Anup Kumar, S. Samavedi, A. Bates, R. Coelho, B. Rocco, J. Marquinez, Ignacio Camacho, C. Jenson, K. Palmer, V. Patel
{"title":"Impact of Dehydrated Human Amniotic Membrane Allograft (AmnioFix®) on Continence and Potency Following Robot-Assisted Radical Prostatectomy","authors":"Anup Kumar, S. Samavedi, A. Bates, R. Coelho, B. Rocco, J. Marquinez, Ignacio Camacho, C. Jenson, K. Palmer, V. Patel","doi":"10.1089/VID.2014.0074","DOIUrl":"https://doi.org/10.1089/VID.2014.0074","url":null,"abstract":"Abstract Introduction and Objectives: Allografts of dehydrated human amniotic membrane (dHAM) have cytokines and growth factors that have been shown to reduce the inflammatory response during tissue healing and promote nerve regeneration. This is the first reported study evaluating the early quality of life outcomes after placement of dHAM on the neurovascular bundle (NVB) during nerve-sparing robot-assisted radical prostatectomy (RARP). We demonstrate our technique in this video. Methods: From March 2013 to July 2014, 58 preoperatively potent (Sexual Health Inventory for Men score >19) and continent patients underwent full nerve-sparing RARP, followed by intraoperative dHAM placement at our institution. In each patient, the dHAM was wrapped around the NVB following the RARP procedure. We performed propensity matching using our prospective database in matched nongrafted patients from the same time period. Pre-, peri-, and postoperative outcomes were analyzed between patient groups, including the time to r...","PeriodicalId":92923,"journal":{"name":"Journal of endourology. Part B, Videourology","volume":"12 1","pages":"150319072415005"},"PeriodicalIF":0.0,"publicationDate":"2015-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79387202","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":"Transurethral Vapor Enucleation of the Prostate","authors":"XieLiping, Chenhong, MaoQiqi, ZhengXiangyi, XuQingkang, DuanYue, YangXiaohua, JingTaile, LinYiwei, LiuBen","doi":"10.1089/VID.2015.0010","DOIUrl":"https://doi.org/10.1089/VID.2015.0010","url":null,"abstract":"Abstract Introduction: During the last decade, a bipolar plasmakinetic vaporization system with a novel button-like electrode has emerged and was described as a safe and effective option for the treatment of benign prostatic hyperplasia (BPH). Here, we present a modified technique named transurethral vapor enucleation of the prostate (TVEP). Materials and Methods: We provide a video that shows the main steps of this procedure. Vapo-enucleation of the prostate is performed by moving the button electrode circumferentially from the verumontanum toward the bladder neck, and the enucleated prostate tissue is retrieved by the morcellator. Three patients who were treated by TVEP in our institution between 2013 and 2014 were retrospectively evaluated to assess its feasibility. The postvoiding residual urine (PVRU) and maximum flow rate (Qmax) were measured preoperatively and 3 months postoperatively. Results: The mean operative time was 85 min. Nearly no vascular bleeding was observed during the operation. The av...","PeriodicalId":92923,"journal":{"name":"Journal of endourology. Part B, Videourology","volume":"56 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2015-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90610391","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}
KumarAnup, SamavediSrinivas, BatesAnthony, CoelhoRafael, RoccoBernardo, MarquinezJeff, J. PalmerKenneth, R. PatelVipul
{"title":"Using Indocyanine Green and Near-Infrared Fluorescence Technology to Identify the “Landmark Artery” During Robot-Assisted Radical Prostatectomy","authors":"KumarAnup, SamavediSrinivas, BatesAnthony, CoelhoRafael, RoccoBernardo, MarquinezJeff, J. PalmerKenneth, R. PatelVipul","doi":"10.1089/VID.2014.0071","DOIUrl":"https://doi.org/10.1089/VID.2014.0071","url":null,"abstract":"Abstract Introduction and Objectives: The “Landmark Artery” has been shown to be a valuable landmark during nerve-sparing (NS) robot assisted radical prostatectomy (RARP) in improving the quality of the neurovascular bundle (NVB) preservation. Sometimes, this landmark can be challenging to find due to inexperience of the surgeon or anatomical challenges. We performed the first ever study to evaluate the role of an innovative intraoperative tool, near-infrared fluorescence (NIRF) technology in conjunction with intravenous indocyanine green (ICG) in identification of this “Landmark Artery” during NS RARP. We demonstrate our technique in this video. Methods: Ten patients underwent NS RARP. Before clamping the pedicle or dissection of the NVB, 0.75 ml of ICG was given. The NIRF technology was engaged on the robotic console and a period of 20–40 seconds was allowed for the ICG to enter the vascular system. The landmark artery was then observed bilaterally. After this time period, we switched back to the non-NI...","PeriodicalId":92923,"journal":{"name":"Journal of endourology. Part B, Videourology","volume":"13 1","pages":"150212075533008"},"PeriodicalIF":0.0,"publicationDate":"2015-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83672949","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}
MisraiVincent, CornuJean-Nicolas, H. WooHenry, Gomez-SanchaFernando
{"title":"En Bloc Enucleation of the Prostate Using a Surgical 532-nm Laser (GreenLEP) Technique: Initial Results","authors":"MisraiVincent, CornuJean-Nicolas, H. WooHenry, Gomez-SanchaFernando","doi":"10.1089/VID.2014.0068","DOIUrl":"https://doi.org/10.1089/VID.2014.0068","url":null,"abstract":"Abstract Objectives: To describe 532-nm Green laser enucleation of the prostate (GreenLEP) and assess its feasibility, safety, and short-term outcomes. Patients and Methods: Thirty consecutive patients with a prostate volume >80 cc and who underwent GreenLEP (by one surgeon) between July 2013 and March 2014 were prospectively evaluated. GreenLEP was conducted using the GreenLight HPS™ device (AMS, Minnetonka, MN), and morcellation was conducted using a Wolf™ morcellator. Clinical data on preoperative assessment, operative characteristics, and postoperative assessments of 6- to 12-month functional outcomes and complications were entered into a database. Results: GreenLEP was conducted effectively in all but one case, necessitating a conversion into open surgery for adenoma and clot removal. The median operative time was 60 minutes (range: 50–100). Perioperative complications included perforation of the prostatic capsule in five cases. The median hospital stay was 2 days (range: 2–5). Nine-month follow-ups ...","PeriodicalId":92923,"journal":{"name":"Journal of endourology. Part B, Videourology","volume":"1 1","pages":"150205120040009"},"PeriodicalIF":0.0,"publicationDate":"2015-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89513600","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, W. KramerMario, JutziStephan, ImkampFlorian, AbbasMahmoud, NageleUdo, MerseburgerAxel Stuart, KuczykMarkus Antonius, R. W. HerrmannThomas
{"title":"Laser En Bloc Resection of Bladder Tumors for Staging and Treatment of Primary Bladder Cancer","authors":"WoltersMathias, W. KramerMario, JutziStephan, ImkampFlorian, AbbasMahmoud, NageleUdo, MerseburgerAxel Stuart, KuczykMarkus Antonius, R. W. HerrmannThomas","doi":"10.1089/VID.2014.0052","DOIUrl":"https://doi.org/10.1089/VID.2014.0052","url":null,"abstract":"Abstract Introduction: Today, transurethral resection of superficial bladder cancer is the standard therapy. Assessing the correct penetration depth is crucial. Reasons for the high rates of local recurrence are under investigation. Potential disadvantages of the standard technique are thermal damage of adjacent tissue, the “incise and scatter” technique that causes fragmentation of the tumor and leads to a high amount of exfoliated cancer cells, and the difficulty of accurate pathological evaluation of fragmented tissue.1 En bloc resection techniques are an emerging issue.2–4 The first description of a laser en bloc resection of bladder tumors using Ho:YAG (holmium laser resection of bladder tumors [HoLRBT]) was published by Das et al.5 With the introduction of thulium as a new source for laser devices, several studies were published dealing with en bloc resection techniques of bladder cancer (Thulium laser resection of bladder [TmLRBT]).6,7 Methods: The objective of this study was to present our techniq...","PeriodicalId":92923,"journal":{"name":"Journal of endourology. Part B, Videourology","volume":"37 1","pages":"150127064146007"},"PeriodicalIF":0.0,"publicationDate":"2015-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90552814","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}
JairathAnkush, MishraShashikant, S. BalajiSudharsan, JagtapJitendra, SabnisRavindra, DesaiMahesh
{"title":"Laparoscopic Partial Cystectomy Guided by Real-Time Cystoscopic Visualization","authors":"JairathAnkush, MishraShashikant, S. BalajiSudharsan, JagtapJitendra, SabnisRavindra, DesaiMahesh","doi":"10.1089/VID.2014.0059","DOIUrl":"https://doi.org/10.1089/VID.2014.0059","url":null,"abstract":"Abstract Introduction: Laparoscopic partial cystectomy is limited to solitary tumors in the bladder (bladder endometriosis, pheochromocytoma, leiomyoma, squamous cell, adenocarcinoma, and transitional cell carcinoma) where a sufficient margin is obtainable. The tumor should be distant both from the bladder neck and trigone, as well to allow adequate resected margin (1–2 cm). Materials and Methods: To demonstrate this technique, we present a case of a 69-year-old diabetes mellitus/hypertension/coronary artery disease male patient with a history of painless gross hematuria since 1 month, on evaluation found to have lobulated a 4 × 3 cm bladder mass lesion on the anterosuperior bladder wall. He initially underwent cystoscopy and biopsy, which showed well-differentiated adenocarcinoma infiltrating the lamina propria and muscularis propria. Hence, he was planned for laparoscopic partial cystectomy. The surgery was performed in a steep Trendelenburg position with standard four ports (two 12 mm and two 5 mm) bei...","PeriodicalId":92923,"journal":{"name":"Journal of endourology. Part B, Videourology","volume":"1 1","pages":"150127064146007"},"PeriodicalIF":0.0,"publicationDate":"2015-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83661281","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}
JairathAnkush, S. BalajiSudharsan, MishraShashikant, SabnisRavindra, DesaiMahesh
{"title":"Laparoscopic Extended Pelvic Lymph Node Dissection During Radical Cystectomy: Technique and Outcomes","authors":"JairathAnkush, S. BalajiSudharsan, MishraShashikant, SabnisRavindra, DesaiMahesh","doi":"10.1089/VID.2014.0057","DOIUrl":"https://doi.org/10.1089/VID.2014.0057","url":null,"abstract":"Abstract Introduction: Laparoscopic radical cystectomy (LRC) is both safe and efficacious. Extending the laparoscopic limit by doing extended pelvic lymph node dissection (PLND) and then doing external diversion by a small Pfannenstiel incision can further decrease the morbidity of the procedure while maintaining oncologic efficacy. We intend to perform and evaluate laparoscopic extended PLND (EPLND) in patients undergoing LRC with ileal diversion by a four-port split-and-roll technique. Materials and Methods: The essential steps of the procedure include patient in steep 45° Trendelenburg position with the surgeon and camera assistant on left position, 12 mm supra umbilical port for camera, 12 mm dissection port at the previously marked ileal conduit site, 5 mm retraction, and assistant port in left and right quadrant. Root of bowel mesentery is reflected cranially to expose aortic bifurcation. The packet is longitudinally divided anterior to the artery (iliac and aorta) using the split-and-roll technique...","PeriodicalId":92923,"journal":{"name":"Journal of endourology. Part B, Videourology","volume":"98 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2015-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89262373","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}
E. ZainfeldDaniel, P. WindspergerAndrew, MirzaMoben, A. DucheneDavid
{"title":"Robot-Assisted Laparoscopic Ureteral Reimplantation: Our Technique and Outcomes","authors":"E. ZainfeldDaniel, P. WindspergerAndrew, MirzaMoben, A. DucheneDavid","doi":"10.1089/vid.2014.0027","DOIUrl":"https://doi.org/10.1089/vid.2014.0027","url":null,"abstract":"Abstract Introduction: Robotic assistance has facilitated the performance of many complex reconstructive procedures previously relegated to an open approach with numerous reported advantages. Distal ureteral reconstruction and reimplantation is one such procedure often performed laparoscopically with robotic assistance using the da Vinci robotic surgical system. We evaluated perioperative and long-term outcomes among patients who underwent treatment with robot-assisted laparoscopic ureteral reimplantation (RALUR) at a single center. Materials and Methods: Patients who underwent RALUR between July 2006 and October 2012 were identified. In all procedures, the distal ureter was spatulated for 1.5 cm. An ~1 cm cystotomy was created. The ureterovesical anastomosis was completed in a triangular manner, including two arms of 4-0 polydioxanone suture up the sides of the spatulation and a third arm anteriorly following stent placement to form a widely patent refluxing anastomosis. All procedures were performed at ...","PeriodicalId":92923,"journal":{"name":"Journal of endourology. Part B, Videourology","volume":"70 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2015-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78430598","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}
A. WollinDaniel, A. MitchellSarah, D. StifelmanMichael, C. ZhaoLee
{"title":"Robotic Buccal Mucosa Graft Ureteroplasty","authors":"A. WollinDaniel, A. MitchellSarah, D. StifelmanMichael, C. ZhaoLee","doi":"10.1089/VID.2014.0042","DOIUrl":"https://doi.org/10.1089/VID.2014.0042","url":null,"abstract":"Abstract Introduction: Morbidity associated with traditional reconstruction of complex ureteral strictures has led to interest in applying the success of buccal graft urethroplasty to the ureter. C...","PeriodicalId":92923,"journal":{"name":"Journal of endourology. Part B, Videourology","volume":"26 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2015-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85054411","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":"Freehand Ultrasound-Guided Transperineal Prostate Biopsy: Technique and Early Results","authors":"D. Michael, AllawayMathew","doi":"10.1089/VID.2014.0046","DOIUrl":"https://doi.org/10.1089/VID.2014.0046","url":null,"abstract":"Abstract Introduction: Approximately 1 million prostate biopsies are performed yearly, the vast majority of which are performed transrectally.1 Passing biopsy needles through the rectal wall introduces bacteria into the prostate parenchyma.2 The resistance of coliform bacteria to fluoroquinolone antibiotics is as high as 22%,2,3 and the infectious complications have increased to as high as 7% with hospitalization risk as high as 4%.4 I demonstrate a technique avoiding this infectious risk by passing the biopsy needle through the perineum using a freehand technique under ultrasound monitoring. Materials and Methods: All procedures were performed in the Ambulatory Urology Surgical Center (Cumberland, MD) by one urologist. Patients requiring prostate biopsy, in accordance with accepted standards of urologic care, were offered the option of sedation and/or local anesthesia. Patients did not receive bowel preparation, prior rectal swab, or pre-/postoperative antibiotics. Intravenous access was obtained for a w...","PeriodicalId":92923,"journal":{"name":"Journal of endourology. Part B, Videourology","volume":"74 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2015-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74574925","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}