当前位置： SCI文献检索 > UROLOGY期刊下所有文献 > Electromagnetic Guided Percutaneous Renal Access Outcomes Among Surgeons and Trainees of Different Experience Levels: A Pilot Study.

Electromagnetic Guided Percutaneous Renal Access Outcomes Among Surgeons and Trainees of Different Experience Levels: A Pilot Study.

Abstract：

OBJECTIVE:To determine feasibility of an electromagnetic (EM) guidance system (Auris Health, Redwood City, CA) in obtaining percutaneous renal access among urologists and trainees of different experience levels. EM-guidance is appealing for access as it allows real time, 3-dimensional targeting without radiation. Few studies have explored this for percutaneous nephrolithotomy (PCNL) and none have assessed its potential to decrease the learning curve in obtaining access using traditional techniques. METHODS:Institutional Animal Care and Use Committee approval was obtained to compare EM-guided percutaneous access to fluoroscopic guided access in a porcine model. Voluntary participants included urology trainees and faculty. They were categorized as beginner (no prior primary percutaneous nephrolithotomyexperience), intermediate (10-100 prior) and advanced (>100). Each participant attempted an EM and fluoroscopic guided puncture. Primary outcome was successful puncture. Secondary outcomes included access time, fluoroscopy time, and number of attempts. Participants were limited to 3 attempts and 10 minutes total to obtain access using each technique. RESULTS:Fourteen participants (6 beginners, 4 intermediates, and 4 experts) attempted 28 punctures. Overall success using EM-guidance was 93% compared to 71% using fluoroscopy (P = .33). EM punctures had shorter access times (85 vs 255 seconds, P <.01) required fewer attempts (1 vs 2, P = .04) and had decreased associated fluoroscopy times (1 vs 96 seconds, P <.01) excluding the initial retrograde pyelogram and guidance of the ureteroscope to the desired calyx. Beginners showed comparable success rates and outcomes relative to experts despite higher access times. CONCLUSION:EM-guidance is a promising new technique to decrease the learning curve of percutaneous access with high success rates and minimal radiation.

journal_name

Urology

journal_title

Urology

authors

Borofsky MS,Rivera ME,Dauw CA,Krambeck AE,Lingeman JE

doi

10.1016/j.urology.2019.08.060

subject

Has Abstract

pub_date

2020-02-01 00:00:00

pages

266-271

eissn

0090-4295

issn

1527-9995

pii

S0090-4295(19)30979-3

journal_volume

136

pub_type

杂志文章

相关文献

UROLOGY文献大全
  • 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

  • Switching to Single-use Flexible Ureteroscopes for Stones Management: Financial Impact and Solutions to Reduce the Cost Over a 5-Year Period.

    abstract：OBJECTIVES:To assess the financial impact of switching to single-use ureteroscopes (sURS) in urolithiasis management for a hospital, over a 5-year period, and to identify possible solutions to contain or reduce it. METHODS:A Budget Impact (BI) model was designed for a public hospital performing around 200 ureteroscopi...

    journal_title：Urology

    pub_type： 杂志文章

    doi：10.1016/j.urology.2020.05.062

    authors： Dubnitskiy-Robin S,Pradère B,Faivre d'Arcier B,Watt S,Le Fol T,Bruyère F,Rusch E,Monmousseau F,Brunet-Houdard S

    更新日期：2020-09-01 00:00:00

  • Reliability of voiding cystourethrography to detect urethral obstruction in boys.

    abstract：OBJECTIVES:To evaluate the reliability of voiding cystourethrography (VCUG) to diagnose infravesical obstruction in boys. METHODS:Hard copies of the VCUG findings of 72 boys were assessed by two pediatric radiologists and two pediatric urologists. The investigators were instructed to consider six items related to infr...

    journal_title：Urology

    pub_type： 杂志文章

    doi：10.1016/j.urology.2003.11.047

    authors： de Kort LM,Uiterwaal CS,Beek EJ,Jan Nievelstein RA,Klijn AJ,de Jong TP

    更新日期：2004-05-01 00:00:00

  • Bladder perforation caused by cucumis sativus repaired per vagina.

    abstract：:A case of bladder perforation secondary to simulated intercourse with a cucumber is presented. Treatment by primary vaginal repair was successful. ...

    journal_title：Urology

    pub_type： 杂志文章

    doi：10.1016/0090-4295(87)90251-2

    authors： Piercy SL,Gregory JG,Freel JH

    更新日期：1987-09-01 00:00:00

  • Anuria from candida pyelonephritis and obstructing fungal balls.

    abstract：:A premature newborn male required intensive care and prolonged antibiotic therapy for respiratory distress. Acute renal failure developed from bilateral obstructive candida pyelonephritis complicating systemic Candida albicans infection. Necropsy also revealed organizing subarachnoid hematoma and granulomatous candida...

    journal_title：Urology

    pub_type： 杂志文章

    doi：10.1016/0090-4295(83)90171-1

    authors： Khan MY

    更新日期：1983-04-01 00:00:00

  • Effect of nonsteroidal antiandrogen monotherapy versus castration therapy on neuroendocrine differentiation in prostate carcinoma.

    abstract：OBJECTIVES:To determine whether the administration of the nonsteroidal antiandrogen bicalutamide reduces the risk of an increase in chromogranin A (CgA) levels in patients with prostate cancer who experienced biochemical failure after radical retropubic prostatectomy (RRP) compared with pharmacologic castration therapy...

    journal_title：Urology

    pub_type： 临床试验,杂志文章,随机对照试验

    doi：10.1016/j.urology.2003.10.043

    authors： Sciarra A,Di Silverio F

    更新日期：2004-03-01 00:00:00

  • Metabolic investigation of recurrent nephrolithiasis: compliance with recommendations.

    abstract：OBJECTIVES:Nephrolithiasis is a recurrent condition with significant associated morbidity and economic impact. Although urologic intervention addresses symptomatic stone episodes, prevention of recurrences with proven medical therapy is indicated. METHODS:This retrospective study examined 97 patients who presented in ...

    journal_title：Urology

    pub_type： 杂志文章

    doi：10.1016/s0090-4295(00)00822-0

    authors： Krepinsky J,Ingram AJ,Churchill DN

    更新日期：2000-12-20 00:00:00

  • Pilot Study Evaluating a Rat Model of Radiation-induced Erectile Dysfunction Using an Image-guided Microirradiator.

    abstract：OBJECTIVE:To establish a feasible rat model of radiation-induced erectile dysfunction after targeted prostate irradiation using an image-guided irradiation unit specially designed for small-animal radiation research. METHODS:The X-RAD 225Cx research platform was used in the present study. We first performed quality as...

    journal_title：Urology

    pub_type： 杂志文章

    doi：10.1016/j.urology.2014.12.020

    authors： Kimura M,Zodda AR,Mahmood J,Das SK,Nguyen GB,Jackson IL,Vujaskovic Z

    更新日期：2015-05-01 00:00:00

  • Early hyperbaric oxygen therapy improves outcome for radiation-induced hemorrhagic cystitis.

    abstract：OBJECTIVES:To assess the clinical factors that affect the efficacy of hyperbaric oxygen (HBO2) therapy in treating radiation-induced hemorrhagic cystitis. HBO2 therapy is an effective treatment for radiation-induced hemorrhagic cystitis, with reported response rates ranging from 76% to 100%. METHODS:The data from pati...

    journal_title：Urology

    pub_type： 杂志文章

    doi：10.1016/j.urology.2004.10.050

    authors： Chong KT,Hampson NB,Corman JM

    更新日期：2005-04-01 00:00:00

  • Recurrent Bladder Cancer in a Teenage Male.

    abstract：:Urothelial cell carcinoma of the bladder is exceedingly rare in pediatric patients. Based on current literature, bladder cancer in this population is thought to be low-grade, noninvasive, and unlikely to recur, suggesting significant biologic differences when compared to the adult population. This is a 15-year-old mal...

    journal_title：Urology

    pub_type： 杂志文章

    doi：10.1016/j.urology.2020.04.031

    authors： Peard L,Stark T,Ziada A,Saltzman AF

    更新日期：2020-07-01 00:00:00

  • Contemporary evaluation of the National Comprehensive Cancer Network prostate cancer risk classification system.

    abstract：OBJECTIVE:To analyze the National Comprehensive Cancer Network prostate cancer guidelines pretreatment risk groups in a contemporary series of patients treated with radical prostatectomy. METHODS:We analyzed our institutional radical prostatectomy database, including all patients with clinically localized disease trea...

    journal_title：Urology

    pub_type： 杂志文章

    doi：10.1016/j.urology.2012.07.040

    authors： Reese AC,Pierorazio PM,Han M,Partin AW

    更新日期：2012-11-01 00:00:00

  • A Histomorphological Study of the Divergent Corpus Spongiosum Surrounding the Urethral Plate in Hypospadias.

    abstract：OBJECTIVE:To investigate the histomorphological changes of the divergent corpus spongiosum surrounding the urethral plate in hypospadias. METHODS:Seventy boys with hypospadias were divided into the distal (n = 44) and proximal (n = 26) groups by the location of the ectopic meatus. The morphology of the divergent corpu...

    journal_title：Urology

    pub_type： 杂志文章

    doi：10.1016/j.urology.2020.04.139

    authors： Bao X,Huang Y,Lyu Y,Xi Z,Xie H,Fu Q,Song L,Chen F

    更新日期：2020-10-01 00:00:00

  • Transrectal hyperthermia as palliative treatment for advanced adenocarcinoma of prostate and studies of cell-mediated immunity.

    abstract：:During a fifteen-month period, 15 patients with progressive adenocarcinoma of the prostate (CaP) were treated with transrectal microwave hyperthermia (TRHT). There were 5 Stage T4 and 11 Stage T3 patients including 6 patients with skeletal metastases. Nine of the patients had severe and 6 had moderately severe signs a...

    journal_title：Urology

    pub_type： 杂志文章

    doi：10.1016/0090-4295(93)90102-g

    authors： Stawarz B,Zielinski H,Szmigielski S,Rappaport E,Debicki P,Petrovich Z

    更新日期：1993-06-01 00:00:00

  • MicroRNAs: a new paradigm on molecular urological oncology.

    abstract：:MicroRNAs (miRNA) are a class of naturally occurring, small, noncoding RNAs that function as specific repressors of protein-encoding genes, being pivotal regulators of development and cellular homeostasis. They have been functionally classified as proto-oncogenes or tumor suppressors and are aberrantly expressed in di...

    journal_title：Urology

    pub_type： 杂志文章,评审

    doi：10.1016/j.urology.2010.03.012

    authors： Reis LO,Pereira TC,Lopes-Cendes I,Ferreira U

    更新日期：2010-09-01 00:00:00

  • Prostate cancer presenting with malignant ascites: signet-ring cell variant of prostatic adenocarcinoma.

    abstract：:A case of prostate cancer presenting with malignant ascites as the sole clinical manifestation is reported. The clinical course simulated occult gastrointestinal malignancy. At the histologic level, the tumor had a signet-ring morphology. Detailed immunocytochemical and ultrastructural studies, however, confirmed the ...

    journal_title：Urology

    pub_type： 杂志文章

    doi：10.1016/0090-4295(92)90259-y

    authors： Catton PA,Hartwick RW,Srigley JR

    更新日期：1992-05-01 00:00:00

  • Urethral gap in complete disruption of membranous urethra.

    abstract：:In patients with complete disruption of the membranous urethra treated initially with placement of a suprapubic cystostomy, delayed synchronous retrograde and voiding cystourethrograms failed to demonstrate accurately the distance between the two urethral ends. Radiographic exposure obtained during synchronous instrum...

    journal_title：Urology

    pub_type： 杂志文章

    doi：10.1016/0090-4295(87)90500-0

    authors： Lupu AN,Farrer JH,Smith RB,Kaufman JJ

    更新日期：1987-04-01 00:00:00

  • Open technique for nerve-sparing retroperitoneal lymphadenectomy.

    abstract：INTRODUCTION:Retroperitoneal lymphadenectomy (RPLND) is indicated in patients with testicular cancer of all stages for staging, prognostic, and therapeutic purposes. Modification of the classic RPLND to incorporate nerve sparing has reduced the morbidity associated with this procedure with respect to ejaculation and fe...

    journal_title：Urology

    pub_type： 杂志文章

    doi：10.1016/s0090-4295(99)00378-7

    authors： Klein EA

    更新日期：2000-01-01 00:00:00

  • Clinical features and treatment options for Chinese patients with severe primary erectile dysfunction.

    abstract：OBJECTIVES:To investigate clinical features of Chinese patients with severe primary erectile dysfunction (S-PED) and to identify the ideal treatment options for this population. METHODS:Patients with PED were screened for enrollment in our study. Sexual history, marital status, and erectile function were evaluated by ...

    journal_title：Urology

    pub_type： 杂志文章

    doi：10.1016/j.urology.2009.12.008

    authors： Zhu YC,Zhao JL,Wu YG,Yuan YM,Lian WQ,Zhang J,Cui WS,Zhe J,Xin ZC

    更新日期：2010-08-01 00:00:00

  • Inhibition of fatty-acid synthase suppresses P-AKT and induces apoptosis in bladder cancer.

    abstract：OBJECTIVE:To investigate the role of fatty acid synthase (FASN) in bladder transitional cell carcinoma (BTCC). METHODS:FASN expression was investigated in non-muscle-invasive BTCC tissue specimens by immunohistochemistry and BTCC cell lines by Western blot. After treatment with FASN-siRNA or FASN inhibitor cerulenin (...

    journal_title：Urology

    pub_type： 杂志文章

    doi：10.1016/j.urology.2012.02.046

    authors： Jiang B,Li EH,Lu YY,Jiang Q,Cui D,Jing YF,Xia SJ

    更新日期：2012-08-01 00:00:00

  • Life-threatening urethral bleeding induced by a pseudoaneurysm of the obturator artery.

    abstract：:We report the case of a 56-year-old man who in a motor vehicle collision developed a pelvic fracture and complete urethra rupture. Sudden onset of intermittent severe urethral bleeding occurred and it led to life-threatening blood pressure drop and dyspnea. An angiography of internal iliac artery showed a pseudoaneury...

    journal_title：Urology

    pub_type： 杂志文章

    doi：10.1016/j.urology.2013.08.016

    authors： Huang TY,Huang CN,Lee YC

    更新日期：2013-12-01 00:00:00

  • Satisfaction With Testicular Prosthesis After Radical Orchiectomy.

    abstract：OBJECTIVES:To determine patient satisfaction with testicular prostheses (TP) for testicular cancer. Reconstruction represents an important part of surgical oncology, yet placement of TP following orchiectomy is infrequently performed. Improved data on patient satisfaction with TP would help in counseling patients with ...

    journal_title：Urology

    pub_type： 杂志文章

    doi：10.1016/j.urology.2017.12.006

    authors： Clifford TG,Burg ML,Hu B,Loh-Doyle J,Hugen CM,Cai J,Djaladat H,Wayne K,Daneshmand S

    更新日期：2018-04-01 00:00:00

  • Factors influencing male sexual impotence after renal transplantation.

    abstract：:Sexual impotence has been reported sixfold after sequential renal transplantation. The effects of race, age, diabetes mellitus, hypertension, uremia, arteriosclerosis (by ABI = ankle BP/brachial BP), penile blood flow (by PBI = penile BP/brachial BP), length of dialysis and transplantation, and patency of hypogastric ...

    journal_title：Urology

    pub_type： 杂志文章

    doi：10.1016/0090-4295(83)90122-x

    authors： Nghiem DD,Corry RJ,Picon-Mendez G,Lee HM

    更新日期：1983-01-01 00:00:00

  • Initial dissection of the lateral fascia reduces the positive margin rate in radical prostatectomy.

    abstract：OBJECTIVES:Positive margins predict an adverse outcome after radical retropubic prostatectomy (RRP). The effect of initial incision of the lateral pelvic fascia prior to urethral transection on positive margins rates is assessed. METHODS:The rate of positive margins in 350 consecutive RRPs is compared in two groups wi...

    journal_title：Urology

    pub_type： 杂志文章

    doi：10.1016/s0090-4295(97)00713-9

    authors： Klein EA,Kupelian PA,Tuason L,Levin HS

    更新日期：1998-05-01 00:00:00

  • What happens to the abstracts presented at the Societè Internationale d'Urologie meeting?

    abstract：OBJECTIVES:To estimate the acceptance rate on peer-reviewed journals, describe the time-course of subsequent full publication, and identify those with characteristics associated with publication from the abstracts presented at the Societè Internationale d'Urologie (SIU) meeting. METHODS:All abstracts accepted for pres...

    journal_title：Urology

    pub_type： 杂志文章

    doi：10.1016/j.urology.2007.11.028

    authors： Autorino R,Quarto G,Di Lorenzo G,Giugliano F,Quattrone C,Neri F,De Domenico R,Sorrentino D,Mordente S,Damiano R,De Sio M

    更新日期：2008-03-01 00:00:00

  • PSA levels and the rate of positive surgical margins in radical prostatectomy specimens preceded by androgen blockade in clinical B2 (T2bNxMo) prostate cancer. The Lupron Depot Neoadjuvant Study Group.

    abstract：OBJECTIVES:Neoadjuvant hormonal therapy reduces positive margins in patients undergoing radical prostatectomy. All patients experience a decrease in serum prostate specific antigen (PSA), but not always to a level that is nondetectable. The results of several prospective, randomized trials indicate that the incidence o...

    journal_title：Urology

    pub_type： 临床试验,杂志文章,多中心研究,随机对照试验

    doi：10.1016/s0090-4295(97)00172-6

    authors： McLeod DG,Johnson CF,Klein E,Peabody JO,Coffield S,Soloway M

    更新日期：1997-03-01 00:00:00

  • Positive posterior margin of needle biopsy cores is an independent predictor for extracapsular extension in retropubic radical prostatectomy.

    abstract：OBJECTIVE:To introduce the new preoperative parameter as a predictor for extracapsular extension (ECE), we defined the presence of tumor at the stump of the rectum side on prostate needle biopsy as a positive posterior margin (PPM), and speculated that PPM is related to ECE. METHODS:This retrospective study was conduc...

    journal_title：Urology

    pub_type： 杂志文章

    doi：10.1016/j.urology.2012.12.050

    authors： Yamanaka H,Matsumoto K,Obata J,Ninomiya A,Mukai K,Nakamura S

    更新日期：2013-05-01 00:00:00

  • Solifenacin may improve sleep quality in patients with overactive bladder and sleep disturbance.

    abstract：OBJECTIVE:To examine the effect of solifenacin for not only overactive bladder symptoms but also sleep disturbance. Nocturia and urgency are independent factors for sleep disturbance. METHODS:Fifteen male patients with overactive bladder symptoms and sleep disturbance were enrolled in this study. The overactive bladde...

    journal_title：Urology

    pub_type： 杂志文章

    doi：10.1016/j.urology.2011.04.020

    authors： Takao T,Tsujimura A,Yamamoto K,Fukuhara S,Nakayama J,Matsuoka Y,Miyagawa Y,Nonomura N

    更新日期：2011-09-01 00:00:00

  • Effect of morphine on ischemia-reperfusion injury: experimental study in testicular torsion rat model.

    abstract：OBJECTIVES:To investigate the effects of morphine on reperfusion injury due to testicular torsion-detorsion (T/D). METHODS:We divided 36 adult male Sprague-Dawley rats into six groups. Testicular ischemia was achieved by twisting the right testis 720 degrees counterclockwise for 1 hour, and reperfusion was allowed for...

    journal_title：Urology

    pub_type： 杂志文章

    doi：10.1016/j.urology.2005.06.101

    authors： Salmasi AH,Beheshtian A,Payabvash S,Demehri S,Ebrahimkhani MR,Karimzadegan M,Bahadori M,Pasalar P,Dehpour AR

    更新日期：2005-12-01 00:00:00

  • Granular myoblastoma: perineal neoplasm of probable neural origin.

    abstract：:A seventy-year-old man with a painless, perineal neoplasm was found to have a granular cell myoblastoma densely adherent to the bulbar urethra. This case represents the fourth known perineal neoplasm of neural origin. ...

    journal_title：Urology

    pub_type： 杂志文章

    doi：10.1016/0090-4295(77)90019-x

    authors： Eason AA,Karol J,Collins EJ

    更新日期：1977-08-01 00:00:00

  • Kidney, Ureter, and Bladder (KUB): A Novel Grading System for Encrusted Ureteral Stents.

    abstract：OBJECTIVE:To introduce a grading system (kidney, ureter, and bladder [KUB]) to identify encrusted stents that may require multiple surgeries, multimodal surgery, and operative time > 180 minutes for successful removal. METHODS:One hundred ten retained encrusted ureteral stents were retrospectively scored using the KUB...

    journal_title：Urology

    pub_type： 杂志文章

    doi：10.1016/j.urology.2016.06.050

    authors： Arenas JL,Shen JK,Keheila M,Abourbih SR,Lee A,Stokes PK,Li R,Alsyouf M,Lightfoot MA,Baldwin DD

    更新日期：2016-11-01 00:00:00