459 results match your criteria Prostate Cancer - Radical Perineal Prostatectomy


Technical advancements in robotic prostatectomy: single-port extraperitoneal robotic-assisted radical prostatectomy and single-port transperineal robotic-assisted radical prostatectomy.

Transl Androl Urol 2020 Apr;9(2):848-855

Glickman Urological and Kidney Institute, Cleveland Clinic, Cleveland, OH, USA.

Background: To describe our step-by-step techniques for single-port robotic-assisted extraperitoneal and perineal radical prostatectomy as recent technical advancements in this field.

Methods: An English-language literature review was done using search terms including extraperitoneal, transperineal, single-port, robotic surgery, prostate cancer, radical prostatectomy in various combinations. Unique features of the da Vinci SP platform are discussed. Read More

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http://dx.doi.org/10.21037/tau.2019.11.35DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7214976PMC

Robotic Perineal Radical Prostatectomy: Initial Experience with the da Vinci Si Robotic System.

Urol Int 2020 Apr 14:1-6. Epub 2020 Apr 14.

Department of Urology, Shanghai Changhai Hospital, Naval Medical University, Shanghai, China,

Purpose: To investigate the feasibility and surgical technique of robotic perineal radical prostatectomy (RPRP).

Materials And Methods: We retrospectively analyzed 6 consecutive patients diagnosed with prostate cancer from December 2018 to May 2019 who underwent RPRP at our center. Perioperative outcomes were recorded for safety and feasibility analysis. Read More

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http://dx.doi.org/10.1159/000505557DOI Listing

Single-port robot-assisted radical prostatectomy: a systematic review and pooled analysis of the preliminary experiences.

BJU Int 2020 Apr 4. Epub 2020 Apr 4.

Department of Urology, San Luigi Gonzaga Hospital, University of Turin, Turin, Italy.

Objective: To summarize the clinical experiences with single-port (SP) robot-assisted radical prostatectomy (RARP) reported in the literature and to describe the peri-operative and short-term outcomes of this procedure.

Material And Methods: A systematic review of the literature was performed in December 2019 using Medline (via PubMed), Embase (via Ovid), Cochrane databases, Scopus and Web of Science (PROSPERO registry number 164129). All studies that reported intra- and peri-operative data on SP-RARP were included. Read More

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http://dx.doi.org/10.1111/bju.15069DOI Listing

Gasless robotic perineal radical prostatectomy: Experience of the first 12 cases.

Arch Esp Urol 2020 Apr;73(3):236-241

Department of Urology. University of Health Sciences. Bakirkoy Dr. Sadi Konuk Training and Research Hospital. Istanbul. Turkey.

Objective: To present our results of first 12 patients on whom we performed gasless robotic perineal radical prostatectomy (r-PRP).

Methods: We performed gasless r-PRP on 12 patients between August 2018 and October 2018. Multiparametric magnetic resonance imaging was performed forall patients to exclude local advanced disease. Read More

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Effect of pelvimetric diameters on success of surgery in patients submitted to robot-assisted perineal radical prostatectomy.

Int Braz J Urol 2020 May-Jun;46(3):425-433

Department of Urology, University of Health Sciences, Istanbul Bakirkoy Dr. Sadi Konuk Training and Research Hospital, Istanbul, Turkey.

Objective: Minimally invasive techniques are used increasingly by virtue of advancements in technology. Surgery for prostate cancer, which has high morbidity, is performed with an increasing momentum based on the successful oncological and functional outcomes as well as cosmetic aspects.

Materials And Methods: 62 patients underwent robot-assisted perineal radical prostatectomy (R-PRP) surgery at our clinic between November 2016 and August 2017. Read More

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http://dx.doi.org/10.1590/S1677-5538.IBJU.2019.0413DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7088495PMC

Considering the role of radical prostatectomy in 21st century prostate cancer care.

Nat Rev Urol 2020 03 21;17(3):177-188. Epub 2020 Feb 21.

Department of Urology, Royal Melbourne Hospital, University of Melbourne, Melbourne, Australia.

The practice of radical prostatectomy for treating prostate cancer has evolved remarkably since its general introduction around 1900. Initially described using a perineal approach, the procedure was later popularized using a retropubic one, after it was first described as such in 1948. The open surgical method has now largely been abandoned in favour of the minimally invasive robot-assisted method, which was first described in 2000. Read More

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http://dx.doi.org/10.1038/s41585-020-0287-yDOI Listing

[Anastomosis stenosis after radical prostatectomy and bladder neck stenosis after benign prostate hyperplasia treatment: reconstructive options].

Urologe A 2020 Apr;59(4):398-407

Klinik für Urologie, Asklepios Klinik Barmbek, Rübenkamp 220, 22307, Hamburg, Deutschland.

Bladder neck stenosis (BNS) after simple prostatectomy and vesicourethral anastomosis stenosis (VUAS) after radical prostatectomy for prostate cancer are common sequelae. However, the two entities differ in their pathology, anatomy and their surgical results. VUAS has an incidence of 0. Read More

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http://dx.doi.org/10.1007/s00120-020-01143-7DOI Listing

Robotic perineal radical prostatectomy in a patient with a pre-existing three piece inflatable penile prosthesis.

Aktuelle Urol 2020 Jan 28. Epub 2020 Jan 28.

Bakirkoy Dr. Sadi Konuk Training and Research Hospital, Department of Urology, Istanbul.

Radical prostatectomy (RP) is the primary and standard treatment for localized prostate cancer. As in many surgical procedures, RP can now be accomplished through minimally invasive methods. RP in a patient with a pre-existing 3-piece inflatable penile prosthesis (IPP) is an exceptional condition and involves coping with many difficulties. Read More

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http://dx.doi.org/10.1055/a-0945-2489DOI Listing
January 2020

Robot-assisted radical perineal prostatectomy: a review of 95 cases.

BJU Int 2020 Apr 21;125(4):573-578. Epub 2020 Feb 21.

Department of Urology, Istanbul Bakirkoy Dr Sadi Konuk Training and Research Hospital, University of Health Sciences, Istanbul, Turkey.

Objectives: To assess the early functional and oncological outcomes of a large series of patients who underwent robot-assisted radical perineal prostatectomy (RPP).

Materials And Methods: We retrospectively analysed the patients who underwent robot-assisted RPP for localized prostate cancer between November 2016 and September 2018. Patients who had locally advanced disease proven on biopsy or were suspected to have locally advanced disease on multiparametric magnetic resonance imaging and patients who had a contraindication for the exaggerated lithotomy position were not included in this study. Read More

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http://dx.doi.org/10.1111/bju.15018DOI Listing

The evolution and resurgence of perineal prostatectomy in the robotic surgical era.

World J Urol 2020 Apr 6;38(4):821-828. Epub 2019 Dec 6.

Glickman Urology and Kidney Institute, Cleveland Clinic, 9500 Euclid Avenue, Q10, Cleveland, OH, 44195, USA.

Purpose: To review the recent advances in terms of surgical technique and new robotic platforms applied to radical perineal prostatectomy (RPP).

Methods: A literature review was performed focusing on original articles on perineal prostatectomy searching via Medline/Pubmed and Embase. The entire spectrum was covered such as development of surgical technique including pelvic lymphadenectomy, adoption of novel surgical platforms, learning curve and future directions. Read More

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http://dx.doi.org/10.1007/s00345-019-03004-1DOI Listing

Use of a specific questionnaire and perineal electromyography to assess neuropathic pain after radical retropubic prostatectomy.

Asian J Urol 2019 Oct 21;6(4):364-367. Epub 2018 Jun 21.

Department of Neurourology, Tenon Hospital, GRC01 GREEN Group de Recherche Clinical Neurourology, Sorbonne University UPMC, Paris, France.

Objective: Prostate cancer is the most frequent cancer in men and radical retropubic prostatectomy (RRP) is one of the first-line treatment. However, RRP has some side effects and can lead to chronic perineal pain. The objective of the study was to determine in patients suffering from perineal pain after RRP the possibility of a neurogenic damage by means of a specific questionnaire dedicated to track down neuropathic pain. Read More

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http://dx.doi.org/10.1016/j.ajur.2018.06.004DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6872839PMC
October 2019

Parameters of 2-Dimensional Perineal Ultrasonography Before and After Male Sling Procedure for Urinary Incontinence After Radical Prostatectomy.

Urology 2020 Feb 24;136:257-262. Epub 2019 Oct 24.

Hospital Universitário Pedro Ernesto-State University of Rio de Janeiro, Rio de Janeiro, RJ, Brazil.

Objective: To compare ultrasonographic patterns of 2-dimensional perineal ultrasonography in men in the preoperative and postoperative periods after transobturator sling deployment for the treatment of urinary incontinence after radical prostatectomy. Radiotherapy and radical prostatectomy are the primary treatments for localized prostate cancer. Studies comparing anatomic changes in men before and after radical prostatectomy based on perineal ultrasonography are scarce in the literature. Read More

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http://dx.doi.org/10.1016/j.urology.2019.10.004DOI Listing
February 2020

Trans-Perineal Template-Guided Mapping Biopsy vs. Freehand Trans-Perineal Biopsy in Chinese Patients With PSA < 20 ng/ml: Similar Cancer Detection Rate but Different Lesion Detection Rate.

Front Oncol 2019 9;9:758. Epub 2019 Aug 9.

Department of Urology, Shanghai Changhai Hospital, Second Military Medical University, Shanghai, China.

The present study aimed to investigate the diagnostic efficacy and the regional location of prostate cancer (PCa) as well as the accuracy of assessment between trans-perineal template-guided mapping biopsy (TTMB) and freehand trans-perineal biopsy (FTPB) for men with PSA < 20 ng/ml. Thus, we evaluated 623 consecutive patients with PSA < 20 ng/ml who had prostate biopsies in our institute between July 2017 and September 2018. Patients were divided into two groups based on different biopsy methods: 217 (34. Read More

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http://dx.doi.org/10.3389/fonc.2019.00758DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6696794PMC
August 2019
4 Reads

Robotic-assisted perineal versus transperitoneal radical prostatectomy: A matched-pair analysis.

Turk J Urol 2019 07 3;45(4):265-272. Epub 2019 Apr 3.

Department of Urology, Health Sciences University, Bakırköy Dr. Sadi Konuk Training and Research Hospital, İstanbul, Turkey.

Objective: We compared the outcomes of robotic-assisted radical perineal prostatectomy (r-PRP) versus robotic-assisted transperitoneal laparoscopic radical prostatectomy (RARP).

Material And Methods: Between November 2016 and September 2017 in our center, 40 patients underwent r-PRP, and 40 patients underwent RARP. All patients also underwent multiparametric magnetic resonance imaging (mpMRI) to exclude the cases with locally advanced disease. Read More

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http://dx.doi.org/10.5152/tud.2019.98254DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6619843PMC
July 2019
32 Reads

[Surgical treatment for inflammatory myofibroblastic tumor in genito-urinary system: a study of 15 cases].

Zhonghua Yi Xue Za Zhi 2019 Mar;99(12):947-949

Department of Head and Neck Surgery, Sun Yat-sen University Cancer Center, Guangzhou 510060, China.

To present 15 cases of inflammatory myofibroblastic tumor (IMT) in genitor-urinary system, and analyze the characteristics, diagnosis and treatment of the disease. The diagnostic and therapeutic process of 15 confirmed cases admitted to Sun Yat-sen University Cancer Center between March 2009 and September 2017 were retrospectively analyzed. Of the total cases, 11 cases were diagnosed with cystic IMT with a maximum diameter of 1. Read More

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http://dx.doi.org/10.3760/cma.j.issn.0376-2491.2019.12.014DOI Listing
March 2019
27 Reads

Uroflow stop test with electromyography: a novel index of urinary continence recovery after RARP.

Int Urol Nephrol 2019 Apr 23;51(4):609-615. Epub 2019 Feb 23.

Division of Urology Clinic, Department of Surgical and Biomedical Sciences, University Hospital of Perugia, Perugia, Italy.

Purpose: Urinary incontinence (UI) is one of the most bothersome surgical side effects after robot-assisted radical prostatectomy (RARP). Alteration of both smooth and striate urethral sphincter occurs after RARP. Since the contraction of perineal muscles is involved in the complex mechanism of urinary continence, the uroflow stop test (UST) seems to predict early continence recovery after RARP. Read More

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http://dx.doi.org/10.1007/s11255-019-02107-3DOI Listing
April 2019
9 Reads

Anatomical, surgical and technical factors influencing continence after radical prostatectomy.

Ther Adv Urol 2019 Jan-Dec;11:1756287218813787. Epub 2019 Jan 8.

Department of Urology, Icahn School of Medicine at Mount Sinai, New York, USA.

Radical prostatectomy (RP) is the most frequent treatment with curative intent performed for prostate cancer to date. Different surgical approaches (perineal, transperitoneal, and extraperitoneal) and techniques (laparoscopic and robot assisted) have been described to increase the efficiency and potentially diminish the postoperative complications of this procedure. The aim of this narrative review is to investigate and define the factors that influence postprostatectomy urinary continence. Read More

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http://journals.sagepub.com/doi/10.1177/1756287218813787
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http://dx.doi.org/10.1177/1756287218813787DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6329031PMC
January 2019
36 Reads

Gasless robotic perineal radical prostatectomy: An initial experience.

Turk J Urol 2019 11 21;45(Supp. 1):S117-S120. Epub 2018 Nov 21.

Department of Urology, Memorial Bahçelievler Hospital, İstanbul, Turkey.

Radical prostatectomy (RP) is the gold standard treatment method of localized prostate cancer. Today, this surgery is performed with open or minimally invasive methods. The history of open perineal RP (RPP) is very old, but it is not often preferred by urologists. Read More

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http://dx.doi.org/10.5152/tud.2018.48085DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6922040PMC
November 2019
7 Reads

Recovery of urinary function after robotic-assisted laparoscopic prostatectomy versus radical perineal prostatectomy for early-stage prostate cancer.

Int Urol Nephrol 2018 Dec 16;50(12):2187-2191. Epub 2018 Oct 16.

Department of Urology, Beaumont Health, Royal Oak, MI, USA.

Introduction: Robotic-assisted laparoscopic prostatectomy (RALP) has largely replaced open radical prostatectomy in many centers. Radical perineal prostatectomy (RPP) is another less invasive approach that has not been widely adopted. RPP offers excellent exposure of the urinary sphincter and bladder neck that may provide good urinary function outcomes. Read More

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http://link.springer.com/10.1007/s11255-018-2013-8
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http://dx.doi.org/10.1007/s11255-018-2013-8DOI Listing
December 2018
37 Reads

[Management of vesicourethral anastomotic stenosis after radical prostatectomy].

Rev Int Androl 2019 Jul - Sep;17(3):110-118. Epub 2018 Sep 17.

Servicio de Urología, Hospital Universitario Marqués de Valdecilla, Santander, Cantabria, España; Facultad de Medicina, Universidad de Cantabria, Santander, Cantabria, España.

Vesicourethral anastomotic stenosis is a relatively uncommon problem after radical prostatectomy, but it could become recurrent and difficult to treat. Risk factors are known, and they can help to decrease the incidence. When discussing the therapeutic plan, we must consider the stenosis risk, and also the urinary continence after the prostatectomy. Read More

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http://dx.doi.org/10.1016/j.androl.2018.05.003DOI Listing
May 2020
16 Reads

Single-Port Robot-Assisted Perineal Prostatectomy and Pelvic Lymphadenectomy: Step-by-Step Technique in a Cadaveric Model.

J Endourol 2018 05;32(S1):S93-S96

Department of Urology, Glickman Urological and Kidney Institute , Cleveland Clinic, Cleveland, Ohio.

The envelope is constantly being pushed to minimize the invasiveness of prostate cancer surgery without compromising oncologic or functional outcomes. Transperitoneal robot-assisted radical prostatectomy has certainly accomplished these goals. However, it is our intent to push the envelope even further, that is, to minimize the invasiveness of already minimally invasive surgery. Read More

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http://dx.doi.org/10.1089/end.2017.0707DOI Listing
May 2018
4 Reads

Robotic perineal radical prostatectomy with high prostate volume.

Arch Ital Urol Androl 2018 Mar 31;90(1):65-67. Epub 2018 Mar 31.

Bakirkoy Dr. Sadi Konuk Research and Training Hospital, Department of Urology, Istanbul.

Background: Minimally invasive techniques are ever improving and are preferred more. Many techniques were developed in radical prostatectomy operations. Robotic radical prostatectomy with the perineal approach is a new technique. Read More

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http://dx.doi.org/10.4081/aiua.2018.1.65DOI Listing
March 2018
8 Reads

Robot-Assisted Perineal Radical Prostatectomy in a Post-Kidney Transplant Recipient.

J Endourol Case Rep 2018 1;4(1):21-24. Epub 2018 Feb 1.

Department of Urology, University of Health Sciences, Istanbul Bakirkoy Dr. Sadi Konuk Research and Training Hospital, Istanbul, Turkey.

After almost two decades, transabdominal robotic radical prostatectomy techniques have been fully developed and are widely practiced by many robotic urologists. Recently, a transperineal robotic radical prostatectomy, a technique not yet popular to many, was introduced as an alternative approach in patients with previous abdominal surgery. Here, we present our unique experience with robotic perineal radical prostatectomy (r-PRP) on a kidney transplant recipient. Read More

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http://dx.doi.org/10.1089/cren.2017.0119DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5820682PMC
February 2018
23 Reads

[Stricture of the vesicourethral anastomosis after radical prostatectomy].

Urologe A 2018 Jan;57(1):29-33

Urologische Klinik und Poliklinik, Campus Großhadern, Klinikum der Universität München, Marchioninistraße 15, 81377, München, Deutschland.

Background: The development of a stricture of the vesicourethral anastomosis is a serious complication after radical prostatectomy. Strictures occur in 5-8% of patients after radical prostatectomy.

Symptoms: Usually the clinical symptoms include an irritative and obstructive component similar to benign prostatic hyperplasia. Read More

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http://dx.doi.org/10.1007/s00120-017-0550-xDOI Listing
January 2018
9 Reads

Robot-assisted radical perineal prostatectomy: first experience of 15 cases.

Turk J Urol 2017 Dec 1;43(4):476-483. Epub 2017 Dec 1.

Department of Urology, University of Health Sciences, İstanbul Bakırköy Dr. Sadi Konuk Training and Research Hospital, İstanbul, Turkey.

Objective: Minimally invasive techniques are increasingly evolving and preferred to reduce surgical induced morbidity and mortality and minimize the challenges of surgical techniques. Especially radical perineal prostatectomy (RPP) includes some challenges like working in a deep and narrow space and challenging ergonomics for the surgeons. Because of these issues open RPP is still performed in experienced centers. Read More

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http://turkishjournalofurology.com/eng/makale/3139/168/Full-
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http://dx.doi.org/10.5152/tud.2017.35488DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5687211PMC
December 2017
7 Reads

Prevention of Urethral Retraction with Stay Sutures (PURS) During Robot-Assisted Radical Prostatectomy Improves Early Urinary Control: A Prospective Cohort Study.

J Endourol 2018 02 22;32(2):125-132. Epub 2017 Dec 22.

1 Department of Urology, School of Medicine, Acibadem Mehmet Ali Aydinlar University , Istanbul, Turkey .

Objective: To evaluate early continence rates with a novel modified vesicourethral anastomosis technique based on prevention of urethral retraction using anastomosis sutures as stay sutures (PURS) during robot-assisted radical prostatectomy.

Materials And Methods: Sixty patients operated by a single surgeon were enrolled and data collected prospectively. This cohort was compared with another consecutive 60 patients operated with standard anastomosis. Read More

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http://dx.doi.org/10.1089/end.2017.0460DOI Listing
February 2018
31 Reads

Comparison of lesions detected and undetected by template-guided transperineal saturation prostate biopsy.

BJU Int 2018 03 22;121(3):415-420. Epub 2017 Aug 22.

Department of Urology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Beijing, China.

Objectives: To compare the characteristics of lesions detected or undetected by template-guided transperineal saturation prostate biopsy and to evaluate the potential impact of undetected lesions.

Materials And Methods: We evaluated the characteristics of lesions in radical prostatectomy (RP) specimens, compared the differences between lesions detected and undetected by systematic transperineal ultrasonography-guided 11-region biopsy with regard to tumour volume, Gleason score, surgical margin, spatial location and clinical significance, and assessed the potential impact of undetected clinically significant lesions.

Results: The median number of biopsy cores was 24. Read More

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http://dx.doi.org/10.1111/bju.13977DOI Listing
March 2018
16 Reads

The impact of multifocal perineural invasion on biochemical recurrence and timing of adjuvant androgen-deprivation therapy in high-risk prostate cancer following radical prostatectomy.

Prostate 2017 Sep 27;77(12):1279-1287. Epub 2017 Jul 27.

Department of Urology, West China Hospital, Sichuan University, Chengdu, China.

Background: Perineural invasion (PNI) is a distinct pathologic entity and a recognized source of tumor spread. However, the role of PNI in high-risk prostate cancer (PCa) has not been explored. The aims of the study were to investigate the impact of PNI on biochemical recurrence (BCR) and optimal timing of adjuvant androgen-deprivation therapy (ADT) after radical prostatectomy (RP). Read More

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http://dx.doi.org/10.1002/pros.23388DOI Listing
September 2017
15 Reads

The effect of surgical technique on hemodynamics, arterial oxygenation and pulmonary mechanics in radical prostatectomy operations.

Arch Ital Urol Androl 2017 Mar 31;89(1):65-70. Epub 2017 Mar 31.

Dr. Lutfi Kirdar Training and Research Hospital, Anaesthesiology and Reanimation Department, Kartal, Istanbul.

Objective: The effects of surgical technique on respiratory mechanics, arterial oxygenation and hemodynamics in radical prostatectomy operation were investigated.

Methods: The study was planned on ASA II-III, 40-65 years old, fourty patients scheduled for radical prostatectomy under general anesthesia. They were divided into two groups: perineal and suprapubic (Group P, n = 20; Group S, n = 20). Read More

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http://dx.doi.org/10.4081/aiua.2017.1.65DOI Listing
March 2017
8 Reads

Gracilis Muscle Interposition for Rectourethral Fistula After Laparoscopic Prostatectomy: A Prospective Evaluation and Long-term Follow-up.

Dis Colon Rectum 2017 Apr;60(4):393-398

1 Unit of Colorectal Surgery, Department of General Surgery, Hospital Universitari MútuaTerrassa, Universitat de Barcelona, Barcelona, Spain 2 Department of Urology, Hospital Universitari MútuaTerrassa, Universitat de Barcelona, Barcelona, Spain.

Background: Postoperative rectourethral fistula after radical prostatectomy is an infrequent but very serious problem.

Objective: We aimed to describe our experience with transperineal repair and unilateral gracilis muscle interposition in patients with rectourethral fistula after radical prostatectomy in nonradiated prostate cancer.

Design: This was a cohort study. Read More

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http://dx.doi.org/10.1097/DCR.0000000000000763DOI Listing
April 2017
60 Reads

Prostate cancer before renal transplantation: A multicentre study.

Prog Urol 2017 Mar 23;27(3):166-175. Epub 2017 Feb 23.

Urology and Transplantation department, CHU Côte-de-Nacre, Caen, France; Normandie Univ, France; UNICAEN, Caen, France. Electronic address:

Introduction: The surgical issues of renal transplantation (RT) after localized prostate cancer (PC) treatment and oncological outcomes after transplantation in patients on the waiting list with a history of PC were unknown. We conducted a retrospective multicentre study including all patients with PC diagnosed before the kidney transplantation.

Methods: Fifty-two patients were included from December 1993 to December 2015. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S11667087173001
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http://dx.doi.org/10.1016/j.purol.2017.01.001DOI Listing
March 2017
9 Reads

Analysis of a Surgical Treatment for Persistent Urorectal Fistulas after Radical Cancer Surgery: A Comparison of Prostate Cancer and Rectal Cancer.

Urol Int 2017 24;99(1):56-62. Epub 2017 Feb 24.

Department of Urology, National Cancer Center Hospital East, Kashiwa, Japan.

Introduction: The study aimed to present our experience of surgical treatment for urorectal fistulas (URF) that develop after cancer surgery.

Materials And Methods: Fourteen patients with URF who were treated at our institution from 2005 through 2015 were retrospectively analyzed. Among these, 7 patients had previous surgical treatment of prostate cancer (PC) and the other 7 had been treated for rectal cancer (RC). Read More

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http://dx.doi.org/10.1159/000457835DOI Listing
May 2018
19 Reads

Accuracy of real-time magnetic resonance imaging-transrectal ultrasound fusion image-guided transperineal target biopsy with needle tracking with a mechanical position-encoded stepper in detecting significant prostate cancer in biopsy-naïve men.

Int J Urol 2017 04 21;24(4):288-294. Epub 2017 Feb 21.

Department of Pathology, Tokai University Hachioji Hospital, Hachioji, Tokyo, Japan.

Objective: To evaluate the accuracy of real-time elastic fusion image-guided transperineal prostate biopsy with needle tracking involving a mechanical position-encoded stepper in detecting clinically significant prostate cancer for biopsy-naïve men.

Methods: We prospectively recruited patients with serum prostate-specific antigen levels of 4.0-20 ng/mL and suspicious of prostate cancer on multiparametric magnetic resonance imaging. Read More

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http://dx.doi.org/10.1111/iju.13306DOI Listing
April 2017
26 Reads

Comparison of Oncologic Outcomes and Complications According to Surgical Approach to Radical Prostatectomy: Special Focus on the Perineal Approach.

Clin Genitourin Cancer 2017 08 1;15(4):e645-e652. Epub 2017 Feb 1.

Department of Urology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. Electronic address:

Introduction: The objective of the study was to compare oncologic outcomes and complications in patients with prostate cancer who underwent radical perineal prostatectomy (RPP), radical retropubic prostatectomy (RRP), laparoscopic radical prostatectomy (LRP), or robotic-assisted radical prostatectomy (RARP).

Materials And Methods: We retrospectively reviewed 2617 patients who underwent RPP (n = 673), RRP (n = 396), LRP (n = 223), or RARP (n = 1325) between 1995 and 2013. Clinicopathological outcomes were compared according to surgical approach. Read More

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http://dx.doi.org/10.1016/j.clgc.2017.01.015DOI Listing
August 2017
35 Reads

Use of Scaffolding Tissue Biografts To Bolster Vesicourethral Anastomosis During Salvage Robot-assisted Prostatectomy Reduces Leak Rates and Catheter Times.

Eur Urol 2018 07 14;74(1):92-98. Epub 2016 Oct 14.

Global Robotics Institute, Florida Hospital-Celebration Health, Celebration, FL, USA.

Background: One of the key factors contributing to morbidity associated with salvage radical prostatectomy is a significant vesicourethral anastomosis (VUA) disruption or postoperative tissue dehiscence in the region of the distal bladder neck that causes a large prolonged urinary leak, perineal pain, and delayed catheter removal.

Objective: To describe our surgical technique using a urinary bladder extracellular matrix (UB-ECM) scaffold incorporated into the base of the VUA and the distal bladder neck during salvage robot-assisted radical prostatectomy (sRARP) and to assess outcomes and safety.

Design, Setting, And Participants: From March to July 2015, 15 patients underwent sRARP performed after primary therapy failure by a single surgeon. Read More

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http://dx.doi.org/10.1016/j.eururo.2016.10.004DOI Listing
July 2018
16 Reads

Advanced Reconstruction of Vesicourethral Support (ARVUS) during Robot-assisted Radical Prostatectomy: One-year Functional Outcomes in a Two-group Randomised Controlled Trial.

Eur Urol 2017 05 6;71(5):822-830. Epub 2016 Jun 6.

Department of Urology, University Hospital, Olomouc, Czech Republic; Faculty of Medicine and Dentistry, Palacky University, Olomouc, Czech Republic. Electronic address:

Background: The advent of robotics has facilitated new surgical techniques for radical prostatectomy. These allow adjustment of pelvic anatomical and functional relationships after removal of the prostate to ameliorate postprostatectomy incontinence (PPI) and reduce the time to complete continence.

Objectives: To describe the results of a new surgical technique for reconstruction of vesicourethral anastomosis using the levator ani muscle for support during robot-assisted radical prostatectomy (RARP). Read More

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http://dx.doi.org/10.1016/j.eururo.2016.05.032DOI Listing
May 2017
17 Reads

Descriptive Technique and Initial Results for Robotic Radical Perineal Prostatectomy.

Urology 2016 08 24;94:129-38. Epub 2016 May 24.

Glickman Urological & Kidney Institute, Department of Urology, Cleveland Clinic, Cleveland, OH.

Objective: To minimize technical challenges of radical perineal prostatectomy (RPP), we conceived and applied the robotic approach to this technique in an aim to improve surgical applicability of RPP. Radical prostatectomy via the perineal route, avoiding the intra-abdominal cavity, has been shown to be oncologically safe, with excellent functional outcomes and a short hospital stay. We report our initial results with this novel approach. Read More

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http://dx.doi.org/10.1016/j.urology.2016.02.063DOI Listing
August 2016
29 Reads
4 Citations
2.190 Impact Factor

A Challenging Surgical Approach to Locally Advanced Primary Urethral Carcinoma: A Case Report and Literature Review.

Medicine (Baltimore) 2016 May;95(19):e3642

From the Department of Emergency and Organ Transplantation, Urology, Andrology and Kidney Transplantation Unit, University of Bari (GLucarelli, MS, AV, SP, CM, MM, SF, MC, OC, FSchiralli, FSebastiani, FD, CBettocchi, PD, MB); Division of General Surgery, Polyclinic Hospital (LV), Bari; Department of Clinical Medicine, Medical Oncology Unit, Federico II University, Naples (GD, CBuonerba); and Department of Urology, Minimally Invasive and Robotic Surgery Center "F. Miulli", Acquaviva della Fonti (GLudovico), Italy.

Primary urethral carcinoma (PUC) is a rare and aggressive cancer, often underdetected and consequently unsatisfactorily treated. We report a case of advanced PUC, surgically treated with combined approaches.A 47-year-old man underwent transurethral resection of a urethral lesion with histological evidence of a poorly differentiated squamous cancer of the bulbomembranous urethra. Read More

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http://pdfs.journals.lww.com/md-journal/2016/05100/A_Challen
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http://content.wkhealth.com/linkback/openurl?sid=WKPTLP:land
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http://dx.doi.org/10.1097/MD.0000000000003642DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4902525PMC
May 2016
99 Reads

Transperineal approach to complex rectourinary fistulae.

Can Urol Assoc J 2015 Nov-Dec;9(11-12):E916-20. Epub 2015 Dec 14.

University of British Columbia, Vancouver, BC, Canada.

Introduction: We sought to present our experience and outcomes in patients with complex rectourethral fistulae (RUF) treated using the transperineal approach with gracilis muscle flap interposition. Complex RUF was defined as having prior radiation, failed repair attempts, and large size (>2 cm).

Methods: A retrospective review identified 10 patients presenting with complex RUF between July 2009 and November 2013. Read More

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http://dx.doi.org/10.5489/cuaj.3107DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4707920PMC
January 2016
22 Reads

Perineal approach for rectourethral fistulae after radical laparoscopic prostatectomy.

Actas Urol Esp 2016 Mar 22;40(2):119-23. Epub 2015 Nov 22.

Servicio de Urología, Hospital Universitario Son Espases, Palma de Mallorca, España.

Objective: To describe our experience with the perineal approach to treat rectourethral fistulae (RUF) after radical laparoscopic prostatectomy.

Materials And Methods: We performed a retrospective study from 2012 to 2015 presenting 5 cases of RUF after radical laparoscopic prostatectomy. All cases required major abdominal surgery between the radical laparoscopic prostatectomy and the RUF treatment due to various complications. Read More

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http://dx.doi.org/10.1016/j.acuro.2015.09.002DOI Listing
March 2016
6 Reads

Early Catheter Removal after Robot-assisted Radical Prostatectomy: Surgical Technique and Outcomes for the Aalst Technique (ECaRemA Study).

Eur Urol 2016 05 11;69(5):917-23. Epub 2015 Nov 11.

Department of Urology, Onze-Lieve-Vrouw Hospital, Aalst, Belgium; OLV Vattikuti Robotic Surgery Institute, Melle, Belgium.

Background: Robot-assisted radical prostatectomy (RARP) is a widespread option for the treatment of patients with clinically localised prostate cancer. Modifications in the surgical technique may help to further improve functional outcomes.

Objective: To assess the outcome of early catheter removal 48h after surgery, as opposed to standard catheter removal 6 d after surgery following RARP, using a newly developed surgical technique for posterior reconstruction and anastomosis (Aalst technique). Read More

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http://dx.doi.org/10.1016/j.eururo.2015.09.052DOI Listing
May 2016
31 Reads

Is Radical Perineal Prostatectomy a Viable Therapeutic Option for Intermediate- and High-risk Prostate Cancer?

J Korean Med Sci 2015 Nov 16;30(11):1631-7. Epub 2015 Oct 16.

Department of Urology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.

The aim of this study was to investigate a single-institution experience with radical perineal prostatectomy (RPP), radical retropubic prostatectomy (RRP) and minimally invasive radical prostatectomy (MIRP) with respect to onco-surgical outcomes in patients with intermediate-risk (IR; PSA 10-20 ng/mL, biopsy Gleason score bGS 7 or cT2b-2c) and high-risk (HR; PSA > 20 ng/mL, bGS ≥ 8, or ≥ cT3) prostate cancer (PCa). We retrospectively reviewed data from 2,581 men who underwent radical prostatectomy for IR and HR PCa (RPP, n = 689; RRP, n = 402; MIRP, n = 1,490 [laparoscopic, n = 206; robot-assisted laparoscopic, n = 1,284]). The proportion of HR PCa was 40. Read More

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http://dx.doi.org/10.3346/jkms.2015.30.11.1631DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4630480PMC
November 2015
9 Reads

[Surgery of prostate cancer: Technical principles and perioperative complications].

Prog Urol 2015 Nov;25(15):966-98

Département d'urologie-andrologie-transplantation rénale, CHU Rangueil, 1, avenue Jean-Poulhès, 31059 Toulouse cedex 9, France.

Objective: To describe the surgical procedure of localized prostate cancer treated by radical prostatectomy.

Material And Method: Bibliography search was performed from the Medline database (National Library of Medicine, PubMed) selected according to the scientific relevance. The research was focused on historic of radical prostatectomy, surgical anatomy, surgical technics of radical prostatectomy and lymph nodes excision, and complications. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S11667087150026
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http://dx.doi.org/10.1016/j.purol.2015.08.008DOI Listing
November 2015
12 Reads

Surgical approach to vesicourethral anastomotic stricture following radical prostatectomy.

Actas Urol Esp 2016 Mar 26;40(2):124-30. Epub 2015 Oct 26.

Sector de Cirugía Uretral y Genital Reconstructiva, Servicio de Urología, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina.

Introduction: Vesicourethral anastomotic stricture following prostatectomy is uncommon but represents a challenge for reconstructive surgery and has a significant impact on quality of life. The aim of this study was to relate our experience in managing vesicourethral anastomotic strictures and present the treatment algorithm used in our institution.

Patients And Methods: We performed a descriptive, retrospective study in which we assessed the medical records of 45 patients with a diagnosis of vesicourethral anastomotic stricture following radical prostatectomy. Read More

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http://dx.doi.org/10.1016/j.acuro.2015.08.006DOI Listing
March 2016
7 Reads

[EVALUATION OF COMPLICATIONS OF RADICAL PERINEAL PROSTATECTOMY: EXPERIENCE OF 200 CASES].

Authors:
Seiichi Saito

Nihon Hinyokika Gakkai Zasshi 2015 Jan;106(1):18-24

Objective: In recent years, robot-assisted laparoscopic prostatectomy has become widely used, and the perineal approach is utilized much less than before. However, radical perineal prostatectomy has some advantages with regard to operative complications. Here I evaluate 200 cases for which the perineal approach was used in the past 12 years. Read More

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http://dx.doi.org/10.5980/jpnjurol.106.18DOI Listing
January 2015
11 Reads

Is transperineal prostate biopsy more accurate than transrectal biopsy in determining final Gleason score and clinical risk category? A comparative analysis.

BJU Int 2015 Oct 11;116 Suppl 3:26-30. Epub 2015 Aug 11.

The University of Queensland, Brisbane, QLD, Australia.

Objectives: To assess the degree of upgrading and increase in clinical risk category of transperineal template biopsy (TTB) compared with transrectal ultrasonography-guided prostate biopsy (TRUSB). Upgrading of TRUSB Gleason grade and sum after radical prostatectomy (RP) is well recognised. TTB may offer a more thorough mapping of the prostate than TRUSB, as well as a more accurate assessment of the tumour. Read More

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http://dx.doi.org/10.1111/bju.13165DOI Listing
October 2015
27 Reads

[TREATMENT OF URINARY INCONTINENCE AFTER RADICAL PROSTATECTOMY USING TRAINING OF PELVIC MUSCLES UNDER THE CONTROL OF BIOFEEDBACK].

Urologiia 2015 Jan-Feb(1):41-3

Urinary incontinence (UI) is one of the most frequent complications of radical prostatectomy (RPE) performed for prostate cancer. Conservative methods of treatment include pelvic floor muscle training under the control of biofeedback (BFB). This method was applied in 87 patients who underwent radical prostatectomy. Read More

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July 2015
42 Reads

Radical retropubic and perineal prostatectomy for clinically localised prostate cancer in renal transplant recipients.

Arab J Urol 2014 Jun 20;12(2):142-8. Epub 2014 Feb 20.

Department of Urology, RWTH University Aachen, Germany.

Objective: To analyse the functional and oncological outcome of consecutive renal-transplant recipients (RTRs) with clinically localised prostate cancer who underwent radical retropubic (RRP) or perineal (RPP) prostatectomy.

Patients And Methods: Between January 2000 and July 2011 16 patients underwent RRP (group 1) and seven RPP (group 2). In all, 200 consecutive non-RTRs served as the control group, of whom 100 each underwent RRP and RPP, respectively. Read More

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http://dx.doi.org/10.1016/j.aju.2014.01.004DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4434433PMC
June 2014
12 Reads

Robotic Surgery Revives Radical Perineal Prostatectomy.

Eur Urol 2015 Aug 23;68(2):340-1. Epub 2015 Mar 23.

Glickman Urological and Kidney Institute, Department of Urology, Cleveland Clinic, Cleveland, OH, USA. Electronic address:

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http://dx.doi.org/10.1016/j.eururo.2015.03.001DOI Listing
August 2015
7 Reads