Abstract:
BACKGROUND:Sacral neuromodulation operations have usually been performed based on 2D fluoro images. However, sacral nerve stimulation lead implantation may be challenging when the normal anatomy is confused by obesity or congenital anomalies. Thus the surgical navigation and intraoperative imaging methods could be helpful as those same methods have proven to be feasible methods for guiding other surgical operations. Our recent knowledge about the O-arm in trauma pelvic operations encouraged us to evaluate the usefulness of O-arm guided navigation in sacral neuromodulation. Similar navigation would be useful for complex sacral nerve stimulation lead implantations. METHODS:In this preliminary article we report our experience of utilizing the orthopedically optimized O-arm to implant the S3 stimulation electrode in a patient. The 3D O-arm imaging was performed intraoperatively under surgical navigation control. General anesthesia was used. The obtained 3D image dataset was registered automatically into the patient's anatomy. The stimulation needle was guided and the tined lead electrode was implanted using navigation. RESULTS:The bony sacral structures were clearly visualized. Due to automatic registration, the navigation was practicable instantly after the O-arm scanning and operation could be performed successfully under navigation control. CONCLUSIONS:To our knowledge, this is the first published tined lead implantation which was guided based on the surgical navigation and intraoperative O-arm images. In this case, the applied method was useful and helped the surgeon to demarcate the region of surgical interest. The method is slightly more invasive than the formal technique but could be an option in anatomically challenging cases and reoperations. However, further evaluation with larger patient series is required before definitive recommendations can be made.
journal_name
BMC Uroljournal_title
BMC urologyauthors
Hellström PA,Katisko J,Finnilä P,Vaarala MHdoi
10.1186/1471-2490-13-48subject
Has Abstractpub_date
2013-10-16 00:00:00pages
48issn
1471-2490pii
1471-2490-13-48journal_volume
13pub_type
杂志文章相关文献
BMC Urology文献大全abstract:BACKGROUND:Mannitol has been employed to ameliorate renal warm ischemia damage during partial nephrectomy, however, there is limited scientific evidence to support the use of mannitol during partial nephrectomy. The objective of the present study was to investigate the glomerular number after renal warm ischemia, with ...
journal_title:BMC urology
pub_type: 杂志文章
doi:10.1186/s12894-018-0328-5
更新日期:2018-03-06 00:00:00
abstract:BACKGROUND:Radical prostatectomy (RP) is a common treatment for prostate cancer (PCa). Morbidity, mortality and pathological outcomes may be superior in academic institutions. One explanation may be the involvement of oncology fellowship trained urologists within academic institutions. The literature examining patholog...
journal_title:BMC urology
pub_type: 杂志文章
doi:10.1186/1471-2490-14-82
更新日期:2014-10-23 00:00:00
abstract:BACKGROUND:This study was designed to summarize the clinical outcomes of transverse preputial island flap urethroplasty for single-stage correction of proximal hypospadias in our hospital. METHOD:This study retrospectively analysed the clinical data, including the preoperative general information, intraoperative and p...
journal_title:BMC urology
pub_type: 杂志文章
doi:10.1186/s12894-020-00686-3
更新日期:2020-08-05 00:00:00
abstract:BACKGROUND:Clear cell sarcoma of the kidney (CCSK) in adults is extremely rare. Optimal treatment of adult patients with CCSK remains unclear. CASE PRESENTATION:A 22-year-old man presented with a 2-month history of left flank pain. A color duplex sonography revealed a hypervascular, heterogeneous renal mass. Abdominal...
journal_title:BMC urology
pub_type: 杂志文章
doi:10.1186/1471-2490-6-11
更新日期:2006-04-03 00:00:00
abstract:BACKGROUND:Metachronous renal cell carcinoma after radical nephrectomy is extremely rare. Renal cell carcinoma commonly metastasizes to distant organs. However, metastasis to the urinary bladder is very uncommon. CASE PRESENTATION:Herein, we report a case of metachronous renal cell carcinoma with metastasis to the uri...
journal_title:BMC urology
pub_type: 杂志文章
doi:10.1186/s12894-019-0521-1
更新日期:2019-12-27 00:00:00
abstract:BACKGROUND:Increasing evidences have documented that microRNAs (miRNAs) act as oncogenes or tumor suppressors in a variety types of cancer. The discovery of tumor associated miRNAs in serum of patients gives rise to extensive investigation of circulating miRNAs in many human cancers which support the use of plasma/seru...
journal_title:BMC urology
pub_type: 杂志文章
doi:10.1186/1471-2490-14-50
更新日期:2014-06-23 00:00:00
abstract:BACKGROUND:The aim was to retrospectively assess the results of treatment of upper urinary tract stones with the Sonolith vision manufactured by EDAP, and purchased in 2004. METHODS:The subjects were 226 Japanese patients who underwent extracorporeal shock wave lithotripsy (ESWL) alone as an initial treatment and coul...
journal_title:BMC urology
pub_type: 杂志文章
doi:10.1186/1471-2490-11-26
更新日期:2011-12-12 00:00:00
abstract:BACKGROUND:Polyorchidism is a congenital anomaly of the urogenital system and means more than two testes. It is a rare phenomenon, where there are no more than 200 reported cases in the literature. In this case, we report a 13-month year's old case with five testicles. CASE PRESENTATION:We report a rare five testicles...
journal_title:BMC urology
pub_type: 杂志文章
doi:10.1186/s12894-020-00681-8
更新日期:2020-08-20 00:00:00
abstract:BACKGROUND:This study compared the detection rates for clinically significant prostate cancer (CSPC) between magnetic resonance imaging and ultrasonography (MRI/US)-fusion-targeted biopsy (TB), systematic biopsy (SB) and combination of TB and SB. METHODS:This prospective study evaluated simultaneous TB and SB for cons...
journal_title:BMC urology
pub_type: 杂志文章
doi:10.1186/s12894-017-0310-7
更新日期:2017-12-12 00:00:00
abstract:BACKGROUND:Renal cell carcinoma can cause various paraneoplastic syndromes including metabolic and hematologic disturbances. Paraneoplastic hypereosinophilia has been reported in a variety of hematologic and solid tumors. We present the first case in the literature of severe paraneoplastic hypereosinophilia in a patien...
journal_title:BMC urology
pub_type: 杂志文章
doi:10.1186/1471-2490-12-7
更新日期:2012-03-21 00:00:00
abstract:BACKGROUND:Optimal treatment of high-risk prostate cancer remains controversial. We aimed to compare treatment outcomes of prostate cancer patients treated with definitive external-beam radiotherapy (ExRT) or radical prostatectomy (RP). METHODS:The records of 120 high-risk clinical stage T2b-T4 N0 M0 prostate cancer p...
journal_title:BMC urology
pub_type: 杂志文章
doi:10.1186/s12894-018-0432-6
更新日期:2019-01-05 00:00:00
abstract:BACKGROUND:Cystic renal cell carcinoma (CRCC) is relatively rare; CRCC is frequently misdiagnosed as a benign renal cyst. CRCC carries an excellent prognosis following surgical treatment. The aim of our study was to summarize the management of CRCC and to characterize the prognosis of affected patients. METHODS:A retr...
journal_title:BMC urology
pub_type: 杂志文章
doi:10.1186/1471-2490-14-87
更新日期:2014-11-07 00:00:00
abstract:BACKGROUND:Radical prostatectomy is the most common and effective treatment for localized prostate cancer. Unfortunately, radical prostatectomy is associated with urinary incontinence and has a significant negative impact on quality of life. Pelvic floor exercises are the most common non-invasive management strategy fo...
journal_title:BMC urology
pub_type: 杂志文章,随机对照试验
doi:10.1186/s12894-015-0088-4
更新日期:2015-09-16 00:00:00
abstract:BACKGROUND:Renal artery aneurysm is a rare disorder with a high mortality rate in the event of rupture, the most frequent complication, which can also occur in lesions smaller than those indicated for treatment by current criteria. Surgery is still the first-line treatment, although a growing trend toward endovascular ...
journal_title:BMC urology
pub_type: 杂志文章
doi:10.1186/1471-2490-14-42
更新日期:2014-05-28 00:00:00
abstract:BACKGROUND:The current standard for Prostate Cancer (PCa) detection in biopsy-naïve men consists of 10-12 systematic biopsies under ultrasound guidance. This approach leads to underdiagnosis and undergrading of significant PCa while insignificant PCa may be overdiagnosed. The recent developments in MRI and Contrast Enh...
journal_title:BMC urology
pub_type: 临床试验,杂志文章
doi:10.1186/s12894-017-0213-7
更新日期:2017-04-05 00:00:00
abstract:BACKGROUND:The core question of the study was whether adequately achieved HD affected the sexual dysfunction in women on hemodialysis (HD) with chronic renal failure (CRF). METHODS:Thirty-seven female patients on HD, including 18 women with adequate HD and 19 women with non-adequate HD, and 36 healthy controls were in...
journal_title:BMC urology
pub_type: 杂志文章
doi:10.1186/1471-2490-14-4
更新日期:2014-01-08 00:00:00
abstract:BACKGROUND:Inhibition of angiogenesis in prostatic cancer could be a brand-new method to suppress tumour progression. Nodal/ALK4 has been associated with vascularization in many cancers. However, the relationship between and role of Nodal/ALK4 and miR-185 in human prostatic cancer is still unknown. METHODS:Prostatic c...
journal_title:BMC urology
pub_type: 杂志文章
doi:10.1186/s12894-020-00617-2
更新日期:2020-05-04 00:00:00
abstract:BACKGROUND:Upper urinary tract stones is the most common diseases in urology. Percutaneous nephrolithotomy (PCNL) and ureteroscopic lithotripsy (fURL) are common treatment, but both their efficacy and safety are controversial. Thus we aim to evaluate the efficacy and safety of PCNL and fURL in the treatment of upper ur...
journal_title:BMC urology
pub_type: 杂志文章
doi:10.1186/s12894-020-00677-4
更新日期:2020-07-25 00:00:00
abstract:BACKGROUND:Continuous bladder irrigation (CBI) and proper adjustment of saline irrigation speed are important to avoid CBI failure in hemorrhagic cystitis (HC) patients after allogeneic hematopoietic stem cell transplantation (HSCT). Nevertheless, too fast irrigation speed could take away the patient's much heat, contr...
journal_title:BMC urology
pub_type: 杂志文章
doi:10.1186/s12894-020-00757-5
更新日期:2020-11-10 00:00:00
abstract:BACKGROUND:Over the last few years the number of flexible ureterorenoscopies, used for renal stone treatment, has risen steadily. This was associated with an increase in costs for maintenance and repair of the fragile ureterorenoscopes used. To overcome this problem single-use devices have been introduced to the market...
journal_title:BMC urology
pub_type: 杂志文章
doi:10.1186/s12894-020-00624-3
更新日期:2020-05-18 00:00:00
abstract:BACKGROUND:PSA-directed prostate cancer screening leads to a high rate of false positive identifications and an unnecessary biopsy burden. Epigenetic biomarkers have proven useful, exhibiting frequent and abundant inactivation of tumor suppressor genes through such mechanisms. An epigenetic, multiplex PCR test for pros...
journal_title:BMC urology
pub_type: 杂志文章
doi:10.1186/1471-2490-12-16
更新日期:2012-06-06 00:00:00
abstract:BACKGROUND:Extracorporeal shockwave lithotripsy (ESWL) is the management of choice for renal stones 20 mm or smaller, with a stone clearance rate of up to 89%. The purpose of the present is to investigate the efficacy of a commercialised ESWL service, being performed as an outsourced treatment using a mobile lithotrips...
journal_title:BMC urology
pub_type: 杂志文章
doi:10.1186/s12894-017-0249-8
更新日期:2017-07-27 00:00:00
abstract:BACKGROUND:This study was to explore the possibility that foot stimulation increased bladder capacity(BC) in rats with neurogenic bladder secondary to T10 spinal cord injuries. METHODS:In 20 awake rats (stimulation group) with T10 spinal cord injuries, 5 repeat cystometrograms (CMGs) were recorded. The 1st and 2nd CMG...
journal_title:BMC urology
pub_type: 杂志文章
doi:10.1186/s12894-017-0277-4
更新日期:2017-09-15 00:00:00
abstract:BACKGROUND:Many factors including vasoconstrictor agents can interfere with wound healing process. This study aimed to compare the histopathological outcome of injection of two sympathomimetic drugs used during urologic surgery, including phenylephrine and epinephrine, on the structure of spongy tissue and urethra in a...
journal_title:BMC urology
pub_type: 杂志文章
doi:10.1186/s12894-019-0483-3
更新日期:2019-06-20 00:00:00
abstract:BACKGROUND:The aim of this study was to investigate the characteristics of prostate cancer patients who were diagnosed at repeat biopsy and compare them to non-cancerous patients or patients who were diagnosed at initial biopsy. METHODS:We carried out a retrospective analysis of clinical and pathological data from 576...
journal_title:BMC urology
pub_type: 杂志文章
doi:10.1186/1471-2490-8-14
更新日期:2008-11-10 00:00:00
abstract:BACKGROUND:To examine the expression of type 1 plasminogen inhibitor (PAI-1) in clear cell renal cell carcinoma (CCRCC), and its possible association with microvessel density (MVD), the expression of thrombospondin-1 (TSP-1), nuclear grade, tumour stage, continuously coded tumour size (CCTS) and to assess the value of ...
journal_title:BMC urology
pub_type: 临床试验,杂志文章
doi:10.1186/1471-2490-10-20
更新日期:2010-12-03 00:00:00
abstract:BACKGROUND:Ureteral herniations are a rare occurrence, generally found incidentally on cross sectional imaging or during surgical intervention for unrelated processes. Several locations of ureteral herniations can occur including the inguinal, femoral, sciatic, obturator, and thoracic regions. While few reports of uret...
journal_title:BMC urology
pub_type: 杂志文章
doi:10.1186/s12894-017-0207-5
更新日期:2017-04-05 00:00:00
abstract:BACKGROUND:Bladder spasm is a common side effect of urological surgery. Main treatment modalities include opioids or anticholinergic medication; however, bladder spasms still occur even after these interventions. Recent studies indicate that transcutaneous stimulation of the foot can result in 50% increase in bladder c...
journal_title:BMC urology
pub_type: 杂志文章,随机对照试验
doi:10.1186/s12894-017-0248-9
更新日期:2017-07-13 00:00:00
abstract:BACKGROUND:Fesoterodine is an antimuscarinic for the treatment of overactive bladder, a syndrome of urgency, with or without urgency urinary incontinence (UUI), usually with increased daytime frequency and nocturia. Our objective was to develop predictive models to describe the dose response of fesoterodine. METHODS:D...
journal_title:BMC urology
pub_type: 杂志文章
doi:10.1186/1471-2490-10-14
更新日期:2010-08-19 00:00:00
abstract:BACKGROUND:We evaluated the clinical outcome of low grade Ta bladder cancer followed-up for a long period using the 2004 WHO grading system. METHODS:We retrospectively reviewed 190 patients with primary, low grade Ta bladder cancer. We defined worsening progression (WP) as confirmed high grade Ta, all T1 or Tis/concom...
journal_title:BMC urology
pub_type: 杂志文章
doi:10.1186/1471-2490-14-5
更新日期:2014-01-08 00:00:00