Robotic radical prostatectomy-a minimally invasive therapy for prostate cancer: results of initial cases p.
Rowatinex®, a special terpene combination, has been used therapeutically in the supportive treatment of urolithiasis and for assistance in the expulsion of stones of the renal system for many years. Objective: The aim of the study was to investigate the safety and efficacy of Rowatinex®in the treatment of patients with urolithiasis after ESWL. Design, setting, and participants: In a randomized, double-blinded, placebo-controlled, multicenter trial, patients with clinically unapparent kidney or ureter stones who had undergone complication-free ESWL were included between June and December
In next 15 years, prostate cancer is predicted to be the most common cancer in men [Eur J Cancer ; 37 Suppl 8 : S4]. Radical prostatectomy is one of the most common surgical treatments for clinically localized prostate cancer. In spite of its excellent oncological results, due to the fear of pain, risk for side effects, and inconvenience Semin Urol Oncol ; 55many patients seek alternative treatments for their prostate cancer.
At Vattikuti Urology institute, we have developed a minimally invasive technique for treating prostate cancer, which achieves oncological results of surgical treatment without causing significant pain, large surgical incision, and side effects BJU Int, ; Presented herein are our results after treating patients.
Methods: We prospectively collected baseline demographic data such as age, race, body mass index BMIserum prostate specific antigen, prostate volume, Gleason score, percentage cancer, TNM clinical staging, and comorbidities. In addition, the patients were mailed the expanded prostate inventory composite at baseline and at 1, 3, 6, 12 and 18 months after the procedure.
Results: Gleason seven or more cancer grade was noted in The average BMI was high The mean operative time was min and the mean blood loss was cm3. No patient required blood transfusion.
Where next? However, the surgical robot has a significant prize tag attached and not every center has access to the technology.
In future, hopefully, the robot will become smaller, and cheaper to allow wide acceptance of this procedure. Robotic dismembered pyeloplasty for the treatment of ureteropelvic junction obstruction.
Krónikus prosztatitisz és krónikus kismedencei fájdalom szindróma
The laparoscopic approach has traditionally been performed in a few specialized training centers because of the advanced technical skills required to perform this complex reconstructive procedure.
The introduction of robotic technology into the modern day operating suite has brought on a new era and has simplified complex urologic reconstructive procedures. The daVinci robot provides the advantages of three-dimensional vision, magnification, and a robotic articulating wrist. These features allow precise dissection and suturing capabilities.
We used the daVinci robot to perform robotic assisted laparoscopic pyeloplasty. We studied its feasibility, utility, and efficacy. Methods: Between July and April12 patients with a mean age of A retrograde pyelogram was performed preoperatively to delineate the anatomy and a stent was placed.
Robotic dismembered pyeloplasty was performed. Eight of 12 patients had crossing vessels only five of which were shown on preoperative CT scan.
Bacterial prostatitis treatment without antibiotics. Doxiciklin kezelés cystitis
The crossing vessels were preserved in all cases. The UPJ was dismembered at the point of obstruction and the scar excised. The ureter was spatulated medially and the renal pelvis fashioned appropriately. Ureteropelvic reconstruction was performed with eight-interrupted monocryl sutures on an RB-1 needle in the first five cases. In the other seven cases the anastomosis was performed with two running semicircular sutures.
Stents were removed at days.
Management of Prostatodynia in Younger Patients With Non-ablative Erbium:YAG Intraurethral Laser
An IVP was performed prior to stent removal and a renal scan at 3 and 6 months. Results: Each patient underwent a successful procedure without open conversion, transfusion or complication. Estimated blood loss was minimal at 52 cm3. Each patient was discharged home on chronic prostatitis treatment duration first postoperative day, average 18 h. Operative times fell quickly as experience with the daVinci robot increased.
Operative time averaged min. The first five patient's average or time was vs. Time for the anastomosis averaged 42 min The initial five cases were performed with an interrupted anastomosis. These took longer averaging The subsequent seven cases were performed with two running hemi-circumferential stitches with anastomotic time averaging 25 min Intraoperatively no complications were noted. Postoperatively the average hospital stay measured from the time of surgery to the time of discharge averaged 18 h No postoperative complications have been noted.
Average return to work is Duration of the stent has averaged 18 days The initial five patients with the interrupted anastomosis had longer stent times of Average follow up is currently 4.
Each patient is doing well with no signs of recurrent obstruction. Follow up has been documented with MAG3 renal scan with Lasix at 3, 6 and 9 months.
A Brief History of Prostatitis pt 1.
Conclusion: The adoption of robotic technology into today's modern operating rooms has stimulated a new era in urologic surgery. The daVinci robot provides magnified three-dimensional vision and a miniature robotic articulating wrist that allows precise dissection and laparoscopic suturing.
Robotic dismembered pyeloplasty is an excellent technique with very good results. As experience with the robotic instrumentation increases operative times fall quickly. Blood loss and pain are minimal, allowing early discharge home and quick recovery.
More studies are needed to confirm its safety and efficacy. In contrast, patients suffering from type I and II prostatitis are successfully treated with antibiotics, as a uropathogen or an infectious agent is usually identified as the cause. Non-pharmacological therapies include acupuncture, prostatic massage, extracorporeal shockwave therapy, pulsed magnetic field therapy, transrectal and transurethral thermotherapy and others.
The short-term results are promising. Longer follow-up is needed. Laparoscopic retroperitoneal nephrectomy: overcoming the learning curves p. Materials and methods: A retrospective study of 40 patients group A: initial 20, group B: late 20 cases who underwent retroperitoneal laparoscopic nephrectomy was done.
Analysis of the complication rate, conversion rate to open surgery, operative time and the blood loss and analgesia requirement were studied. There was a statistically significant reduction in the blood loss and duration of surgery in group B. Analgesia requirement was not different in either group. Conclusions: Retroperitoneal laparoscopic nephrectomy has a steep learning curve.
Results of the procedure improved and complications reduced significantly after the initial 20 cases. Evaluation of endorectal magnetic resonance imaging and magnetic resonance spectroscopic imaging in diagnosing and staging prostate cancer - a prospective pilot study.
Methods: In a double blind prospective study of 20 patients were divided into two groups.
All 10 patients with undiagnosed prostate cancer underwent End. In group B, 10 patients with already proven carcinoma prostate were included. All these patients underwent End. Results: The mean S. PSA was In group A End. In group B, End. Out of the eight chronic prostatitis treatment duration that showed periprostatic spread on End. But on histopathology study seminal vesicle involvement was confirmed in only one patient and only two patients had capsular infiltration.
CHRONIC PROSTATITIS explained by urologist - The 4 Types of Prostatitis - Treatment - Diagnosis
Conclusions: This pilot study reveals that End. Tubularized incised plate urethroplasty Snodgross procedure for distal penile hypospadias - a regional centre experience p. Multiple series from major institutions have reported excellent cosmetic and functional results in conjunction with low complication rates. Age range of the patients included in the study varied between 2 and 18 years with majority 47 Ten Neourethra was covered with vascularized pedicled dartos flap from the inner prepuce.
Major complications occurred in 7 There were also minor complications like superficial skin necrosis in 10 Chronic prostatitis treatment duration results as judged by the urinary stream, were good in 46 Excellent cosmetic result was seen in 44 Conclusion: Tubularized incised plate urethroplasty with dartos flap cover is a simple, single stage procedure for DPH with excellent cosmetic and functional results and is associated with minimal complications.
Predictors of patency after two-stitch invagination vaso-epididymal anastomosis for idiopathic obstructive azoospermia p.
The ability to predict the result of VEA based on preoperative or intra-operative chronic prostatitis treatment duration would enable the surgeon to offer the best treatment to the infertile couple.
We used the two-stitch invagination technique of VEA in patients of idiopathic obstructive azoospermia and prospectively analyzed factors that could predict a patent anastomosis. While such studies have previously been done for patients undergoing VEA for secondary infertility following a vasectomy, to the best of our knowledge this is the first study analyzing these parameters for patients with primary infertility and idiopathic obstruction. Methods and materials: Over a 2-year period, 29 men underwent the 2-suture invagination VEA for idiopathic obstructive azoospermia.
Twenty-four patients provided at least one postoperative semen sample.
Male and female subjects at least 18 years of age 2. Able to provide informed consent 3.
Results: The mean follow up of the 24 patients was 7. However, this difference was seen only on a univariate analysis and did not persist when a multivariate analysis was used. Conclusions: The presence of motile sperms in the epididymal fluid and a high level of technical satisfaction with the anastomosis may indicate a higher likelihood of success following a vaso-epididymal anastomosis for idiopathic obstruction. However, these parameters are not enough to prognosticate the outcome of surgery and advise early in vitro fertilization.