Journal of endourology
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Journal of endourology · Mar 2012
Limitations of ultrasonography in the evaluation of urolithiasis: a correlation with computed tomography.
Cumulative radiation exposure from imaging studies is hazardous. In chronic diseases such as urolithiasis, efforts are made to limit radiation exposure, particularly for routine surveillance. We sought to determine the correlation of ultrasonography (US) compared with noncontrast CT (NCCT) in detecting and determining size of stones. ⋯ Despite concern for excessive radiation exposure, urologists should recognize limitations of US in the evaluation of urolithiasis. As the ideal study to image stones, particularly for routine surveillance, remains unclear, tese data also supports the need for low-dose NCCT protocols and/or selective use of alternative modalities, such as magnetic resonance urography.
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Journal of endourology · Sep 2011
Robot-assisted laparoscopic nerve-sparing radical cystoprostatectomy with bilateral extended lymph node dissection and intracorporeal studer pouch construction: outcomes of first 12 cases.
We report our initial experience with robot-assisted laparoscopic neurovascular bundle (NVB) sparing radical cystoprostatectomy (RALRC), bilateral extended lymph node dissection (BELND) with intracorporeal Studer pouch construction for invasive bladder cancer. ⋯ Although RALRC with bilateral intrafascial NVB preservation, BELND, and intracorporeal Studer pouch formation is a complex procedure, it can be performed with excellent short-term surgical and pathological outcomes and satisfactory functional results after considerable experience gained with RALRP procedures.
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Journal of endourology · Jul 2011
Randomized Controlled TrialImpact of fast-track postoperative care on intestinal function, pain, and length of hospital stay after laparoscopic radical prostatectomy.
Postoperative recovery of intestinal function, ability to ambulate, and effective pain management are main features to establish an effective fast-track surgery model. We investigated pain scores, ambulation rate, and recovery of intestinal function in a cohort of patients who were undergoing laparoscopic radical prostatectomy (LRP). ⋯ With the implementation of fast-track concepts for LRP, patients can be discharged to home earlier with fewer complications, lower pain scores, and an overall higher satisfaction with life.
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Journal of endourology · Jun 2011
Simple modifications in operating room processes to reduce the times and costs associated with robot-assisted laparoscopic radical prostatectomy.
Robot-assisted laparoscopic radical prostatectomy (RALRP) is the most expensive, yet most common, surgical treatment for patients with prostate cancer. Furthermore, its popularity continues to grow despite the lack of evidence for functional and oncologic superiority over other treatments. As a result, we modified operating room (OR) processes to determine if the times and costs that are associated with RALRP in an academic setting could be reduced. ⋯ Using simple modifications, it is possible that RALRP efficiency can be improved by decreasing its associated times and costs. These modifications were implemented in an academic setting but may be used in any institution. These modifications represent an initial attempt to improve RALRP cost-competitiveness with other treatment modalities.