Evolution of robotic-assisted kidney transplant: successes and barriers to overcome
Purpose of review
The aim of this study was to provide an updated review of robotic-assisted kidney transplant (RAKT) with an emphasis on advantages over the open kidney transplant (OKT), utility in special populations and resources available to overcome the learning curve of robotic surgery.
Recent findings
The majority of the reported studies showed that RAKT and OKT have similar functional outcomes including similar ischemia times and time to postoperative normalization of creatinine. However, RAKT results in fewer wound complications, decreased estimated blood loss and pain. Given these benefits, RAKT is a p...
Source: Current Opinion in Urology - December 2, 2020 Category: Urology & Nephrology Tags: NOVEL SURGICAL TECHNIQUES IN UROLOGY: Edited by Riccardo Autorino and Axel Heidenreich Source Type: research
Recent advances in percutaneous lithotripsy techniques
Purpose of review
To describe and critically discuss the most recent evidence regarding the percutaneous nephrolithotomy (PCNL) techniques.
Recent findings
Three-dimensional printing and virtual reality are promising tools to improve surgeon experience and operative performance. Totally ultrasound-guided PCNL is feasible and can reduce the radiological risk. Growing evidence highlights the safety and advantages of the use of miniaturized instrumentations, although some related limitations place the mini PCNL (mPCNL) in direct challenge with the retrograde intrarenal surgery. LithoClast Trilogy and ClearPetra sys...
Source: Current Opinion in Urology - December 2, 2020 Category: Urology & Nephrology Tags: NOVEL SURGICAL TECHNIQUES IN UROLOGY: Edited by Riccardo Autorino and Axel Heidenreich Source Type: research
Urethra-sparing minimally invasive simple prostatectomy: an old technique revisited
Purpose of review
The aim of this study was to review recent development in urethra and ejaculation preserving laparoscopic and robotic simple prostatectomy.
Recent findings
Since Madigan prostatectomy original description in 1990, to recent reports of robotic-assisted surgery using this urethra-sparing technique, many studies have suggested the advantages of the preservation of urethra, bladder neck and ejaculatory ducts, when removing adenomatous tissue in benign prostatic obstruction (BPO) surgery. Allying anatomical preservation of this structure with the well known benefits of minimally invasive procedures ...
Source: Current Opinion in Urology - December 2, 2020 Category: Urology & Nephrology Tags: NOVEL SURGICAL TECHNIQUES IN UROLOGY: Edited by Riccardo Autorino and Axel Heidenreich Source Type: research
Robotic radical perineal prostatectomy: tradition and evolution in the robotic era
Purpose of review
To provide an updated review of robotic radical perineal prostatectomy (r-RPP) with emphasis on the recent advances in terms of surgical technique, outcomes, and new robotic platforms.
Recent finding
The technological innovations in the urological field have been applied to radical prostatectomy with the aim of preserving important anatomical structures and reduce patients’ morbidity and mortality. In recent years, robotic surgery contributed to resurge radical perineal prostatectomy. In 2014, the Cleveland Clinic group was the first to demonstrate the utility of a robotic approach in RPP. To...
Source: Current Opinion in Urology - December 2, 2020 Category: Urology & Nephrology Tags: NOVEL SURGICAL TECHNIQUES IN UROLOGY: Edited by Riccardo Autorino and Axel Heidenreich Source Type: research
Robot-assisted artificial urinary sphincter implantation
Purpose of review
The aim of the present manuscript was to provide an overview on the current state of robotic artificial urinary sphincter (AUS) implantation in male and female patients.
Recent findings
Over the past few years, several series have been reported, with promising outcomes for the most part. This has contributed to expand the use of bladder neck AUS, especially in female patients, which was, until then, hampered by its perioperative morbidity.
Summary
Robotic AUS has been developed to overcome the technical challenge of bladder neck implantation in female patients and in specific male subgro...
Source: Current Opinion in Urology - December 2, 2020 Category: Urology & Nephrology Tags: NOVEL SURGICAL TECHNIQUES IN UROLOGY: Edited by Riccardo Autorino and Axel Heidenreich Source Type: research
Editorial: Novel surgical techniques in urology
No abstract available (Source: Current Opinion in Urology)
Source: Current Opinion in Urology - December 2, 2020 Category: Urology & Nephrology Tags: NOVEL SURGICAL TECHNIQUES IN UROLOGY: Edited by Riccardo Autorino and Axel Heidenreich Source Type: research
Editorial introductions
No abstract available (Source: Current Opinion in Urology)
Source: Current Opinion in Urology - December 2, 2020 Category: Urology & Nephrology Tags: EDITORIAL INTRODUCTIONS Source Type: research
A review of thulium-fiber laser in stone lithotripsy and soft tissue surgery
Purpose of review
To evaluate emerging evidence and practical applications of thulium-fiber laser (TFL) for genitourinary soft tissue disease and urinary stone disease treatment.
Recent findings
A systematic review was developed using the PubMed, ScienceDirect, Wiley, SpringerLink and Mary Ann Liebert Scopus databases between 2012 and 2020 years, using the PRISMA statement. We analyzed recent publications including in vitro and in humans outcomes of surgery using TFL. This new laser technology can be used in soft tissue diseases and stones present in the genitourinary system. Most of the comparisons are made with the ...
Source: Current Opinion in Urology - October 3, 2020 Category: Urology & Nephrology Tags: SPECIAL COMMENTARY Source Type: research
Nonantibiotic treatments for urinary cystitis: an update
Purpose of review
Urinary tract infections (UTIs) are one of most common infections in everyday clinical practice. Given the increase in antimicrobial therapy resistance, there has been an increased interest in nonantibiotic treatment options for common infections.
Recent findings
A review of the recent literature including on nonantibiotic options for management of UTIs, symptoms of cystitis and prevention of recurrent UTIs.
Summary
The article provides an overview on alternative therapy to antibiotics in the treatment of cystitis and recurrent UTI prophylaxis, including alkalinization of urine, cranberry products...
Source: Current Opinion in Urology - October 3, 2020 Category: Urology & Nephrology Tags: INFECTION STEWARDSHIP IN UROLOGY: Edited by Benjamin Pradere and Richard K. Lee Source Type: research
The best rules for antimicrobial stewardship in urogenital tract infections
Purpose of review
Urinary tract infections (UTIs) belong to the most common community-acquired and nosocomial infections, but therapy of UTIs is limited by resistance of pathogens and nonoptimal using of antibacterials. Narrative review of recent (2020–2018) literature dedicated to antimicrobial stewardship (AMS) in urological infections has been done.
Recent findings
Analysis of recent 64 articles has shown following principles of AMS for UTIs: selecting the correct drug, correct dose, and shortest clinically effective duration of therapy whenever possible, is a base for optimal antimicrobial stewardship; symptomat...
Source: Current Opinion in Urology - October 3, 2020 Category: Urology & Nephrology Tags: INFECTION STEWARDSHIP IN UROLOGY: Edited by Benjamin Pradere and Richard K. Lee Source Type: research
New paradigms in the management of recurrent urinary tract infections
Purpose of review
Recurrent urinary tract infections (rUTIs) represent a large burden on the healthcare system. Recent guidelines from the AUA/CUA/SUFU and advancements in the field reflect a paradigm shift for clinician and patients, steering away from empiric antibiotic therapy towards judicious antibiotic use.
Recent findings
Antibiotic stewardship, including increasing awareness of the collateral damage of antibiotics and the risks of bacterial resistance are a major focus of the new guidelines. Accurate diagnosis of rUTIs is imperative. Urine cultures are necessary to document rUTI and should be obtained prior to...
Source: Current Opinion in Urology - October 3, 2020 Category: Urology & Nephrology Tags: INFECTION STEWARDSHIP IN UROLOGY: Edited by Benjamin Pradere and Richard K. Lee Source Type: research
Editorial: A new paradigm in treating urinary infections?
No abstract available (Source: Current Opinion in Urology)
Source: Current Opinion in Urology - October 3, 2020 Category: Urology & Nephrology Tags: INFECTION STEWARDSHIP IN UROLOGY: Edited by Benjamin Pradere and Richard K. Lee Source Type: research
Pathomics in urology
Purpose of review
Pathomics, the fusion of digitalized pathology and artificial intelligence, is currently changing the landscape of medical pathology and biologic disease classification. In this review, we give an overview of Pathomics and summarize its most relevant applications in urology.
Recent findings
There is a steady rise in the number of studies employing Pathomics, and especially deep learning, in urology. In prostate cancer, several algorithms have been developed for the automatic differentiation between benign and malignant lesions and to differentiate Gleason scores. Furthermore, several applications hav...
Source: Current Opinion in Urology - October 3, 2020 Category: Urology & Nephrology Tags: ARTIFICIAL INTELLIGENCE AND SIMULATION IN UROLOGY: Edited by Domenico Veneziano and Quoc-Dien Trinh Source Type: research
VR and machine learning: novel pathways in surgical hands-on training
This article reviews advances in the use of machine learning and artificial intelligence applied to virtual reality based surgical training over the last 5 years.
Recent findings
Eight articles have been published which met the inclusion criteria. This included six articles about the use of machine learning and artificial intelligence for assessment purposes and two articles about the possibility of teaching applications, including one review and one original research article. All the research articles pointed out the importance of machine learning and artificial intelligence for the stratification of trainees, based on...
Source: Current Opinion in Urology - October 3, 2020 Category: Urology & Nephrology Tags: ARTIFICIAL INTELLIGENCE AND SIMULATION IN UROLOGY: Edited by Domenico Veneziano and Quoc-Dien Trinh Source Type: research
Machine learning in the optimization of robotics in the operative field
Purpose of review
The increasing use of robotics in urologic surgery facilitates collection of ‘big data’. Machine learning enables computers to infer patterns from large datasets. This review aims to highlight recent findings and applications of machine learning in robotic-assisted urologic surgery.
Recent findings
Machine learning has been used in surgical performance assessment and skill training, surgical candidate selection, and autonomous surgery. Autonomous segmentation and classification of surgical data have been explored, which serves as the stepping-stone for providing real-time surgical assessment and ...
Source: Current Opinion in Urology - October 3, 2020 Category: Urology & Nephrology Tags: ARTIFICIAL INTELLIGENCE AND SIMULATION IN UROLOGY: Edited by Domenico Veneziano and Quoc-Dien Trinh Source Type: research
