800 results match your criteria Simple Prostatectomy


The efficacy of green light laser prostatectomy in the management of urinary retention due to prostate hyperplasia.

Lasers Med Sci 2019 Jan 2. Epub 2019 Jan 2.

Faculty of Medicine, Urology Department, Katip Celebi University, Izmir, Turkey.

To evaluate the efficacy and safety of 120 W potassium titanyl phosphate (KTP) in the treatment of urinary retention (UR) due to benign prostate hyperplasia in high-risk patients. Forty-six male patients with mean age of 73.78 ± 9. Read More

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http://dx.doi.org/10.1007/s10103-018-02712-1DOI Listing
January 2019

It's Time to Take Advantage of Robotic Assisted Simple Prostatectomy in Large Benign Prostatic Hyperplasia.

World J Mens Health 2018 Dec 21. Epub 2018 Dec 21.

Department of Urology, Chonbuk National University Medical School, Research Institute of Clinical Medicine of Chonbuk National University-Biomedical Research Institute, and Clinical Trial Center of Medical Device of Chonbuk National University Hospital, Jeonju, Korea.

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http://dx.doi.org/10.5534/wjmh.180106DOI Listing
December 2018

Combining the Prostate Cancer Risk Index (PRIX) with the Presence of Secondary Circulating Prostate Cells to Predict the Risk of Biochemical Failure after Radical Prostatectomy for Prostate Cancer

Asian Pac J Cancer Prev 2018 Dec 25;19(12):3375-3381. Epub 2018 Dec 25.

CTC Unit, Faculty of Medicine, University Finis Terrae, Chile. Email:

Introduction: The use of pre- and post-surgery variables has been used to create nomograms in order to identify patients at high risk of treatment failure. The PRIX nomogram is one such device; we compare the PRIX nomogram with the presence of secondary circulating prostate cells to predict those men who will undergo treatment failure. Methods and Patients: Men who underwent radical prostatectomy for prostate cancer entered the study. Read More

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http://dx.doi.org/10.31557/APJCP.2018.19.12.3375DOI Listing
December 2018

[The choice of individual treatment strategy in geriatric patients with benign prostatic hyperplasia with consideration of indications and contraindications for elective isolated and simultaneous interventions].

Urologiia 2018 Dec(5):46-52

Samara Regional Clinical Hospital for War Veterans, Samara, Russia.

Aim: To develop a rationale treatment strategy for elective isolated and simultaneous interventions in geriatric patients with benign prostatic hyperplasia (BPH) aimed at decreasing of complications rate and grade, based on current approach to indications and contraindications.

Materials And Methods: From 2000 to 2015 yy. a total of 639 elderly and senile patients with BPH were undergone to isolated simple prostatectomy, transurethral prostatic resection and simultaneous surgery. Read More

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December 2018

Urethra and Ejaculation Preserving Robot-assisted Simple Prostatectomy: Near-infrared Fluorescence Imaging-guided Madigan Technique.

Eur Urol 2018 Dec 12. Epub 2018 Dec 12.

Department of Urology, "Regina Elena" National Cancer Institute, Rome, Italy.

Background: With the increasing adoption of novel technologies and anatomical techniques, surgical management of benign prostatic hyperplasia (BPH) provides significant benefits in terms of obstruction relief, early urethral catheter removal, and faster return to daily activities. However, the main pitfall of BPH surgery in sexually active men remains ejaculatory dysfunction (EjD), which permanently affects quality of life.

Objective: To detail a novel technique for marking the intraprostatic urethra through a retrograde injection of indocyanine green to enhance selective dissection of prostatic lobes during urethra-sparing robot-assisted simple prostatectomy (US-RASP) with the use of near-infrared fluorescence imaging (NIFI). Read More

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https://linkinghub.elsevier.com/retrieve/pii/S03022838183095
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http://dx.doi.org/10.1016/j.eururo.2018.11.051DOI Listing
December 2018
8 Reads

Implant of ATOMS® system for the treatment of postoperative male stress urinary incontinence: results of a single centre.

Int Braz J Urol 2018 Oct 30;44. Epub 2018 Oct 30.

Department of Neuro-Urology, CTO - Spinal Unit, Città della Salute e della Scienza di Torino, Turin, Italy.

Purpose: The aim of our study is to evaluate the efficacy and safety of ATOMS® system for the treatment of postoperative male stress urinary incontinence (SUI).

Materials And Methods: We retrospectively evaluated all patients treated at our institution for postoperative male SUI with ATOMS® implant. We excluded patients with low bladder compliance (< 20 mL / cmH2O), uncontrolled detrusor overactivity, detrusor underactivity (BCI < 100), urethral or bladder neck stricture and low cystometric capacity (< 200 mL). Read More

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http://dx.doi.org/10.1590/S1677-5538.IBJU.2018.0171DOI Listing
October 2018
2 Reads

Surgical treatment of large volume prostates: a matched pair analysis comparing the open, endoscopic (ThuVEP) and robotic approach.

World J Urol 2018 Dec 4. Epub 2018 Dec 4.

Department of Urology, University of Mainz, Mainz, Germany.

Objective: To compare open simple prostatectomy, endoscopic enucleation and laparoscopic, robot-assisted enucleation of high-volume prostate in terms of operation time, blood loss, transfusion and complication rates and early continence rates.

Material And Methods: Patients with BPH treated endoscopically (ThuVEP, Hamburg and Hannover) or robotically (Mainz) were evaluated prospectively for prostate size, free flow and validated questionnaires (IPSS, QoL). 35 patients were matched to patients after open prostatectomy (Mainz) for age, prostate size, IPSS and QoL scores. Read More

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http://dx.doi.org/10.1007/s00345-018-2585-zDOI Listing
December 2018
6 Reads

Novel Thulium Fiber Laser for Enucleation of Prostate: A Retrospective Comparison with Open Simple Prostatectomy.

J Endourol 2019 Jan;33(1):16-21

1 Institute of Urology and Reproductive Health, Sechenov University, Moscow, Russia.

Introduction: The objective of this study was to assess the efficacy and safety of novel thulium fiber laser enucleation of the prostate (ThuFLEP) vs conventional open simple retropubic prostatectomy (OP) for large volume benign prostatic hyperplasia (BPH).

Methods: We performed a retrospective review of patients who underwent surgical treatment for large volume BPH (>80 cc) from 2015 to 2017. Preoperative patient examination included the assessment of functional parameters: International Prostate Symptom Score (IPSS), quality of life (QoL), maximum urine flow rate (Q), and postvoid residual urine volume. Read More

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http://dx.doi.org/10.1089/end.2018.0791DOI Listing
January 2019
2 Reads

Does mechanical morcellation of large glands compromise incidental prostate cancer detection on specimen analysis? A pathological comparison with open simple prostatectomy.

World J Urol 2018 Oct 22. Epub 2018 Oct 22.

Department of Pathology, Tenon Hospital, AP-HP, University Pierre and Marie Curie, Paris, France.

Objective: This study sought to compare the incidental prostate cancer (iPCa) detection rate between pathological specimens from green laser enucleation of the prostate (GreenLEP) and open simple prostatectomy (OSP).

Materials And Methods: In two institutions, the charts of all consecutive patients who underwent OSP between January 2005 and December 2010 were retrospectively reviewed, and the data of all consecutive patients who underwent GreenLEP with tissue morcellation between July 2013 and January 2018 were also collected. Preoperative demographics and pathological findings were recorded. Read More

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http://link.springer.com/10.1007/s00345-018-2532-z
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http://dx.doi.org/10.1007/s00345-018-2532-zDOI Listing
October 2018
6 Reads

A Simplified Technique for GreenLight Laser Enucleation of the Prostate.

Urology 2019 Jan 9;123:293-294. Epub 2018 Oct 9.

El Camino Urology Medical Group, Mountain View, CA 94040.

Objective: To present a simplified technique for GreenLight laser enucleation of the prostate (GreenLEP), designed to reduce the learning curve commonly associated with endoscopic prostate enucleation.

Materials And Methods: GreenLEP is a novel endoscopic treatment for BPH which allows for durable resection of large glands with minimal energy use, minimal bleeding and has been shown to be non-inferior to holmium laser enucleation of the prostate (HoLEP). Furthermore, GreenLEP has been shown to be superior to GreenLight PVP For glands >80 g with respect to operative time, unplanned hospital readmission and decrease in post treatment PSA and prostate size. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00904295183107
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http://dx.doi.org/10.1016/j.urology.2018.09.031DOI Listing
January 2019
2 Reads

Holmium Laser Enucleation of the Prostate Provides Similar Incidental Prostate Cancer Detection Rates as Open Prostatectomy: A Matched Pair Analysis.

Urol Int 2018 20;101(4):382-386. Epub 2018 Sep 20.

Introduction: Whereas the excellent functional outcomes after Holmium laser enucleation of the prostate (HoLEP) and its equivalency to open prostatectomy (OP) have been studied in detail in the past years, the oncological equivalency has yet to be investigated. Therefore, we conducted a matched pair analysis to evaluate and compare incidental prostate cancer detection rates after HoLEP and OP.

Patients And Methods: Preoperative patient age, total prostate-specific antigen (PSA), and prostate volume were used as primary matching criteria. Read More

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http://dx.doi.org/10.1159/000492923DOI Listing
September 2018
4 Reads

Surgical Hints for Robot-Assisted Transvesical Simple Prostatectomy.

Urology 2018 Dec 15;122:185. Epub 2018 Sep 15.

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

Objectives: To report a step-by-step technique for robot-assisted transvesical simple prostatectomy (RASP) focusing on surgical hints to facilitate the procedure.

Methods: From January 2014 to April 2018 the institutional database was queried for consecutive patients undergoing RASP performed by a single-surgeon. Procedures were performed according to standardized steps as reported in the accompanying video. Read More

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http://dx.doi.org/10.1016/j.urology.2018.09.006DOI Listing
December 2018
5 Reads

A prospective comparative analysis of robot-assisted vs open simple prostatectomy for benign prostatic hyperplasia.

BJU Int 2019 Feb 15;123(2):313-317. Epub 2018 Oct 15.

Department of Urology, Acibadem Maslak Hospital, Acibadem University, Istanbul, Turkey.

Objective: To report the first prospective comparative analysis of robot-assisted (RASP) vs open simple prostatectomy (OSP) for large prostate glands.

Materials And Methods: We prospectively analysed 41 patients who underwent surgery for benign prostatic hyperplasia between 2014 and 2017 at one of two university institutions. Patients were grouped according to the procedure (OSP or RASP) and matched in terms of age, prostate volume, body mass index and prostate-specific antigen level. Read More

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http://doi.wiley.com/10.1111/bju.14531
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http://dx.doi.org/10.1111/bju.14531DOI Listing
February 2019
9 Reads

Expanding the indications of robotic surgery in urology: A systematic review of the literature.

Arab J Urol 2018 Sep 7;16(3):270-284. Epub 2018 Aug 7.

Bristol Urological Institute, Southmead Hospital, Bristol, UK.

Objectives: To evaluate the recent developments in robotic urological surgery, as the introduction of robotic technology has overcome many of the difficulties of pure laparoscopic surgery enabling surgeons to perform complex minimally invasive procedures with a shorter learning curve. Robot-assisted surgery (RAS) is now offered as the standard for various surgical procedures across multiple specialities.

Methods: A systematic search of MEDLINE, PubMed and EMBASE databases was performed to identify studies evaluating robot-assisted simple prostatectomy, salvage radical prostatectomy, surgery for urolithiasis, distal ureteric reconstruction, retroperitoneal lymph node dissection, augmentation ileocystoplasty, and artificial urinary sphincter insertion. Read More

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http://dx.doi.org/10.1016/j.aju.2018.05.005DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6105341PMC
September 2018
3 Reads

Use of cumulative summation (CUSUM) as a tool for early feedback and monitoring in robot assisted radical prostatectomy outcomes and performance.

Can Urol Assoc J 2018 Jul 31. Epub 2018 Jul 31.

Division of Urology, Department of Surgery.

Introduction: Today's surgical practice has evolved, with increasing emphasis on quality assurance. Many forms of quality-control monitoring have been suggested, but they are often impractical or difficult to implement. Cumulative summation (CUSUM) is a simple method to provide visual feedback before significant quality issues arise. Read More

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http://www.cuaj.ca/index.php/journal/article/view/5350
Publisher Site
http://dx.doi.org/10.5489/cuaj.5350DOI Listing
July 2018
11 Reads

Determining the Learning Curve for Robot-Assisted Simple Prostatectomy in Surgeons Familiar with Robotic Surgery.

J Endourol 2018 Sep;32(9):865-870

Department of Urology, University of Texas Southwestern , Dallas, Texas.

Purpose: Robot-assisted simple prostatectomy (RASP) has excellent outcomes when treating large volume prostates and incorporates the already familiar skills to most robotic surgeons. Our objective was to determine the learning curve for RASP.

Materials And Methods: A retrospective review of RASP on 120 consecutive cases performed by two experienced robotic surgeons from 2014 to 2017 was conducted. Read More

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http://dx.doi.org/10.1089/end.2018.0377DOI Listing
September 2018
4 Reads

Robotic-assisted laparoscopic repair of rectovesical fistula after Hartmann's reversal procedure.

J Robot Surg 2018 Jul 30. Epub 2018 Jul 30.

Department of Urology, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA.

The case is of a 59-year-old male with history of severe ischemic colitis following emergent intervention for a ruptured infrarenal aortic aneurysm who subsequently underwent left hemicolectomy, partial proctectomy, and Hartmann colostomy. The patient later underwent reversal of the Hartmann colostomy with diverting ileostomy. The surgery was complicated by a right ureteral and posterior bladder injury that resulted in a large rectovesical fistula involving the right hemitrigone and right ureteral orifice. Read More

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http://dx.doi.org/10.1007/s11701-018-0854-xDOI Listing
July 2018
8 Reads

Lowering positive margin rates at radical prostatectomy by color coding of biopsy specimens to permit individualized preservation of the neurovascular bundles: is it feasible? a pilot investigation.

Int Braz J Urol 2018 Nov-Dec;44(6):1081-1088

Department of Urology, Rush University Medical Center, Chicago, IL, USA.

Objective: To evaluate whether color-coding of prostate core biopsy specimens aids in preservation of the neurovascular bundles from an oncological perspective.

Materials And Methods: MRI guided transrectal ultrasound and biopsy of the prostate were performed in 51 consecutive patients suspected of being at high risk for harboring prostate cancer. Core specimens were labeled with blue dye at the deep aspect and red dye at the superficial peripheral aspect of the core. Read More

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http://dx.doi.org/10.1590/S1677-5538.IBJU.2017.0328DOI Listing
January 2018
10 Reads
0.960 Impact Factor

Trends and Perioperative Outcomes Across Major Benign Prostatic Hyperplasia Procedures from the ACS-NSQIP 2011-2015.

J Endourol 2019 Jan;33(1):62-68

2 Department of Urology, IU Health Methodist Hospital, Indiana University School of Medicine, Indianapolis, Indiana.

Background And Purpose: There are currently several different surgical options for patients with benign prostatic hyperplasia (BPH). The literature has demonstrated equivalent or superior results for holmium laser enucleation of prostate (HoLEP) but with exceptional long-term durability compared to other minimally invasive options. Despite this, HoLEP is not widely practiced. Read More

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http://www.liebertpub.com/doi/10.1089/end.2018.0266
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http://dx.doi.org/10.1089/end.2018.0266DOI Listing
January 2019
17 Reads

Rationale for Robotic-assisted Simple Prostatectomy for Benign Prostatic Obstruction.

Eur Urol Focus 2018 09 20;4(5):643-647. Epub 2018 Jul 20.

Division of Urology, Department of Surgery, VCU Health and McGuire VA Medical Center, Richmond, VA, USA. Electronic address:

Current evidence supports the role of robotic-assisted simple prostatectomy as safe and effective minimally invasive surgical treatment of benign prostatic obstruction. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S24054569183017
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http://dx.doi.org/10.1016/j.euf.2018.07.007DOI Listing
September 2018
1 Read

The Institute of Urology, Peking University prostatectomy score: a simple preoperative classification of prostate cancer for predicting surgical difficulty and risk.

Asian J Androl 2018 Nov-Dec;20(6):581-586

Department of Urology, Peking University First Hospital and Institute of Urology, Peking University, Beijing 100034, China.

Traditional laparoscopic radical prostatectomy is a treatment choice in many developing countries and regions for most patients with localized prostate cancer; however, no system for predicting surgical difficulty and risk has been established. This study aimed to propose a simple and standard preoperative classification system of prostate cancer using preoperative data to predict surgical difficulty and risk and to evaluate the relationship between the data and postoperative complications. We collected data from 236 patients and divided them into three groups to evaluate and validate the relationships among preoperative, operative, and postoperative data. Read More

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http://dx.doi.org/10.4103/aja.aja_39_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6219297PMC
July 2018
38 Reads

Comparison of Robot-Assisted Versus Open Simple Prostatectomy for Benign Prostatic Hyperplasia.

Curr Urol Rep 2018 Jul 12;19(9):71. Epub 2018 Jul 12.

Department of Urology, University of Massachusetts, 119 Belmont St, Worcester, MA, 01605, USA.

Purpose Of Review: Recent advancements in minimally invasive approaches for prostate surgery have provided numerous options for surgical management of benign prostatic hyperplasia (BPH). In the setting of a large prostate, an open simple prostatectomy was previously considered the gold standard surgical treatment. However, the recently updated American Urological Association (AUA) guidelines on surgical management of BPH now consider both open and minimally invasive approaches to simple prostatectomy viable alternatives for treating large glands, depending on expertise with the techniques. Read More

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http://dx.doi.org/10.1007/s11934-018-0820-1DOI Listing
July 2018
5 Reads

Laparoscopic and robotic specimen retrieval system (Modified Nadiad Bag): Validation and cost-effectiveness study model.

J Minim Access Surg 2018 Jun 27. Epub 2018 Jun 27.

Department of Urology, Muljibhai Patel Urological Hospital, Nadiad, Gujarat, India.

Aim: To construct and validate a cost-effective indigenously made retrieval system (Modified Nadiad bag) in minimal access urology. Method: The components of the modified Nadiad bag are a polyethylene roll, fishnet thread, and a 5 Fr ureteral catheter. The bag is indigenously made in our institute and used for organ retrieval after proper sterilization. Read More

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http://dx.doi.org/10.4103/jmas.JMAS_124_18DOI Listing
June 2018
2 Reads

Robotic-assisted Urethra-sparing Simple Prostatectomy Via an Extraperitoneal Approach.

Urology 2018 Sep 15;119:85-90. Epub 2018 Jun 15.

Department of Urology, The First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, ZJ, China. Electronic address:

Objective: To present an original technique of robotic-assisted urethra-sparing simple prostatectomy (RAUSP) for treating patients with benign prostatic hyperplasia.

Materials And Methods: From April 2015 to December 2016, 27 patients underwent RAUSP via an extraperitoneal approach. Baseline patient characteristics, perioperative outcomes, pathologic outcomes, postoperative Clavien complications, International Prostate Symptom Score, International Index of Erectile Function, and ejaculatory function were assessed. Read More

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http://dx.doi.org/10.1016/j.urology.2018.06.005DOI Listing
September 2018
18 Reads

Challenging Case: Robot-Assisted Laparoscopic Prostatectomy After Prior Suprapubic Open Prostatectomy.

J Endourol Case Rep 2018 1;4(1):72-74. Epub 2018 May 1.

International Robotic Prostatectomy Institute, Miami, Florida.

Given the ubiquity of robot-assisted laparoscopic prostatectomy (RALP) for treatment of localized prostate cancer, more surgeons are encountering challenging cases, either secondary to difficult anatomy, prior abdominal surgery, or prior radiation therapy. Our case is of RALP in a patient after prior suprapubic prostatectomy. A 61-year-old otherwise healthy Hispanic gentleman presented for consultation after being found to have Gleason 4 + 4 = 8 prostate cancer on transrectal ultrasound-guided biopsy by an outside provider in July 2017. Read More

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http://dx.doi.org/10.1089/cren.2018.0015DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5961454PMC
May 2018
1 Read

Holmium Laser Enucleation of the Prostate.

J Endourol 2018 May;32(S1):S7-S9

Indiana University Department of Urology, Indianapolis, Indiana.

Introduction: Holmium laser enucleation of the prostate (HoLEP) offers superior voiding outcomes to traditional transurethral resection and less morbidity than open simple prostatectomy. Likewise, HoLEP has been determined to result in excellent outcomes regardless of gland size. We present a step-by-step surgical approach to HoLEP describing both the traditional enucleation technique and a modified "top-down" surgical technique. Read More

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http://www.liebertpub.com/doi/10.1089/end.2017.0710
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http://dx.doi.org/10.1089/end.2017.0710DOI Listing
May 2018
3 Reads

Robot-Assisted Simple Prostatectomy by an Extraperitoneal Approach.

J Endourol 2018 May;32(S1):S39-S43

1 Department of Urology, University of Leipzig , Leipzig, Germany .

The incidence of symptomatic benign prostate hyperplasia and bladder outlet obstruction has increased during the last two decades. Most of men are treated conservatively. When medical therapy is inadequate to relief symptoms, surgical treatment is necessary. Read More

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http://dx.doi.org/10.1089/end.2017.0714DOI Listing
May 2018
4 Reads

Repair of recto-urethral fistula with urethral augmentation by buccal mucosal graft and gracilis muscle flap interposition - our experience.

Cent European J Urol 2018 8;71(1):121-128. Epub 2017 Dec 8.

KLE University's JN Medical College, KLES Dr. Prabhakar Kore Hospital & MRC, Department of Urology, Belgaum, India.

Introduction: Recto-urethral fistula (RUF) is a relatively rare surgical condition, the treatment of which is quite challenging. There are many causes of RUF, but 60% of them are iatrogenic following open prostatectomies, radiotherapy, brachytherapy, urethral instrumentation etc. We present a series of six cases treated at our institution. Read More

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http://dx.doi.org/10.5173/ceju.2018.1353DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5926628PMC
December 2017

Robot-Assisted Simple Prostatectomy.

J Endourol 2018 May;32(S1):S33-S38

2 Division of Urology, University of Pennsylvania , Philadelphia, Pennsylvania.

Introduction: Benign prostatic obstruction is the leading cause of lower urinary tract symptoms in older males. The management strategies include medical management and surgical therapy. However when the prostate becomes very enlarged medical therapy can be ineffective and transurethral resection may not be feasible. Read More

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http://dx.doi.org/10.1089/end.2017.0715DOI Listing
May 2018
1 Read

Noninvasive continuous blood pressure monitoring by the ClearSight system during robot-assisted laparoscopic radical prostatectomy.

J Med Invest 2018 ;65(1.2):69-73

Department of Anesthesiology, Institute of Biomedical Sciences, Tokushima University Graduate School.

Robot-assisted laparoscopic radical prostatectomy (RALRP) is commonly performed in the surgical treatment of prostate cancer. However, the steep Trendelenburg position (25) and pneumoperitoneum required for this procedure can sometimes cause hemodynamic changes. Although blood pressure is traditionally monitored invasively during RALRP, the ClearSight system (BMEYE, Amsterdam, The Netherlands) enables a totally noninvasive and simple continuous blood pressure and cardiac output monitoring based on finger arterial pressure pulse contour analysis. Read More

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http://dx.doi.org/10.2152/jmi.65.69DOI Listing
September 2018
1 Read

Transvesical robot-assisted simple prostatectomy with 360° circumferential reconstruction: step-by-step technique.

BJU Int 2018 Aug 9;122(2):344-348. Epub 2018 May 9.

USC Institute of Urology, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA.

Objective: To present the step-by-step technique of a 360° mucosal reconstruction after transvesical robot-assisted simple prostatectomy (RASP).

Patient And Methods: We analysed the first 23 consecutive patients who underwent RASP using our 360° reconstruction between December 2015 and October 2017. After transperitoneal intravesical adenoma enucleation, a circumferential 360° reconstruction is performed. Read More

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http://doi.wiley.com/10.1111/bju.14203
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http://dx.doi.org/10.1111/bju.14203DOI Listing
August 2018
18 Reads

A Novel Technique for Robotic Simple Prostatectomy: An Evolution of Retzius-sparing Technique.

Urology 2018 May 13;115:185. Epub 2018 Mar 13.

Department of Urology, San Bassiano Hospital, Bassano del Grappa, Italy.

Objective: To present a novel surgical concept by using the trans-Douglas approach to perform a robotic-assisted simple prostatectomy (RASP) for high-volume benign prostate hyperplasia. This transposition from oncological surgery enables performance of a better bladder neck sparing adenomectomy with good functional results.

Materials And Methods: The index patient is a 67-year-old man with a history of severe urinary flow outlet obstruction. Read More

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http://dx.doi.org/10.1016/j.urology.2018.01.025DOI Listing

BCL-2 and BCL-XL expression are down-regulated in benign prostate hyperplasia nodules and not affected by finasteride and/or celecoxib.

Am J Clin Exp Urol 2018 5;6(1):1-10. Epub 2018 Feb 5.

Department of Urology, University of Pittsburgh School of MedicinePittsburgh 15232, PA, USA.

The mechanisms involved in the development of benign prostatic hyperplasia (BPH) are poorly understood. One potential mechanism involved in BPH pathogenesis may involve altered expression of genes related to apoptosis and proliferation because reduced cell death and increased proliferation are thought to contribute to prostatic enlargement. This study examined the expression of B-cell lymphoma 2 (BCL-2) and B-cell lymphoma-extra large (BCL-XL), two important anti-apoptosis factors that are also capable of inhibiting cell proliferation via accelerated G1 arrest or delayed G1/S transition, using immunostaining in simple prostatectomy BPH specimens from patients naïve to androgen manipulation. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5840285PMC
February 2018
8 Reads

Robotic assisted simple prostatectomy: recent advances.

Curr Opin Urol 2018 05;28(3):309-314

Division of Urology, Virginia Commonwealth University.

Purpose Of Review: Robotic assisted simple prostatectomy (RASP) represents a minimally invasive evolution of traditional open simple prostatectomy for the surgical treatment of severe lower urinary tract symptoms (LUTS) because of benign prostatic enlargement (BPE). Aim of the present review is to summarize the most recent evidence on this novel procedure, and to better define its current role in the surgical armamentarium for the treatment of BPE.

Recent Findings: Several studies demonstrated that RASP can be safely and effectively performed in centers with sufficient expertise. Read More

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http://dx.doi.org/10.1097/MOU.0000000000000499DOI Listing
May 2018
6 Reads

The Cambridge Prognostic Groups for improved prediction of disease mortality at diagnosis in primary non-metastatic prostate cancer: a validation study.

BMC Med 2018 02 28;16(1):31. Epub 2018 Feb 28.

Institute of Population Health, University of Manchester, Manchester, UK.

Background: The purpose of this study is to validate a new five-tiered prognostic classification system to better discriminate cancer-specific mortality in men diagnosed with primary non-metastatic prostate cancer.

Methods: We applied a recently described five-strata model, the Cambridge Prognostic Groups (CPGs 1-5), in two international cohorts and tested prognostic performance against the current standard three-strata classification of low-, intermediate- or high-risk disease. Diagnostic clinico-pathological data for men obtained from the Prostate Cancer data Base Sweden (PCBaSe) and the Singapore Health Study were used. Read More

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http://dx.doi.org/10.1186/s12916-018-1019-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5831573PMC
February 2018
2 Reads

Laparoscopic adenomectomy in BPH - Does it have a role today?

Asian J Urol 2018 Jan 6;5(1):37-41. Epub 2017 Dec 6.

Uro-Nephro Centre, Ganga Medical Centre & Hospitals, Ramnagar, Coimbatore, India.

Symptomatic benign prostatic hyperplasia (BPH) is managed medically worldwide, but transurethral resection of prostate (TURP) is the gold standard in refractory cases. Holmium laser enucleation of prostate (HoLEP), laser vaporization are other options which are widely practiced. However in larger glands which are more than 80 g, open adenomectomy is still practiced. Read More

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http://dx.doi.org/10.1016/j.ajur.2017.11.008DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5780292PMC
January 2018
2 Reads

[The role of extraperitoneoscopic adenomectomy in the management of benign prostatic hyperplasia greater than 80 cm3].

Urologiia 2017 Dec(6):76-81

Federal Clinical Center for High Medical Technologies FMBA of Russia, Moscow Region, Khimki, Russia.

Introduction: The current standard of surgery for benign prostatic hyperplasia (BPH) greater than 80 cm3 includes open adenomectomy and holmium enucleation. Transurethral resection and laser vaporization are second line interventions, while the role of laparoscopic extraperitoneal adenomectomy is not fully understood.

Aim: To evaluate the role of laparoscopic technique as a surgical modality for BPH greater than 80 cm3. Read More

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December 2017
1 Read

Comparison between open simple prostatectomy and green laser enucleation of the prostate for treating large benign prostatic hyperplasia: a single-centre experience.

World J Urol 2018 May 25;36(5):793-799. Epub 2018 Jan 25.

CHUM Section of Urology, Department of Surgery, Université de Montréal, Montreal, QC, Canada.

Purpose: This study sought to compare perioperative outcomes and morbidities for open simple prostatectomy (OSP) and endoscopic green laser enucleation of the prostate (GreenLEP).

Methods: In a single department, all consecutive patients who underwent OSP between January 2005 and December 2010 were retrospectively reviewed, and all consecutive patients undergoing GreenLEP between July 2013 and January 2017 were prospectively enrolled. Perioperative data, information regarding early postoperative complications for up to 6 months and outcomes were collected and retrospectively compared. Read More

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http://link.springer.com/10.1007/s00345-018-2192-z
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http://dx.doi.org/10.1007/s00345-018-2192-zDOI Listing
May 2018
13 Reads

International guidelines for groin hernia management.

Authors:

Hernia 2018 02 12;22(1):1-165. Epub 2018 Jan 12.

Introduction: Worldwide, more than 20 million patients undergo groin hernia repair annually. The many different approaches, treatment indications and a significant array of techniques for groin hernia repair warrant guidelines to standardize care, minimize complications, and improve results. The main goal of these guidelines is to improve patient outcomes, specifically to decrease recurrence rates and reduce chronic pain, the most frequent problems following groin hernia repair. Read More

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http://dx.doi.org/10.1007/s10029-017-1668-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5809582PMC
February 2018
24 Reads

Combined bladder neck preservation and posterior musculofascial reconstruction during robotic assisted radical prostatectomy: effects on early and long term urinary continence recovery.

BMC Urol 2017 Dec 15;17(1):119. Epub 2017 Dec 15.

Urology Unit University of Pisa, Pisa, Italy.

Background: To evaluate the effects of combined bladder neck preservation and posterior reconstruction techniques on early and long term urinary continence in patients treated by robotic assisted radical prostatectomy (RARP).

Methods: Two-hundred ninety-two patients who previously underwent radical prostatectomy were retrospectively selected for a case-control study, excluding those with anastomotic strictures and significant perioperative complications and re-called for a medical follow-up visit after their consent to participate the study. They were divided in 3 different groups according to the surgical technique previously received: radical retropubic prostatectomy (RRP) combined with bladder neck preservation (BNP), RARP with bladder neck resection, and RARP combined with BNP and posterior musculofascial reconstruction (PRec). Read More

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http://dx.doi.org/10.1186/s12894-017-0308-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5732441PMC
December 2017
7 Reads

Elevated preoperative neutrophil-lymphocyte ratio predicts upgrading at radical prostatectomy.

Prostate Cancer Prostatic Dis 2018 04 11;21(1):100-105. Epub 2017 Dec 11.

Department of Urology, Comprehensive Cancer Center, Medical University of Vienna, Vienna, Austria.

Background: Neutrophil-lymphocyte ratio (NLR) is a widely used, representative marker of systemic inflammatory response within the body. NLR can be calculated from simple, inexpensive peripheral blood samples. High NLR is a negative prognostic factor in a variety of malignancies including urological tumors. Read More

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http://dx.doi.org/10.1038/s41391-017-0015-8DOI Listing
April 2018
16 Reads

Retzius space reconstruction following transperitoneal laparoscopic robot-assisted radical prostatectomy: does it have any added value?

J Robot Surg 2018 Sep 27;12(3):475-479. Epub 2017 Nov 27.

Department of Urology, Chaim Sheba Medical Center, Tel-Hashomer, Ramat Gan, 52621, Israel.

Retzius space sparing (RSS) during laparoscopic robot-assisted radical prostatectomy (RALP) has been offered as an approach that reduces perioperative complications and enables faster gaining of full urinary continence due to bladder anatomy preservation. Retro and transperitoneal techniques have been proposed, whereby RSS has been implemented. We sought to explore whether Retzius space reconstruction (RSR) following transperitoneal RALP will be an advantageous step as well. Read More

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http://link.springer.com/10.1007/s11701-017-0768-z
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http://dx.doi.org/10.1007/s11701-017-0768-zDOI Listing
September 2018
5 Reads

PREVALENCE OF BENIGN PROSTATIC HYPERPLASIA AND PROSTATE CANCER IN AFRICANS AND AFRICANS IN THE DIASPORA.

Authors:
E D Yeboah

J West Afr Coll Surg 2016 Oct-Dec;6(4):1-30

Department of Surgery, University of Ghana School of Medicine and Dentistry, Korle Bu Teaching Hospital, Accra, Ghana.

Background: There have been several publications on population or community prevalence of benign prostatic hyperplasia and prostate cancer from various countries and races but few reports are from Africa on Africans.

Aim: A review on the prevalence of benign prostatic hyperplasia and prostate cancer in Africans and other races.

Methodology: The current literature on prevalence of benign prostatic hyperplasia (BPH), prostate cancer (PC), and benign prostatic hyperplasia co-existing with prostate cancer in Africans and other races is reviewed. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5667727PMC
November 2017
2 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
14 Reads

Simple Operating Room Bundle Reduces Superficial Surgical Site Infections After Major Urologic Surgery.

Urology 2018 Feb 6;112:66-68. Epub 2017 Nov 6.

Glickman Urologic and Kidney Institute, Cleveland Clinic Foundation, Cleveland, OH.

Objective: To reduce our superficial surgical site infection rate following major urologic surgery by implementing a simple operating room bundle.

Methods: A simple operating room bundle was applied to all major urologic cases (cystectomy, nephrectomy, and prostatectomy) at a single tertiary referral center. The bundle included allowing skin prep to dry appropriately, changing gloves before skin closure, irrigating the wound before skin closure, and using a new separate sterile closing instrument set for skin closure. Read More

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http://dx.doi.org/10.1016/j.urology.2017.10.028DOI Listing
February 2018
9 Reads

Three-Layer Two-Step Posterior Reconstruction Using Peritoneum During Robot-Assisted Radical Prostatectomy to Improve Recovery of Urinary Continence: A Prospective Comparative Study.

J Endourol 2017 12 20;31(12):1251-1257. Epub 2017 Nov 20.

Department of Urology, Fukushima Medical University School of Medicine , Fukushima, Japan .

Introduction: We present our experience with a novel three-layer two-step posterior reconstruction (PR) technique using peritoneum during robot-assisted radical prostatectomy (RARP) to improve recovery of postoperative urinary continence.

Methods: Forty-eight patients with localized prostate cancer were enrolled in this study and were divided randomly into two groups, which were treated by the standard PR technique (standard PR group; n = 24) or the three-layer PR technique using peritoneum (three-layer PR group; n = 24) during RARP. We prospectively analyzed the continence rate by the 1-hour pad test. Read More

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http://dx.doi.org/10.1089/end.2017.0410DOI Listing
December 2017
20 Reads

Biochemical recurrence after radical prostatectomy: what does it mean?

Int Braz J Urol 2018 Jan-Feb;44(1):14-21

Department of Urology, Institut Montsouris, Université Paris-Descartes, Paris, France.

Background: Radical prostatectomy (RP) has been used as the main primary treatment for prostate cancer (PCa) for many years with excellent oncologic results. However, approximately 20-40% of those patients has failed to RP and presented biochemical recurrence (BCR). Prostatic specific antigen (PSA) has been the pivotal tool for recurrence diagnosis, but there is no consensus about the best PSA threshold to define BCR until this moment. Read More

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http://dx.doi.org/10.1590/S1677-5538.IBJU.2016.0656DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5815528PMC
June 2018
8 Reads

[Laparoscopic adenomectomy: Evolution of the technique and results.]

Arch Esp Urol 2017 Oct;70(8):695-706

Servicio de Urología. Hospital General Universitario de Elche. Alicante. España.

Objective: Laparoscopic adenomectomy (LA) is an effective procedure for the treatment of benign prostatic hyperplasia (BPH), which reproduces the surgical steps of the open adenomectomy (OA) by a minimally invasive approach to obtain the favorable results of open surgery in combination with the benefits offered by laparoscopic techniques. We performed a comprehensive bibliographic review of the technique and its current results in order to describe the evolution of the surgical technique and present the current evidence on the LA.

Methods: A comprehensive review about LA was conducted from 2002 to 2016 in PubMed and Google Scholar. Read More

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October 2017
8 Reads

A decade of robot-assisted radical prostatectomy training: Time-based metrics and qualitative grading for fellows and residents.

Urol Oncol 2018 01 28;36(1):13.e19-13.e25. Epub 2017 Sep 28.

Department of Urology, MD Anderson Cancer Center, Houston, TX. Electronic address:

Objectives: As modern urology residency and fellowship training in robot-assisted surgery evolves toward standardized curricula (didactics, dry/wet-laboratory exercises, and surgical assistance), additional tools are needed to evaluate on-console performance. At the start of our robotics program in 2006, we set-up a time- and quality-based evaluation program and aim to consolidate this data into a simple set of metrics for self-evaluation.

Materials And Methods: Using our index procedure of robot-assisted radical prostatectomy (RARP), we prospectively collected data on 2,215 cases over 10 years from 6 faculty surgeons and 94 trainees (43 urologic oncology fellows and 51 urology residents). Read More

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http://dx.doi.org/10.1016/j.urolonc.2017.08.028DOI Listing
January 2018
10 Reads