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 using the GreenLight Laser (EjS-PVP) with the ejaculatory hood-sparing technique in patients who underwent bipolar button plasma vaporization of the prostate (EjS-BPVP) in the surgical management of benign prostatic hyperplasia (BPH). Materials and Methods: Twenty-seven patients were randomized to either undergo EjS-PVP or EjS-BPVP from August 2016 to March 2018. All of the patients were sexually active with antegrade ejaculation before prostatectomy. We evaluated International Prostate Symptom Score (IPSS), quality of life (QoL), peak flow rate (Qmax), postvoid residual volume (PVR), International Index of Erectile Function and ejaculatory function by the Male Sexual Health Questionnaire (MSHQ). Men were evaluated preoperatively and at 1, 3, and 6 months postoperatively. The primary outcome was ejaculation preservation measured as no change or preservation in antegrade ejaculate at the last follow-up visit by MSHQ (6 months). Results: Twenty-seven patients with a mean age of 65.6 ± 8.4 years underwent either EjS-BPVP or EjS-PVP (Table 1). There were no differences in baseline characteristics between the two groups. Improvements in IPSS, QoL, Qmax, and PVR were durable throughout the study period in both groups. There was no difference in outcomes between groups. Postoperatively, there was no change in ejaculatory function with EjS-BPVP utilizing either 180 W EjS-PVP or bipolar energy. The change in MSHQ Ejaculation Scale was -2.1 and -5.4 at 6 months in both arms. The 6-month ejaculatory preservation rate was 85% in the EjS-PVP group and 78% in the EjS-BPVP group. Conclusions: EjS GreenLight photoselective vaporization and bipolar plasma button vaporization is a safe and effective method for treating men with lower urinary tract symptoms secondary to BPH with maintenance of antegrade ejaculation.
journal_name
J Endouroljournal_title
Journal of endourologyauthors
Kini M,Te AE,Kashanian JA,Kaplan S,Chughtai Bdoi
10.1089/end.2019.0558subject
Has Abstractpub_date
2020-03-01 00:00:00pages
322-329issue
3eissn
0892-7790issn
1557-900Xjournal_volume
34pub_type
杂志文章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:Recently, laparoscopic nephropexy has been performed using a transperitoneal approach. We evaluated the efficacy of a retroperitoneoscopic technique for symptomatic nephroptosis. PATIENTS AND METHODS:Three men and two women with right nephroptosis underwent retroperitoneal laparoscopic nephropexy. Their sympto...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/089277903770802344
更新日期:2003-11-01 00:00:00
abstract:OBJECTIVE:To evaluate the role of color-coded Doppler sonography (CCDS) in the assessment of internal ureteral stent patency. PATIENTS AND METHODS:We compared micturating cystography (MC) and CCDS in 48 patients with internal ureteral stents. Forty-five of these patients had pyelocaliectasis on renal sonography. RESU...
journal_title:Journal of endourology
pub_type: 临床试验,杂志文章
doi:10.1089/end.1999.13.199
更新日期:1999-04-01 00:00:00
abstract:PURPOSE:To analyze the early outcome after single tract vs multiple tracts percutaneous nephrolithotomy (PCNL) in the management of staghorn calculi. PATIENTS AND METHODS:The records of 413 patients with staghorn calculi (223 [54%] had complete and 190 [46%] had partial) who underwent PCNL were reviewed retrospectivel...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2009.0456
更新日期:2010-06-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Published outcomes of pelvic lymph node dissection (PLND) during robot-assisted laparoscopic prostatectomy (RALP) demonstrate significant variability. The purpose of the study was to compare PLND outcomes in patients at risk for lymph node involvement (LNI) who were undergoing radical prostatecto...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2011.0266
更新日期:2012-06-01 00:00:00
abstract:PURPOSE:To evaluate the ability of heparin coating to inhibit Double J stent encrustation and compare it with the classic polyurethane Double J stent. PATIENTS AND METHODS:The study involved five patients with bilateral obstructions, who required bilateral ureteral Double J stent placement. Every patient received a he...
journal_title:Journal of endourology
pub_type: 临床试验,杂志文章
doi:10.1089/end.2007.0218
更新日期:2008-03-01 00:00:00
abstract::One of the most significant developments in imaging technology has been the process of digitalization. By incorporating currently available digital imaging equipment into surgical practice, urologists can be assured of obtaining real-time video images with optimal clarity and detail. In addition, one can efficiently c...
journal_title:Journal of endourology
pub_type: 杂志文章,评审
doi:10.1089/08927790150500953
更新日期:2001-02-01 00:00:00
abstract:PURPOSE:Laparoscopic training has been incorporated into many urology residency programs. Although the impact of laparoscopic training courses has been examined, the impact of residency training in laparoscopy on subsequent urology practice patterns has not been assessed. MATERIALS AND METHODS:Urologists completing th...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/089277902753752232
更新日期:2002-05-01 00:00:00
abstract:PURPOSE:To update our short-term potency outcomes from a cautery-free (CFT) versus bipolar cautery technique to preserve the neurovascular bundles (NVB) during robotic laparoscopic radical prostatectomy (RLP). PATIENTS AND METHODS:Previously, we reported on 3-month potency outcomes in 23 men, which we now extend to 51...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2006.20.586
更新日期:2006-08-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Until now, open colposuspension has been the gold standard in the surgical treatment of stress urinary incontinence. However, the open procedure is associated with more complications and longer hospital stays and is hard to justify given the availability of minimally invasive alternatives. We rep...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2005.0025
更新日期:2007-09-01 00:00:00
abstract:: Purpose: The conventional flexible ureteroscope has limited access into the lower calix and often causes biomechanical stress to surgeons. Recently, a novel flexible ureteroscope with an omnidirectional bending tip with a joystick-type control unit (URF-Y0016; Olympus, Jap...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2019.0895
更新日期:2020-06-01 00:00:00
abstract::We describe our experience using an iodinated contrast solution to hydrodissect adjacent structures before percutaneous renal cryoablation. Hydrodissection was performed before cryoablation with placement of a 20-gauge, 15-cm introducer needle into the retroperitoneum under CT or ultrasonographic guidance followed by ...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2011.0516
更新日期:2012-05-01 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: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:BACKGROUND AND PURPOSE:Biodegradable urethral stents have been used clinically for some years mainly in order to prevent postoperative urinary retention after minimally invasive thermotreatment of benign prostatic hyperplasia. We previously reported a 15-month-follow-up pilot study of a bioabsorbable self-expandable, s...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/08927790260472926
更新日期:2002-12-01 00:00:00
abstract:PURPOSE:The preliminary results of laparoscopic radical cystectomy in 85 patients are presented in this study. The functional and oncologic outcomes of this procedure in these patients are discussed. PATIENTS AND METHODS:Between December 2002 and May 2006, we performed 85 laparoscopic radical cystectomies with orthoto...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2007.0298
更新日期:2008-05-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Criteria for determining the durability of the response to transrectal high-intensity focused ultrasound (HIFU) ablation of prostate cancer have been established by calculating progression-free probability. PATIENTS AND METHODS:A series of 82 patients (mean age 71 +/- 5.7 years) with biopsy-prov...
journal_title:Journal of endourology
pub_type: 临床试验,杂志文章
doi:10.1089/end.2000.14.519
更新日期:2000-08-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Hemodynamic changes during abdominal laparoscopic procedures have been described as multifactorial phenomena. We report the possible occurrence of bradycardia and asystolic cardiac arrest during insufflation of the balloon trocar as a rare and serious but reversible complication during endoscopic...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2007.0139
更新日期:2009-02-01 00:00:00
abstract:PURPOSE:Since the holmium:yttrium-aluminum-garnet (Ho:YAG) laser is the flexible lithotrite of choice for ureteral stones, its application to ureteral strictures associated with ureteral calculi is convenient. The results of Ho:YAG laser endoureterotomy in this specific setting have not been defined. We report our expe...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2008.0387
更新日期:2008-11-01 00:00:00
abstract:BACKGROUND:Benign ureteral strictures are a potentially difficult problem that typically has been solved by open surgery. However, minimally invasive methods would be preferable. PATIENTS AND METHODS:Three patients with benign ureteral strictures were treated with endoscopic placement of self-expanding permanent indwe...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/08927790050152186
更新日期:2000-09-01 00:00:00
abstract:: Objective: To assess the safety and efficacy of a novel vacuum-assisted access sheath (VAAS) in minimally invasive percutaneous nephrolithotomy (MPCNL). Materials and Methods: Seventy-five consecutive patients with single renal...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2019.0652
更新日期:2020-03-01 00:00:00
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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:PURPOSE:To evaluate the feasibility and safety of two concomitant robot-assisted procedures in the same patient in one anesthesia setting. PATIENTS AND METHODS:Data were reviewed for 15 patients for whom two concomitant robot-assisted surgeries at our center were planned. Preoperative details, port position, intraoper...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2008.0481
更新日期:2009-02-01 00:00:00
abstract:PURPOSE:To determine the effects of previous open nephrolithotomy on the results and morbidity of subsequent percutaneous nephrolithotomy (PCNL). PATIENTS AND METHODS:Between March 2005 and January 2006, 89 patients underwent PCNL at our institution. We compared the patients who had had previous open surgery on the sa...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2006.0293
更新日期:2007-04-01 00:00:00
abstract:: Purpose: Kidney stone recurrence rates vary between patients. A patient's risk informs the frequency and intensity of preventative interventions. Clinicians routinely use clinical experience to estimate risk. We sought to compare clinician estimated recurrence risk with th...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2020.0978
更新日期:2020-11-16 00:00:00
abstract:BACKGROUND AND PURPOSE:Retroperitoneoscopy is an established procedure for renal surgery. We evaluated our results with retroperitoneoscopic pyeloplasty for ureteropelvic junction (UPJ) obstruction. PATIENTS AND METHODS:In 14 female and 10 male patients, a retroperitoneoscopic pyeloplasty was performed (13 right/11 le...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2004.18.948
更新日期:2004-12-01 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:In most cases, analgesia is required for extracorporeal shockwave lithotripsy (SWL) treatment. Commonly, a combination of a sedative and a synthetic opioid is used, with a wide range of undesirable side effects. To provide an alternative analgesic especially for outpatients, we performed a prospe...
journal_title:Journal of endourology
pub_type: 临床试验,杂志文章
doi:10.1089/end.2004.18.634
更新日期:2004-09-01 00:00:00
abstract:PURPOSE:To assess whether our ureteroscopic real-time navigation system has the possibility to reduce radiation exposure and improve performance of ureteroscopic maneuvers in surgeons of various ages and experience levels. MATERIALS AND METHODS:Our novel ureteroscopic navigation system used a magnetic tracking device ...
journal_title:Journal of endourology
pub_type: 杂志文章,多中心研究
doi:10.1089/end.2015.0054
更新日期:2015-09-01 00:00:00
abstract:PURPOSE:To assess the safety and efficacy of conversion from pure laparoscopy to hand-assisted laparoscopy to control mild-to-moderate bleeding during renal surgery. PATIENTS AND METHODS:Between August 2006 and August 2008, we performed 94 laparoscopic nephrectomies (44 partial and 50 radical). A total of three radica...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2010.0321
更新日期:2011-01-01 00:00:00