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Synchronous penoscrotal implantation of penile prosthesis and artificial urinary sphincter after radical prostatectomy.

CONCLUSION: Synchronous implantation of PP and AUSP is a safe and effective treatment option for patients with severe ED and moderate to severe UI after RP. PMID: 28422042 [PubMed - in process]
Source: Archivos Espanoles de Urologia - Category: Urology & Nephrology Tags: Arch Esp Urol Source Type: research

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Background: Postoperative damage of the urethral rhabdosphincter and nerve-vascular networks is a major complication of radical prostatectomy and generally causes incontinence and/or erectile dysfunction. The human skeletal muscle-derived stem cells, which have a synchronized reconstitution capacity of muscle-nerve-blood vessel units, were applied to this damage. Methods: Cells were enzymatically extracted from the human skeletal muscle, sorted using flow cytometry as CD34+/45− (Sk-34) and CD29+/34−/45− (Sk-DN/29+) fractions, and separately cultured/expanded in appropriate conditions within 2 weeks. Uret...
Source: Transplantation - Category: Transplant Surgery Tags: Original Basic Science-General Source Type: research
The only sure way to avoid the urinary incontinence associated with radical prostatectomy is to not perform the operation. Surgeons must often develop a reluctant expertise in managing this complication with most of the care postoperatively being psychological: cajoling patients to adhere to some version of pelvic floor exercise and encouraging timed voiding and pad weaning coupled with liberal reassurances of likely resolution. For patients, unlike the episodic nature of erectile dysfunction, the suffering associated with urinary incontinence can be constant and functionally devastating.
Source: The Journal of Urology - Category: Urology & Nephrology Authors: Tags: Editorial Source Type: research
[Toxicity and quality of life comparison of iodine 125 brachytherapy and stereotactic radiotherapy for prostate cancers]. Cancer Radiother. 2017 Sep 06;: Authors: Gnep K, Lizée T, Campillo-Gimenez B, Delpon G, Droupy S, Perrier L, de Crevoisier R Abstract Quality of life is a major issue for good prognostic prostate cancer, for which brachytherapy is one of the reference treatments. Stereotactic Body Radiotherapy (SBRT) is a recent alternative however not yet validated as a standard treatment. This review of the literature reports and compares the toxicities and the quality of life, either...
Source: Cancer Radiotherapie - Category: Cancer & Oncology Authors: Tags: Cancer Radiother Source Type: research
Publication date: September 2017 Source:European Urology, Volume 72, Issue 3 Author(s): Eva Haglind, Stefan Carlsson, Johan Stranne, Anna Wallerstedt, Ulrica Wilderäng, Thordis Thorsteinsdottir, Mikael Lagerkvist, Jan-Erik Damber, Anders Bjartell, Jonas Hugosson, Peter Wiklund, Gunnar Steineck
Source: European Urology - Category: Urology & Nephrology Source Type: research
CONCLUSION: The psychological burden of prostate cancer patients is not as high as in other solid organ malignancies. However, some patients have a significantly increased psychosocial stress level. Identifying this subgroup and clarifying the correlation with specific stress and risk factors are important tasks of clinical care. PMID: 28766004 [PubMed - as supplied by publisher]
Source: Der Urologe. Ausg. A - Category: Urology & Nephrology Authors: Tags: Urologe A Source Type: research
Purpose of review: To review and summarize the contemporary knowledge of the implications of obesity on perioperative outcomes in oncological urologic surgeries. Recent findings: In men undergoing radical prostatectomy, obesity seems to confer a higher risk of intraoperative bleeding, biochemical recurrence, urinary incontinence, and postoperative erectile dysfunction. The literature was not consistent regarding the benefits of a minimally invasive approach in overweight and obese patients. Similarly, available data suggest a higher risk of complications in obese patients undergoing radical cystectomy. Obesity does not se...
Source: Current Opinion in Urology - Category: Urology & Nephrology Tags: OBESITY AND ITS IMPACT ON UROLOGICAL DISEASE: Edited by Richard K. Lee and Christian Seitz Source Type: research
AbstractPurpose of ReviewProstate cancer is one of the most prevalent malignancies in males and treatment is not infrequently associated with substantial morbidity. As a result, there has been growing interest in alternative therapies for prostate cancer therapy including high-intensity focused ultrasound (HIFU) and focal cryoablation. Herein, we review the potential genitourinary sequelae of these therapies including incontinence and erectile dysfunction.Recent FindingsVarious studies have demonstrated that with improvements in delivery technique and technologies aimed at treatment of prostate cancer, the risks of urinary...
Source: Current Bladder Dysfunction Reports - Category: Urology & Nephrology Source Type: research
This review provides a best-practice approach to the diagnosis and management of renal and genitourinary injuries, with an emphasis on the systematic approach needed to identify subtle injuries and avoid long-term urinary sequelae such as hypertension, incontinence, erectile dysfunction, chronic kidney disease, and nephrectomy.
Source: Emergency Medicine Practice - Category: Emergency Medicine Source Type: research
(Washington University in St. Louis) A major 20-year study provides further evidence that prostate cancer surgery offers negligible benefits to many men with early-stage disease. In such men, who account for most cases of newly diagnosed prostate cancer, surgery did not prolong life and often caused serious complications such as infection, urinary incontinence and erectile dysfunction. The team of researchers included Washington University School of Medicine in St. Louis.
Source: EurekAlert! - Cancer - Category: Cancer & Oncology Source Type: news
We present a comprehensive review of the current literature on the role of MRI on diagnostic evaluation and surgical management of these patients.
Source: Urology - Category: Urology & Nephrology Authors: Tags: Review Article Source Type: research
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