Abstract:
: Purpose: Several case series have demonstrated the safety and feasibility of outpatient robot-assisted radical prostatectomy (RARP) in well-selected patients; however, the patient perspective of this practice has not been well explored. In this study, we explored patients' perspectives on the potential barriers and benefits of outpatient RARP. Materials and Methods: We developed a multidimensional questionnaire to assess socioeconomic status, presence of caretaker at home, preferred transportation to the emergency room in case of chest pain or postsurgical complications, readiness for discharge at postanesthesia care unit (PACU), and potential barriers for discharge. In addition, patients were asked to provide an estimate of overnight hospitalization costs and their willingness to pay out-of-pocket expenses for their overnight stay. Patients who underwent RARP between August 1, 2018, and April 30, 2019, were asked to fill the questionnaire within the first week following their operation. Results: During our study, 157/292 (53.8%) of men undergoing RARP from a single high-volume robotic surgeon completed the survey. Patients who completed <80% of the survey (n = 5) were excluded from the final analysis. Thirty-seven (24.3%) patients felt that they would have been ready for discharge immediately from PACU, and 48 (31.6%) patients after extended recovery and before midnight. Only 17.8% (n = 27) of the patients claim that they experienced a medical intervention in the hospital that could not have been managed at home. The main barriers for same-day discharge were pain (55.9%, 80/143), catheter discomfort (44.7%, 64/143), insufficient education about catheter care (31.4%, 45/143), postoperative nausea and vomiting (15.3%, 22/143), and medical complications (13.2%, 19/143). Conclusions: Two-thirds of patients following RARP did not feel ready to be discharged on the day of their surgery. Further research is necessary to identify patients who may benefit from this approach to reduce health care costs while minimizing patient postoperative morbidity.
journal_name
J Endouroljournal_title
Journal of endourologyauthors
Dobbs RW,Nguyen TT,Shahait M,Lee DJ,Kim JL,El-Fahmawi A,Lee DIdoi
10.1089/end.2019.0796subject
Has Abstractpub_date
2020-04-01 00:00:00pages
450-455issue
4eissn
0892-7790issn
1557-900Xjournal_volume
34pub_type
杂志文章abstract::In 2005 we reported in this journal the treatment of cystic nephroma, a rare but presumed benign renal tumor, with percutaneous resection. Initial follow-up confirmed removal of the intra-pelvic portion of the cystic nephroma and persistence of the unresected intra-parenchymal portion. Surveillance with computed tomog...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2007.0441
更新日期:2008-07-01 00:00:00
abstract::A patient with a lymphocele after laparoscopic pelvic lymphadenectomy and radical retropubic prostatectomy was treated successfully with a single instillation of diatrizoate meglumine through a Jackson-Pratt drain. The authors review the origin of lymphoceles and various methods for treating them. ...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.1993.7.337
更新日期:1993-08-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Although the evidence is sparse, most urologists advise the insertion of a safety guide wire (SGW) alongside the ureteroscope whenever performing ureteroscopy (URS). The aim of the study was to compare the results of ureteroscopic treatment for ureteral stones at the Oslo University Hospital (OUH...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2013.0248
更新日期:2013-10-01 00:00:00
abstract::In five patients with chronic intractable ureteral obstruction, a fine-bore nephrostomy tube was placed in a subcutaneous tunnel to drain the kidney without an external appliance. Good quality of life was achieved for 6 months to 2 years. When conventional intraluminal stents cannot be used, consideration should be gi...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.1997.11.411
更新日期:1997-12-01 00:00:00
abstract:: Introduction: Calcium oxalate (CaOx) is the predominate component within renal calculi and can be divided into two subtypes: CaOx-monohydrate (COM) and CaOx-dihydrate (COD). COM and COD form in differing urinary environments, which suggest differential underlying metabolic...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2019.0245
更新日期:2019-09-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Single-system ectopic ureter draining a dysplastic kidney is a rare urologic abnormality. In this study, we evaluated our own experience using laparoscopy for the simultaneous identification and removal of such ureterorenal units. PATIENTS AND METHODS:Between February 1999 and August 2001, four ...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/089277902760261392
更新日期:2002-08-01 00:00:00
abstract::Laparoscopic pyeloplasty represents one of the more advanced reconstructive procedures for the urologist. While early reports were replete with long operative times, there have been several changes that have added to the efficiency of the procedure. In our practice, we have found three changes to be of greatest value:...
journal_title:Journal of endourology
pub_type: 杂志文章,评审
doi:10.1089/089277904773582750
更新日期:2004-04-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Current guidelines recommend routine second transurethral resection (TUR) for accurate diagnosis and to prevent understaging of muscle-invasive bladder cancer. We evaluated the diagnostic accuracy of immediate second resection of the tumor bed during initial TUR and its prognostic significance. ...
journal_title:Journal of endourology
pub_type: 杂志文章,随机对照试验
doi:10.1089/end.2011.0576
更新日期:2012-08-01 00:00:00
abstract:: Introduction: To compare short- and midterm outcomes of the first 55 patients undergoing robot-assisted kidney transplant (RAKT) with patients undergoing open kidney transplant (OKT) during the same period in a tertiary care hospital. Materials and...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2020.0213
更新日期:2020-09-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Surgical outcomes depend on patient and disease-related factors, as well as the technical skill of the surgeon. Various distractions in the operating room (OR) environment have been shown to negatively impact a surgeon's performance. A survey was conducted with the objective to evaluate and chara...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2012.0704
更新日期:2013-09-01 00:00:00
abstract:PURPOSE:We compared experimental renal lesions created with temperature-based or impedance-based radiofrequency (RF) generators using normal renal parenchyma in an animal model with protocols recommended by the manufacturer. MATERIALS AND METHODS:Bilateral renal mobilization was completed in seven farm pigs in prepara...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/089277902753619564
更新日期:2002-03-01 00:00:00
abstract::The greatest difficulty in performing a laparoscopic pyeloplasty is the suturing of the ureteropelvic junction. The purpose of this study was to evaluate the use of nonperforating titanium vascular closure staple (VCS) clips to perform in laparoscopic ureteroureterostomy in the porcine model. Six female minipigs under...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.1998.12.265
更新日期:1998-06-01 00:00:00
abstract::The long-term effects of extracorporeal shockwave lithotripsy (SWL) on children treated for renal calculi are unclear. To study the effects on the immature animal, we evaluated 31 Wistar white rats that underwent right nephrectomy at 30 days of age. At 40 days of age they were divided into three groups: a control grou...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.1995.9.45
更新日期:1995-02-01 00:00:00
abstract:PURPOSE:To determine the composition and the extent of crystalline (and other) encrustation on ureteral catheters inserted under sterile conditions in stone formers, in comparison with catheters of the same type inserted in nonstone formers for the same time but for different clinical reasons. MATERIALS AND METHODS:Fo...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2004.18.550
更新日期:2004-08-01 00:00:00
abstract:BACKGROUND AND PURPOSE:The use of bipolar electrocautery has proven advantages over monopolar energy during transurethral surgery by limiting hyponatremia and its clinical sequelae. Percutaneous ablation of caliceal diverticula and parapelvic renal cysts has been shown to be an effective surgical approach for the manag...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2010.0525
更新日期:2011-05-01 00:00:00
abstract::Flexible cystoscopy is well established in urological practice. We present a unique image obtained during bladder inspection, illustrating visual refractive distortion, which highlights the potential difficulty in optical interpretation. ...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2009.0320
更新日期:2010-02-01 00:00:00
abstract:INTRODUCTION:The da Vinci surgical platform is becoming increasingly available and utilized. Due to the lack of haptic feedback, visual cues are necessary to estimate grip forces and tissue tensions during surgery. We directly measured the grip forces of robotic EndoWrist instruments using the three available da Vinci ...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2010.0306
更新日期:2011-03-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Functional losses near 20% are seen in the operated kidney during partial nephrectomy. Resected healthy margins are small and ischemia time limited in the modern era. We hypothesize that reconstruction following tumor resection is modifiable and a significant cause of renal function injury. MATE...
journal_title:Journal of endourology
pub_type: 杂志文章,评审
doi:10.1089/end.2016.0055
更新日期:2016-05-01 00:00:00
abstract:PURPOSE:The purpose of this study was to measure the accuracy of stone-specific algorithms (S-mode) and the posterior acoustic shadow for determining kidney stone size with ultrasound (US) in vivo. MATERIALS AND METHODS:Thirty-four subjects with 115 renal stones were prospectively recruited and scanned with S-mode on ...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2016.0341
更新日期:2016-09-01 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:BACKGROUND AND PURPOSE:Extracorporeal shockwave therapy (ESWT) has been reported to improve the symptoms of Peyronie's disease. However, the response rates to this treatment appear to be variable. This study aimed to determine whether any patient or plaque characteristics are associated with a better outcome. PATIENTS...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2006.20.135
更新日期:2006-02-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Renal artery aneurysm (RAA) is an infrequently seen disease entity but one with the potential for significant morbidity and mortality. Complications related to RAA include pain, hematuria, hypertension, and, rarely, rupture. Management is often based on symptomatology or, if symptoms are not pres...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2009.0338
更新日期:2010-01-01 00:00:00
abstract:OBJECTIVES:To determine predictors of fluoroscopy time (FT) during percutaneous nephrolithotomy (PCNL) and assess the impact of urology postgraduate trainees (PGTs) and S.T.O.N.E. nephrolithometry score. METHODS:A retrospective review of patients undergoing PCNL between 2010 and 2013 at a tertiary healthcare center wa...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2014.0800
更新日期:2015-05-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Protease inhibitors, specifically indinavir, have historically been implicated as a cause of nephrolithiasis in the human immunodeficiency virus (HIV) infected patients. There is a paucity of data, however, on stone disease with nonindinavir etiologies since the introduction of highly active anti...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2011.0639
更新日期:2012-08-01 00:00:00
abstract:OBJECTIVES:We developed minimal incision-assisted retroperitoneoscopic surgery (MARP) in an attempt to pursue optimized patient-related benefits. We evaluated the clinical value of MARP for upper urinary tract diseases compared with pure retroperitoneoscopic surgery (PRPS). PATIENTS AND METHODS:Between January 2003 an...
journal_title:Journal of endourology
pub_type: 临床试验,杂志文章
doi:10.1089/end.2009.0480
更新日期:2010-06-01 00:00:00
abstract::After urinary diversion, access to the distal ureter for either resection or repair, especially in patients with history of infection, extravasation, radiation, or other abdominal surgery, can be hazardous. We report two cases where the endoscopic placement of a coaxial balloon dilating catheter prior to open explorat...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.1996.10.57
更新日期:1996-02-01 00:00:00
abstract:: Purpose: To review the literature on optimal methods of drainage for obstructive urolithiasis in adult patients, comparing percutaneous nephrostomy (PCN) with retrograde ureteral catheterization (Double J [JJ]) regarding success of procedure, efficacy, complications, quali...
journal_title:Journal of endourology
pub_type: 杂志文章,评审
doi:10.1089/end.2019.0309
更新日期:2019-10-01 00:00:00
abstract::Endoscopic treatment of upper-tract transitional-cell carcinoma (TCC) is well established. Nevertheless, many patients still required major ablative surgery. We have applied our experience with laparoscopic nephrectomy to the performance of laparoscopic nephroureterectomy in order to make the management of upper-tract...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.1998.12.139
更新日期:1998-04-01 00:00:00
abstract:PURPOSE:To assess the effectiveness of palladium-103 brachytherapy in stage T1 and T2 adenocarcinoma of the prostate. PATIENTS AND METHODS:The charts of 1048 patients treated between 1991 and 1999 with transperineal realtime ultrasound-guided (103)Pd (Theraseed) implants were reviewed to assess the effects on serum pr...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2000.14.343
更新日期:2000-05-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Magnesium (Mg(2+)) has been shown to be a kidney stone inhibitor; however, the exact mechanism of its effect is unknown. Using theoretical models, the interactions of calcium and oxalate were examined in the presence of Mg(2+). METHODS:Molecular dynamics simulations were performed with NAMD and ...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2013.0173
更新日期:2013-12-01 00:00:00