Search Our Scientific Publications & Authors

Turk J Urol 2019 Apr 3. 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

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

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

Turk J Urol 2018 Nov 21:1-4. 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

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

Rev Int Androl 2018 Sep 17. 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

J Endourol 2018 May;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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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:

J Urol 2015 Mar 8;193(3):849. Epub 2014 Dec 8.

Asian J Androl 2015 Sep-Oct;17(5):792-6

Department of Urology, Hospital Universitario Puerta de Hierro Majadahonda, Autonomous University of Madrid, Madrid 28222, Spain.

Stress urinary incontinence (SUI) and end-stage erectile dysfunction (ED) after radical prostatectomy (RP) can decrease a patient's quality of life (QoL). We describe a surgical technique involving scrotal incision for simultaneous dual implantation of an artificial urinary sphincter (AUS) and an inflatable penile prosthesis (IPP). Patients with moderate to severe SUI (>3 pads per day) and end-stage ED following RP were selected for dual implantation. Read More

Korean J Urol 2014 Dec 21;55(12):802-7. Epub 2014 Nov 21.

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

Purpose: To analyze the location of the positive surgical margin (PSM) and its association with the biochemical recurrence (BCR) rate in cases of radical prostatectomy (RP) according to the type of surgery.

Materials And Methods: We retrospectively analyzed 1,880 cases of RP. Baseline characteristics were analyzed. Read More

J Korean Med Sci 2014 Dec 21;29(12):1688-93. Epub 2014 Nov 21.

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

Traditionally, urologists recommend an interval of at least 4 weeks after prostate biopsy before radical prostatectomy. The aim of our study was to evaluate whether the interval from prostate biopsy to radical prostatectomy affects immediate operative outcomes, with a focus on differences in surgical approach. The study population of 1,848 radical prostatectomy patients was divided into two groups according to the surgical approach: open or minimally invasive. Read More

NMR Biomed 2015 Jan 14;28(1):124-39. Epub 2014 Nov 14.

University of British Columbia, Electrical and Computer Engineering, Vancouver, BC, Canada.

The purpose of this work was to assess trans-perineal prostate magnetic resonance elastography (MRE) for (1) repeatability in phantoms/volunteers and (2) diagnostic power as correlated with histopathology in prostate cancer patients. The three-dimensional (3D) displacement field was obtained using a fractionally encoded gradient echo sequence using a custom-made transducer. The repeatability of the method was assessed based on three repeat studies and by changing the driving frequency by 3% in studies on a phantom and six healthy volunteers. Read More

Med Image Comput Comput Assist Interv 2014 ;17(Pt 1):561-8

In this article, we describe a system for detecting dominant prostate tumors, based on a combination of features extracted from a novel multi-parametric quantitative ultrasound elastography technique. The performance of the system was validated on a data-set acquired from n = 10 patients undergoing radical prostatectomy. Multi-frequency steady-state mechanical excitations were applied to each patient's prostate through the perineum and prostate tissue displacements were captured by a transrectal ultrasound system. Read More

Cochrane Database Syst Rev 2014 Sep 27(9):CD008306. Epub 2014 Sep 27.

Department of Urology, Universidade Federal de São Paulo, Rua Doutor Nicolau de Sousa Queiros, 629. Ap.130B, São Paulo, São Paulo, Brazil, 04105002.

Background: Incontinence after prostatectomy for benign or malignant disease is a well-known and often a feared outcome. Although small degrees of incidental incontinence may go virtually unnoticed, larger degrees of incontinence can have a major impact on a man's quality of life.Conceptually, post-prostatectomy incontinence may be caused by sphincter malfunction or bladder dysfunction, or both. Read More

Int Urol Nephrol 2014 Nov 19;46(11):2147-52. Epub 2014 Aug 19.

Department of Urology, SUNY Upstate Medical University, Syracuse, NY, USA.

Objectives: To determine the outcomes of open vesicourethral anastomotic reconstruction (VUAR) for outlet stenosis following radical prostatectomy (RP).

Methods: Review of all cases of VUAR within an IRB-approved database was performed. Preoperative factors assessed included cancer treatment modality, duration of symptoms, prior treatments, and length of defect. Read More

Cent European J Urol 2014 17;67(1):93-7. Epub 2014 Apr 17.

Department of Urology, Medical University of Gdańsk, Gdańsk, Poland.

Introduction: The repair of complex urethrorectal fistulas, which can be the result of treating prostate cancer with radical prostatectomy, is a big problem in urology and its final result is not always satisfactory. There are no universally accepted methods for repairing such fistulas. In our work we present a retrospective analysis of patients treated for urethrorectal fistulas after previous radical prostatectomy. Read More

Can J Urol 2014 Jun;21(3):7305-11

Denver Health Medical Center, Denver, Colorado, USA.

Introduction: Our safety net hospital offers minimally invasive, traditional open and perineal radical prostatectomies, as well as radiation therapy and medical oncological services when appropriate. Historically, only few African American and Hispanic patients elected surgical procedures due to unknown reasons. Interestingly, after initiation of the prostate cryoablation program (Whole Gland) in 2003 at Denver Health Medical Center (DHMC) we noticed a trend towards cryotherapy in these specific patient populations for the treatment of localized prostate cancer. Read More

Bull Hist Med 2014 ;88(2):287-318

Between 1951 and 1966, more than twelve hundred homeless, alcoholic men from New York's skid row were subjected to invasive medical procedures, including open perineal biopsy of the prostate gland. If positive for cancer, men typically underwent prostatectomy, surgical castration, and estrogen treatments. The Bowery series was meant to answer important questions about prostate cancer's diagnosis, natural history, prevention, and treatment. Read More

Arch Esp Urol 2014 Jun;67(5):419-30

Servicio de Urología. Hospital Universitario "Miguel Servet". Zaragoza. España.

In the present review we detail the more universally accepted selection criteria in the various protocols of active surveillance in prostate cancer; we also identify and classify twenty nomograms/predictive models useful for decision making in active surveillance for prostate cancer. These models are classified in accordance to their prediction (High grade prostate cancer in radical prostatectomy specimen [Gleason grade > 7], understaging on biopsy compared to prostatectomy specimen, pathological stage, indolent cancer or progression after expectant therapy). We also detail the predictive variables used in each model for estimations, their internal validation parameters, the samples used to generate them, and the external validations if they were done. Read More

Turk J Urol 2014 Jun;40(2):89-92

Department of Urology, Süleyman Demirel University Faculty of Medicine, Isparta, Turkey.

Objective: Radical prostatectomy is the standard treatment modality for localized prostate cancer. Minimally invasive surgery, especially robotic surgery, has attracted interest in the last 10 years, and open surgery has been less preferred. Among the open surgical procedures, the perineal approach is the least preferred by urologists, which may be related to their perception of its overall difficulty. Read More

BJU Int 2015 Mar 13;115(3):412-8. Epub 2014 Aug 13.

Department of Urology, Tokyo Medical and Dental University Graduate School, Tokyo, Japan.

Objective: To investigate the diagnostic performance and safety of a three-dimensional 14-core biopsy (3D14PBx) method, which is a combination of the transrectal six-core and transperineal eight-core biopsy methods.

Patients And Methods: Between December 2005 and August 2010, 1103 men underwent 3D14PBx at our institutions and were analysed prospectively. Biopsy criteria included a PSA level of 2. Read More

BJU Int 2014 Aug;114(2):236-44

Department of Urology, Urological Science Institute, Yonsei University College of Medicine, Seoul, South Korea; Department of Urology, Changi General Hospital, Singapore.

Objective: To compare the early peri-operative, oncological and continence outcomes of Retzius-sparing robot-assisted laparoscopic radical prostatectomy (RALP) with those of conventional RALP.

Materials And Methods: Data from 50 patients who underwent Retzius-sparing RALP and who had at least 6 months of follow-up were prospectively collected and compared with a database of patients who underwent conventional RALP. Propensity-score matching was performed using seven preoperative variables, and postoperative variables were compared between the groups. Read More

Int Braz J Urol 2013 Sep-Oct;39(5):639-46; discussion 647-8

Department of Urology, Lahey Clinic, USA.

Objective: We compared positive surgical margin (PSM) rates for patients with high risk prostate cancer (HRCaP) who underwent open radical retropubic (RRP), robotic (RALP), and laparoscopic (LRP) prostatectomy at a single institution.

Materials And Methods: We performed a retrospective review of our prospectively maintained IRB approved database identifying prostate cancer patients who underwent RRP, RALP, or LRP between January 2000 and March 2010. Patients were considered to have HRCaP if they had biopsy or final pathologic Gleason score ≥ 8, or preoperative PSA ≥ 20, or pathologic stage ≥ T3a. Read More

Am J Public Health 2014 Jan 17;104(1):70-6. Epub 2013 Oct 17.

Robert Aronowitz is with the Departments of the History and Sociology of Science and Family Medicine and Community Practice, University of Pennsylvania,Philadelphia.

The Bowery series, open perineal biopsies performed on more than 1200 alcoholic men recruited from homeless shelters in New York City's Bowery section, began in 1951 and persisted for more than a decade. If frozen sections revealed prostate cancer, men typically underwent radical perineal prostatectomy, orchiectomy, and diethylstilbestrol treatment. This poorly informed, vulnerable population was subjected to health risks that investigators knew others would not accept. Read More

BJU Int 2014 Apr 14;113(4):636-41. Epub 2014 Feb 14.

Faculty of Medicine, Nursing and Health Sciences, Monash University, Melbourne, Vic., Australia.

Objectives: To present the outcomes of men undergoing artificial urinary sphincter (AUS) implantation. To determine the impact a history of radiation therapy has on the outcomes of prosthetic surgery for stress urinary incontinence.

Patients And Methods: A cohort of 77 consecutive men undergoing AUS implantation for stress urinary incontinence after prostate cancer surgery, including 29 who had also been irradiated, were included in a prospective database and followed up for a mean period of 21. Read More