{"title":"Step by Step Flexible Ureteroscopy Supported with SPIES Technology for Conservative Treatment of UTUC","authors":"GiustiGuido, ProiettiSilvia","doi":"10.1089/vid.2015.0014","DOIUrl":"https://doi.org/10.1089/vid.2015.0014","url":null,"abstract":"Abstract Objective: To describe the step by step technique of flexible ureteroscopy (fURS) in the treatment of upper urinary tract carcinomas (UTUC) reporting the different modalities of visualization supplied by SPIES technology and to determine whether this enhancing system could improve the detection of malignancy. Materials and Methods: Twelve patients underwent 17 fURS procedures for UTUC using white light (WL) and the five modalities of SPIES technology (Clara, Chroma, Clara+Chroma, SPECTRA A, and SPECTRA B). Biopsies were carried out from all suspicious areas, reporting which modality they were seen with. All procedures were performed by a single urologist. Results: Optimal outcomes in the conservative management of UTUC are possible only with rigorous standardization of the procedure as follows: cystoscopy, ureteroscopy, urinary cytology in situ, navigation of the collecting system with WL and with SPIES technology (the different modalities are shown in the video), identification of the defect of ...","PeriodicalId":92923,"journal":{"name":"Journal of endourology. Part B, Videourology","volume":"21 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2015-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86090534","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
G. ThummarHaresh, KhaterUsama, GuptaKasmira, GuptaMantu
{"title":"Capsule to Calculus Optical Dissection for Tract Creation During Difficult Percutaneous Nephrolithotomy","authors":"G. ThummarHaresh, KhaterUsama, GuptaKasmira, GuptaMantu","doi":"10.1089/VID.2015.0009","DOIUrl":"https://doi.org/10.1089/VID.2015.0009","url":null,"abstract":"Abstract Introduction and Objectives: Percutaneous nephrolithotomy (PCNL) remains the mainstay modality for large burden kidney stone management. Access to the pelvicaliceal system is the key step for success of PCNL for complete stone clearance and minimal complication. However, many times in cases of impacted stones, staghorn calculi, nondilated pelvicaliceal systems, or thin renal cortex, it becomes difficult to establish a tract into the calix after initial puncture and the procedure may have to be abandoned. In this video, we present our technique of intrarenal dissection to salvage difficult cases using standard PCNL instruments. Methods: We performed this novel technique in nine patients with staghorn stones or impacted caliceal stones. As per the standard PCNL protocol, fluoroscopic-guided puncture and guidewire placement into the collecting system are performed; then, the tract is dilated with a balloon or Amplatz Dilators and a sheath is placed. A nephroscope is passed under direct vision and an...","PeriodicalId":92923,"journal":{"name":"Journal of endourology. Part B, Videourology","volume":"12 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2015-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77502030","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
WoltersMathias, L. Alan, GrossAndreas Johann, HerrmannThomas Reinhard William, NetschChristopher
{"title":"Feasibility of Thulium Laser Vapoenucleation of the Prostate After Prior Prostate Surgery for Benign Prostatic Hyperplasia","authors":"WoltersMathias, L. Alan, GrossAndreas Johann, HerrmannThomas Reinhard William, NetschChristopher","doi":"10.1089/VID.2015.0018","DOIUrl":"https://doi.org/10.1089/VID.2015.0018","url":null,"abstract":"Abstract Introduction: Transurethral resection of the prostate (TURP) has been considered the standard treatment for decades.1,2 During the past 20 years, laser technology played an increasing role...","PeriodicalId":92923,"journal":{"name":"Journal of endourology. Part B, Videourology","volume":"25 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2015-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77250698","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
TalwarManoj, T. Ahmed, BhagchandkaHarish, KumarNiraj, VishalVaibhav
{"title":"Artificial Ureter: UVENTA Metallic Mesh Stent Serving as a Novel Palliative Replacement Device in Malignant Ureterovaginal Fistula","authors":"TalwarManoj, T. Ahmed, BhagchandkaHarish, KumarNiraj, VishalVaibhav","doi":"10.1089/vid.2015.0005","DOIUrl":"https://doi.org/10.1089/vid.2015.0005","url":null,"abstract":"Abstract Introduction and Objective: A novel, double-layered, coated self-expandable mesh ureteral stent (UVENTA™ Taewoong Medical, Korea) is reported to be a safe and effective palliative treatmen...","PeriodicalId":92923,"journal":{"name":"Journal of endourology. Part B, Videourology","volume":"255 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2015-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77536533","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Use of Intraoperative Indocyanine Green to Facilitate Robot-Assisted Laparoscopic Upper Pole Partial Nephroureterectomy","authors":"L. SteinbergRyan, R. NewtonMark, R. TracyChad","doi":"10.1089/VID.2015.0020","DOIUrl":"https://doi.org/10.1089/VID.2015.0020","url":null,"abstract":"Abstract Introduction: During partial nephrectomy, identifying and occluding the appropriate segmental vessels that supply the diseased parenchyma before resection are critical to minimizing blood loss. While it is sometimes possible to identify vascular changes visually, the presence of complicated renal vascular anatomy may complicate appropriate identification of polar vessels. We now report the use of near-infrared fluorescence (NIRF) with intravenous indocyanine green (ICG) to confirm appropriate vascular occlusion before parenchymal resection during a robot-assisted laparoscopic partial nephroureterectomy. Materials and Methods: A left robot-assisted laparoscopic upper pole partial nephroureterectomy was performed for an obstructed, minimally functional left upper pole moiety in the setting of persistent left flank pain using the da Vinci Si System. The patient was positioned, prepped, draped, and trocars placed in the typical manner. The colon was reflected medially. A complex renal hilum was ident...","PeriodicalId":92923,"journal":{"name":"Journal of endourology. Part B, Videourology","volume":"48 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2015-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73858520","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Li Sit, SimAllen Soon Phang, Mohd ZamNor Azhari Bin, HoHenry Sun Sien
{"title":"A Novel Method for Retrograde Ureteral Stent Insertion During Laparoscopic Ureterolithotomy Without Radiological Guidance","authors":"Li Sit, SimAllen Soon Phang, Mohd ZamNor Azhari Bin, HoHenry Sun Sien","doi":"10.1089/VID.2015.0019","DOIUrl":"https://doi.org/10.1089/VID.2015.0019","url":null,"abstract":"Abstract Introduction: With the improvement in endoscopic techniques and shockwave lithotripsy, the role of laparoscopic ureterolithotomy (LU) has changed significantly over the past decade.1 LU remains a viable option for patients with large impacted upper ureteric stone which are less well treated by endoscopic methods. LU has been shown in small series to have the highest stone-free rate when comparing to extracorporeal shockwave lithotripsy (SWL) in the management of upper ureteral stone of >1 cm.2 In addition, LU has shorter hospitalization, shorter convalescence, and better analgesic profile compared with open ureterolithotomy.1 Various methods of intraoperative ureteric stent insertion during LU have been described but with varying reports on safety or efficacy.3–6 One of the challenges during LU is the laparoscopic insertion of ureteric stent into a small ureteric incision. This can be time consuming and technically challenging. Slippage of the guidewire or stent occurs commonly and their prolonge...","PeriodicalId":92923,"journal":{"name":"Journal of endourology. Part B, Videourology","volume":"35 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2015-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73224121","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Robot-Assisted Laparoscopic Heminephrectomy: Retrograde Technique","authors":"S. GundetiMohan, ShenDan, D. MalikRena","doi":"10.1089/VID.2014.0075","DOIUrl":"https://doi.org/10.1089/VID.2014.0075","url":null,"abstract":"Abstract Introduction: We illustrate our “retrograde technique” for robot-assisted laparoscopic heminephrectomy (RAL-HN). We also describe the clinical outcomes using this approach in the pediatric...","PeriodicalId":92923,"journal":{"name":"Journal of endourology. Part B, Videourology","volume":"27 1","pages":"150316135444006"},"PeriodicalIF":0.0,"publicationDate":"2015-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90091015","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Prostate Morcellation After Transurethral Prostate Enucleation: Technique, Tips, and Tricks","authors":"TiburtiusChristian, LeavittDavid, NetschChristopher, OkekeZeph, HerrmannThomas, SmithArthur, GrossAndreas","doi":"10.1089/VID.2015.0003","DOIUrl":"https://doi.org/10.1089/VID.2015.0003","url":null,"abstract":"Abstract Introduction: Morcellation of enucleated prostate tissue was developed as a means to remove large specimens transurethrally without the need for a separate extraction site. However, morcel...","PeriodicalId":92923,"journal":{"name":"Journal of endourology. Part B, Videourology","volume":"67 1","pages":"150407115314005"},"PeriodicalIF":0.0,"publicationDate":"2015-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83383344","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Robotic Partial and Radical Nephrectomy in Renal Allograft: Demonstration of Technique","authors":"Abdul-MuhsinHaidar, KatariyaNitin, CastleErik","doi":"10.1089/VID.2015.0007","DOIUrl":"https://doi.org/10.1089/VID.2015.0007","url":null,"abstract":"Abstract Introduction: Renal tumors in allografts are rare but a serious condition. It presents a challenging clinical scenario where proper radiologic evaluation is commonly hindered by the suboptimal renal function. When surgical intervention is indicated, nephron sparing approaches are confronted with a risk of metastasis in an immunocompromised host, whereas graft nephrectomy results in significant postoperative morbidity and mortality as dialysis is reinitiated. Regardless of the surgical plan, graft surgery can be associated with significant vascular morbidities secondary to the dense desmoplastic reaction surrounding the anastomotic areas. Robotic surgery allows meticulous anastomotic dissection due to benefits of magnification, three-dimensional vision, and enhanced seven degrees of freedom of the robotic instruments. This may increase the chances of graft preservation. Moreover, it offers the benefits of minimally invasive surgery with less pain, shorter hospitalization, and less blood loss if to...","PeriodicalId":92923,"journal":{"name":"Journal of endourology. Part B, Videourology","volume":"04 1","pages":"150417132144005"},"PeriodicalIF":0.0,"publicationDate":"2015-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86064145","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
HuberPhilipp Markus, N. ThalmannGeorge, D. BirkhäuserFrédéric, J. HungAndrew, AronMonish, S. GillInderbir, M. DesaiMihir, ZehnderPascal
{"title":"Fast But Not Furious: Improve Your Surgical Skills for the Race Against Time During Robot-Assisted Partial Nephrectomy Using a Validated Perfused Training Model","authors":"HuberPhilipp Markus, N. ThalmannGeorge, D. BirkhäuserFrédéric, J. HungAndrew, AronMonish, S. GillInderbir, M. DesaiMihir, ZehnderPascal","doi":"10.1089/VID.2015.0011","DOIUrl":"https://doi.org/10.1089/VID.2015.0011","url":null,"abstract":"Abstract Introduction: We present an updated version of our previously validated robotic partial nephrectomy (RPN) training model,1,2 which includes the reconstructive part of the procedure in addi...","PeriodicalId":92923,"journal":{"name":"Journal of endourology. Part B, Videourology","volume":"9 1","pages":"150430131608009"},"PeriodicalIF":0.0,"publicationDate":"2015-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83522102","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}