Current Urology Reports最新文献_第6页

Flaps and Grafts in Robotic Reconstructive Surgery. 机器人整形外科中的皮瓣和移植物。

IF 2.6 2区医学

Current Urology Reports Pub Date : 2024-06-01 Epub Date: 2024-03-22 DOI: 10.1007/s11934-024-01201-z

Karen M Doersch, Kathleen A Li, Divya Ajay

{"title":"Flaps and Grafts in Robotic Reconstructive Surgery.","authors":"Karen M Doersch, Kathleen A Li, Divya Ajay","doi":"10.1007/s11934-024-01201-z","DOIUrl":"10.1007/s11934-024-01201-z","url":null,"abstract":"Purpose of review: The robotic approach is increasingly popular in reconstructive urology. Reconstructive surgeons have commonly used flaps and grafts for obliterating dead space including tissue interposition or as an alternative to mesh in addressing lower urinary tract dysfunction. Advantages of the robotic approach are less incisional pain, excellent visualization in the deep pelvis, and improved surgeon ergonomics. In this literature review, we describe flaps and grafts used in lower urinary tract robotic reconstructive urology, serving as an almanac for these techniques.Recent findings: Omental, peritoneal, vertical rectus abdominis musculocutaneous (VRAM), sigmoid epiploica, gracilis flaps, and Alloderm™ have been reported for tissue interposition during fistula repair. Fascia lata has been described as a mesh alternative for robotic sacrocolpopexy. Besides providing interposition, flaps support native tissue healing and blood supply. Grafts are easy to use with low patient morbidity, but rely on the blood supply at the recipient site. Robotic reconstruction is an emerging field, and more studies are needed to define the best uses for each flap and graft as well as strategies to maximize outcomes and minimize morbidity.","PeriodicalId":11112,"journal":{"name":"Current Urology Reports","volume":" ","pages":"109-115"},"PeriodicalIF":2.6,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140183997","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Circumferential Inferior Vena Cavectomy Without Caval Replacement in the Management of Renal Cell Carcinoma with Tumor Thrombus. 在治疗伴有肿瘤血栓的肾细胞癌时不进行腔静脉置换的环形下腔静脉切除术

IF 2.6 2区医学

Current Urology Reports Pub Date : 2024-06-01 Epub Date: 2024-05-20 DOI: 10.1007/s11934-024-01203-x

V Gonzalez de Gor Herrera, J M Asencio Pascual, J González, F Herranz Amo, E LLedó García, A Sánchez Ochoa M, C Hernández Fernández

{"title":"Circumferential Inferior Vena Cavectomy Without Caval Replacement in the Management of Renal Cell Carcinoma with Tumor Thrombus.","authors":"V Gonzalez de Gor Herrera, J M Asencio Pascual, J González, F Herranz Amo, E LLedó García, A Sánchez Ochoa M, C Hernández Fernández","doi":"10.1007/s11934-024-01203-x","DOIUrl":"10.1007/s11934-024-01203-x","url":null,"abstract":"Purpose of review: Renal cell carcinoma presents a unique proclivity for vascular involvement giving rise to a peculiar form of locally advanced disease so-called tumor thrombus. To date, the only curative strategy for these cases remains surgery, which should aim to remove every vestige of macroscopic disease. Most of the preexisting literature advocates opening the vena cava to allow tumor thrombus removal and subsequent venous suture closure. However, inferior vena cava circumferential resection (cavectomy) without caval replacement is possible in the majority of cases since progressive occlusion facilitates the development of a collateral venous network aimed at maintaining cardiac preload.Recent findings: Radical nephrectomy with tumor thrombectomy remains a surgical challenge not exempt of operative complications even in experienced hands. In opposition to what traditional cavotomy and thrombus withdrawal can offer, circumferential cavectomy without caval replacement would provide comparable or even better oncologic control, decrease the likelihood of operative bleeding, and prevent the development of perioperative pulmonary embolism. This review focuses on the rationale of circumferential IVC resection without caval replacement and the important technical aspects of this approach in cases of renal cell carcinoma with vascular involvement. We also include an initial report on the surgical outcomes of a contemporary series of patients managed under this approach at our center.","PeriodicalId":11112,"journal":{"name":"Current Urology Reports","volume":" ","pages":"117-124"},"PeriodicalIF":2.6,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11136755/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141064743","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Medical Advancements in Benign Prostatic Hyperplasia Treatments. 良性前列腺增生症治疗的医学进展。

IF 2.6 2区医学

Current Urology Reports Pub Date : 2024-05-01 Epub Date: 2024-03-07 DOI: 10.1007/s11934-024-01199-4

Vishnuvardhan Ganesan, Deepak Agarwal

引用次数: 0

The Use of Uroflowmetry as a Diagnostic Test. 使用尿流率测量仪作为诊断测试。

IF 2.6 2区医学

Current Urology Reports Pub Date : 2024-05-01 Epub Date: 2024-02-28 DOI: 10.1007/s11934-024-01200-0

Sanjay Sinha

{"title":"The Use of Uroflowmetry as a Diagnostic Test.","authors":"Sanjay Sinha","doi":"10.1007/s11934-024-01200-0","DOIUrl":"10.1007/s11934-024-01200-0","url":null,"abstract":"Purpose of review: Uroflowmetry is widely used for initial non-invasive evaluation of lower urinary tract disorders. Current clinical use is mostly restricted to a scrutiny of the maximum flow rate and uroflow pattern recorded by a conventional flowmeter in a health care facility. There are several advancements in our understanding and in available technologies that promise to transform clinical utilization of this simple test.Recent findings: Several aspects of the uroflow test in addition to maximum flow rate and uroflow pattern show potential diagnostic utility. This includes flow acceleration, uroflow indices, uroflow-electromyography including lag time, stop uroflow test, and uroflow-based nomograms. There are initial attempts to use artificial intelligence in analysis. There is also new data with regard to factors influencing variability of uroflow testing that might influence the diagnostic value in as yet uncertain ways including diurnal variability, postural variability, locational variability, and operator variability. There are new technologies for uroflow testing in a home environment allowing for easy repetition. However, there are several challenges owing to a paucity of clinical data and standardization. There are also critical lacunae in terminology that need to be addressed. There are exciting new advancements in the field of uroflowmetry. However, there is need to standardize and validate the newer uroflow tracing analyses and technologies.","PeriodicalId":11112,"journal":{"name":"Current Urology Reports","volume":" ","pages":"99-107"},"PeriodicalIF":2.6,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139982627","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Evaluation of Current Surgical BPH Interventions for Young and Elderly Men. 评估目前针对年轻和老年男性的前列腺增生手术干预措施。

IF 2.6 2区医学

Current Urology Reports Pub Date : 2024-05-01 Epub Date: 2024-03-12 DOI: 10.1007/s11934-024-01198-5

Timothy W Brandt, Jacqueline M Luizzi, Ronald J Caras

引用次数: 0

Persistent Lower Urinary Tract Symptoms After BPH Surgery 良性前列腺增生手术后持续的下尿路症状

IF 2.6 2区医学

Current Urology Reports Pub Date : 2024-04-05 DOI: 10.1007/s11934-024-01202-y

Joshua Heiman, William M. Snead, John Michael DiBianco

{"title":"Persistent Lower Urinary Tract Symptoms After BPH Surgery","authors":"Joshua Heiman, William M. Snead, John Michael DiBianco","doi":"10.1007/s11934-024-01202-y","DOIUrl":"https://doi.org/10.1007/s11934-024-01202-y","url":null,"abstract":"<h3 data-test=\"abstract-sub-heading\">Purpose of Review</h3>Lower urinary tract symptoms (LUTS) after surgical management for BPH pose a significant clinical challenge for urologists. Despite high success rates in relieving LUTS, there is a subset of patients who experience persistent symptoms after intervention. In this review article, we describe the management of patients with new or persistent LUTS after endoscopic bladder outlet surgery.<h3 data-test=\"abstract-sub-heading\">Recent Findings</h3>Previously, the goal for BPH management was to remove as much adenomatous tissue as possible. While potentially effective, this may lead to unwanted side effects. There has been a recent paradigm shift for new minimally invasive surgical therapies (MIST) that strategically treat adenomatous tissue, adding potential complexity in managing patients with new or residual symptoms in the postoperative setting.<h3 data-test=\"abstract-sub-heading\">Summary</h3>There is a paucity of literature to guide optimal workup and care of patients with persistent LUTS after surgical management. We characterize patients into distinct groups, defined by types of symptoms, irritative versus obstructive, and timing of the symptomatology, short term versus long term. By embracing this patient-centered approach with shared decision management, clinicians can optimize outcomes efficiently improving their patients’ quality of life.","PeriodicalId":11112,"journal":{"name":"Current Urology Reports","volume":"8 1","pages":""},"PeriodicalIF":2.6,"publicationDate":"2024-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140573652","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Adult Hypospadias Outcomes for the Pediatric Urologist. 成人尿道下裂对小儿泌尿科医生的影响。

IF 2.6 2区医学

Current Urology Reports Pub Date : 2024-04-01 Epub Date: 2024-02-06 DOI: 10.1007/s11934-024-01196-7

Tyler Gaines, Jay Simhan

引用次数: 0

Laser Technology Advancements in the Treatment of Benign Prostatic Hypertrophy. 治疗良性前列腺肥大的激光技术进展。

IF 2.6 2区医学

Current Urology Reports Pub Date : 2024-04-01 Epub Date: 2024-02-13 DOI: 10.1007/s11934-024-01197-6

David C Dalton, T Max Shelton, Marcelino Rivera

{"title":"Laser Technology Advancements in the Treatment of Benign Prostatic Hypertrophy.","authors":"David C Dalton, T Max Shelton, Marcelino Rivera","doi":"10.1007/s11934-024-01197-6","DOIUrl":"10.1007/s11934-024-01197-6","url":null,"abstract":"Purpose of review: Lasers have had a significant impact on the treatment of benign prostatic hypertrophy. This article attempts to distill the advancements in laser technology for the treatment of benign prostatic hypertrophy (BPH) into key and understandable points to help make this topic more accessible to urologists.Recent findings: The holmium:yttrium-aluminum-garnet (YAG) laser, one of the most significant lasers in the field of urology, has recently been improved with pulse modulating technology (Moses™ technology). New thulium:YAG technology allows both pulsed and continuous wave modes. The thulium fiber laser is one of the newer lasers to come to market and has been shown to have effective and safe outcomes. GreenLight™ lasers are predominantly used in photovaporization procedures and have also been studied extensively, although less in recent years. The modern urologist is fortunate to have many high-quality lasers and a wide variety of surgical techniques to choose from when treating BPH. Understanding the basic laser principles and applications will help urologists to select the best treatment options for their patients with BPH.","PeriodicalId":11112,"journal":{"name":"Current Urology Reports","volume":" ","pages":"71-78"},"PeriodicalIF":2.6,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139722045","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Pediatric Robot-Assisted Laparoscopic Pyeloplasty: Where Are We Now? 小儿机器人辅助腹腔镜肾盂成形术：我们现在在哪里？

IF 2.6 2区医学

Current Urology Reports Pub Date : 2024-03-01 Epub Date: 2024-02-07 DOI: 10.1007/s11934-024-01195-8

Suhaib Abdulfattah, Sameer Mittal

引用次数: 0

Exploring the Ethical, Legal, and Social Implications of ChatGPT in Urology. 探讨ChatGPT在泌尿外科的伦理、法律和社会意义。

IF 2.6 2区医学

Current Urology Reports Pub Date : 2024-01-01 Epub Date: 2023-09-22 DOI: 10.1007/s11934-023-01185-2

Kinju Adhikari, Nithesh Naik, Bm Zeeshan Hameed, S K Raghunath, Bhaskar K Somani

{"title":"Exploring the Ethical, Legal, and Social Implications of ChatGPT in Urology.","authors":"Kinju Adhikari, Nithesh Naik, Bm Zeeshan Hameed, S K Raghunath, Bhaskar K Somani","doi":"10.1007/s11934-023-01185-2","DOIUrl":"10.1007/s11934-023-01185-2","url":null,"abstract":"Purpose of the review: ChatGPT is programmed to generate responses based on pattern recognition. With this vast popularity and exponential growth, the question arises of moral issues, security and legitimacy. In this review article, we aim to analyze the ethical and legal implications of using ChatGPT in Urology and explore potential solutions addressing these concerns.Recent findings: There are many potential applications of ChatGPT in urology, and the extent to which it might improve healthcare may cause a profound shift in the way we deliver our services to patients and the overall healthcare system. This encompasses diagnosis and treatment planning, clinical workflow, patient education, augmenting consultations, and urological research. The ethical and legal considerations include patient autonomy and informed consent, privacy and confidentiality, bias and fairness, human oversight and accountability, trust and transparency, liability and malpractice, intellectual property rights, and regulatory framework. The application of ChatGPT in urology has shown great potential to improve patient care and assist urologists in various aspects of clinical practice, research, and education. Complying with data security and privacy regulations, and ensuring human oversight and accountability are some potential solutions to these legal and ethical concerns. Overall, the benefits and risks of using ChatGPT in urology must be weighed carefully, and a cautious approach must be taken to ensure that its use aligns with human values and advances patient care ethically and responsibly.","PeriodicalId":11112,"journal":{"name":"Current Urology Reports","volume":" ","pages":"1-8"},"PeriodicalIF":2.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41115963","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0