Role of Ureteroscopy in Treatment of Upper Tract Urothelial Carcinoma
AbstractPurpose of ReviewUpper tract urothelial carcinoma (UTUC) is uncommon accounting for less than 10% of all urothelial tumours. Ureteroscopic management (URS) is the first line treatment for low-risk disease and has been increasingly utilised due to technological advances and increasing surgical experience. This review looks at patient outcomes relating to URS, emerging technologies and the role of adjuvant intracavitary therapy in the management of UTUC.Recent FindingsURS has firmly established itself in the management algorithm for UTUC, and a good body of evidence supports its use for low-risk disease, wherein onco...
Source: Current Urology Reports - October 7, 2021 Category: Urology & Nephrology Source Type: research
Construction of a 3D Surgical Model for Minimally Invasive Partial Nephrectomy: the Urotrainer VK-1
AbstractPurpose of ReviewMinimally invasive partial nephrectomy (MIPN) is a very challenging technique and complications may occur during its learning curve. It is important to acquire surgical skills to minimize operative risks. Surgical skills may be acquired through simulation devices or mentoring by a mentor.Recent FindingsWe designed a 3D operable model with multiple and variant surgical scenarios in order to facilitate surgical training in MIPN. The model delivered a real-life feel and handle.SummaryTo our knowledge, this is the first minimally invasive partial nephrectomy simulator to encompass a series of scenarios...
Source: Current Urology Reports - October 2, 2021 Category: Urology & Nephrology Source Type: research
Integration of Robotics in Urology Residency Programs: an Unchecked Technological Revolution
AbstractPurpose of ReviewTo review the integration of robotics in urology residency programs and evaluate how it has impacted a graduates ’ level of surgical competence.Recent FindingsSurgical technique training has shown a dramatic shift towards robotics with the most profound occurring in oncology. However, integration of robotics is not uniform across programs nor even among residents themselves. Robotics require graduates to garner a broader skill set within the same prescribed training time. Unfortunately, in this modern era, graduates are feeling more ill-equipped to start independent practice and show an increased...
Source: Current Urology Reports - September 17, 2021 Category: Urology & Nephrology Source Type: research
Renal Tumor Biopsy: Rationale to Avoid Surgery in Small Renal Masses
This study aimed to report the diagnostic rates of RTB, determine the concordance with surgical pathology, and assess the number of procedures that could have been avoided. We retrospectively studied 255 patients w ho underwent RTB at our institution in 2010–2019. Of them, 73 were excluded from the analysis (exclusion criteria: > 4 cm, cystic lesion, missing data). The remaining 182 with undetermined SRMs ≤ 4 cm underwent RTB under computed tomography guidance.Recent FindingsBiopsies were diagnostic in 154/182 (84.6%) cases. Of the non-diagnostic biopsies, 11 were diagnostic when repeated. When RTB was pe...
Source: Current Urology Reports - September 6, 2021 Category: Urology & Nephrology Source Type: research
The Impact of the COVID-19 Pandemic on Urology Residents: a Narrative Review
AbstractPurpose of ReviewThe COVID-19 pandemic brought unprecedented challenges for urology resident education. In this review, we discuss the pandemic ’s impact on urology trainees and their education.Recent FindingsUrology trainees were often redeployed to frontline services in unfamiliar clinical settings. Residents often experienced increased levels of stress, anxiety, and depression. Many programs instituted virtual “check-ins” and formed liaisons with mental health services to foster cohesiveness. Urology trainees experienced the integration of telehealth into the clinical realm. Virtual surgery lectures and si...
Source: Current Urology Reports - August 24, 2021 Category: Urology & Nephrology Source Type: research
Minimally Invasive Partial Nephrectomy: Are All Clamps Created Equal? An Ex Vivo Model Simulation of Vascular Clampage
We present an ex vivo experimental model, designed to demonstrate differences between the clamping devices.SummaryAll clamps proved to function properly without any leakage at 90 and 120 mmHg, respectively. Our study and the ex vivo model prove that all available clamps are equally efficient at physiologic pressures. (Source: Current Urology Reports)
Source: Current Urology Reports - August 24, 2021 Category: Urology & Nephrology Source Type: research
The Impact of the COVID-19 Pandemic on Urology Residents: a Narrative Review
AbstractPurpose of ReviewThe COVID-19 pandemic brought unprecedented challenges for urology resident education. In this review, we discuss the pandemic ’s impact on urology trainees and their education.Recent FindingsUrology trainees were often redeployed to frontline services in unfamiliar clinical settings. Residents often experienced increased levels of stress, anxiety, and depression. Many programs instituted virtual “check-ins” and formed liaisons with mental health services to foster cohesiveness. Urology trainees experienced the integration of telehealth into the clinical realm. Virtual surgery lectures and si...
Source: Current Urology Reports - August 24, 2021 Category: Urology & Nephrology Source Type: research
Minimally Invasive Partial Nephrectomy: Are All Clamps Created Equal? An Ex Vivo Model Simulation of Vascular Clampage
We present an ex vivo experimental model, designed to demonstrate differences between the clamping devices.SummaryAll clamps proved to function properly without any leakage at 90 and 120 mmHg, respectively. Our study and the ex vivo model prove that all available clamps are equally efficient at physiologic pressures. (Source: Current Urology Reports)
Source: Current Urology Reports - August 24, 2021 Category: Urology & Nephrology Source Type: research
Office-Based Renal Tumor Biopsy: a Paradigm Change in the Management of a Small Renal Mass?
AbstractPurpose of ReviewThe goal of this paper is to evaluate the use of an office-based renal mass biopsy (RMB), whose feasibility could represent a paradigm shift in clinical practice.Recent FindingsDespite the earlier diagnosis of patients with renal masses, the lack of evidence showing a reduction in cancer-specific mortality warrants an examination in treatment practices. RMB is underutilized when compared to biopsy practice for all other neoplasms in every other solid organ (except testis), and the majority of RMB performed are outsourced to interventional radiologists. Performing an ultrasound-guided, office-based ...
Source: Current Urology Reports - August 6, 2021 Category: Urology & Nephrology Source Type: research
Correction to: Retroperitoneal Robot-Assisted Partial Nephrectomy (rRAPN): Surgical Technique and Review
A Correction to this paper has been published:https://doi.org/10.1007/s11934-021-01058-6 (Source: Current Urology Reports)
Source: Current Urology Reports - June 26, 2021 Category: Urology & Nephrology Source Type: research
