Outcomes and Cost Evaluation Related to a Single-Use, Disposable Ureteric Stent Removal System: a Systematic Review of the Literature
AbstractPurpose of ReviewTo present the latest evidence related to the outcomes and cost of single-use, disposable ureteric stent removal system (Isiris).Recent FindingsOur review suggests that compared to a reusable flexible cystoscope (re-FC), a disposable flexible cystoscope (d-FC) with built-in grasper (Isiris) significantly reduced procedural time and provided a cost benefit when the latter was used in a ward or outpatient clinic-based setting. The use of d-FC also allowed endoscopy slots to be used for other urgent diagnostic procedures.SummaryDisposable FCs are effective and safe for ureteric stent removal. They off...
Source: Current Urology Reports - June 15, 2021 Category: Urology & Nephrology Source Type: research
How I Handle Retreatment of LUTS Following a Failed MIST
AbstractPurpose of ReviewThe goal of this paper is to review retreatment management after failed minimally invasive treatment (MIST) of various technologies.Recent FindingsA failed MIST can be defined by the return, persistence, or worsening of LUTS, as documented by symptom scores. Persistence, development, or recurrence of comorbidities such as recurrent urinary tract infection (UTI), retention, stones, hematuria, and incontinence can also signal a failed MIST.SummaryThe common etiology for MIST failure is the preoperative consequence of long-term bladder outlet obstruction (BOO) on the bladder function. Close monitoring...
Source: Current Urology Reports - June 11, 2021 Category: Urology & Nephrology Source Type: research
Robotic Repair of Ureteral Strictures: Techniques and Review
AbstractPurpose of ReviewTo provide an overview and description of the different surgical techniques for the robotic repair of ureteral strictures.Recent FindingsThe robotic repair of ureteral stenosis has emerged as a useful option for treating strictures unsuitable for endoscopic resolution with good results, lower morbidity, and faster recovery than open techniques. Depending on the stricture ’s length and location, the reconstructive options are reimplantation, psoas hitch, Boari flap, ureteroureterostomy, appendiceal onlay flap, buccal mucosa graft (BMG) ureteroplasty, ileal replacement, or renal autotransplantation...
Source: Current Urology Reports - June 9, 2021 Category: Urology & Nephrology Source Type: research
Improving Compliance with 24-H Urine Collections: Understanding Inadequacies in the Collection Process and Risk Factors for Poor Compliance
AbstractPurpose of ReviewThe purpose of this review paper is to describe the 24-h urine collection in terms of its utility, collection process, and common problems with its acquisition.Recent FindingsAlthough 24-h urine collections are standard of care for high-risk stone formers, several nuances in test acquisition including inaccurate urine collections 50% of the time and poor patient compliance limit its potential utility. Compliance in obtaining 24-h urine collections has been shown to be improved in patients who have not undergone surgical treatment of urinary calculi, patients with metabolic stone disease or family h...
Source: Current Urology Reports - June 4, 2021 Category: Urology & Nephrology Source Type: research
Management of Lower Urinary Tract Symptoms after Prostate Radiation
Discussion of the risks and management of post-RT LUTS should be included in the shared decision-making process when counseling patients on various treatment options for prostate cancer. Further studies evaluating treatments for storage and voidin g symptoms after RT are needed to help guide future care. (Source: Current Urology Reports)
Source: Current Urology Reports - May 27, 2021 Category: Urology & Nephrology Source Type: research
New Technologies for Kidney Surgery Planning 3D, Impression, Augmented Reality 3D, Reconstruction: Current Realities and Expectations
AbstractPurpose of reviewWe aim to summarize the current state of art about 3D applications in urology focusing on kidney surgeries. In addition we aim to provide a snapshot about future perspective of intraoperative applications of augmented reality (AR).Recent findingsA variety of applications in different fields have been proposed. Many applications concern current realities and 3D reconstruction, while some others are about future perspective. The majority of recent studies have focused their attention on preoperative surgical planning, patient education, surgical training, and AR.SummaryThe disposability of 3D models ...
Source: Current Urology Reports - May 25, 2021 Category: Urology & Nephrology Source Type: research
Optimal Surgical Outcome of Minimally Invasive Partial Nephrectomy (MIPN) Based on an Early Postoperative Estimated Glomerular Filtration Rate (eGFR)
AbstractPurpose of ReviewTo compare laparoscopic partial nephrectomy (LPN) and robot-assisted partial nephrectomy (RAPN) performed in two European tertiary centers using the classic optimal surgical definition — “MIC” — and a new optimal surgical definition: the “Novel TRIFECTA” (NT) concept. We sought to strengthen the PN evidence and to test the NT’s performance.Recent FindingsThe study population comprehended 505 cases of localized kidney cancer from two tertiary centers between 2012 and 2019. The NT achievement was higher in the RAPN group when compared to LPN (70.5 vs. 87.4%;p = 0.004), while no differen...
Source: Current Urology Reports - May 25, 2021 Category: Urology & Nephrology Source Type: research
New Technologies for Kidney Surgery Planning 3D, Impression, Augmented Reality 3D, Reconstruction: Current Realities and Expectations
AbstractPurpose of reviewWe aim to summarize the current state of art about 3D applications in urology focusing on kidney surgeries. In addition we aim to provide a snapshot about future perspective of intraoperative applications of augmented reality (AR).Recent findingsA variety of applications in different fields have been proposed. Many applications concern current realities and 3D reconstruction, while some others are about future perspective. The majority of recent studies have focused their attention on preoperative surgical planning, patient education, surgical training, and AR.SummaryThe disposability of 3D models ...
Source: Current Urology Reports - May 25, 2021 Category: Urology & Nephrology Source Type: research
Optimal Surgical Outcome of Minimally Invasive Partial Nephrectomy (MIPN) Based on an Early Postoperative Estimated Glomerular Filtration Rate (eGFR)
AbstractPurpose of ReviewTo compare laparoscopic partial nephrectomy (LPN) and robot-assisted partial nephrectomy (RAPN) performed in two European tertiary centers using the classic optimal surgical definition — “MIC” — and a new optimal surgical definition: the “Novel TRIFECTA” (NT) concept. We sought to strengthen the PN evidence and to test the NT’s performance.Recent FindingsThe study population comprehended 505 cases of localized kidney cancer from two tertiary centers between 2012 and 2019. The NT achievement was higher in the RAPN group when compared to LPN (70.5 vs. 87.4%;p = 0.004), while no differen...
Source: Current Urology Reports - May 25, 2021 Category: Urology & Nephrology Source Type: research
