with ureteral calculi (58 radiopaque [Group 1], 55 radiolucent [Group 2]) were tre...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/089277903772036154
更新日期:2003-12-01 00:00:00
abstract:BACKGROUND AND PURPOSE:New-generation flexible ureteroscopes allow the management of proximal ureteral and intrarenal pathology with high success rates, including complete removal of ureteral and renal calculi. One problem is that the irrigation pressures generated within the collecting system can be significantly elev...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/089277904322836631
更新日期:2004-02-01 00:00:00
abstract::Minimal bleeding during endoscopic surgery of the urinary tract may prevent optimum vision. We used neurosurgical patties for dissection during our laparoscopic procedures in the pediatric population and aimed to describe this technique as an alternative to standard ways of dissection during laparoscopic procedures. W...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2010.0435
更新日期:2011-05-01 00:00:00