Abstract:
INTRODUCTION AND OBJECTIVES:We evaluated patients who underwent treatment for prostate cancer and then subsequent robotic radical cystectomy (RARC). Our objective was to understand clinical, pathologic, and survival outcomes in these patients. MATERIALS AND METHODS:A total of 333 male patients underwent RARC with standard intracorporeal urinary diversion from 2009 to 2019. We evaluated patients who underwent a radical prostatectomy (RP) and either external beam radiation or brachytherapy (XRT) prior to RARC. These patients were compared to patients who underwent RARC without any prior intervention for or history of prostate cancer (RC). RESULTS:Patients in the RP and XRT groups were found to be older than the RC group (p = 0.0108) and also have a greater Charlston Comorbidity Index (p<0.001). There was no difference in estimated blood loss, operative time and length of stay across all three groups. The RP group had a higher rate of positive margins 31.58% compared to RC and XRT at 8.22% and 10.00%, respectively (p=0.0036). There was also a higher rate of extravesical disease on final pathology for the XRT group at 60.00% compared to 37.5% and 36.85% for RC and RP, respectively (p=0.0056). Overall Survival was lowest in the XRT group compared to RP and RC (p>0.001) with no difference in recurrence-free survival. CONCLUSION:Patients in the RP group have higher rates of positive margin, while patients in the XRT group have higher rates of extravesical disease and overall survival after undergoing a RARC. Careful counseling and attention to these parameters is required in these patient populations.
journal_name
J Endouroljournal_title
Journal of endourologyauthors
Patel NH,Miranda G,Cai J,Desai MM,Gill I,Aron Mdoi
10.1089/end.2020.0627subject
Has Abstractpub_date
2020-12-02 00:00:00eissn
0892-7790issn
1557-900Xpub_type
杂志文章abstract:INTRODUCTION:Laparoscopic partial nephrectomy (LPN) has not received widespread clinical application because of its technical challenge. Bovine serum albumin glutaraldehyde (BSAG) is a hemostatic agent that is independent of the clotting cascade. We evaluated the use of BSAG as the sole agent for parenchymal and collec...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2009.0200
更新日期:2010-03-01 00:00:00
abstract::A 55-year-old man had a solid tumor in the right part of a horseshoe kidney. He had previously undergone open cholecystectomy and appendectomy with panperitonitis. Retroperitoneoscopic nephrectomy was performed, with rapid recovery and good short-term results. This appears to be the first case of endoscopic surgery on...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/089277903772036253
更新日期:2003-12-01 00:00:00
abstract:: Introduction: Double-J ureteral stents are subject to encrustation. Studies have shown that the encrustation onset is linked with indwelling time. In prevention, it is admitted that the Double-J stent indwelt for medium or long term should be replaced periodically. However...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2020.0254
更新日期:2021-01-01 00:00:00
abstract:: Introduction and Objective: Current available lithotrites have clinical stone clearance rates averaging 24 to 32 mm2/minute. The objective of this study was to critically evaluate the initial experience with the Swiss LithoClast ® ...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2019.0561
更新日期:2020-02-01 00:00:00
abstract:BACKGROUND AND OBJECTIVE:Repair of ureteral injuries and strictures often necessitates a major reconstructive procedure such as a psoas hitch, Boari flap, renal mobilization, ileal interposition, or autotransplantation. Tissue expanders have been used to elongate nerves and arteries. We examined the effects of acute ur...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.1999.13.245
更新日期:1999-05-01 00:00:00
abstract:BACKGROUND AND PURPOSE:As many as 96% of patients report some kind of discomfort/pain during transrectal ultrasonography (TRUS)-guided prostate biopsy, and when pain is severe, it may be necessary to decrease the planned number of biopsies or interrupt the procedure. Various modalities have been recommended to alleviat...
journal_title:Journal of endourology
pub_type: 杂志文章,随机对照试验
doi:10.1089/end.2006.20.525
更新日期:2006-07-01 00:00:00
abstract::In current clinical practice, lidocaine gel is widely used as a local anesthetic lubricant before various forms of transurethral instrumentation. Over the past few years, the value of local anesthesia during urethral catheterization and flexible or rigid cystoscopy has been questioned. Strong data are lacking, and the...
journal_title:Journal of endourology
pub_type: 杂志文章,评审
doi:10.1089/end.2008.0650
更新日期:2009-05-01 00:00:00
abstract::We describe what appears to be the first case of a port-site hernia at the site of insertion of a 10-mm non-bladed trocar, which was discovered 4 days after laparoscopic live-donor nephrectomy. We now close all 10-mm port sites in adults and all 5-mm port sites in children; this can be done easily using the Carter-Tho...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/089277903769013649
更新日期:2003-09-01 00:00:00
abstract:PURPOSE:To evaluate the feasibility of using the potassium titanyl phosphate (KTP) laser to perform laparoscopic partial nephrectomy in a porcine model, with saline irrigation to reduce intraoperative smoke formation. MATERIALS AND METHODS:A high-power (80 W) KTP laser was used without hilar occlusion in 14 laparoscop...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2006.20.1096
更新日期:2006-12-01 00:00:00
abstract:INTRODUCTION:Newer generation lithotriptors have been modified to induce less pain. We evaluated factors contributing to post-shock wave lithotripsy (SWL) pain and assessed potential benefits of preemptive analgesia using Rofecoxib, a COX-II inhibitor, and potential effects on stone passage rates. MATERIALS AND METHOD...
journal_title:Journal of endourology
pub_type: 杂志文章,随机对照试验
doi:10.1089/end.2008.0243
更新日期:2009-03-01 00:00:00
abstract:PURPOSE:To evaluate the safety of tubeless percutaneous nephrolithotomy in patients undergoing supracostal percutaneous renal access. PATIENTS AND METHODS:Between October 1999 and October 2010, 302 patients underwent percutaneous nephrolithotomy via a supracostal access tract. Two hundred forty-eight (82.1%) patients ...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2012.0218
更新日期:2013-03-01 00:00:00
abstract::We describe a novel use of near-infrared fluorescence (NIRF) imaging without contrast agents, like indocyanine green, to identify otherwise obscured intraluminal areas of interest during robot-assisted laparoscopic (RAL) surgery marked by the white light (WL) of endoscopic instruments. By filtering light wavelengths b...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2013.0606
更新日期:2014-05-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Ureteral stents are commonly used in urology today, but the biofilms that form on them within hours of placement may harbor bacteria that can result in infection or encrustation. Triclosan is an antimicrobial commonly used in consumer and medical products that inhibits bacterial fatty-acid synthe...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2006.20.949
更新日期:2006-11-01 00:00:00
abstract:PURPOSE:Partial nephrectomy has been established as a standard of care for T(1a) renal tumors. Laparoscopic partial nephrectomy (LPN) has been described as more difficult to perform than open partial nephrectomy (OPN). We compare our series of LPN and OPN. PATIENTS AND METHODS:From October 2002 to January 2006, 76 LPN...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2007.0300
更新日期:2008-05-01 00:00:00
abstract:INTRODUCTION:The improvements in flexible ureteroscopes provide efficient access to the upper urinary tract and advancements in laser technology strengthens the endourologists' armamentarium. The endourologists must be aware of the advantages and the potential complications of these powerful technological equipments. O...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2015.0747
更新日期:2016-05-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Routine imaging following ureteroscopy for treatment of renal/ureteral calculi continues to be a topic of debate. However, with the increasing focus on healthcare costs and quality, judicious use of diagnostic imaging to optimize outcomes while minimizing resource utilization is a priority. We so...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2015.0088
更新日期:2015-10-01 00:00:00
abstract:PURPOSE:The aim of this study is to assess the effectiveness, safety, and reproducibility of the micro-ureteroscopy (m-URS) in the treatment of distal ureteral stones in women. MATERIALS AND METHODS:A multicenter, prospective observational study was designed and conducted between March and December 2015. We included w...
journal_title:Journal of endourology
pub_type: 杂志文章,多中心研究
doi:10.1089/end.2016.0503
更新日期:2016-11-01 00:00:00
abstract:INTRODUCTION:To assess the clinical features, outcomes, complications, and cost-effectiveness of shockwave lithotripsy (SWL), flexible ureterorenoscopy (FURS), and percutaneous nephrolithotomy (PCNL) in the treatment of lower pole (LP) stones (10-20 mm) in a large tertiary referral center. PATIENTS AND METHODS:Consecu...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2016.0825
更新日期:2017-05-01 00:00:00
abstract::The literature on standard laparoscopic radical prostatectomy (LRP) and robot-assisted radical prostatectomy (RARP) is replete with technical descriptions of the primary surgeon's responsibility, but deficient with regard to the detailed role of the assistant surgeon. This video paper describes the critical role of th...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2007.9837
更新日期:2008-04-01 00:00:00
abstract:: Background: Nonmuscle-invasive bladder cancer is diagnosed, treated, and monitored using cystoscopy. Artificial intelligence (AI) is increasingly used to augment tumor detection, but its performance is hindered by the limited availability of cystoscopic images required to ...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2020.0919
更新日期:2020-12-04 00:00:00
abstract:OBJECTIVE:Intraoperative mannitol is routinely administered for renoprotection in partial nephrectomy (PN). However, there is a paucity of evidence supporting mannitol's renoprotective effect. We performed a retrospective study of mannitol's efficacy in PN. MATERIALS AND METHODS:Using an institutional database, patien...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2017.0415
更新日期:2018-04-01 00:00:00
abstract:PURPOSE:To present our preliminary experience with laparoscopic renal cryoablation in patients with small renal tumors and severe comorbidities. PATIENTS AND METHODS:Eight patients with a mean age of 75.6 years (range 68-82 years) who had small (mean 2.6+/-0.7-cm; range 1.4-3.8-cm) peripheral renal cortical lesions an...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/089277903767923227
更新日期:2003-08-01 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:: 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: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:: Introduction: How to quantify the impact of metabolic syndrome (MetS) on percutaneous nephrolithotomy (PCNL) is unclear. We aimed to evaluate the quantified effect of the number of MetS components on the outcome of PCNL. Materials and Methods: ...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2019.0404
更新日期:2019-11-01 00:00:00
abstract::Transurethral resection of bladder tumor (TURBT) is the standard of care for initial bladder tumor management. In response to its shortcomings, we propose an alternative technique for tumor resection and retrieval: The endoscopic snare resection of bladder tumor (ESRBT). Eleven tumors managed by ESRBT were reviewed re...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2011.0587
更新日期:2012-06-01 00:00:00
abstract:OBJECTIVE:To present the experience of pediatric percutaneous nephrolithotomy (PCNL) of our center. MATERIALS AND METHODS:This study was conducted from 1995 to 2015, on patients <15 years of age having renal and upper ureteral stones who underwent PCNL. Stones were classified as per Guy's stone score (GSS). Standard b...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2015.0842
更新日期:2017-03-01 00:00:00
abstract:OBJECTIVE:The aim of our study was to evaluate if there is any advantage of three-dimensional helical computed tomography (3D-HCT) over intravenous urogram (IVU) in the morphometric and morphological analysis of lower pole spatial anatomy of the kidney. PATIENTS AND METHODS:We analyzed 52 renal collecting systems in 3...
journal_title:Journal of endourology
pub_type: 临床试验,杂志文章
doi:10.1089/end.2009.0262
更新日期:2009-12-01 00:00:00
abstract:PURPOSE:To assess the necessity of placing a ureteral stent after transperitoneal laparoscopic ureterolithotomy (TPLU). PATIENTS AND METHODS:In the period from May 2006 to November 2010, 46 patients underwent TPLU. There were 13 females and 33 males. All patients had an impacted stone larger than 1.5 cm in the upper a...
journal_title:Journal of endourology
pub_type: 临床试验,杂志文章
doi:10.1089/end.2012.0082
更新日期:2012-09-01 00:00:00