Retzius-Sparing Robot-Assisted Robotic Prostatectomy
Radical prostatectomy has undergone many adaptations since its inception, including the Retzius-sparing robotic-assisted radical prostatectomy approach. In this article, we review the origins of radical prostatectomy, the theoretic basis for Retzius-sparing robotic-assisted radical prostatectomy, and outline the key steps of the procedure. To date, there have been 9 studies comparing the outcomes of Retzius-sparing robotic-assisted radical prostatectomy with standard robotic-assisted radical prostatectomy, which have demonstrated improved continence outcomes for Retzius sparing robotic assisted radical prostatectomy within...
Source: Urologic Clinics of North America - November 4, 2020 Category: Urology & Nephrology Authors: Meghan Davis, Jillian Egan, Shawn Marhamati, Antonio Galfano, Keith J. Kowalczyk Source Type: research

Robotic Partial Nephrectomy
Surgical techniques for robot-assisted partial nephrectomy are driven by the aims of simplifying the most challenging surgical steps, maximizing functional and oncologic outcomes, and consistently pushing the envelope on possibilities. Over the past several years, we have seen an emergence in not only innovation in surgical technique, and robotic platforms, but integration of a variety of imaging techniques. We believe with developing robotic expertise, practicing urologists will continue to push the envelope in nephron preservation and complication-free recovery. (Source: Urologic Clinics of North America)
Source: Urologic Clinics of North America - November 4, 2020 Category: Urology & Nephrology Authors: Laura Bukavina, Kirtishri Mishra, Adam Calaway, Lee Ponsky Source Type: research

Robotic Surgery Training
The use of robotic surgery in urology has grown exponentially in the past 2  decades, but robotic surgery training has lagged behind. Most graduating residents report a lack of comfort independently performing common robotic urologic surgeries, despite an abundance of available resources. There is a general consensus on the key components of a comprehensive robotics curric ulum, and well-validated tools have been developed to assess trainee competency. However, no single curriculum has emerged as the gold standard on which individual programs can build their own robotics curricula. (Source: Urologic Clinics of North America)
Source: Urologic Clinics of North America - November 4, 2020 Category: Urology & Nephrology Authors: Robert S. Wang, Sapan N. Ambani Source Type: research

Robotic Urology: Remember the Future
My favorite line from my favorite play, Camelot, is when King Arthur says of his friend, Merlin, the magician, “He remembers the future.” Doctors Jim Hu and Jonathan Shoag have assembled an array of urologic Merlins in this issue of Urologic Clinics devoted to Robotic Urology: The Next Frontier. It is wise to recognize that urologic robotic surgery is not a finished product; it is kinetic, a work in prog ress, if you will. Recently I wrote, “Relentlessly Make Yourself Obsolete.”1 I think that phrase captures the quiddity of urology in general and robotic urology in particular. (Source: Urologic Clinics of North America)
Source: Urologic Clinics of North America - November 4, 2020 Category: Urology & Nephrology Authors: Kevin R. Loughlin Tags: Foreword Source Type: research

Robotic Lower Urinary Tract Reconstruction
Lower urinary tract reconstruction has traditionally been approached in an open fashion but select complications or disease processes may be suitable for robotic reconstruction, including bladder neck contractures, proximal urethral strictures, and genitourinary fistulas. Here, the authors discuss the novel techniques used and the feasibility of robotic reconstruction for these conditions. The robotic approach is relatively novel, and more data and studies will be required to make definitive statements regarding success rate and complications from the procedure. Preliminary data suggest that the robotic approach may offer ...
Source: Urologic Clinics of North America - October 29, 2020 Category: Urology & Nephrology Authors: Sunchin Kim, Jill C. Buckley Source Type: research